The Physio Pulse Podcast

A little bit of a different approach this week, we look to a clinical commentary on rehabilitation following a CAM resection in people who also have 'borderline' hip dysplasia.We spend the first half hour going over some basic principles which are fundamental to our critiques, before going over the protocol itself.Please note, nothing in this episode is intended to be medical advice.Find the paper we are discussing HERE

This week we look at a large 2026 Meta Analysis comparing arthritis rates in ACL reconstruction vs conservatively management!- Is there a long term difference in OA rates?- What predicts higher levels of OA?Shah et al 2026 - The Long-term Radiographic Fate of theChronically ACL-Deficient Knee: A Systematic Review and Meta-analysis of Matched Cohort StudiesDOI: 10.1177/03635465251405438

In this episode we discuss the pros and cons of Masters level education, particularly as it applies to job progression within the NHS before moving on to a case study of James' that is all about medial foot pain!Please note, this episode is not intended to give any medical advice.

Today on Physio pulse we discuss the 2026 "PROP OA" studyThe largest study looking at bracing for knee OA https://www.bmj.com/content/392/bmj-2025-086005

Arthroscopic subacromial decompression has cost healthcare systems billions over the decades. No trial to date has demonstrated superiority of this surgery over placebo surgery or an exercise based approach.We run through 10 year results of the FIMPACT trial and discuss... should this surgery still be offered?Please note, this episode is not intended to act as medical advice.

We've had loads of new followers and we thought this week it would be great to revisit one of our first ever episodes looking at the RESTORE trial. CFT treatment for chronic lower back painWe hope you enjoy!

A deep dive into cross-bracing for ACL ruptures, tracing its history and recent revival. They examine a 2-year controlled cohort comparing bracing to reconstruction and spotlight surprising failure and meniscal tear rates. Methodological critiques, rehab concerns about immobilisation, and how results might (or might not) change treatment choices are debated.

Jeff has been waiting a while to discuss this paper that has been widely shared by a high impact journal (BJSM) and appears to have gained a lot of attention since its publication.Are we justified in heavily critiquing this paper? Are we taking crazy pills?! Is the spin in the abstract a cause for concern and something we should rightly be angry about?Have a read for yourself and let us know your thoughts: https://bjsm.bmj.com/content/55/9/501

In this episode, we speak with Jack Chew. A huge figure in the world of Physiotherapy Jack reflects on his rapid early career, including becoming the youngest Band 8a Physiotherapist.We then explore the origins of the MSK Reform Movement. Why it emerged, what it set out to challenge, and the resistance it encountered, before discussing Jack’s subsequent move into the CSP, and what he learned trying to enact change from within the system.The conversation finishes by looking forward: what physiotherapy needs to confront, what must change, and how the profession can remain relevant, credible, and fit for the future.This is an honest discussion about professional power, evidence, scope of practice, and leadership, and it’s essential listening for MSK physios, educators, managers, and anyone invested in the future of physiotherapy.We hope you enjoy!Jacks Own Words From Inside the CSPhttps://mskmag.substack.com/p/how-the-sausage-is-made-insights

Dan Cleather, S+C professor and author with a PhD in bioengineering, blends coaching experience and biomechanics insight. He discusses his books and why he writes different kinds of work. Topics include an anarchist take on the philosophy of science, publication bias, practical coaching rules like consistency and adherence, and a cautious, plain-language view of dynamic systems ideas and movement change.