The Physio Pulse Podcast

A little bit of a different episode this week! Instead of talking through a paper we sit down to discuss our thoughts on Ben Patrick, otherwise known online as 'Knees Over Toes Guy'; a hugely successful movement with the aim to help people get out of pain.Athletic Truth Group is the name of Ben Patrick's business that has emerged from this training philosophy that appears to be doing really well based off a simple message of de-threatening knees going over toes in exercise for people with knee pain.We ask: Who is Ben Patrick?How has he become so influential?What are the strengths of his approach?What are the drawbacks of his approach?How could his approach be improved?What are we doing differently now as a result of our deep dive into this approach?This was a great discussion, and one we hope you will find useful if you are unsure on your feelings about the ATG movement!

This week we discuss the 2022 Van Der Graff paper Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trialWhat are the long term outcomes for these patients between the two groups and what can we take forward to help our patients make the best choice for them?https://pmc.ncbi.nlm.nih.gov/articles/PMC9304087/#s4

This week we chat through a paper that looked at surgeons answers to questions on knee osteoarthritis compared to ChatGPT. Who comes out on top?How can AI be used in healthcare?How would you fare against AI at the end of a long day?Are James and Jeff progressive thinkers or old at heart in their early 30's?Find the paper here: https://www.thekneejournal.com/article/S0968-0160(25)00065-1/abstractPlease note, nothing in this episode is intended to be medical advice.

We review a paper with 5200 participants that tried to answer how best to analyse someones risk of injury with training load.It's been making the rounds on social media, what does it actually show and how can we use this information clinically?Please note, this episode does not constitute medical advice.https://bjsm.bmj.com/content/bjsports/59/17/1203.full.pdf

This week we look at the new paper "The effect of exercise time and frequency on the development of cam morphology" by M. Baldawi et al 2025 https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-025-08603-1What do we know about the development of CAM morphology?How do we define it?Could they be useful to athletes?

In this episode we sit down to discuss a really interesting paper all about how stability is produced in the glenohumeral joint. Concavity compression or Intrinsic muscle stiffness? Rotator cuff or larger muscle groups?We go through the mechanisms and basic biomechanical considerations of this before discussing what we think this papers findings mean in clinical practice.Use the comment function below to engage and ask any questions!Please note, this episode does not constitute medical advice.https://link.springer.com/article/10.1007/s10439-025-03683-5

Dive into the innovative CALMER Cuff pathway for managing rotator cuff tears! Explore the balance between surgery and conservative care, with insights on when to refer patients and how to foster understanding about their treatment options. Discover evidence suggesting many shoulder issues improve in just 12 weeks, plus the importance of empathy and individualized care in rehabilitation. Learn how to guide patients through their choices, all while keeping surgical options open. Practical takeaways ensure clinicians are well-equipped for effective patient communication!

That's us for the first half of 2025... holidays, babies and house moves keeping us busy over the next couple of months. James and Jeff crack a few beers, have a few rants, offend a few nations and answer listener questions.

We answer a question from a listener about the benefit of NHS versus private practice as a new graduate before going on discuss a recent randomised controlled trial comparing manual therapy to exercise therapy in the management of persistent neck pain.Finally we go on to discuss some of our considerations with managing people with neck pain.Please note, this episode does not constitute medical advice.

We run through a presentation of shin pain that seems to evade any usual diagnosis. Please note, nothing in this episode is intended as medical advice.