Sports Medicine Project

In this episode of the Sports Medicine Project, Blake Withers is joined by Dr. Gerald Yeo, a renowned foot and ankle orthopedic surgeon, to discuss the intricacies of foot and ankle surgeries, particularly focusing on Achilles tendon and navicular stress fractures. Dr. Yeo shares insights from his extensive experience, discussing the challenges and advancements in surgical techniques, and the importance of a multidisciplinary approach in treatment.Dr. Gerald Yeo emphasizes the complexity of foot and ankle surgeries compared to other orthopedic procedures.The discussion highlights the importance of a multidisciplinary approach involving physiotherapists and podiatrists.Dr. Yeo explains the traditional and modern approaches to treating Achilles tendonitis.The episode explores the challenges of measuring surgical outcomes for foot and ankle procedures.Dr. Yeo shares insights on the use of Richie braces in managing foot conditions.The conversation covers the role of imaging in diagnosing and planning surgeries.Dr. Yeo discusses the potential of minimally invasive techniques in foot and ankle surgery.The episode addresses the common misconceptions about Haglund's deformity and its treatment.Dr. Yeo talks about the importance of patient education in managing expectations post-surgery.The discussion includes the future of orthopedic surgery and potential advancements in treatment options.Keywords: Achilles tendon, navicular stress fractures, orthopedic surgery, foot and ankle, multidisciplinary approachTakeaways:Dr Gerald Yeo is a Queensland trained orthopaedic surgeon (BMedSci, FRACS (Ortho), FAOrthA) with subspecialist fellowship training in foot and ankle surgery. His clinical interests include minimally invasive and arthroscopic techniques, total ankle replacement, and lower-limb trauma, with a focus on supporting recovery through early, functional rehabilitation and multidisciplinary care. He consults and operates in Brisbane, including at Brisbane Orthopaedic Specialist Services and St Vincent’s Private Hospital Northside, and also consults at North Lakes and operates at North West Private Hospital. (drgeraldyeo.com.au)

SummaryIn this conversation, Blake Withers interviews Aidan Rich, a sports and exercise physiotherapist, about his research on proximal hamstring tendinopathy and the recent randomized control trial comparing physiotherapy and shockwave therapy. Aidan shares his journey into the field, the challenges of designing the study, and the importance of education in treatment. They discuss the nuances of exercise rehabilitation, patient experiences, and the surprising results of the trial, which showed no significant difference between the two treatment methods. Aidan emphasizes the need for individualized care and the potential for future research in this area.Paper links: Main RCT: https://journals.sagepub.com/doi/10.1177/03635465251391134https://pubmed.ncbi.nlm.nih.gov/41037932/https://pubmed.ncbi.nlm.nih.gov/40469642/https://www.jsams.org/article/S1440-2440(25)00275-0/pdfAidan Rich:PhD Candidate | APA Titled Sports and Exercise Physiotherapist | State ManagerA dedicated and passionate physiotherapy professional with extensive experience in both academic research and clinical management. Currently pursuing a PhD with the topic of 'Physiotherapy for Proximal Hamstring Tendinopathy,' where he has conducted two randomised trials. In addition to his academic pursuits, he oversee the clinical, financial, and cultural performance of a network of 20 physiotherapy and sports medicine clinics across Victoria. His role involves ensuring the highest standards of patient care, optimising financial performance, and fostering a positive and collaborative work environment.Chapters00:00 Introduction and Background of Aidan Rich03:48 The Evolution of Tendinopathy Treatment08:30 Shockwave Therapy: Insights and Experiences13:13 Designing the RCT: Methodology and Protocols18:20 The Exercise Program: Structure and Rationale23:07 Education in Rehabilitation: Importance and Implementation28:39 The Benefits of Resistance Training29:52 Qualitative Insights from RCT Participants31:36 Surprising Strength Outcomes in Rehabilitation33:42 Effect Modifiers in Treatment Response35:20 Clinical Applications of Shockwave Therapy37:01 Patient Preferences in Treatment Choices38:00 Individualized Treatment Approaches39:04 Evaluating Shockwave Therapy Effectiveness41:22 Challenges in Designing Effective Trials43:22 Comparative Outcomes in Tendinopathy Treatments45:43 Acute Responses to Shockwave Therapy48:36 Key Takeaways for Clinicians50:59 Future Directions in Research

