PT Pro Talk

💡 Is dry needling just another tool in your kit, or is it a gateway to deeper clinical reasoning?

In this episode of PT Pro Talk, Dr. Zylstra challenges physical therapists to look past the physical technique of inserting a needle and focus on the complex neurophysiological "why" behind the treatment.

We dive deep into the radiculopathic model of orthopedics, discussing why many chronic peripheral issues (like that stubborn shoulder or elbow pain) might actually be driven by a silent segmental problem in the spine. Dr. Zylstra also breaks down the precise mechanisms of the twitch response and explains why dry needling should never be used as a standalone treatment if we want to avoid creating patient dependency

💭 ‘’When we get a good twitch response, that's like plugging a plug into a wall socket; you're getting access to the nervous system. And the language of the nervous system is electricity." - Dr. Edo Zylstra

👉🏻 Dr. Edo Zylstra, PT, DPT, is the co-founder of Tactical Physiotherapy and founder of KinetaCare Physiotherapy, with more than 26 years of experience in orthopedic rehabilitation and dry needling. An Orthopedic Certified Specialist, he focuses on identifying the root causes of neuromusculoskeletal dysfunction rather than just managing symptoms. 

He has trained clinicians across corporate healthcare systems, private practices, and military and special operations settings, with educational influence reaching providers who work with elite athletes. He is also the founder of KinetaCore, a Functional Dry Needling® education company later acquired by Evidence In Motion. With Dr. Tyler Waterway, he co-developed the Radiculopathic Model of Orthopedics, the foundation of Tactical Physiotherapy.

📚In this episode, you'll learn:

• When to use dry needling and when not to: identifying good candidates, understanding spinal vs. peripheral targeting, and the neurophysiological mechanisms

• How dry needling integrates into your treatment plan: using it strategically alongside other techniques rather than as a standalone intervention

• What happens after the needles come out: the critical session follow-up that determines whether DN creates lasting change or just temporary relief

• The evidence and mechanisms: understanding the proposed mechanisms and how they inform clinical decision-making

🔎Edo's Resource of Information:

• Waterway T, et al. Treatment Guidelines and Decision Tree for Dry Needling Musculoskeletal Conditions: A Consensus Statement. IJSPT. 2026;21(5):556-567. doi:10.26603/001c.161025 

📲 Edo's contact information:

• Tactical Physio Website

• Kineta Care Website

• Kineta Care IG

• LinkedIn

• Tactical Physio LinkedIn

• Kineta Care Facebook

• [email protected]

• [email protected]

🎥Link to interview on Youtube 

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.⁠

 👉 ⁠Share Your Feedback⁠

Help Us Build Better Solutions for Your Practice! 🚀 Take 60 seconds to answer 3 quick questions and help us build new paths to make your practice run smoother.

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💡 Are you still treating tendinopathy purely as a "load capacity" or biomechanical failure issue? If you have patients who simply don't improve with isometric exercises or who experience unpredictable pain flare-ups, the problem might not be in the tendon itself, it could be in the nervous system.

Grab your notebook! We dive deep into modern pain neuroscience applied to daily clinical practice, busting old myths and bringing you assessment tools you can use in your clinic tomorrow morning.

💭 “We needed to start broadening our minds about pain — whether we can just focus on the tissues or whether we need to think beyond the tissues" - Dr. Brooke Coombes

👉🏻 Dr. Brooke Coombes is a Musculoskeletal Physiotherapist, lecturer, and Postdoctoral researcher at The University of Queensland. She is an internationally recognized expert in tendinopathy and musculoskeletal injuries, with over 65 peer-reviewed publications in prestigious journals such as The Lancet and JAMA. 

Her impactful research challenges traditional treatments, like corticosteroid injections, and explores how factors such as obesity, diabetes, and exercise affect tendon and muscle health. Utilizing advanced techniques like ultrasound elastography and quantitative pain measurement, Dr. Coombes is currently focused on developing practical clinical tools to help practitioners identify and match specific treatments to a patient’s dominant pain mechanism based on IASP guidelines. 

