Dr Robert-Jan de Vos, sports physician and associate professor at Erasmus Medical Centre in Rotterdam, The Netherlands, dives deep into all things Achilles tendinopathy. In part 2 of this series, Dr de Vos covers the multitude of options for treatment, outside of exercise therapy. Should you and the patient consider corticosteroid injections, PRP injections, heel lifts, shockwave, NSAIDs, or surgery? And when? What are the important clinical considerations when patients choose these options? Par...
Feb 26, 2024•17 min
Dr Robert-Jan de Vos, sports physician and associate professor at Erasmus Medical Centre in Rotterdam, The Netherlands, dives deep into all things Achilles tendinopathy. As lead author of the Dutch Multidisciplinary Guideline on Achilles Tendinopathy (https://pubmed.ncbi.nlm.nih.gov/34187784/), he shares the key messages from this in-depth review. In today’s episode, Dr de Vos covers the important tendon anatomy to guide your differential diagnosis, what information he is most focused on communi...
Feb 19, 2024•20 min
Sports Corner is back for 2024! Today, we revisit ice hockey, and focus on acute injuries—preventing and managing them. Dr Joe Robinson is the head physical therapist for the National Hockey League’s Boston Bruins. He skates into Sports Corner to explain the physical demands of hockey, the typical acute injuries he sees and how to prevent them, and runs through how the medical team responds during emergency scenarios.
Feb 12, 2024•21 min
Does the thought of managing elbow pain leave you reaching for your orthopaedics textbook? Maybe you've got lateral elbow tendinopathy sorted, but how confident do you feel about managing elbow fractures and dislocations? Today, Val Jones, Clinical Lead Physiotherapist at the Sheffield Shoulder and Elbow Unit at the Sheffield Teaching Hospital Foundation Trust, shares practical advice to help you feel confident about managing elbow pain. ------------------------------ RESOURCES CT versus MRI for...
Feb 05, 2024•26 min
Did you know that calf injuries are one of the most common soft tissue injuries in team sports? How comfortable do you feel assessing and managing calf pain, especially designing and progressing a program to help someone get back to their sport? Today, Dr Seth O'Neill from the University of Leicester, joins us to blend the latest science in calf injury with high-level clinical reasoning. You'll get something out of today's chat whether you're beginning in your clinical career or whether you're l...
Jan 29, 2024•26 min
Two (gentle) giants of physiotherapy/physical therapy research and practice join JOSPT Insights today. Associate Professor Peter Kent and Professor Peter O'Sullivan (Curtin University, Perth, Australia) share, on behalf of the whole trial team, the results of their RESTORE trial. Does cognitive functional therapy herald a revolution in how clinicians can support people to live well with back pain? Let's find out. ------------------------------ RESOURCES For the published trial: https://pubmed.nc...
Jan 22, 2024•29 min
Someone walks into your clinic with a sore shoulder. Are you dealing with a stiff shoulder? A rotator cuff problem? The acromioclavicular joint? Or something else entirely? Today, Dr Angela Cadogan (PT, PhD) - Specialist Physiotherapist and clinical consultant - is helping you hone your clinical reasoning in differential diagnosis of subacromial pain. Dr Cadogan shares her practical approach to diagnosing subacromial pain in a way that you can take straight to the clinic tomorrow....
Jan 15, 2024•27 min
Welcome to part 2 of our masterclass with Dr Sam Bunzli (Griffith University, Brisbane, Australia) and Dr JP Caneiro (BodyLogic Physiotherapy, Perth, Australia) on understanding, talking about and shifting the narratives we all carry about musculoskeletal pain. We are exploring the explicit and implicit messages that you communicate with your words and actions when you work with patients. Drs Bunzli and Caneiro share tips on communicating, and on developing your own practice as a musculoskeletal...
Dec 25, 2023•16 min
We're wrapping up the 2023 JOSPT Insights year with a 2-part chat with physiotherapists, researchers and educators, Dr Sam Bunzli (Griffith University, Brisbane, Australia) and Dr JP Caneiro (BodyLogic Physiotherapy, Perth, Australia). In part 1, we discuss the way that patients understand pain. Dr Bunzli kicks off by summarising the best research evidence, and Dr Caneiro shares some compelling clinical examples to explain how to apply the research to deliver quality musculoskeletal rehabilitati...
Dec 18, 2023•18 min
In part 2 of this series, we continue chatting about designing and implementing a rehabilitation program after cervical discectomy with Drs Justin Lantz, Jessica Evaristo and Joseph Derian. Today we work through phases 3 and 4 in the rehabilitation program: re-modeling and maturation occurring around 12-weeks after surgery. We cover nerve glides and how to dose them, the goals and areas of focus for manual therapy and therapeutic exercise, incorporating proprioception training, and important cli...
