Young active patient who can't return to sport due to ankle instability. What is the underlaying cause?

Late recording this week so we discuss two case studies close to James' heart; his parents. We talk about their physiotherapy care; is there anything we would do different?

Do we have enough professional pride about physiotherapy based care?

Please note, nothing in the episode is considered medical advice.

James holds the fort this week and discusses a recent paper from 2025 looking at ambient voice technology with AI generation for writing notes in the NHS

over 2000 patients

does it deliver what it promises?

https://media.gosh.nhs.uk/documents/AAI_Phase_4_NHSE_Final_Report_1.3.pdf

We bring back physio beefs and discuss an editorial from JOSPT about diagnosis and the pros and cons of pathoanatomical diagnoses.

Should we be using pathoanatomical terms or avoiding this?

Please note, nothing in this episode is intended to be medical advice.

Jack returns to Physio Pulse to discuss

• ​Have we forgotten how to have robust debate?
• ​What is the solution?
• ​And what led Alistair Brownlee to block James...

We discuss the upcoming MSK awards which aims to promote success and innovation within MSK - BOOK YOUR TICKETS HERE https://mskawards.com/

The first 10 minutes of this episode are essentially making fun on James' throw, which is essential viewing on @physiopulsepodcast instagram page.

We also go deep into a paper comparing sham exercise (upper limb exercises) versus eccentric loading for people presenting with Achilles tendinopathy. The results of which might surprise you!

Please note, nothing within this episode is intended to be medical advice.

We chat about movement variability, biomechanics and rehab informed by a great paper that looked at these variables in participants with Athletic Groin Pain.

Please note, this episode is not intended to be medical advice.

We discuss a recent case of an Achilles rupture.

Why are they sometimes missed?

Where does our testing miss the point?

... and Jeff offends every football fan