
The Physio Pulse Podcast
Jeff Morton and James Horner 105 episodes Nov 1, 2026
The Physio Pulse Podcast is hosted by James and Jeff, two experienced physiotherapists who discuss current issues in physiotherapy. Episodes cover the latest research, interesting case studies, and clinical discussions relevant to practice. The hosts share their expertise, experiences, and failures to make complex topics accessible. The show is aimed at both seasoned professionals and newcomers to the field.
Episodes

Ep. 79 - Exercise Prescription: Physios Most Important But Least Standardised Skill
Today we look at the 2026 paper from Hinrichs-Kenney et alWhy is there so much variation?And how do we fix it?

Ep. 78 - Sham Surgery for Hip Impingement
We discuss the long awaited (by us) HIPARTI trial, which was intended to be an international, multi-centre randomised controlled trial comparing debridement of a CAM and/or Pincer versus a sham in which people were treated the exact same, but when they got to the operating room, they had exploratory arthroscopy only.Unfortunately, the study was ultimately underpowered to have confidence in the fin

Case Study #14 - Chronic Ankle Instability: What Was The Real Cause?
Young active patient who can't return to sport due to ankle instability. What is the underlaying cause?

Ep. 77 - Hybrid Physio Beef and Case Studies
Late recording this week so we discuss two case studies close to James' heart; his parents. We talk about their physiotherapy care; is there anything we would do different?Do we have enough professional pride about physiotherapy based care?Please note, nothing in the episode is considered medical advice.

Ep. 76 - The Largest Study On AI Use In The NHS
James holds the fort this week and discusses a recent paper from 2025 looking at ambient voice technology with AI generation for writing notes in the NHSover 2000 patientsdoes it deliver what it promises?https://media.gosh.nhs.uk/documents/AAI_Phase_4_NHSE_Final_Report_1.3.pdf

Ep. 75 - Diagnosis: Say What Matters, But Say It Right
We bring back physio beefs and discuss an editorial from JOSPT about diagnosis and the pros and cons of pathoanatomical diagnoses.Should we be using pathoanatomical terms or avoiding this?Please note, nothing in this episode is intended to be medical advice.

BONUS EPISODE: Jack Chew - Where Is The Public Square For MSK Medicine? and the upcoming MSK awards
Jack returns to Physio Pulse to discuss Have we forgotten how to have robust debate?What is the solution?And what led Alistair Brownlee to block James...We discuss the upcoming MSK awards which aims to promote success and innovation within MSK - BOOK YOUR TICKETS HERE https://mskawards.com/

Ep. 74 - Sham Exercise versus Eccentric Loading for Achilles Tendinopathy
The first 10 minutes of this episode are essentially making fun on James' throw, which is essential viewing on @physiopulsepodcast instagram page.We also go deep into a paper comparing sham exercise (upper limb exercises) versus eccentric loading for people presenting with Achilles tendinopathy. The results of which might surprise you!Please note, nothing within this episode is intended to be

Ep. 73 - Athletic Groin Pain and Movement Variability
We chat about movement variability, biomechanics and rehab informed by a great paper that looked at these variables in participants with Athletic Groin Pain.Please note, this episode is not intended to be medical advice.

Case Study #13 - Achilles Rupture
We discuss a recent case of an Achilles rupture. Why are they sometimes missed?Where does our testing miss the point?... and Jeff offends every football fan

Ep. 72 - One vs. Three Sets of Exercise for Patellofemoral Pain
Is three sets per exercise better than one set for women with patellofemoral pain?We look at a randomised controlled trial that asks just that!Please note, this episode is not intended to be medical advice.

