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PT Pro Talk

PT Pro Talk

By: Mariana Hanna Parks
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Join Mariana Parks, PT, Cert. MDT, as she interviews world-leading experts in physical therapy, rehabilitation, and sports medicine. Each episode delivers evidence-based insights, proven techniques, and clinical strategies to help physical therapists expand their knowledge, improve patient outcomes, and stay ahead in the ever-evolving PT field. 👉 https://www.ptprotalk.com/ 🔗 https://linktr.ee/Ptprotalk 📲Follow us : Instagram - @ptprotalk Facebook - @ptprotalkpodcast LinkedIn: https://www.linkedin.com/company/pt-pro-talk/ YouTube: https://www.youtube.com/@PTProTalk X: x.com/MariHannaParks841801 Hygiene & Healthy Living
Episodes
  • Ep 205. Beyond Load Management: Pain Mechanisms in Tendinopathy with Dr. Brooke Coombes

    Ep 205. Beyond Load Management: Pain Mechanisms in Tendinopathy with Dr. Brooke Coombes
    May 26 2026
    Help Us Build Better Solutions for Your Practice! 🚀 Take 60 seconds to answer 3 quick questions and help us build new paths to make your practice run smoother. 👉https://forms.gle/LmAh4H1vRKjKqCtW8 🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here.💡 Are you still treating tendinopathy purely as a "load capacity" or biomechanical failure issue? If you have patients who simply don't improve with isometric exercises or who experience unpredictable pain flare-ups, the problem might not be in the tendon itself, it could be in the nervous system.Grab your notebook! We dive deep into modern pain neuroscience applied to daily clinical practice, busting old myths and bringing you assessment tools you can use in your clinic tomorrow morning.💭 “We needed to start broadening our minds about pain — whether we can just focus on the tissues or whether we need to think beyond the tissues" - Dr. Brooke Coombes👉🏻 Dr. Brooke Coombes is a Musculoskeletal Physiotherapist, lecturer, and Postdoctoral researcher at The University of Queensland. She is an internationally recognized expert in tendinopathy and musculoskeletal injuries, with over 65 peer-reviewed publications in prestigious journals such as The Lancet and JAMA. Her impactful research challenges traditional treatments, like corticosteroid injections, and explores how factors such as obesity, diabetes, and exercise affect tendon and muscle health. Utilizing advanced techniques like ultrasound elastography and quantitative pain measurement, Dr. Coombes is currently focused on developing practical clinical tools to help practitioners identify and match specific treatments to a patient’s dominant pain mechanism based on IASP guidelines. 📚In this episode, you'll learn:Tendinopathy isn't always a loading problem: why pain mechanisms change everything about how you manage these patientsHow to tell your pain mechanisms apart: the clinical features and tools that help you discriminate nociceptive, neuropathic, and nociplastic pain in tendonsThe research reshaping tendinopathy science: sensitisation patterns, neuropathic-like features, and what the evidence actually saysWhat personalised tendinopathy care looks like: moving beyond load management to match your approach to the underlying pain mechanism🔎Brooke's Resource of Information:Wheeler, PC. Up to a quarter of patients with certain chronic recalcitrant tendinopathies may have central sensitisation: a prospective cohort of more than 300 patients. Br J Pain. 2019 Aug;13(3):137-144. doi: 10.1177/2049463718800352. Shraim MA, et.al. Features and methods to discriminate between mechanism-based categories of pain experienced in the musculoskeletal system: a Delphi expert consensus study. Pain. 2022 Sep 1;163(9):1812-1828. doi: 10.1097/j.pain.0000000000002577. Rio E, et. al. Sensory Processing in People With and Without Tendinopathy: A Systematic Review With Meta-analysis of Local, Regional, and Remote Sites in Upper- and Lower-Limb Conditions. J Orthop Sports Phys Ther. 2021 Jan;51(1):12-26. doi: 10.2519/jospt.2021.9417. Cancela-Cilleruelo I, et. al. Presence of Neuropathic-Like Symptoms in Individuals With Painful Tendinopathy/Overuse Injuries: A Systematic Review and Meta-Analysis. Clin J Pain. 2025 Jul 1;41(7):e1292. doi: 10.1097/AJP.0000000000001292. Coombes BK, et. al. A new integrative model of lateral epicondylalgia. Br J Sports Med. 2009 Apr;43(4):252-8. doi: 10.1136/bjsm.2008.052738.📲 Brooke's contact information:b.coombes@uq.edu.au🎥Link to interview on Youtube 👉 ⁠Share Your Feedback⁠🎙Join our ⁠email list⁠ to receive podcast updates📸⁠Instagram⁠ 📱⁠Facebook⁠💻⁠LinkedIn⁠🐦⁠Twitter⁠📩Email: ⁠mariana@ptprotalk.com⁠PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.
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    1 hr and 2 mins
  • Ep 204. Can Physical Therapy Actually Change a Bunion? with Andrew Wynd

