Naf Physio Podcast

In this episode Adam is joined by Dr Andrew ‘Drew’ Ball from the US who is a Specialist Orthopaedic Physical Therapist, a PhD in Healthcare Management, as well as the Vice President of the NxtGen Institute, to discuss what ortho, MSK, sports, and general outpatient therapists need to know about COVID19 and what they should and should not be doing and advising others. For more on the PACER program mentioned please follow this link https://www.youtube.com/watch?v=W7bAfww8lWo&feature=youtu.be&fbclid=IwAR3cYucZ59Wv5c4x5J0Bav39gREPy94jB-bTN5f-rEWg1FdB0FVtb155oNM To get a copy of Dr Ball's presentation on what outpatient physios need to know about COVID19 rehab please follow this dropbox link here https://www.dropbox.com/s/gcljto9ft5safxv/For%20NAF.pdf?dl=0 For more on the UK CSP’s MSK COVID advice please follow this link https://www.csp.org.uk/news/coronavirus To register with the UK’s MSKReform group as an MSK physio who would like to offer your help and skills to the rehab of COVID patients ple

***WARNING: Explicit content*** This episode on cervical manipulation was recorded a few weeks before the current coronavirus pandemic really took hold of the world, and so it seems irrelevant now, but Adam and Greg do mention some tips and ideas on how to still work as a therapist at a responsible and ethical clinician using online resources. However, if you want a few minutes escape from all the virus talk, there is 20 minutes of discussion on the risks and benefits of cervical manipulations. Stay safe, stay physically distance, and look after each other! Click on the link here to find out more and sign up… https://www.patreon.com/NAFphysiopodcast

***WARNING: Explicit content*** In this episode Adam and Greg talk all things dosage. What is the minimal effective dose to get stronger, more flexible, have less pain, or create a change? Also, if you now want to become a NAF Patreon member to get a host of extra fancy features such as… Early access to the video cast of the show one week before the podcast is aired Full access to all the research papers mentioned in the show Submit questions to Adam and Greg to be answered on the show Click on the link here to find out more and sign up… https://www.patreon.com/NAFphysiopodcast Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Greg and Adam discuss an always controversial topic: Bending when lifting. Should we keep our backs straight when picking things up? Is is ok to allow the spine to flex when bending forward? In this episode they discuss a recent systematic review published in JOSPT (https://www.jospt.org/doi/abs/10.2519/jospt.2020.9218) that questions some commonly held, deeply entrenched beliefs about lifting with a bent spine. As usual be prepared for some strong views, opinions and of course some language. Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam gets stood up by Greg but manages to find a last-minute guest to fill his shoes. In this podcast Adam talks with Amy Eicher who has a long and horrendous story about pain that affected her for just over 20 years. In the podcast Amy talks about her experiences as a patient and what effect these had on her as a person. She now uses her experiences not only in her job as a physio assistant but also as a patient advocate and speaker to all healthcare professionals. You can find more about Amy and her story on Facebook at Restoring Venus here https://www.facebook.com/RestoringVenus/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Greg dive deep into a topic that is surrounded by many myths, misconceptions, and uncertainty; that is the world or stretching. What does it do? What doesn’t it do? Is it good, bad, or is it just a waste of time? Find out in the next 44 minutes. To read more on the papers and researchers Greg and Adam discuss follow these links here Blazevich https://www.ncbi.nlm.nih.gov/pubmed/30412028 Kubo https://www.ncbi.nlm.nih.gov/pubmed/30342379 Moltubakk https://www.ncbi.nlm.nih.gov/pubmed/29723911 Magnusson https://www.ncbi.nlm.nih.gov/pubmed/20075147 Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode, Adam interrupts Greg’s holiday to talk about pain education after some recent research has shown it may not be as good at helping reduce pain intensity or disability as some claim or think. Greg and Adam also share some of their thoughts on how pain should and should not be explained. Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this slightly delayed episode due to some unforeseen circumstances Adam and Greg discuss the concept of motor control exercises which are popular in low back pain management and rehab in the belief that they correct faulty issues with specific stabilising muscles. But do they? Do motor control exercises, control motor function, or are they just a giant over complicated waste of time and no better than general exercise? Come join us as we try to find out. For access to many of the papers referenced in this episode please go to Greg's Google drive file here https://drive.google.com/open?id=1cx3hPbw8lvU-mCsAwHX-hqQCLCd7Cs6w Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

***WARNING: Explicit content*** In this episode Adam and Greg talk about the Acute to Chronic Workload Ratio (ACWR) and its role on injury risk. Does it tell us anything we don’t already know and is it even accurate or reliable? Should you only increase your workload by 10% per week? Should you follow the 80/20 rule? Listen on to find out more…and how Greg almost offended all of Oklahoma. Link to Tim Gabbett’s ACWR paper here: https://bjsm.bmj.com/content/bjsports/50/5/273.full.pdf And the link to Adam and Erik’s Simple Solutions course in Nottingham on 22/23rd June can be found here: https://www.eventbrite.co.uk/e/complex-understanding-for-simple-solutions-nottingham-tickets-53746919483 Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

