The Shoulder Physio Podcast
The Shoulder Physio Podcast explores meaningful topics in musculoskeletal health care, with a focus on shoulder-related issues. Hosted by Jared Powell, the show aims to provide insights for both clinicians and patients. Episodes cover assessment, treatment, and rehabilitation strategies, offering evidence-based perspectives. The podcast serves as a resource for those interested in physiotherapy and orthopaedic care.
Episodes
#64: Is measuring strength useful? With Tim Cook
Jared is joined by Tim Cook who is Senior Lecturer in Physiotherapy at the University of Chichester, Advanced Physiotherapy Practitioner in the NHS, and doctoral researcher to discuss their new paper with Prof. Jeremy Lewis in the Journal of Manual & Manipulative Therapy: "Rethinking strength testing in rotator cuff-related shoulder pain: a clinical tradition that lacks muscle."
#63: The myth of perfect movement
Is there really one correct way to move? For decades, clinicians and coaches have acted like there is. In this episode, we prosecute that idea.
We start in a 1930s Soviet forge, where Nikolai Bernstein filmed blacksmiths and found their hammer strikes landed in the same spot every time, despite every joint angle differing swing to swing. That's "repetition without repetition." From there
#62: Pain during exercise: friend or foe?
The question of allowing pain, or avoiding it, during exercise based rehab remains contentious and uncertain. So, like any good scientist, we (led by Ivy Tran) studied the evidence-base and sought an answer to this clinical conundrum to help not just you, but us too! What did we find? Listen to the episode to find out.
Key resources
Tran I et al. Effectiveness of Painful V
#61: What is a physiotherapist?
What is a physiotherapist? Strip away the hands, the exercises, the modalities, what's left? In this episode I argue that the "fixer" identity, the clinician who finds what's broken and corrects it, isn't where our profession came from. It's something that was selected into us through a century of professional politics and reductionist thinking. Drawing on the history of physiotherapy, Ne
#60: The Burnout Episode
Burnout in our profession is widespread, with most studies reporting prevalence between 8 and 23 per cent, and up to 65 per cent of recent graduates planning to leave physiotherapy within ten years. In this episode, drawing on a recent editorial in the Journal of Physiotherapy by Ky Wynne, I lay out the empirical picture and challenge the dominant framing that burnout is a problem of
#59: Exercise, sets, reps and the pharmacology problem
Is more always better? Is there a dose response effect of exercise for musculoskeletal pain? Should exercise be just like a medication, where the dose has to be sufficient in order for it to elicit a therapeutic effect?
These are the questions we contend with on this episode of The Shoulder Physio Podcast.
Key resources
Lawford BJ, Hinman RS, Spiers L, Kimp AJ, Dell'Isola
# 58: Most rotator cuff tears don't hurt
The FIMAGE study scanned both shoulders of 602 adults from the general population using high-resolution 3-Tesla MRI. Only 7 had a structurally normal rotator cuff. In this episode, I walk through what the study found, why 78% of full-thickness tears were in people with no shoulder pain, and what happens to the diagnostic value of a scan when the finding it detects is near-universal. I cha
#57: Stop Looking for a Winner: The Case for Treatment Pluralism
In this episode, I walk through my recent JOSPT paper arguing that no single treatment modality has proven itself superior for musculoskeletal pain and that the profession should stop pretending otherwise.
Drawing on Isaiah Berlin's distinction between the hedgehog and the fox, I make the case for treatment pluralism: the idea that multiple interventions can lead to recovery, and that rig
#56: I Posted a Meta-Analysis and 50 Doctors Told Me I Was Wrong
I posted a meta-analysis showing PRP doesn't beat saline for tennis elbow. The regenerative medicine community came for me, hard. This episode walks through the incident, what the evidence states, why the comparator you choose determines the conclusion you reach, and what the pushback reveals about incentives in musculoskeletal medicine.
References
Antunes Júnior et al. (2026). Plate
#55: Will AI Replace Physiotherapists?
The argument that AI replaces "the science" while clinicians should "lean into the art" has become common across healthcare. In this episode, I explain why I think both sides of that framing get it wrong, and why the art vs. science debate was always a false dichotomy that AI has simply made harder to ignore.