    Ep 204. Can Physical Therapy Actually Change a Bunion? with Andrew Wynd
    May 12 2026
    Help Us Build Better Solutions for Your Practice! 🚀 Take 60 seconds to answer 3 quick questions and help us build new paths to make your practice run smoother. 👉https://forms.gle/LmAh4H1vRKjKqCtW8 🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here.💡 Are bunions strictly a surgical problem, or can physical therapy make a measurable difference? In this episode of PT Pro Talk, Mariana sits down with sports physiotherapist Andrew Wynd to challenge the common belief that conservative care can't change a hallux valgus (HAV) angle. Drawing from over 15 years of clinical experience specializing in foot and ankle issues, Andrew breaks down a comprehensive, non-surgical approach to treating bunions. By addressing the biomechanical roots of the issue (from hip rotation to big toe muscle activation) therapists can empower their patients with real alternatives to surgery.💭 “I do believe that you can change the angles. And I'm well aware that the vast majority of higher-quality research suggests otherwise." - Andrew Wynd👉🏻 Andrew Wynd is an APA-Titled Sports Physiotherapist and is the founder and director of Balwyn Sports & Physiotherapy Centre in Melbourne. He also is the CEO of Freestyle Feet, an innovative company that aims to solve foot/ankle issues through education and products. Andrew is globally recognised for his foot & ankle clinical work, holding a Post Graduate Master’s Degree in Sports Physiotherapy. Andrew has been a casual academic teacher at La Trobe University and is passionate about ongoing clinician development and mentoring.📚In this episode, you'll learn:What the current evidence tells us about non-surgical treatment for hallux valgusA practical approach to conservative management that combines manual therapy, exercise, and orthotic interventionsHow to identify which patients are good candidates for physical therapy versus surgical referralRealistic treatment timelines and outcomes you can expect with conservative care🔎Andrew's Resource of Information:Freestylefeet Youtube Freestyle Feet WebsiteBanished Bunion CourseAbdalbary, S. A. (2018). Foot mobilization and exercise program in combination with toe separator improves outcomes in women with moderate hallux valgus at the one-year follow-up: A randomized clinical trial. Journal of the American Podiatric Medical Association, 108(6), 478-486. https://doi.org/10.7547/17-026 Hurn SE, et. al (2022). Effectiveness of Nonsurgical Interventions for Hallux Valgus: A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken). 2022 Oct;74(10):1676-1688. doi: 10.1002/acr.24603Ferreyra, M, et. al. (2020). What do we know about hallux valgus pathogenesis? Review of the different theories. Journal of the Foot & Ankle, 14(3):223-230. https://doi.org/ 📲 Andrew's contact information:Freestylefeet IGFreestylefeet FacebookAndrew's LinkedinBalwyn Sports FacebookBalwyn Sports IGBalwyn Sports WebsiteBalwyn Sports Youtube🎥Link to interview on Youtube 👉 ⁠Share Your Feedback⁠🎙Join our ⁠email list⁠ to receive podcast updates📸⁠Instagram⁠ 📱⁠Facebook⁠💻⁠LinkedIn⁠🐦⁠Twitter⁠📩Email: ⁠mariana@ptprotalk.com⁠PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.
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    54 mins
  • Ep 203. DNS, Breathing & Trunk Stability: What Most PTs Miss with Dr. Michael Maxwell