Ep. 71 - The Truth About Rotator Cuff Tears and MRI
James is left to run the PodJeff has some... very unusual answers to a listener question What happens when you scan over a 1000 shoulders in a health adult population?Does this redefine what a normal shoulder is? And how normal is a rotator cuff tear?Incidental Rotator Cuff Abnormalities on MRIIbounig et al 2026

Ep. 70 - The Immune System And MSK Pain
Could we be in the middle of the biggest breakthrough in MSK medicine?James and Jeff check out the 2026 paper - Neuroimmune interactions in musculoskeletal conditions: An introduction for clinicianshttps://doi.org/10.1016/j.msksp.2025.103469

Ep. 69 - Lateral Patella Tracking: A Tendon, VMO or Bone Problem?
We dive into a paper looking at a relatively novel measurement of quadriceps tendon alignment which has been associated with lateral patella tracking and lateral facet patellofemoral osteoarthritic changes.Is it just the tendon or the whole muscle? Does VMO volume differ with tendon position? We then go on to discuss investigating recalcitrant anterior knee pain and the reasoning for this.James ta

Re-Release: High/Low Intensity Exercise vs Attention Control for Knee Osteoarthritis
Unfortunately, James is still getting shown who is boss by bacteria so we were unable to release a new episode this week. Therefore we have seized the opportunity to re-release our episode all about exercise intensity and knee osteoarthritis, the results of which might surprise you if you haven't listened before.Please note, this episode is not intended to be medical advice.

Clinical Pearl #7 - Discussing Surgery for Degenerative Meniscus Tears
James was bunking off so Jeff seized the opportunity to talk about the 10 year results of the FIDELITY study comparing meniscal debridement for degenerative tears, to sham surgery!Please note, this is episode is not intended to act as medical advice.

Ep. 68 - Rehab vs Surgery for Hip Impingement: UK Fashion and FAIT
We cover two HUGE randomised controlled trials that look at the clinical effectiveness of hip arthroscopy versus rehabilitation for femoroacetabular impingement syndrome.Often, these get summarised as surgery simply outperforming rehabilitation. Whilst true, there is so much more to unpack!UK Fashion (Griffin et al, 2018)FAIT (Palmer et al, 2019)Please note, this podcast is not intended to act as

Ep. 67 - What Is The Best Physio Treatment For FAI? (Kemp et al 2026)
It's 2026 and we are only getting the first RCT comparing Physio treatments for FAI?? Hot off the press Kemp et al 2026Physiotherapist-led treatment for femoroacetabular impingement syndrome (the PhysioFIRST study):https://bjsm.bmj.com/content/early/2026/05/03/bjsports-2025-110986

Ep. 66 - We Wrote Some Articles
A little bit of a different format this week.We discuss the articles we have each recently written for MSK Mag (by Physio Matters). The argument for an MSK only degree, and why being nice is detrimental for us as a profession.This was great to revisit and explore in a little more free-flowing detail.We highly recommend checking out MSK Mag, not for us, but for the tonnes of high quality authors wh

Ep. 65 - Attention Focus in ACL Testing
This week, Jeff and James talk internal / external focus of attention in ACL testing, ramble unnecessarily about isokinetic dynamometry and testing philosophy.

Ep. 64 - Is Your Neuro Exam Testing What You Think It Is?
This week....We discuss the Bender et al paper from 2023 Does Your Bedside Neurological Examination for Suspected Peripheral Neuropathies Measure https://www.jospt.org/doi/10.2519/jospt.2022.11281and...Jeff debriefs about his recent BASK conferenceJames has some nerdy nerve facts

Case Study #12 - Fluoroquinolone Induced Achilles Ruptures
This week we discuss similar cases we have experienced regarding Achilles tendinopathies and ruptures associated with certain types of antibiotics.Please note, this episode is not intended to be medical advice.