📚In this episode, you'll learn:

• Tendinopathy isn't always a loading problem: why pain mechanisms change everything about how you manage these patients

• How to tell your pain mechanisms apart: the clinical features and tools that help you discriminate nociceptive, neuropathic, and nociplastic pain in tendons

• The research reshaping tendinopathy science: sensitisation patterns, neuropathic-like features, and what the evidence actually says

• What personalised tendinopathy care looks like: moving beyond load management to match your approach to the underlying pain mechanism

🔎Brooke's Resource of Information:

• Wheeler, PC. Up to a quarter of patients with certain chronic recalcitrant tendinopathies may have central sensitisation: a prospective cohort of more than 300 patients. Br J Pain. 2019 Aug;13(3):137-144. doi: 10.1177/2049463718800352.

• Shraim MA, et.al. Features and methods to discriminate between mechanism-based categories of pain experienced in the musculoskeletal system: a Delphi expert consensus study. Pain. 2022 Sep 1;163(9):1812-1828. doi: 10.1097/j.pain.0000000000002577. 

• Rio E, et. al. Sensory Processing in People With and Without Tendinopathy: A Systematic Review With Meta-analysis of Local, Regional, and Remote Sites in Upper- and Lower-Limb Conditions. J Orthop Sports Phys Ther. 2021 Jan;51(1):12-26. doi: 10.2519/jospt.2021.9417. 

• Cancela-Cilleruelo I, et. al. Presence of Neuropathic-Like Symptoms in Individuals With Painful Tendinopathy/Overuse Injuries: A Systematic Review and Meta-Analysis. Clin J Pain. 2025 Jul 1;41(7):e1292. doi: 10.1097/AJP.0000000000001292. 

• Coombes BK, et. al. A new integrative model of lateral epicondylalgia. Br J Sports Med. 2009 Apr;43(4):252-8. doi: 10.1136/bjsm.2008.052738.

📲 Brooke's contact information:

• [email protected]

🎥Link to interview on Youtube 

Help Us Build Better Solutions for Your Practice! 🚀 Take 60 seconds to answer 3 quick questions and help us build new paths to make your practice run smoother. ⁠Click Here⁠

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💡 Are bunions strictly a surgical problem, or can physical therapy make a measurable difference? In this episode of PT Pro Talk, Mariana sits down with sports physiotherapist Andrew Wynd to challenge the common belief that conservative care can't change a hallux valgus (HAV) angle.  

Drawing from over 15 years of clinical experience specializing in foot and ankle issues, Andrew breaks down a comprehensive, non-surgical approach to treating bunions. By addressing the biomechanical roots of the issue (from hip rotation to big toe muscle activation) therapists can empower their patients with real alternatives to surgery.

💭 “I do believe that you can change the angles. And I'm well aware that the vast majority of higher-quality research suggests otherwise."  - Andrew Wynd

👉🏻 Andrew Wynd is an APA-Titled Sports Physiotherapist and is the founder and director of Balwyn Sports & Physiotherapy Centre in Melbourne. He also is the CEO of Freestyle Feet, an innovative company that aims to solve foot/ankle issues through education and products. 

Andrew is globally recognised for his foot & ankle clinical work, holding a Post Graduate Master’s Degree in Sports Physiotherapy.  Andrew has been a casual academic teacher at La Trobe University and is passionate about ongoing clinician development and mentoring.

📚In this episode, you'll learn:

• What the current evidence tells us about non-surgical treatment for hallux valgus

• A practical approach to conservative management that combines manual therapy, exercise, and orthotic interventions

• How to identify which patients are good candidates for physical therapy versus surgical referral

• Realistic treatment timelines and outcomes you can expect with conservative care

🔎Andrew's Resource of Information:

• Freestylefeet Youtube

• Freestyle Feet Website

• Banished Bunion Course

• Abdalbary, S. A. (2018). Foot mobilization and exercise program in combination with toe separator improves outcomes in women with moderate hallux valgus at the one-year follow-up: A randomized clinical trial. Journal of the American Podiatric Medical Association, 108(6), 478-486. https://doi.org/10.7547/17-026 

