Complete Physio Podcast

Complete Physio Podcast

By Complete PhysioMedicineHealth & FitnessFitness
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Complete Physio Podcast episodes

  • Foot and Ankle Pain in Runners with David Gruhl

    Foot and ankle problems are common among runners and active individuals. In this discussion, the Complete Physio team share practical ways to reduce pain and prevent injury through structured physiotherapy. David Gruhl explains how calf raises, intrinsic foot strengthening, and soft-tissue massage can improve performance and resilience. The episode also covers footwear recommendations, orthotic use, plantar fasciitis management, Morton's neuroma, and arthritis care.

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    57 min
  • ACL Reconstruction Surgery: Graft Choices and Rehab

    ACL reconstruction has come a long way over the past two decades, and this discussion explores how surgical techniques, graft materials, and rehabilitation methods have evolved. Our expert physiotherapists and orthopaedic specialists explain the options between hamstring, patella tendon, and allograft reconstructions, and how factors like age, joint stability, and tissue quality guide treatment choices. Learn about the latest approaches to graft alignment, fixation methods, and post-operative physiotherapy that help patients regain confidence and knee function. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.

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    23 min
  • Marathon Training: Threshold, Tempo and Interval Runs

    This episode from Complete Physio, London, looks at how physiotherapy principles can guide marathon training and help reduce injury risk. We explain how weekly mileage, interval training, tempo runs and threshold sessions each play a role in performance. The discussion highlights how these methods apply to both first-time marathon runners and experienced athletes. Follow the Complete Physio Podcast for more expert advice from our clinicians.

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    7 min
  • Ultrasound-Guided Injections with Stuart Wareham
    In this episode, host Chris Myers speaks with Stuart, an advanced physiotherapy practitioner with 25 years of clinical experience and 10 years as a qualified musculoskeletal sonographer. Stuart runs the ultrasound-guided injection clinic for Complete Physio in Somerset, working across NHS, private, and orthopaedic settings.
    They cover how Stuart built his career from generalist physiotherapy into specialist injection therapy, what conditions he treats at the Somerset one-stop clinic (including arthritis, frozen shoulder, lateral hip pain, tendinopathies and more), why ultrasound guidance matters for injection accuracy, how injection therapy fits into a broader rehabilitation plan, and what patients should look for in an experienced injector.
    Stuart is an advanced practitioner and MSK sonographer with over 15 years of injection experience, currently seeing 20 to 30 patients per week for guided procedures. If you are based in Somerset and would like to book an ultrasound-guided injection assessment, visit complete-physio.co.uk.
    0:00 Introduction
    0:08 Stuart's Background and Career Journey
    0:59 What Is a Musculoskeletal Sonographer?
    2:37 Conditions Treated at the Somerset Clinic
    5:07 What Is an Ultrasound-Guided Injection?
    6:02 Stuart's Injection Experience and Training
    7:37 The One-Stop Clinic Model
    10:51 How Injection Therapy Fits a Treatment Plan
    12:20 Why Trust Stuart with Your Injection?

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    19 min
  • PRP for Knee Arthritis: How It Works and ACP Max Explained

    What is PRP and how can it help with arthritis, tendon problems and joint pain? In this video, we explore platelet-rich plasma (PRP) injections, including the newer ACP Max system, and explain how this natural treatment uses your own blood to stimulate healing. Learn about the conditions PRP can treat, what to expect during the procedure, recovery timelines, and how it compares to steroid injections.


    Chapters:

    (00:00) What is PRP?

    (00:21) How PRP is produced from your own blood

    (00:36) Conditions PRP can treat

    (00:47) How PRP triggers the body's healing process

    (01:33) Common conditions: arthritis, tendons and more

    (02:23) How long does PRP relief last?

    (02:53) How PRP has evolved over the last 10–15 years

    (03:37) Standard PRP protocol: series of three injections

    (03:53) Introduction to ACP Max

    (04:20) ACP Max vs standard ACP explained

    (05:29) The double spin process explained

    (06:17) Higher concentration and healing potential

    (06:57) Tailoring PRP to tendons, muscles or joints

    (07:34) When will you feel pain relief from PRP?

    (08:16) PRP vs steroid: short-term vs long-term effects

    (09:03) Is the ACP Max procedure more painful?

    (10:06) What to expect during your PRP appointment

    (11:11) Why ultrasound guidance matters

    (11:52) Why local anaesthetic isn't used with PRP

    (12:34) Does PRP hurt?

    (12:56) PRP for knee osteoarthritis: the evidence

    (13:46) Can PRP injections be repeated?

    (14:23) Why timing matters with osteoarthritis

    (15:28) PRP as part of a wider treatment plan

    (16:48) Aftercare: what to do post-injection

    (17:21) Why you must avoid anti-inflammatories

    (18:11) When will you notice improvement?