Ep. 63 - Scapula Dyskinesis, when does it matter?
This week- Jeff opens a beer- James has a case study- We get into the weird world of scapula's Does scapula movement matter? and if so, when?We look at the 2026 Villa-Dieguez et al paper Clinicians who think scapular dyskinesis is important are more likely to identify it in healthy individualshttps://pmc.ncbi.nlm.nih.gov/articles/PMC12929090/

Ep. 62 - Critiquing a Rehab Protocol For CAM Osteochondroplasty in 'Borderline' Hip Dysplasia
A little bit of a different approach this week, we look to a clinical commentary on rehabilitation following a CAM resection in people who also have 'borderline' hip dysplasia.We spend the first half hour going over some basic principles which are fundamental to our critiques, before going over the protocol itself.Please note, nothing in this episode is intended to be medical advice.Find t

Ep 61 - ACL Injury and Arthritis: Is Surgery Worth It? (Shah et al 2026)
This week we look at a large 2026 Meta Analysis comparing arthritis rates in ACL reconstruction vs conservatively management!- Is there a long term difference in OA rates?- What predicts higher levels of OA?Shah et al 2026 - The Long-term Radiographic Fate of theChronically ACL-Deficient Knee: A Systematic Review and Meta-analysis of Matched Cohort StudiesDOI: 10.1177/03635465251405438

Case Study #11 - Medial Midfoot Pain
In this episode we discuss the pros and cons of Masters level education, particularly as it applies to job progression within the NHS before moving on to a case study of James' that is all about medial foot pain!Please note, this episode is not intended to give any medical advice.

Ep. 60 - The Largest Study On Bracing For Knee OA (Holden et al 2026)
Today on Physio pulse we discuss the 2026 "PROP OA" studyThe largest study looking at bracing for knee OA https://www.bmj.com/content/392/bmj-2025-086005

Ep. 59 - 10 Year Results of Placebo Shoulder Surgery (FIMPACT Study)
Arthroscopic subacromial decompression has cost healthcare systems billions over the decades. No trial to date has demonstrated superiority of this surgery over placebo surgery or an exercise based approach.We run through 10 year results of the FIMPACT trial and discuss... should this surgery still be offered?Please note, this episode is not intended to act as medical advice.

Ep. 58 - What Is The Best Way To Manage Chronic Back Pain? (Re-Release)
We've had loads of new followers and we thought this week it would be great to revisit one of our first ever episodes looking at the RESTORE trial. CFT treatment for chronic lower back painWe hope you enjoy!

Ep. 57 - 70% Failure Rate after Cross-Bracing for ACL Rupture?
Today we discuss an interesting 2026 paper looking at long term outcomes for Cross Bracing ACL ruptures. DOI: 10.1097/JSM.0000000000001416What is cross bracing?Where did it come from?How does it compare to surgery in an athletic population?

Ep. 56 - The JUMPER Trial for Patella Tendinopathy (Jeff's Most Disliked Paper)
Jeff has been waiting a while to discuss this paper that has been widely shared by a high impact journal (BJSM) and appears to have gained a lot of attention since its publication.Are we justified in heavily critiquing this paper? Are we taking crazy pills?! Is the spin in the abstract a cause for concern and something we should rightly be angry about?Have a read for yourself and let us know your

Ep. 55 - Jack Chew: Reforming MSK Physio, and Rethinking the Profession
In this episode, we speak with Jack Chew. A huge figure in the world of Physiotherapy Jack reflects on his rapid early career, including becoming the youngest Band 8a Physiotherapist.We then explore the origins of the MSK Reform Movement. Why it emerged, what it set out to challenge, and the resistance it encountered, before discussing Jack’s subsequent move into the CSP, and what he learned tryin

Ep. 54 - Dan Cleather on Science, Coaching and Dynamic Systems Theory
This week we host the amazing S+C professor, author and coach Dan Cleather to discuss concepts from his lesser talked about books 'The Little Black Book of Training Wisdom' and 'Subvert' (Jeff and James' favourite).Topics include philosophy of science through an anarchist lens, fundamental concepts in coaching people and why Dan is cautious when it comes to adopting language associated with Dynami

