PT Pro Talk

Mariana Hanna Parks

Join Mariana Parks, PT, Cert. MDT, as she interviews world-leading experts in physical therapy, rehabilitation, and sports medicine. Each episode delivers evidence-based insights, proven techniques, and clinical strategies to help physical therapists expand their knowledge, improve patient outcomes, and stay ahead in the ever-evolving PT field. 👉 https://www.ptprotalk.com/ 🔗 https://linktr.ee/Ptprotalk 📲Follow us : Instagram - @ptprotalk Facebook - @ptprotalkpodcast LinkedIn: https://www.linkedin.com/company/pt-pro-talk/ YouTube: https://www.youtube.com/@PTProTalk X: x.com/MariHannaParks

  1. Ep 198. Is Shoulder Instability Driving Your Patient's Shoulder Pain? with Dr. Tania Pizzari

    FEB 17

    Ep 198. Is Shoulder Instability Driving Your Patient's Shoulder Pain? with Dr. Tania Pizzari

    🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here. 💡In this episode of PT Pro Talk, we welcome world-renowned shoulder specialist Dr. Tania Pizzari (Associate Professor at La Trobe University) for a clinical masterclass on Shoulder Instability. Many clinicians struggle to differentiate between simple hyperlaxity and true symptomatic instability, often leading to missed diagnoses and stalled rehabilitation. Dr. Pizzari explains why insidious-onset shoulder pain in younger patients should often be treated as instability until proven otherwise. We dive deep into the mechanics of the glenohumeral joint, the "anterior buffer" role of the subscapularis, and why articular-sided tendon tears may actually be driven by instability. 💭 “If it's a young person with a gradual onset, I would always consider it an instability until proven otherwise” - Dr. Tania Pizzari. 👉🏻 Dr Tania Pizzari is an Associate Professor in the Department of Physiotherapy at La Trobe University, and a physiotherapist continuing to work in clinical practice. She is a co-director of a large private practice in Melbourne, Australia. Her role at the University includes heading up the Post Graduate Physiotherapy courses and undertaking clinical research of musculoskeletal and sporting injuries.   She has over 130 peer-reviewed papers and book chapters.  Tania currently manages the soft tissue injury registry for the Australian Football League, is a fellow of the Australian Sports Medicine Federation, and board member of the International Confederation of Scientific Societies for Shoulder and Elbow Therapy.  📚You will learn about: How to identify shoulder instability in patients with insidious-onset shoulder pain A practical classification system to guide your clinical reasoning Evidence-based rehabilitation strategies for shoulder instability Key changes to improve your assessment and treatment of shoulder pain 🔎Tania's Resource of Information: PWATSON, L. et al. Rehabilitation for multidirectional instability of the shoulder: part 1 – pathoanatomy and clinical examination. Shoulder & Elbow, 2016. WATSON, L. et al. Rehabilitation for multidirectional instability of the shoulder: part 2 – structured rehabilitation program. Shoulder & Elbow, 2016. WATSON, L. et al. A comprehensive rehabilitation program for posterior instability of the shoulder. Available in: ResearchGate. 2017. 📲 Tania's contact information:  X  LinkedIn  IG: Mill Park Physio 🎥Link to interview on Youtube   👉 ⁠Share Your Feedback⁠ 🎙Join our ⁠email list⁠ to receive podcast updates 📸⁠Instagram⁠  📱⁠Facebook⁠ 💻⁠LinkedIn⁠ 🐦⁠Twitter⁠ 📩Email: ⁠mariana@ptprotalk.com⁠ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

    1 hr
  2. Ep 197. Treatment of tendinopathies in the lower extremity with Dr. Ebonie Rio (Re-Airing)

    FEB 5

    Ep 197. Treatment of tendinopathies in the lower extremity with Dr. Ebonie Rio (Re-Airing)

    🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here. 💡 In this episode, Dr. Ebonie Rio discusses the critical importance of differential diagnosis and load management in lower extremity tendinopathies. She explores the nuances of treating Achilles, patellar, hamstring, and gluteal injuries, highlighting why understanding the specific "provocative load" and the dangers of compression are the first steps toward effective rehabilitation. 💭 “If you had someone with achilles tendinopathy you would want to start early on calf raises but you would not give that exercise to someone with peritendinitis because that is their provocative load.” - Dr. Ebonie Rio. 👉🏻 Dr. Ebonie Rio, PT, PhD, is a world-renowned Sports Physiotherapist and a leading authority in tendinopathy research. Currently serving as a Senior Clinical Research Fellow at The Australian Ballet and a consultant for the Victorian Institute of Sport.  With extensive clinical experience spanning the Olympics and Commonwealth Games, she also provides expert guidance on complex injuries to elite organizations. Dr. Rio’s academic background is equally distinguished, holding a PhD in tendon pain (for which she received the prestigious Professor Mollie Holman medal) and multiple degrees in Physiotherapy and Applied Science. Ranked fourth worldwide in her field by ExpertScape and maintaining a ResearchGate score of higher than 95% of all academics, her work has earned numerous accolades, including the Victorian Fresh Scientist of the Year and multiple ASICS SMA Best New Investigator awards. 📚You will learn about: Achilles, patellar, hamstring, and gluteal tendinopathy Differential diagnoses of LE tendinopathies Treatment of tendinopathy in the LE 🔎Ebonie's Resource of Information: Infographics La Trobe Sport Podcasts 📲 Ebonie's contact information: LinkedIn 🎥Link to interview on Youtube   👉 ⁠Share Your Feedback⁠ 🎙Join our ⁠email list⁠ to receive podcast updates 📸⁠Instagram⁠  📱⁠Facebook⁠ 💻⁠LinkedIn⁠ 🐦⁠Twitter⁠ 📩Email: ⁠mariana@ptprotalk.com⁠ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

    1h 13m
  3. Ep 196. Patellofemoral Pain: 40 Years of Research and Key Clinical Insights with Dr. Danilo De Oliveira Silva

    JAN 27

    Ep 196. Patellofemoral Pain: 40 Years of Research and Key Clinical Insights with Dr. Danilo De Oliveira Silva

    🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here. 💡 In this episode of PT Pro Talk, host Mariana Parks sits down with Dr. Danilo De Oliveira Silva, Associate Professor at La Trobe University, to unravel the last 40 years of research on Patellofemoral Pain (PFP). They take a deep dive into the history of PFP, debunking the effectiveness of early surgical interventions and the long-standing obsession with Vastus Medialis (VMO) isolation. Dr. Danilo clarifies current best practices, explaining why general quadriceps and hip strengthening are the gold standard and how treatments like foot orthoses and taping fit into the clinical puzzle. You will also learn about the "Envelope of Function" theory by Scott Dye, why "too much, too soon" is often the real culprit behind the pain, and why you should stop telling your patients to cease the activities they love 💭 “If you don’t overload your knee, even if you have an impaired quadriceps, high subtalar pronation, or weak hip muscles, you will not have pain.” - Dr. Danilo De Oliveira Silva 📚You will learn about:  How thinking around patellofemoral pain has changed over the last few decades What the evidence shows about strength, movement, and biomechanics The role of pain processing and neural mechanisms in ongoing symptoms How load management and the envelope of function guide treatment today 🔎 Danilo's resources of information: My Knee Cap Track education 📲  Danilo's contact information: LinkedIn Facebook IG X 🎥Link to interview on Youtube   👉 ⁠Share Your Feedback⁠ 🎙Join our ⁠email list⁠ to receive podcast updates 📸⁠Instagram⁠  📱⁠Facebook⁠ 💻⁠LinkedIn⁠ 🐦⁠Twitter⁠ 📩Email: ⁠mariana@ptprotalk.com⁠ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

    59 min
  4. Ep 195. Beyond the Slip: How to Assess and Treat Spondylolisthesis with Dr. Robert Medcalf

    JAN 15

    Ep 195. Beyond the Slip: How to Assess and Treat Spondylolisthesis with Dr. Robert Medcalf

    🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here. 💡 In this episode of PT Pro Talk, host Mariana Parks sits down with Dr. Robert Medcalf, Physical Therapist and MDT expert. They discuss the challenges of assessing and treating Spondylolisthesis without relying solely on imaging results. Dr. Medcalf shares insights on differentiating between a stable and unstable slip and how to guide patients through recovery using Mechanical Diagnosis and Therapy principles. The conversation also dives deep into the myth that all spondylolisthesis patients must avoid extension, offering a logical framework for when to load the spine and when to focus on stabilization. 💭 “The interesting thing about that study is that they found there was no association between spondylolisthesis and back pain..” - Dr. Robert Medcalf 📚You will learn about:  What spondylolisthesis is, how it’s classified, and why imaging findings don’t tell the whole story Where pain in spondylolisthesis truly comes from How to assess and manage spondylolisthesis conservatively using mechanical principles When surgery may be appropriate 🔎 Robert's resources of information: SPRATT, Kevin F. et al. Efficacy of flexion and extension treatments incorporating braces for low-back pain patients with retrodisplacement, spondylolisthesis, or normal sagittal translation. Spine, v. 18, n. 13, p. 1839–1849, 1993 OH, Jacob Yoong-Leong et al. Paradoxical motion in L5-S1 adult spondylolytic spondylolisthesis. European Spine Journal, v. 21, n. 2, p. 262-267, 2011. HARDWICK, D. et al. Outcomes of strengthening approaches in the treatment of low-grade spondylolisthesis. Physical Therapy Reviews, v. 17, n. 5, p. 284-291, 2012. DOI: 10.1179/1743288X12Y.0000000025. 📲  Robert's contact information: Linkedin 🎥Link to interview on Youtube   👉 ⁠Share Your Feedback⁠ 🎙Join our ⁠email list⁠ to receive podcast updates 📸⁠Instagram⁠  📱⁠Facebook⁠ 💻⁠LinkedIn⁠ 🐦⁠Twitter⁠ 📩Email: ⁠mariana@ptprotalk.com⁠ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

    52 min
  5. Ep. 194 - Using Research as Guardrails: From JOSPT to Everyday Clinical Practice with Dr. Clare Ardern

    JAN 6

    Ep. 194 - Using Research as Guardrails: From JOSPT to Everyday Clinical Practice with Dr. Clare Ardern

    🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here. 💡In this episode of PT Pro Talk, host Mariana Parks sits down with Dr. Clare Ardern, Editor-in-Chief of JOSPT and researcher at the University of British Columbia. They discuss the challenges of bridging the gap between research and clinical practice. Dr. Clare shares insights on how busy clinicians can stay updated and how to sift through the overwhelming volume of new information. The conversation also dives deep into the emerging role of physiotherapists in Emergency Departments, as well as the ethical implications (and failures) of using AI and digital triage tools in musculoskeletal care. 💭 “It’s not just about publishing research - it’s about how we disseminate it so clinicians can actually use it.” - Dr. Clare Ardern. 👉🏻Dr. Clare Ardern is a physiotherapist, senior researcher, and Editor-in-Chief of the Journal of Orthopaedic & Sports Physical Therapy (JOSPT) and JOSPT Open. She leads the DigiMSK research team at the University of British Columbia, which brings together researchers, clinicians, patients, designers, and policymakers to re-imagine musculoskeletal care.  Clare’s work focuses on helping clinicians translate high-quality evidence into practical decisions, understanding the impact of health research on policy and society, and improving return-to-sport outcomes after injury. She also hosts the weekly JOSPT Insights podcast, downloaded over 35,000 times each month. 📚You will learn about:  How JOSPT prioritizes research that directly impacts clinical decision-making Practical ways clinicians can stay current with evidence without information overload Why research and guidelines should guide - not dictate - clinical care How physiotherapists are shaping MSK care in primary care, emergency departments, and digital health 🔎 Dr. Clare's resources of information: Building Trusted Networks: Reach out to trusted colleagues to create a support system. Use this network to openly discuss evidence-based practice and support each other in driving continuous improvement. 📲  Dr. Clare's contact information: Linkedin  University of British Columbia  🎥Link to interview on Youtube   👉 ⁠Share Your Feedback⁠ 🎙Join our ⁠email list⁠ to receive podcast updates 📸⁠Instagram⁠  📱⁠Facebook⁠ 💻⁠LinkedIn⁠ 🐦⁠Twitter⁠ 📩Email: ⁠mariana@ptprotalk.com⁠ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

    39 min
  6. Ep. 193 - What Really Makes Home Exercise Programs Work with Dr. Alyson Hackett, Chris Prentiss, and Kayla Rathbone.

