Meet 'em, greet 'em, treat 'em and street 'em
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Musculoskeletal clinical anatomy for PM&R
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Welcome to the Monash Musculoskeletal Research Unit (MMRU) podcast where we discuss and translate the latest musculoskeletal research to help you keep up to date and improve patient outcomes. Tune in for an insiders view on a variety of musculoskeletal research topics including methodology, critical appraisal, interpretation and clinical application of findings. Hosted by Dr Luke Perraton; @lukeperraton, Associate Professor Peter Malliaras @drpetemalliaras, Patrick Vallance; @pat_vallance an ...
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The Musculoskeletal Association of Chartered Physiotherapists (MACP) are a specialist interest group of the Chartered Society of Physiotherapy.
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SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department
Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department […]…
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Carl Stubbs – Psychological and psychosocial outcome measures for tendinopathy clinical trials
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Carl Stubbs is a physiotherapist and PhD candidate investigating psychological outcome measures in people with tendinopathy. In this episode, Carl discussed his diverse career in the military and special forces, in psychological health and in physiotherapy practice and research. We discussed Carl’s PhD research so far including his work in developi…
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Andy Smyth – rotator cuff related shoulder pain research and AI in healthcare
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Andy Smyth joins Luke and Pat to discuss his research on rotator cuff related shoulder pain and how the care provided by practitioners aligns with recommended practice. We also discussed emerging research in AI technology and our perspectives of using AI in clinical practice. Andy discussed this paper ‘Physiotherapists deliver management broadly co…
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SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?
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Date: November 2, 2023 Reference: Coventry et al. Which clinical features best predict occult scaphoid fractures? A systematic review of diagnostic test accuracy studies. Emerg Med J. Aug 2023 Guest Skeptic: Dr. Matt Schmitz is an Orthopaedic Surgeon who sub-specializes in adolescent sports and hip preservation. He will soon be transitioning out of…
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SGEM#419: Welcome Back – To Another Episode on Back Pain
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Date: October 26, 2023 Reference: Jones et al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial placebo-controlled trial. Lancet July 2023 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is …
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SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess
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Date: October 20, 2023 Reference: Cai et al. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: You are in your group meeting and have heard about a case at a nearby emergency depar…
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SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures
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Reference: Snelling et al. Ultrasonography or radiography for suspected pediatric distal forearm fractures. New England Journal of Medicine June 2023 Date: July 19, 2023 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. He is also a fully-fledged ultrasonographer. …
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Pain and tendinopathy - with Pat Vallance
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On this episode Luke Perraton talks to Pat Vallance about his PhD research investigating pain and tendinopathy. If you find this discussion interesting and helpful to your practice please share with your colleagues and on social media. Connect with the Monash Musculoskeletal Research Unit @MonashMRU If you want to join us on the podcast for a discu…
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SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures
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Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports …
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Sports Medicine Australia conference wrap 2022 - with Pat Vallance
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On this episode Luke Perraton talks to Pat Vallance from MMRU and Monash University Physiotherapy about the 2022 Sports Medicine Australia national conference. Pat gives us a summary of the latest research from sports medicine, exercise physiology and physical activity researchers. If you find this discussion interesting and helpful to your practic…
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Podcast interview with Advanced Practice Physiotherapist & Consultant MSK Sonographer Stuart Wildman
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: Stuart is a full member of the MACP and provides educational opportunities for MSK point of care ultrasound to enable knowledge, skills and capabilities as part of the Ultrasound site (https://theultrasoundsite.co.uk/) up to Post-Graduate Certificate level at the University of Brunel. In this podcast episode Stuart describes his initial encounter…
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SGEM#381: Put Your Hand on My Shoulder and Reduce It
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Date: October 27th, 2022 Reference: Hayashi et al. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis. AEM October 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 1…
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SGEM#372: Use the FORCE for Buckle Wrist Fractures in Children
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Date: July 22nd, 2022 Reference: Perry et al. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. The Lancet 2022 Guest Skeptic: Dr. Tessa Davis is a Paediatric Emergency Consultant at the Royal London Hospital, Senior Lecturer at Queen Mary University of London, Co-founder of Don…
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SGEM#366: Relax, Don’t Do It – Skeletal Muscle Relaxants for Low Back Pain
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Date: May 13th, 2022 Reference: Abril et al. The Relative Efficacy of Seven Skeletal Muscle Relaxants. An Analysis of Data From Randomized Studies. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading […] …
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How to measure strength in your clinical practice - with Scot Morrison, physical therapist and strength coach
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This fortnight’s @MonashMRU podcast features Scot Morrison. Scot is a board certified orthopaedic physical therapist and certified strength coach. Scot talks to Luke about the measurement of strength, torque and rate of force development in clinical practice, including how to ensure you are measuring the right thing and measuring it well. Grab a pe…
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SGEM#365: Stop! It’s Not Always Hammer Time
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Date: April 16th, 2022 Reference: Blom et al. Common elective orthopaedic procedures and their clinical effectiveness: umbrella review of level 1 evidence. BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. Disclaimer: …
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A clinician’s experience in doing a PhD; broaden your skills, network widely and learn how to juggle - with Tim Trevail.