Ep. 53 - EPIC ACL Testing (Estimated Pre-Injury Capacity)
This week....Jeff causes a PR nightmare for Physio Pulse on social media...How should Physio courses better prepare students for MSK work?We discuss ACL limb symmetry index, is there a better way we can be testing this? or WHEN we test this - https://www.jospt.org/doi/10.2519/jospt.2017.7285

Ep. 52 - Words That Belittle and Infantilise Patients, and Directness in Communication
This week we have an honest discussion about the importance of NOT using some words when chatting with patients, alongside some discussion on how to balance empathy and understanding without losing the clarity of our messages.Please note, this episode is not intended to provide medical advice.

Ep. 51 - Sprinting Mechanics and Hamstring Injury Risk
First episode of 2026 - Jeff celebrates reading the right paper - James reminisces about turkey sandwiches We are looking at the 2025 paper - Sprint running mechanics are associated with hamstring strain injury: a 6-month prospective cohort study of 126 elite male footballers

End of 2025 Questions and Nattering
It's the end of the year, and as is tradition (i.e. it's what we did last year) we answer some listener questions, discuss different topics around the MSK world and James drinks some wine.

Ep. 50 - Return to Sport After Cuff Repair
Our last episode before christmas! Hot off the press and only a month old, published in November 2025 What can we learn about the types of sport people try to return to after rotator cuff repairs. Do overhead athletes struggle more? and what are the risk factors for failure to return to sport?

Ep. 49 - Reasoning Out Elite Rehab with Dr. Jarred Boyd
This weeks guest is Dr. Jarred Boyd, head of physical therapy at the Memphis Grizzlies and an expert in critical thinking when it comes to reasoning out rehabilitation.In this episode, we dive straight into how Jarred uses dynamic systems theory, the theory of affordances and attractor states in his clinical reasoning. We have a post on our instagram page to explain these terms a little more howev

Case Study #10 - An Acrobat With Big Toe Pain
This week James and Jeff tread the tightrope of Physiotherapy...Plenty of clowning about...A circus acrobat with 8 months of worsening big toe painWhat are your differentials? Would you investigate?How would you treat this?When does surgery become the right option?

Ep. 48 - Saline Injections Vs Exercise for Knee Osteoarthritis
We dive into a placebo comparison paper for the GLAD programme which has been growing over the past few years as a structured exercise approach to manage osteoarthritis.How does it shape up to open label placebo injections? What are our thoughts on the nuances of the study, and the positives / negatives of the GLAD programme?Please note, nothing in this episode is intended to be medical advice.

Ep. 47 - The Illusion of Improvement: Knee OA and Natural Regression
We know that a most conditions will improve or fluctuate with time, but how much does that effect research outcomes?To help answer this we are looking at the 2024 paper - Regression to the mean for physical function and quality of life in clinical trials for symptomatic knee osteoarthritis - Martin Englund and Aleksandra Turkiewicz- What is regression to the mean?- How can we measure it?- How does

Ep. 46 - Knees Over Toes Guy: Helpful or Harmful?
A little bit of a different episode this week! Instead of talking through a paper we sit down to discuss our thoughts on Ben Patrick, otherwise known online as 'Knees Over Toes Guy'; a hugely successful movement with the aim to help people get out of pain.Athletic Truth Group is the name of Ben Patrick's business that has emerged from this training philosophy that appears to be doing r

Ep. 45 - Physio Or Surgery For Traumatic Meniscal Tears?
This week we discuss the 2022 Van Der Graff paper Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trialWhat are the long term outcomes for these patients between the two groups and what can we take forward to help our patients make the best choice for them?https://pmc.ncbi.nlm.nih.gov/articles/PMC9304087/#s

Ep. 44 - Surgeons versus A.I: Who's better at counselling patients?
This week we chat through a paper that looked at surgeons answers to questions on knee osteoarthritis compared to ChatGPT. Who comes out on top?How can AI be used in healthcare?How would you fare against AI at the end of a long day?Are James and Jeff progressive thinkers or old at heart in their early 30's?Find the paper here: https://www.thekneejournal.com/article/S0968-0160(25)00065-1/abstra

