JOSPT Insights

Why do we hurt, and why does pain persist for some people? Today, Dr Tasha Stanton—clinical pain neuroscientist and physiotherapist from the University of South Australia—is exploring ways to hijack the complex processes going on in our body for good. All in the name of managing pain better.

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DR STANTON'S RESOURCE RECOMMENDATIONS

NOI Group: https://www.noigroup.com/

Pain Chats: https://painchats.com/

HealthSkills Blog (Dr Bronnie Lennox Thompson): https://healthskills.wordpress.com/

JOSPT Pain Science in Practice is a new series that aims to decode the basic science of pain and how it applies to your clinical practice. Dr Morten Høgh—physiotherapist, educator and researcher—leads the series, and today he explains how #JOSPTPainScienceInPractice will help you help the patients you work with.

We're co-developing #JOSPTPainScienceInPractice with you! Let us know what you want to read about. Follow the discussion on social media (Twitter: @JOSPT, @MH_DK, #JOSPTPainScienceInPractice).

You can read the first article in the series here: https://www.jospt.org/doi/10.2519/jospt.2022.10992.

We couldn't interview 2 experts in running and running shoes without talking about the shoe that's taking the running world by storm: the Nike Vaporfly. Dr Nathan Brown and Dr Matt Klein walk you through the technology that's in the Vaporfly, and explain what makes this shoe different to most other running shoes on the market today.

Visit www.doctorsofrunning.com to connect with Nathan and Matt.

Stack height, drop, rocker soles, cushioning and more. Join Dr Nathan Brown and Dr Matt Klein—runners and physical therapists—for the low-down on the latest in running shoe construction and technology: what really works and how to help runners choose the best shoe for them.

More on the effects of motion-control shoes: https://www.jospt.org/doi/10.2519/jospt.2021.9710.

More on monitoring training load in runners: https://www.jospt.org/doi/10.2519/jospt.2020.9533.

Visit www.doctorsofrunning.com to connect with Nathan and Matt.

The ground feels like it's forever shifting for clinicians who work with runners—whether you work with high performance athletes, or the person who likes to run for physical and mental health a few times a week—in this intersection between technology, marketing, biomechanics and health. It can be hard to know where the research is at, and how to tease out what is marketing hype from the truth. Today, Dr Nathan Brown and Dr Matt Klein, who specialise in running injuries and performance, cut through the confusing information, to help you help the runners you work with.

Managing stress fractures in runners: https://www.jospt.org/doi/10.2519/jospt.2021.9982

Gait re-training for preventing injury and improving performance: https://www.jospt.org/doi/abs/10.2519/jospt.2022.10585

Visit www.doctorsofrunning.com to connect with Nathan and Matt.

When working with a patient who has femoroacetabular impingement syndrome (FAI), knowing how and when to work with an orthopaedic surgeon can feel daunting. Dr. Travis Maak puts your mind at ease today as he chats with Dan and Chelsea to share the surgeon's perspective. Dr Maak is a strong proponent of multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together. In today’s episode, he covers when to refer a patient to a surgeon, what happens when hip treatments aren’t going to plan, different surgical techniques and how they can influence rehabilitation.

It is sometimes difficult to know what the best approach is for preventing and treating shoulder injuries in athletes. Enter, the 2022 Bern Consensus Statement on Shoulder Injury Prevention, Rehabilitation, and Return to Sport—a paper that delivers a flexible, principle-based approach that you can implement with any athlete in any sport. Today, the two clinician researchers who led the consensus—Ariane Schwank and Paul Blazey—bring you the key messages.

Download the consensus statement for free: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

“Help! I’ve tried everything—nothing has worked!” When the exasperated patient in front of you tells you that she has tried all the treatments for Achilles tendinopathy to no avail, where do you go? Specialist sports physiotherapist and clinician researcher, Dr Ebonie Rio, brings her trademark pragmatic approach to JOSPT Insights, as she shares top clinical tips for diagnosing and managing tricky tendons.

More on tissue capacity: https://pubmed.ncbi.nlm.nih.gov/26255142/

Revisit the continuum model of tendon pathology: https://pubmed.ncbi.nlm.nih.gov/27127294/

In part 1 of this 2-part series on post-exertion symptom exacerbation, Dr Todd Davenport explained what post-exertion symptom exacerbation is, what it feels like, and how to test and monitor it. In part 2, we dive into pacing - the less is more approach to managing post-exertion symptom exacerbation that will challenge you to think differently about how you prescribe exercise and what the goals of therapy are for people who are living with post-exertion symptom exacerbation.

Long COVID physio: https://longcovid.physio/

World Physio COVID-19 briefing papers (including briefing paper #9 on safe rehabilitation approaches for people living with long covid): https://world.physio/covid-19-information-hub/covid-19-briefing-papers

WorkWell Foundation: https://workwellfoundation.org/resources/

How prepared are you to support someone who is living with post-exertion symptom exacerbation? Dr Todd Davenport wants to start a conversation about re-imagining the way most of us have thought about fatigue, physical activity and exercise. Tune in to learn more about post-exertion symptom exacerbation, including what it feels like, and how to test and monitor it.

For a deeper dive on post-exertion symptom exacerbation, check out the JOSPT blog:

Lessons for long COVID from myalgic encephalomyelitis: https://www.jospt.org/do/10.2519/jospt.blog.20220202/full/

Abnormal physiologic response during acute exercise: https://www.jospt.org/do/10.2519/jospt.blog.20220209/full/