Physiotutors Podcast

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Summary
In this episode, Firat Kesgin, founder of the German Institute for Vestibular Rehabilitation, discusses the controversial topic of cervicogenic dizziness. He challenges the validity of this diagnosis, arguing that dizziness often associated with neck pain and limited cervical mobility should not be considered a distinct disorder. Kesgin references the Barani Society's stance, which suggests that the connection between cervical issues and dizziness lacks high-quality evidence. He explains that patients with vestibular disorders often restrict head movement, leading to neck problems over time, which can be mistaken for cervicogenic dizziness.Kesgin emphasizes the importance of accurate diagnosis and the risks of relying on exclusion-based diagnoses. He highlights the need for specialized knowledge in vestibular disorders to avoid misdiagnosis and unnecessary treatments. The discussion also touches on the psychological aspects of dizziness, comparing it to chronic pain conditions where the central nervous system plays a significant role. Kesgin advocates for a more comprehensive understanding of vestibular disorders and cautions against simplistic mechanical explanations for complex symptoms.
Guest
Firat is the founder of the German Institute for Vestibular Rehabilitation and has been teaching postgraduate courses throughout Europe. His work focuses on helping clinicians better understand and treat patients with dizziness and balance disorders.
Alongside his clinical and teaching work, Firat is currently pursuing a PhD on the standardization of BPPV testing and the implementation of structured vestibular rehab programs in outpatient care.
Chapters
00:00:00 Intro
00:01:22 Why "cervical dizziness" isn't a valid diagnosis
00:03:36 Neck pain/limited ROM as consequences of vestibular issues
00:04:26 Sponsor: WriteUpp
00:06:00 Temporal link to neck pain doesn't prove causation
00:08:15 Does treating the neck fix dizziness? Short-term vs long-term
00:10:51 Risks of diagnosis by exclusion
00:12:24 Diagnostic gaps in routine ENT practice
00:14:20 No specific test: is that enough to reject it?
00:16:59 Vestibular migraine vs "cervical dizziness"
00:20:51 Sponsor: Physiotutors Premium
00:21:27 Common mislabels: BPPV, hypofunction, and 3PD
00:25:45 Cervical proprioception: acute vs chronic relevance
00:32:32 Interpreting cervical torsion and SPNT tests
00:36:53 Sponsor: Physiotutors Courses
00:37:55 Parallels with chronic low back pain
00:38:41 Why the research persists and biomechanical bias
00:45:19 Clinical guidance for dizzy patients with neck pain
00:46:54 Myth-busting: negative ENT and psychology factors
00:49:23 Closing thoughts
00:50:33 Where to find Firat
00:51:19 Outro 
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Download the FREE Physiotutors App 📲: https://physiotutors.app
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Summary
In this episode, Karl Jacobs, a renowned anatomist and educator, explores the complex world of fascia—its structure, function, and clinical significance. Discover how fascia influences movement, pain, and tissue adaptability, and learn about the latest research and practical insights for clinicians.
Guest
Karl is an accredited anatomist, presently working at the Department of Medical Biology, Section Clinical Anatomy & Embryology of the University of Amsterdam. As an anatomist, his area of special interest is the functional anatomy of the musculoskeletal system, head and neck region and Karl has a particular focus on fascia. He graduated with merit for his MSc Functional and Clinical Anatomy at the University of Birmingham (United Kingdom) in 2017; and wrote his final dissertation on the embryological, histological, physiological, and morphological aspects of the fascial system.
 
Chapters
00:00:00 Intro & guest bio
00:01:34 Path from physio to fascia
00:02:54 What is fascia?
00:03:51 Why fascia was overlooked
00:04:59 Fascia in movement & force transmission
00:06:06 Common oversimplifications
00:06:55 Fascia's role in stability
00:07:52 Fascia, nociception & pain
00:10:52 Sponsor: Physiotutors Courses
00:11:50 Continuity vs predictability
00:12:50 Can we diagnose fascial issues?
00:14:26 Do therapies change fascia?
00:16:47 "Releasing" fascia vs influencing biology
00:17:40 Sponsor: WriteUpp practice software
00:19:19 How adaptable is fascia?
00:21:12 Imaging fascia with ultrasound
00:22:41 Adhesions and layer gliding
00:24:17 How dissection changes clinicians' views
00:25:08 Lifestyle, load, and fascia
00:26:22 Sponsor: Physiotutors Premium
00:26:59 What "better" fascia means (function-specific)
00:28:08 Where the field is heading
00:29:08 Clinical takeaway
00:31:10 Where to find Karl
00:31:28 Courses: Fascia in a Nutshell & Discovering Fascia
00:32:38 Outro
 
