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PODCAST

MSKMag OutLoud

MSKMag combines cutting edge clinical opinion with light hearted relief from the daily grind! Featuring insights from the finest minds in the MSK industry, MSKMag will keep you up to date with best practice evidence and the best topical memes. mskmag.substack.com

education medicine

All Episodes

24:49

Shoulder instability. It's all getting a bit silly

MSKMag OutLoud ·

2026/02/01

How many shoulder classifications systems are enough?Or rather, how many shoulder classification systems are too many?Five sounds fair?Ten seems a little bit too much?and 18 would be… ridiculous right? RIGHT?!Well folks, hold onto your shoulders.In 2011 (15 years ago) a systematic review identified 18, yes EIGHTEEN, published classification systems in the existing literature, BEFORE they went on to develop their own. So 19 then. [1]Over the years that number has continued to rise. Has this abundance

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3:25

The Back Story: What to axially say to your patients

MSKMag OutLoud ·

2026/02/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comThis summer, I was watching my two children running around the garden with their cousins. They don’t see each other very often so there was a lot of energy, a lot of noise, a lot of chaos, and a lot of joy. And as I watched them, it struck me that I could describe exactly the same scene in a few very different ways.I could say they were a group of children.Or a gaggle of mischief makers.Or a gang of youths.Nothing about

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1:48

ACL and PFP: Related Risk Factors

MSKMag OutLoud ·

2026/02/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comACL injury and patellofemoral pain (PFP) are rarely invited into the same conversation. One is acute, traumatic and unmistakable. The other is persistent, frustrating and often labelled ‘non-specific’. Yet when we step back from tissues and diagnoses and instead consider risk, these two conditions begin to overlap in important ways.Both are common. Both disrupt participation in sport and physical activity. And both

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2:24

The Private Practice Barometer: What Is The State of...

MSKMag OutLoud ·

2026/02/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comI think I know the MSKMag audience well enough to know that we’re a bunch that does love some evidence. We debate the nuances of treatment techniques, and we even (sometimes) read past the abstract of the RCTs we’re citing. We do this for a simple reason: we want to provide the best possible care based on what is actually happening on the ground rather than ‘gut feeling’ or outdated traditions.Yet, when we step out of

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1:20

Unfogging Fibromyalgia

MSKMag OutLoud ·

2026/02/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comFibromyalgia is a symptom-based disorder characterised by persistent widespread pain and accompanied by fatigue, poor and unrefreshing sleep, low mood or depression, and cognitive symptoms. The diagnosis is made using the 2016 American College of Rheumatology criteria [1] and, importantly, is not a diagnosis of exclusion, which has significant clinical implications for assessment and management. The diagnostic criteria

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3:34

Maintaining the Streak - Editorial - MSKMag Issue 26

MSKMag OutLoud ·

2026/02/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comAt time of writing, I am on Day 1335 of learning French on Duolingo. I am very, very good at Duolingo. Unfortunately that doesn’t mean I’m very good at speaking French; in fact, put me in front of a French speaker and I’ll be asking them to slow down and perhaps even draw me a picture.If you’ve not used the app yourself, let me introduce you to Duo, an exceptionally needy, green owl character who will ruin your life

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10:59

With Great Power Comes Great Chiropractic Responsibility

MSKMag OutLoud ·

2026/01/01

Chiropractic manipulation has been around long enough to be both revered and misunderstood in equal measure. For some, it’s the magic button that fixes everything from a sore back to a bad mood. For others, it’s a mysterious cracking ritual that must be avoided at all costs. In truth, spinal and extremity manipulation is a highly skilled, evidence-informed tool, but like any powerful tool, it requires wisdom, restraint, and a healthy dose of common sense.Let’s start with a few common misconceptions

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2:19

Should we treat neurodivergent patients differently?

MSKMag OutLoud ·

2026/01/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comNeurodiversity is estimated to affect 15% of the population [1], and despite a similar cause and a great deal of crossover, there are a variety of different diagnoses and expression of traits. Although many neurodiverse profiles are spiky by neurotypical standards, stigmatising terms implying severe disability such as ‘idiot savant’ have thankfully fallen out of use. A spiky profile means there are areas where ability

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3:03

The Human Factor

MSKMag OutLoud ·

2026/01/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comIn 2011 I took a year out to study for an MSc in Loughborough. At a crossroads in my career, I had become bored and a little disillusioned as a clinician and wanted to step into something new for a while.When I announced my plans to study for an MSc in Ergonomics, my physio colleagues were perplexed as to how studying someone’s desk set up could possibly be stretched out over the course of an academic year, never mind

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1:43

The road to failure is paved with good intentions

MSKMag OutLoud ·

2026/01/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comWe’ve all heard the following words before and if we’re honest, probably even said them ourselves:“Don’t worry, I’ll do my exercises at home.”“I’ve got an incredible idea for a new venture.”“I really need to spend more time on the business, not just in it.”They’re statements of optimism and enthusiasm, small bursts of conviction that feel productive. But more often than not, they don’t lead to the outcomes we expect.We