    (19:37) How to know if PRP will work for you

    (20:44) Does age affect PRP response?

    (21:28) Can you treat multiple areas in one session?

    (22:12) Why imaging is essential before PRP

    (22:57) When PRP isn't the right option

    (23:40) PRP before knee replacement surgery

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    27 min
  • Arthrosamid vs Steroid, HA and PRP with Dr George Bownes

    What is Arthrosamid and could it help your knee osteoarthritis? In this video, George Bownes, a leading specialist in injection therapy with extensive experience using Arthrosamid in the UK, sits down with Chris, an experienced physiotherapist, to explain everything you need to know about this innovative hydrogel injection. They discuss how Arthrosamid differs from steroid, hyaluronic acid and PRP injections, who it's suitable for, what the procedure involves, and why structured rehabilitation is essential for the best results.


    🧑‍⚕️ Complete Physio: https://rdar.li/4Y3K8Dr

    🩻 Complete Injections: https://rdar.li/mZP48Vr


    0:00 What is Arthrosamid?

    0:30 How Arthrosamid differs from steroid, HA and PRP

    1:44 How long does the relief last?

    2:26 Why rehab is essential after the injection

    3:40 The science: how Arthrosamid works in the joint

    4:54 When will you feel the benefit?

    6:01 Real patient data and outcomes

    8:11 Which knee arthritis patterns respond best

    9:55 Why Arthrosamid is a medical device, not a drug

    11:00 Why you need antibiotics before the procedure

    12:13 What to expect after the injection

    13:10 Timing your injection around skiing, cycling and events

    15:15 Great results in older and less active patients

    16:31 Using Arthrosamid to delay or optimise for surgery

    17:46 How to decide if Arthrosamid is right for you

    19:02 Repeat injections after 3-5 years

    20:19 Can you have both knees done at once?

    21:42 Step-by-step: what happens on the day

    23:29 The ultrasound assessment before injection

    24:18 Does the injection hurt?

    26:02 Aspirating fluid and the injection process

    27:31 The first week after your injection

    29:00 Starting physiotherapy and rehab

    30:33 Pain relief, ice and managing swelling

    31:26 Swelling vs infection: what to expect

    32:08 Anti-inflammatories after the procedure

    32:44 Who isn't suitable for Arthrosamid

    33:06 Can Arthrosamid be used in other joints?

    34:48 Can it be injected into a knee replacement?

    35:08 The science of the hydrogel and synovium

    36:20 Histology studies showing tissue integration


    🌐 www.complete-physio.co.uk

    📞 020 7482 3875


    The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content.

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    39 min
  • Achilles Tendon Elongation After Rupture with Sam Singh

    🧑‍⚕️ Complete Physio: https://rdar.li/4Y3K8Dr

    🩻 Complete Injections: https://rdar.li/mZP48Vr
    What is Achilles tendon elongation, why does it happen, and what can be done about it? In this podcast, Sam, a leading foot and ankle surgeon, and Chris, an experienced physiotherapist, explore one of the most common concerns after an Achilles rupture. They discuss how elongation develops during conservative and surgical management, how it presents clinically, why it's so difficult to reverse, and the surgical options available — including Z-shortening and FHL tendon transfer — when symptoms affect quality of life.
    (00:00) Why Achilles tendon elongation matters
    (00:35) The function of the Achilles tendon explained
    (01:15) Demonstrating how calf contraction moves the foot
    (01:53) What happens when the tendon heals too long
    (02:30) How elongation presents for the patient
    (03:18) Where in the recovery process things go wrong
    (03:37) Delay to diagnosis and the initial gap
    (04:41) Non-compliance with the boot protocol
    (05:24) Re-tearing during recovery
    (05:55) Ultrasound vs MRI for assessing the gap
    (06:39) Why stretching too early is a problem
    (07:12) Why elongation is so hard to reverse
    (07:51) Protecting the tendon from week 10 onwards
    (09:05) Can elongation happen after surgery too?
    (09:38) Living with elongation: lifestyle choices
    (10:22) Surgical options for an elongated tendon
    (11:17) The Z-shortening technique explained
    (13:14) FHL tendon transfer: what it is and why
    (15:35) When to use FHL vs Z-shortening
    (16:30) Realistic outcomes after salvage surgery
    (17:30) When to consider corrective surgery
    (19:08) Why clinical tests matter more than measurements
    (20:57) Patient factors in the decision-making process
    (22:50) Real patient cases from recent weeks
    (24:07) How clinicians and patients can help prevent elongation
    (25:13) Final thoughts and practical advice
    🌐 www.complete-physio.co.uk
    📞 020 7482 3875
    The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content.