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This fortnight’s @MonashMRU podcast features Torrens University program director, PhD student and MMRU member Tim Trevail. Tim spoke to Luke about his PhD research journey including his motivations to start a PhD, why he did his PhD part time and the experience he is gaining during his PhD. Stay tuned for part two of this discussion coming up some …
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Understanding the mechanical properties of the Achilles tendon – with Eman Merza
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This fortnight’s episode of the MMRU podcast features physiotherapist and PhD candidate Eman Merza. Eman explains how mechanical loading is associated with Achilles tendon volume and the studies that she designed to measure changes in Achilles tendon volume in response to exercise. If you find this episode interesting, stay tuned for part two of ou…
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How to measure the intensity of your balance exercises - with Dr Mel Farlie
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Balance exercise needs to be challenging to be effective, so it is important to consider how we measure balance exercise intensity. But how would you go about measuring the intensity of balance exercise? On this fortnight's episode of the @MonashMRU podcast Dr Mel Farlie talks about the Balance Intensity Scale, how and why it was developed and how …
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Unpacking the GRASP and SExSI trials for shoulder pain - with Dr Dawson Kidgell, Peter Malliaras and Josh Naunton
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In this episode, MMRU researcher and physiotherapist Josh Naunton talks to Dr Dawson Kidgell and A/Prof Peter Malliaras about two large and important trials that were published in 2021 in the area of shoulder pain: The GRASP and SExSI trials. Links to studies here: GRASP trial: https://www.sciencedirect.com/science/article/pii/S0140673621008461 SEx…
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How to become a researcher during your undergraduate degree: With Brian Kim, physiotherapist
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For many clinicians, the pathway from clinical practice to research involves a major effort and change of direction, networking with a lot of people and gaining a lot of new skills. For many clinicians, ‘how do I get into research’ is a question without a clear answer. In this episode, MMRU co-host Luke Perraton talks to Monash University Physiothe…
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Achilles tendinopathy - How does pain affect daily physical activity? Wearable sensors to measure proxies of tendon loading. With Sanam Tavakkoli
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The @MonashMRU podcast is back for 2022! People with Achilles tendinopathy often need to undertake a long rehabilitation program of at least 12 weeks. Little is known about the load people place through their Achilles tendon during daily activities or the relationship between daily pain, physical activity and tendon loading. Sanam’s PhD research in…
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Exercise prescription with Dr Dawson Kidgell part 2: Periodisation in exercise, manipulating the volume, intensity and frequency of training
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Dr Dawson Kidgell is a senior lecturer and the advanced research coordinator in the Department of Physiotherapy at Monash University. Dawson is an expert and leading researcher in the area of neurophysiology of exercise and has over 100 peer-reviewed publications. He specialises in the technique of Transcranial Magnetic Stimulation (TMS) which is a…
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Study feasibility: Swings and roundabouts, planning quality research projects during the COVID-19 pandemic.
