Global Specialist Physiotherapy

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Global Specialist Physiotherapy

Non-surgical solutions to pain and injury

15/04/2026

🧠 New Research Just Dropped – What Do Your Patients Actually Believe About Manual Therapy?

A fresh qualitative study in JOSPT Open (Jan 2026) asked 26 patients receiving outpatient physio for musculoskeletal issues: “How do you think manual therapy works?”

The big themes that came through loud and clear?

1️⃣ Mechanical – “It realigns my joints/bones”, “loosens tight tissues”, “improves circulation and gets rid of swelling”
2️⃣ Neurophysiological – “It blocks pain signals”, “wakes up my nerves”, “helps my muscles fire better”
3️⃣ Psychological – “It makes me feel looked after”, “gives me confidence to move”, “reduces my fear”

Most patients described outcomes rather than true mechanisms, and many still hold strong beliefs in structural “fixes” even though current evidence tells a more nuanced story.

Obviously understanding what our patients believe helps us educate better, set realistic expectations, build stronger therapeutic alliances, and get even better results.

Feel free to ask any general questions and share your thoughts and experiences about this topic in the comments below!

Here is the link to the paper:
👇
https://www.jospt.org/doi/10.2519/josptopen.2025.0149?fbclid=IwdGRjcARKnxBjbGNrBEqermV4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHkaBGoLv15L-a76MqFnw05NLJew4-qvCLN4HsXXcSPY0E0MErsFBYrXg0QYx_aem_wddML9GPL9-PpqZOpooDqw

At Global Specialist Physiotherapy we’re all about turning the latest evidence into practical, patient-centred skills.

That’s exactly why we created The Manual to Great Therapy with James Schomburgk from The Second Visit.

Want to:

✅️ Master the latest manual therapy techniques
✅️ Learn how to address patient beliefs like the ones in this study
✅️ Build treatment plans that actually stick

Spots for the 2026 series are now open! Melbourne in 4 weeks, 16th and 17th of May, and Brisbane in 8 weeks, 20th + 21st of June 🙌

👉 Direct message us “MANUAL2026” or head straight to globalspecialist.physio/manualtherapy to grab your place.

Let’s make 2026 the year we take manual therapy (and our patients’ outcomes) to the next level 💪

13/04/2026

** Healthcare Professionals in Queensland/ Far North Queensland! Dr.Taishi Esaki and I are running our Cervical Spine 2-day Workshop in Mackay in around 6 weeks on Saturday and Sunday the 30th and 31st of May **

The course covers:

✅️ Non-surgical and surgical management of neck and neck-arm pain disorders
✅️ Manual therapy techniques for the neck and neck-arm
✅️ Evidence-based exercise strategies
✅️ Headache disorders
✅️ Simplifying the TMJ
✅️ Differential diagnosis of dizziness
✅️ Red flag pathology
✅️ Interactive case studies

The course will be research-bound with evidence-informed application, with an emphasis on practical, postgraduate-level strategies you can use with patients immediately!

Previous feedback:

“I really enjoyed this workshop! Lots of time to practice practical skills which is refreshing from recent courses which have been very literature heavy.”

“Easy to follow, lots of variations of techniques, appliable, sensible, covering all relevant aspects. Will start utilising from tomorrow. Thank you for the great course!”

“I really enjoyed the course from the content to the level of evidence and to the take-home messages that I can immediately apply to practices straightaway. Very helpful! If you can bring any of this PD courses, like the planned lumbar course, to Melbourne at some point, it would be great."

Discounts available for early bird and group bookings.

Get tickets now through this link:

https://events.humanitix.com/practical-solutions-for-complex-neck-pain-dg3n7yyy

10/04/2026

** Return to Sport Data on ACL Tears: Non-surgical versus Surgical Management! **

The only systematic review data we have that explicitly compares return to sport rates between reconstructions and non surgical management of ACL tears finds *NO* difference between the two… even though bias *HEAVILY* favors reconstructions.

A balanced view, thus, is to delay surgical management with physio guided supervision to see if a bout of exercise and bracing can either elicit re-attachment, achieve stability, or both!

For the cases that can’t achieve stability, reconstruction can be recommended if the case requires it.

For professional analysis of your ACL tear case, it is highly recommended for a consultation with a Global Specialist Physiotherapy consultant to ascertain the best route for you!

If you're dealing with an ACL injury, let's chat non-op options before rushing to surgery! Comment ACL below, direct message or go to the Global ACL website:
👇
globalspecialistphysio.com/acl-online-consults

07/04/2026

3 Major Phases of Treatment Planning! 💪📋

Whenever I give a treatment plan, I like to outline the three major phases we typically put patients through:

1️⃣ Phase One: Calm Symptoms Down First of all, we obviously want to calm the symptoms down.

2️⃣ Phase Two: Build Strength Then we want to eventually build the patient’s strength up to pre-injury activity levels.

3️⃣ Phase Three: Return to Sport And then hopefully we can progress them back to sport and their normal life.

Obviously there’s a lot of nuance to this, and overlap between phases, so we can outline it in the place of a clear, written treatment plan.

Want a free downloadable Treatment Plan Example I use with patients?

👉 Go to globalspecialistphysio.com/treatmentplan

Comment “PLAN” below and I’ll send you the link! Or head straight to the Global Specialist Physiotherapy Treatment Planning website for the free example, resources + more info 🤝

04/04/2026

ACL + meniscus injury management journey - NO Surgery!