Stress fractures are one of the most common running injuries (up to 20% of them), but what actually are they, why do they happen, and why do some take longer to recover than others?In this video, I explain: • What a stress fracture is and how it develops • Why taking time off running is often essential for healing • Why not all stress fractures are the same (location and severity matter) • What runners should know about recovery and reducing riskI’m a Sports Podiatrist and PhD researcher candidate in running injuries, and my goal is to give runners clear, evidence-based information to help them train smarter and stay injury free.

Find Luke: https://www.instagram.com/sportschiroluke/Luke is a titled Sports & Exercise Chiropractor, Running Coach, and Strength Coach with over 20 years of experience in private practice in Melbourne. He has lectured extensively across Australia and internationally on sports injuries, with a focus on running-related topics. As an avid fitness enthusiast, Luke has completed 11 marathons, an ultra-marathon, and two Ironman triathlons. In recognition of his expertise, Luke was awarded Fellowship status by the Australasian Institute of Chiropractic Education in 2019, inducted as a Fellow of the Australian Sports Medicine Federation in 2024, and honoured as the 2022 ACA Chiropractor of the Year for his contributions to the profession.Luke NelsonSports & Exercise ChiropractorDirector Health & High PerformanceB App Sci (Clin Sci.)/B Chiro Sci, ICCSP, Postgrad.Dip.Sport Chiro, M.Sport.Sci, ASCA Lev 1, FAICE, FASMFw. https://www.healthhp.com.au/Chapters00:00 Introduction to Podiatry and Chiropractic Practices00:58 Evolving Perspectives in Healthcare03:36 The Journey of a Chiropractor06:47 The Role of Social Media in Healthcare09:32 Strength Training and Injury Prevention12:37 Plyometrics in Running Training15:24 Individualized Training Approaches18:34 Managing Tendon Injuries21:11 Patient Education and Communication29:06 Effective Communication in Consultations33:14 Understanding Running Programming40:23 Assessment Techniques for Runners47:14 The Importance of Strength Assessment53:47 Managing Bone Stress Injuries01:01:24 Reflecting on Gratitude and Perspective01:01:48 Foot Strike Patterns and Gait Interventions01:04:59 Sustaining Changes in Running Technique01:06:35 Programming for Return to Running01:10:57 Adding Intensity to Training01:11:59 Managing Pain and Progressing Training01:16:52 Mechanical Interventions in Running01:20:03 Favorite Running Shoes and Recommendations01:23:09 Interviewing the Greats and Research Aspirations01:27:06 Future Endeavors and Closing Thoughts TakeawaysThe breakdown of traditional silos in healthcare is beneficial for patient care.Interdisciplinary collaboration leads to better treatment outcomes.Social media can enhance the dissemination of healthcare knowledge.Strength training is crucial for injury prevention in runners.Plyometrics can improve performance and aid in rehabilitation.Patient education is essential for effective treatment.Understanding patient goals helps tailor treatment plans.Assessment techniques are vital for identifying issues in runners.Research translation is important for evidence-based practice.Healthcare professionals should continuously evolve their practices. Strength parameters should be assessed in context, not isolation.The act of doing training is more important than just numbers.Weakness can be a precursor to injuries, but it's not the only factor.Criteria-based rehabilitation is often more effective than time-based.Managing bone stress injuries requires careful progression and monitoring.Runners often need mental support when facing injuries.Foot strike patterns should be assessed but not always changed.Easy running builds the foundation; speed work enhances performance.Individualized programming is crucial for effective rehabilitation.The future of injury prevention research is multifactorial and complex.

