The Physio Matters Podcast

Jack Chew

Become a Paid Subscriber: https://podcasters.spotify.com/pod/show/tpmpodcast/subscribe Putting big mouths and big ideas behind microphones. The Physio Matters Podcast - Clinical Gold Delivered Direct. Episodes will feature expert, honest advice, delivered directly to listeners at no cost. Musculoskeletal and Sports Medicine information for those working in physiotherapy, sports therapy, sports rehabilitation, medicine and all divisions of the healthcare industry.

  1. Is Shockwave Shocking? Chewing It Over with Nick Ilic

    10 MAY

    Is Shockwave Shocking? Chewing It Over with Nick Ilic

    In this episode of Chewing It Over, Jack speaks with Nick Ilic about shockwave therapy, clinical uncertainty, and the problem with taking overly confident positions in MSK practice. Nick argues that shockwave is only really “shocking” when clinicians either oversell it as a powerful long-term solution or dismiss it entirely without proper consideration. Much of the conversation sits deliberately in the middle ground: shockwave may have a role, but the evidence does not support grand claims across broad MSK conditions. The discussion explores the tension between proposed mechanisms and clinical outcomes. Shockwave is often described as creating a pro-inflammatory or mechanotransductive stimulus, potentially “restarting” a repair process in chronic tissue. However, Nick is cautious about mechanistic certainty, noting that many MSK interventions have attractive theoretical explanations that become far less convincing when tested rigorously. They also discuss how shockwave may simply act as another form of neuromodulation, particularly when outcomes appear similar between focused and radial approaches, or when benefits are mainly short term. Nick is especially critical of “condition creep,” where a modality gradually becomes marketed for more and more problems despite limited supporting evidence. Importantly, he does not dismiss shockwave altogether. He acknowledges stronger evidence for indications such as calcific tendinopathy and non-union fractures, where the mechanism and evidence appear more plausible. But for common tendinopathies and broader pain presentations, he remains sceptical of inflated claims, especially when patients are paying privately. Overall, this is a funny, sharp, and thoughtful conversation about evidence, uncertainty, informed consent, and why clinicians should be wary of both hype and lazy scepticism. 5 clinical/professional takeaways Avoid overconfidence in either direction. Shockwave should not be sold as a miracle treatment, but dismissing it completely may also be too simplistic.Mechanistic plausibility is not enough. Claims about pro-inflammatory effects, mechanotransduction, or tissue “restart” need to be matched by meaningful clinical outcomes.Context matters. Shockwave may be more defensible in areas like calcific tendinopathy or non-union fractures than in broad tendinopathy or general pain presentations.Short-term pain relief is not the same as recovery. Clinicians should be careful not to confuse temporary neuromodulation with long-term tissue change.Consent and expectation-setting are crucial. If patients are paying privately, they deserve a clear explanation of likely benefits, uncertainty, cost, and alternative options.

    37 min
  2. Booking.com for MSK... Chewing It Over with Wesley Clarke-Sullivan

    26 APR

    Booking.com for MSK... Chewing It Over with Wesley Clarke-Sullivan

    In this episode of Chewing It Over, Jack speaks with Wesley Clark Sullivan about Medimo, a marketplace designed to make private MSK care easier to find and book. The central idea is simple: in most sectors, people are used to consumer-friendly platforms like Booking.com, Uber, or Deliveroo, yet private healthcare still often relies on clunky directories, fragmented websites, and high-friction booking journeys. Wesley explains that the idea emerged from his background in marketing and e-commerce, combined with insight from private insurance pathways where even approved patients often fail to complete the final step of actually booking care. That gap led him to spot a wider opportunity: a marketplace that helps patients search by postcode, compare options, view live availability, and make an appointment quickly. A major theme of the conversation is fairness and visibility for clinics. Smaller independent practices often do not have the time, budget, or expertise to compete with bigger players in SEO, paid advertising, or constant social media output. Medimo aims to level that playing field by acting as a neutral marketplace where clinics can be found more easily, without needing large marketing budgets. Jack explores both the promise and the risks of this model, including concerns around patient data, platform dependency, and whether the service might simply intercept patients clinics would have acquired anyway. Wesley responds by outlining Medimo’s approach to data security, its free-to-list structure, and its revenue model based only on the first appointment. Overall, the episode is about improving patient access while helping clinics reach the right people more efficiently, without compromising trust or standards. https://medimo.co.uk/

    46 min
  3. A Collaborative View For Industry Support - Chewing It Over with Jim Carr | Eos Active

