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Fit As A Physio

Fergus Tilt, Sports Physiotherapist

Sports and Exercise Physiotherapy conversations from Sydney, Australia.

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  • 23 episodes
  • fortnightly
  • Avg 42 min
  • English

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Episodes 23

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  • S1 · E28
    January 4 · 38 min

    A Simple Way to Stop Your Back Pain From Coming Back

    PHYSIO MOSMAN: https://www.fitasaphysio.com/ Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial (Pocovi et al., 2024) The WalkBack trial investigated the effectiveness of a walking and education program in preventing the return of low back pain. Researchers conducted a randomized controlled trial in Australia, comparing participants who received physiotherapy-led health coaching to a group receiving no treatment. Results demonstrated that this low-cost, accessible intervention nearly doubled the median time between pain recurrences while significantly reducing pain-related disability. Beyond clinical benefits, the study found the program to be highly cost-effective from a societal perspective. Although the walking group reported more minor lower extremity injuries, the overall strategy offers a scalable, safe solution for managing a high-burden health condition. READ MORE: https://www.fitasaphysio.com/blog/new-study-reveals-a-surprisingly-simple-way-to-stop-your-back-pain-from-coming-back Support the show

  • S1 · E27
    Dec 17, 2025 · 10 min

    Ice for Sports Injuries?

    PHYSIO MOSMAN: https://www.fitasaphysio.com/ Cryotherapy for treating soft tissue injuries in sport medicine: a critical review (Raciness et al., 2024) A 2024 critical review titled "Cryotherapy for treating soft tissue injuries in sport medicine" challenges the common practice of using ice for injury treatment. The authors conducted a systematic literature search, finding a significant lack of human studies that demonstrate a positive effect of cryotherapy on tissue regeneration, contrasting with its established use for short-term pain relief. While acknowledging that cryotherapy is a basic principle in protocols like RICE, the review highlights that the bulk of evidence on tissue healing comes from animal studies, which often suggest that cryotherapy may delay or impair muscle and tendon regeneration post-injury, especially with prolonged use. Consequently, the authors conclude that cryotherapy should be recommended only in the first hours after an injury to manage pain and swelling, with caution advised for continued application until more conclusive human research is available. READ MORE: https://www.fitasaphysio.com/blog/rethinking-ice-5-surprising-truths-about-using-cold-therapy-for-injuries Support the show

  • S1 · E26
    Dec 10, 2025 · 46 min

    Achilles Tendinopathy: A Physiotherapy Framework for Recovery

    PHYSIO MOSMAN: https://www.fitasaphysio.com/ Physiotherapy management of Achilles tendinopathy (Malliaras, 2022) We discuss a comprehensive research review article from the Journal of Physiotherapy focused on the physiotherapy management of Achilles tendinopathy, covering both mid-portion and insertional types. The article provides an in-depth exploration of the condition's epidemiology, burden, and clinical course, advocating for a shift from a biomedical to a biopsychosocial view in diagnosis and care. The article details assessment methods, including load tolerance and identifying various physical and psychological impairments, and offers an extensive, evidence-based overview of management strategies, particularly focusing on education, activity modification, and graded exposure exercise as primary treatments, while also summarising the evidence for various adjunct therapies. REFERENCE: https://www.fitasaphysio.com/blog/5-surprising-truths-about-achilles-pain-that-could-change-how-you-recover Support the show

Showing 21–23 of 23 episodes