Ep. 43 - How much running is too much running?
We review a paper with 5200 participants that tried to answer how best to analyse someones risk of injury with training load.It's been making the rounds on social media, what does it actually show and how can we use this information clinically?Please note, this episode does not constitute medical advice.https://bjsm.bmj.com/content/bjsports/59/17/1203.full.pdf

Ep. 42 - Exercise volume and CAM morphology
This week we look at the new paper "The effect of exercise time and frequency on the development of cam morphology" by M. Baldawi et al 2025 https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-025-08603-1What do we know about the development of CAM morphology?How do we define it?Could they be useful to athletes?

Ep. 41 - Shoulder Biomechanics and Stability
In this episode we sit down to discuss a really interesting paper all about how stability is produced in the glenohumeral joint. Concavity compression or Intrinsic muscle stiffness? Rotator cuff or larger muscle groups?We go through the mechanisms and basic biomechanical considerations of this before discussing what we think this papers findings mean in clinical practice.Use the comment function b

Ep. 40 - The best way to manage cuff tears? The CALMER Cuff Pathway
We're back for series 2!! New logo but unfortunately for you, same hosts... This week we're running through the brand new CALMER Cuff pathway from Fayh et al 2025. - How should we manage cuff tears?- How does surgery compare to conservative management?- How do we discuss this with our patients?https://www.jospt.org/doi/10.2519/jospt.2025.13342?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&am

Listener Questions, Honest Rants and Beers - Summer Break Special
That's us for the first half of 2025... holidays, babies and house moves keeping us busy over the next couple of months. James and Jeff crack a few beers, have a few rants, offend a few nations and answer listener questions.

Ep. 39 - Manual Therapy vs Exercise for Chronic Neck Pain
We answer a question from a listener about the benefit of NHS versus private practice as a new graduate before going on discuss a recent randomised controlled trial comparing manual therapy to exercise therapy in the management of persistent neck pain.Finally we go on to discuss some of our considerations with managing people with neck pain.Please note, this episode does not constitute medical adv

Case Study #9 - Atypical Shin Pain
We run through a presentation of shin pain that seems to evade any usual diagnosis. Please note, nothing in this episode is intended as medical advice.

Ep. 38 - Communication and Conflict with Ben Whybrow
We had the pleasure of sitting down with Ben Whybrow the host of the Clinical Communication Podcast to discuss...- Communication tips- Difficult conversations - How to handle conflict ... and cake...Hope you enjoy!

Ep. 37 - The GRASP trial (Hopewell et al 2021)
James is back and reminding Jeff this isn't an ACL podcast... Today we are discussing the famous GRASP trial looking at Education, Progressive Exercise and Steroid injections for RCRSP. What are the true take aways from this study? Don't forget to check out Jeff's upcoming live webinar on his Instagram page

Ep. 36 - ACL Graft Masterclass with Fin Murphy
James was off climbing in the Alps this week so Jeff seized the opportunity to talk more ACL with Mr. ACL himself, Fin Murphy, without the usual judgement from James about how this might be becoming a lower limb podcast!We cover everything to do with rehab considerations of the big 3 donor sites for ACL rehab. Great practical takeaways throughout this one!Please note, this episode does not constit

Ep. 35 - Everything Calf Rehab and Testing with Dylan Carmody
Dylan Carmody joins us this week to talk to us about: Anatomical and Functional considerations we need to understand when rehabilitating the calf complexWhat objective tests we can use to help guide our rehabilitation and adviceRehabilitation tips and tricksJames' cross sectionally challenged calves.Check out his amazing value calf force profiling book here!