Issac instagram: https://www.instagram.com/isaacheyne/Substack: https://substack.com/@isaacheyne?r=jxf68&utm_medium=ios&utm_source=profile&fbclid=PAZXh0bgNhZW0CMTEAAadhAnzfZo7PbmOOABf-9MoarClQRKfYUPEdbOD-PgKY6y7d1bBdYhSKAcUV1A_aem_2VWcJabI4cL4gvFebIjangSkip to 8mins to get started!What way to evaluate information is:Applying the CRAAP testCRAAP frameworkCurrency: Is the information up‑to‑date?Relevance: Does it directly address your question or topic?Authority: Who is the author? What are their credentials and affiliations?Accuracy: Is the content supported by verifiable evidence and citations?Purpose: What is the reason behind the content—informative, persuasive, commercial, or satiricalkeywords: running, influencers, training load, misinformation, social media, sports medicine, physiotherapy, nutrition, community, injury prevention, running culture, injury prevention, running community, evidence-based practice, footwear innovation, personal experience, inclusivity, social media, athlete support, training methodssummaryIn this conversation, Blake Withers and Isaac Hain discuss the influence of running influencers on the sport, the importance of understanding training load, and the challenges of navigating misinformation in the running community. They explore the evolution of running knowledge, the impact of social media, and the necessity of critique in professional development. The discussion also touches on the role of nutrition in injury prevention and the positive aspects of running communities. In this conversation, the speakers explore the evolution of running culture, the impact of increased participation in the sport, and the importance of inclusivity within the running community. They discuss the challenges of traditional running paths and the role of evidence in running practices, emphasizing the need for individualized approaches to running injuries. The conversation also touches on the balance between tradition and innovation in running, the emotional connection to the sport, and the significance of engaging with the running community online. Ultimately, the speakers reflect on their personal experiences and the purpose they find in helping others navigate their running journeys.Chapters00:00 Introduction to Running and Physiotherapy10:18 Isaac's Journey: Runner and Clinician13:34 The Evolution of Running Knowledge16:15 The Impact of Misinformation in Running19:25 Navigating Social Media and Running Advice22:30 The Role of Critique in Professional Growth25:33 Finding Truth in Running Information28:22 The Balance of Sharing Knowledge31:25 Conclusion: The Future of Running and Health Information37:54 Understanding Knowledge Gaps in Physiotherapy41:34 Navigating Scope of Practice and Online Influence43:45 The Role of Nutrition in Physiotherapy46:58 The Impact of Social Media on Running Culture52:34 The Evolution of Running and Its Community58:36 Challenging Traditional Paths in Running01:03:27 Balancing Old and New Practices in Training01:08:25 Understanding Individualized Treatment in Healthcare01:11:28 The Complexity of Physiotherapy and Patient Care01:14:22 The Role of Social Media in Running and Community Engagement01:17:21 Personal Experiences Shaping Professional Passion01:20:36 Navigating Online Presence and Telehealth in Physiotherapy01:22:38 The Evolution of Running Footwear and Personal Preferences

In this conversation, Blake Withers and Kelly Kortick host Esther Keown and Dr Claire Badenhorst to discuss the importance of understanding female physiology in sport, particularly running. They explore the challenges young female athletes face regarding body image and performance, the significance of individualised training programs, and the role of communication in supporting female athletes. The discussion also highlights the launch of Femmi's membership, which aims to empower women through education, community support, and personalised training that considers the unique physiological needs of women. The Femmi app is available for download on iOS and android: iOS: https://apps.apple.com/au/app/femmi-running-plans-for-women/id1672881899Android: https://play.google.com/store/apps/details?id=com.femmico.femmi&hl=en&pli=1Femmi: https://tinyurl.com/c7r732bsEsther: https://www.instagram.com/estherkeown/?hl=enClaire: https://www.instagram.com/claire_bades/?hl=enTakeawaysUnderstanding female physiology is crucial for optimizing training and performance.Communication about body image and performance is essential for young female athletes.Individualized training programs are necessary to accommodate the unique needs of female runners.FEMI provides resources and support for women to understand their bodies better.The menstrual cycle significantly impacts training and performance for women.Empowerment through education can enhance confidence in female athletes.Community support plays a vital role in encouraging women to participate in running.Research on female physiology is still evolving and needs to be more inclusive.FEMI's membership offers personalized training and expert guidance for women runners.Tracking menstrual cycles can help women understand their bodies and improve performance.Chapters00:00 Introduction to FEMMI and Its Mission01:29 Understanding Female Physiology in Training02:17 Optimizing Communication and Support for Female Athletes02:44 The Impact of Societal Norms on Female Athletes04:21 New Chapter04:36 The Role of Coaches and Clinicians in Body Positivity07:24 Understanding Female Physiology and Injury Prevention10:04 Research Insights on Female Athlete Well-being13:08 The Importance of Open Conversations in Sports Medicine15:45 Celebrating Progress in Female Sports Education24:24 Understanding Menstrual Cycle Research Limitations30:16 Individual Variability in Menstrual Cycle Symptoms33:13 FEMI: Tailoring Training to Female Physiology37:24 The Complexity of Hormonal Impact on Performance42:52 Recognizing Luteal Phase Defects and Their Implications51:31 Empowering Women Through Cycle Tracking56:12 Understanding Your Body and Hormones57:12 The Importance of Iron for Female Athletes01:06:43 Debunking Foot Strike Hemolysis01:11:30 The Dangers of Generic Training Programs01:14:35 Maximizing Performance for Female Athletes01:17:54 Introducing the Femi MembershipKeywordsFEMMI, female physiology, running, training programs, women's health, empowerment, communication, performance, menstrual cycle, community support