    12/16/2025

    Ep. 193 - What Really Makes Home Exercise Programs Work with Dr. Alyson Hackett, Chris Prentiss, and Kayla Rathbone.

    🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here. 💡In this episode of PT Pro Talk, Chris Prentiss, Dr. Alyson Hackett, and Kayla Rathbone share real-world insights on what makes home exercise programs effective, and why so many fail. Drawing from decades of clinical experience, they discuss common frustrations clinicians face, from unclear instructions and time-consuming workflows to technology that creates barriers instead of solutions.  The conversation explores how clarity, simplicity, patient education, and flexible tools can improve adherence, efficiency, and clinical outcomes. 💭 “Having videos and pictures all in one place, in a way that reflects how I practice with an MDT background, has been a big change and saves me a lot of time.” -  Kayla Rathbone 👉🏻 Chris Prentiss, PT, Cert. MDT -  Chris is a physical therapist with over 30 years of experience specializing in spine and orthopedic care. A SUNY Stony Brook graduate and certified McKenzie practitioner, he focuses on accurate diagnosis and individualized treatment for sports injuries and spinal disorders. 👉🏻 Dr. Alyson Hackett, PT, DPT, Cert. MDT, OCS -  With 20+ years of experience, Dr. Alyson is board-certified in orthopaedics, vestibular rehab, and the McKenzie method. Currently an injury prevention specialist at Work Right NW, she integrates physical therapy with ergonomics, yoga, and wellness coaching to improve employee health. 👉🏻 Kayla Rathbone, MScPT, Cert. MDT, Cert. OAC™ -  Kayla is an Ontario-based physiotherapist and certified MDT clinician with 12+ years of experience. She specializes in treating persistent muscle and nerve pain using nervous-system strategies and lifestyle factors. Beyond the clinic, she is a business owner and mom of two. 📚You will learn about:  Why patients struggle with HEPs and what improves adherence How clinicians can save time and reduce workflow frustrations Practical ways to make HEPs clearer, more engaging, and easier to follow How flexible HEP tools support better outcomes for both clinicians and patients 📲  Kayla's contact information: Clinic website LinkedIn IG Email: krathbone.pt@gmail.com 📲 Dr. Alyson's contact information: LinkedIn Email: alyson.m.hackett@gmail.com 📲 Chris's contact information: LinkedIn IG Facebook Website Email: chrisprentisspt@gmail.com 🎥Link to interview on Youtube   👉 ⁠Share Your Feedback⁠ 🎙Join our ⁠email list⁠ to receive podcast updates 📸⁠Instagram⁠  📱⁠Facebook⁠ 💻⁠LinkedIn⁠ 🐦⁠Twitter⁠ 📩Email: ⁠mariana@ptprotalk.com⁠ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

    51 min
  7. Ep 192. How Clinician Words and Actions Shape Pain Outcomes with Brendan Mouatt