I draw on four thinkers to make the case: Michael Polanyi on tacit knowledge, Do
#54: Physiotherapists are Knowledge Workers
In this episode of The Shoulder Physio Podcast, we discuss why musculoskeletal clinicians are, at their core, knowledge workers. Not in the corporate buzzword sense, but in the truest sense: professionals whose value comes from the quality of their thinking, not the techniques in their toolkit. We explore why knowledge compounds but repetition doesn't, why information alone fails to chang
#53: Shin Splints: The Most Misunderstood Running Injury with Laura Anderson PhD(c)
Physiotherapist and PhD researcher Laura Anderson just published a paper arguing that "medial tibial stress syndrome" is a 'garbage' name that's been freaking runners out and leading to terrible treatment for decades.
Her proposed replacement? Load-Induced Medial Leg Pain (LIMP).
Yes, LIMP, pun not intended.
The Problem:
"Tibial stress" makes everyone think bone stress injury → stress fr
#52 It’s Not All About Strength: What the Evidence Shows and What the Reaction Reveals
In this episode, I discuss our recently published BJSM editorial “It’s Not All About Strength” ; what the paper argues, why we wrote it, and what the evidence says about mechanisms of exercise-related pain relief in musculoskeletal conditions.
I then turn to the reaction. Not to name names or settle scores, but to examine what the response reveals about how we handle criticism, uncer
#51: Resistance Training Across the Lifespan: What Really Matters with Dr. Jackson Fyfe
In this episode, Jared Powell is joined by Dr. Jackson Fyfe, exercise scientist and Senior Lecturer at Deakin University, to explore the science and practicality of resistance training across the lifespan.
They unpack everything from how kids can safely lift weights to how older adults can maintain muscle health and longevity. Jackson also shares insights from his research on training dos
#50 Not for everyone: The launch of The Complete Clinician with Dr Jared Powell, PhD
In this episode, Jared announces the launch of The Complete Clinician, a new mentorship and education community for MSK professionals who want more than recycled CPD. He explains why this platform exists, what’s inside, and who it’s designed for. From monthly PhD-level lectures to the Brew & Review journal club, structured learning modules, and The Clinician’s Compass, this is a
#49: Cognitive Functional Therapy with Prof. Peter O'Sullivan
In this candid and wide-ranging conversation, Dr Jared Powell is joined once again by Professor Peter O’Sullivan, one of the most influential voices in musculoskeletal care.
Pete unpacks the rationale and findings of the landmark RESTORE trial published in The Lancet, which provides some of the most compelling evidence to date for cognitive functional therapy (CFT) in people with ch
#48 Rotator Cuff Surgery: What Makes it Worthwhile?
In this solo episode of The Shoulder Physio Podcast, Dr Jared Powell explores a deceptively simple question: How much benefit does rotator cuff surgery need to provide to be considered worthwhile?
Jared explores a new 2025 study by Harrison Hansford and colleagues, which uses a clever benefit–harm trade-off approach to quantify what patients actually want from surgery.
This epi
#47: Active Inference, Pain, and Movement with Dr Mervyn Travers
In this episode of The Shoulder Physio Podcast, Dr Jared Powell sits down with Dr Mervyn Travers, physiotherapist, S&C coach, and researcher, to explore one of the most compelling frameworks in contemporary pain science: active inference.
They discuss how this predictive brain model helps explain persistent musculoskeletal pain, why traditional exercise-based interventions might miss
#46: Evidence-based medicine with its founder, Professor Gordon Guyatt
In this episode, Jared Powell sits down with Professor Gordon Guyatt, the physician and researcher who coined the term evidence-based medicine (EBM). They unpack the origins of EBM, why it’s often misunderstood, and how it continues to shape modern healthcare.
Rather than being rigid or formulaic, EBM is about integrating the best evidence with clinical expertise and—crucially—patie
#45: Gluteal tendinopathy myths and misconceptions with Dr. Charlotte Ganderton
In this episode of The Shoulder Physio Podcast, Dr. Jared Powell sits down with Dr. Charlotte Ganderton, a physiotherapist, researcher, and senior lecturer at RMIT University. Charlotte shares insights from her latest research on gluteal tendinopathy, breaking down common misconceptions about imaging, corticosteroid injections, and the infamous clam exercise.
