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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

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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2:14

Building a Workplace Culture That Attracts, Engages...

MSKMag OutLoud ·

2025/11/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comRecruitment, team journey and leadership are big topics that can often slip down the priority list in a busy private practice. How many therapists received formal training to manage a team before setting up their clinic? For some it might come naturally, but for most it’s a skill that can and must be developed.As the saying goes, ‘Culture eats strategy for breakfast every single day’. Strategy gives you direction

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2:11

Ice Ice Maybe?

MSKMag OutLoud ·

2025/11/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comIn recent years there’s been increasing debate and discussion around ice therapy for injury recovery. While previously ice was always considered as the first-line approach for managing acute injuries, now the debate on its effectiveness has expanded and there are questions about the validity of ice therapy.Historical ViewIn 1978, a phrase that is synonymous with injury recovery was born: RICE. Discussed in The

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4:30

Game On: Gamification Revolutionising Rehab and Therapy

MSKMag OutLoud ·

2025/11/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comThe Motivation ProblemAnyone who’s ever faced rehabilitation after an injury, surgery, or illness knows that recovery isn’t just about the body: it’s a mind game. The repetition, the discomfort, and the slow pace of progress can sap motivation. You may have heard the words before: “I’ll do it later”, “It’s boring”, “It’s repetitive” or “I can’t find the time”.And yet, consistency is everything in rehab. Missed sessions

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1:37

Evidence Based Practice – Making MSK Great Again!

MSKMag OutLoud ·

2025/11/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comSo, you think you know what evidence-based practice (EBP) is? I’m glad you think you do.I’m not as certain as I was 10 years ago. With each passing year of clinical practice there seem to be increasing levels of complexity, treatment choice and demand falling at the feet of those delivering clinical services. This is particularly true for NHS colleagues, who are navigating in-person and digital care, aligning to the

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34:30

Chewy and Jim (and Beav?) - Nov 2025

MSKMag OutLoud ·

2025/11/01

Welcome back to Chewy and Jim!The lads are joined in this recording by Rob Beaven who, amongst other things (like a chiro but we don’t hold that against him), is Partnerships Manager for Physio Matters. Jim and Rob didn’t want to involve Chewy but his name being in the theme tune kind of forced their hand.Chewy, Jim and Beav discuss clinical competency amongst MSK Therapists, using social media to ask for help, and the problems associated with just ‘having a go’ at treating stuff.So strap in, this

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5:19

Should We Wish Things Worse? Editorial MSKMag Issue 23

MSKMag OutLoud ·

2025/11/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comI have a thing for counterintuitive things. It’s one of the reasons I consider myself so lucky to have gotten into the MSK game when I did. It’s counterintuitive that the extent of tissue damage doesn’t necessarily correlate with pain and that moving ‘badly’ doesn’t necessarily cause injuries or impair performance. If it was clear and obvious, I’d have been less interested and less interesting. The murkier the water,

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8:46

Distal biceps ruptures – a ticking time bomb?

MSKMag OutLoud ·

2025/10/01

First up in this month’s MSKMag is a reprint of the wonderful Val Jones’ excellent article from earlier this year. We are re-publishing this as open access to bring further attention to her work and to help raise funds for an important campaign to get Val back home with her family.Val Jones is a Physiotherapist and educator specialising in elbow pain and pathology who we have had the pleasure of working with for many years. Unfortunately she was in a serious accident earlier this year which has

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2:05

Under Pressure: Catching Cases of MSCC

MSKMag OutLoud ·

2025/10/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comThe cells of a malignant tumour are restless. Every so often, one wriggles free and breaks off. It’s almost certainly doomed: if it’s not destroyed by immune cells, it will likely succumb to fluid shear stress as it’s dragged through narrow vessels, or just undergo programmed cell death [1].But some do make it to the spine and colonise it; we then call them metastases. Why so often the spine and not, say, the tibia or

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2:32

Beyond Biomechanics: Stepping Away from Structuralism...

