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

The Shoulder Physio Podcast
Claim This Podcastby Jared Powell
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The Shoulder Physio Podcast is a podcast dedicated to exploring meaningful topics in musculoskeletal health care.
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🇺🇲
Publishing Since
1/14/2022
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Recent Episodes

May 26, 2026
#59: Exercise, sets, reps and the pharmacology problem
<p>Is more always better? Is there a dose response effect of exercise for musculoskeletal pain? Should exercise be just like a medication, where the dose has to be sufficient in order for it to elicit a therapeutic effect? </p> <p>These are the questions we contend with on this episode of The Shoulder Physio Podcast. </p> <h2><strong>Key resources</strong></h2> <p class="font-claude-response-body break-words whitespace-normal leading-[1.7]">Lawford BJ, Hinman RS, Spiers L, Kimp AJ, Dell'Isola A, Harmer AR, Van der Esch M, Hall M, Bennell KL. Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta-Analysis. Arthritis Care & Research. 2024.</p> <p class="font-claude-response-body break-words whitespace-normal leading-[1.7]">Liang X, et al. The Best Exercise Modality and Dose for Reducing Pain in Adults With Low Back Pain: A Systematic Review With Model-Based Bayesian Network Meta-analysis. JOSPT. 2024.</p> <p class="font-claude-response-body break-words whitespace-normal leading-[1.7]">Malliaras P, Johnston R, Street G, Littlewood C, Bennell K, Haines T, Buchbinder R. The efficacy of higher versus lower dose exercise in rotator cuff tendinopathy: A systematic review of randomised controlled trials. Archives of Physical Medicine and Rehabilitation. 2020.</p> <p class="font-claude-response-body break-words whitespace-normal leading-[1.7]">Powell JK, Lewis J, Schram B, Hing W. Is exercise therapy the right treatment for rotator cuff-related shoulder pain? Uncertainties, theory, and practice. Musculoskeletal Care. 2024.</p> <p class="font-claude-response-body break-words whitespace-normal leading-[1.7]">Powell JK, Lewis JS. It is not all about strength: rethinking mechanistic assumptions in exercise-based rehabilitation. British Journal of Sports Medicine. 2025.</p> <h2><a href="https://www.shoulderphysio.com/the-complete-shoulder-2nd-edition" target="_blank" rel="noopener noreferrer"><strong>Register for the complete shoulder online course</strong></a></h2> <h2><a href="https://www.shoulderphysio.com/brisbane-tcs-june-workshop" target="_blank" rel="noopener noreferrer"><strong>Register for my Brisbane workshop </strong></a></h2> <p><strong>Connect with Jared and guests:</strong></p> <p>Jared on Instagram:<span> </span><a href="https://www.instagram.com/shoulder_physio/">@shoulder_physio</a></p> <p>Jared on X:<span> </span><a href="https://twitter.com/JaredPowell12">@jaredpowell12</a></p> <p>See our Disclaimer here: <a href="https://shoulder-physio-education.mykajabi.com/the-shoulder-physio-podcast-disclaimer">The Shoulder Physio - Disclaimer</a></p>

May 12, 2026
# 58: Most rotator cuff tears don't hurt
<p>The FIMAGE study scanned both shoulders of 602 adults from the general population using high-resolution 3-Tesla MRI. Only 7 had a structurally normal rotator cuff. In this episode, I walk through what the study found, why 78% of full-thickness tears were in people with no shoulder pain, and what happens to the diagnostic value of a scan when the finding it detects is near-universal. I challenge the assumption that prevalence equals normality, explore why the word "tear" imports a trauma narrative into what is usually a degenerative process, and make the case that imaging findings deserve a smaller seat at the clinical reasoning table than we've historically given them.</p> <h2><strong>Key resources</strong></h2> <p><span>Ibounig T et al. Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging. JAMA Intern Med. 2026 Apr 1;186(4):406-414. doi: 10.1001/jamainternmed.2025.7903. PMID: 41697693; PMCID: PMC12910452.</span></p> <p><span>Englund M et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med. 2008 Sep 11;359(11):1108-15. doi: 10.1056/NEJMoa0800777. PMID: 18784100; PMCID: PMC2897006.</span></p> <p><span>Jensen MC et al. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994 Jul 14;331(2):69-73. doi: 10.1056/NEJM199407143310201. PMID: 8208267.</span></p> <h2><a href="https://www.shoulderphysio.com/the-complete-shoulder-2nd-edition" target="_blank" rel="noopener noreferrer"><strong>Register for the complete shoulder online course</strong></a></h2> <h2><a href="https://www.shoulderphysio.com/brisbane-tcs-june-workshop" target="_blank" rel="noopener noreferrer"><strong>Register for my Brisbane workshop </strong></a></h2> <p><strong>Connect with Jared and guests:</strong></p> <p>Jared on Instagram:<span> </span><a href="https://www.instagram.com/shoulder_physio/">@shoulder_physio</a></p> <p>Jared on X:<span> </span><a href="https://twitter.com/JaredPowell12">@jaredpowell12</a></p> <p>See our Disclaimer here: <a href="https://shoulder-physio-education.mykajabi.com/the-shoulder-physio-podcast-disclaimer">The Shoulder Physio - Disclaimer</a></p>

April 28, 2026
#57: Stop Looking for a Winner: The Case for Treatment Pluralism
<p>In this episode, I walk through my recent JOSPT paper arguing that no single treatment modality has proven itself superior for musculoskeletal pain and that the profession should stop pretending otherwise.</p> <p>Drawing on Isaiah Berlin's distinction between the hedgehog and the fox, I make the case for treatment pluralism: the idea that multiple interventions can lead to recovery, and that rigid allegiance to any one approach is not supported by the evidence.</p> <h2><strong>Key resources</strong></h2> <p>Powell et al 2026.<strong> </strong>Many Paths to Recovery: The Case for Treatment Pluralism. JOSPT. DOI: <a href="https://www.jospt.org/doi/10.2519/jospt.2026.13992" class="epub-section__doi__text">https://www.jospt.org/doi/10.2519/jospt.2026.13992</a> </p> <h2><a href="https://www.shoulderphysio.com/the-complete-shoulder-2nd-edition" target="_blank" rel="noopener noreferrer"><strong>Register for the complete shoulder online course</strong></a></h2> <h2><a href="https://www.shoulderphysio.com/brisbane-tcs-june-workshop" target="_blank" rel="noopener noreferrer"><strong>Register for my Brisbane workshop </strong></a></h2> <p><strong>Connect with Jared and guests:</strong></p> <p>Jared on Instagram:<span> </span><a href="https://www.instagram.com/shoulder_physio/">@shoulder_physio</a></p> <p>Jared on X:<span> </span><a href="https://twitter.com/JaredPowell12">@jaredpowell12</a></p> <p>See our Disclaimer here: <a href="https://shoulder-physio-education.mykajabi.com/the-shoulder-physio-podcast-disclaimer">The Shoulder Physio - Disclaimer</a></p>
59 total episodes available
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Frequently asked questions
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- What is The Shoulder Physio Podcast?
- How often does this podcast release new episodes?
This podcast updates bi-weekly.
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This podcast is available on 8 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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No, this podcast does not typically feature guests.
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