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

    2 DAYS AGO

    #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 pushback reveals about incentives in musculoskeletal medicine. References Antunes Júnior et al. (2026). Platelet-rich plasma does not improve pain or function in patients with lateral epicondylitis as compared with placebo: A meta-analysis of randomized clinical trials. American Journal of Sports Medicine. Coombes BK et al. (2010). Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: A systematic review of randomised controlled trials. The Lancet, 376(9754), 1751–1767. Gosens T et al. (2011). Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: A double-blind randomized controlled trial with 2-year follow-up. American Journal of Sports Medicine, 39(6), 1200–1208. Kamble P et al. (2023). Is ultrasound (US)-guided platelet-rich plasma injection more efficacious as a treatment modality for lateral elbow tendinopathy than US-guided steroid injection? A prospective triple-blinded study with midterm follow-up. Clinics in Orthopedic Surgery, 15(3), 454–462. Krogh TP et al. (2013). Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: A randomized, double-blind, placebo-controlled trial. American Journal of Sports Medicine, 41(3), 625–635. Oeding JF et al. (2025). Platelet concentration explains variability in outcomes of platelet-rich plasma for lateral epicondylitis: A high dose is critical for a positive response — A systematic review and meta-analysis with meta-regression. American Journal of Sports Medicine, 53(10), 2489–2496. Orchard JW. (2025). Rock, paper, scissors: Resolving the conflicting results of randomized trials involving corticosteroid, platelet rich plasma (PRP) and placebo injections. JSAMS Plus, 5, 100081. Register for the complete shoulder online course Register for my Brisbane workshop  Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

    24 min
  2. #55: Will AI Replace Physiotherapists?

    31 MAR

    #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 simply made harder to ignore. I draw on four thinkers to make the case: Michael Polanyi on tacit knowledge, Donald Schön on reflective practice in the swampy lowlands, Aristotle on phronesis, and Herbert Dreyfus on the limits of artificial intelligence. Together, they point toward a different answer, that what makes a clinician an expert isn't information retrieval or technical craft, but practical wisdom: the capacity to think with another person under conditions of uncertainty. Register for the complete shoulder online course Register for my Brisbane workshop  Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

    25 min
  3. #54: Physiotherapists are Knowledge Workers

    17 MAR

    #54: Physiotherapists are Knowledge Workers

    In this episode of The Shoulder Physio Podcast, we discuss why musculoskeletal clinicians are, at their core, knowledge workers. Not in the corporate buzzword sense, but in the truest sense: professionals whose value comes from the quality of their thinking, not the techniques in their toolkit. We explore why knowledge compounds but repetition doesn't, why information alone fails to change behaviour, and why trust is far more than a soft skill. If you've ever wondered what actually separates a good clinician from a great one, this episode is for you.  Register for the complete shoulder online course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

    13 min
  4. #53: Shin Splints: The Most Misunderstood Running Injury with Laura Anderson PhD(c)

    24 FEB

    #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
  5. #52 It’s Not All About Strength: What the Evidence Shows and What the Reaction Reveals

    13 JAN

    #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
  6. #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
  7. #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
  8. #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
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About

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

Information

  • Creator
    Jared Powell
  • Years Active
    2022 - 2026
  • Episodes
    56
  • Rating
    Clean
  • Copyright
    ©Shoulder Physio Education Pty Ltd
  • Show Website
    The Shoulder Physio Podcast

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