Physio Edge podcast: Recent Episodes
David Pope
Inspiring interviews with leading Physiotherapists, discussing real life assessment and treatment, clinical issues and ways to give you an edge in your Physiotherapy clinical practice.
- Patellofemoral pain (PFP) rehabilitation doesn't end when your patient gets stronger. The real challenge is getting them back to running, training and racing without triggering another flare-up.
In this final episode of the four-part series, Tom Goom (Running Physio) and David Pope explore the fourth pillar of successful PFP rehabilitation: a planned return to running.
Continuing Alice's journey from the previous episodes, a HYROX athlete preparing for competition, Tom and David break down exactly how to rebuild running volume, progress training safely, and help runners hit their goals, or return to racing or competition, with confidence while minimising the risk of recurrence.
You'll discover:
+ How to structure a return-to-running program that steadily rebuilds running capacity without overloading the knee
+ A simple progression strategy that makes increasing running volume practical and easy to implement
+ Why recovery weeks are just as important as progression weeks, and how to use them effectively
+ How to use a simple "traffic light" system to decide when to progress, maintain or reduce training
+ When gait analysis and running retraining should (and shouldn't) be introduced during rehabilitation
+ Why sleep, recovery and anxiety can have a major influence on running injury recovery, and practical ways to address them
+ How to manage the inevitable flare-ups that occur during rehabilitation without losing progress or confidence
+ How the same four-pillar framework can be applied to virtually every running injury, from tendinopathy to bone stress injuriesThroughout the episode, Tom shares the practical clinical reasoning behind every decision, from mapping out a patient's weekly training schedule through to progressing running distance, introducing recovery weeks, and eventually returning to continuous long-distance running.
Whether you're treating recreational runners, competitive athletes or patients training for events like HYROX, you'll come away with a clear framework you can immediately apply to help your patients return to running safely, confidently and with a much lower risk of recurrence.
This is the fourth and final episode in Tom Goom's four-part podcast series on patellofemoral pain. Together, the series provides a complete framework for assessing, educating, rehabilitating and returning runners with PFP back to the sport they love.
Timeline:
+ 0:00 - Introduction
+ 3:07 - Introduction and case recap
+ 6:03 - Weekly training structure
+ 8:10 - Progress and recovery
+ 11:03 - Gait analysis and the four pillars
+ 12:13 - Recovery, sleep and anxiety
+ 14:40 - Alice's progress and flare-ups
+ 18:32 - Four pillars for all running injuries
+ 20:52 - Free assessment form and webinar Free resources
+ Running injury assessment sheet — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire.
+ Free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain.Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Links associated with this episode + 179. Patellofemoral pain 3 - Effective rehab that won't flare their symptoms. Physio Edge Track record: Running repairs podcast with Tom Goom + 178. Patellofemoral pain 2 - What to do when runners won't reduce their training. Physio Edge Track record: Running repairs podcast with Tom Goom + 177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss. Physio Edge Track record: Running repairs podcast with Tom Goom + Download your free running injury assessment sheet + Register for the free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" + Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom + Click here to download your podcast handout + Improve your confidence and clinical reasoning with a Clinical Edge membership here + Download and subscribe to the podcast on iTunes + Download the podcast now using the best podcast app currently in existence - Overcast + Listen to the podcast on Spotify + Join Tom live on Facebook & ask your running-related questions + Tom Goom - Running Physio + Tom Goom - X + David Pope - X + Tom Goom - Instagram + David Pope - Instagram
Strengthening exercises are a key part of successful patellofemoral pain (PFP) rehabilitation. Squats, lunges and single leg squats are often painful early on and can aggravate your patients pain, but on the flip side, we want to build up their tolerance and confidence with these movements.
If you introduce an exercise your patient isn't ready for, progress too quickly, or overload the knee too early, you'll often flare your patients pain and set their rehabilitation back.
In this episode, Tom Goom (Running Physio) and David Pope explore the third pillar of successful PFP treatment: progressive rehab.
Continuing the case of Alice from the previous two podcasts, a HYROX athlete preparing for competition, Tom and I walk through exactly how to choose, modify and progress exercises that build strength, restore confidence and prepare patients for the demands of running and sport, without flaring their symptoms.
You'll discover:
- How to decide when to prioritise load management before introducing strengthening exercises
- Why rehabilitation should be tailored to the individual rather than using a "cookie-cutter" exercise program
- The key strength deficits Tom commonly looks for in runners with PFP, and how to assess them
- How to select exercises that improve strength while minimising stress on the patellofemoral joint
- Practical ways to modify squats, lunges and other knee-loading exercises to reduce pain while rebuilding movement tolerance
- A simple four-stage progression from low-irritability exercises through to sport-specific strength and power training
- How to integrate rehabilitation into a patient's existing training so they are more likely to stick with the program Throughout the episode, Tom shares the clinical reasoning behind each exercise choice, showing how to progress patients from simple strengthening exercises to the powerful, sport-specific movements required for running and HYROX competition, without provoking unnecessary flare-ups. This is part three of a four-part podcast series with Tom Goom on PFP. In the final episode, available later this week, Tom and David explore the fourth pillar of rehabilitation: how to safely progress running volume, speed and training so patients can confidently return to racing and competition while minimising the risk of recurrence.
