The Shoulder Physio Podcast

Jared Powell
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The Shoulder Physio Podcast is a podcast dedicated to exploring meaningful topics in musculoskeletal health care.

  1. #53: Shin Splints: The Most Misunderstood Running Injury with Laura Anderson PhD(c)

    -2 J

    #53: Shin Splints: The Most Misunderstood Running Injury with Laura Anderson PhD(c)

    Physiotherapist and PhD researcher Laura Anderson just published a paper arguing that "medial tibial stress syndrome" is a 'garbage' name that's been freaking runners out and leading to terrible treatment for decades. Her proposed replacement? Load-Induced Medial Leg Pain (LIMP). Yes, LIMP, pun not intended. The Problem: "Tibial stress" makes everyone think bone stress injury → stress fracture → panic → rest for months Clinicians still aggressively massage shins until they're bruised  People rest for months and it comes right back when they start running again It's one of the most common running injuries and we have almost zero quality research on it What It Is: Not a bone stress injury on a fracture continuum Doesn't get worse if you keep running (unlike actual bone stress injuries) We honestly don't know exactly what tissues are involved (probably multiple) Imaging usually shows nothing useful The fix? Tune in.   Register for The Complete Shoulder online course Key papers: MTSS needs a new name - Laura's LIMP paper  Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12   Laura's clinic: The Injury Clinic See our Disclaimer here: The Shoulder Physio - Disclaimer

    46 min
  2. #52 It’s Not All About Strength: What the Evidence Shows and What the Reaction Reveals

    13 JANV.

    #52 It’s Not All About Strength: What the Evidence Shows and What the Reaction Reveals

    In this episode, I discuss our recently published BJSM editorial “It’s Not All About Strength” ; what the paper argues, why we wrote it, and what the evidence says about mechanisms of exercise-related pain relief in musculoskeletal conditions. I then turn to the reaction. Not to name names or settle scores, but to examine what the response reveals about how we handle criticism, uncertainty, and challenges to familiar explanations in rehabilitation science. This episode is about evidence, mechanisms, cognitive comfort, and why letting our theories (ideas) be criticised is essential for progress. Register for The Complete Clinician here Key paper: It is not all about strength: rethinking mechanistic assumptions in exercise-based rehabilitation for musculoskeletal pain relief Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

    12 min
  3. #51: Resistance Training Across the Lifespan: What Really Matters with Dr. Jackson Fyfe

    04/11/2025

    #51: Resistance Training Across the Lifespan: What Really Matters with Dr. Jackson Fyfe

    In this episode, Jared Powell is joined by Dr. Jackson Fyfe, exercise scientist and Senior Lecturer at Deakin University, to explore the science and practicality of resistance training across the lifespan. They unpack everything from how kids can safely lift weights to how older adults can maintain muscle health and longevity. Jackson also shares insights from his research on training dosage, hypertrophy, minimal effective dose, and how resistance and aerobic exercise can (and should) coexist. This conversation spans from myth-busting (“weights stunt growth”) to deep physiological insights about muscle as an endocrine organ. It’s a clear, evidence-based discussion that reminds us why lifting weights might just be the most underrated health intervention available. Key topics include: Why resistance training matters at every age The health benefits beyond muscle and strength How little training you can do and still get results Strength vs hypertrophy, what actually matters? Combining cardio and lifting: interference or synergy? The truth about training to failure Register for The Complete Clinician here Key papers: Jackson's profile on research-gate Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 Jackson on X: @jacksonfyfe Jackson on LinkedIn  See our Disclaimer here: The Shoulder Physio - Disclaimer

    57 min
  4. #50 Not for everyone: The launch of The Complete Clinician with Dr Jared Powell, PhD

    14/10/2025

    #50 Not for everyone: The launch of The Complete Clinician with Dr Jared Powell, PhD

    In this episode, Jared announces the launch of The Complete Clinician, a new mentorship and education community for MSK professionals who want more than recycled CPD. He explains why this platform exists, what’s inside, and who it’s designed for. From monthly PhD-level lectures to the Brew & Review journal club, structured learning modules, and The Clinician’s Compass, this is a second education for those who refuse to be average. Jared also shares a quick update on the upcoming 2nd Edition of The Complete Shoulder, set to release in mid-November, with refined content, updated evidence, and new modules. Launch Date: October 15Check it out! Connect with Jared: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