Bonus Material
Discovering Fascia Online Course
Fascia in a Nutshell Masterclass
Anatomy Insight Institute
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Download the FREE Physiotutors App 📲: https://physiotutors.app
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Summary
In this episode of the Physiotutors podcast, Andreas Delaere discusses the critical role of physiotherapy in promoting healthy aging. He emphasizes the importance of prevention, strength training, and power training for older adults, while also addressing common mistakes made in their treatment. The conversation explores the hallmarks of aging, the significance of sleep in rehabilitation, and effective strategies for tracking progress and overcoming barriers to adherence. Andreas advocates for a holistic approach to physiotherapy, focusing on empowering patients and maintaining their functional independence.
 
Guest
Andreas Delaere is a physiotherapist, scientific researcher, and co-owner of Praktijk ROBUUST in Merchtem, Belgium. He combines clinical practice with research, with a strong focus on prevention, muscle health, strength training, and sarcopenia in older adults. Since 2015, he's been connected to the VUB, has contributed to multiple scientific publications, and to the Belgian Sarcopenia Guideline validated by CEBAM. Andreas also has an extra expertise in sleep and completed training in Cognitive Behavioral Therapy for Insomnia, CBT-I.

Chapters
00:00:00 Intro
00:01:32 Why focus on prevention?
00:03:15 Healthy aging and missed aspects
00:06:21 Twelve aging hallmarks?
00:10:48 Sponsor: Physiotutors courses
00:13:01 Recognizing sarcopenia
00:17:13 Common muscle-building mistakes
00:22:06 Strength versus power differences
00:25:19 Safe power training for elders
00:27:42 Non-negotiable movements, adaptations
00:34:23 Sponsor: WriteUpp software
00:35:58 Programming variables and frequency
00:40:40 Tracking progress and mismatches
00:42:27 Barriers and boosting adherence
00:46:25 Handling passive-treatment seekers
00:50:17 Strength-function translation issues
00:51:55 Sleep's role and myths
00:58:20 Sponsor: Physiotutors membership
00:59:16 When to refer sleep issues
01:01:01 Three actions for this week
01:02:10 Controversial view on training
01:04:56 Contact info & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now

