Shoulder Physio

Shoulder Physio Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Shoulder Physio, Physical therapist, Sunshine Coast.

Shoulder Physio by Jared Powell is a shoulder physiotherapy telehealth service that aims to provide simple and effective treatments for people with shoulder pain

This fabulous trial by Kemp et al has caused quite a stir and for good reason.It’s something I’ve been researching since...
09/06/2026

This fabulous trial by Kemp et al has caused quite a stir and for good reason.

It’s something I’ve been researching since 2018 and now new evidence is dropping by the month, seemingly.

So the headline finding of this study is one thing, no diff between strengthening and stretching, but have you looked at the stretching group? It’s basically an attention control with a few stretches for good measure. That this control could equal a comprehensive progressive strength program is a fairly damning indictment.

Furthermore, the inevitable focus on secondary measures when the primary is outcome is null, is predictable but fraught with danger. These are hypothesis generating not testing.

Anyway, it leaves both treatment options on the table. Comes back to you as the expert therapist to make the call with your patient.

Sorry the post is so long, I just thought it deserved an appropriate treatment.

Nearly every physio agrees that the restoration of pain-free movement, or a life resumed aided by more comfortable movem...
08/06/2026

Nearly every physio agrees that the restoration of pain-free movement, or a life resumed aided by more comfortable movement, is the overarching goal of many patients.

The culture wars that so often consume our profession are mostly fought over the process. How do we achieve this goal or outcome?

Manual therapy vs. exercise, education vs. load management, dry needling vs acupuncture. We die on hills while our “sworn enemy” is climbing the same mountain via a different route.

That’s the argument of our latest paper in JOSPT: Many Paths to Recovery. The route is contestable, the destination usually isn’t. Our certainty about the path tends to outrun the evidence distinguishing it from the others.

Ref: Powell, Cook, McDevitt 2026. Many paths to recovery: The case for treatment pluralism.

osteo

04/06/2026

AI is a hot topic and I find it fascinating.

Does AI overlap mean inevitable job replacement?

No.

An electrician and a physical therapist have roughly the same AI overlap according to recent data - but nobody thinks the electrician is going anywhere right? Not anytime soon that’s for sure.

Same for physios. AI overlap just means AI can do some things we routinely do, in a vacuum. It can’t be deployed to do all the tasks a physio can do at scale, not yet although I think it will change our profession.

Data from: Tomlinson, K., Jaffe, S., Wang, W., Counts, S., & Suri, S. (2025). Working with AI: Measuring the Applicability of Generative AI to Occupations. arXiv preprint arXiv:2507.07935.

chiro

Take home message: the long head of bicep injury is, in many cases, benign and will improve with time and gradual loadin...
02/06/2026

Take home message: the long head of bicep injury is, in many cases, benign and will improve with time and gradual loading.

Anyway, just do 3 sets of 10.
28/05/2026

Anyway, just do 3 sets of 10.

The traumatic anterior shoulder dislocation represents a conundrum for patients and clinicians alike.To operate or not? ...
27/05/2026

The traumatic anterior shoulder dislocation represents a conundrum for patients and clinicians alike.

To operate or not?

What do you value? Quick recovery and return to play or less chance of recurrent dislocation?

There are many factors that go into this decision and it’s not a one size fits all.

I have a hypothesis that as AI slop becomes so commonplace, it will ignite a whole new economy of valuable human experts...
25/05/2026

I have a hypothesis that as AI slop becomes so commonplace, it will ignite a whole new economy of valuable human experts.

Turns out this is actually economics 101. Scarce things becomes more valuable.

I’m bullish on the future of human experts.

Here is the infographic to accompany our paper on strength testing for RCRSP.The paper is open access. Please read in fu...
18/05/2026

Here is the infographic to accompany our paper on strength testing for RCRSP.

The paper is open access. Please read in full.

.s.lewis

Citation: Cook, T., Lewis, J., & Powell, J. (2026). Rethinking strength testing in rotator cuff-related shoulder pain: a clinical tradition that lacks muscle. Journal of Manual & Manipulative Therapy, 34(3), 193–198. https://doi.org/10.1080/10669817.2026.2663623

First, let me preempt and address potential straw man positions or misinterpretations.1. Being strong is amazing.2. Tryi...
17/05/2026

First, let me preempt and address potential straw man positions or misinterpretations.

1. Being strong is amazing.
2. Trying to get stronger is worthwhile. Please do it.
3. Measuring force output is fine.
4. Engaging in resistance exercise for painful problems is great.
5. I engage in regular resistance exercise personally and prescribe it every day in clinic.

Okay good. Now we can talk about the subject matter with that out of the way.

We contend that maximal isometric strength testing for rotator cuff related shoulder problems doesn’t substantially change practice, and may be more performative than instructive.

Our contention rests on the following:
1. Strength doesn’t appear to mediate pain outcomes.
2. Weakness is inconsistently associated with shoulder pain.
3. Strength gains may be mediated by reductions in pain in clinical contexts.
4. Strength measures may be confounded by many biopsychosocial factors.
5. Does identifying a certain number on a hand held dynamometer really change your practice?
6. Are there better assessments of shoulder function outside of maximal isometric contractions? We think yes.
7. We risk turning our measures and proxies into the main characters because they are simple, coherent, and portable.

Of course there is nuance. Someone who needs to hit a certain number of force, e.g. athletes, in their rehab should have their strength assessed and tracked. But even then, let’s say you’re a tennis player, what force do you need? Is absolute force the priority or is velocity of movement? Or is it muscle endurance? Or is it technique? Does playing tennis track progress better than measuring strength? Probably yes.

So in summary, strength testing is fine to do, but it has limitations and can often hijack the recovery process. As with anything, remember to use the test as a data point in a much larger story.

I go very deep into the utility of strength testing in my in-person and online shoulder course: the complete shoulder. Head to shoulderphysio.com for more details.

News just in: people will do anything to avoid real work.
15/05/2026

News just in: people will do anything to avoid real work.

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