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Welcome to episode 49! Today's guest is Mike Reiman who is a physiotherapist, active clinical researcher, educator and mentor with a special interest in the hip. He is also an associate professor at Duke University and an adjunct professor at Wichita State University. In this episode we will talk about femoroacetabular impingement abbreviated as FAI. You will learn more about FAI morphology and the development of FAI. Mike will elaborate on the epidemiolgy of FAI, what can trigger symptoms and the prognosis in regards to the development of hip osteoarthritis. Of course we will talk about diagnosis and physiotherapeutic treatment and finish of with a discussion about surgery for FAI.So make sure to listen to the whole episode! Enjoy!   Content 0:00:00 - 0:01:04 Introduction 0:01:00 - 0:02:50 What is FAI? 0:02:50 - 0:04:35 How FAI develops 0:04:35 - 0:08:10 Epidemiology of FAI 0:08:10 - 0:09:52 Asymptomatic FAI 0:09:52 - 0:13:13 Triggers for symptomatic FAI 0:13:13 - 0:18:13 Prognosis: Do patients develop hip OA? 0:18:13 - 0:21:34 Screening 0:21:34 - 0:25:35 History & Examination 0:25:35 - 0:28:13 Confirming the Diagnosis 0:28:13 - 0:29:45 Imaging necessary? 0:29:45 - 0:31:54 Muscle Strength Testing 0:31:54 - 0:45:10 FAI Rehab Start to Finish 0:45:10 - 0:48:45 How good is Physio for FAI? 0:48:45 - 0:53:40 How good is Surgery for FAI? 0:53:40 - 0:58:30 How to choose: Surgery or FAI 0:58:30 - 0:59:50 Mike's Closing Thoughts 0:59:50 - 1:00:29 Outro   Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. All bonus content can be found here   Follow our Podcast on: Spotify | Apple Podcasts

In this episode we will talk about different rheumatological conditions that can mask as musculoskeletal pain and how to recognize them. Our guest is Jack March, a physiotherapist specialising in rheumatology who provides CPD courses on the recognition, investigation and management of rheumatological conditions. We will shine a light on imaging and medical tests for different conditions and cover differences between genders. At last, we will discuss how patients with rheumatism are best treated, talk about precautions during exercise and how to positively influence their prognosis. So make sure to listen to the whole episode! Enjoy!   Content 00:00 - 00:58 Introduction 00:58 - 02:18 What is Rheumatism? 02:18 - 03:47 Rheumatological diseases to know 03:47 - 05:28 When to think it's Rheumatic 05:28 - 08:16 Screening for Rheumatoid Disorders 08:16 - 11:46 How Rheumatoid Inflammation is different 11:46 - 15:32 What are the Signs & Symptoms 15:32 - 17:04 How helpful is Imaging? 17:04 - 18:55 Difference in males vs. females 18:55 - 22:10 Testing for Rheumatoid Disorders 22:10 - 27:11 Referral to Specialist Management 27:11 - 35:45 What Physios can do in RD 35:45 - 37:55 Jack's Closing Thoughts 37:55 - 38:54 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   Follow our Podcast on: Spotify | Apple Podcasts

In this episode we will talk about the demonization of and the future of manual therapy with Chad Cook. Chad is physiotherapist, a professor at Duke University and a clinical researcher who has published over 330 peer-reviewed papers. One of the latest papers he has published is called “The Demonization of manual therapy” where he evaluated common critique on manual therapy based on the current literature. News: We do have an announcement to make: You might be wondering why you’re listening to a podcast host with a German accent. Our former podcast host Sunny Sandhu has left us to work in the clinic again full-time after hosting our podcast for 46 episodes. We wish him all the best and his British accent will be dearly missed. 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   Content: 00:00:00 - 00:01:46 : Introduction 00:01:46 - 00:02:48 : Chad's definition of MT 00:02:53 - 00:04:54 : The Pendulum has swung too far 00:04:55 - 00:07:20 : How is MT different from other modalities? 00:07:25 - 00:09:04 : Does hypomobility assessment still have a place? 00:09:05 - 00:10:26 : Do we need to be specific with MT? 00:10:28 - 00:13:44 : How to know when to use MT in a patient 00:13:48 - 00:16:37 : Is the cost of current MT education justified? 00:16:40 - 00:21:31 : Time to embrace the placebo effect? 00:21:34 - 00:24:42 : The biggest critique on MT 00:24:44 - 00:26:11 : Are we sending the wrong message to patients? 00:26:14 - 00:32:10 : The value of Costs vs. Patient Satisfaction 00:32:16 - 00:36:05 : How MT education needs to change 00:36:06 - 00:39:24 : The future of MT 00:39:25 - 00:40:34 : Outro   Follow our Podcast on: Spotify | Apple Podcasts  

