{"podcast":{"title":"Paincast","slug":"paincast-6663821","podcast_index_feed_id":6663821,"rss_url":"https://feed.podbean.com/paincastpsd/feed.xml","website_url":"https://paincastpsd.podbean.com","image_url":"https://pbcdn1.podbean.com/imglogo/image-logo/16012985/Paincast_1400_x_1400_px__72bun5.png","author":"Canadian Physiotherapy Association Pain Science Division","episode_count":49,"summary":"Paincast is an effort of the Pain Science Division at the Canadian Physiotherapy Association. Paincast brings together researchers, clinicians, and students to facilitate knowledge translation, discussion, and critical thinking on topics related to pain and physiotherapy. The views expressed in each episode are of individual guests, do not constitute medical advice, and do not represent the views of the Pain Science Division or the Canadian Physiotherapy Association. Follow us on Instagram @paincast.psd. While there is an effort to incorporate research evidence in the episodes, and the topic is researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit feedback through this form: https://forms.gle/BQ4KymfsCuTSFGaX7. You may contact Tiffany Tiu at paincast.psd@gmail.com if you have any other inquiries.","last_synced_at":"2026-06-19T12:19:09.199341+00:00","page_url":"https://stenobird.com/podcast/paincast-6663821"},"episode":{"title":"Ep46: When Physios Can Order Imaging: Smarter Imaging, Better Care with Jack Miller and Rob Werstine","slug":"ep46-when-physios-can-order-imaging-smarter-imaging-better-care-with-jack-miller-and-rob-werstine","published_at":"2026-03-18T17:49:54+00:00","page_url":"https://stenobird.com/podcast/paincast-6663821/ep46-when-physios-can-order-imaging-smarter-imaging-better-care-with-jack-miller-and-rob-werstine","show_page_url":"https://stenobird.com/podcast/paincast-6663821","url":"https://paincastpsd.podbean.com/e/ep46-when-physios-can-order-imaging-smarter-imaging-better-care-with-jack-miller-and-rob-werstine/","audio_url":"https://mcdn.podbean.com/mf/web/49dsxrum8ecpt66m/Ep46_diagnostic_imaging_edited.mp3","summary":"In this episode, we discussed: The principal use of diagnostic imaging and laboratory testing: When it should be used and when it shouldn't be used The limitations of diagnostics and ramifications of overuse on psychological, behavioural, and systemic levels Improving providers' literacy and patient education around diagnostics The impact of physiotherapists having the scope expansion and the current state of advocacy on this topic Resources The Canadian C-spine Rule The Ottawa Ankle Rule The Ottawa Knee Rule Canadian Association of Radiologists Utilization Guideline American College of Radiologist Appropriateness Criteria Brinjikji, W., et al. (2015). MRI findings of disc degeneration are more prevalent in adults with low back pain than in asymptomatic controls: a systematic review and meta-analysis. American Journal of Neuroradiology, 36(12), 2394-2399. Flynn, T. W., et al. (2011). Appropriate use of diagnostic imaging in low back pain: a reminder that unnecessary imaging may do as much harm as good. journal of orthopaedic & sports physical therapy, 41(11), 838-846. Sajid, I. M., Parkunan, A., & Frost, K. (2021). Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. BMJ open quality, 10(3). Scott, I. A., Slavotinek, J., & Glasziou, P. P. (2024). First do no harm in responding to incidental imaging findings. Medical Journal of Australia, 220(1), 7-9. Sharma, S., et al. (2021). “I would not go to him”: Focus groups exploring community responses to a public health campaign aimed at reducing unnecessary diagnostic imaging of low back pain. Health Expectations, 24(2), 648-658. VOMIT (Victim Of Medical Imaging Technology) Poster: https://www.aptei.ca/product/vomit-radiology-fa…","meta_description":"In this episode, we discussed: The principal use of diagnostic imaging and laboratory testing: When it should be used and when it shouldn't be used The li…","key_points":[],"chapters":[],"topics":[],"duration_seconds":4092,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/paincast-6663821/episodes/ep46-when-physios-can-order-imaging-smarter-imaging-better-care-with-jack-miller-and-rob-werstine/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/paincast-6663821/ep46-when-physios-can-order-imaging-smarter-imaging-better-care-with-jack-miller-and-rob-werstine.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}