Complete Physio Podcast

What is PRP and how can it help with arthritis, tendon problems and joint pain? In this video, we explore platelet-rich plasma (PRP) injections, including the newer ACP Max system, and explain how this natural treatment uses your own blood to stimulate healing. Learn about the conditions PRP can treat, what to expect during the procedure, recovery timelines, and how it compares to steroid injections. Chapters: (00:00) What is PRP? (00:21) How PRP is produced from your own blood (00:36) Conditions PRP can treat (00:47) How PRP triggers the body's healing process (01:33) Common conditions: arthritis, tendons and more (02:23) How long does PRP relief last? (02:53) How PRP has evolved over the last 10–15 years (03:37) Standard PRP protocol: series of three injections (03:53) Introduction to ACP Max (04:20) ACP Max vs standard ACP explained (05:29) The double spin process explained (06:17) Higher concentration and healing potential (06:57) Tailoring PRP to tendons, muscles or joints (07:34) When will you feel pain relief from PRP? (08:16) PRP vs steroid: short-term vs long-term effects (09:03) Is the ACP Max procedure more painful? (10:06) What to expect during your PRP appointment (11:11) Why ultrasound guidance matters (11:52) Why local anaesthetic isn't used with PRP (12:34) Does PRP hurt? (12:56) PRP for knee osteoarthritis: the evidence (13:46) Can PRP injections be repeated? (14:23) Why timing matters with osteoarthritis (15:28) PRP as part of a wider treatment plan (16:48) Aftercare: what to do post-injection (17:21) Why you must avoid anti-inflammatories (18:11) When will you notice improvement? (19:37) How to know if PRP will work for you (20:44) Does age affect PRP response? (21:28) Can you treat multiple areas in one session? (22:12) Why imaging is essential before PRP (22:57) When PRP isn't the right option (23:40) PRP before knee replacement surgery Learn more about your ad choices. Visit megaphone.fm/adchoices

🧑‍⚕️ Complete Physio: https://rdar.li/4Y3K8Dr 🩻 Complete Injections: https://rdar.li/mZP48Vr What is Achilles tendon elongation, why does it happen, and what can be done about it? In this podcast, Sam, a leading foot and ankle surgeon, and Chris, an experienced physiotherapist, explore one of the most common concerns after an Achilles rupture. They discuss how elongation develops during conservative and surgical management, how it presents clinically, why it's so difficult to reverse, and the surgical options available — including Z-shortening and FHL tendon transfer — when symptoms affect quality of life. (00:00) Why Achilles tendon elongation matters (00:35) The function of the Achilles tendon explained (01:15) Demonstrating how calf contraction moves the foot (01:53) What happens when the tendon heals too long (02:30) How elongation presents for the patient (03:18) Where in the recovery process things go wrong (03:37) Delay to diagnosis and the initial gap (04:41) Non-compliance with the boot protocol (05:24) Re-tearing during recovery (05:55) Ultrasound vs MRI for assessing the gap (06:39) Why stretching too early is a problem (07:12) Why elongation is so hard to reverse (07:51) Protecting the tendon from week 10 onwards (09:05) Can elongation happen after surgery too? (09:38) Living with elongation: lifestyle choices (10:22) Surgical options for an elongated tendon (11:17) The Z-shortening technique explained (13:14) FHL tendon transfer: what it is and why (15:35) When to use FHL vs Z-shortening (16:30) Realistic outcomes after salvage surgery (17:30) When to consider corrective surgery (19:08) Why clinical tests matter more than measurements (20:57) Patient factors in the decision-making process (22:50) Real patient cases from recent weeks (24:07) How clinicians and patients can help prevent elongation (25:13) Final thoughts and practical advice 🌐 www.complete-physio.co.uk 📞 020 7482 3875 📧 info@complete-physio.co.uk The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content. Learn more about your ad choices. Visit megaphone.fm/adchoices

Understanding Chronic Pain with Lachlan Sutton | Complete Physio Podcast In this episode, chronic pain specialist Lachlan Sutton breaks down what chronic pain actually is, why it persists long after injury, and what you can do about it. We cover the difference between acute and persistent pain, why the "wear and tear" narrative around conditions like osteoarthritis is often more harmful than helpful, and how the nervous system plays a far bigger role in ongoing pain than most people realize. Lachlan explains the three types of pain, how to read the signs that something more complex is going on, and why movement — not rest — is almost always the answer. We also get into how physio for chronic pain actually works: from functional assessment and goal setting to graded exposure, fear of movement, and why education might be the single most powerful treatment of all. We discuss 0:00 Introduction & What Is Pain? 1:13 What Is Chronic Pain & When Does It Start? 2:28 When Should You See a Chronic Pain Physio? 4:56 Signs Your Nervous System Has Wound Up 6:26 Acute Injury Red Flags to Watch For 8:37 Pathways Into Chronic Pain 9:32 Osteoarthritis & The "Wear and Tear" Myth 13:00 Why Movement Feels Dangerous (But Isn't) 17:02 The Body as a Garden, Not a Machine 19:47 The Three Types of Pain Explained 23:01 How to Tell If Pain Is Structural or Central 26:48 When Scans Help (And When They Mislead) 33:00 Treatment Approaches: Where to Start 36:09 Fear of Movement & How Physios Address It 39:35 The Role of Passive vs Active Treatments 46:38 Are Patients Ready for Change? 49:59 Neuroplasticity & How Pain Can Unwind 53:11 Functional Assessment in Practice 56:17 Rethinking Posture & Core Bracing 59:31 Goal Setting for Chronic Pain 1:06:00 Awareness & Access to Chronic Pain Services in the UK 1:10:32 Building Trust With Complex Patients 1:14:00 Education as the Most Powerful Intervention 1:20:14 Lachlan's Favourite Patient to Treat Learn more about your ad choices. Visit megaphone.fm/adchoices

