<p>Summary</p><p><br></p><p>In this conversation, Blake Withers interviews Aidan Rich, a sports and exercise physiotherapist, about his research on proximal hamstring tendinopathy and the recent randomized control trial comparing physiotherapy and shockwave therapy. Aidan shares his journey into the field, the challenges of designing the study, and the importance of education in treatment. They discuss the nuances of exercise rehabilitation, patient experiences, and the surprising results of the trial, which showed no significant difference between the two treatment methods. Aidan emphasizes the need for individualized care and the potential for future research in this area.</p><p><br></p><p>Paper links: </p><p>Main RCT: https://journals.sagepub.com/doi/10.1177/03635465251391134</p><p>https://pubmed.ncbi.nlm.nih.gov/41037932/</p><p>https://pubmed.ncbi.nlm.nih.gov/40469642/</p><p>https://www.jsams.org/article/S1440-2440(25)00275-0/pdf</p><p><br></p><p><em>Aidan Rich:</em></p><p>PhD Candidate | APA Titled Sports and Exercise Physiotherapist | State Manager<br>A dedicated and passionate physiotherapy professional with extensive experience in both academic research and clinical management. Currently pursuing a PhD with the topic of &#39;Physiotherapy for Proximal Hamstring Tendinopathy,&#39; where he has conducted two randomised trials. In addition to his academic pursuits, he oversee the clinical, financial, and cultural performance of a network of 20 physiotherapy and sports medicine clinics across Victoria. His role involves ensuring the highest standards of patient care, optimising financial performance, and fostering a positive and collaborative work environment.</p><p><br></p><p>Chapters</p><p><br></p><p>00:00 Introduction and Background of Aidan Rich</p><p>03:48 The Evolution of Tendinopathy Treatment</p><p>08:30 Shockwave Therapy: Insights and Experiences</p><p>13:13 Designing the RCT: Methodology and Protocols</p><p>18:20 The Exercise Program: Structure and Rationale</p><p>23:07 Education in Rehabilitation: Importance and Implementation</p><p>28:39 The Benefits of Resistance Training</p><p>29:52 Qualitative Insights from RCT Participants</p><p>31:36 Surprising Strength Outcomes in Rehabilitation</p><p>33:42 Effect Modifiers in Treatment Response</p><p>35:20 Clinical Applications of Shockwave Therapy</p><p>37:01 Patient Preferences in Treatment Choices</p><p>38:00 Individualized Treatment Approaches</p><p>39:04 Evaluating Shockwave Therapy Effectiveness</p><p>41:22 Challenges in Designing Effective Trials</p><p>43:22 Comparative Outcomes in Tendinopathy Treatments</p><p>45:43 Acute Responses to Shockwave Therapy</p><p>48:36 Key Takeaways for Clinicians</p><p>50:59 Future Directions in Research</p><p><br></p>