Jaryd Bourke – Achilles tendinopathy, heel lifts and changes in biomechanics and patient outcomes

Jaryd Bourke is a podiatrist and PhD candidate at Monash University Physiotherapy.  In this episode, Jaryd discusses Achilles tendinopathy and his research investigating heel lifts and changes in patient outcomes and biomechanics. Edit: Sorry for saying Wodonga is a city in NSW! At least I know people are listening...  it's on the border... Thanks to Jaryd for a great conversation. Use the timestamps below to jump to relevant sections. In this episode: 0:00 About this episode and welcome Jaryd 2:20 What is tendinopathy? 3:30 What is Achilles tendinopathy? 5:30 Heel lifts for Achilles tendinopathy - research 7:18 How could heel lifts help with Achilles tendinopathy symptoms 10:00 Jaryd’s trial on heel lifts for Achilles tendinopathy – key methods 17:00 Clinical implications 23:33 Final thoughts Diagnostic domains, differential diagnosis and conditions requiring further medical attention that are considered important in the assessment for Achilles tendinopathy: a Delphi consensus study, link to paper:  https://bjsm.bmj.com/content/59/13/891.abstract Follow Jaryd on LinkedIn: https://www.linkedin.com/in/jaryd-bourke-86932b200/?originalSubdomain=au If you are finding this content helpful, we would appreciate a review and rating for the Physio Foundations podcast. This really helps promote the podcast to others. Hit the follow button and give us a review and 5-star rating. Stay connected: Read more at Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Just in time for World Bronchiectasis Day, this is Part 2 of my discussion with Associate Professor Annemarie Lee on exercise for people with bronchiectasis. In this episode, Annemarie explains the benefits of exercise for people with Bronchiectasis and explores different ways people can engage in physical activity—whether as part of a formal rehabilitation program or by integrating it into daily life. A huge thanks to Annemarie for sharing your expertise. Use the timestamps below to jump to sections of interest. 0:00 About this episode 1:52 How does exercise benefit people with Bronchiectasis? 4:15 What does a typical pulmonary rehabilitation class look like? 6:15 Who is suitable for a pulmonary rehabilitation class for Bronchiectasis? 11:26 Exercise for airway clearance and exercise tolerance 14:18 Research gaps 16:50 How can people with Bronchiectasis monitor their exercise and symptoms? 22:55 The patient as a person, developing a therapeutic alliance 24:38 The most important knowledge and skills for a health professional – empathy 28:40 How to connect with Annemarie   Links and Resources: Bronchiectasis Toolbox Strong Lungs Annemarie Lee’s Research Profile (Monash University) If you find this content helpful, please rate and review the Physio Foundations podcast on your favourite podcast app—it helps others find the show. Stay connected: Read more at www.Perraton.Physio or follow the Perraton Physio LinkedIn page. Watch us on YouTube: Perraton Physio YouTube Channel Follow @PerratonPhysio on Facebook, X (Twitter), Instagram, and LinkedIn. Disclaimer: This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Associate Professor Annemarie Lee is a leading cardiorespiratory physiotherapist, educator and researcher whose work has helped shape how we understand and manage bronchiectasis in physiotherapy practice. This is the first episode of a two-part series on bronchiectasis. In this episode, we discuss subjective and objective assessment of people with bronchiectasis and provide an introduction to airway clearance techniques. A huge thanks to Annemarie for sharing your expertise. Use the timestamps below to jump to sections of interest. In this episode: 0:00 About this episode and welcome Annemarie 4:50 What is bronchiectasis? 8:50 Other impacts of bronchiectasis – loss of physical function, pelvic floor dysfunction, low back pain, reflux, etc. 12:50 Emerging treatments 13:40 Objective assessment of people with bronchiectasis 21:30  Airway clearance techniques 25:00 Bronchiectasis Toolbox website 29:12 Strong Lungs website 31:50 Summary  Links and Resources: Bronchiectasis Toolbox Strong Lungs Annemarie Lee’s Research Profile (Monash University) If you find this content helpful, please rate and review the Physio Foundations podcast on your favourite podcast app—it helps others find the show. Stay connected: Read more at www.Perraton.Physio or follow the Perraton Physio LinkedIn page. Watch us on YouTube: Perraton Physio YouTube Channel Follow @PerratonPhysio on Facebook, X (Twitter), Instagram, and LinkedIn. Disclaimer: This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

In this episode, Associate Professor Jane Rooney explains the latest evidence for non-operative management of ACL injuries, including the Cross Bracing Protocol and associated research. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.  