Physiotutors Podcast
by PhysiotutorsThe Physiotutors podcast is your opportunity to hear from some of the best physio's, researchers, lecturers and medical professionals for all things physiotherapy related. Join us as we discuss topics from orthopedics to pain management, from spinal cord to respiratory all in the name of physiotherapy.
Episodes
Ep. 064 | Beyond Tennis Elbow - A Deep Dive into Lateral Elbow Tendinopathy | Leanne Bisset
1h 7m · PublishedIn this podcast episode, Dr. Leanne Bisset, a musculoskeletal physiotherapist and associate professor at Griffith University, shares valuable insights on lateral epicondylalgia, also known as lateral elbow tendinopathy. She discusses the anatomy and function of the affected muscles, highlighting the importance of stability in wrist movements and the role of the extensor carpi radialis brevis. Dr. Bisset emphasizes the shift in terminology from epicondylitis to tendinopathy, debunking misconceptions around inflammation in the condition and providing a comprehensive overview of diagnostic considerations, risk factors, and red flags to look for during assessment.
Furthermore, Dr. Bisset delves into the management of lateral elbow tendinopathy, emphasizing the significance of tailored exercise programs focusing on isometric loading initially, progressing to incorporate global upper limb strengthening for comprehensive rehabilitation. She also addresses the limited efficacy of modalities like shockwave therapy and the potential benefits of orthoses in pain management. Dr. Bisset's evidence-based approach underscores the importance of patient education, individualized treatment plans, and monitoring pain responses to optimize outcomes in the management of lateral epicondylalgia.
Guest
Dr. Leanne Bisset is a musculoskeletal physiotherapist and an associate professor at Griffith University at the gold coast, Australia. She has published over 100 papers on a variety of topics and has done extensive research on lateral epicondylalgia.
Chapters
00:00 Intro
00:44 Definition of lateral elbow tendinopathy
05:39 Why Inflammation is inaccurate
11:49 Risk factors
13:46 The typical patient
17:34 Red Flags
27:30 Diagnostic tests
29:49 Leanne's Diagnostic Approach
32:27 Treatment
38:15 Details on Isometric Loading
49:29 Other treatments
54:02 Treatment Progressions
58:45 How much pain to allow
01:01:28 Shockwave and Dry Needling
01:03:56 Elbow Braces
01:05:50 Contact Info
01:06:58 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Ep. 063 | From Irritation to Recovery: A Complete Guide to Conquering Shin Splints (MTSS) | Tom Goom
47m · PublishedIn this episode of the Physiotutors podcast, Tom Goom, also known as the Running Physio, provides valuable insights into medial tibial stress syndrome (MTSS) and its management. He discusses the pathophysiology of MTSS, Risk factors, and emphasizes the importance of gradual training progression and proper footwear selection to prevent MTSS. Tom also shares his approach to assessing and treating MTSS, focusing on finding a pain-free level of loading, incorporating strength training, and carefully guiding patients through a structured return to running program.
It's a value-packed episode so tune in to master your approach to treating shin splints.
This episode is sponsored by Lindy.ai - your A.I. medical scribe. Try Lindy for free by going to lindy.ai/physiotutors and receive 1 week of unlimited patient notes.
Content
00:00 Intro
01:06 What is MTSS?
02:19 Risk Factors
03:34 Typical Patient
04:20 Specific Training Errors
05:40 Influence of Footwear
06:58 Forefoot Running
08:40 Red Flag Diagnoses
12:08 MTSS DIagnosis
13:06 Assessing the Patient
15:45 Muscle Testing
17:18 Sponsored Segment
18:55 Other Strength Parameters
21:05 Running Analysis/Technique
26:15 Treatment
29:29 Strengthening Exercises
31:58 What about Tibialis Anterior?
33:12 How to manage a flare-up?
35:25 Return to running
38:02 Different Mx for Different Sports
40:20 Duration of MTSS
41:35 Adjunct Treatments
43:30 Can MTSS become a Fracture?