Timeline:
- 2:45 Introduction & Recap
- 5:20 When to Start Rehab
- 7:40 Assessment Findings
- 9:37 Squats to Rebuild Tolerance
- 12:03 Psychosocial Screening & Gait
- 13:11 Matching Rehab to HYROX
- 14:57 Stage 1: Low Knee-Stress Work
- 17:11 Stage 2: Loaded Knee Flexion
- 18:53 Review Frequency & Goals
- 21:49 Stage 3: Knee-Focused Loading
- 24:09 Stage 4: Power Work
- 27:43 Keys to Avoid Flare-Ups
- 28:58 Webinar & Resources
Free resources * Running injury assessment sheet — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire. * Free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Click here for your access, or login here if you're a Clinical Edge member.
Links associated with this episode * 178. Patellofemoral pain 2 - What to do when runners won't reduce their training. Physio Edge Track record: Running repairs podcast with Tom Goom * 177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss. Physio Edge Track record: Running repairs podcast with Tom Goom * Download your free running injury assessment sheet * Register for the free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" * Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom * Click here to download your podcast handout * Improve your confidence and clinical reasoning with a Clinical Edge membership here * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Join Tom live on Facebook & ask your running-related questions * Tom Goom - Running Physio * Tom Goom - X * David Pope - X * Tom Goom - Instagram * David Pope - Instagram
Many runners patellofemoral pain (PFP) is aggravated by the activity they love. They either stop running to let their pain settle, and then it returns as soon as they start back up again, or keep running despite the pain getting worse. They may know (and you may have told them) they should reduce their training….but what happens when they can't? Or won't?
In this episode, Tom Goom (Running Physio) and David Pope explore the second pillar of successful PFP rehab: education and empowerment. Using the real case of Alice, a HYROX athlete preparing for competition, you'll discover how and when to help runners continue training safely while building long-term confidence and self-management.
You'll discover:
- Why simply telling runners to "stop running" often leads to poor outcomes
- Practical communication strategies that improve patient buy-in and adherence
- How to uncover the real reasons patients resist reducing their training
- Ways to keep runners connected to the physical and social benefits of their sport during rehab
- How to explain PFP without creating fear around "maltracking," arthritis, or joint damage
- A simple framework that patients understand and can use to confidently self-manage flare-ups
- How to educate patients about the balance between training stress and recovery to improve both performance and rehabilitation
- Practical load management strategies for runners with symptoms so irritable they can't tolerate running yet
Throughout the episode, Tom demonstrates how education isn't simply about explaining a diagnosis. It's about helping patients understand their pain, make better decisions independently, and confidently adjust their training as symptoms change.
This is part two of a four-part podcast series with Tom Goom on PFP. In the next episode, Tom and David dive into the third pillar of rehabilitation: how to choose and progress strengthening exercises that build capacity without flaring symptoms, while avoiding the common rehab mistakes that slow recovery.
Timeline
- 00:00 - Introduction
- 02:42 - Case study: Recurrent PFP and HYROX load
- 09:22 - Subjective clues
- 11:57 - Barriers to recovery
- 13:48 - Offloading when the knee can't tolerate running
- 17:12 - Helping patients understand and self-manage
- 23:48 - Self-management approach
- 27:11 - Stress, recovery and progress
- 28:47 - Key takeaways & free resources
Free resources * Running injury assessment sheet — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire. * Free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Links associated with this episode * 177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss. Physio Edge Track record: Running repairs podcast with Tom Goom * Download your free running injury assessment sheet * Register for the free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" * Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom * Click here to download your podcast handout * Improve your confidence and clinical reasoning with a Clinical Edge membership here * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Join Tom live on Facebook & ask your running-related questions * Tom Goom - Running Physio * Tom Goom - X * David Pope - X * Tom Goom - Instagram * David Pope - Instagram
Patellofemoral pain (PFP) is one of the most common running injuries, and the high recurrence rate can make it a frustrating injury for patients to experience and clinicians to treat.
In this episode, Tom Goom (Running Physio) and David Pope break down why PFP has such a high recurrence rate, and what most rehab plans miss. You'll also discover:
- The "Four pillars" framework Tom uses to treat PFP and other running injuries
- How and when to keep patients running or exercising when it is essential for their mental health and social life
- How to find a manageable starting point when a patient has a highly irritable pain presentation
- A step-by-step load management approach to find patients training and running "sweet spot"
- How to keep athletes connected to their sport during rehab (and why it matters for mental health)
- The "layering" approach to training and running that avoids pain flare-ups
So you can easily apply the podcast with your patients, Tom walks through the real case of a runner and HYROX athlete who presented with recurrent PFP that flared up with each of her 3-4 weekly training sessions.