Jane Rooney is a Specialist Sports and Exercise Physiotherapist (as awarded by the Australian College of Physiotherapists in 2009) and a facilitator and examiner for physiotherapists completing their specialisation through the College. She has extensive experience in sports physiotherapy, working with athletes of all levels, and is widely respected for her contributions to university and clinical teaching, including through the Physio Educators platform. In 2016, Jane was awarded a prestigious Churchill Fellowship to investigate how knee injuries are managed around the world. She is now part of the research team investigating the effectiveness of the Cross-Bracing Protocol for non-operative ACL injury management. Thanks to Jane for a fantastic conversation. Use the timestamps below to jump to key sections of the episode: In this episode: 0:00  About this episode and welcome Jane 4:10  Findings from Jane’s Churchill Fellowship: global ACL management and societal costs 7:16  Operative vs non-operative ACL management and patient decision aids 10:15  Case study: decision-making in ACL injury management 15:45  Bracing for native ACL healing: history of the Cross-Bracing Protocol 23:19  Non-operative management is not suitable for everyone 25:30  Bracing at 90 degrees: mechanisms and anatomical rationale 27:40  “ACL first aid”: preserving the option of non-operative management 30:30   Important! Bracing must involve a doctor, surgeon, and patient 33:36   Eligibility criteria, timeframes, and factors influencing ACL healing 37:05   Understanding the anatomy of ACL healing 41:45   Risks and medical considerations for referring patients for bracing 47:30   Future directions: non-operative care and evolving bracing protocols 59:50   Shared decision-making: pros and cons of bracing vs surgical care Jane referenced this study on treatment decision-making for ACL injuries: https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj/pzaf030/8075093 Find out more about the Cross Bracing workshop at physioeducators.com.au This podcast is free to access, but you can help us grow by sharing it within your network and leaving a review and 5-star rating. Thanks for supporting the show! Stay connected: • Read more at www.Perraton.Physio or visit the Perraton Physio LinkedIn page • Watch on YouTube: @PerratonPhysio • Follow @PerratonPhysio on Facebook, Instagram, LinkedIn, and X (formerly Twitter) This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any health concerns or medical conditions.

On this episode, I welcome back Mick Hughes and Randall Cooper to talk about the role of exercise in health and physiotherapy practice. We also discuss the work they are doing with their education platform, Learn.Physio, and what they have learned over the past five years from interviewing and creating content with world-class clinicians and educators. Thanks to Randall and Mick for a great conversation. Use the timestamps below to jump to the relevant sections. In this episode: 0:00 About this episode and welcome back Mick and Randall 1:50 Exercise Matters podcast 8:45 How can graduate physios advance their exercise knowledge and skills? 11:35 What sets physiotherapy apart from coaching, exercise physiology, and other professions? 18:40 When to say “I’m not sure” and refer to other health professionals 20:15 Can we over-medicalise exercise? When is it actually appropriate to medicalise exercise? 27:38 Tips for engaging people in exercise – find out what’s important to them 30:15 The Learn.Physio platform – highlights from behind the scenes 36:30 How do you integrate new knowledge from courses into your practice? 40:30 Managing information overload as a graduate practitioner 42:07 Do students learn differently in 2025 compared to the past? 48:00 Learn online, but learn in person as well – don’t neglect your interpersonal and hands-on skills Links and resources: Check out: www.Learn.Physio Listen to the Exercise Matters podcast with Randall and Mick, and give them a 5-star rating and review on Spotify, Apple, or your favourite podcast player: Spotify Apple Podcasts While you're there, we’d also appreciate a rating and review for the Physio Foundations podcast—it really helps promote the show. Hit the follow button and give us a review and 5 stars! Stay connected: Read more at www.Perraton.Physio or follow the Perraton Physio LinkedIn page. Watch us on YouTube: Perraton Physio YouTube Channel Follow @PerratonPhysio on Facebook, X (Twitter), Instagram, and LinkedIn. Disclaimer: This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Nick Kane is the founder of the Sports MAP network, an educational platform for physiotherapists and sports medicine professionals and the former head physiotherapist for the Essendon Australian Rules Football club. Nick founded and consults at the Complete Balance Physiotherapy clinic in Melbourne, Australia. In this episode, Nick discussed his experiences working in elite sport and how you can develop your own career in sports physiotherapy. Thanks Nick for a great conversation. Use the timestamps below to jump to relevant sections. In this episode: 0:00 About this episode and welcome Nick 7:25 Experiences working as the head physiotherapist for the Essendon football club 9:45 Nick’s clinical special interests 11:45 The most important foundational knowledge and skills – clinical reasoning and rehab principles 13:50 Applying anatomy and pathology knowledge as a practitioner 16:58 Sports MAP 20:25 Challenges for graduates – distractions, impatience 22:50 Mentoring and developing strong clinicians 33:40 Developing a special interest area 43:00 Final thoughts We discussed the SportsMAP network: https://sportsmap.com.au/ Stay connected: Read more at Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Narelle Dalwood is a neurological physiotherapist and Senior Lecturer at Monash University Physiotherapy. In this episode, Narelle and I discuss the foundations of neurological physiotherapy, including neuroanatomy and the pathology of common conditions such as stroke. Thanks Narelle for a great conversation. Use the timestamps below to jump to relevant sections. In this episode: 0:00 About this episode and welcome Narelle 1:04 Common neurological conditions 3:14 Middle cerebral artery strokes 7:50 Heterogeneity - combining imaging, history and assessment findings 12:45 Defining terminology – infarcts and haemorrhagic strokes 14:38 How do you recognise a stroke? Timely recognition and clot busting drugs. 