From understanding the role o
#44 Finishing my PhD: Reflections and Tips with Jared Powell, PhD
In this episode of The Shoulder Physio Podcast, I am interviewed by my wife, Tara, about my recently completed PhD.
For the past 7 years of my life I have been engaged in a research based PhD investigating the causal mechanisms underpinning the effectiveness of exercise therapy for rotator cuff related shoulder pain. This research program has produced 6 published pieces of resea
#43: Bone Stress Injuries with Rich Willy, PhD
In this episode of The Shoulder Physio Podcast, I am joined by Rich Willy, PhD to discuss bone stress injuries. Rich is one of the foremost experts in the world on bone stress injuries, and it was a real pleasure to sit down with him for an hour to chat all things bone.
Bone stress injuries can be quite common in athletic populations and the consequences of a poorly managed
#42 Can you outrun persistent low back pain?
In this episode of The Shoulder Physio podcast, I am joined by Chris Neason and Claire Samanna to discuss their recently published randomised controlled trial exploring running as a treatment for chronic low back pain.
Chronic low back pain is widely believed to be one of the biggest contributors to years lived with disability. As such, it is a problem that needs
#41: Rotator cuff tears with Doctor John Kuhn
In this episode of The Shoulder Physio podcast, I am joined by Dr John Kuhn, who is an orthopaedic surgeon and researcher from the United States. Doctor Kuhn and his colleagues, through the MOON shoulder group, have published several high impact studies investigating the management of individuals with rotator cuff tears and the results of these studies have caused some cont
#40 Tennis elbow with Leanne Bisset, PhD
In this episode of The Shoulder Physio podcast, I am joined by Leanne Bisset, who is the queen of tennis elbow, seriously. Leanne is an associate professor at Griffith University on the Gold Coast, Australia with a keen interest in upper limb tendinopathy. Leanne also has extensive experience as a clinician, which makes Leanne a balanced voice of reason.
Ten
#39: Load management: A tour de force with Tim Gabbett, PhD
In this episode of The Shoulder Physio podcast, I am joined by Tim Gabbett, who is the training load master. Tim has an incredible resume as both a coach and scientist and recently featured in the top 10 of a list ranking sports scientists from around the world. In this episode, we go deep into the training load literature and what it may mean for the clinician an
#38: Are opioids better than placebo for neck and low back pain? With Caitlin Jones, PhD
In this episode of The Shoulder Physio podcast, I am joined by Caitlin Jones, who has recently published a world first randomised placebo controlled trial in the Lancet journal on opioids for acute neck and low back pain. In this episode Caitlin discusses why they chose to do this trial, the results and their possible clinical implications. Caitlin
#37: Medicine is sick: with Professors Rachelle Buchbinder and Ian Harris
In this episode of The Shoulder Physio Podcast, I am joined by Rachelle Buchbinder and Ian Harris. Rachelle and Ian are academic doctors who still see and treat patients whilst also conducting high quality research. This conversation centres around the concept that modern medical care is sick. Over-treatment, over-diagnosis, junk science, and perverse incentives are just some of
#36: Should physiotherapists provide dietary advice to individuals with knee osteoarthritis? With Professor Kim Bennell
In this episode of The Shoulder Physio podcast, I am joined by Kim Bennell, a professor and research physiotherapist from the University of Melbourne. Kim has been involved in designing and implementing dozens of clinical trials over her many years of research and is a true giant of the physiotherapy profession. In this episode we discuss something novel. We ventu
#35: Unraveling the mechanisms of manual therapy with Associate Professor Amy McDevitt
In this episode of The Shoulder Physio podcast, I am joined by Amy McDevitt, an associate professor and clinician at the University of Colorado. Amy shared her perspective on manual therapy and the importance of unraveling the mechanisms behind this treatment approach.We discussed the evolving causal explanations of manual therapy, moving
#34: Patello-femoral pain syndrome with Professor Bill Vicenzino
Patello-femoral pain is a common, and at times, debilitating condition of the knee that can impact people across the lifespan. Professor Bill Vicenzino is a world leading expert on this topic and to that end I've enticed him onto the show to give us the ins and outs of this tricky condition. This is truly a must listen episode with a real pioneer of physiotherapy about a ve
#33: How much pain relief do patients expect from our treatments?
