[Physio Explained] Hip and knee OA rehabilitation: what do we currently know? with Dr Milly Bell

In this episode, we have a discussion with Dr Angie Fearon and Dr Rachael McMillan on the topic of greater trochanteric pain syndrome. We explore:Drivers of pain in greater trochanteric pain syndrome (GTPS)Key subjective & objective findings in GTPSDifferential diagnosis of GTPSLoad management in development & treatmentMost common rehabilitation mistakesTreatment tips and things to avoid during treatmentAlternative approaches to treatment e.g. corticosteroid injections, shockwave therapy and PRP injections 🎁 Member perk: 3 months of splose, freePhysio Network members who are new to splose get 3 months free: smarter scheduling, billing, client records and AI-powered clinical notes, all in one place.How to claim: Log in to your Physio Network account and go to Perks [https://www.physio-network.com/] for your exclusive code and info on how to get your free trial.Not a member yet? Become a Physio Network member to unlock this and other member perks → https://www.physio-network.com/👉🏻 Learn more about Physio Network's Masterclasses here with our 7-day free trial - https://physio.network/mc-fe-mcDr Rachael McMillan is a clinician-researcher and PhD-qualified physiotherapist at Deakin University and Barwon Health, working in emergency care, urgent care and elite sport with the Australian Women’s Football Teams. Her PhD investigated gluteal tendon and muscle adaptations in active populations and people with pain, including a collaboration with the Australian Ballet. She led the first RCT investigating menopausal hormone therapy and exercise for postmenopausal women with greater trochanteric pain syndrome (GTPS), published in The American Journal of Sports Medicine in 2022, which has influenced clinical practice worldwide and received multiple awards. Angie Fearon is an Associate Professor at the University of Canberra, where she teaches entry-level physiotherapists and undertakes clinical research; she is a research and clinical physiotherapist (PhD, M(Phty), B(AppSc)). Angie has over 35 years of clinical and over 15 years of research experience. Angie’s research aims to provide clinicians with tools to address daily clinical challenges. Angie’s primary area of research is the assessment and management of hip pain. She has led research into clinically diagnosing Greater Trochanteric Pain Syndrome and differentiating it from hip osteoarthritis; understanding the significant burden of disease of the Greater Trochanteric Pain Syndrome; clarifying the pathology of Greater Trochanteric Pain Syndrome, and understanding the relevance of imaging in this area.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network 👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode with Dr Matt Klein, we discuss a recent paper in which he was lead author looking at the predictive relationships between propulsive single-leg horizontal hopping and running kinetics in masters runners with and without Achilles tendinopathy. We explore:Relationship between propulsive hopping and running mechanicsImportance and role of a horizontal hop testRole of hop testing and plyometrics in return to run testsRole of pain in hop testingImportance of single leg loading for running mechanics👉🏻 Learn more about Physio Network’s Research Reviews here - https://physio.network/rr-kleinMatt Klein is a physical therapist with a PhD in rehabilitation and movement science, advanced training in orthopaedics, manual therapy and sports, and extensive clinical experience across a diverse range of healthcare settings. He is now a faculty member in George Fox University’s DPT program, with research interests in masters athletes, ageing and the musculoskeletal system, and running, while continuing to practise clinically.Reference to article discussed: Klein M, Patterson C, Cipriani D (2026) Predictive relationships between propulsive single-leg horizontal hopping and running kinetics in masters runners with and without Achilles tendinopathy. Phys Ther Sport, 78:101895. If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @James_Armstrong_Physio from Physio Network👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode with Dr Oscar Vila Dieguez, we discuss scapula dyskinesis and shoulder pain. We explore: How important is scapular dyskinesis in shoulder pain? Reliability of testing the rotator cuffDomains that “matter” within rotator cuff tendinopathyScreening and questionnaires in shoulder assessment (e.g. OSPRO-YF)Role of Rotator Cuff Tendinopathy and scapular dyskinesisWhere is technology headed in the future for shoulder pain👉🏻 Learn more about Physio Network’s Research Reviews here - https://physio.network/RR-DieguezOscar Vila-Dieguez, PT, PhD, is a physical therapist and postdoctoral fellow in the Department of Orthopaedic Surgery at the University of California, San Diego School of Medicine. His research asks why some patients respond to exercise and others do not, combining muscle and tendon imaging, neuromuscular testing, psychological factors, and systemic health. Resources Ospro-YF: https://www.orthopt.org/yf/OSPRO_YF_Tool_questions.pdfCharlson Comorbidity Index: https://www.mdcalc.com/calc/3917/charlson-comorbidity-index-cciWidespread Pain Index: https://www.umassmed.edu/globalassets/office-of-continuing-medical-education/pdfs/cme-primary-care-days/c1-handout-fibromyalgia.pdfIf you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @James_Armstrong_Physio from Physio Network👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode with Lee Herrington, we discuss his recent case study on a female footballer with recurrent bilateral knee pain and swelling. We see how Lee helped this athlete compete in a tournament within seven weeks. We discuss:·  Building load tolerance within the knee·  Key differential diagnosis around the knee region·  Compensation strategies around the knee·  Importance of autonomy for compliance in rehabilitation·  Subjective and Objective ExaminationThis episode is closely tied to Lee’s case study he did with us. With case studies, you can see how top clinicians manage real-world cases and apply their strategies to get better results with your patients. 