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Episode 16 of the MMRU podcast is another @MonashMRU team discussion on study feasibility and quality. This is a conversation about the realities of adapting research projects to the research landscape that we are in since the COVID-19 pandemic began. The conversation is again led by MMRU member Tim Trevail who is a program director at Torrens Univ…
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Exercise prescription with Dr Dawson Kidgell: Total load volume, reps in reserve, RPE and measuring velocity in resistance training.
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Dr Dawson Kidgell is a senior lecturer and the advanced research coordinator in the Department of Physiotherapy at Monash University. Dawson is an expert and leading researcher in the area of neurophysiology of exercise and has over 100 peer-reviewed publications. He specialises in the technique of Transcranial Magnetic Stimulation (TMS) which is a…
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Study quality: A straight to the point guide to getting the most of out the studies you read - MMRU group discussion.
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Episode 14 of the MMRU podcast is a @MonashMRU team discussion on study quality. This is a conversation that will be really useful for clinicians who want some tips on assessing the quality of the studies that they read, undergraduate or postgraduate students who are learning core evidence-based practice skills and PhD students. The conversation is…
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SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?
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Door Dr. Ken Milne
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Hip and groin research and clinical practice tips - with Zuzana Perraton physiotherapist and PhD candidate
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In this episode, MMRU researcher and physiotherapist Josh Naunton chats with La Trobe Sports and Exercise Medicine Centre physiotherapist and PhD candidate Zuzana Perraton about her clinical and research interests in hip and groin pain in athletes. This is a really interesting discussion, we hope you enjoy it! Zuzana talks about her experiences hel…
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ACL injury rehabilitation and prevention with Mick Hughes
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Today we welcome back sports physiotherapist and ACL expert Mick Hughes to talk about his pet topic, ACL injury rehabilitation and prevention. Mick talks about his own journey in implementing research into clinical practice as well as key research findings in the area of ACL rehab and prevention over recent years. If you enjoy the episode, please c…
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Idiopathic toe walking in children and 3D motion analysis with toddlers - with Associate Professor Cylie Williams
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In this episode we return to part two of our discussion with Monash University researcher and podiatrist Associate Professor Cylie Williams. Hosted by Luke Perraton. Cylie talks about her special interest area, idiopathic toe walking in kids. We learn that idiopathic toe walking is a diagnosis of exclusion and Cylie gives a summary of some of the o…
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Do you even digital health? Digital health in musculoskeletal clinical practice with Dr Mark Merolli
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Don’t be put off by the title. This is a fascinating conversation between MMRU's Pat Vallance and digital health researcher and physiotherapist Dr Mark Merolli. It is also a really timely conversation with many musculoskeletal practitioners jumping into the deep end with one or more aspects of digital health over the last 12 months, many for the fi…
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Tendinopathy: Beyond tendon loading. With Dr Neal Millar and Dr Paul Kirwan
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In this episode we spoke to Dr Neal Millar, Orthopaedic Surgeon and researcher at the University of Glasgow, and Dr Paul Kirwan, Physiotherapist and researcher with expertise in rheumatology and tendinopathy/sports about their recent publication in Nature Reviews called Tendinopathy. This is a not-to-be-missed episode for anyone interested in tendo…
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The wonderful world of podiatry research - with Associate Professor Cylie Williams
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In this episode, Luke Perraton talks to Monash University researcher and podiatrist Associate Professor Cylie Williams about podiatry research, idiopathic toe walking in kids, why equal access to podiatry is so important for all, how/why podiatrists and other MSK clinicians can/should get involved in research and how to stay up to date with researc…
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Mick Hughes - Translating evidence to clinicians, as a clinician
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On this episode we were joined by Mick Hughes, exercise physiologist and sports and exercise physiotherapist from Melbourne, Australia. Mick spoke about his experiences in research translation for clinicians via social media and courses. It was a really interesting discussion that will be of interest to many musculoskeletal clinicians and researche…
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SGEM#317: Dese Bones Gonna Heal Again – With or Without a Non-Selective NSAID
