Session 22 – ‘Medically Unexplained Symptoms’ with Roger Kerry

Podcast Timeline:

0:00-1:35 Intro

1:35-3:25  Intro to Roger and Medically Unexplained Symptoms

3:25-5:10  What are MUS?

– Established term

– Demonstrable lack of explanatory pathology

5:10-12:45         What challenges does this present

– EBM issues

– RCTs have limitations

12:45-15:45       Roger being misinterpreted?

– Not anti-EBM, Pro-science!

– Pendulums

15:45-22:00       Causation

– Philosophical underpinning of RCT vs clinical practice

– Multifactorial, context specific, changeable

22:00-27:45       Biopsychosocial model

– Game shifting move forwards

– Lets not relax

– Not holistic, reduces patients down to 3 components

27:45-33:50       How do we get to holistic care?

– Difficult to say right now

– We need to change how we think about evidence

– We need to involve the patient

33:50-41:00       Categorising/stratifying care

– Subgroup n=1

– Person centred care

41:00-45:20       Is Physio well placed to draw all this together?

45:20-47:30       Reluctance to scrutinize own practice

47:30-53:00       Are MUS explained by processing faults?

– Trying to improve function

– Not reinforcing unhelpful beliefs

53:00-1:01:00 Jack’s Case study

– Not why but what and how

1:01:00-1:02:30 Patient centred doesn’t mean pandering to patients

1:02:30-1:05:05 Roger you would make a very good clinician!

1:05:05-1:08:00 Roger’s plugs

1:08:00-1:10:00 Outro

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

Session 8 – Haemodynamics with Alan Taylor

Session 9 – Psychological Interventions in Physiotherapy with Dr Richard Bennett

Session 10 – Exercise Promotion with Ann Gates

Session 11 – Treating Tendons with Seth O’Neill

Session 12 – The big Kinesiology Tape Debate – ‘To KT, or not to KT’ with Paul Coker and Paul Westwood

Session 13 – A Year in Podcasts with The Physio Matters Podcast Team

Session 14 – The Unstable Concept of Core Stability with Ben Smith

Session 15 – Does Work Matter with Heather Watson

Session 16 – Biomechanics and Pain: The Ongoing Dilemma with Greg Lehman

Session 17 – Building & maintaining an award winning MSK service with Paula Deacon

Session 18 – The myth of ‘over-pronation’ with Ian Griffiths

Session 19 – Managing Runners with Matt Phillips and Tom Goom

Session 20 – Shoulder Instability with Jo Gibson

Session 21 – Fathoming Fibromyalgia with Bronnie Thompson