👉🏻 Watch Lee’s case study here with our 7-day free trial:https://physio.network/CS-herringtonLee Herrington is a Chartered Physiotherapist with degrees in Human Biology, Sports Injury & Therapy (MSc), and certification as a Strength & Conditioning Specialist. He is currently Lead Clinician at Knee-Rehab UK and a lecturer at the University of Salford and Manchester Metropolitan University. With over a decade of experience working with elite athletes, including Great Britain Rugby League and Wigan Warriors, his research and teaching focus on patellofemoral pain, lower-limb motion control, and exercise rehabilitation.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @James_Armstrong_Physio from Physio Network👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode, we have a discussion with Brad Beer and Dr Brady Green on the topic of rehabilitation of calf injuries. We explore:Common errors clinicians make with rehabilitating calf injuriesImportance of profiling athletes to ensure cause of calf injuryDifferentiating between soleus vs gastroc strainReducing calf injury recurrence Current understanding of calf injury pathologyBuilding capacity in the calf muscle Return to run criteriaRunning rehabilitation programsFootwear in calf rehabilitationImaging in calf injuriesBrad Beer is an APA Titled Sports & Exercise Physiotherapist and Exercise Scientist with over 17 years of experience, specialising in running and triathlon-related injuries. He is the founder of award-winning POGO Physio on the Gold Coast and currently consults for Triathlon Australia's Olympic Podium Centre, having worked with Olympic athletes and elite runners and triathletes. Brad has conducted over 40,000 consultations, authored the best-selling book You Can Run Pain Free and hosts the award-winning Physical Performance Show podcast.Dr Brady Green is a Senior Lecturer and National Musculoskeletal Stream Lead at The University of Notre Dame Australia, and is an Adjunct Senior Lecturer at La Trobe University. He is an internationally-renowned calf injury expert, and recently led the Calf Pain chapter in the latest edition of Brukner & Khan's Clinical Sports Medicine (Managing Injuries). Dr Green previously worked in elite Australian Football (Essendon FC), and he combines his advanced practical experiences to strengthen his research and consulting through Pure Sports Physio in Perth, Australia.  🎁 Member perk: 3 months of splose, freePhysio Network members who are new to splose get 3 months free: smarter scheduling, billing, client records and AI-powered clinical notes, all in one place.How to claim: Check your email from last week. It has your exclusive code and info on how to get your free trial.Not a member yet? Become a Physio Network member to unlock this and other member perks → https://www.physio-network.com/👉🏻 Learn more about Physio Network's Masterclasses here with our 7-day free trial - https://physio.network/beer-green-MCIf you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode with Milly Bell, we discuss the current evidence on rehabilitation of knee and hip osteoarthritis (OA). We explore: Current recommendations for management of knee & hip OAGLA:D Pyramid of treatment for knee & hip OA Appropriate candidates for GLA:DExercise therapy vs physical activity for OA patients👉🏻 Learn more about Physio Network’s Practicals here - https://physio.network/practicals-bellDr Milly Bell is a physiotherapist, researcher and lecturer at La Trobe University, with a PhD focused on physical activity in people with knee osteoarthritis and research interests spanning musculoskeletal health, implementation science and digital models of care. She also works as a senior physiotherapist at Cabrini and Epworth Hospitals, bringing extensive clinical experience alongside her research. Milly has led and contributed to research across knee and back pain, sports injury prevention and digital care, including Australia’s first field hockey injury surveillance studies. If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode with Charlotte Ganderton we explore a recent paper in which she was lead author looking at hip related pain and quality of life in circus art performers. We discuss:·       Considerations for circus performers or gymnasts in their sport·       Posture cueing and considerations during rehabilitation·       Staged rehabilitation progressions for hip pain based on individual impairments👉🏻 Learn more about Physio Network’s Research Reviews here -https://physio.network/rr-gandertonDr Charlotte Ganderton is a highly experienced physiotherapist and researcher with a PhD in hip pain, a Master of Physiotherapy Practice, and a special interest in hip and shoulder conditions, particularly joint instability. She has extensive experience working in elite sport and performing arts, with current contracts with Tennis Australia, Ice Hockey Australia and Australian Para Table Tennis, as well as previous work with Cirque du Soleil, major musical productions and Elton John’s final tour. Charlotte is also a Senior Lecturer and Clinical Researcher at La Trobe University and a Clinical Advisor for WorkSafe, working closely with orthopaedic surgeons and sports physicians to provide evidence-based rehabilitation and post-operative care. Reference to article discussed: Ganderton C, O’Brien M, Farragher J, Fort-Novoa C, Coonan A, Wallis A, Munro D, Balakumar J, King M (2026) Exercise rehabilitation to improve hip-related pain and quality of life in full-time student circus arts performers: A non-randomised pre-post intervention trial, Physical Therapy in Sport, Volume 78.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode with Dr Ian Gatt, we discuss a recent patient, an elite boxer, who experienced a TFCC injury. We explore:·  The complexity of ulnar sided wrist pain·  What structures make up the TFCC·  Peripheral tear vs Central tear of TFCC and what this means for treatment·  Special tests for TFCC·  Differential diagnosis of TFCC injuries·  Rehabilitation of TFCC injury (surgical or non-surgical)This episode is closely tied to Ian’s case study he did with us. With case studies, you can see how top clinicians manage real-world cases and apply their strategies to get better results with your patients.👉🏻 Watch Ian’s case study here with our 7-day free trial: https://physio.network/cs-gattIan is a highly experienced physiotherapist with over 25 years in elite sport, supporting athletes at multiple major events including; Olympics, Commonwealth Games, and professional events. He is an internationally recognised specialist in upper limb injuries and has supported a wide range of high-performance organisations. In addition, he has held leadership roles focused on enhancing athlete health and availability, using effective multidisciplinary approaches.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @James_Armstrong_Physio from Physio Network👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode, we have a discussion with Germaine Tan and Dr Briana Clifford to discuss the topic of cancer rehabilitation. We explore:What does cancer rehabilitation involveDEEDs framework of classificationAspects of cancer rehabilitation in musculoskeletal PhysiotherapyTranslating rehab evidence into the clinicCancer related fatigue and peripheral neuropathyDosage and intensity with cancer rehabilitationLinks between exercise and cancer survivalImproving referral pathways for cancer patientsKey barriers for rehabilitationWant to learn more about Cancer Rehabilitation? Germaine Tan recently did a brilliant Masterclass with us called “Cancer Rehabilitation Essentials: A Practical Guide for Physiotherapists” where she goes into further depth on this topic. 👉🏻 You can watch her class now with our 7-day free trial -https://physio.network/masterclass-clifford-tanGermaine Tan, APAM, MACP, is an APA-titled cancer physiotherapist and clinician-researcher with expertise in cancer rehabilitation, exercise oncology, neurology and gerontology, and more than 15 years of clinical experience across acute and community health settings in Melbourne, Australia, and Singapore. She was awarded an NHMRC Postgraduate Scholarship in 2023 to undertake her PhD at La Trobe University and Eastern Health, investigating how the timing of exercise and cancer rehabilitation influences patient and health service outcomes. Briana Clifford, PhD, is an Accredited Exercise Physiologist, researcher and Senior Lecturer at UNSW Sydney with over 10 years of clinical experience supporting people with cancer and complex conditions. Her research focuses on exercise oncology, particularly managing cancer-related fatigue, chemotherapy-induced peripheral neuropathy and other treatment side effects. She also teaches cancer and exercise content and is passionate about improving access to high-quality, evidence-based exercise support for cancer survivors.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network 👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/

In this episode with Dr Michael Mansfield, we discuss all the differing aspects and outcomes of hip and knee surgery. We explore: What is a “successful” surgery? Patient expectations for surgery and how this can shape the post-operative outcomeImportance of prehabilitationEvidence-based individualised rehabilitation Supporting patients through pre and post surgery to get good outcomes👉🏻 Learn more about Physio Network’s Research Reviews here - https://physio.network/reviews-mansfieldDr Michael Mansfield is an Assistant Professor in Musculoskeletal Physiotherapy at the University of Birmingham. His research focuses on improving outcomes in musculoskeletal and orthopaedic care, rehabilitation and health inequalities. He leads the ALIGN Network, an interdisciplinary programme with Royal Orthopaedic Hospital NHS Trust examining how orthopaedic care pathways can be improved, and his work brings together clinical research, evidence synthesis and patient and public involvement to understand how care before and after surgery can better meet patients’ needs.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @James_Armstrong_Physio from Physio Network👏 Become a better physiotherapist with online education from world-leading experts:https://www.physio-network.com/