Fit As A Physio

Fergus Tilt, Sports Physiotherapist

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Medicine

Sports and Exercise Physiotherapy conversations from Sydney, Australia.

1d ago

Hydrodilatation for Adhesive Capsulitis

PHYSIO MOSMAN: https://www.fitasaphysio.com/ REF: Hydrodilatation for adhesive capsulitis: a systematic review exploring efficacy and optimal technique (Hye Chang Rhim et al., 2026) A systematic review analyzing 103 studies investigated the effectiveness of hydrodilatation for treating adhesive capsulitis, commonly known as frozen shoulder. Researchers compared this joint-expansion technique against corticosteroid injections and physical therapy, while also evaluating different procedural methods such as injection volumes, imaging guidance, and approach angles. The findings indicate that while hydrodilatation offers a slight improvement in external rotationcompared to steroids alone, and marginal gains when paired with physical therapy, the overall clinical benefits are minimal. Consequently, experts concluded that the current evidence does not demonstrate meaningful superiority over simpler conservative treatments, highlighting the need for higher-quality trials to establish standardised protocols. READ MORE: https://www.fitasaphysio.com/blog/hydrodilatation-for-adhesive-capsulitis Support the show
Oct 8

Predicting Back Pain Through Social Media Analytics

PHYSIO MOSMAN: https://www.fitasaphysio.com/ REF: Tweeting back: predicting new cases of back pain with mass social media data (H. Lee et al., 2015) A recent case-crossover study investigated whether monitoring mass social media data can successfully anticipate new occurrences of back pain. Researchers analysed a massive dataset of over 700,000 archived tweets to determine if messages regarding specific physical, psychological, or general health triggers increased the likelihood of a subsequent post about back pain. The findings revealed that users who shared statements concerning these potential triggers experienced significantly elevated odds of posting about back pain shortly afterward. Ultimately, this research demonstrates that public health initiatives could potentially utilise online platforms for real-time surveillance and the delivery of timely, targeted preventive interventions. READ MORE: http://www.fitasaphysio.com/blog/predicting-back-pain-through-social-media-analytics Support the show
Sep 16

Evidence-Based Management of Lateral Ankle Ligament Sprains

PHYSIO MOSMAN: https://www.fitasaphysio.com/ REF: Managing ankle ligament sprains and tears: current opinion (R. P. McGovern & R. L. Martin, 2016) This professional review explores the pathology, diagnosis, and clinical management of lateral ankle ligament injuries and chronic ankle instability. The authors emphasise that accurate injury grading and the exclusion of differential diagnoses, such as fractures or high-ankle sprains, are vital for establishing a clear prognosis. Effective recovery strategies prioritise early weight-bearing supported by bracing, alongside manual therapy and specialised exercise programs to restore motion and strength. The text highlights that while most patients improve quickly, a significant number suffer from long-term deficits in balance and coordination that increase the risk of re-injury. Consequently, a comprehensive rehabilitation approach addressing both local ankle mechanics and proximal hip stability is recommended to ensure a safe return to sports. Emerging research also suggests that techniques like dry needling and specific taping may offer additional benefits for those with persistent instability. READ MORE: https://www.fitasaphysio.com/blog/evidence-based-management-of-lateral-ankle-ligament-sprains Support the show
Sep 2

Surgical vs. Nonoperative Treatment of Achilles' Tendon Rupture

PHYSIO MOSMAN: https://www.fitasaphysio.com/ REF: Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture (Myhrvold et al., 2022) This study investigated the effectiveness of nonoperative treatment compared to open-repair and minimally invasive surgery for patients with acute Achilles’ tendon ruptures. Researchers conducted a large randomized, controlled trial in Norway, tracking 526 patients to measure physical performance and quality-of-life scores over 12 months. The results indicated that surgical intervention provided no significant advantage over nonsurgical care regarding long-term functional recovery or patient-reported health status. While patients treated without surgery faced a higher risk of tendon rerupture, those who underwent minimally invasive procedures experienced more frequent nerve injuries. Ultimately, the findings suggest that the choice of treatment does not substantially alter a patient's physical outcome after one year. READ MORE: https://www.fitasaphysio.com/blog/surgical-vs-nonoperative-treatment-of-achilles-tendon-rupture Support the show
Aug 17