Ep. 34 - Does an ACL that heals without surgery actually get good long term outcomes? (Filbay et al 2025)
This week we are discussing the new secondary analysis of the KANON study from this year...Do conservatively managed ACL's that show healing actually get better outcomes long term?https://journals.sagepub.com/doi/full/10.1177/03635465251339061?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org

Ep. 33 - What happens after a meniscectomy?
This week we discuss one of Jeff's go-to papers on everything to do with meniscectomy. We also touch on high tibial osteotomy and chondral cartilage surgery!This is the last week of Jeff's launch sale for 'The Force Awakens: How to REALLY use biomechanics in clinical practice' - enter code LAUNCH20 at the checkout through the link in his instagram bio!Find the paper we discussed on

Ep. 32 - Loading vs Sham Exercise for GTPS (Ganderton et al 2018)
Apologies for missing last week...But we are back with one of James' favourite ever studies looking at sham exercise vs strengthening for GTPSDefinitely a study that raises a lot of talking points, hope you enjoy!

Ep. 31 - ACL Reconstruction versus Rehab (Re-Release)
This week we are re-releasing our first ever proper episode on two RCT's exploring the question of whether there is a difference between ACL reconstruction and non-operative management!Please note, this epidsode does not constitute medical advice.

Ep. 30 - Does Compression Matter For Insertional Achilles Tendinopathy Rehab? (Pringels et al 2025)
We're always told to avoid dorsiflexion with insertional Achilles tendinopathies, but is this accurate?We discuss the 2025 paper - Effectiveness of reducing tendon compression in the rehabilitation of insertional Achilles tendinopathy: a randomised clinical trialhttps://bjsm.bmj.com/content/59/9/640.long

Clinical Pearl #6 - 'In Defence of Bosu Balls'
Jeff discusses a rationale he can see to justify the use of a bosu ball, despite not actually using them himself!Paper for affordances and chronic pain HERE Embodied pain HEREEnactive biopsychosocial model HEREPlease note, this episode does not constitute medical advice.

Case Study #8 - Bilateral Calf Wasting
James presents a case study of a patient who came to see him with bilateral knee pains, but all is not as it seems...

Ep. 29 - Are there any good injections for Tennis Elbow?
Jeff shares his most successful prank on James, and we talk about injections for tennis elbow with some good talking points around placebo / contextual effects and open science.Please note, this episode does not constitute medical advice.

Ep. 28 - Blood Flow Restriction Training For Knee OA (Jacobs et al 2025)
Today on Physio pulse James has some beefJeff ruins a shirt We dive into the world of blood flow restriction training for knee OA with the very recent Jacobs et al 2025 paper making the rounds on social media.

Ep. 27 - Being Born Poor Increases Odds of Having Chronic Pain
This week we dip our toe into the political space and accompany this with the first meta-analysis investigating socioeconomic status and chronic pain.Jeff has an apology to make for the listeners and gets excited about a funnel plot (he's not got much going on right now).James keeps conversation on track as the more politically aware of the two of us and makes this a passable episode.Please note,

Clinical Pearl #5 - Pain Gate And The Ascending And Descending Pathways in 6 minutes
Struggle to get your head around the ascending and descending pathways? And what even is pain gate?? Well in our clinical pearl episode this week James gives a quick overview in 6 minutesHope you enjoy!

Ep. 26 - The Realities Of Lecturing, Research And FCP With Joe Palmer
Today on the Physio Pulse we had the pleasure of speaking with Joe Palmer who is a lecturer and researcher working in Sheffield and was in the first cohort of clinicians who moved into the First Contact Physiotherapy roles. We speak about the realities of lecturing and research, the trials and tribulations of FCP and how to get clinicians to fall in love with stats. Hope you enjoy!Click here for a

Ep. 25 - Do your heel raise tests mean anything?
We sit down and read the Kim Herbert-Losier paper on updated normative values and reliability of the calf raise test. What does the average actually show, how should it be completed to have comparative values and what does it inform?Also, James confesses to having very skinny calves.Apologies as Jeff's audio is a little bit low on this one!Please note, this episode does not constitute medical

Ep. 24 - Climbing, Injuries & Hand Rehab with Paul Houghoughi (The Climbing Physio)
In this episode, we’re joined by Paul Houghoughi, better known as The Climbing Physio, to dive deep into the world of climbing injuries, rehab, and performance. Paul shares his insights on the most common climbing-related injuries, the unique demands of the sport and the best strategies for rehab and prevention. Tune in and learn how to take your hand rehab game—to the next level!