Dec 11, 2023•18 min
Join a group of experienced orthopaedic clinicians as they review the background of anterior cervical discectomy and fusion surgery in a 2-part podcast series. In part 1, we cover who does well with surgery, the indications and surgical procedure, plus a deep dive into evidence-based pre- and post-operative rehabilitation. There's not much hard research evidence to guide your decisions on how to structure and deliver, so tune into hear how expert clinicians approach things. You'll learn about th...
Dec 04, 2023•22 min
Dr Jeremy Graber joins us to help answer the question: how often should patients with total knee arthroplasty come to rehabilitation? To answer this and more, we dive into the 2023 JOSPT article, “Expert Consensus for the Use of Outpatient Rehabilitation Visits After Total Knee Arthroplasty: A Delphi Study.” ------------------------------ RESOURCES Dr Graber and his colleagues led a expert consensus process to establish recommendations for how often and for how long you might consider scheduing ...
Nov 20, 2023•16 min
What you can do to help prevent neck pain? What are the best exercise approaches? PhD candidate, Florian Teichert, and Professor Daniel Belavy, from The University of Applied Sciences in Bochum, Germany, discuss which exercises and why they might work. We use their recent systematic review published in JOSPT as a launching point for the discussion. ------------------------------ RESOURCES To read the full systematic review: https://www.jospt.org/doi/10.2519/jospt.2023.12063 Blog and infographic:...
Nov 13, 2023•21 min
How do you help someone manage cancer-related fatigue or get back to exercise after their treatment? Is it safe for someone with bone metastases to exercise? PhD candidate and recent Master of Physical Therapy graduate, Kendra Zadravec, and Professor Kristin Campbell (Department of Physical Therapy at the University of British Columbia, Canada) share their research and clinical expertise in developing physiotherapy interventions for people with cancer to help answers to these questions and more....
Nov 06, 2023•25 min
Does the thought of managing elbow pain leave you reaching for your orthopaedics textbook? Maybe you've got lateral elbow tendinopathy sorted, but how confident do you feel about managing elbow fractures and dislocations? Today, Val Jones, Clinical Lead Physiotherapist at the Sheffield Shoulder and Elbow Unit at the Sheffield Teaching Hospital Foundation Trust, shares practical advice to help you feel confident about managing elbow pain. For more on the Virtual Sports PT Conference (3-4 November...
Oct 30, 2023•25 min
Dr Casey Humbyrd—orthopaedic surgeon and Chief of foot & ankle orthopedics at the University of Pennsylvania—shares her expertise and insights on treating ankle sprains that are not responding to non-surgical treatment. Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes. For more on t...
Oct 16, 2023•22 min
Do you work with young people with ACL injury? Well, you're in the right place! Today, Drs Chris Kuenze and Adam Weaver walk through the story behind creating a comprehensive normative dataset for knee function and strength outcomes. You'll learn how the project got started, and how you can use the information to help make even more informed clinical decisions. ------------------------------ RESOURCES Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At...
Oct 09, 2023•28 min
A surfer walks into your clinic with neck pain…What do you do next? And why? Dr Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma. ------------------------------ RESOURCES Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416 Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/f...
Oct 02, 2023•19 min
Does the thought of dermatomes and myotomes, nerve trunks and nerve roots fill you with confidence or fill you with fear? Physiotherapist and neuroscientist, Dr Annina Schmid (Nuffield Department of Clinical Neurosciences, Oxford University), shares a checklist of what you need to know, and what you need to do, to nail your neurological assessment next time you're in the clinic. ------------------------------ RESOURCES Does your neurological examination for suspected peripheral neuropathies meas...
Sep 25, 2023•24 min
Tendinopathy is a common and often challenging musculoskeletal condition. A cornerstone of diagnosing and managing tendinopathy is assessing the problem well. In today's episode, Dr Myles Murphy (Edith Cowan University, Australia) shares a new patient-reported outcome measure for evaluating Achilles tendinopathy-related disability, the TENDINS-A (TENDINopathy Severity Assessment-Achilles). ------------------------------ RESOURCES The TENDINopathy Severity Assessment-Achilles (TENDINS-A) patient-...
