The Shoulder Physio Podcast

The Shoulder Physio Podcast

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#59: Exercise, sets, reps and the pharmacology problem

Is more always better? Is there a dose response effect of exercise for musculoskeletal pain? Should exercise be just like a medication, where the dose has to be sufficient in order for it to elicit a therapeutic effect? These are the questions we contend with on this episode of T ...  Afficher plus

# 58: Most rotator cuff tears don't hurt

The FIMAGE study scanned both shoulders of 602 adults from the general population using high-resolution 3-Tesla MRI. Only 7 had a structurally normal rotator cuff. In this episode, I walk through what the study found, why 78% of full-thickness tears were in people with no shoulde ...  Afficher plus

#57: Stop Looking for a Winner: The Case for Treatment Pluralism

In this episode, I walk through my recent JOSPT paper arguing that no single treatment modality has proven itself superior for musculoskeletal pain and that the profession should stop pretending otherwise. Drawing on Isaiah Berlin's distinction between the hedgehog and the fox, I ...  Afficher plus

#56: I Posted a Meta-Analysis and 50 Doctors Told Me I Was Wrong

I posted a meta-analysis showing PRP doesn't beat saline for tennis elbow. The regenerative medicine community came for me, hard. This episode walks through the incident, what the evidence states, why the comparator you choose determines the conclusion you reach, and what the pus ...  Afficher plus

#55: Will AI Replace Physiotherapists?

The argument that AI replaces "the science" while clinicians should "lean into the art" has become common across healthcare. In this episode, I explain why I think both sides of that framing get it wrong, and why the art vs. science debate was always a false dichotomy that AI has ...  Afficher plus