Clinical Communication

Trying to influence individual patient beliefs is tricky, but can be made even harder when someone else in their life is giving opposite information to you and having a greater influence.

This episode talks through who else could influence a patients belief and how you could try to manage it.

If you find this useful then do share & subscribe.

For more follow @BWhybrowPhysio on X, Instagram, TikTok, YouTube or LinkedIn.

One of the hardest conversations in clinical practice is when the person in front of you holds the opposite belief to you as to how their problem should be managed, and they are not open to changing their mind.

Engrained beliefs don't change suddenly, but how these conversations play out can be made more productive and collaborative for everyone involved.

This episode discusses how to achieve this and important aspects to consider.

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Then please subscribe and share it with anyone you think would find it useful.

You can find Ben on X, Instagram, YouTube, TikTok & LinkedIn - @BWhybrowPhysio

Thank you for listening.

Steroid injections have been available in healthcare for

But how should we discuss the risks and benefits of them for musculoskeletal pain with patients?

How should we support someone who is really keen for one, but it’s not in their best interests?

On this episode Ben is joined by Nick Livadas, Advanced Physiotherapy Practitioner & Lecturer at Teeside University for which he leads the Musculoskeletal Injection Therapy module.

 They discuss;

(00:00:00) – Introduction

(00:01:25) – What Made Nick Interested In Steroid Injections?

(00:04:30) – What Do Patients Usually Ask About Steroid

(00:08:50) – Shared Decision Making With Steroid Injections

(00:13:15) – How Have Patient Questions & Knowledge About Steroid Injections Changed Over Time?

(00:13:40) – Should We Still Describe Steroid Injections As A “Window Of Opportunity”?

(00:18:00) – How Should We Tell A Patient A Steroid

(00:19:40) – What Should We Say To Someone When The Benefit Of The Steroid Injection Lasts Longer Than Expected?

(00:23:07) – How To Discuss The Risks Of Steroid Injections To Patients?

(00:29:55) – How To Tell The Patient When A Steroid

(00:36:10) – Are These Conversations Really The “Advanced” Part Of Being An APP?

(00:38:50) – How To Support Those Who Are Afraid Of An Injection

(00:41:48) – Nicks Hardest Conversations (And Helpful Strategies)

(00:48:50) – The Time Limit Downside To Being An Advance Practitioner

(00:54:04) – What Would Nick Change About Persistent Pain Management In Society?

(00:56:23) – How NEMS was formed & What It Is

(01:01:10) – How To Contact Nick & Further Courses

You Can Find Nick On;

X & LinkedIn – @nicklivadas

His Musculoskeletal Injection Therapy Course at Teeside

https://www.tees.ac.uk/parttime_courses/sport_&_exercise/ucpce_musculoskeletal_injection_therapy.cfm

You Can Find North-East Musculoskeletal Society (NEMS) at:

X – @nemsoc16

Instagram – @nemsociety

You Can Find Ben on X, Instagram, TikTok, YouTube &

The tone of voice we use to communicate is as important as the words we say, and yet much less attention is made towards it.

Until Now.

This episode covers essentials points on using different tones of voice with the patients we see, as well as giving some examples and when to use them.

For more, subscribe and follow @BWhybrowPhysio on your social media of choice.

How should we explain spinal-related nerve pain to patients?

What should we say to those who want scans, but it’s not

How should we explain imaging results to patients?

For answers to these and a lot more, check out this

(00:00:00) – Introduction

(00:00:43) – Would Adam Ever Become “The Space Physio”?

(00:02:45) – How To Explain Spinal Related Nerve Pain

(00:10:33) – What To Say If They Ask “Have I Got A Trapped Nerve?”

(00:15:12) – What If They Ask “Will This Get Better?”

(00:18:40) – What To Say When It’s Not Their Nerves, It’s

(00:24:50) – Screening vs Work-Up Imaging

(00:32:50) – What To Say When Imaging Findings Come Back “Normal”

(00:43:00) – How To Explain Relevant Imaging Findings

(0047:42) – What Does Nerve “Abutment” Mean?

(00:49:30) – What To Say When Someone Wants A Scan, But It's Not Indicated

(01:01:50) – How To Discuss Prostate Issues During A Back Pain Appointment

(01:11:35) – Difficult Conversations Around Pain

(01:18:18) – Success Stories From Adam’s “Back To Health”

You can find Adam on social media @AdamDobson123

His website is: https://www.theradicularclinician.com/

You can find Ben on social media @BWhybrowPhysio

Cauda Equina Syndrome is a rare but very serious condition that can keep many clinicians awake at night. In this episode Ben speaks with Rob Tyer all about speaking with patients about Cauda Equina Syndrome (and

Timeline:

00:00:00 – Introduction

00:01:14 – Was It Hard For Rob To Transition From Taekwondo to Jiu Jitsu?

