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The Physical Performance Show

The Physical Performance Show

Di: Brad Beer (POGO Physio)
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A proposito di questo titolo
 The Physical Performance Show exists to inspire people to achieve their physical best performance through candid interviews with the world's best and most inspiring physical performers. The show's host Physiotherapist, Best selling Author, and accomplished athlete Brad Beer delves into how top physical performers achieve success and the highs and lows of the journey in getting there.Copyright POGO Physio Pty Ltd & Evolution Strength & Rehabilitation Pty Ltd Igiene e vita sana
Episodi
  • Ep 389: Shin Splints - Have We Been Getting It All Wrong? (with Laura Anderson)

    Ep 389: Shin Splints - Have We Been Getting It All Wrong? (with Laura Anderson)
    Nov 6 2026
    In episode 389 of The Physical Performance Show, Timothy Studley, physiotherapist at Pogo Physio, is joined by physiotherapist and PhD researcher Laura Anderson for a deep dive into shin splints, traditionally known as Medial Tibial Stress Syndrome (MTSS). Laura is the owner of The Injury Clinic in Geelong and is wrapping up a PhD on running retraining for runners with MTSS. Tim and Laura explore why MTSS may need a new name, what we do and don't know about the underlying pathology, and how to differentiate it from other causes of lower leg pain, particularly tibial bone stress injury. They also cover risk factors, load management, strengthening and plyometrics, and the limited role of gait retraining. It's a conversation that challenges conventional thinking for runners and clinicians alike. SHOW SPONSOR: 💯 Today's episode is brought to you by Pogo Physio's Telehealth consultations. If you're an endurance runner battling bone, tendon or joint-related concerns, our online telehealth consultations are an ideal platform to help get you back to your physical best. Book online at https://pogophysio.com.au. IN THIS EPISODE YOU'LL HEAR: Why MTSS is so poorly understood despite being commonly cited as one of the top three running injuriesWhy the JOSPT editorial argues MTSS needs a new name, and why "load-induced medial leg pain" (LIMP) was proposed: it's a pain presentation, not a syndrome, and it doesn't imply a bone stress injuryThe hypothesised tissue sources (soft tissue traction, deep crural fascia, cortical bone changes) and why none are conclusive, given similar findings in people without symptomsHow the name "medial tibial stress syndrome" may drive bone-focused management and be nocebic for patientsThe main differentials: tibial bone stress injury, compartment syndromes, popliteal artery entrapment and nerve-related presentationsTypical LIMP characteristics: gradual onset, may or may not warm up, usually eases within about 24 hours, and diffuse tenderness along the medial border (≥5 cm) compared with the more focal tenderness of bone stress injuryWhy LIMP and bone stress injury can co-exist, and why the athlete's story, training load history and symptom behaviour over time matter for diagnosisWhy LIMP is typically persistent and recurrent, and why a previous history is a risk factorRisk factors: dynamic factors (foot function in walking and running, contralateral pelvic drop, plantar flexor endurance, lower limb muscle stiffness) are more convincing than static posture, plus female sex, higher BMI and previous historyThe state of the treatment evidence (shockwave, strengthening, graded running programs) and why effects often fade over timeWhy Laura treats LIMP as a load-based problem, and the challenge of balancing capacity-building with continuing to runHow to decide what level of pain is acceptable by combining pain, function and symptom behaviour, including why Laura is comfortable with around 5/10 if function is maintained and symptoms settleWhy capacity work (plantar flexor strength, plyometrics) may improve symptoms in the short term but isn't clearly linked to a faster return to running, with more to come from Laura's RCTWhy complete rest isn't generally helpful unless pain prevents everything elseThe biggest load levers: intensity, frequency (rest days between runs) and volume, and why "easy" runs need to be genuinely conversational paceWhy gait retraining isn't the most important lever, and how technique changes can shift load to other tissuesGym work: find the biggest deficit first, and combine strengthening with progressive plyometrics where testing isn't availableWhere the term LIMP may go, and why accurate language helps patients, coaches and parents understand the injuryLaura's three tips each for runners and cliniciansLaura's physical challenge for the week QUOTES / TAKEAWAYS: "Language as clinicians is incredibly powerful and we have to be careful." "It's a hell of a lot easier to explain if you just call it what it is." "You just have to get comfortable with, at present, not knowing what it is and realising that that's okay." "There's no blanket giving of gait retraining." "I don't think a period of rest either improves their outcome in the short term or the long term." "Walk more." TIME STAMPS: 00:00 – Episode introduction and overview 01:39 – Guest introduction: Laura's clinical work and PhD 04:54 – Why MTSS needs a new name 06:23 – The proposed name: load-induced medial leg pain (LIMP) 07:51 – Hypothesised tissue sources: soft tissue vs cortical bone 13:31 – Differential diagnoses 16:20 – Typical LIMP presentation vs bone stress injury 22:36 – Diagnostic clues and the athlete's story 24:54 – Risk factors 27:37 – The state of the treatment evidence 30:29 – Treating LIMP as a load-based problem 33:19 – How much pain is acceptable? 36:14 – Does building capacity speed up recovery? 37:43 – The role of rest 38:38 – Load levers: intensity, frequency ...
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    58 min
  • Ep 388: Calf Muscle Strain Injuries: From Profiling to Return to Run