When a patient comes to see a physiotherapist, or any health care professional, how much better does that patient need to get to make a treatment worthwhile? This is an important question because we're constantly making treatment recommendations to patients, day in-day-out, but based on what? My guest for this podcast, Harrison Hansford, reckons a lot of our treatment
#32 Exercise for Shoulder Pain is a No-Brainer, Right?
We're constantly told, even lectured, about the importance of exercise for most non-traumatic musculoskeletal pain presentations, shoulder pain included. We assume it works for all people across time and space, but is this true? Are there factors that might influence whether exercise will help an individual with shoulder pain or not? What are these factors and can we influence them? Liste
#31: Uncertainty doesn't prevent action
Every iconic scientist has a quote emphasising the importance of uncertainty and doubt that underpins the scientific attitude. This holds true as much for fundamental physics and biological science as it does for health science, probably far more so in the case of health science. For we are complex, non-linear creatures, each with different stories, backgrounds, contexts an
#30: Pilates for chronic low back pain, how does it work?
Pilates exercise seems to help people with chronic low back pain...but how? What are the causal mechanisms underpinning the apparent effectiveness of Pilates? Does it activate the multifidus and transeversus abdominis muscles? Does it reduce fear and improve confidence? Both or neither? To shed some light on this question I have invited Lianne Wood on to the show, who, incidentally, has a
#29 The Placebo Effect with Professor Steve Kamper
What exactly is a placebo effect? When you try and pin it down, it's confusing. Technically, it's something inert that produces an effect...how can there be an effect without a mechanism? Prof. Steve Kamper is here to help bring clarity to the issue.
Key Papers:
Kamper 2013: The placebo effect: powerful, powerless or redundant?
Testa and Rossettini 2016: Enhance placebo, avoid
#28 What is this thing called science? With Erik Meira
Science is ubiquitous. But what is it? Everyone talks about science and the significance of being scientific but nailing down just what this means for clinical practice in physical therapy is somewhat elusive. To clear all this up, I’m joined by the Science Pt, Erik Meira. Erik is a sharp and eloquent communicator about science and its application to physical therapy. You don’t want to mi
#27 Exercise for Knee Osteoarthritis. A debate between Marius Henriksen and Christian Barton
Exercise for knee osteoarthritis is a non-negotiable and effective intervention, right? Well, maybe it’s not so clear. Evidence seems to be dropping every month challenging the privileged position that exercise occupies for managing knee osteoarthritis. Front and centre is the infamous DICSO trial, published in 2022, and this study will serve as the foundation for this debate. The de
#26 A primer on tendon pain with Professor Neal Millar
Tendinopathy: Is it a simple case of tendon overload that can be fixed with eccentric exercise or friction massage? What's the deal with inflammation? Is there a role for adjunct therapies such as biologics and medications? Can physios, surgeons and sports physicians ever get along when it comes to managing tendinopathy? My guest, Professor Neal Millar is here to let you know.
Key p
#25 What's the deal with strengthening for shoulder pain?
Strengthening exercise is a popular and effective treatment for shoulder pain. But...is the benefit of strengthening exercise derived from getting stronger or are there other causal mechanisms underpinning the effect? Listen to find out!
Key papers:
Powell and Lewis 2021: Rotator Cuff–Related Shoulder Pain: Is It Time to Reframe the Advice, “You Need to Strengthen Your Shoulder”?
