The Physio Pulse Podcast

Episodes

• 
  Ep. 79 - Exercise Prescription: Physios Most Important But Least Standardised Skill 01.11.2026 56m

  Today we look at the 2026 paper from Hinrichs-Kenney et alWhy is there so much variation?And how do we fix it?
• 
  Ep. 78 - Sham Surgery for Hip Impingement 25.10.2026 50m

  We discuss the long awaited (by us) HIPARTI trial, which was intended to be an international, multi-centre randomised controlled trial comparing debridement of a CAM and/or Pincer versus a sham in which people were treated the exact same, but when they got to the operating room, they had exploratory arthroscopy only.Unfortunately, the study was ultimately underpowered to have confidence in the findings... but we dive in to it regardless and discuss our thoughts around the paper, and what we would like to see in future trials.Please note, nothing in this episode is intended to be medical advice.
• 
  Case Study #14 - Chronic Ankle Instability: What Was The Real Cause? 18.10.2026 1h 6m

  Young active patient who can't return to sport due to ankle instability. What is the underlaying cause?
• 
  Ep. 77 - Hybrid Physio Beef and Case Studies 11.10.2026 48m

  Late recording this week so we discuss two case studies close to James' heart; his parents. We talk about their physiotherapy care; is there anything we would do different?Do we have enough professional pride about physiotherapy based care?Please note, nothing in the episode is considered medical advice.
• 
  Ep. 76 - The Largest Study On AI Use In The NHS 03.10.2026 17m

  James holds the fort this week and discusses a recent paper from 2025 looking at ambient voice technology with AI generation for writing notes in the NHSover 2000 patientsdoes it deliver what it promises?https://media.gosh.nhs.uk/documents/AAI_Phase_4_NHSE_Final_Report_1.3.pdf
• 
  Ep. 75 - Diagnosis: Say What Matters, But Say It Right 27.09.2026 45m

  We bring back physio beefs and discuss an editorial from JOSPT about diagnosis and the pros and cons of pathoanatomical diagnoses.Should we be using pathoanatomical terms or avoiding this?Please note, nothing in this episode is intended to be medical advice.
• 
  BONUS EPISODE: Jack Chew - Where Is The Public Square For MSK Medicine? and the upcoming MSK awards 22.09.2026 1h 14m

  Jack returns to Physio Pulse to discuss ​Have we forgotten how to have robust debate?​What is the solution?​And what led Alistair Brownlee to block James...We discuss the upcoming MSK awards which aims to promote success and innovation within MSK - BOOK YOUR TICKETS HERE https://mskawards.com/
• 
  Ep. 74 - Sham Exercise versus Eccentric Loading for Achilles Tendinopathy 20.09.2026 52m

  The first 10 minutes of this episode are essentially making fun on James' throw, which is essential viewing on @physiopulsepodcast instagram page.We also go deep into a paper comparing sham exercise (upper limb exercises) versus eccentric loading for people presenting with Achilles tendinopathy. The results of which might surprise you!Please note, nothing within this episode is intended to be medical advice.
• 
  Ep. 73 - Athletic Groin Pain and Movement Variability 19.07.2026 48m

  We chat about movement variability, biomechanics and rehab informed by a great paper that looked at these variables in participants with Athletic Groin Pain.Please note, this episode is not intended to be medical advice.
• 
  Case Study #13 - Achilles Rupture 12.07.2026 38m

  We discuss a recent case of an Achilles rupture. Why are they sometimes missed?Where does our testing miss the point?... and Jeff offends every football fan
• 
  Ep. 72 - One vs. Three Sets of Exercise for Patellofemoral Pain 05.07.2026 36m

  Is three sets per exercise better than one set for women with patellofemoral pain?We look at a randomised controlled trial that asks just that!Please note, this episode is not intended to be medical advice.
• 
  Ep. 71 - The Truth About Rotator Cuff Tears and MRI 28.06.2026 15m

  James is left to run the PodJeff has some... very unusual answers to a listener question What happens when you scan over a 1000 shoulders in a health adult population?Does this redefine what a normal shoulder is? And how normal is a rotator cuff tear?Incidental Rotator Cuff Abnormalities on MRIIbounig et al 2026
• 
  Ep. 70 - The Immune System And MSK Pain 21.06.2026 46m

  Could we be in the middle of the biggest breakthrough in MSK medicine?James and Jeff check out the 2026 paper - Neuroimmune interactions in musculoskeletal conditions: An introduction for clinicianshttps://doi.org/10.1016/j.msksp.2025.103469
• 
  Ep. 69 - Lateral Patella Tracking: A Tendon, VMO or Bone Problem? 14.06.2026 42m

  We dive into a paper looking at a relatively novel measurement of quadriceps tendon alignment which has been associated with lateral patella tracking and lateral facet patellofemoral osteoarthritic changes.Is it just the tendon or the whole muscle? Does VMO volume differ with tendon position? We then go on to discuss investigating recalcitrant anterior knee pain and the reasoning for this.James takes some well deserved heat for missing two weeks.Please note, this episode is not intended to be medical advice.
• 
  Re-Release: High/Low Intensity Exercise vs Attention Control for Knee Osteoarthritis 07.06.2026 48m

  Unfortunately, James is still getting shown who is boss by bacteria so we were unable to release a new episode this week. Therefore we have seized the opportunity to re-release our episode all about exercise intensity and knee osteoarthritis, the results of which might surprise you if you haven't listened before.Please note, this episode is not intended to be medical advice.
• 
  Clinical Pearl #7 - Discussing Surgery for Degenerative Meniscus Tears 31.05.2026 23m

  James was bunking off so Jeff seized the opportunity to talk about the 10 year results of the FIDELITY study comparing meniscal debridement for degenerative tears, to sham surgery!Please note, this is episode is not intended to act as medical advice.
• 
  Ep. 68 - Rehab vs Surgery for Hip Impingement: UK Fashion and FAIT 24.05.2026 47m

  We cover two HUGE randomised controlled trials that look at the clinical effectiveness of hip arthroscopy versus rehabilitation for femoroacetabular impingement syndrome.Often, these get summarised as surgery simply outperforming rehabilitation. Whilst true, there is so much more to unpack!UK Fashion (Griffin et al, 2018)FAIT (Palmer et al, 2019)Please note, this podcast is not intended to act as medical advice.
• 
  Ep. 67 - What Is The Best Physio Treatment For FAI? (Kemp et al 2026) 17.05.2026 48m

  It's 2026 and we are only getting the first RCT comparing Physio treatments for FAI?? Hot off the press Kemp et al 2026Physiotherapist-led treatment for femoroacetabular impingement syndrome (the PhysioFIRST study):https://bjsm.bmj.com/content/early/2026/05/03/bjsports-2025-110986
• 
  Ep. 66 - We Wrote Some Articles 10.05.2026 45m

  A little bit of a different format this week.We discuss the articles we have each recently written for MSK Mag (by Physio Matters). The argument for an MSK only degree, and why being nice is detrimental for us as a profession.This was great to revisit and explore in a little more free-flowing detail.We highly recommend checking out MSK Mag, not for us, but for the tonnes of high quality authors who explore all issues and conditions concerning MSK health!
• 
  Ep. 65 - Attention Focus in ACL Testing 26.04.2026 38m

  This week, Jeff and James talk internal / external focus of attention in ACL testing, ramble unnecessarily about isokinetic dynamometry and testing philosophy.