    Ep 388: Calf Muscle Strain Injuries: From Profiling to Return to Run
    Oct 20 2026
    In episode 388 of The Physical Performance Show, we're syndicating a conversation from the Physio Network platform's Physio Discussed podcast. Our own Brad Beer, Sports and Exercise Physiotherapist and Principal Physiotherapist at Pogo Physio, joins Dr. Brady Green, physiotherapist and researcher, and host Sarah Yule for a deep dive into calf muscle strain injuries. Brad and Brady explore where research and clinical practice meet: how to profile physical capacity after a calf strain, what strength and reactive qualities need restoring before running, how to make return-to-run decisions, and how much attention footwear and imaging deserve. Brad brings the view from the clinical coalface, and Brady brings the latest research from high-performance sport. A special thanks to the Physio Network platform for their generosity and collegiality in sharing this episode. SHOW SPONSOR: 💯 Today's episode is brought to you by Pogo Physio's telehealth consultations. If you're an endurance runner battling bone, tendon or joint-related concerns, our online telehealth consultations are an ideal platform to help get you back to your physical best. Book online at https://pogophysio.com.au. IN THIS EPISODE YOU'LL HEAR: What we understand better about calf strains than we did 5 to 10 years ago, including pathology, return-to-play timeframes, recurrence susceptibility and physical capacity profilingHow the soleus vs gastrocnemius distinction has changed return-to-run prescription, including avoiding plodding on return to a soleus-based running programWhy modifiable factors like strength, force production and stretch-shortening cycle proficiency matter alongside non-modifiable risk factors like age and prior calf strain historyBrad's top three clinical mistakes: not clearly establishing the mechanism and training load context, progressing too quickly, and not impressing on athletes the need for ongoing preventative loadingWhy recurrence risk stays elevated long after return to play, and why preventative loading and load management may need to continue for the rest of the seasonLongitudinal AFL data showing athletes can build soleus strength from pre-season to early competition and maintain it through the season, and why a decline in strength is a flag to act onWhy profiling the individual matters: a strong athlete may have strained their calf because of a stiffness deficiency or load management issue rather than weaknessBrad's three-legged stool framework: repeated force (endurance), peak force, and reactive strength/plyometric qualitiesHow to differentiate a gastrocnemius from a soleus strain using mechanism of onset, and why gradual, non-specific onset injuries are less likely to involve significant connective tissue disruptionThe clinical assessment toolkit: observation, progressive loading tests, RPE, palpation, pain on contraction and stretch, and differential diagnosis (bone stress, deep flexors, plantaris)Quality markers during calf testing, including eccentric control, long toe flexor clawing, rep counts and visible shakinessHome-based repeated force exercises such as single-leg calf raises, stair walking and pulsing, plus cueing tips like using a metronome and watching line of force through the footProgressing from vertical to horizontal force production, including sled and Prowler pushes, step and box drillsReturn-to-run criteria: symptom resolution, performance readiness, 20+ slow calf raises, and 20 to 30 single-leg pogo hops with symmetrical qualityWhy holding your nerve for a few extra sessions at the end of rehab rarely costs you time, but rushing canObjective metrics with force plates: sub-maximal and maximal isometric testing, testing in dorsiflexion, rate of force development, reactive strength index, and pulsing to fatigueFootwear: Brad and Brady's "don't overcomplicate it, but be aware" approach, covering shoe drop, stiffness, rocker soles and stack heightWhat imaging can and can't tell us, and Brady's top-down decision-making framework from index vs recurrent injury through to aponeurosis involvementThe one thing each guest wants clinicians to do differently tomorrow QUOTES / TAKEAWAYS: "Do things well, not just at the level." "We don't need to overcomplicate it, but we do need to be aware." "The calf isn't always the culprit." "It's often the hardest thing is to make the complex simple." "You're not necessarily going to lose out if you hold your nerve for a few days or several sessions." "What is the property that we're reconditioning? What is the stimulus that we're trying to apply?" TIME STAMPS: 00:00 – Episode introduction and thanks to the Physio Network 00:46 – Episode overview and guest introductions 02:44 – What we understand better about calf strains now 04:08 – How clinical practice has evolved 05:01 – Soleus vs gastrocnemius return-to-run differences 07:53 – Top three mistakes when rehabbing calf strains 11:11 – How much strength is protective? Longitudinal AFL data 16:23 – ...
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    51 min
  • EP 387: Surf Life Saving & Ironman Racing: Performance, Recovery & Top Athlete Habits (Part 2)

