Fit As A Physio

Sports and Exercise Physiotherapy conversations from Sydney, Australia.

Fit As A Physio is a health podcast hosted by Fergus Tilt, Sports Physiotherapist, with 44 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

Fergus Tilt, Sports Physiotherapist hosts Fit As A Physio, a health show with 44 episodes published.

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  Episode #44

  Decision-Making Experiences and Treatment Advice for ACL Injuries

  Aug 16, 202643 minS1

  PHYSIO MOSMAN: https://www.fitasaphysio.com/ This mixed-methods study investigates how Australians with anterior cruciate ligament (ACL) injuries make treatment decisions and the specific advice they receive from healthcare professionals . The research reveals that a vast majority of clinicians , particularly orthopaedic surgeons , promote reconstruction surgery as the superior or only path to recovery, often downplaying risks and disregarding evidence that rehabilitation alone can yield similar results. Patients frequently reported feeling pressured or poorly informed due to rushed consultations and a lack of balanced, evidence-based information regarding non-surgical alternatives. While physiotherapists provided the most varied advice, general practitioners were viewed primarily as conduits for referrals rather than sources of management expertise. Ultimately, the study highlights a significant gap in shared decision-making , suggesting that current clinical practices often fail to provide the objective overview necessary for informed patient consent . These findings underscore the urgent need for patient decision aids and updated clinical training to align treatment recommendations with the latest research evidence . READ MORE: https://www.fitasaphysio.com/blog/decision-making-experiences-and-treatment-advice-for-acl-injuries Support the show

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  Episode #43

  The Myth of Spinal Load as a Cause of Pain

  Aug 2, 202636 minS1

  PHYSIO MOSMAN: https://www.fitasaphysio.com/ This scoping review evaluates whether physical loading of the spine is the primary cause of nonspecific low back pain . By applying the Bradford-Hill criteria for causality to a wide range of medical literature, the researchers sought to determine if activities like lifting or specific postures directly lead to the onset or persistence of pain. Their analysis revealed insufficient evidence to support a definitive causal relationship , noting that structural spinal changes are often found in individuals without any symptoms. The findings suggest that the traditional biomedical model , which focuses on unloading the spine to prevent injury, may be overly simplistic for such a multifactorial condition . Instead, the authors advocate for a biopsychosocial approach that considers individual experience, nervous system adaptations, and social factors. Ultimately, the source concludes that load management should not be the sole strategy for treatment, as the impact of physical strain on back pain has likely been overestimated . READ MORE: https://www.fitasaphysio.com/blog/the-myth-of-spinal-load-as-a-cause-of-pain Support the show

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  Fit As A Physio

  Plantar Heel Pain

  Jul 22, 202639 min

  PHYSIO MOSMAN: https://www.fitasaphysio.com/ The article presents a comprehensive clinical guide for the diagnosis and treatment of plantar heel pain (PHP) , integrating research data with expert and patient perspectives. It advocates for a stepped-care approach , beginning with a core treatment phase of stretching, taping, and tailored education. If symptoms persist beyond six weeks, the sources suggest advancing to secondary interventions such as extracorporeal shockwave therapy and custom foot orthoses. The documents emphasise the importance of individualised assessment , considering factors like footwear, physical load, and systemic health. Furthermore, the text highlights the value of co-designing education strategies with patients to ensure clarity and adherence. By synthesising high-quality trial data with clinical reasoning, the guide offers a practical framework for evidence-based management of this common condition. READ MORE: https://www.fitasaphysio.com/blog/plantar-fasciitis-heel-pain Support the show

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  Episode #41

  Biomechanical Risk Factors for Achilles Tendinopathy

  Jul 6, 202649 minS1

  PHYSIO MOSMAN: https://www.fitasaphysio.com/ This research examines the biomechanical and behavioral factors that contribute to the development of Achilles tendinopathy in both runners and non-runners. By monitoring a large cohort of over 900 participants for one year, the study identified that higher weekly running distances and specific movement patterns significantly increase injury risk. Specifically, a reduced peak ankle external rotation and a lower peak ankle inversion moment during the stance phase were found to be primary predictors of the condition. Interestingly, the data suggests that footfall patterns , such as rearfoot or forefoot striking, do not play a significant role in the onset of this injury. These findings encourage clinicians to focus on training volume management and ankle stability rather than altering strike types for prevention. Ultimately, the study highlights how maintaining sufficient ankle control and energy absorption can act as a protective mechanism against tendon degradation. READ MORE: https://www.fitasaphysio.com/blog/risk-factors-for-achilles-tendinopathy-in-runners Support the show

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  Episode #40

  Workload Spikes and Injury Risk in Elite Fast Bowlers

  Jun 22, 202643 minS1

  PHYSIO MOSMAN: https://www.fitasaphysio.com/ This study examines how sudden increases in training intensity impact the injury rates of elite cricket fast bowlers . Researchers tracked both internal workloads , based on athlete perception of effort, and external workloads , measured by the number of balls delivered. The findings reveal that when short-term (acute) workloads significantly exceed long-term (chronic) averages , the risk of injury rises sharply in the following week. Specifically, bowlers whose weekly activity more than doubled their four-week average faced a three-to-fourfold increase in injury likelihood. Conversely, maintaining a high, consistent chronic workload appeared to provide a protective effect against physical breakdowns. Ultimately, the data suggests that careful monitoring of training-stress balance is essential for keeping athletes healthy and prepared for competition. READ MORE: https://www.fitasaphysio.com/blog/training-stress-balance Support the show

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