The Shoulder Physio Podcast

The Shoulder Physio Podcast is a podcast dedicated to exploring meaningful topics in musculoskeletal health care.

The Shoulder Physio Podcast is a health podcast hosted by Jared Powell, with 64 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.

Jared Powell hosts The Shoulder Physio Podcast, a health show with 64 episodes published.

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  The Shoulder Physio Podcast

  #64: Is measuring strength useful? With Tim Cook

  Aug 4, 202647 minS1

   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." Tim explains what pushed him to question routine strength testing in busy clinical practice, despite guidelines recommending it, and the pair dig into whether weakness is a cause of shoulder pain, a consequence of it, or something else altogether. They look at what subacromial anaesthetic injection studies reveal about pain versus true force output, and Tim reframes the classic "weak and painful shoulder" as the "flexible but painful shoulder," drawing parallels to other oversimplified clinical narratives like posture and core stability. They also make the case for when strength testing can still earn its keep; patient engagement, expectation violation, building confidence, and sporting or return-to-performance populations such as ACL limb symmetry index, before turning to Goodhart's Law and the risk of chasing the test rather than the outcome, and why isolated isometric tests may not translate to real-world, endurance-based shoulder tasks. Tim closes out with an update on his PhD: a reliability RCT on strength and pain-free assessment currently in press, and an upcoming scoping review on the proposed mechanisms of exercise for RCRSP. Key resources Cook, T., Lewis, J., & Powell, J. (2026). Rethinking strength testing in rotator cuff-related shoulder pain: a clinical tradition that lacks muscle.  Journal of Manual & Manipulative Therapy ,  34 (3), 193–198. https://doi.org/10.1080/10669817.2026.2663623 Register for the complete shoulder online course Melbourne workshop details Connect with Jared: Jared on Instagram:   @‌shoulder_physio Jared on X:   @‌jaredpowell12 Tim on Instagram: @Timcookphysio See our Disclaimer here:  The Shoulder Physio - Disclaimer

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  The Shoulder Physio Podcast

  #63: The myth of perfect movement

  Jul 21, 202624 minS1

  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 we bring in Mark Latash's motor abundance: why your nervous system treats extra degrees of freedom as a resource, not a problem, and what that means for scapular "dyskinesis," core stability cues, and fear-based rehab language. We close with a practical clinical translation for coaches and clinicians. Plus: a quick update on my next in-person workshop, The Complete Shoulder Workshop, Melbourne 17 October. Key resources Low M. A Time to Reflect on Motor Control in Musculoskeletal Physical Therapy. J Orthop Sports Phys Ther. 2018 Nov;48(11):833-836. doi: 10.2519/jospt.2018.0614. PMID: 30381024. Latash ML. The bliss (not the problem) of motor abundance (not redundancy). Exp Brain Res. 2012 Mar;217(1):1-5. doi: 10.1007/s00221-012-3000-4. Epub 2012 Jan 14. PMID: 22246105; PMCID: PMC3532046. Register for the complete shoulder online course Melbourne workshop details Connect with Jared: Jared on Instagram:   @‌shoulder_physio Jared on X:   @‌jaredpowell12 See our Disclaimer here:  The Shoulder Physio - Disclaimer

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  The Shoulder Physio Podcast

  #62: Pain during exercise: friend or foe?

  Jul 7, 202620 minS1

  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 Versus Nonpainful Exercise on Pain Intensity, Disability, and Other Patient-Reported Outcomes in Adults With Chronic Musculoskeletal Pain: An Updated Systematic Review With Meta-Analysis. J Orthop Sports Phys Ther. 2025 Smith BE et al. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. Br J Sports Med. 2017 Register for the complete shoulder online course Register for T he Complete Clinician Mentorship Connect with Jared: Jared on Instagram:   @‌shoulder_physio Jared on X:   @‌jaredpowell12 See our Disclaimer here:  The Shoulder Physio - Disclaimer

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  The Shoulder Physio Podcast

  #61: What is a physiotherapist?

  Jun 23, 202622 minS1

  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, Newell's constraints framework, self-determination theory, and Gopnik's gardener, I make the case for a different identity: the clinician who sets the conditions for an active, adaptive person to recover and even flourish. Register for the complete shoulder online course Register for T he Complete Clinician Mentorship Connect with Jared: Jared on Instagram:   @‌shoulder_physio Jared on X:   @‌jaredpowell12 See our Disclaimer here:  The Shoulder Physio - Disclaimer

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  The Shoulder Physio Podcast

  #60: The Burnout Episode

  Jun 10, 202622 minS1

  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 individual resilience. I share my own story of burning out two years into clinical practice, what shifted before anything else did, and the disposition I've come to see as the antidote to the slow erosion the current climate produces. Key resources Wynne K. Burnout in physiotherapy. Journal of Physiotherapy . 2026;72:87–90. https://doi.org/10.1016/j.jphys.2025.12.009 Register for the complete shoulder online course Register for T he Complete Clinician Mentorship Connect with Jared: Jared on Instagram:   @‌shoulder_physio Jared on X:   @‌jaredpowell12 See our Disclaimer here:  The Shoulder Physio - Disclaimer

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