by Blake Withers and Kelly Kortick
Join Blake & Kelly as he dives into the world of Sports Medicine — from injuries and injections to running and performance. Perfect for clinicians and healthcare enthusiasts, this fortnightly podcast blends real-life clinical insights with evidence-based discussions to help you treat smarter and work better. With a background in research, biomechanics, and podiatry, Blake shares practical tips you can actually use to improve patient outcomes and stay up to date. If you’ve ever felt like you’re drowning in conflicting advice on how to manage injuries — this podcast will cut through the noise.
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Publishing Since
2/4/2022
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March 16, 2025
<p><br></p><p>Gregs social: <a href="https://www.instagram.com/greglehman/" target="_blank" rel="noopener noreferer">https://www.instagram.com/greglehman/</a></p><p>Pro version Heidi AI Scribe (time saver) Link: <a href="https://scribe.heidihealth.com/?via=SMP">https://scribe.heidihealth.com/?via=SMP</a></p><p>Support the show: <a href="https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink">https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink</a></p><p>Gregs Website: <a href="https://www.greglehman.ca/" target="_blank" rel="noopener noreferer">https://www.greglehman.ca/</a></p><p>Chapters</p><p>00:00 Evaluating Shockwave Therapy in Tendinopathy</p><p>00:44 The Role of Exercise in Rehabilitation</p><p>03:43 Understanding Patient Ecosystems and Health</p><p>06:23 Case Studies: Practical Applications in Treatment</p><p>08:49 The Complexity of Pain Management</p><p>11:43 Research Critique: Shockwave Therapy and Evidence</p><p>14:10 Psychological Factors in Pain Perception</p><p>17:02 Clinical Decision-Making in Patient Care</p><p>26:00 Trusting Experts and Knowledge Translation</p><p>27:21 Challenging Established Beliefs</p><p>28:30 Comparing Treatment Philosophies</p><p>31:03 The Role of Patient Understanding</p><p>33:35 Exercise vs. Alternative Treatments</p><p>34:26 Load Management in Rehabilitation</p><p>35:54 Creative Approaches to Running Rehabilitation</p><p>37:06 Resistance Training for Runners</p><p>40:12 Skepticism Towards New Research</p><p>42:50 Understanding Bone Stress Injuries</p><p>54:53 Understanding Pain and Structural Changes</p><p>58:59 Navigating Risks in Running Injuries</p><p>01:04:20 The Role of Social Media in Health Information</p><p>01:09:39 Strength Training and Recovery Insights</p><p>01:12:24 Research Aspirations and Future Directions</p><p>Keywords:</p><p>shockwave therapy, tendon rehabilitation, exercise, pain management, sports medicine, patient education, metabolic health, case studies, research appraisal, individualized treatment, training protocols, bone health, stress fractures, plyometric training, rehabilitation, pain management, social media, health information, research ethics, performance.</p><p>Summary:</p><p>This conversation delves into the complexities of sports medicine, focusing on shockwave therapy, exercise rehabilitation, and the importance of understanding patient ecosystems. The speakers discuss recent research findings, the role of exercise in pain management, and the need for individualized treatment approaches. They also explore the psychological factors influencing pain and the critical appraisal of existing research in the field. In this conversation, Blake Withers and Greg delve into various aspects of training protocols, bone health, and the complexities of rehabilitation. They discuss the importance of flexibility in training, the role of frequency in plyometric exercises, and the nuances of managing pain in relation to structural changes. The dialogue also touches on the ethical considerations of pain in research, the impact of social media on health information, and future directions in rehabilitation research.takeaways</p><ul><li>Shockwave therapy may not provide additional benefits compared to exercise.</li><li>Exercise should be critically evaluated just like other treatments.</li><li>Improving a patient's overall health ecosystem is challenging but essential.</li><li>Patient motivation is crucial for successful rehabilitation.</li><li>Understanding the mechanisms of pain can enhance treatment outcomes.</li><li>Research in sports medicine often lacks strong evidence for certain treatments.</li><li>Individualized treatment plans are necessary for effective rehabilitation.</li><li>Psychological factors play a significant role in pain perception.</li><li>Exercise can positively influence peripheral nociception.</li><li>Critical appraisal of research is vital for informed clinical practice. People can improve despite not following traditional protocols.</li><li>Flexibility in training is crucial for optimal results.</li><li>Frequency of training may be more important than intensity.</li><li>Understanding bone health is essential for preventing stress fractures.</li><li>Pain is not always a reliable indicator of injury severity.</li><li>Social media can be a double-edged sword for health information.</li><li>Research ethics play a significant role in studying pain management.</li><li>The relationship between structure and pain is complex and often misunderstood.</li></ul><p><br></p>
February 16, 2025
<p>We discuss the latest review PMID: 39704142 with Prof Peter Malliaras</p><p>✅ <strong>Identifying early responders</strong> – Can we predict who will benefit?</p><p>✅ <strong>Effect </strong>– Does it work?</p><p>✅ <strong>Diminishing returns</strong> – When does adding SWT to exercise stop being beneficial?</p><p>✅ <strong>Types of shockwave therapy</strong> – Why radial shockwave was chosen in this study</p><p>✅ <strong>Sham treatments</strong> – Do they still have a therapeutic effect?</p><p>✅ <strong>Mechanisms of action</strong> – Neuromodulation, therapeutic alliance, and tendon adaptation</p><p>✅ <strong>The ‘Big Machine Effect’</strong> – Is patient belief in SWT part of its effectiveness?</p><p>✅ <strong>Comparisons to exercise</strong> – Would fewer appointments with exercise yield similar outcomes?</p><p><br></p><p><br></p><p>We also discuss <strong>clinical implications</strong>—will these findings change how shockwave therapy is used in practice?</p><p><br></p><p>🔗 <strong>References & Studies Discussed:</strong></p><p> • Alsulaimani et al. (2024) - Achilles tendinopathy & shockwave RCT</p><p> • Benli et al. - SWT vs. exercise alone</p><p> • Heide et al. - Shockwave therapy for <strong>plantar heel pain</strong></p><p><br></p><p><strong>Find out about Peter and upcoming course:</strong></p><p><strong>https://www.tendinopathyrehab.com/home</strong></p><p><strong>Socials: https://www.instagram.com/tendinopathyrehab/</strong></p><p><strong>https://www.linkedin.com/posts/petermalliaras_my-new-tendinopathy-rehabilitation-framework-activity-7296743926009368576-GNRW/?utm_source=share&utm_medium=member_ios&rcm=ACoAAAexDmkBlV5e4jGTX2E4X9J6s8ZitO8yX0M&fbclid=PAZXh0bgNhZW0CMTEAAabnnAaDDYH_S3We7eJaZZbOHWHxrtGYC_5AiRO-rDUtmh29GdmHqrWh9fI_aem_FLbCehDnORljxK3cgMA8fQ</strong></p>
February 2, 2025
<p><br></p> <p>Patreon: <a href="https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink">https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink</a></p> <p><strong>1. Keep Intensity the Same</strong></p> <p>This is the biggest and easiest mistake. If your Achilles is sore, what will aggravate it most is higher rates of loading—formally, this happens more when you run faster. <strong>Yes, it might warm up during the run, but you’ll pay for it 24 hours later.</strong> You need to stress it <strong>just a little</strong>, see how it responds, and build from there.</p> <p><strong>2. Rest, Then Go Straight Back to Full Load</strong></p> <p>You shouldn’t <strong>completely rest</strong> and then jump straight back to the same training load. If you usually do speed work on Tuesdays, and you’ve had a week or two off, that first run back <strong>shouldn’t</strong> be the same session. <strong>Don’t do that.</strong> Start gradually—try something like 6 x 1-minute efforts and progress from there.</p> <p><strong>3. Wear Flat Shoes</strong></p> <p>Heel pitch helps Achilles tendon pain. <strong>A higher heel reduces both tensile and compressive forces</strong> by limiting dorsiflexion. Achilles pain isn’t just about the run—it’s about <strong>everything you do throughout the week.</strong> If you’re on your feet all day, even if it’s not sore at the time, that will contribute to your pain during training.</p> <p><strong>4. Not Question the Diagnosis</strong></p> <p>Sometimes, <strong>it’s not Achilles tendinopathy.</strong> Yes, if you’ve had it before, you <strong>can</strong> get it again—but not always. Other things mimic Achilles pain. <strong>Be sure.</strong></p> <p><strong>5. Keep Training Load the Same</strong></p> <p>If you’re dealing with Achilles pain, <strong>take something away.</strong> Reduce intensity or volume—adjust something. If you’re not sure how, see someone who can <strong>help you make it graded.</strong></p> <p><strong>6. Think the Adjuncts Are the Answer</strong></p> <p>They can help, <strong>but they’re not the solution.</strong> Shockwave, massage, needling—useful, sure. But <strong>if you’re not loading appropriately, nothing else will fix it.</strong></p> <p><strong>7. Not Load It Properly</strong></p> <p>You <strong>have</strong> to load it. Strength, plyometrics, progressing appropriately—it all matters.</p> <p><strong>8. Smash the Anti-Inflammatories and Think That’s Enough</strong></p> <p>Anti-inflammatories aren’t <strong>bad,</strong> but if that’s <strong>all</strong> you’re doing, you’re missing the point. <strong>This isn’t an inflammatory condition—it’s a load issue.</strong></p> <p><strong>9. Think Injections Are the Quick Fix</strong></p> <p>Too many people jump to injections too early. They can have a role <strong>in specific cases,</strong> but they’re not a cure.</p> <p><strong>10. Ignore the Psychology Behind Injury</strong></p> <p>This is <strong>huge.</strong> Achilles pain isn’t just about the tendon—it’s about the <strong>mental load</strong> of not running, the frustration, the identity shift. Understanding this can <strong>change everything.</strong></p> <p><br></p> <p><br></p> <p><br></p> <p><br></p> <p><br></p> <p>Achilles tendinopathy, injury management, running injuries, health professionals, rehabilitation, load management, resistance training, anti-inflammatories, psychological impact, running performance</p> <p><br></p> <p><br></p>
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