00:03:32 – How Does Rob Feel Taekwondo Has Changed Over The Years?

00:08:53 – What Made Rob So Interested In Cauda Equina Syndrome?

00:12:52 – Where Is The Right Environment For Further Tests If You Suspect Cauda Equina Syndrome?

00:17:32 – When Should You Ask The Cauda Equina Syndrome Screening Questions During A History Taking?

00:20:35 – How Should We Set-Up The Cauda Equina Screening Questions?

00:23:34 – Is There Any Advantage To Asking The Questions On A Screening Tool Prior To The Appointment?

00:24:55 – Is There A Way To Make Asking The Questions Feel Less Awkward?

00:28:25 – How To Ask About Bladder & Bowel Control

00:32:25 – How To Ask About The Sensation Changes

00:35:08 – How To Ask About Altered Sexual Function

00:41:47  - How To Ask About Altered Gait/Balance/Drop Foot

00:45:11 – Do The Questions Need To Be Asked In An Order?

00:49:50 – How Should We “Safety-Net” Someone About Cauda Equina Syndrome?

01:03:22 – What Should You Say To Someone If You Feel They Should Go To A&E Due To Potential Cauda Equina Syndrome Symptoms?

01:12:23 – Rob’s Hardest Conversations

01:23:58 – What Did Rob Wish He Knew About Writing A Book Before He (And Tom) Wrote One?

01:29:23 – Rob’s Question For Ben

Link for Rob & Tom Jessons book, “Cauda Equina Syndrome:

https://shop.tomjesson.com/products/cauda-equina-syndrome-the-msk-clinicians-guide

You can find Rob on social media - @CombatSportPhys

You can find Ben on social media - @BWhybrowPhysio

Do subscribe and get in contact if you have suggestions what would make this better.

Want to have greater influence over the people you come across in life and interact with?

“The Influential Mind” by Tali Sharot was released in 2017

This episode of “Clinical Communication” takes some

For more; follow @BWhybrowPhysio on X, Instagram, TikTok & YouTube.

If you’re really keen do drop me a message and send me any questions you have.

Motivation can be a powerful tool for Behaviour Change.

But there is different types, extrinsic and intrinsic.

What do these terms mean? And how can we enhance them to lead to greater long term behaviour change with the people in front of us?

Find out in this episode of Clinical Communication.

For more follow @BWhybrowPhysio on X, Instagram, TikTok & YouTube.

Reference:

Rethorn, Z. D., Bezner, J. R. & Pettitt, C. D. (2021). From

A clinician will spend every working day explaining

This episode of Clinical Communication covers what you can do and say to ensure the person in front of you remembers what you have said and is able to relate to it.

If you have suggestions for what would make this resource

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, leave a review & subscribe.

In this episode Ben speaks with Dr Brad Neal who is a

In This Episode We Discuss:

(00:00:00) - Intro

(00:01:00) – Brad’s Views On Current Cricket

(00:02:55) – Could Brad Ever Have Been A Cricket Physio?

(00:03:41) – Brad’s Experience Of Working In Elite Sport

(00:06:00) – Why Did Brad Choose Patellofemoral Pain To Work In?

(00:09:45) – How To Help Patients Understand The Multi-Factoral Nature of PFP

(00:11:10) – What To Say To The Patient When They’ve Been Told They Need To Strengthen Their VMO

(00:15:00) – Why We Should Tell Patients With Patellofemoral Pain What Isn’t Going On

(00:16:50) – Does The Patellofemoral Joint Cartilage Tear?

(00:17:10) – How To Reassure Someone With Patellofemoral Pain

(00:19:10) – How To Discuss Chromalaecia Patellae X-ray

(00:20:40) – Are Normal Age Related Patellofemoral Joint

(00:22:00) – Should We Still Use Term “Patella Maltracking” Or Is Their A Better Way?

(00:24:00) – Are There Any Surgical Options For

(00:25:55) – Does This Help Us With Buy-In To Rehab?

(00:27:45) – What To Say When They Ask “Will It Get Better?”

(00:29:10) – What’s Next For PFP Research

(00:33:20) – What Lessons From Academic Teaching Can We Use With The Patient In Front Of Us

(00:35:00) – Is There A Way To Assess Patient Understanding Of What We’ve Explained?

(00:37:45) – How Should Information About Conditions On Websites Be Laid Out?

(00:40:20) – Is Teaching Training Part Of Healthcare

(00:46:20) – Brads Hardest Conversations

(01:01:30) – Why People Should Watch & Play Baseball

(01:04:20) – Is Baseball The American Version Of Cricket?

(01:08:45) – Where To Find Brad Online

You can find Brad here:

X/Twitter: @DrBradNeal

Instragram: @teampfp

www.teampfp.com

You can follow Ben on @BWhybrowPhysio on your social media platform of choice.