 
Follow our Podcast on:
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Summary
In this conversation, Ebonie Rio, a physiotherapist and researcher, discusses the complexities of patellar tendinopathy, including its causes, myths, and effective rehabilitation strategies. She emphasizes the importance of understanding the condition as an overload issue, the need for accurate diagnosis, and the role of strength training in prevention and recovery. Ebonie also highlights the significance of motor control and coordination in managing tendon pain, and the necessity of clear communication among athletes, coaches, and clinicians for optimal outcomes.
Check out the Rehabilitendon App: http://rehabilitendon.com.au/
Guest
Ebonie Rio is a physiotherapist and researcher from La Trobe University in Australia. She holds a PhD in tendon pain and has a background that includes a Masters in Sports Physiotherapy and two bachelor degrees. Her clinical work spans some of the top performance environments in the world. She has worked with the Australian Institute of Sport, the Australian Ballet Company and Ballet School, pro football with Melbourne Heart, the Victorian Institute of Sport, and several major events including the Commonwealth Games, the Vancouver Winter Olympics, the Singapore Youth Olympics and the London Paralympics. She also spent more than a year on tour with Disneys The Lion King.
Ebonie has published widely on tendon pain, motor control, load, and rehab, with a special focus on patellar tendinopathy.
Chapters
00:00:00 - Intro: Ebonie Rio (background + welcome)
00:01:02 - Explaining patellar tendinopathy in simple terms (athlete-friendly)
00:02:47 - Biggest myths in patellar tendinopathy (imaging, diagnosis, puberty)
00:04:20 - Why "young jumping men" are most affected (risk factors + load profile)
00:06:06 - Misdiagnosis: patellar tendinopathy vs patellofemoral pain
00:07:15 - What changed most in tendon pain research (and clinical thinking)
00:08:27 - What clinicians still underrate in tendon rehab (getting strong enough)
00:10:16 - Sponsor: PhysioTutors Premium Membership
00:11:12 - Why weakness increases tendon overload (load distribution + performance)
00:12:06 - Where tendon research is heading (better diagnosis + better outcomes)
00:14:01 - Key assessment questions + progressive load testing approach
00:18:43 - Morning stiffness, night pain, and 24-hour response (diagnostic clues)
00:20:09 - Quad tendon vs patellar tendon: does it matter for rehab choices?
00:21:46 - Isometrics debate: what people misunderstand about pain relief
00:26:43 - What is "peritendin" and why it matters (especially in Achilles)
00:28:13 - How to diagnose peritendin vs tendinopathy (progressive load patterns)
00:31:53 - Peritendin treatment options (incl. Hirudoid + Voltaren discussion)
00:34:07 - Sponsor: Writeup (practice management software)
00:35:42 - Tendon rehab plan overview: in-season management vs full rehab
00:40:57 - Rehab strength targets + objective markers (leg press, calf, leg extension)
00:42:33 - Measuring the 24-hour response (decline squat vs hop testing)
00:43:02 - Spanish squat vs wall squat: why Spanish squat wins
00:44:19 - Heavy vs fast loading: why rate of loading matters
00:45:11 - Sponsor: PhysioTutors Courses
00:46:32 - Spring phase progression (energy storage + return-to-sport build-up)
00:50:15 - When is an athlete "cleared" to return to sport?
00:51:16 - Motor control + tendon pain: what changes and why it matters
00:53:47 - Metronome training: how to use it clinically (60 bpm setup)
00:55:17 - Managing flare-ups before major events (short-term strategies)
00:58:16 - Meds and injections: ibuprofen, pain relief, and why caution matters
00:59:30 - Key messages to coaches + athletes (performance mindset + heavy is safe)
01:01:08 - Final takeaways: diagnosis confidence + avoiding imaging traps
01:02:16 - Where to find Ebonie + her rehab app (Rehabilitendin)
01:03:18 - Outro: where to listen, app languages, transcript, and review request
 
Sponsors
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Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now

 
Follow our Podcast on:
Spotify | Apple Podcasts

Download the FREE Physiotutors App 📲: https://physiotutors.app
Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more
Summary
In this episode of the Physiotutors podcast, we discuss the pervasive issue of burnout among physiotherapists, focusing on the business and operational challenges that contribute to this phenomenon. Joined by Claire Braham and Anna Bunch, experts in practice management and virtual assistance, the conversation delves into the daily realities of running a physiotherapy practice. They highlight that burnout often stems not just from long hours or difficult patients, but from the overwhelming mental load, inefficient admin systems, and the constant feeling of being behind. Claire and Anna share insights on how these factors can lead to emotional fatigue and ultimately impact both personal and professional lives. The discussion also emphasizes the importance of recognizing early signs of burnout, such as feeling constantly behind or lacking the capacity to manage tasks that once felt manageable. Claire and Anna provide practical solutions, including the implementation of effective systems and boundaries, to help clinicians regain control over their workload. They stress the need for clinicians to prioritize their well-being and consider outsourcing administrative tasks to alleviate stress and improve overall practice efficiency.
Guests
Clare is a Business Development Representative at WriteUpp, a practice management software used by many healthcare professionals. Her background is in operations, team leadership, and private practice support. She spends her time helping clinics get more organised, save time, and reduce stress around things like compliance, admin, and patient experience.
Anna Bunch is a Virtual Assistant who specialises in supporting psychologists and therapists. Since 2019, she has worked closely with private healthcare practices to improve systems, workflows, and daily operations. She also supports and mentors other VAs who work in this space.
Chapters
00:00:00 Intro
00:01:53 Burnout in daily practice?
00:04:44 Early signs of burnout?
00:08:55 Sponsor: WriteUpp
00:10:30 Constant on-mode impact?
00:16:55 Draining vs energizing patients
00:18:20 Over-responsibility problem
00:21:00 Clinicians hating admin
00:27:11 Sponsor: Physiotutors Premium
00:28:15 Insurance documentation pressure
00:30:30 Better systems for admin?
00:32:06 Tools and human support
00:36:35 Too many tools?
00:39:13 Powerful yet simple systems
00:43:35 Sponsor: Physiotutors Courses
00:44:51 One realistic change now?
00:50:15 Anything we missed?
00:52:09 Contact Details & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now

 
Follow our Podcast on:
Spotify |  Apple Podcasts