MSKMag OutLoud ·

2025/10/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comTherapists treating runners, cyclists, or triathletes can often feel frustrated when athletes keep breaking down despite everyone’s best efforts.I now work exclusively with endurance athletes and have spent recent years helping therapists understand how these people tick - and how we can help them more effectively.For decades, we were trained to think in terms of structure and mechanics: weak glutes, flat feet,

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2:11

Competency Over Profession in MSK Healthcare

MSKMag OutLoud ·

2025/10/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comLast week, I spent three hours covering reception at our multidisciplinary clinic: a chiropractor answering the phones.In that short time, I broke the printer, deleted something important (still not sure what), and nearly undid a whole day’s worth of admin magic. In other words, I proved what our incredible front desk team already knows: I should never be left in charge without adult supervision.But between the chaos, I

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2:33

Does Physio Have a Future?

MSKMag OutLoud ·

2025/10/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comWhilst the existence of debate in MSK physiotherapy is not new, recently the question seems to be whether we have a future at all.If, even 10 years ago, you had suggested that MSK physiotherapy was vulnerable to developments in artificial intelligence (AI) you would have been laughed out of town. How could a profession so reliant on personalisation, hands-on assessment, treatment and rehabilitation be vulnerable? Whilst

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8:53

Three Medic Behaviours That Could Be Hurting the NHS

MSKMag OutLoud ·

2025/10/01

The NHS is under super enormous pressure. Staff are walking, patients are waiting ridiculous amounts of time, and services feel harder to deliver than ever. Why? Not enough funding? Debatable. An ageing population? Definitely a contributor. Political decisions that make you want to scream into a pillow? God yeah.“If only we had more doctors, more nurses, more beds, more stuff...” But what about how we use the workforce we already have? Billions are funnelled into recruitment drives and shiny tech,

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6:07

Video Killed the Radio Star - Editorial - MSKMag...

MSKMag OutLoud ·

2025/10/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comI was reminded recently about my very first MSKMag editorial which I titled ‘A Huge Backward Step’ because that was the instinctive reaction of many when we suggested using written words rather than spoken ones for CPD. This summer we ticked over the one million views mark for MSKMag so I’m overdue a smug ‘I told you so’ moment where I swagger around explaining how I came to such a visionary idea…Firstly, it’s a blog

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42:38

Chewy and Jim - July 2025

MSKMag OutLoud ·

2025/07/01

Welcome back to Chewy and Jim!. In this recording there wasn’t anyone available to reign them in so we had to edit out some of their more ridiculous tangents.No one for example is interested in Jim’s traffic updates or Chewy’s niche personality anecdotes.What we are left with is a great chat about the pros and cons of the explosion of online CPD opportunities, second opinions in rehab and then finishing on interviews. So strap in, this is definitely best enjoyed in audio but here is a summation of

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2:03

MSKMag OutLoud - Issue 3 - March 24

MSKMag OutLoud ·

2024/03/04

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comIssue 3 ContentThe Rise and Fall of MSKR - Felicity Thow READ HEREWhen Your Business Needs More Than You - Leanne Antoine READ HEREPutting A Shoulder To The Wheel - Ian Horsley READ HEREFunctional Rehab Is Doomed - Heather McLellan READ HERE Adjustments In Practice - Rob Beaven READ HERE

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3:01

Massage, Needling & CPD

MSKMag OutLoud ·

2024/03/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comWhy do you care so much about the other MSK professions?CHEWY - One of the things I think I particularly find mechanistically to be useful with regards to internal reforms within physio, is how do you raise standards in physiotherapy MSK practice or MSK practice generally, Physio Matters after all, is I think that it struggles for competition. I have th…

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2:00

MSKMag OutLoud - Issue 2 - Feb 24

MSKMag OutLoud ·

2024/02/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comIssue 2 ContentIs Stretching Due A Renaissance? - Sue Julians READ HERESo You’re Opening Your Own Clinic - Tim Allardyce READ HEREKnow Your Knoisy Knees - Claire Robertson READ HEREThe Phantom of Complex Compensatory Injuries - Paul Ingraham READ HEREAuntie Version - MSKMag’s Agony Aunt READ HERESit In The Mud - Ben Whybrow READ HERE

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6:00

OA, Personalities & S&C Specificity

MSKMag OutLoud ·

2024/01/01

This is a free preview of a paid episode. To hear more, visit mskmag.substack.comIt turns out that if you give two MSK nerds who happen to be best mates 3 hours and two microphones to talk about whatever pops into their heads, a new product is born… In the first episode of their new show; Chewy & Jim, Jack Chew asks Jack March questions about Osteoarthritis, they discuss the personality traits and neurodiversity that enable them to …

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