In this episode we were joined by Physiotherapist and elite runner Anna Boniface to talk about RED-S. She discusses what it is, and the myriad of health implications on multiple body systems along with the performance implications which contributed to the renaming/evolution of this condition from its previous moniker; the female athlete triad (not to mention that males are not immune either!) Anna also covered the key, and often sensitive, questions to ask (about weight, periods and libido) and gave some tips for how to ask them. She also shared with us her own personal story of being diagnosed with it around the time she earnt her vest to represent England in the marathon. Finally, she highlighted how to manage this complex condition within the MDT.
In this episode Dave Cashley gives his experience (both from his years of clinical practice and his research) on manual therapy; with particular comment on its use for intermetatarsal neuroma. He also voices his opinion on some of the criticisms of manual therapy – namely that the effects are short term, and that it can promote fragility, dependance and a reduction in self efficacy.
About David Cashley: David Cashley is podiatrist and an international speaker and educator. David is a fellow of the Royal College of Physicians and Surgeons and has published a number of papers on podiatric manual therapy in the literature. In his over 22 years’ experience, David has crafted an innovative approach to resolving foot pain that’s has shown to be clinically useful and effective. During his career, David Cashley has worked with professional sportsmen, elite athletes, world champions, international dance troupes and the British military. David came from Scotland’s Dundee, where he maintains a successful private practice along with a family restaurant.
In this episode we talked about why it is important for ALL clinicians to read papers (and be confident doing so), and hopefully imparted some tips on how to read a paper along the way. We touched on p values (and why 0.05 is not the magic number), confidence intervals, reliability, number needed to treat (NNT) and the minimal clinically important difference (MCID). And if there was one key takeaway for everyone: learn about effect sizes.
About Rod Whiteley:
Dr Rod Whiteley PhD is a Specialist Sports Physiotherapist, who was awarded a fellowship in the first cohort in Australia. He subsequently spent time on the College of Sports Physiotherapy’s Board as Chief Examiner and has worked with a number of professional and international teams and individuals in Rugby League, Rugby Union, Baseball, Football, Squash, and Athletics.
In this episode with chatted with the physiotherapists, Simon Lack and Brad Neal and the Podiatrist, Alice Corbett about patellofemoral pain, proximal and distal influences and how to choose an intervention. They were all together at a conference.
In this episode, we chatted with a great panel of physiotherapists in Hamish Vickerman, Tom Goom, Neil Meigh and Kevin Nordanger to talk about how Podiatry and Physiotherapy can/should work together, the overlap between professions, the preconceived notions we have about each other’s professions and more..
In this episode we talked with the sports therapist, Ben Cormack. We talked about what he believes are the key components to a successful rehab programme (and why they may fail), along with how we promote self efficacy, empower and motivate our patients and the evidence base behind strength work (and the differences between strength and load tolerance).
About Ben Cormack:
Ben has a passion for getting people moving and using and understanding movement as an important tool to help others. Originally from a fitness background, Ben has gone on to study Sports therapy and widely in the fields of rehabilitation, pain science and movement over the last 15 years. Ben owns and runs Cor-Kinetic, an educational company who use modern research into pain, movement and neuro sciences to provide a reasoning process and rehab skills to those who also place a priority on using movement and exercise as key competencies. Cor-kinetic have provided educational services for the NHS, Elite level sports clubs and universities as well as individual physio’s, Osteopaths, Chiropractors, sports therapists, rehab, and personal trainers.
In this episode, we talk with the physical therapist, Richard Willy. Rich explains what tissue capacity is, what he looks for during a gait analysis, the benefits and pitfalls of ‘wearables’, and how footwear may fit into the whole picture. He also summarised the key differences between treadmill and overground running, with good take homes for clinicians who analyse their athletes on the treadmill and then extrapolate that to the outside world.
About Rich Willy:
Dr. Richard Willy, PT, PhD is an Assistant Professor in the School of Physical Therapy at University of Montana. Rich received his PhD in Biomechanics and Movement Science from the University of Delaware and his master of physical therapy from Ohio University. In addition to his research interests, he been a clinician for 18 years specializing in the treatment of the injured runner. His research aims to develop clinically effective treatments for patellofemoral pain syndrome, Achilles tendon injuries and tibial stress fractures. As well as publishing in peer-reviewed journals, Dr. Willy is a national and international presenter on his research and clinical expertise on how to evaluate and treat the runner with injuries. Dr. Willy and his research have been featured in Runner’s World multiple times.
In this episode we talked with Consultant Physiotherapist, academic and researcher Dylan Morrissey about the evidence base for shockwave therapy, the robustness of the methodology often employed within such research, what foot/ankle pathologies shockwave is indicated for and whether there are any key contraindications or risks associated with its use.
About Dylan Morrissey: Dr Dylan Morrissey has over 25 years experience of working in sports and exercise medicine. He completed his MSc at University College London in 1998 and a PhD in 2005 at King’s College London. He is now an NIHR/HEE consultant physiotherapist and clinical reader in sports and musculoskeletal physiotherapy at Bart’s and the London NHS trust / BL School of Medicine and Dentistry, QMUL. He is a fellow of the HEA and provides clinical leadership to the intercalated BSc and MSc in Sports and Exercise Medicine (SEM). He runs the Human Performance Laboratory. He has gained more than £5m in research funding, with a third as lead applicant, and has authored ~ 60 peer-reviewed full papers. His main research interests are tendinopathy, evidence translation and the link between movement and pathology.
In this episode we welcomed Physical Therapist Jarod Hall on to talk us through what his history taking looks like, the language he uses (and tried to avoid), how he asks about the complex topic of pain and the importance he places on educating those sitting across from him in his clinic office.
About Jarod Hall:
Jarod went to and graduated from Texas A&M University in 2011 with a B.S. in Exercise Physiology and Theories of Motor Control. After Graduating from Texas A&M Jarod moved to Fort Worth to attend the UNT Health Science Center’s Doctor of Physical Therapy program. He completed his doctorate in May of 2014 after being named the recipient of the Dean’s Award for Academic Excellence.
In this episode we talked with Seth O’Neil about whether this is an inflammatory condition or a degenerative condition (or both), how Seth assesses posterior ankle pain in clinic, his thoughts on imaging appropriateness and timing, why isometrics may not be the silver bullet for pain relief and how advice and education should probably out rank injection and shockwave therapy.
About Seth O’Neill
Seth O’Neill is the principal physiotherapist at the Keyworth Physiotherapy and Sports Injuries Clinic which was established in 2007. He qualified from Leeds Univeristy in 2000 and then worked in the National Health Service for 6 years where he developed his specialist musculoskeletal skills. Seth then went on to complete a masters degree in Musculoskeletal Physiotherapy. Seth has also completed a PhD in to Achilles tendon disorders. His particular area of treatment speciality is musculoskeletal disorders and injuries which he lectures on at Leicester and Coventry Universities.
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