Lew
#24 Injury prevention (or is it reduction?) with Professor Franco Impellizzeri
Can we prevent injuries from happening? All of them? If we can't prevent ALL injuries should we move away from using the term prevention? Or is all this boring and irrelevant linguistic games that don't move the needle for clinical practice? I for one am fascinated by this discussion and I reckon you will enjoy it too. Franco, as always, has the ability to cut through fluffy opinions
#23 Platelet rich plasma: Separating fact from fiction
In this solo episode I discuss the evidence underpinning the use of platelet rich plasma injections for shoulder pain. Platelet rich plasma makes total sense on the surface, but do empirical findings support this? Should we continue down the pathway of research for platelet rich plasma, or move on? Should you recommend it in your practice? What do you say if a patient asks you about it? T
#22 Thinking beyond sets and reps with John Kiely
In this episode I speak with eminent sport scientist and coach, John Kiely. John is infamous for challenging dogmatic training principles in sport science, chiefly periodisation theory. Our conversation starts with periodisation theory and then goes to some interesting locations, stopping momentarily at homeostasis, allostasis, general adaptation syndrome (GAS), predictive processing, the
#21 Can the ACL heal? With Dr Stephanie Filbay
An entrenched assumption in sport and exercise medicine/physiotherapy, going back decades, has been that ACL (anterior cruciate ligament) injuries DO NOT heal. Not ever. However, like many dogmatic beliefs in the health and fitness sector, this assumption appears to have been seriously wrong. Dr Stephanie Filbay joins me to discuss her latest paper about the healing capacit
#20 Osteoarthritis with Professor David Hunter
Osteoarthritis (OA) is a leading cause of pain and disability. OA is also seems to be associated with several myths and misconceptions about how it is caused and how it might be managed. To cut through some of this mythology, I invited Professor David Hunter on the show for a 'no holds barred' conversation. David is the number 1 ranked expert in the world on OA, so it should come as no su
#19 Scapula Dyskinesis; do we need to fix it? - with Filip Struyf
In this podcast, I discuss the scapula with Filip Struyf, PhD. Filip is a former guest on the show (episode 2) and I've pulled him back on the podcast to tackle the hard problems as they relate to the scapula. Specifically, in this episode we consider the question: "If we identify a scapula dyskinesis in our physical examination, should we attempt to rectify it?".
Key Resources:
Fil
#18 Is feeling stiffness actually related to joint stiffness? With Tasha Stanton
Feeling stiff is a familiar feeling for all of us. But does feeling stiff mean our joints are actually stiff? Or is there more to it. Tasha Stanton PhD is a clinical neuroscientist who has performed research directly addressing this question. This is a fascinating conversation and I hope you enjoy.
Key resources:
Tasha's paper here
Connect with Jared and Tasha:
Jared on Insta
#17 Nordics debate - with Prof's Franco Impellizzeri & Kristian Thorborg
The Nordic hamstring exercise has enjoyed mostly good press with respect to injury prevention effectiveness. That is until recently. Professor's Franco Impellizzeri and Kristian Thorborg kindly and clearly join me in conversation to help us understand the evidence for and against this exercise.
Key resources:
Impellizzeri Meta analysis: HERE
Ishoi and Thorborg response: HERE
Van Dyk syste
#16 The science of cause and effect - with Connor Gleadhill
I am joined by Connor Gleadhill to discuss causal inference. Connor is a PhD candidate exploring causal inference and is someone who speaks fluently about complex topics (must be the smooth Irish accent!). Causal inference is basically the pursuit of estimating how and why things happen. How do we determine causation - strictly through the randomised controlled trial or can
#15 The biopsychosocial model - with Ben Cormack
The biopsychosocial model is ubiquitous in modern health care but what is it at its core? Is it accurately described and used in research and clinical practice? To help make headway into these questions and more, I'm joined by Ben Cormack. Ben is a MSK therapist from England who has developed a special interest in the philosophy and implementation of the biopsychosocial in MSK h
#14 Cognitive biases in physiotherapy – with Jarrod Hall
Cognitive biases are as much of a problem as they are fundamental to the human condition. They exist, but can we mitigate them? What common cognitive biases afflict health care? Jarod and Jared shoot the s**t around these interesting questions.
Melbourne workshop details:
Melbourne Workshop, June 4, The Performance Centre
Jared Powell on Instagram: @shoulder_physio
Jared Powell
#13 The Envelope of Function - with Scot Morrison
In this episode I am joined by Scot Morrison to discuss the envelope of function model, as proposed by Scott Dye in the 1990s. The envelope of function has gained increasing acceptance over the past decade and I thought a deep dive into this concept was needed to highlight the potential pro's and con's of implementing this into clinical practice.
Key resources:
Scott Dye
#12 Low back pain – with Peter O’Sullivan
Evidence changes and so should our beliefs. Peter O'Sullivan details his own radical change in beliefs and research agenda when it comes to low back pain and talks us through what instigated this about-face.