    19 APR

    A Collaborative View For Industry Support - Chewing It Over with Jim Carr | Eos Active

    eosactive.co.uk In this episode of Chewing It Over, Jack speaks with Jim Carr from EOS Active about a part of MSK practice that often gets overlooked or handled poorly: the relationship between products, pathways, branding, and patient communication. Although EOS Active technically sells products into the MSK space, Jim is clear that he does not want to be seen as simply “selling injections.” Instead, he argues that products only make sense when they are nested within a wider, well-reasoned patient pathway. An injection, brace, cryotherapy device, or sleeve is not the story in itself; it is only one possible component of a longer management process shaped by rehabilitation, education, timing, and patient context. A major theme of the conversation is that clinics often inherit their marketing language from manufacturers without fully realising it. Glossy flyers, miracle-style testimonials, and product-led messaging can slowly become part of a clinic’s identity, even if they do not reflect how that clinic actually wants to practise. Jim’s answer is to help clinics present information in a more neutral, patient-centred way that supports trust rather than hype. The discussion also explores why Jim feels unusually aligned with private clinics. He sees parallels between building a distribution business and building a clinical service: both require strategy, long-term thinking, and careful management of brand and reputation. Rather than pushing the newest thing, he prefers established, sensible options that fit real-world practice. Overall, this episode is about thinking beyond transactions. It asks clinics to be more intentional about what they communicate, how they communicate it, and how commercial choices shape the care experience patients receive. Cingal® as a multi-joint injection is now EU MDR certified. The certification includes expanded indications for multiple synovial joints, including the knee, hip, shoulder and ankle, supporting broader clinical application. As part of the MDR transition, the manufacturer is completing the final administrative steps to ensure update IFUs and supporting documentation are available in line with regulatory requirements. Further information will be shared in due course. Eos active as te UK partner are preparing updated marterials allowing you to communicate appropriatley with patients in clinic and can answer questions and quiries about this recent update.

    36 min
  4. That AI Physio Service - Chewing It Over with Finn Stevenson

    5 APR

    That AI Physio Service - Chewing It Over with Finn Stevenson

    In this episode of Chewing It Over, Jack speaks with Finn Stevenson about Flok Health and the idea of an AI physiotherapy service for back pain. Finn frames the problem clearly: in musculoskeletal care, especially within the NHS, the issue is often not knowing what works, but getting timely access to the care that already exists. With demand rising faster than workforce growth, traditional one-to-one care models struggle to keep up. Finn explains that Flok is not positioned as a software tool sold to clinicians, but as a regulated clinical service that combines AI with remote human physiotherapy support. Its current focus is spinal pain, particularly the large group of patients who can benefit from personalised exercise, reassurance, behaviour change support, education, and psychologically informed care. The ambition is to automate large parts of the pathway safely and consistently, while freeing face-to-face clinicians to focus on more complex cases. A major part of the conversation explores how this works. Finn distinguishes Flok’s system from standard large language model chatbots, arguing that healthcare needs much tighter behavioural control. He describes a rule-based clinical reasoning system combined with a video-based interaction model built around “Kirsty,” a real physiotherapist whose filmed responses are assembled in real time to create a more human and engaging consultation experience. The discussion also tackles controversy: what counts as “physiotherapy,” whether this threatens the profession, and what happens when technology enters clinical care at scale. Jack remains probing but open-minded, while Finn argues that the bigger ethical issue is leaving patients stuck on long waits for care we already know how to deliver. Like, Comment, Subscribe all that good stuff :)

    52 min
  5. A View From The Top - Chewing It Over with Andrew Walton

    22 MAR

    A View From The Top - Chewing It Over with Andrew Walton

    In this episode of Chewing It Over, Jack speaks with Andrew Walton, offering what Andrew describes as “a view from the top” of healthcare leadership and professional practice . The conversation explores Andrew’s career journey and the lessons that come from working across clinical practice, leadership roles, and wider healthcare systems. Rather than focusing purely on clinical skills, Andrew highlights the importance of systems thinking, collaboration, and understanding the broader context in which healthcare operates. A key theme of the discussion is the gap that can exist between frontline clinicians and decision-making structures. Andrew reflects on how leaders must balance competing pressures: workforce constraints, service demands, financial limitations, and patient outcomes. From this perspective, clinical excellence alone is not enough — meaningful change requires clinicians to engage with the organisational and strategic dimensions of healthcare. Jack and Andrew also discuss how clinicians can develop leadership capabilities throughout their careers. Leadership is not framed as a job title but as a mindset and responsibility, where clinicians contribute to improving services, supporting colleagues, and advocating for better patient care. Importantly, Andrew emphasises that leadership roles can feel distant or inaccessible to many clinicians. However, understanding how decisions are made — and how clinicians can influence them — helps bridge the gap between policy, management, and clinical practice. Ultimately, the episode offers a reflective look at the profession from a strategic vantage point, encouraging clinicians to think beyond individual patient encounters and consider their wider role in shaping healthcare systems.