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    28 min
  • Achilles Rupture: Non-Surgical Treatment with Sam Singh
    🦶 Complete Physio: https://rdar.li/4Y3K8Dr
    💉 Complete Injections: https://rdar.li/mZP48Vr
    What does good conservative management of an Achilles rupture actually look like? In this video, Sam, a leading foot and ankle surgeon with decades of experience, and Chris, an experienced physiotherapist, break down everything you need to know — from diagnosis and early management, to boot protocols, rehab, and the risk of elongation.
    0:00 Introduction and why this follow-up podcast exists
    1:54 Why time of presentation is critical for conservative treatment
    3:15 What happens if you present late after a rupture
    4:21 Understanding the tendon gap and why the ends must come together
    5:10 The role of ultrasound in diagnosis
    8:05 Why "partial ruptures" are almost never real
    9:22 Using ultrasound alongside clinical assessment
    11:42 Clinical examination: why it remains the gold standard
    13:45 Conservative vs surgical: activity level and sport type
    14:45 Elite sport and why surgery is always recommended
    16:00 What good conservative healing actually looks like
    17:00 Boot protocols: back slab, aircast and the VACOped
    19:22 Boot options: pros, cons and what the evidence says
    21:43 Early weight bearing and why loading matters
    23:01 Step count, lifestyle changes and managing activity
    24:54 Wearing the boot 24/7: sleep, showering and safety
    26:04 The risk of rerupture in the shower and at home
    28:15 Week 6 onwards: reducing the angle gradually
    29:08 Why elongation is the biggest fear in conservative treatment
    30:00 Stretching: what not to do and why
    31:43 When physiotherapy actually starts to matter
    33:40 Coming out of the boot: heel raises and footwear advice
    34:33 When reruptures most commonly happen and how to avoid them
    36:26 Muscle stimulators and managing calf wasting
    38:25 Realistic return to sport timelines — and why you can't rush it
    39:37 David Beckham's rupture and what it tells us about recovery
    41:19 Conservative rerupture rates: then vs now
    43:00 The SMART trial and when surgery should still be considered
    44:07 Top tips for perfect conservative management
    45:55 Testing for elongation: the clinical signs to watch for
    🌐 www.complete-physio.co.uk
    📞 020 7482 3875
    The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content.

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    47 min
  • Chronic Pain Explained: Why It Persists with Lachlan Sutton

    Understanding Chronic Pain with Lachlan Sutton | Complete Physio Podcast


    In this episode, chronic pain specialist Lachlan Sutton breaks down what chronic pain actually is, why it persists long after injury, and what you can do about it. We cover the difference between acute and persistent pain, why the "wear and tear" narrative around conditions like osteoarthritis is often more harmful than helpful, and how the nervous system plays a far bigger role in ongoing pain than most people realize. Lachlan explains the three types of pain, how to read the signs that something more complex is going on, and why movement — not rest — is almost always the answer. We also get into how physio for chronic pain actually works: from functional assessment and goal setting to graded exposure, fear of movement, and why education might be the single most powerful treatment of all.


    We discuss

    0:00 Introduction & What Is Pain?

    1:13 What Is Chronic Pain & When Does It Start?

    2:28 When Should You See a Chronic Pain Physio?

    4:56 Signs Your Nervous System Has Wound Up

    6:26 Acute Injury Red Flags to Watch For

    8:37 Pathways Into Chronic Pain

    9:32 Osteoarthritis & The "Wear and Tear" Myth

    13:00 Why Movement Feels Dangerous (But Isn't)

    17:02 The Body as a Garden, Not a Machine

    19:47 The Three Types of Pain Explained

    23:01 How to Tell If Pain Is Structural or Central

    26:48 When Scans Help (And When They Mislead)

    33:00 Treatment Approaches: Where to Start

    36:09 Fear of Movement & How Physios Address It

    39:35 The Role of Passive vs Active Treatments

    46:38 Are Patients Ready for Change?

    49:59 Neuroplasticity & How Pain Can Unwind

    53:11 Functional Assessment in Practice

    56:17 Rethinking Posture & Core Bracing

    59:31 Goal Setting for Chronic Pain

    1:06:00 Awareness & Access to Chronic Pain Services in the UK

    1:10:32 Building Trust With Complex Patients

    1:14:00 Education as the Most Powerful Intervention

    1:20:14 Lachlan's Favourite Patient to Treat

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    1 hr 27 min
  • Tennis Elbow: Common Myths and Missed Signs
    At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
    When it comes to tennis elbow there can be not only misconceptions but missed signs and the longer those are left... the worse you'll feel! Get on top of it now with Complete Physio

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    4 min

About Complete Physio Podcast

From the publisher's feed

Expert physio advice on knee pain, arthritis, sports injuries and recovery, from the clinicians at Complete Physio in London.