44:25 Tom's closing remarks
46:25 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now
Follow our Podcast on:
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Ep. 062 | Poking into Pain: A Deep Dive into Dry Needling | Barbara Cagnie
41m · PublishedIn this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation.
The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications.
The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques.
Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care.
Chapters
- 00:00 Intro
- 00:46 Defining Dry Needling
- 01:49 The Physiology
- 07:26 Difficulty of human studies
- 08:15 Active vs. Latent Trigger Points
- 10:05 Reliability Issues of TP Therapy
- 12:00 Referred pain in Trigger Points
- 15:40 The local twitch response
- 17:50 In-situ vs. winding technique
- 18:36 Research vs. Clinical Practice
- 20:22 Dry Needling for Tendinopathy?
- 23:58 Evidence for MSK Complaints
- 28:01 Contraindications and Risks
- 30:45 Needles vs. Hands
- 32:16 Kai's Dry Needling Anecdote
- 33:06 Are we chasing short-term effects?
- 35:26 Top 3 Reasons to learn Dry Needling
- 40:01 Closing thoughts
- 41:06 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now
Follow our Podcast on:
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Ep. 061 | Jaw-dropping Insights: Tackling TMJ Dysfunction | Corinne Visscher
43m · PublishedIn this episode, Dutch researcher Corinne Visscher discusses temporomandibular disorders (TMD) with a focus on prevalence, risk factors, diagnosis, and treatment. She provides insights on the research she is currently focused on, particularly in understanding the journey of patients with chronic complaints related to TMD. Corinne also emphasizes the importance of screening for TMD, providing counseling and advice on habits, and referring patients to oral facial physical therapists or dentists when necessary. She also highlights the link between TMD and secondary headaches, and offers ways to reach out to her for further information.
Content
00:00 Intro
00:35 What is TMD?
01:18 TMD Prevalence/Incidence
02:20 The typical TMD Patient
03:23 Risk Factors
06:38 Red Flag Screening
09:20 The Diagnostic Process
14:05 Special Tests
15:25 Questionnaires
17:47 TMD & Headaches
19:30 Am I clenching my teeth?
20:40 Is posture a factor for TMD?
22:50 The course of TMD
27:09 A place for Dry Needling?
28:29 Other Manual Therapies?
31:50 Current TMD Research
35:05 Top 3 Takeaways
40:20 Tension-Type or TMD Headache
42:28 How to get in touch
43:08 Outro
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
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Ep. 060 | Pain and Disability Drivers Management (PDDM) Model | Yannick Tousignant-Laflamme
54m · PublishedIn this Physiotutors podcast episode, Canadian researcher Yannick Tousignant-Laflamme introduces the Pain and Disability Drivers Management Model, a groundbreaking approach to understanding and managing chronic musculoskeletal pain, particularly low back pain. This model identifies five key domains across three dimensions, going beyond biomechanics to reveal the root causes of pain and disability. It underscores the significance of interdisciplinary collaboration and effective communication among healthcare professionals.
By integrating classification systems and prognostic tools, this model optimizes its effectiveness. Classification systems pinpoint patient subgroups, while prognostic tools screen for psychological factors affecting pain outcomes. Clinicians are encouraged to utilize these tools for screening, delving deeper for medium or high-risk patients. The incorporation of questionnaires and patient-reported outcome measures informs evidence-based decision-making. The ultimate aim? Personalized, evidence-based care for musculoskeletal conditions, addressing both physical and psychosocial factors.
Curious to learn more about this innovative approach? Tune in to the full episode for a comprehensive exploration.
Guest
Canadian researcher Yannick Tousignant-Laflamme is a professor at the School of Rehabilitation at the University of Sherbrooke. His research activities target the management of chronic pain associated with musculoskeletal disorders, particularly low back pain.
Content
00:00 Intro
00:40 What is the PDDM?
03:19 The 5 Drivers of Pain & Disability
07:56 The struggle with interdisciplinary care
11:15 Lifestyle within the PDDM
13:28 Why is PDDM more than a classification system?
17:23 Patient History within the PDDM
30:57 Why so many PROMs?
32:45 NSLBP - is it a helpful diagnosis?