Research and evidence based practise are the cornerstone of the modern clinician - ensuring that we use the best, up to date methods to support our clients and patients. With that said however, there's so much out there, how can you be sure what you're reading is worthwhile, is relevant or of any half decent quality. We have to understand the limitations of the research we're reading to understand the implications and potential application of that research too. It's unfortunate, but when working with people - whatever your discipline - there's no one size fits all approach and there's always nuance. With that said, myself and James spoke about why we need to dig further than *just* the abstract before we make up our minds on a research paper, to fully gage whether it is of clinical or statistical significance! We discuss what are some of the things you should look out for when reading and discerning research as well as some of the wider elements of research to better understand that world.

I speak with the amazing Dr Melissa Farmer, Clinical Psychologist, Neuroscientist, researcher, CCO & co founder of Aivo Health! Melissa and I talk about chronic pain and the influence that has on both the brain & body as well as what we can do in clinic to both utilise these changes as well as how we can manage our patients with chronic pain with our approach to help them both feel seen and heard. We discuss her approach as to how she applies her research in clinic and what the importance is of getting research into clinics quicker rather than how it now trickles down! We touch on a lot of different topics throughout the hour, tune in and find out!

We've returning guest the always fantastic Enda King with us this month to discuss ACL Biomechanics & movement strategies post op - an area where Enda had done his PhD in! We look at how you can objectively help your patients even if you don't have a fancy biomechanics lab, where the idea of a 10% difference for RTP comes from and how that translates into reality as well as how you can coach your patients without coaching through movement constraints! Tune in to find out more!

This months guest is Curtis Anderson, a severe traumatic brain injury (TBI) survivor for a new area we’re looking to dive deeper into on the podcast – the patient’s perspective. We talk to Curtis about his 20 year journey and how he defied what was initially thought possible for the full extent of his rehab. After 3 weeks in a medically induced coma he spent a year in a rehabilitation center and he has since gone on a journey to be a motivational speaker helping other get through their own journeys as the prime example of what can happen when you don’t give up, even after 20 years, when you are determined to treat every day as an opportunity to do better, be better and perform better. In his own words, it took him 8 years to learn to drive again, 8 years to use a staircase with the railing on the left side, 10 years to be able to pick up change from the counter top & 16 years to pick it up off of the ground! He's an inspiration and the personification of never giving up and I hope you enjoy hearing about his journey as much as I have!

On this episode I speak to Dr Sarah Haag about pelvic floor physiotherapy - from what we need to listen to when talking to our patients to when we should refer on for a specialist and beyond! Tune in to this episode as we explore an area of the body that has, for me, for all intents and purposes, been a bit of a black hole that, I admittedly say on the podcast - I'm glad I've worked previously with pelvic floor specialists in the same clinic as I would never have even recognised to refer on in the past! An area under-explored by our education (there's a lot to cover during the education - not hating) I hope this episode can, for you, help shine a light on the area where the sun don't shine!

On this edition of the podcast we talk with Dr Ahmad Malik, foot & ankle orthopedic consultant. We start the discussion looking at surgeries, what constitutes a good or bad candidate for surgery as well as reactions to metal work after the fact. In addition to that, we discuss the importance of listening to your patients and fully exploring their situation and not just writing them off as a complaining patient or the classic "get over it" sort of answer! It's something that we as healthcare professionals should value very highly and a conversation that everyone can take something from, however it's safe to say given the conversations I've had with both patients and fellow colleagues as a result of the podcast that not all healthcare professionals take the time to fully hear what their patient is telling them!  

On this episode of the podcast I talk with Lizzie Marlow, an MSK physiotherapist & educator specialising in lower limbs with special interests in running injuries, lower limb tendinopathies & of course management & treatment of achilles ruptures. We talk about everything surrounding Achilles tendon rupture rehabilitation. From the initial assessment to the rehabilitation - as well as what is important at the initial stages of identifying the rupture (I have unfortunately seen a 1 or 2 missed...) - utilising ultrasound to get the optimal position for the torn tendon to repair as well as decisions on whether or not to operate, then guiding through the rehabilitation process itself! 

This time we speak with Katie Mitchell, a researcher, educator, physical therapist, athletic therapist & clinic owner with a special interest in concussions and rehabilitation as well as the role our neuromuscular connection plays into rehab - not just in the post concussion athlete, but para-athletes, musculoskeletal complaints & rehab as a whole! We discuss compensation strategies - briefly how & why they come about, as well as how Katie tackles that in rehabilitation by getting the patient to indirectly address the compensation strategies through task modification! We also touch on how we can use these strategies for something as simple as an ankle sprain, to post op & more! Tune in to find out more!  