• Hurn SE, et. al (2022). Effectiveness of Nonsurgical Interventions for Hallux Valgus: A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken). 2022 Oct;74(10):1676-1688. doi: 10.1002/acr.24603

• Ferreyra, M, et. al. (2020). What do we know about hallux valgus pathogenesis? Review of the different theories. Journal of the Foot & Ankle, 14(3):223-230. https://doi.org/

📲 Andrew's contact information:

• Freestylefeet IG

• Freestylefeet Facebook

• Andrew's Linkedin

• Balwyn Sports Facebook

• Balwyn Sports IG

• Balwyn Sports Website

• Balwyn Sports Youtube

🎥Link to interview on Youtube 

Help Us Build Better Solutions for Your Practice! 🚀 Take 60 seconds to answer 3 quick questions and help us build new paths to make your practice run smoother. ⁠Click Here⁠

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💭 "The second you try to isolate a muscle to create stabilization, you will fundamentally create dysfunction."  - Dr. Michael Maxwell

👉🏻 Dr. Michael Maxwell, DC, BHK is a chiropractor and educator whose mission is to deliver research-backed, practical MSK education. He is Canada’s only Certified Instructor for Michael Shacklock’s Clinical Neurodynamics and a Certified Instructor for Dynamic Neuromuscular Stabilization (DNS).

With over 20 years of experience, from personal training and medical exercise to chiropractic practice, Michael integrates movement-based manual therapy and exercise interventions. He has organized more than 300 continuing education courses across Canada featuring world-renowned clinicians, and he regularly teaches at postgraduate courses and conferences internationally.

This unique combination of clinical experience, extensive training, and exposure to leading educators positions him to offer exceptional continuing education for health professionals.

📚In this episode, you'll learn:

• What DNS actually is (and common misconceptions)

• How motor control shapes movement and stability

• A new perspective on the “core” (breathing vs hollowing/bracing)

• How to apply it in rehab (including strengths and limitations)

🔎Michael's Resource of Information:

• • Courses by Michael

  • Kolář, P., et al. (2012). Postural function of the diaphragm in persons with and without chronic low back pain. Journal of Orthopaedic & Sports Physical Therapy, 42(4), 352–362.  

  • Sembera M, et al. Postural-respiratory function of the diaphragm assessed by M-mode ultrasonography. PLoS One. 2022;17(10):e0275389.

  • Rabieezadeh A, et al. The effects of an 8-week dynamic neuromuscular stabilization exercise on pain, functional disability, and quality of life in individuals with non-specific chronic low back pain. BMC Sports Sci Med Rehabil. 2024;16:161.

  • Kolář P, et al. Analysis of Diaphragm Movement during Tidal Breathing and during its Activation while Breath Holding Using MRI Synchronized with Spirometry. Physiol Res. 2009;58:383-392.

  • Lee NG, et al. Best Core Stabilization for Anticipatory Postural Adjustment and Falls in Hemiparetic Stroke. Arch Phys Med Rehabil. 2018;99(11):2168-2174.

  • Cha YJ, et al. The Best Lumbothoracic-Cervical Chain Stabilization Exercise for Longus Colli Activation. J Med Imaging Health Inform. 2018;8(1):84-87.

  • Son MS, et al. Effects of dynamic neuromuscular stabilization on diaphragm movement, postural control, balance and gait performance in cerebral palsy. NeuroRehabilitation. 2017;41(4):735-743.

  • Yoon HS, You JSH. Reflex-mediated dynamic neuromuscular stabilization in stroke patients: EMG processing and ultrasound imaging. Technol Health Care. 2017;25(S1):99-106. doi: 10.3233/THC-171311.

  • Kobesova A, et al. Can Exercise Targeting Mid-Thoracic Spine Segmental Movement Reduce Back Pain and Improve Sensory Perception in Cross-Country Skiers? Clin J Sport Med. 2021;31(2):e86-e94.

    • Frank C, et al. Dynamic neuromuscular stabilization & sports rehabilitation. Int J Sports Phys Ther. 2013;8(1):62-73.