39:37 Can Physiotherapists cover all 5 domains?
43:18 Is it all talking?
45:42 What has changed since 2017
49:28 How can we apply the PDDM? 3 Tips
51:26 Yannicks closing thoughts
53:15 Outro
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
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Ep. 059 | The Shoulder Blade Shuffle: Separating Fact from Fiction in Scapula Dyskinesia | Filip Struyf
53m · PublishedIn this podcast, we explore scapular dyskinesis, the abnormal movement of the shoulder blade. We discuss related terms like scapular misalignment and sick scapula, questioning the practicality of assessing it through visual observation. We highlight that identifying it as normal or abnormal may not guide treatment decisions or pinpoint the cause of shoulder pain. We also address its prevalence in athletes and non-athletes and suggest using various tests to assess scapular dyskinesis. Intriguingly, we'll reveal a surprising connection between scapular dyskinesis and an unexpected aspect of training, which might change the way you think about shoulder issues. So, join us for the full episode to uncover this fascinating insight.
Guest
Filip Struyf is a sportsphysiotherapist and professor at the Department of Rehabilitation Sciences and Physiotherapy at the University of Antwerp, Belgium. According to Expertscape, he is the #1 shoulder researcher world-wide. He teaches shoulder courses nationally and internationally and has created an online course together with us called “Rotator Cuff Related Shoulder Pain: Separating Facts from Fiction”.
Content
00:00 Intro
01:15 The "correct" definition
04:05 What is "normal"
12:05 Prevalence
14:21 Is it a functional adaptation?
16:46 Scapula Dyskinesia as a risk factor?
26:09 How do we assess it?
28:51 How reliable or valid is assessment?
32:39 Can we improve scapula movement?
39:09 What's up with focussing on the lower trapezius?
42:26 What about Rhomboid Pain?
46:21 Is there a place for scapula mobilization techniques?
49:42 Filip's closing thoughts
52:15 Outro
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
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Ep. 058 | Beyond the Clinic: Harnessing Lifestyle for Physiotherapy Success | Jaap Wonders
1h 6m · PublishedIn this podcast episode, sports physiotherapist and lifestyle expert Jaap Wonders discusses the several aspects of successful lifestyle interventions as part of the treatment plans in physiotherapy practice. He outlines the guidelines on proper sleep hygiene, diet and other important factors to take into account when prescribing a healthy lifestyle. We discuss the challenges of adopting healthy habits and what we can do about this.
Content
00:00 intro
00:45 Why the interest in Lifestyle?
02:50 How to deal with unhealthy lifestyles
05:52 Failing to meet movement goals
10:43 Movement snacks
12:28 10K Steps a Day. What's the deal?
17:55 Recommendations on Nutrition
20:55 Healthy vs unhealthy Protein
24:55 The importance of sleep
31:16 How we address stress
36:09 Positive Stress
38:15 Mindfullness
39:05 Cold Showers
42:10 What doesn't kill you makes you stronger?
47:22 Lifestyle interventions in chronic conditions
58:00 3 steps to a healthier lifestyle
01:03:20 Closing thoughts
01:05:08 Outro
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
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Ep. 057 | Ring of Truth: Exploring Physiotherapy's Role in Tinnitus Treatment | Sarah Michiels
39m · PublishedIn this podcast episode, physiotherapist Sarah Michiels discusses somatic tinnitus, a type of tinnitus that is often caused by dysfunctions in the upper cervical spine and jaw. She highlights the prevalence of somatic tinnitus and the importance of a comprehensive diagnosis to rule out other causes. The talk provides insights into her evaluation and treatment approach, emphasizes the role of physiotherapy in improving muscle function and coordination to manage this debilitating condition.
Content
00:00 Intro
00:46 Definition of Somatic Tinnitus
01:35 Tinnitus and the Cervical Spine
04:47 Prevalence of Tinnitus
06:22 Epidemiology of Tinnitus
08:15 Physiotherapy Diagnosis Possible?