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Door Dr. Ken Milne
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Bias and confounding in research - with Peter Malliaras
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Associate Professor Peter Malliaras is a physiotherapist and leading researcher with expertise in tendinopathy. Peter has lead a number of clinical trials to assess the efficacy and effectiveness of interventions for people with musculoskeletal conditions. In this episode, Luke and Pat interview Peter to learn more about bias and confounding in res…
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Using heel raise and hop tests to assess Achilles Tendinopathy - with Patrick Vallance, physiotherapist and PhD student
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Pat Vallance is a physiotherapist and PhD candidate at Monash University, Melbourne, Australia. Pat is also a part of the @MonashMRU podcast team. In this episode Luke and Peter chat to Pat about one of the publications coming out of his PhD research that explored the relationship between self-reported pain and pain during heel raise and hopping te…
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In this episode, Peter is joined by Josh Naunton to discuss research for exercise for rotator cuff tendinopathy. Josh is a physiotherapist and PhD candidate with a special interest in shoulder pain and rotator cuff tendinopathy. Peter and Josh discuss two recently published systematic reviews that they led, both of which investigate exercise prescr…
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Tendinopathy - why terminology matters
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Every good conversation starts with an introduction, and getting everyone's names right... In the second MMRU discussion episode, Peter and Luke discuss the ICON 2019 consensus statement on clinical terminology in tendinopathy published in the British Journal of Sports Medicine. Why is it important that researchers, clinicians and patients use cons…
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Tendinopathy - what should you be measuring?
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There is a saying... don't guess, assess. But what are the most important things to measure for people with tendinopathy? In the first MMRU podcast conversation, Peter Malliaras and Luke Perraton discuss the nine core health-related domains for tendinopathy as determined by the 2019 International Scientific Tendinopathy Symposium Consensus (ICON) c…
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Welcome to the Monash Musculoskeletal Research Unit podcast hosted by Dr Luke Perraton; @lukeperraton, Associate Professor Peter Malliaras @drpetemalliaras and the @MonashMRU team. Tune in for an insiders view on a variety of musculoskeletal research topics including methodology, critical appraisal, interpretation and clinical application of findin…
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SGEM#304: Treating Acute Low Back Pain – It’s Tricky, Tricky, Tricky
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Door Dr. Ken Milne
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#33 Advanced Clinical Practice With Neil Langridge and Amanda Hensman-Crook
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Dan Nicholls discusses advaced clinical practice with Neil Langridge and Amanda Hensman-Crook.www.macpweb.orgDoor MACP
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SGEM#288: Crazy Game of POCUS to Diagnose Shoulder Dislocations
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Door Dr. Ken Milne
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Dr Steven Roberts discusses his personal experiences being diagnosed with an osteosarcoma with consultant physiotherapist Laura Finucane. Primary bone tumours often mimic MSK pathology, Improving early sign and symptom recognition is recommended as a key way to reduce diagnostic delay. Further reading Gosling & Rushton (2106)Identification of adult…
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two part podcast, the first half of the podcast is an interview with a cauda equine syndrome sufferer discussing her story, followed by the second half of the podcast reflecting on this case and discussing current research and frameworks in identifying and managing cauda equina syndrome with Sue Greenhalgh, Laura Finucane and Chris Mercer.…
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SGEM#240: I Can’t Get No Satisfaction for My Chronic Non-Cancer Pain
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Door Dr. Ken Milne
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The Conundrum that Is the Shoulder with Dr Jeremy Lewis
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Jeremy Lewis's presentation from IFOMPT 2016. Video recording of this presentation including slides is available FREE on the MACP website.www.macpweb.orgDoor MACP
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Expanding Our Understanding of Pain Biology into Patient Care With Lorimer Moseley
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Lorimer Moseley's presentation from IFOMPT 2016. Video recording of this presentation is available FREE on the MACP website. www.macpweb.orgDoor MACP
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How Do Foot Orthoses Work ? Ian Griffiths
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Dan Nicholls discusses how foot orthoses work with Ian Griffiths ahead of his anticipated talk at PhysioUK 2018 in Octoberthis podcast covers; -kinematics vs kinetics -clinical reasoning in orthoses perscriptionDoor MACP
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