Decision-Making Experiences and Treatment Advice for ACL Injuries

PHYSIO MOSMAN: https://www.fitasaphysio.com/ A mixed methods study exploring anterior cruciate ligament (ACL) injury treatment decisions from the perspective of 734 patients. (Filbay et al., 2025) This mixed-methods study investigates how Australians with anterior cruciate ligament (ACL) injuries make treatment decisions and the specific advice they receive from healthcare professionals. The research reveals that a vast majority of clinicians, particularly orthopaedic surgeons, promote reconstruction surgery as the superior or only path to recovery, often downplaying risks and disregarding evidence that rehabilitation alone can yield similar results. Patients frequently reported feeling pressured or poorly informed due to rushed consultations and a lack of balanced, evidence-based information regarding non-surgical alternatives. While physiotherapists provided the most varied advice, general practitioners were viewed primarily as conduits for referrals rather than sources of management expertise. Ultimately, the study highlights a significant gap in shared decision-making, suggesting that current clinical practices often fail to provide the objective overview necessary for informed patient consent. These findings underscore the urgent need for patient decision aids and updated clinical training to align treatment recommendations with the latest research evidence. READ MORE: https://www.fitasaphysio.com/blog/decision-making-experiences-and-treatment-advice-for-acl-injuries Support the show
Aug 3

The Myth of Spinal Load as a Cause of Pain

PHYSIO MOSMAN: https://www.fitasaphysio.com/ Insufficient Evidence for Load as the Primary Cause of Nonspecific (Chronic) Low Back Pain. A Scoping Review (De Bruin et al., 2024) This scoping review evaluates whether physical loading of the spine is the primary cause of nonspecific low back pain. By applying the Bradford-Hill criteria for causality to a wide range of medical literature, the researchers sought to determine if activities like lifting or specific postures directly lead to the onset or persistence of pain. Their analysis revealed insufficient evidence to support a definitive causal relationship, noting that structural spinal changes are often found in individuals without any symptoms. The findings suggest that the traditional biomedical model, which focuses on unloading the spine to prevent injury, may be overly simplistic for such a multifactorial condition. Instead, the authors advocate for a biopsychosocial approach that considers individual experience, nervous system adaptations, and social factors. Ultimately, the source concludes that load management should not be the sole strategy for treatment, as the impact of physical strain on back pain has likely been overestimated. READ MORE: https://www.fitasaphysio.com/blog/the-myth-of-spinal-load-as-a-cause-of-pain Support the show
Jul 23

Plantar Heel Pain

PHYSIO MOSMAN: https://www.fitasaphysio.com/ Physiotherapy management of plantar heel pain (Cotchett M, Morrissey D, 2026) The article presents a comprehensive clinical guide for the diagnosis and treatment of plantar heel pain (PHP), integrating research data with expert and patient perspectives. It advocates for a stepped-care approach, beginning with a core treatment phase of stretching, taping, and tailored education. If symptoms persist beyond six weeks, the sources suggest advancing to secondary interventions such as extracorporeal shockwave therapy and custom foot orthoses. The documents emphasise the importance of individualised assessment, considering factors like footwear, physical load, and systemic health. Furthermore, the text highlights the value of co-designing education strategies with patients to ensure clarity and adherence. By synthesising high-quality trial data with clinical reasoning, the guide offers a practical framework for evidence-based management of this common condition. READ MORE: https://www.fitasaphysio.com/blog/plantar-fasciitis-heel-pain Support the show
Jul 6

Biomechanical Risk Factors for Achilles Tendinopathy

PHYSIO MOSMAN: https://www.fitasaphysio.com/ Biomechanical insights into Achilles tendinopathy risk and protection in runners: a large prospective study 4HAIE (Jandacka et al., 2025) This research examines the biomechanical and behavioral factors that contribute to the development of Achilles tendinopathy in both runners and non-runners. By monitoring a large cohort of over 900 participants for one year, the study identified that higher weekly running distances and specific movement patterns significantly increase injury risk. Specifically, a reduced peak ankle external rotation and a lower peak ankle inversion moment during the stance phase were found to be primary predictors of the condition. Interestingly, the data suggests that footfall patterns, such as rearfoot or forefoot striking, do not play a significant role in the onset of this injury. These findings encourage clinicians to focus on training volume management and ankle stability rather than altering strike types for prevention. Ultimately, the study highlights how maintaining sufficient ankle control and energy absorption can act as a protective mechanism against tendon degradation. READ MORE: https://www.fitasaphysio.com/blog/risk-factors-for-achilles-tendinopathy-in-runners Support the show

Sports and Exercise Physiotherapy conversations from Sydney, Australia.

Creator

Fergus Tilt, Sports Physiotherapist
Years Active

2025 - 2026
Episodes

49
Rating

Clean
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