Gregs social: https://www.instagram.com/greglehman/Pro version Heidi AI Scribe (time saver) Link: ⁠https://scribe.heidihealth.com/?via=SMP⁠Support the show: ⁠https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLinkGregs Website: https://www.greglehman.ca/Chapters00:00 Evaluating Shockwave Therapy in Tendinopathy00:44 The Role of Exercise in Rehabilitation03:43 Understanding Patient Ecosystems and Health06:23 Case Studies: Practical Applications in Treatment08:49 The Complexity of Pain Management11:43 Research Critique: Shockwave Therapy and Evidence14:10 Psychological Factors in Pain Perception17:02 Clinical Decision-Making in Patient Care26:00 Trusting Experts and Knowledge Translation27:21 Challenging Established Beliefs28:30 Comparing Treatment Philosophies31:03 The Role of Patient Understanding33:35 Exercise vs. Alternative Treatments34:26 Load Management in Rehabilitation35:54 Creative Approaches to Running Rehabilitation37:06 Resistance Training for Runners40:12 Skepticism Towards New Research42:50 Understanding Bone Stress Injuries54:53 Understanding Pain and Structural Changes58:59 Navigating Risks in Running Injuries01:04:20 The Role of Social Media in Health Information01:09:39 Strength Training and Recovery Insights01:12:24 Research Aspirations and Future DirectionsKeywords:shockwave therapy, tendon rehabilitation, exercise, pain management, sports medicine, patient education, metabolic health, case studies, research appraisal, individualized treatment, training protocols, bone health, stress fractures, plyometric training, rehabilitation, pain management, social media, health information, research ethics, performance.Summary:This conversation delves into the complexities of sports medicine, focusing on shockwave therapy, exercise rehabilitation, and the importance of understanding patient ecosystems. The speakers discuss recent research findings, the role of exercise in pain management, and the need for individualized treatment approaches. They also explore the psychological factors influencing pain and the critical appraisal of existing research in the field. In this conversation, Blake Withers and Greg delve into various aspects of training protocols, bone health, and the complexities of rehabilitation. They discuss the importance of flexibility in training, the role of frequency in plyometric exercises, and the nuances of managing pain in relation to structural changes. The dialogue also touches on the ethical considerations of pain in research, the impact of social media on health information, and future directions in rehabilitation research.takeawaysShockwave therapy may not provide additional benefits compared to exercise.Exercise should be critically evaluated just like other treatments.Improving a patient's overall health ecosystem is challenging but essential.Patient motivation is crucial for successful rehabilitation.Understanding the mechanisms of pain can enhance treatment outcomes.Research in sports medicine often lacks strong evidence for certain treatments.Individualized treatment plans are necessary for effective rehabilitation.Psychological factors play a significant role in pain perception.Exercise can positively influence peripheral nociception.Critical appraisal of research is vital for informed clinical practice. People can improve despite not following traditional protocols.Flexibility in training is crucial for optimal results.Frequency of training may be more important than intensity.Understanding bone health is essential for preventing stress fractures.Pain is not always a reliable indicator of injury severity.Social media can be a double-edged sword for health information.Research ethics play a significant role in studying pain management.The relationship between structure and pain is complex and often misunderstood.