***WARNING: Explicit content*** In this episode Greg and Adam discuss the Good Living with Arthritis Denmark commonly referred to as the GLAD program. They talk about the benefits but also the issues they see with the GLA:D program and why it may have some limitation in trying to achieve what it wants to achieve in the general population. Greg also discusses his own FREE version of GLAD which he calls OA Optimism but may be re-naming it to LSD soon. Listen on to find out why. More details on GLA:D can be found here https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-017-1439-y And the link to Adam and Erik’s Simple Solutions course in Nottingham on 22/23rd June can be found here: https://www.eventbrite.co.uk/e/complex-understanding-for-simple-solutions-nottingham-tickets-53746919483 Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Greg discuss the commonly used neural dynamic tests and treatments. They discuss their plausibility and effectiveness. Do they do what they are said to do, and do they actually work? Watch out as some sacred cows maybe sacrificed here! Links to some of the papers discussed in this episode can be found here: Schimd et al (2017) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324720/ Wainner et al (2003) https://www.ncbi.nlm.nih.gov/pubmed/12544957 Nee et al (2012) https://www.ncbi.nlm.nih.gov/pubmed/22402638 Coppieters & Butler (2008) https://www.sciencedirect.com/science/article/abs/pii/S1356689X07000343 And the link to Adam and Erik’s Simple Solutions course in Nottingham on 22/23rd June can be found here: https://www.eventbrite.co.uk/e/complex-understanding-for-simple-solutions-nottingham-tickets-53746919483 Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Greg discuss some of the issues and concerns they have in practicing ethically as evidence-based physios and earning an income. Adam also discusses the recent ‘outrage’ that occurred after his idea for a Wiki-Leaks database for those who use unethical practices. And then they get onto talking about a recent systematic review that finds resistance exercise has a LARGE effect on pain in older adults. You can find this free access paper here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377696/pdf/hpp-9-1.pdf And Gregs piece that he mentions here: https://www.physiofirst.org.uk/in-touch/spring-2017-exercise.html

In this episode Greg and Adam discuss the issues around the when and why to push into pain or not. They also discuss the role of exercise to help with pain and is it any better than anything else or even placebo or shams? We also need you to help us with the next episode by sending us your suggestions of when you would ask someone with an Achilles tendinopathy to load it specifically or non-specifically. And finally Greg needs some suggestions for names for his new clinic. Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

So Erik’s gone and left the NAF, and Adam has gone and found a new co-host! Find out who this is, and what they have to say about psoas release, pain avoiders, and endurance copers! Come join us for a new year and new sounding NAF Physio Podcast! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

That's right everyone! It's that time of year again! All the PT Podcast Network voices (except for Adam) have gathered together to bring you some podcast holiday cheer! This very special episode is brought to you by My PT Insurance. Head on over to their website at myptins.com/ptinquest to be entered into a drawing for a $250 Amazon gift card (contest ends February 28, 2019). While you are there listeners can get a $20 discount off their already low price for a professional liability policy - starting as low as $149! Click the link for more info! Music by Kevin MacLeod - incompetech.com  

In this episode Erik and Adam discuss their recent attendance to The Big Rs in Manchester and some of the points raised around exercise as a treatment. They discuss how in the UK physios often have to abandon exercise and rehab to progress their careers into more medical areas such as scanning, injecting to prescribing. Also find out what an Alligator Pear is and how Dihydrogen Monoxide is one of the most dangerous substances known to man! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Erik talk about their upcoming course in Washington DC on September 22-23, 2018 and what you can expect. They also discuss why simplicity is often avoided in healthcare and physiotherapy and what are the barriers that need to be overcome. For more info on Adam and Erik's course in Washington, DC: https://thesciencept.com/courses/shoulder-and-knee/washington-dc/ Make sure you sign up before the 25th of August to save $100 with the early bird rate!!! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity  

After Erik stops talking about airline production lines we finally get to talking about some guidelines for ankle sprains just released in the BJSM this month which is fitting as Adam sprained his ankle just this week. After that Adam and Erik discuss their love hate relationship with exercise and the UK physios current ‘love activity, hate exercise?’ campaign. For more info on Adam and Erik's course in Washington, DC: https://thesciencept.com/courses/shoulder-and-knee/washington-dc/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Erik discuss the use of language and words we often use as physios. Are words harmful to our patients, do we have to avoid them, can we avoid them, and what the hell is unspeak all about? Also do you know what the national sport of Maryland is? For more info on Adam and Erik's course in Washington, DC: https://thesciencept.com/courses/shoulder-and-knee/washington-dc/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Erik discuss some issues that can often occur between orthopaedic surgeons and physios due to lack of communication, trust, or common sense! And who is to blame when a patient suffers post operative complications, is it the surgeon, the physio, or the patient?! Also find out at the end what ‘interesting’ facts Adam has found out this month! For more info on Adam and Erik's course in London: http://thesciencept.com/courses/shoulder-and-knee/london/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity