The Physio Matters Podcast

Putting big mouths and big ideas behind microphones.
The Physio Matters Podcast is a feature of Chews Health’s third core value ‘We Educate’.

Episodes will feature expert, honest advice, delivered directly to listeners at no cost.

The Physio Matters Podcast content hopes to be clinical gold delivered direct.
Musculoskeletal and Sports Medicine information for those working in physiotherapy, sports therapy, sports rehabilitation, medicine and all divisions of the healthcare industry

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

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