22:00 Upper and lower motor neurons 25:14 Reflexes and recognising serious neurological problems 33:25 Neuroplasticity 41:12 How to develop your neuro physio knowledge and skills – brush up on your neuroanatomy 54:30 Final thoughts Narelle mentioned these guidelines and resources for health professionals, patients and their families from the National Stroke Foundation: https://informme.org.au/  https://enableme.org.au/  https://sciptguide.com/ Stay connected: Read more at Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Ellen Ball is a physiotherapist and Monash University Physiotherapy graduate who is currently completing a master’s degree in public health. In this conversation, Ellen and I discuss the study habits that helped her become a highly successful student, how to network effectively, and alternative career pathways after graduation. Thanks Ellen for a great conversation. Use the timestamps below to jump to relevant sections. In this episode: 0:00 About this episode and welcome Ellen 1:50 Ellen’s foundations 4:20 How do you find and stay in touch with mentors? 6:05 How do you get your foot in the door in education and research? 7:38 What skills did you learn in the physiotherapy course that you now use in the workforce? 9:45 The most important foundational knowledge and skills for a physiotherapist 11:55 Developing interpersonal skills as a student and a new grad 14:10 Managing distractions in the era of TikTok and smartphones 15:25 What is public health? 18:55 Advanced study skills for postgraduate training 21:20 Prioritisation is a skill 25:50 What advice would you give to your younger self? 31:00 Improving health outcomes through public health rather than individual physiotherapy care 32:22 Final thoughts – ride the wave and be kind to yourself Stay connected: Read more at Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Associate Professor Adam Culvenor is a Principal Research Fellow from the La Trobe Sport and Exercise Medicine (LASEM) Research Centre, a National Health and Medical Research Council (NHMRC) Emerging Leadership Fellow and the head of the Knee Injury Research Group within LASEM.   In this conversation, Adam and I discussed the research he has led on post traumatic knee osteoarthritis including the OPTIKNEE 2022: consensus recommendations, the SUPER-Knee trial, the role of diet in managing osteoarthritis and the Australian Knee Injury Study. Thanks Adam for a great conversation. Use the timestamps below to jump to relevant sections and follow the links below to find out more about Adam and his work. In this episode: 0:00 About this episode and welcome Adam 6:00 The infrapatellar fat pad 8:10 Adam’s pathway into research – MRI outcomes after ACL reconstruction 14:45 Cartilage imaging studies leading into the SUPER-Knee trial 19:36 How does strengthening help with cartilage health after knee injury? 24:40 Role of diet in managing osteoarthritis 26:40 OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis 30:55 Australian Knee Injury Study 35:15 Key takeaways – consider the need for imaging, be guided by the guidelines, get involved in research as a clinician or a student Read more about Adam here: https://scholars.latrobe.edu.au/a2culvenor Be part of the Australian Knee Injury Study: https://www.kneeinjurystudy.com.au/ Adam discussed the OPTIKNEE consensus recommendations following traumatic knee injury: https://bjsm.bmj.com/content/56/24/1393.citation-tools Whittaker JL, Culvenor AG, Juhl CB, et al OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis. British Journal of Sports Medicine 2022;56:1393-1405. Read more about the SUPER-Knee trial: https://bmjopen.bmj.com/content/13/1/e068279 Stay Connected: Read more at www.Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Bec Phillips is a musculoskeletal physiotherapist and educator at Charles Sturt University. In this episode, Bec reflects on her fascinating career in physiotherapy and public health, including her work supporting the health of people in rural Kenya. Bec then explores her PhD research findings and provides practical tips for physiotherapists to help us understand how different types of people adhere to their rehab plans. Thanks, Bec for a great conversation.  You can use the timestamps below to jump to relevant sections and follow the links below to find out more about Bec and her work. In this episode: 0:00 About this episode and welcome Bec 9:11 Improving the health of people in Kenya – problem solving and applying physiotherapy skills on a global scale 22:30 How do you define adherence to rehabilitation? 27:50 What influences adherence in people with Achilles tendinopathy? 30:30 Profiles of people with low, moderate and high adherence. Practical considerations for helping different types of people adhere to their rehab plans 43:45 Collaborating with the patient about their health needs – not a consultancy 44:35 Can you help everyone? 46:40 What factors influence adherence? 56:00 Teaching patients how to build habits if they don’t have one. 59:00 Final thoughts Read more about Bec here: https://science-health.csu.edu.au/schools/health-exercise-sports/staff/profiles/physiotherapy/rebecca-phillips Follow Bec on LinkedIn: https://www.linkedin.com/in/rebecca-phillips-b9b361175/?originalSubdomain=au Follow Bec on Instagram @moving_free_physio Read Bec’s research: Phillips, R., Hilton, C., Sousa Filho, L. F., Farlie, M., Morrissey, D., & Malliaras, P. (2024). Behaviour change and rehabilitation adherence in adults with tendinopathy: a scoping review. Disability and Rehabilitation, 46(25), 6021-6033. Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.