10:30 ENT Diagnosis of Somatosensory Tinnitus
14:27 Special Testing for Tinnitus
16:00 Cervical Spine Assessments
17:35 Tinnitus and the Jaw
18:51 Red Flags
20:53 Physiotherapy Effectiveness for Somatosensory Tinnitus
22:00 Typical Treatment Course
23:20 What causes Improvements in Symptoms?
25:18 Tinnitus Relapse
27:10 Prognostic Factors
29:30 Sarah's Treatment Approach
31:48 Why Patients get worse
34:15 How to learn more about Tinnitus
35:10 Is MT knowledge required?
36:20 Sarah's Closing Thoughts
37:30 Could Van Gogh have been saved?
38:10 Outro
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
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Ep. 056 | Mobilisation with Movement (MWM) | Thomas Mitchell
52m · PublishedWelcome to Physiotutors podcast episode 56 with Thomas Mitchell. Thomas is a wrist and hand specialist physiotherapist, and working toward his PhD at Sheffield Hallam. He is a physiotherapist of 25 years standing in primary care, private practice and sports. He is a First-contact Practitioner clinical supervisor and member of the British Association of Hand Therapists. He is also a Member of the Mulligan Concept Teachers Association, so the perfect person to talk to about the Mobilizations with Movement abbreviated as MWM.
He is also an instructor for our online courses and has developed the complete upper limb focus together with Andrew Cuff.
Content
00:00 Introduction
00:48 Definition of mobilizations with movement
02:42 Discussion on Mulligan's positional fault concept
04:14 Importance of symptom modification
06:39 Principles of mobilizations with movement
08:20 The concept of "Pill" in mobilizations with movement
10:36 The "Crocks" principle in mobilizations with movement
12:17 Empowering patients through functional positions
13:41 Personal adjustments in practice based on Mulligan's concept
15:33 Importance of Self-Treatment and Patient Expectations
17:03 Discussion on Plausible Fallacies and Patient Beliefs
18:40 Understanding Mulligan Concept and Pragmatic Approach
19:24 Explaining Treatment to Patients
20:40 Thomas Online Course
21:18 Differentiating MWM from Other Manual Therapy Techniques
23:16 Patient Control and Bottom-Up Approach in MWM
27:51 Evidence and Systematic Reviews on MWM
33:23 Importance of self-treatment and clinical expertise
35:57 Application of MWMS in chronic pain patients
37:40 Challenges with musculoskeletal rehab in the UK
40:13 Effectiveness of MWMS for lateral epicondylalgia and De Quervain's disease
44:34 Benefits of mobilizations with movement
47:36 Learning resources for Mulligan concept and MWMs
49:17 Thomas closing thoughts
51:08 Outro
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
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Ep. 055 | Cervicogenic Dizziness | Julia Treleaven
38m · PublishedThis episode of the Physiotutors podcast features Julia Treleaven, a researcher and physiotherapist, who discusses cervicogenic dizziness and its diagnosis. We delve into the condition's pathophysiology and prevalence in patients with chronic neck pain. We also discuss red flags to watch for during patient history taking and differentiating cervicogenic dizziness from other forms of dizziness. The episode covers functional tests used to assess balance and motor control and treatment options, including sensory-motor exercises, manual therapy, and posture correction. The discussion emphasizes the importance of focusing on the neck's role in such cases rather than just diagnosing the condition.
Content
00:00 Introduction
01:20 Definition
06:36 Characteristics of Cervicogenic Dizziness
12:08 Physical and Orthopedic Tests for Cervicogenic Dizziness
15:03 Functional Assessment for Cervicogenic Dizziness
18:25 Treatment for Cervicogenic Dizziness
26:10 Progressing Sensory Motor Control Exercises for Cervicogenic Dizziness
29:46 Role of the neck in dizziness
32:08 Research endeavors in neck-related dizziness
34:58 Determining the role of the neck in dizziness and the controversy of cervicogenic dizziness
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
Follow our Podcast on:
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Physiotutors Podcast has 65 episodes in total of non- explicit content. Total playtime is 66:35:22. The language of the podcast is English. This podcast has been added on November 25th 2022. It might contain more episodes than the ones shown here. It was last updated on May 21st, 2024 11:41.