Mr. Ian Reilly qualified as a Podiatrist in 1988 and became a Podiatric Surgeon in 1996. Over his career, he has performed more than 11,000 surgical procedures under various anaesthesia types, showcasing his extensive expertise. You can out more below by clicking the link on his website. From 2001 to 2024, he led Podiatric Surgery at Northamptonshire Trust, significantly advancing podiatric care. Now retired from NHS practice, he focuses on private care, operating weekly at Three Shires Hospital in Northampton and treating patients across self-pay, insured, and NHS pathways. Mr. Reilly specializes in: Injection Therapy: • Cortisone Injections Podiatric Surgery: • Cyst and ganglion excision (soft tissue lumps and bumps) • Morton’s neuroma surgery (trapped nerves) • Subungual and other bony exostectomies (bony bumps) • Lesser toe correction (hammer toes) • Metatarsal surgery for forefoot pain • Surgery for hallux limitus (arthritis of the great toe) • Surgery for hallux valgus (bunions) • Haglund’s deformity (heel bumps) • Plantar fasciitis (heel pain) • Flatfoot surgery Minor Surgery: • Verrucae, corn, and skin surgery • Nail surgery Dr Ian Reilly website: https://podsurgeon.co.uk/ Youtube: https://youtube.com/@ianreillypodsurgeon?si=rDK6BHAwRGBu4L3F What it takes to become a Podiatric surgeon? file:///Users/blakewithers/Desktop/ian%20pod/The%20Royal%20College%20of%20Podiatry.html Mary PoppinsProbably Needed Orthotics article https://podiatrym.com/Highlights2.cfm?id=3286 Patreon: https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink 00:00Introduction to Dr. Ian Riley02:07Career Progression in Podiatry05:53Surgical Experience and Case Studies07:24Injection Therapy in Podiatry13:55Managing Neuritis and Injection Guidelines18:43Understanding Osteoarthritis and Injection Therapy23:41Patient Case Study and Emotional Impact26:50The Role of Podiatry Post-Surgery32:22The Evolving Perspective on Orthotics35:12International Standards in Podiatry37:06The Importance of Imaging in Diagnosis39:42The Forefoot Examination Process42:28Understanding Morton's Neuroma46:02The Role of Imaging in Treatment Decisions48:31Surgical Indicators for Forefoot Conditions01:03:10Understanding Patient Concerns and Predictions01:05:14The Role of Orthotics in Treatment01:06:53The Importance of Communication in Healthcare01:08:57Navigating Conflicting Opinions Among Clinicians01:11:18Injection Therapy and Its Efficacy01:15:29Challenges in Treating Mid-Foot Osteoarthritis01:22:33Research Aspirations in Injection Therapy01:24:45Interviewing Historical Figures for Insight01:26:24Future Teaching and Learning Opportunities