📲 Michael's contact information:

• Website

• LinkedIn

• IG

• Facebook

• Youtube

🎥Link to interview on Youtube 

Help Us Build Better Solutions for Your Practice! 🚀 Take 60 seconds to answer 3 quick questions and help us build new paths to make your practice run smoother. ⁠Click Here⁠

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💡 In this insightful episode of PT Pro Talk, Mariana Parks sits down with Dr. Bronwyn Lennox Thompson to explore a game-changing perspective: using Acceptance and Commitment Therapy (ACT) for ourselves as clinicians. 

When faced with complex cases and patients in distress, our instinct is to "fix" the problem. But what happens when our treatments don't work, and our minds tell us we aren't good enough? Dr. Lennox Thompson explains how psychological flexibility and the therapeutic use of self can transform your practice. 

Discover how to manage your emotional responses, unhook from the pressure of having all the answers, and stay present in difficult interactions. Tune in to learn how reconnecting with your core clinical values can help you navigate uncertainty and build a more compassionate, fulfilling career.

💭 ‘’Physiotherapists must always have an answer... And yet, we can't always. That's the acceptance part: the willingness to say we don't have all the answers." - Dr. Bronwyn Lennox Thompson

👉🏻 Dr. Bronwyn Lennox Thompson leads the Postgraduate Programmes in Pain and Pain Management at University of Otago, based in Christchurch, New Zealand. Dr. Bronwyn Lennox Thompson’s clinical background is occupational therapy and psychology, and her clinical and research focus is on supported pain self-management in daily life. 

Her research interests include lived experiences of chronic pain, consumer/lived experience involvement in research, policy and service development, and supported self-management in painful medical procedures. Her primary academic work is teaching an interprofessional approach to pain and pain management to clinicians from a diverse range of clinical backgrounds. She was awarded the University of Otago Teaching Excellence Award in 2022, and the University of Otago Gold Medal for teaching excellence in 2025.

📚In this episode, you'll learn:

• How to manage your emotional responses when working with distressed or challenging patients

• ACT techniques to unhook from unhelpful thoughts like "I'm failing them" or "They should be better’

• How to stay present during difficult interactions without needing to fix everything immediately

• Ways to reconnect with your clinical values and take action even when the work feels hard

🔎Bronwyn's Resource of Information:

• Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy (2nd ed.). New Harbinger Publications

• PRAXIS Courses

• Blog

📲 Bronwyn's contact information:

• LinkedIn

• Facebook

• IG

🎥Link to interview on Youtube

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💡 In this episode of PT Pro Talk, Mariana Parks sits down with Dr. Greg Lehman for a deep dive into reconciling biomechanics with pain science in clinical practice. If you’ve ever felt torn between the traditional kinesiopathological model and modern neuroscience, this conversation will shift your perspective.

Learn the clinical reasoning behind the most critical decision you make: knowing exactly when to use graded exposure and when to protect the tissue. Watch now to learn how to debunk limiting beliefs and keep your patients moving confidently!

💭 ‘’I've always said like biomechanics are important, but just maybe not the way we've been traditionally taught" - Dr. Greg Lehman.

👉🏻 Dr. Greg Lehman is a practicing physiotherapist, researcher and educator in Toronto, Canada with over 20 years experience in the rehabilitation field.  Greg’s background includes a MSc in Spine Biomechanics, MSc in Physiotherapy and a Chiropractic degree.  Greg has published more than 20 peer reviewed publications in the manual therapy and exercise science fields.  He has a special interest in the multidimensional nature of pain and injury and believes that simple yet comprehensive approaches are a cornerstone of the biopsychosocial approach to patient care.  

He has taught the popular “Reconciling Biomechanics with Pain Science” & "Running Resiliency" courses for 11 years to 1000s of therapists throughout the world.  The courses are about fundamentals and finding the common threads of many rehabilitation approaches to both simplify and improve treatment.  "Recovery Strategies" is Greg's popular (more than 50,000 downloads) free e-book on the self management on pain and injuries.  You can find Greg at greglehman.ca

📚In this episode, you'll learn:

• Why biomechanics and pain science aren't in conflict - and how to integrate both approaches in clinical practice

• The Symptom Modification Model and how to use it to guide your clinical reasoning and intervention choices

• How to decide when to "expose versus protect" a patient and what guides that critical clinical decision

• Common false beliefs about pain and injury that limit recovery - and simple strategies to address them with patients

  
  

🔎Greg's Resource of Information:

• Clinical Practice Guidelines

• Lehman, Greg. 2017. Recovery Strategies: Your Pain Guidebook. https://www.greglehman.ca/pain-science-workbooks.