This month we're speaking to Ben Steele-Turner (@PhysiUtrition). Ben is a Physiotherapist with a Msc in nutrition having spoken on the topic in conferences and a lecturer in musculoskeletal health. Next to that he's also a personal trainer and previously competed in body building fitness competitions - he stays busy! We spoke about the importance of nutrition, what counts in your micro's and macro's when you're talking about injury rehabilitation and just how particular one needs to be about their intake! In addition we discuss ethics in the world of social media and how we as healthcare professionals can help to lift the profession

This time we're joined in studio with none other than returning guest, Claire Robertson! Claire is back to talk to us about patellofemoral pain syndrome (PFPS). From defining what it actually is as an all encompassing term, to rehab strategies and potentially what adjuncts may be useful. Don't forget to head over to www.physiotutors.com/courses to check out our latest course with Claire Robertson on everything you need to know about PFPS including real life case studies and example rehab exercises to complement your programming, everything you need to go back into clinic on Monday feeling more competent and confident!

This time we're joined by hip specialist Mehmet Gem to discuss hip pathologies, how you're going to assess patients in clinic and how you can, without further imaging begin to develop a picture of what might be going on in your patients hip to determine whether or not further action outside of physiotherapy alone is needed! We dive deep on FAI and Mehmet's own experience there post op and discuss what he would do differently knowing what he knows now all these years later and the importance of a well structured loading program! That and much much more on this hip-centric episode of the Physiotutors Podcast - tune in to find out more!

Join us as we sit down with Yoeri Pegel - head of strength for Ajax football club in Amsterdam as well as working with Olympic athletes & elite combat sports athletes. We talk about everything from training in season & out, how to maximise gains and when to focus more on maintenance. Yoeri discusses his approach to coaching, cueing and being flexible to the audience you're working with, as well as what "sports specific" training means and the principles he takes in to every session! In addition to that we touch on how he looks at and measures fatigue so you know when to and more importantly, not to push the athletes!

In this episode we talk about what it is your orthopaedic surgeon would consider (and what Dr. Jorge Chahla *heavily* emphasised - in consultation with the patient) in the decision making process as to whether or not surgery was a suitable option, or if something such as biologics would be a better option. We touch on the decision making process in elite sports where Dr Chahla works with the Chicago Bulls, White Sox & Fire FC where time constraints may cause one to choose a different decision making process. On top of that we talk about what orthopaedic surgeons look for in the physiotherapists they work with and what factors go into a successful rehabilitation!

Yann Le Meur sits down with us to discuss recovery & sports performance through his work with elite athletes from the French Olympic team over 3 Olympic cycles, to the world number 2 in tennis Daniil Medvedev & AS Monoco to name but a few. We discuss everything from his role in aiding the athletes sports performance & recovery, and where he feels the MDT approach has proved to be of the utmost importance in creating better outcomes through a better understanding of the athletes they are working with. Yann also talks about how he believes the best way to have optimum recovery isn't necessarily all about the post-game or post-training elements, but also how well trained an athlete is *before* the even get to the field/court/mat/pick your poison!

On this episode of the podcast we talk with Vestibular Rehabilitation specialist Firat Kesgin about the intricacies of vestibular rehab, and just how complex it can be, what the effects are if a patient is misdiagnosed and then continue down the "wrong" pathways, as well as what you can do to help aid and guide their rehab. If you've listened to our podcasts on concussions you will know just how pivotal an early diagnosis of a vestibular issue can be and when left unchecked and untreated how devastating the results can be! Tune in to find out more! Firat is also the man behind our giant mega-course, published recently on vestibular rehabilitation (you can find out more on www.physiotutors.com/courses) Check it out! Let us know your thoughts!

In this episode of the podcast we talked to a leader in the field of headache & migraine research. As a practising physiotherapist René has the fortune of being able to take his research and apply it directly in clinic, applying not just statistically significant but also that which will in turn be clinically significant and appropriate for use. We discuss assessment strategies for headaches, what you can look out for in your history taking and approaches for physiotherapeutic treatment.

In this episode of the podcast I get to speak with Roger Kerry, physiotherapist, researcher & educator. Roger Kerry has lectured internationally extensively on the topic of Cervical Arterial Dysfunction (CAD) to help bring to light an area of physiotherapy that we may not be addressing as much as necessary. We discuss signs & symptoms to look out for in patients when you suspect CAD may be an issue, what your next steps are as a physio as well as what are the predisposing factors to help in your clinical reasoning!