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2:09

Rheumatology and Tendons - Certainly No SpA Day

MSKMag OutLoud ·

2026/01/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comMost of the time I talk about recognition of Rheumatological diseases that have developed and require onward referral; it has become my schtick. Reasonably many people ask me about people they work with who have already been diagnosed or don’t meet criteria for onward referral but have risk factor comorbidities.Here I will take you through these two scenarios and the adaptations and considerations we need to employ when

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6:37

Auntie Version - MSKMag's Agony Aunt - January 2026

MSKMag OutLoud ·

2026/01/01

Hello! I’m Auntie Version and I am unbelievably excited to be MSKMag’s very own agony aunt. (We’re never going to be able to keep it secret so will immediately reveal that it’s me… Jo Turner 😉)Q: Dear Auntie VersionHow can I tell if I am suffering from imposter syndrome or if I am indeed not very good at something? Sometimes I worry that I’m failing at work when I don’t get good outcomes but then start going round in circles in my head. Could this just be imposter syndrome?Yours, Imposter?A: Dear

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3:43

It is Very Important You Don’t Ignore This -...

MSKMag OutLoud ·

2026/01/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comGreetings and Happy New Year from my new role as Editor in Chief of MSKMag! Admittedly it looks a great deal like my previous role of Editor Adjacent to Chief of MSKMag, only with the added responsibility of penning this Editorial every month.Of course with such great power comes great editorial responsibility (to borrow and slightly tweak one of our titles this month), and so if you have any feedback about MSKMag, or

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11:30

Focus on POCUS: Not as Black and White as It Looks

MSKMag OutLoud ·

2025/12/01

In the UK, more clinicians are taking the plunge into MSK Point of Care Ultrasound (POCUS). The buzz is real!Some are seeing it as the modern MSK clinic’s next essential tool, while others raise their eyebrows at how practical it truly is, asking whether it is just another expensive thing we can charge more for. Either way, it’s here, and growing FAST.Our social feeds are showing packed-out courses, there are countless ads for devices, and videos and images being shared with a story whilst we squint

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6:00

20 years of LBP care – What has changed (and what has...

MSKMag OutLoud ·

2025/12/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comBox 1. An acute non-specific LBP patient with no ‘red flags’A 28 year old woman has been suffering from her first episode of low back pain since lifting a 10kg box at work three weeks ago.She says that she has been unable to do her job managing a hospital cafeteria for this time, and has not worked since her symptoms began. While anxious to return to work, she feels immobilised by the pain. Her work duties are varied,

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2:53

The Incomplete Map: Rehabilitation for the Real Work...

MSKMag OutLoud ·

2025/12/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comWork: the thing that you love or at least the thing that pays for the thing that you love.It would be great if return to work planning was a simple A–B journey. The person is signed off, nature takes its course, they go back to work, and everything is fine. However, we know it isn’t like that.The trouble is that most maps in musculoskeletal practice are drawn from a single source of information. We might be aware of the

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1:45

Does Ownership Matter?

MSKMag OutLoud ·

2025/12/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comThe Two Receptionist ProblemI was treating a private equity investor one afternoon when he asked, with genuine curiosity, why we employed two receptionists when technology could easily let us get by with one.Fair question. After all, this is a man whose job involves finding inefficiencies in businesses and eliminating them. He sees a line item that could be halved and naturally wonders: why the waste?I explained that we

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5:43

(Un)reasonable Adjustments

MSKMag OutLoud ·

2025/12/01

Definitions of Reasonable Adjustments (unofficial, but entirely reliable):* The Employee: “Anything that allows me to do my job while never being inconvenienced again, ever.”* The Manager: “Anything that doesn’t require rewriting the rota, or attending another meeting.”* The Colleagues: “Anything that doesn’t mean I pick up your shifts, your caseload, or your endless sighs.”* HR: “Anything we can paste into a policy document to demonstrate compliance without committing to action.”* Employee Health &

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6:00

Changed for Good? - Editorial - MSKMag Issue 24

MSKMag OutLoud ·

2025/12/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comIt remains to be seen if Wicked will dominate culture in the coming weeks as it did this time last year, but since you lot made the mistake of enjoying/tolerating my Defying Gravity musings back then, here I am once again with a witchifying editorial.I’m in a rather ponderous, reflective and mushy mood which usually needs no explanation but by the end of this you’ll understand that I have a decent reason for once. Said

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7:58

Beyond the ‘Licence to Kill’ Headlines: Assisted...

MSKMag OutLoud ·

2025/11/01

When was the last time you held a conversation with a colleague or patient about assisted dying? Never? You’re not alone — and that’s precisely why I’m writing this article. If a patient were to bring it up tomorrow, would you know how to respond, or even what the law currently says?As I write this, on 23rd September 2025, the Terminally Ill Adults (End of Life) Bill has just completed its second reading in the House of Lords. It is now one step closer to becoming law in England and Wales.If passed,

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38 results

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