Significant ACL/knee injury from Muay Thai competition achieving:

- Healing acl
- Heavy weight lifting pbs
- Rock climbing/hiking
- Boxing
- Muay Thai.
- All with no surgery

It’s been a pleasure working with you and our team Ian 🤝🙌

If you're dealing with an ACL injury, let's chat non-op options before rushing to surgery! Comment ACL below, direct message or go to the Global Specialist Physiotherapy ACL website:
👇
globalspecialistphysio.com/acl-online-consults

31/03/2026

The *only randomised control trial evidence* that we have comparing early meniscus repair to exercise shows no difference between the two, with 75% success rate of exercise for all types of meniscus tears! 😱🤯

(With the exclusion of displaced bucket handle tears)

For professional analysis of your meniscus tear case, it is highly recommended for a consultation with Global Specialist Physiotherapy to ascertain the best route for you!

Comment MENISCUS for an evidence-based article on meniscus tears!

Here’s to a greater pursuit of TRUTH! 🙏

Every knee injury deserves an individualized plan — not a one-size-fits-all timeline.

Comment meniscus if you’d like us to evaluate your MRI, physical symptoms and personal goals and use this to create an individualized plan with you, or go to the Global Specialist Physiotherapy meniscus website:
👇
globalspecialistphysio.com/acl-online-consults

30/03/2026

** More info from the paper in the Journal of Sports Physiotherapy this month by Professor Joanna Kvist and team: This 2-year cohort study tracked ACL structure after injury using high-resolution 3D MRI **

In this study, almost half of ACL patients in this study avoided immediate surgery and showed MRI evidence of healing 👍

Researchers found:

✅️ Many non-operative patients maintained stability
✅️ Patients regained strength and function with rehab
✅️ Structural ligament continuity and healing was present in a large portion of non-surgical cases
✅️ ACL reconstruction isn’t always a day-one decision.

Factors like:

💡 Instability in weight-bearing
💡 Follow-up MRI imaging
💡 Static ligament testing
💡 Strength recovery
💡 Confidence in the knee

…all play a role in whether surgery is needed, or not 👍👍

Every ACL injury deserves an individualized plan — not a one-size-fits-all timeline.

Link to the article here:

https://www.jospt.org/doi/10.2519/jospt.2026.13397?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

If you’ve torn your ACL — or you rehab them — the healing conversation is rapidly evolving 🔬💡

Comment ACL below if you’d like us to evaluate your MRI, physical symptoms and personal goals and use this to create an individualized plan with you, or go to the Global Specialist Physiotherapy ACL website:
👇
globalspecialistphysio.com/acl-online-consults

25/03/2026

Thanks to Physio Network for asking me the advice I'd give my younger Physiotherapist self:

"You have to believe that Physiotherapy is a necessary part of the musculoskeletal healthcare system!

Without our input, patients have the potential to receive unnecessary medication, injections, scans and surgeries.

Be open to and seek out feedback through experienced and trained mentors, and don't be afraid to share your shortcomings, as you can improve as a clinician year after year 🙏👍"

What advice would you give yourself as an early stage clinician? Comment below! 👇

23/03/2026

** Great new article out of JOSPT this month by Professor Joanna Kvist and colleagues: A 2-year cohort study tracked ACL structure after injury using high-resolution 3D MRI **

The study supports the notion that many patients can heal without ACL surgery and go on to have a functional knee afterwards🦵💪

Link to the article here:

https://www.jospt.org/doi/10.2519/jospt.2026.13397?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

If you’ve torn your ACL — or you rehab them — the healing conversation is rapidly evolving 🔬💡

Comment ACL below your questions or visit the link below to schedule a consult with an expert to review your MRI and case:
👇
globalspecialistphysio.com/acl-online-consults

20/03/2026

ACL and Meniscus Tear Q/A Part 1: Scar Tissue or REAL Ligament?!

This is a first of a multi-part series where I answer YOUR questions, unscripted, while showing exercise progressions I use for my clients!

A consultation with a Global Specialist Physiotherapy Consultant helps you determine whether or not your specific tear will have the capacity to heal, and, if so, get you a plan to improve your function with exercise in the process!

Why get surgery if it’s not necessary? 🤔🤷‍♂️

Comment ACL if you need any assistance or go to the Global ACL website for more info:
👇
globalspecialistphysio.com/acl-online-consults

17/03/2026

Exciting new meta-analysis recently: No difference in return-to-sport rates or activity levels for ACL injuries managed with surgery vs. rehab alone!

This supports what we see daily at Global Specialist Physiotherapy – many patients thrive with non-operative care.

Empowering choices for better outcomes. 📖 Read more:

https://link.springer.com/article/10.1007/s40279-025-02268-5

If you're dealing with an ACL injury, let's chat non-op options before rushing to surgery! Comment ACL below, direct message or go to the Global Specialist Physiotherapy ACL website:
👇
globalspecialistphysio.com/acl-online-consults

15/03/2026

😏😀

Want non-surgical opinion on your pain + injury? Go to:

globalspecialist.physio/clinic

Address

50 Street Georges Terrace Suite #1035
Perth, WA
6000

Website

http://www.globalspecialistphysio.com/

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Our Story

Having worked in a hospital setting as a new graduate, Kieran encountered a system with many patients in severe pain, some who had sustained orthopaedic trauma and others who opted for elective procedures. He worked methodically to rehabilitate these patients back to their normal lives.

Later, working in private practice as a first-contact practitioner, Kieran further identified effective strategies and patterns of management that had not been widely explored or made known within the profession. Using them to treat patients' pain, he saw substantial improvements in their conditions.

This started a quest to find high-quality scientific evidence that validated the techniques and systems that he has used clinically to reduce patients pain, so they could avoid unnecessary imaging, medication, injection therapies and elective surgery.