This week we are re-releasing our first ever proper episode on two RCT's exploring the question of whether there is a difference between ACL reconstruction and non-operative management!

Please note, this epidsode does not constitute medical advice.

We're always told to avoid dorsiflexion with insertional Achilles tendinopathies, but is this accurate?

We discuss the 2025 paper - Effectiveness of reducing tendon compression in the rehabilitation of insertional Achilles tendinopathy: a randomised clinical trialhttps://bjsm.bmj.com/content/59/9/640.long

Jeff discusses a rationale he can see to justify the use of a bosu ball, despite not actually using them himself!

Paper for affordances and chronic pain HERE

Embodied pain HERE

Enactive biopsychosocial model HERE

Please note, this episode does not constitute medical advice.

James presents a case study of a patient who came to see him with bilateral knee pains, but all is not as it seems...

Jeff shares his most successful prank on James, and we talk about injections for tennis elbow with some good talking points around placebo / contextual effects and open science.

Please note, this episode does not constitute medical advice.

Today on Physio pulse

• James has some beef
• Jeff ruins a shirt

We dive into the world of blood flow restriction training for knee OA with the very recent Jacobs et al 2025 paper making the rounds on social media.

This week we dip our toe into the political space and accompany this with the first meta-analysis investigating socioeconomic status and chronic pain.

Jeff has an apology to make for the listeners and gets excited about a funnel plot (he's not got much going on right now).

James keeps conversation on track as the more politically aware of the two of us and makes this a passable episode.

Please note, this episode does not constitute medical advice.

Struggle to get your head around the ascending and descending pathways? And what even is pain gate??

Well in our clinical pearl episode this week James gives a quick overview in 6 minutes

Hope you enjoy!

Today on the Physio Pulse we had the pleasure of speaking with Joe Palmer who is a lecturer and researcher working in Sheffield and was in the first cohort of clinicians who moved into the First Contact Physiotherapy roles. We speak about the realities of lecturing and research, the trials and tribulations of FCP and how to get clinicians to fall in love with stats. Hope you enjoy!

Click here for a link to the statistics book Joe mentioned!

We sit down and read the Kim Herbert-Losier paper on updated normative values and reliability of the calf raise test. What does the average actually show, how should it be completed to have comparative values and what does it inform?

Also, James confesses to having very skinny calves.

Apologies as Jeff's audio is a little bit low on this one!

Please note, this episode does not constitute medical advice.