    Ep 203. DNS, Breathing & Trunk Stability: What Most PTs Miss with Dr. Michael Maxwell
    Apr 28 2026
    Help Us Build Better Solutions for Your Practice! 🚀 Take 60 seconds to answer 3 quick questions and help us build new paths to make your practice run smoother. Click Here🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here.💭 "The second you try to isolate a muscle to create stabilization, you will fundamentally create dysfunction." - Dr. Michael Maxwell👉🏻 Dr. Michael Maxwell, DC, BHK is a chiropractor and educator whose mission is to deliver research-backed, practical MSK education. He is Canada’s only Certified Instructor for Michael Shacklock’s Clinical Neurodynamics and a Certified Instructor for Dynamic Neuromuscular Stabilization (DNS).With over 20 years of experience, from personal training and medical exercise to chiropractic practice, Michael integrates movement-based manual therapy and exercise interventions. He has organized more than 300 continuing education courses across Canada featuring world-renowned clinicians, and he regularly teaches at postgraduate courses and conferences internationally.This unique combination of clinical experience, extensive training, and exposure to leading educators positions him to offer exceptional continuing education for health professionals.📚In this episode, you'll learn:What DNS actually is (and common misconceptions)How motor control shapes movement and stabilityA new perspective on the “core” (breathing vs hollowing/bracing)How to apply it in rehab (including strengths and limitations)🔎Michael's Resource of Information:Courses by MichaelKolář, P., et al. (2012). Postural function of the diaphragm in persons with and without chronic low back pain. Journal of Orthopaedic & Sports Physical Therapy, 42(4), 352–362. Sembera M, et al. Postural-respiratory function of the diaphragm assessed by M-mode ultrasonography. PLoS One. 2022;17(10):e0275389. Rabieezadeh A, et al. The effects of an 8-week dynamic neuromuscular stabilization exercise on pain, functional disability, and quality of life in individuals with non-specific chronic low back pain. BMC Sports Sci Med Rehabil. 2024;16:161.Kolář P, et al. Analysis of Diaphragm Movement during Tidal Breathing and during its Activation while Breath Holding Using MRI Synchronized with Spirometry. Physiol Res. 2009;58:383-392. Lee NG, et al. Best Core Stabilization for Anticipatory Postural Adjustment and Falls in Hemiparetic Stroke. Arch Phys Med Rehabil. 2018;99(11):2168-2174. Cha YJ, et al. The Best Lumbothoracic-Cervical Chain Stabilization Exercise for Longus Colli Activation. J Med Imaging Health Inform. 2018;8(1):84-87. Son MS, et al. Effects of dynamic neuromuscular stabilization on diaphragm movement, postural control, balance and gait performance in cerebral palsy. NeuroRehabilitation. 2017;41(4):735-743.Yoon HS, You JSH. Reflex-mediated dynamic neuromuscular stabilization in stroke patients: EMG processing and ultrasound imaging. Technol Health Care. 2017;25(S1):99-106. doi: 10.3233/THC-171311. Kobesova A, et al. Can Exercise Targeting Mid-Thoracic Spine Segmental Movement Reduce Back Pain and Improve Sensory Perception in Cross-Country Skiers? Clin J Sport Med. 2021;31(2):e86-e94. • Frank C, et al. Dynamic neuromuscular stabilization & sports rehabilitation. Int J Sports Phys Ther. 2013;8(1):62-73. 📲 Michael's contact information:WebsiteLinkedInIGFacebookYoutube🎥Link to interview on Youtube 👉 ⁠Share Your Feedback⁠🎙Join our ⁠email list⁠ to receive podcast updates📸⁠Instagram⁠ 📱⁠Facebook⁠💻⁠LinkedIn⁠🐦⁠Twitter⁠📩Email: ⁠mariana@ptprotalk.com⁠PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like Hanna Health⁠ and ⁠SaraHealth⁠.
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    1 hr and 26 mins
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