Sep 18, 2023•25 min
Foot and ankle surgeon, Dr Casey Humbyrd, returns to JOSPT Insights to share the surgeon’s perspective on Achilles tendon repair. What does she consider when helping patients to make a decision about surgery or no surgery? How does she perform the surgical repair, and why is she so fastidious with post-op restrictions? Dr Humbyrd is a champion for physical therapy, and underscores wound care, person-centred care, and why tension can help the Achilles! ------------------------------ RESOURCES For...
Sep 11, 2023•22 min
Assessing how people move and helping them to reach their goals for moving is your bread and butter as a clinician. Today we're learning from 2 leaders in sports biomechanics: Drs Elanna Arhos and Stephanie Di Stasi from the Ohio State University. We discuss how to make sense of a biomechanics research article, how to translate what you read to clinical practice, and the minimum biomechanics set-up for your clinic. ------------------------------ RESOURCES For more on the Virtual Sports PT Confer...
Sep 04, 2023•26 min
Luke Keaney's career at the top level of Gaelic football was cut short at the age of 24 by hip pain and injury. After 5 hip surgeries and countless hours of hard work in the gym and rehabilitation room, Luke has switched his focus from Gaelic football to rowing, and has his eye on the Paris Olympics. While Luke's career in sport has continued in a different guise, he feels that things might have been different had the clinicians and practitioners he interacted with as a young athlete taken the t...
Aug 28, 2023•21 min
Have you ever found yourself feeling uncertain or confused when choosing a patient-reported outcome measure (PROM)? Today we're talking about the hallmarks of a PROM for people with patellofemoral pain. Physical therapist, educator and researcher, Professor Lisa Hoglund, fills in the gaps to help us find the promise in PROMs. ------------------------- RESOURCES Construct validity, reliability, responsiveness and interpretability of PROMs for patellofemoral pain: https://www.jospt.org/doi/10.2519...
Aug 21, 2023•24 min
Maybe you think of health literacy as the building blocks of knowing how to access the healthcare system, and knowing what to do when you have a cold? Today, Dr Rachel Harris is guiding us as we consider our collective health literacy of the particular health, wellbeing and performance needs of female athletes. Dr Harris represented Australia at the Olympics as a swimming athlete, and was the Chief Medical Officer for the Australian Paralympic team in Tokyo 2021. She leads the Australian Institu...
Aug 14, 2023•26 min
Dr Lionel Chia joins Chelsea and Dan to bring his 2022 article in JOSPT, Beginning With The End In Mind: Implementing Backward Design To Improve Sports Injury Rehabilitation Practices , to life. Lionel outlines 4 categories to consider when planning return to sport and performance: (1) deconstructing goals, (2) determining key performance indicators, (3) assessing the challenge point, and (4) using the control-chaos continuum to guide interventions. We work through examples of why and where to u...
Aug 07, 2023•23 min
As a JOSPT Insights listener, you already know programs like the FIFA 11+, the PEP program and the GetSet app for reducing injury rates in team sports like soccer (football) and handball. When you're working with athletes, coaches and parents, how easy is it to get them set up with a warm-up program that athletes can follow and stick to a few times a week? Today's chat might just give you a tool to make life easier for you and the athletes, coaches and parents you work with. Drs Hayley Root and ...
Jul 31, 2023•23 min
The YAHiR (Young Athletes' Hip Research) Collaborative takes over the JOSPT Insights podcast today with a deep dive into best practice for imaging the painful hip. What is the best approach to imaging for young people with hip pain? When do you reach for radiographs? What are the pros and cons of MRI for hip pain? And how do you interpret and act on the information you gather from the scan? Never fear, Dr Vasco Mascarenhas—radiologist and Assistant Professor at Católica Medical School, Portugal—...
Jul 24, 2023•25 min
In part 2 of this JOSPT Insights x JOSPT Cases collaboration, clinicians Dr Cody Mansfield and Dr Laura Cutler, with Dr Jake Bleacher continue discussing how they used graded motor imagery to help a patient with low back pain. Treatment sessions 3 and 4 include breakthroughs, progressions, graded movement exposure, and mindfulness training. We discuss who finds pain neuroscience most helpful, and Dr Chris Hughes explains why this case was a perfect match for JOSPT Cases. ------------------------...
Jul 17, 2023•16 min
In part 1 of this JOSPT Insights x JOSPT Cases collaboration, clinicians Dr Cody Mansfield, Dr Laura Cutler, and Dr Jake Bleacher review their approach to supporting a patient with chronic low back pain. First, they review the history, clinical assessment, and the interventions performed over the first 2 treatment sessions. Next, the clinical team reviews how they decided when to leave the biomechanical world and when to focus on graded motor imagery and laterality training. Dr Chris Hughes, Edi...
Jul 10, 2023•23 min