• PhD thesis

  
  

📲 Greg's contact information:

• Website

• Instagram

• X

• Youtube

🎥Link to interview on Youtube 

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💡 In this episode of PT Pro Talk, Dr. Cory Alcon delivers a conversation on the management of chronic pain, moving beyond purely structural explanations to a modern understanding of neurocognition and the neuroimmune system. 

We dive deep into the clinical nuances of patient communication, exploring the critical differences between structural damage and protective nervous system responses, and how pain catastrophizing impacts executive function and recovery.

💭 ‘’You can't just tell someone to stop catastrophizing. You have to help them make sense of their pain first - that's step one" - Dr. Cory Alcon.

👉🏻 Dr. Cory Alcon is an Assistant Professor of Physical Therapy at High Point University and a board-certified Orthopedic Clinical Specialist specializing in chronic neuromusculoskeletal pain. He holds a PhD with a concentration in pain neuromodulation and studies how neuroplasticity can be leveraged to address the cognitive and emotional dimensions of pain. 

His work explores innovative approaches such as non-invasive brain stimulation combined with psychologically informed physical therapy. Dr. Alcon teaches musculoskeletal practice and pain science and is passionate about helping clinicians better understand and treat chronic pain.

📚You will learn about:

• How pain catastrophizing and fear avoidance impact brain function and recovery

• A four-step approach: understanding pain, identifying protective responses, graded exposure, and functional progression

• How to apply pain neuroscience education and cognitive functional therapy in clinical practice

• Key research gaps and resources to improve your management of pain-related fear

🔎Cory's Resource of Information:

• Butler DS, Moseley GL. Explain pain. 2nd ed. Adelaide: Noigroup Publications; 2013.

• Noigroup

📲 Cory's contact information:

• [email protected]

• High Point

• Linkedin

• Facebook

• IG

🎥Link to interview on Youtube 

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💡 In this episode of PT Pro Talk, we are joined by Dr. Leanne Bisset, Associate Professor at Griffith University and a highly respected upper limb specialist with over 20 years of clinical and research experience focusing on the elbow. 

Leanne delivers a comprehensive masterclass on the assessment and management of Lateral Elbow Pain, moving beyond outdated labels like "epicondylitis" to a modern understanding of tendinopathy. We dive deep into the clinical nuances of differential diagnosis, exploring the critical differences between muscle/tendon, articular, and neural drivers of elbow pain.

💭 ‘’For lateral elbow tendinopathy, I focus on isometric loading rather than eccentric - the elbow extensors function more for positioning and stability, not energy storage and release like lower limb tendons." - Dr. Leanne Bisset.

👉🏻 Dr. Leanne Bisset is an Associate Professor in Physiotherapy at Griffith University. She is also a Musculoskeletal Physiotherapist as awarded by the Australian College of Physiotherapists. Dr Bisset's combined academic and clinical track record is underpinned by her clinical and research experience in Musculoskeletal Health and Persistent Pain. 

Her service to health is broad, spanning the supervision of clinical research (clinician-initiated, research higher degree, honours), clinical education and mentoring across all levels of the physiotherapy profession (undergraduate, postgraduate, professional development). Dr Bisset has an extensive service record with the Australian Physiotherapy Association and the International Federation of Orthopaedic and Manipulative Physical Therapists. 

📚You will learn about:

• How to differentiate lateral elbow tendinopathy from other diagnoses, and when imaging is actually useful

• Key elements of an effective objective assessment that guide your treatment decisions

• What the evidence shows about exercise therapy, manual techniques, and how physiotherapy compares to cortisone injections

• How to manage pain during exercise progression, and what level of discomfort is acceptable

  
  

📲 Leanne's contact information:

• X

• LinkedIn

🎥Link to interview on Youtube 

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💡In this episode of PT Pro Talk, we welcome world-renowned shoulder specialist Dr. Tania Pizzari (Associate Professor at La Trobe University) for a clinical masterclass on Shoulder Instability. Many clinicians struggle to differentiate between simple hyperlaxity and true symptomatic instability, often leading to missed diagnoses and stalled rehabilitation.