    5 min
  5. #49: Cognitive Functional Therapy with Prof. Peter O'Sullivan

    12/08/2025

    #49: Cognitive Functional Therapy with Prof. Peter O'Sullivan

    In this candid and wide-ranging conversation, Dr Jared Powell is joined once again by Professor Peter O’Sullivan, one of the most influential voices in musculoskeletal care.  Pete unpacks the rationale and findings of the landmark RESTORE trial published in The Lancet, which provides some of the most compelling evidence to date for cognitive functional therapy (CFT) in people with chronic low back pain. He discusses how CFT works, its philosophical divergence from traditional “find-it, fix-it” approaches, and how it centres the patient’s experience, goals, and context. You’ll also hear: A simple explanation of the 3 pillars of CFT The real-world training model used in the RESTORE trial The importance of behaviour change, flare-up planning, and self-efficacy What to do when CFT “doesn’t work” Pete’s reflections on burnout, clinician support, and the importance of community A behind-the-scenes look at the Evolve Pain Care Academy: a new initiative to democratize pain education globally This episode is packed with practical insights, personal reflections, and a compelling vision for the future of musculoskeletal care. Register for The Complete Clinician waitlist here  Key papers: Listen to me, learn from me. Slater et al 2022.  The RESTORE trial 3 year follow-up Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 Evoolve Pain Care Pete X: @peteosullivanpt See our Disclaimer here: The Shoulder Physio - Disclaimer

    57 min
  6. #48 Rotator Cuff Surgery: What Makes it Worthwhile?

    09/07/2025

    #48 Rotator Cuff Surgery: What Makes it Worthwhile?

    In this solo episode of The Shoulder Physio Podcast, Dr Jared Powell explores a deceptively simple question: How much benefit does rotator cuff surgery need to provide to be considered worthwhile?  Jared explores a new 2025 study by Harrison Hansford and colleagues, which uses a clever benefit–harm trade-off approach to quantify what patients actually want from surgery. This episode challenges the way we interpret research, the limits of "statistical significance," and the need for truly patient-centred decision-making. If you're still recommending surgery after failed physio without asking what makes it worthwhile to the person in front of you, this one’s for you. Key topics include: The concept of the smallest worthwhile effect Is “does it work?” the wrong question? Shared decision-making and expectation alignment How the evidence stacks up (or doesn’t) Why patient-defined outcomes matter more than p-values Check out the Shoulder Physio Online Course here Connect with Jared: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

    8 min
  7. #47: Active Inference, Pain, and Movement with Dr Mervyn Travers

    27/05/2025

    #47: Active Inference, Pain, and Movement with Dr Mervyn Travers

    In this episode of The Shoulder Physio Podcast, Dr Jared Powell sits down with Dr Mervyn Travers, physiotherapist, S&C coach, and researcher, to explore one of the most compelling frameworks in contemporary pain science: active inference. They discuss how this predictive brain model helps explain persistent musculoskeletal pain, why traditional exercise-based interventions might miss the mark, and how clinicians can use movement and context to shift a patient’s pain experience. Merv blends philosophy, neuroscience, and clinical pragmatism in a way that's accessible, challenging, and highly relevant. Key talking points: What is active inference and how does it relate to predictive processing? The role of prior beliefs, culture, and clinical language in shaping pain Movement experimentation as a tool for model updating and recovery Why it’s time to rethink how we prescribe exercise in pain rehab Clinical implications from landmark studies within the field that lend themselves to active inference A call for compassion, curiosity, and nuance in patient care Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 Merv website:  Home - Optimise Rehab Merv X: @‌mervtravers Merv Instagram: @‌optimise_rehab See our Disclaimer here: The Shoulder Physio - Disclaimer

    1 h 12 min
  8. #46: Evidence-based medicine with its founder, Professor Gordon Guyatt

    29/04/2025

    #46: Evidence-based medicine with its founder, Professor Gordon Guyatt

    In this episode, Jared Powell sits down with Professor Gordon Guyatt, the physician and researcher who coined the term evidence-based medicine (EBM). They unpack the origins of EBM, why it’s often misunderstood, and how it continues to shape modern healthcare. Rather than being rigid or formulaic, EBM is about integrating the best evidence with clinical expertise and—crucially—patient values and preferences. 🎙 Key talking points: The surprising history behind the creation of EBM Why randomised trials matter—and when they’re not enough How to practice medicine in the face of low-certainty evidence The role of shared decision-making in everyday care Why acknowledging uncertainty is a sign of strength, not weakness How EBM is sometimes misunderstood or misused What the future holds for EBM—including education in schools 🎧 A must-listen for anyone navigating the grey zones of clinical care. Key Papers: Professor Guyatt has too many high impact papers to mention and he has one of the highest H-Index scores in the world (number 13 worldwide and number 1 in Canada). Here is his Google Scholar profile.  Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 Gordon on X:@GuyattGH See our Disclaimer here: The Shoulder Physio - Disclaimer

    36 min
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À propos

The Shoulder Physio Podcast is a podcast dedicated to exploring meaningful topics in musculoskeletal health care.

Informations

  • Création
    Jared Powell
  • Années d’activité
    2022 - 2026
  • Épisodes
    53
  • Classification
    Tous publics
  • Copyright
    ©Shoulder Physio Education Pty Ltd
  • Site web de l’émission
    The Shoulder Physio Podcast

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