Clinicians at Complete Physio (Central London) address common patient questions about steroid injections and travel. We discuss practical considerations when flying soon after an injection (post-procedural flare), rare but important risks including infection and delayed allergic reactions, and how destination healthcare access and travel insurance may affect decision-making. We also cover safe considerations around driving after injections, expected onset and duration of benefit, and planning injections ahead of key events or holidays. Finally, we outline red-flag symptoms requiring urgent assessment, and discuss injection options, including standard steroid injection vs hydrodistension for frozen shoulder, plus considerations for barbotage in calcific tendinopathy. Learn more about your ad choices. Visit megaphone.fm/adchoices

The video compares Arthrosamid® with traditional intra-articular treatments such as corticosteroids and hyaluronic acid, highlighting its non-biodegradable hydrogel structure, synovial coating properties, and its role in reducing inflammatory flare-ups associated with osteoarthritis. We also discuss patient selection, expected duration of effect (2–3 years), cost considerations, and where Arthrosamid® may sit within the conservative-to-surgical treatment pathway for knee OA. Learn more about your ad choices. Visit megaphone.fm/adchoices

Men often experience urinary incontinence after prostate surgery due to muscle loss around the bladder and urethra. This video explains how physiotherapy and pelvic floor training can support recovery before and after surgery. Our specialist physiotherapist, Jack from Complete Physio in Central London, demonstrates how targeted muscle activation and ultrasound assessment help rebuild strength and improve bladder control. Learn how correct pelvic floor exercises can aid recovery, restore function, and support long-term wellbeing. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections. Learn more about your ad choices. Visit megaphone.fm/adchoices

ACL reconstruction has come a long way over the past two decades, and this discussion explores how surgical techniques, graft materials, and rehabilitation methods have evolved. Our expert physiotherapists and orthopaedic specialists explain the options between hamstring, patella tendon, and allograft reconstructions, and how factors like age, joint stability, and tissue quality guide treatment choices. Learn about the latest approaches to graft alignment, fixation methods, and post-operative physiotherapy that help patients regain confidence and knee function. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections. Learn more about your ad choices. Visit megaphone.fm/adchoices

This video from Complete Physio, London, looks at how physiotherapy principles can guide marathon training and help reduce injury risk. We explain how weekly mileage, interval training, tempo runs and threshold sessions each play a role in performance. The discussion highlights how these methods apply to both first-time marathon runners and experienced athletes. Don't forget to like, subscribe, and turn on notifications for more expert advice from Complete Physio! Learn more about your ad choices. Visit megaphone.fm/adchoices

At Complete Physio in Central London, our physiotherapists share clinical insights on marathon training, common injury warning signs, and how strength work can support recovery and long-term performance. We look at when pain is a normal part of training and when it signals something more serious, as well as how targeted rehab can address previous injuries before they flare up again. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections. Learn more about your ad choices. Visit megaphone.fm/adchoices

Complete Physio in Central London shares expert advice for runners who miss two to three weeks of marathon training. Our physiotherapists explain how time away from your plan can affect fitness, what realistic adjustments can be made, and why jumping back in too quickly often leads to injury. We also look at how training goals can be adapted, the role of tapering, and practical ways to stay on track without increasing risk. Complete Physio runs five clinics across Central London, offering advanced physiotherapy, tendon and muscle rehabilitation, diagnostic ultrasound, and ultrasound-guided injections. Our highly trained team work with athletes and patients of all levels to deliver safe and effective care. Learn more about your ad choices. Visit megaphone.fm/adchoices

How soon should marathon training begin, and how many weekly runs give the best results without leading to injury? In this video, the physiotherapists at Complete Physio share their clinical experience of working with both first-time and seasoned marathon runners. They explain how training loads should be built up, why some people struggle with standard 16-week programmes, and the role physiotherapy plays in keeping runners healthy throughout their preparation Learn more about your ad choices. Visit megaphone.fm/adchoices

Men’s health physiotherapy is still often overlooked, yet it can make a real difference for men dealing with pelvic floor dysfunction. In this video, the Complete Physio team explains how physiotherapy can support bladder, bowel, and erectile function, and why early intervention matters. We also discuss how diagnostic ultrasound helps assess and guide rehabilitation, especially for men recovering from prostate surgery. Learn more about your ad choices. Visit megaphone.fm/adchoices

Stress fractures are one of the most common overuse injuries we see in runners. In this video, the physiotherapists at Complete Physio share clinical insights on how stress fractures develop, early warning signs, and why getting the right assessment can prevent long-term setbacks. We also discuss practical cross-training options such as cycling, swimming, and using a cross trainer to keep fitness levels up while recovering. The aim is to guide runners, especially those preparing for distance events, on how to balance rest, rehabilitation, and training safely. Learn more about your ad choices. Visit megaphone.fm/adchoices