Dr. Pizzari explains why insidious-onset shoulder pain in younger patients should often be treated as instability until proven otherwise. We dive deep into the mechanics of the glenohumeral joint, the "anterior buffer" role of the subscapularis, and why articular-sided tendon tears may actually be driven by instability.

💭 “If it's a young person with a gradual onset, I would always consider it an instability until proven otherwise” - Dr. Tania Pizzari.

👉🏻 Dr Tania Pizzari is an Associate Professor in the Department of Physiotherapy at La Trobe University, and a physiotherapist continuing to work in clinical practice. She is a co-director of a large private practice in Melbourne, Australia. Her role at the University includes heading up the Post Graduate Physiotherapy courses and undertaking clinical research of musculoskeletal and sporting injuries. 

 She has over 130 peer-reviewed papers and book chapters.  Tania currently manages the soft tissue injury registry for the Australian Football League, is a fellow of the Australian Sports Medicine Federation, and board member of the International Confederation of Scientific Societies for Shoulder and Elbow Therapy. 

📚You will learn about:

• How to identify shoulder instability in patients with insidious-onset shoulder pain

• A practical classification system to guide your clinical reasoning

• Evidence-based rehabilitation strategies for shoulder instability

• Key changes to improve your assessment and treatment of shoulder pain

  
  

🔎Tania's Resource of Information:

• PWATSON, L. et al. Rehabilitation for multidirectional instability of the shoulder: part 1 – pathoanatomy and clinical examination. Shoulder & Elbow, 2016.

• WATSON, L. et al. Rehabilitation for multidirectional instability of the shoulder: part 2 – structured rehabilitation program. Shoulder & Elbow, 2016.

• WATSON, L. et al. A comprehensive rehabilitation program for posterior instability of the shoulder. Available in: ResearchGate. 2017.

  
  

📲 Tania's contact information:

•  X

•  LinkedIn

•  IG: Mill Park Physio

🎥Link to interview on Youtube 

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.

💡 In this episode, Dr. Ebonie Rio discusses the critical importance of differential diagnosis and load management in lower extremity tendinopathies. She explores the nuances of treating Achilles, patellar, hamstring, and gluteal injuries, highlighting why understanding the specific "provocative load" and the dangers of compression are the first steps toward effective rehabilitation.

💭 “If you had someone with achilles tendinopathy you would want to start early on calf raises but you would not give that exercise to someone with peritendinitis because that is their provocative load.” - Dr. Ebonie Rio.

👉🏻 Dr. Ebonie Rio, PT, PhD, is a world-renowned Sports Physiotherapist and a leading authority in tendinopathy research. Currently serving as a Senior Clinical Research Fellow at The Australian Ballet and a consultant for the Victorian Institute of Sport. 

With extensive clinical experience spanning the Olympics and Commonwealth Games, she also provides expert guidance on complex injuries to elite organizations. Dr. Rio’s academic background is equally distinguished, holding a PhD in tendon pain (for which she received the prestigious Professor Mollie Holman medal) and multiple degrees in Physiotherapy and Applied Science.

Ranked fourth worldwide in her field by ExpertScape and maintaining a ResearchGate score of higher than 95% of all academics, her work has earned numerous accolades, including the Victorian Fresh Scientist of the Year and multiple ASICS SMA Best New Investigator awards.

📚You will learn about:

• Achilles, patellar, hamstring, and gluteal tendinopathy

• Differential diagnoses of LE tendinopathies

• Treatment of tendinopathy in the LE

🔎Ebonie's Resource of Information:

• Infographics

• La Trobe Sport

• Podcasts

📲 Ebonie's contact information:

• LinkedIn

🎥Link to interview on Youtube 

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access.⁠ Start your trial here.

 👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠ 

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠[email protected]⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.