Pro version Heidi AI Scribe (time saver) Link: https://scribe.heidihealth.com/?via=SMP Support the show: https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink Follow Dr Bradley Neal, Ph.D. & Dr Simon Lack, Ph.D. and their upcoming education. It is well worth it. https://linktr.ee/teampfp?fbclid=PAZXh0bgNhZW0CMTEAAabq-xxjXZLjaBghdw5ljiKbvKlw7yoHNqJVS3UoeWtqVhyEhsEsCjpPPUk_aem_NyxdN3NoW2Jz8S6V2LppPA Agenda. Chapters available. Clinical recap - Foot orthosis and PFP, Surgical case rehab & PRP for chondromalacia patella - good or bad? Understanding patellofemoral pain biomechanics Evidence-based interventions Strategies for long-term management Impact of anatomical variations Effective patient education Optimizing foot orthoses and footwear Gait retraining for pain relief Developing return-to-running protocols Exercise programming for symptom management Tailoring rehabilitation dosages Advancing sports medicine practice Breaking down myths about patellofemoral pain Exploring cutting-edge research in rehabilitation Learnings: Takeaways: Patellofemoral pain is prevalent among recreational athletes. Orthoses can be effective for patellofemoral pain management. Loading strategies are crucial for rehabilitation. Patient education is key in managing expectations and outcomes. Biomechanics play a significant role in understanding knee pain. Research is evolving, and clinicians must stay updated. The relationship between pain and tissue capacity is complex. Effective treatment requires a personalized approach. Understanding pain mechanisms can improve treatment outcomes. Collaboration between clinicians and researchers is essential for progress. Patient symptoms should guide treatment strategies. Long-term pain is common in patellofemoral pain cases. Expectations for recovery should be realistic and based on evidence. Anatomical variations can significantly impact treatment outcomes. Resistance training is crucial for joint and muscle health. Education is a key component of effective patient care. Research is needed to establish long-term treatment efficacy. Individualized return-to-run programs can enhance recovery. Understanding biomechanics is important for treatment planning. Effective communication with patients can improve treatment adherence. PMID: 39401870 PMID: 25716151 PMID: 29793124 PMID: 25558288 PMID: 26884223 PMID: 31475628 PMID: 25569281 Chapters 00:00 Introduction and Background of Brad Neal 02:56 The Journey into Patellofemoral Pain Research 05:20 Collaboration in Research and Clinical Practice 06:11 Case 1: Foot orthosis & PFP - Do or Don't? 07:39 Orthoses in Patellofemoral Pain Management 08:42 Evidence for orthosis and PFP 10:14 Loading Strategies for Patellofemoral Pain 11:25 Foot orthosis and different feet 17:06 case study 2: PFP need surgery? 25:29 Explaining chondromalacia patelli 30:12 Diagnosing PFP 32:14 Understanding Pain: Kneecap vs. Back Pain 33:21 Nociceptive Tissue and Treatment Tailoring 35:35 The Importance of Accurate Diagnosis 37:22 The Role of Physiological Changes in Pain 38:46 Prognosis and Long-Term Pain Management 45:09 Factors Influencing Pain Duration 48:45 The Impact of Structural Variations on Pain 52:01 The Role of Resistance Training in Joint Health 54:34 mindfulness and recreational runners with patellofemoral pain. 56:06 Dosing Activity vs. Traditional Exercise 01:03:49 Pain Neuroscience Education and Its Application 01:04:52 The Impact of Exercise on Osteoarthritis 01:05:18 The Role of Education in Patient Care 01:06:09 Innovative Approaches to Patient Education 01:07:23 Navigating NHS Waiting Lists 01:08:01 The Importance of Accessible Information 01:10:05 The Future of Patient Education 01:11:26 The Balance of Information and Clinical Guidance 01:12:53 Running Rehabilitation Strategies 01:13:34 The Mechanics of Running Retraining 01:17:00 Research Aspirations in Physiotherapy 01:21:35 Personal Insights and Future Directions

Send us a Text Message.Ian Harris, an orthopedic surgeon practicing in Sydney and a Professor of Orthopedic Surgery at UNSW, has published extensively on the effectiveness of surgical interventions.Key Discussion Points:Key Findings in Surgical EffectivenessEthics and ImprovementsUnderstanding PlaceboPersistence of Ineffective SurgeriesImpact of the COVID-19 PandemicClinician’s Role and Informed ConsentDiagnosis and Treatment DecisionsPRP and Other TreatmentsRethinking MedicineFeatured Books:...

Send us a Text Message.We chatted about the details of Lisfranc injuries and midfoot osteoarthritis We explored the unique structures involved and why this injury is distinct. We discussed the key steps in diagnosing a Lisfranc injury, including the essential imaging techniques. We covered the various surgical options available and what these procedures entailed.We also addressed the potential risks of delayed intervention and the importance of foot orthoses and appropriate footwear...

Send us a Text Message.Explore the intricate relationship between hormones and performance in this podcast episode. Delve into common myths and truths about hormones, particularly regarding their impact on soft tissue and bone changes as we age. Learn about the nuances of the ovarian hormone profile and its influence on training and performance, including strategies to alleviate menstrual cycle symptoms. Discover the debate surrounding phase-based training and the considerations for women usi...