Key Resources
P2012 BJSM editorial: https://pubmed.ncbi.nlm.nih.gov/21821612/
2018 CFT paper: https://academic.oup.com/ptj/article/98/5/408/4925487?login=false
Lin 2020
#11 Lifting technique and low back pain – Debate between Greg Lehman and Andrew Lock
In this episode I am joined by Greg Lehman and Andrew Lock to discuss lifting technique/mechanics and it's relevance to low back pain/injury. The research in this area is inconclusive so I've brought Greg and Andrew on to clarify some contentious topics.
Sydney and Melbourne workshop details:
Sydney Workshop, May 14, The Sports Lab Alexandria
Melbourne Workshop, June 4, The Perform
#10 How can you live well with chronic pain? - with Bronnie Thompson
Pain is common and vital for survival. Chronic pain, though, is less vital and can significantly impact on the quality of life. Bronnie Thompson, PhD, believes it is possible to lead a fulfilled life in the presence of persistent pain. This is a must-watch/listen for all clinicians and even those who experience pain themselves. The paper we reference is listed below:
Living well with chro
#9 Shoulder Impingement - with Jared Powell
I had a conversation with the wonderful team at E3 rehab about the fuzzy and entrenched diagnostic label that is shoulder impingement. Over the 1 hour episode we discuss the history, inaccuracies and potential negative consequences of the term. This is a must listen if you've wondered why this term is controversial. Please refer to my accompanying Instagram post from February 27 for
#8 Predictive processing – does it have value in physical therapy? With Abby Tabor
In this episode I talk to Abby Tabor, PhD, on the interesting topic of predictive processing and how it may relate to understanding and explaining pain.
Abby is a physiotherapist who has gone on to become a prolific researcher in the field of active inference/predictive processing. Abby is a product of Lorimer Moseley's lab in Adelaide, Australia and is a clear communicator on t
#7 Is pain allowed during hamstring rehabilitation? With Jack Hickey PHD
In this episode Jared Powell discusses hamstring rehab with Jack Hickey, PhD.
Jack is the author of a brilliant paper comparing pain threshold versus pain-free rehab for an acute hamstring injury, with surprising results. Read Jack's paper here.
Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the cl
#6 Pain - with Greg Lehman
Greg is a renowned physiotherapist and chiropractor and is well known for reconciling biomechanics with pain science, which, coincidentally, is the name of his course! We talk about pain, the nuances of it, and the potential simplicity in helping people with pain minimise suffering and disability.
Ready to arm yourself (pardon the pun!) with actionable strategies for assessment
#5 Do we need philosophy in health science? With Rani Lill Anjum
Do we NEED philosophy in health science? Dr Rani Lill Anjum makes a compelling case for YES in the latest episode of The Shoulder Physio Education Podcast.
Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Should
#4 - Adam Meakins and Chad Cook debate
The topic of manual therapy and its role in physical therapy always elicits differences of opinion. In this episode, Adam Meakins and Chad Cook tackle the hard questions and attempt to clarify what manual therapy does (and doesn't) and where it fits into contemporary physical therapy care (if anywhere!).
Want to see the conversation happen live? Check us out on YouTube.
C
#3 Non-operative ACL management – fad of failure? With Kieran Richardson
In this episode, I talk with Kieran Richardson about some of the myths and misconceptions surrounding ACL injury of the knee. The ultimate question becomes: "is surgery a necessity after ACL injury"?
Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Co
#2 Assessment of the scapula – with Filip Struyf
In this episode, I discuss the scapula with Filip Struyf, PhD. We attempt to answer the measurement error question and how this influences everything thereafter! After all, if we can't accurately measure something it becomes impossible to prove the validity and lacks any utility in clinical practice.
Ready to arm yourself (pardon the pun!) with actionable strategies for a
#1 Frozen Shoulder, with Jeremy Lewis
I am joined by the venerable Jeremy Lewis, PhD, to discuss the clinical enigma that is frozen shoulder. This is a must watch for all clinicians who see people with a "stiff and painful" shoulder.
Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in clinic improve patient outcomes and quality of life? Come l
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