Ep 264: Treat the person, not the scan! With Dr Thomas Ibounig

Ep 264: Treat the person, not the scan! With Dr Thomas Ibounig

April 20, 2026 · 19 min · Season 1 · Episode 264

About this episode

Dr Thomas Ibounig discusses the prevalence of abnormal MRI findings in asymptomatic shoulders and its implications for physical therapy.

Today’s guest—Dr Thomas Ibounig—who led the paper, “Rotator Cuff Imaging Abnormalities in Asymptomatic Shoulders: A systematic review” explores how prevalent abnormal MRI findings are in asymptomatic shoulders, and how the prevalence changes by population. The systematic review is an exemplar of what musculoskeletal rehabilitation clinicians can learn from accepting what we don’t know! Chelsea and Marquis wrap up the chat by thinking about how physical therapists can take the systematic review findings into account when educating and referring patients with shoulder pain. ------------------------------ RESOURCES Rotator cuff imaging abnormalities in asymptomatic shoulders systematic review: https://www.jospt.org/doi/10.2519/jospt.2025.13611 More on the SCRUTINY (Systematic Review of Shoulder Imaging Abnormalities in Asymptomatic Adults) project: https://www.ficebo.com/project/scrutiny

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