    EP 387: Surf Life Saving & Ironman Racing: Performance, Recovery & Top Athlete Habits (Part 2)
    Aug 28 2026
    In episode 387 of The Physical Performance Show, host Tim Studley picks up part two of his conversation with fellow Pogo Physio physiotherapist Lewis Craig, continuing last week's deep dive into surf life saving and Ironman racing. This episode shifts focus from injury patterns to managing niggles, optimising performance, and the habits that separate top-tier surf ironman athletes from the rest. Tim and Lewis discuss the collaborative decision-making involved in managing a recurring niggle, the key training and screening recommendations every surf life saving athlete should have in place, the lessons Lewis has learned working with elite athletes in the sport, and his top tips for improving performance — from sand-specific training to fuelling properly for a demanding training load. SHOW SPONSORS: 💯 Today's episode is brought to you by Pillar Performance and Pogo Physio's telehealth consultations. If you are an endurance runner battling with bone, tendon, joint related concerns, our online Telehealth consultations are an ideal platform to help get you back to your physical best - book online at https://pogophysio.com.au. 💯 PILLAR Performance is leading a new frontier in sports nutrition through micronutrition innovation. Their new Collagen Repair formula, developed in collaboration with Gelita Laboratories, is designed to support tendon and ligament health while promoting collagen synthesis to help athletes stay healthy and perform at their best. For 15% off your first order, visit https://pillarperformance.shop (or https://thefeed.com for North American listeners) and use the discount code PHYSICALPERFORMANCE (one word, capitals) at checkout. IN THIS EPISODE YOU'LL HEAR: A recap: this episode picks up where Part 1 (episode 386) left off, continuing the discussion on surf life saving and Ironman racing Managing recurring niggles: why the decision to rest or continue training should be a collaborative one between physio, athlete and coach How timing within the season affects the risk-benefit of resting versus maintaining training load Why a first-time niggle warrants a more cautious, rest-forward approach compared to a chronic, familiar issue Practical ways to modify training around a niggle — for example, adjusting swim technique (removing paddles, adding kick, more dry-land warm-up) rather than stopping entirely The physiotherapist's role in performance: keeping athletes pain-free and injury-free so coaches can focus on skill and aerobic development Baseline recommendations for surf life saving athletes: two gym sessions per week, individual screening, consistent dry-land warm-ups, and tracking training load How swimmers can track training intensity despite the difficulty of measuring heart rate in the pool, including simple session RPE-based load tracking Why tracking training load matters most when returning from injury or time out of the sport The performance and injury-reduction upside of athlete and team awareness around REDs and energy availability The value of a collaborative support team: coach, physio, dietician, sports psychologist and massage therapist working together Lessons learned from working with elite surf life saving athletes, including individual variation in pain tolerance, treatment preferences and communication style Common themes among top athletes: professionalism, a genuine quest for knowledge about their bodies and training, and long-term training consistency Lewis's top three tips for improving performance: sand-specific training with a focus on calf and lower-limb capacity, prioritising shoulder health from a young age, and taking fuelling seriously The best piece of performance advice Lewis has been given: you can only benefit from the training you can recover from Closing thoughts on the sport deserving more attention, and interest in having surf life saving athletes themselves on the show in future QUOTES / TAKEAWAYS: "It should always probably be a collaborative decision between the physio treating the athlete, the athlete themselves, and the coach." "Can I take one or two, three days now to maybe potentially avoid a bigger block or weeks of interrupted niggling soreness?" "You can only benefit from the training you can recover from." "Eat more than you think you need." "There's a professionalism, there's a quest for knowledge, and then there's a consistency thing." "It's trying not to confuse doing more with being best." TIME STAMPS: 00:17 – Episode introduction and breakthrough experience 00:23 – Episode 387 introduction: Part 2 with Lewis Craig on surf life saving 02:22 – Managing a recurring niggle: how to approach the decision to rest or train through 03:20 – Timing within the season and its effect on rest decisions 04:20 – Why a first-time niggle warrants a more cautious approach 04:50 – Modifying training instead of stopping: examples from swimming 05:47 – The physio's role in performance: keeping athletes pain-free so coaches can ...
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    20 min
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