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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

11:08

Finding true value: how to build something worth selling

MSKMag OutLoud ·

2026/04/01

I spent the better part of a decade buying MSK practices before I ever helped anyone sell one.I founded a physiotherapy clinic group in my twenties, growing it from a single site to 36 locations. Acquisitions were a significant part of how we scaled. I would sit opposite an owner, run the numbers, and work out what I was prepared to pay, doing this more times than I can count. Aged 30, I went through my own exit to a private equity firm.This experience and the lessons it taught me form the

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1:50

Industrialised Rehabilitation: Where Does the Patient...

MSKMag OutLoud ·

2026/04/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comRecently I found myself in two very different rooms: Laing Buisson’s Out of Hospital Healthcare Conference and HETT (Health Excellence Through Technology).Laing Buisson is a well-known health market intelligence organisation that convenes leaders from the independent and private healthcare sector, commissioners, insurers, investors and provider organisations. Conversations there tend to focus on contracts, investment,

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2:57

Trained to Struggle?: Why MSK physio needs to be its...

MSKMag OutLoud ·

2026/04/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comPicture it. The next patient is walking through the door and you don’t have a f*****g clue what to do with them. You just hope they don’t ask too many questions.I know I’ve been there… have you?Thankfully, less so in recent years, although I certainly do still have those moments! I’m experienced enough now however to openly acknowledge this and save myself the later embarrassment showing that I was winging it. An

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11:45

Core Memories: The Physio Matters Podcast Session 10...

MSKMag OutLoud ·

2026/04/01

In 2014, clinical pharmacist and exercise medicine champion Ann Gates spoke to Jack Chew on The Physio Matters Podcast about the need to reposition physical activity at the centre of healthcare. She described physical inactivity as a public health crisis, advocated for integrating exercise into every patient consultation, and encouraged us to view exercise as a therapeutic agent as legitimate as drugs or surgery.Nearly 12 years later, the evidence base for exercise medicine has grown substantially

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3:29

What is Expertise?

MSKMag OutLoud ·

2026/04/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comExpertise is special skill or knowledge that is acquired by training, study, or practice.I follow an Orthopaedic surgeon from the US who is of a similar vintage and much of what he posts aligns with my current thinking. I like his posts because they ooze expertise. He is extremely considered when it comes to non-operative care and he himself states how much less he operates these days, as he has become more

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4:37

The Best Dynamometer For Clinical Practice

MSKMag OutLoud ·

2026/04/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comDynamometry and assessment of performance are hot topics right now and with the drive to provide data-driven decisions in clinical practice, you can see why rehab professionals are seeking tools to capture this information.A couple of years ago I had the pleasure of writing an article for MSK Mag [1], covering some of the fundamental aspects of dynamometry, assessment of performance and measurement error. We explored

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3:52

Barking at Our Reflection - Editorial - MSKMag Issue 28

MSKMag OutLoud ·

2026/04/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comI took a phone call from a friend this month. She’s been called up for HCPC audit and we both run very similar sole practitioner clinics.A great deal of my replies to her questions about whether I had x, y or z policy in place were “erm… no?” Sure, I have consent forms for patients and a plan in place for the patient who comes in with unexplained bladder retention and bilateral leg pain… but you want to see my

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49:35

Chewy And Jim - Two Tier MSK?

MSKMag OutLoud ·

2026/03/01

Chewy and Jim are back and so is the theme tune. Now I am not usually one to call out Chewy’s mum for bias but apparently she is in a grump about the lyrics. Yes maybe we do omit ‘Chewy’s dashing looks’ but there is reference to his ‘gags’ which of course are absolutely dreadful and often unpublishable trash.Chewy and Jim is best watched in full via the video above (so you can check out Jim’s dashing looks) or you can listen on the usual podcast players.In this recording, Chewy and Jim cover a lot

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11:43

Advanced practice without the title: The reality of...

MSKMag OutLoud ·

2026/03/01

Over the past decade few developments have reshaped UK musculoskeletal (MSK) care as profoundly as the rise of First Contact Practitioners (FCPs) in primary care. What began as a pragmatic response to workforce pressure has quietly evolved into something far more significant: advanced-level clinical decision-making at the very forefront of the system.In many ways FCPs have changed the front door of the NHS.Patients now access specialist MSK expertise earlier. GPs are better supported. Pathways move

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2:01

Continence Considerations

MSKMag OutLoud ·

2026/03/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comUrinary incontinence is often seen as something that belongs firmly in the realms of pelvic health. When I worked solely in MSK, I rarely asked about it unless I was screening for cauda equina. If I am honest, I hoped for a straightforward “no”. If someone did say yes, I clarified that it was not new or acute, reassured myself it was not a red flag, and moved on. I am sure I was not alone in that approach.The reality is

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2:03

The business and life lessons learned from MSK...

MSKMag OutLoud ·

2026/03/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comI didn’t set out to write a book. I set out to understand people.Through founding and running Physiquipe, I’ve been incredibly fortunate. The business gave me a platform to step into elite sport environments, private clinics, NHS settings and boardrooms and, more importantly, to meet some amazing people along the way. Those relationships naturally led to conversations, and those conversations led to the Life Stories and

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2:24

PAIn Care in 2050: what might it look like?

MSKMag OutLoud ·

2026/03/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comImagine we can teleport to 2050 and witness a pain clinic visit. Before the patient enters the room, the clinician reviews a multimodal dashboard that has information from wearables, sleep tracking, movement, mood, and lifestyle pillars.An AI-generated risk profile with confidence intervals is generated along with psychosocial risk flags, so the clinician can be aware of the whole person components that may be worth

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4:06

Football Has a Hamstring Problem

MSKMag OutLoud ·

2026/03/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comWho was the first player you pictured when you read the title? I would bet for most of you it would have been someone famous. Perhaps Lionel Messi or Ronaldo (Brazilian version or Portuguese)? I would also bet that it would have been a male?I pictured European Champion, England Lioness and Chelsea forward Lauren James. Her brother Reece is also an England player. Talented family!Despite the social media noise, it’s not

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3:16

Fear, Frustration and the Fifth Round of the FA Cup

MSKMag OutLoud ·

2026/03/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comIf you’re a football fan, you’ll know the feeling of cup draw day. If you are not a football fan but live with one, you have no doubt endured this spectacle. The day a bag of small numbered balls are released into an empty goldfish bowl on live TV, agitated by a one-time footballing great, now retired player, and pulled out one by one - matching each team with another; one to play at home, the other away.Two weeks ago,

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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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52 results

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