Part two of this month’s clinical resources include a recent British Journal of Sports Medicine (BJSM) best practice guide for managing plantar heel pain, a podcast episode and an article that encourages us to focus on the fundamentals.
Physio Network recently released an episode of Physio Explained, with Michael Rizk chatting to Claire Minshull about strength training in the management of knee osteoarthritis.
In this month’s Outside the Box article, I link to an article by James Clear, author of the book Atomic Habits. Reading this article, the principles felt relevant and helpful for me.
Focusing on the fundamentals for each patient in our clinical practice may seem like something that you would only focus on early in your career, but in my experience these fundamentals become even more important as you build upon these important skills.
This recent mixed methods design by the BJSM combined a systematic review, interviews with experts and a patient survey to develop a best practice guide to help us manage plantar heel pain in clinical practice.
(Duration: ~20 minutes)
In this episode of Physio Explained, Michael Rizk chats with Claire Minshull about the current understanding and role of strength training in the management of knee osteoarthritis.
Outside the Box
– By James Clear
In this article, James writes about the importance of focusing on fundamental practices in daily life, and not getting caught in the small details that likely won’t be of much importance to the outcome.
In thinking about how this may apply to my clinical practice, it resonated with me that we are often faced with a range of factors contributing to a patient’s pain, and just as many options for managing the patient’s pain.
Often times the most significant improvements come from simple, relevant interventions that are meaningful to the patient.
Rather than getting stuck on a sophisticated treatment or exercise that is confusing to the patient, one question that we can ask ourselves is:
What 1-3 things can I offer today that will have the biggest potential positive impact on the patient’s recovery and self-confidence?”
This doesn’t mean that we shouldn’t push ourselves to learn new things. This is a necessity. But it also helps to reflect on what skills we are spending our time developing.
Small details in physiotherapy seem to work best when the fundamentals of high-value care are in place.
Please feel free to share these resources to any physiotherapists in your network.
1. Morrissey D, Cotchett M, Said J’Bari A, et al. Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values British Journal of Sports Medicine Published Online First: 30 March 2021. doi: 10.1136/bjsports-2019-101970. https://creativecommons.org/licenses/by/4.0/ [link]
2. Podcast: #13 – Strength training for knee OA with Claire Minshull. Physio Explained by Physio Network – 20th March 2021 [link]
3. Blog post: Stop Wasting Time on the Details and Commit to the Fundamentals. By James Clear. [link]