The Sports Physio

The Sports Physio Simple, honest, evidence-based advice for all things pain, injury, rehab, strength, and recovery...

07/09/2026

🚨NEW PAPER ALERT🚨

We’ve just published a new systematic review in Sports Medicine today looking at what we actually mean by “proprioception training”

And if the things many commonly use to measure it are actually measuring proprioception at all!

51 RCTs. 2,319 participants.
And quite a lot of messy thinking.

The big takeaway?

👉 Better balance ≠ better proprioception.

👉 Getting better at a task doesn’t necessarily mean you’ve “fixed” some underlying proprioceptive deficit.

👉 And we need to stop calling every wobble board, single-leg exercise and unstable-surface drill “proprioception training”.

If you want the full paper, just comment BOSU below and I’ll send it to your DMs. 📩

Thanks to Robert Trybulski at and all my other co-authors for their incredible hard work on this great paper! 👍👏

❌DONT FIX❌Your back doesn’t need as much fixing as social media would have you believe.You don’t need to fix your postur...
02/09/2026

❌DONT FIX❌

Your back doesn’t need as much fixing as social media would have you believe.

You don’t need to fix your posture.

Correct your asymmetries.

Activate your core.

Improve your flexibility.

Perfect your lifting technique.

Or panic about every little thing written on your MRI report.

And yes… I KNOW some meathead is going to get his pants in a bunch over the “you don’t need to get stronger” bit. 😂

So before the protein shakes get launched across my comments section… let me be perfectly clear here!

I fu***ng LOVE strength training.

And I think getting stronger is one of the best things most people can do for their health, function and physical capacity.

And strength based training can absolutely help people with back pain.

But…

Strength training helping back pain does NOT mean weakness caused the back pain, or stronger people don’t get back pain!

Getting stronger is NOT a mandatory prerequisite for recovery.

There is no magical deadlift, squat or trunk-strength threshold your body needs to reach before your back becomes “safe” or healthy again.

Same goes for posture, flexibility, asymmetry, core activation and lifting technique.

These things can sometimes be relevant.

They can sometimes be useful things to work on.

But they are NOT universal problems that everyone with back pain needs to identify, correct or fix.

Because backs are messy.

Humans vary.

Pain is complicated.

And social media is very fu***ng good at turning normal variation into problems that conveniently require someone’s corrective exercise programme to solve. 🙄

Your back doesn’t need to be perfect to be healthy.

💪Strength training isn’t complicated💪Lift something heavy, rest and repeat! Thats it!But spend 10 minutes on social medi...
01/09/2026

💪Strength training isn’t complicated💪

Lift something heavy, rest and repeat! Thats it!

But spend 10 minutes on social media listen to the popular s**t-fluencers and you’d think you need perfect technique, perfect exercises, perfect tempo, perfect range, perfect equipment, 3 hours a day, and a fu***ng PhD in biomechanics just to pick up something heavy.

You don’t.

One of the biggest barriers to getting more people more stronger is making strength training seem far more complicated than it needs to be.

✅ Keep it simple.
✅ Pick a few exercises.
✅ Do them consistently.
✅ Work reasonably hard.
✅ Try to do a little more over time.

That will get most people most of the benefits.

If you’re coach, trainer, physio then for the love of Christ please stop majoring in the minors and just start encouraging more people to lift more s**t. 👍

31/08/2026

😖COMPLICATING PLANKS😖

The absurdity of this video is spectacular

You don’t produce any force through your hands when doing a plank and changing the position of them will not change the forces in your elbows or shoulders

This is nothing more than unnecessary over complication of a simple exercises demonstrating not only a lack of biomechanical knowledge but also common sense from a so called expert in biomechanics and exercise 🤦‍♂️

And again I cant tagged Conor directly because like all good insta-gurus he has blocked me for questioning and challenging his claims in the past!

30/08/2026

🤦‍♂️BAD COACHING🤦‍♂️

One of the simplest ways to know if a trainer, coach, physio is inexperienced or full of s**t… is to listen to how they cue and coach someone to do an exercise

If you hear them using a lot of internal cues and they vomit lots of complex anatomical or biomechancial words all over their clients… then usually its a sign they haven’t got a clue what they’re doing.

The best coaches and trainers make their cues and instructions to others as simple as possible to understand whilst still being able to execute the exercise effectively and efficiently!

This is often but not always best done with clear plain language and external cues!

This clip of the self proclaimed biomechancial ‘genius’ and all round grifter and charlatan Naudi from Functional Patterns is a perfect example of what not to do.

Instead of simply asking this guy who is doing some weird looking isometric hold with a cable machine, to push the floor away more with his legs, he instructs him to “give more closed chain plantar flexion”… like WTAF, 🤦‍♂️

A perfect example that Naudi hasn’t got a scooby, or any real coaching experience, or even good communication skills!

Remember kids… Never go full Naudi… and avoid Functional Patterns!

29/08/2026

😖HOW TO PREVENT BACK PAIN😖

If preventing low back pain was as simple as “activating your core” or stretching your psoas… my job would be a hell of a lot easier.

The evidence-based reality is that back pain is influenced by a messy mix of physical, lifestyle, health, stress, sleep, and psychosocial factors.

So…
Move often!
Sleep better!
Stress less!
Stay generally happy and healthy!

And also stop treating your spine like it’s made of stale breadsticks and regret.

Spines are adaptable, robust, and designed to move.

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Langenthal

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