Ep. 23 - Surgery or Physio for Meniscal Tears? What Predicts Who Will Do Well? (Subgroup Analysis from the DREAM Study)
This week James and Jeff delve into one (...of the many) subgroup analyses of the DREAM study. What is better surgery or Physiotherapy for meniscal tears?How can we predict which patients will do well in each group? Why does Jeff hate the world of research?

Ep. 22 - Jared Powell (@shoulder_physio) on Causation, Complexity and Shoulder Pain
This week we have a great discussion with Dr. Jared Powell on all things relating to dispositional causation and how this relates to positive clinical improvements in people with shoulder pain (but this could be extended to most MSK pain really!)
These complex topics are broken down into very digestible soundbites and we think this episode is a must listen, and probably one to revisit in the futur

Ep. 21 - Corticosteroids for Achilles Tendinopathy?
Would you have ever considered injection someone with mid-portion achilles tendinopathy 3 times in the space of 12 weeks? Johanssen et al (2022) did in todays paper and the results might surprise you!
This is the closest we have come on having genuinely different views on a paper and was a fun conversation!
Please note, this episode does not constitute medical advice.

Clinical Pearl #4 - 20 Minutes On Rotator Cuff Related Shoulder Pain (do our patients need to get stronger?)
A quick overview of RCRSP
- What is the literature around diagnosis?
- Are special tests useful for this condition?
- Brief overview of the history of this condition
- What is the evidence around strengthening exercises for this condition?
Hope you enjoy!

Debate #1 - Should Imaging Be Done To Reassure?
Should we be ordering imaging for patients when it won't change management, but it is perceived (sometimes wrongly?) that it could help their health anxiety?
This is a clinically grey area, and one we have tried to tackle in the absence of any strong direction from the literature. Jeff and James take opposite sides in the debate initially before settling into what we think good practice looks

Ep. 20 - Is Shockwave Effective For Plantar Fasciitis?
We're back for 2025!
Looking at the recent Heide et al 2024 paper comparing Shockwave, Sham Shockwave, Exercise and Education + Custom Insoles.
https://pmc.ncbi.nlm.nih.gov/articles/PMC11347971/
Jeff reads the wrong paper
James has a bee in his bonnet

Ep. 19 - End of Year Special, Extra, Christmas Do... Thing
This week we chat around James' injection skills, what we have found doing a podcast is like and recommendations for 2025. James also provides an update to a case study he raised a few episodes back.
See you in 2025!

Ep. 18 - Movement Patterns and ACL Injury Risk
If you want to skip past the discussion on the recent assisted dying bill in the UK then head to 09:20.
We take a deep dive into movement science, ecological dynamics and a research paper looking at different ways to 'teach movement'
Please note, this episode does not constitute medical advice.

Ep. 17 - Patient Perceptions on Sciatica
This week we dive into a qualitative paper for the first time all around perceptions of sciatica from the patients perspective!
James talks about wearing high heels.
Please note, this episode does not constitute medical advice.

Case Study #7 - What's Causing This Shoulder Pain?
In the intro to this episode we discuss our thoughts on the HCPC hearing Adam Meakins is currently going through, Jeff makes a bet that he won't swear for the remainder of the episode and James leads a conversation on a patient with shoulder pain that wasn't improving with rehabilitation!
Please note, this episode does not constitute medical advice.