    43 min
  6. Scars And Their Management - Chewing It Over with Hannah Poulton

    15 MAR

    Scars And Their Management - Chewing It Over with Hannah Poulton

    In this episode of Chewing It Over, Jack is joined by Hannah Poulton to explore a topic that clinicians encounter frequently but often feel underprepared to manage: scars and their rehabilitation . The conversation examines the wide-ranging impact that scars can have on patients. While scars are often thought of as purely cosmetic issues, Hannah explains that they can influence pain, movement, tissue sensitivity, and psychological wellbeing. Depending on their depth, location, and the tissue layers involved, scars may contribute to stiffness, restricted movement, or altered sensory responses. Hannah discusses how clinicians should approach scar management from a broader perspective rather than focusing solely on appearance. Scar assessment involves understanding tissue behaviour, mobility, and sensitivity as well as recognising the emotional and psychological significance scars can hold for patients. The discussion also highlights common misconceptions around scar treatment. While many manual techniques and topical approaches are promoted in practice, the evidence base remains mixed, meaning clinicians must combine available research with clinical reasoning and patient goals. Importantly, Hannah emphasises the value of early education and patient empowerment. Helping patients understand how scars mature, adapt, and respond to loading can reduce fear and improve engagement with rehabilitation. Ultimately, this episode reframes scars not simply as marks on the skin, but as dynamic biological structures that interact with movement, sensation, and patient experience. With thoughtful assessment and a patient-centred approach, clinicians can play a meaningful role in improving both function and confidence for people living with scars. Like, Subscribe, Follow, Comment, tell your friends...

    50 min
  7. Which Dynamometer Is Best? Chewing It Over with Claire Minshull

    1 MAR

    Which Dynamometer Is Best? Chewing It Over with Claire Minshull

    Which dynamometer should you buy? The answer is… it depends. In this episode of Chewing It Over, Jack speaks with Dr Claire Minshull about the rapidly growing world of force measurement tech in rehab and MSK practice . We discuss:• Why “just buy the one your mate has” is risky• Sampling frequency (Hz) — and why it matters for RFD• Load capacity vs intended use• Calibration, data fidelity & measurement error• Why handheld dynamometry increases variability• External fixation and reducing clinician error• The myth of chasing normative values• Building your own in-clinic strength database Claire also introduces WhichDynamometer.com — a free, side-by-side comparison tool built after over a year of collecting technical specifications directly from manufacturers. This episode is essential listening for:✔️ Physiotherapists✔️ Sports rehab clinicians✔️ S&C coaches✔️ Clinic owners making capital purchases✔️ Anyone wanting to use objective data properly Force measurement isn’t a magic bullet — but used well, it can enhance decision-making, patient confidence, and rehabilitation progression. 💬 Do you use dynamometry in your clinic?What matters most to you — price, portability, sampling frequency, or something else? 👍 Like | 💬 Comment | 🔔 SubscribeFor all Claire's info - getbacktosport.com

    58 min
  8. Real Growth - Chewing It Over with Andy Thomas

    18 FEB

    Real Growth - Chewing It Over with Andy Thomas

    In this episode of Chewing It Over, Jack is joined by Andy Thomas, founder of Physiquip and host of the Real Health podcast, to discuss his new book Real Growth and the thinking behind it. Rather than presenting another abstract business or personal development manual, Andy explains that Real Growth is built from real conversations, real careers, and real lived experience, drawn from more than 200 long-form podcast interviews across sport, healthcare, and business . The discussion explores why “real” growth matters. Andy contrasts authentic development with surface-level metrics and performative success, arguing that growth is rooted in values such as authenticity, positivity, humility, enjoyment, and reflection. The book weaves together insights from elite sport practitioners, clinicians, business leaders, and entrepreneurs, showing how lessons learned in one domain often translate powerfully into others. Andy describes the challenge of turning hundreds of conversations into a coherent structure, ultimately creating 30 short, accessible chapters grouped into themes. Each chapter ends with reflective questions designed to help readers apply insights to their own lives and work. The format mirrors how Andy himself learns: practical, digestible, and easy to dip into. The conversation also links Real Growth to Andy’s wider work with Physiquip. He explains his belief that profitability, trust, and purpose are not opposites, but essential ingredients for sustainable healthcare businesses. Technology, he argues, is not about novelty, but about fit—supporting a clinic’s vision rather than defining it. Overall, this episode is a thoughtful reflection on growth as a human process: built through curiosity, connection, optimism, and doing meaningful work well over time.

    31 min
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About

Become a Paid Subscriber: https://podcasters.spotify.com/pod/show/tpmpodcast/subscribe Putting big mouths and big ideas behind microphones. The Physio Matters Podcast - Clinical Gold Delivered Direct. Episodes will feature expert, honest advice, delivered directly to listeners at no cost. Musculoskeletal and Sports Medicine information for those working in physiotherapy, sports therapy, sports rehabilitation, medicine and all divisions of the healthcare industry.

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