Session 8 – Haemodynamics with Alan Taylor

Jul 27, 2014
CH Admin

Putting big mouths and big ideas behind microphones.
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Session 8 – Haemodynamics with Alan Taylor

Session 8 features an interview with Alan Taylor, recently controversial, Alan is a physiotherapist from a sports medicine background who is well known for his work around haemodynamics and the vascular system. Jack and Alan discuss a variety of case studies and pathologies that arise with dysfunction of the vascular system as well as complex differential diagnosis around the neck post-trauma.

Podcast timeline:

  • 0:00
    -Podcast introduction
  • 1:40
    -Introducing Alan Taylor2:05
    -Why an interest in haemodynamics and cervical arterial dysfunction (CAD)?
    -A challenging case study; when the usual strategies have been exhausted, then what?4:20
    -Further research for Alan
    -The vascular system and endofibrosis

    -Absence of of normal neuromusculoskeletal symptoms
    -Pain syndromes; were we missing something?

    -VBI thinking and the changing vernacular to CAD

    -Whiplash and the role of the vascular system
    -Sports medicine cases and injuries to the carotid artery system

    -Learning from case studies
    -Concerns to assess and treat the neck; justified concern or exaggerated precaution?
    -Working as an expert witness
    -Risk assessment; frequency and severity of encountering vascular issues

    -*Warning signs*
    -Jeremy Lewis case study of an abdominal aortic aneurism

    -The IFOMPT framework for clinical reasoning
    -Partnership with Roger Kerry and challenging current thinking

    -Physiotherapists and taking blood pressure; an under-utilised assessment tool

    -The need to modify our assessments with an increasing index of suspicion of the vascular system
    -Whiplash case study; learning from the experience/mistakes of others

    -Differential diagnosis and ‘masqueraders’ in the neck
    -Considerations for trauma
    A need for onward referral and suitable investigations

    -When to refer on and the value of that ‘gut feeling’

    -The role of cranial nerve testing
    -Do we use them or even know what they are? (For most of us, probably not!)

    -Considering the vestibular system
    -Dizziness and the need for a multi-system assessment

    -Beware unusual symptoms
    -Upper and lower limb vascular dysfunctions
    -Availability of surgical evidence

    -Common sporting culprits e.g. Cycling
    -Kinking of the vessels and high haemodynamic loading

    -‘Pseudo’-radicular patterns
    -Absence of neurological findings? Try the vascular system
    -Questionable specificity/sensitivity of vascular special tests

    -The ease misinterpreting the nervous system

    -Advocating positional pulse taking and the reliability of this
    -Exercise-induced changes

    -DVT’s in sports medicine; not just a big, hot, swollen limb

    -Alan’s message to clinicians

    -Alan’s plugs and recommended blogs/resources
    -The Physioedge podcast with Roger Kerry
    -Recent debate with pain sciences

Twitter: @TPMPodcast @Chews_Health @TaylorAlanJ

Previous episodes:

Session 1 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 1

Session 2 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 2

Session 3 – The Rugby Shoulder with Dr Ian Horsley

Session 4 – Know Pain: Metaphoric Expression with Mike Stewart – Part 1

Session 5 – Know Pain: Metaphoric Expression with Mike Stewart – Part 2

Session 6 – Achilles Tendons with Seth O’Neill

Session 7 – Critical Thinking, Twitter & Manual Therapy Myths with Adam Meakins