    12/04/2025

    Ep 192. How Clinician Words and Actions Shape Pain Outcomes with Brendan Mouatt

    🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here. 💡In this episode, researcher and exercise physiologist Brendan Mouatt explores how language, context, and perception influence the experience of pain, the response to exercise, and clinical outcomes. He discusses how patients construct meaning from what they feel and see, why overly anatomical explanations can reinforce fear and fragility, and how professionals can create environments that promote safety, autonomy, and adaptation. A practical and current conversation about communication, behavior, and the complexity of pain. 💭 “What we say - and the words we use - really do matter… It affects whether a person feels fragile or adaptable and can be nudged in the right direction." - Brendan Mouatt 👉🏻Brendan Mouatt is an Accredited Exercise Physiologist focused on pain, injury, human behaviour, and biopsychosocial healthcare. His Doctoral research at the University of South Australia investigates how clinician communication and behaviour shape patient self-perception, capability, and future actions. He develops and delivers continuing education for allied health professionals and GPs, translating contemporary pain science into practical clinical application. Brendan is also the CEO of the Neuro Orthopaedic Institute (Noigroup), a science-driven organisation in Adelaide dedicated to improving the lives of people experiencing pain through evidence-based publications, education, and resources. 📚You will learn about:  How words and clinical decisions shape patient confidence and recovery. How exercise cues can help or hinder beliefs about the body. Practical tips for pain education that don’t backfire. Simple ways to apply these insights in everyday practice. 📲  Brendan's contact information: X LinkedIn E-mail: brendan@noigroup.com 📲 NOI Group's contact information: X Facebook  IG  YouTube Channel  LinkedIn 🔎 Brendan's resource of information: Noi Group courses Pain Revolution 🎥Link to interview on Youtube  👉 ⁠Share Your Feedback⁠ 🎙Join our ⁠email list⁠ to receive podcast updates 📸⁠Instagram⁠  📱⁠Facebook⁠ 💻⁠LinkedIn⁠ 🐦⁠Twitter⁠ 📩Email: ⁠mariana@ptprotalk.com⁠ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

    1 hr
  8. Ep 191 . Tendinopathy Differential Diagnosis with Prof. Jill Cook (Re-Airing)

    11/25/2025

    Ep 191 . Tendinopathy Differential Diagnosis with Prof. Jill Cook (Re-Airing)

    🚨 Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here. 💡In this episode of PT Pro Talk, Professor Jill Cook clearly explains why many people misdiagnose, what types of load irritate tendons, and how to identify the true trigger that initiates pain (re-airing). Jill also presents valuable insights into clinical evaluation, classic signs for each tendon, myths about rest, how to use isometric exercises correctly, and when not to rely solely on imaging findings. 💭 “We would expect that, immediately after the isometrics, there would be at least a 50% drop in their pain." - Prof. Jill Cook 👉🏻Professor Jill Cook is an Emeritus Professor in Musculoskeletal Health at the La Trobe Sport & Exercise Medicine Research Centre in Melbourne, Australia, and one of the world’s leading researchers in tendon health. With more than 30 years of clinical and research experience, she is internationally recognized for her work on tendinopathy and for co-developing the widely used Tendon Continuum Model. Since completing her PhD in 2000, Prof. Cook has focused on tendon pathology, rehabilitation, load management, treatment options, and the risk factors that contribute to tendon injury - helping bridge the gap between research and real-world clinical practice. Alongside her academic role, she runs a specialist tendon physiotherapy practice and teaches globally, delivering lectures and workshops to help clinicians better understand and manage tendon conditions. 📚You will learn about:  Tendinopathy mechanism of injury  The different stages of tendinopathy pathology development  What you should look for in the clinical assessment Tendinopathy differential diagnosis Treatment strategies 📲  Jill's contact information: X 🔎 Jill's resource of information: Barcelona's 2021 TENDON GUIDE focuses on tendon injuries in football players. 🎥Link to interview on Youtube   👉 ⁠Share Your Feedback⁠ 🎙Join our ⁠email list⁠ to receive podcast updates 📸⁠Instagram⁠  📱⁠Facebook⁠ 💻⁠LinkedIn⁠ 🐦⁠Twitter⁠ 📩Email: ⁠mariana@ptprotalk.com⁠ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health, ⁠ NeckCare⁠ and ⁠SaraHealth⁠.

    55 min
4.9
out of 5
34 Ratings

About

Join Mariana Parks, PT, Cert. MDT, as she interviews world-leading experts in physical therapy, rehabilitation, and sports medicine. Each episode delivers evidence-based insights, proven techniques, and clinical strategies to help physical therapists expand their knowledge, improve patient outcomes, and stay ahead in the ever-evolving PT field. 👉 https://www.ptprotalk.com/ 🔗 https://linktr.ee/Ptprotalk 📲Follow us : Instagram - @ptprotalk Facebook - @ptprotalkpodcast LinkedIn: https://www.linkedin.com/company/pt-pro-talk/ YouTube: https://www.youtube.com/@PTProTalk X: x.com/MariHannaParks

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