This is part one in a four-part podcast series with Tom Goom on PFP. In the next episode, Tom and David continue this case study and dive into the second pillar in the framework that will help you tackle the problem of "What to do when your runners won't reduce their training?".
Timestamps:
- 03:41 - Why PFP is tricky and recurs
- 04:45 - Meet Alice: HYROX athlete with recurrent PFP
- 05:32 - HYROX explained and its knee-load demands
- 08:47 - Presentation, irritability and moving beyond "stop running" advice
- 11:15 - Alice's goals
- 12:41 - The four pillars framework
- 15:29 - Pillar 1: Load management
- 23:39 - Testing tolerance
- 27:21 - Building Alice's weekly routine
- 30:06 - Key takeaways & free resources
- 34:10 - Free resources
Free resources * Running injury assessment sheet — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire. * Free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Links associated with this episode * Download your free running injury assessment sheet * Register for the free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" * Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom * Click here to download your podcast handout * Improve your confidence and clinical reasoning with a Clinical Edge membership here * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Join Tom live on Facebook & ask your running-related questions * Tom Goom - Running Physio * Tom Goom - X * David Pope - X * Tom Goom - Instagram * David Pope - Instagram
When is your patient's shoulder pain from their neck? Are you missing a cervical spine component in your shoulder patients?
After a day in clinic reviewing patients with years of unresolved shoulder pain, Shoulder Specialist Physiotherapist Jo Gibson breaks down the five most common mistakes clinicians make when ruling in — or out — the neck.
In this podcast, Jo covers:
- Why you don't need neck pain to have neck-driven shoulder pain (and which pain locations are most pathognomonic)
- Why referred symptoms below the elbow don't automatically point to the cervical spine
- Why active range of movement alone is not enough to clear the neck
- What palpation findings are actually sufficient — and why you don't need to reproduce peripheral symptoms
- Why using neck movements to modify shoulder symptoms can be misleading
Whether you're seeing patients with posterior-lateral shoulder pain, scapular pain, or symptoms that just aren't responding to local shoulder rehab, Jo shares a practical framework for refining your clinical reasoning and avoiding these common assessment pitfalls.
Key takeaway: Up to 40% of patients with shoulder problems lasting six months or longer have some degree of cervical spine involvement. The subjective examination is doing 80% of the work — Jo explains exactly what to listen for.
Free 7-day Shoulder assessment bootcamp Join the free 7-day Shoulder assessment bootcamp with Jo Gibson and Clinical Edge
Click on an image below to access these free resources from Jo Gibson and Clinical Edge The handout for this podcast consists of a transcript associated with this podcast.
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Join the free 7-day Shoulder assessment bootcamp with Jo Gibson and Clinical Edge * Free video series - How to be a shoulder detective: Solving acute shoulder pain with Jo Gibson * Get your access to the free video series "Frozen shoulder assessment & treatment" with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Should you prescribe isometric or isotonic exercises for your patient's lower limb tendinopathy?
When is it safe to add plyometric loading, and how do you progress running or jumping without flaring your patients tendon pain?
Why do some "tricky tendons" refuse to respond to your best loading programs?
Dr Ebonie Rio (Post-Doctoral Senior Research Fellow, La Trobe University) reveals the evidence-based answers as she guides you through the clinical reasoning and practical strategies for managing patellar, achilles, and other lower limb tendinopathies.
In this conversation, you'll follow clinical examples and unpack the latest research to help you feel confident with tendinopathy assessment and treatment.
Inside this podcast you'll explore:
- Tendon pathology explained: What's happening inside tendinopathic tendons, how to explain tendinopathy and ultrasound scan results to patients
- The role of isometrics: Whether isometrics actually change tendon structure, when to use isometrics to improve pain, optimal dosage, and whether isometrics are all your tendinopathy patients need
- Safe loading from day one: When are both isometrics AND isotonics safe to start immediately, and how to choose isometric positions and loads.
- The 24-hour emoji rule: How to teach patients to monitor their response after running or loading using the emoji system
- What NOT to do: Exercises, manual therapy and supplements that won't help tendon pain and may stir it up
- Differential diagnosis mastery: How to distinguish patellar tendinopathy from patellofemoral pain, mid-portion achilles tendinopathy from peritendinitis, and when you've got the diagnosis wrong
- Stairs as a progression exercise: The quasi-isometric stair protocol that works for everyone from sedentary patients to elite sprinters—and how to use tempo to control tendon load
- Criteria-based progressions: Moving beyond time-based rehab to functional milestones
- When loading programs fail: What to do when your patient is worse with your exercises
You'll walk away with:
- Clear clinical reasoning to differentiate true tendinopathy from other conditions
- Practical loading frameworks that progress your isometrics, isotonics and plyometrics based on patient response
- Patient education scripts that use imaging findings to build confidence rather than fear
- Simple monitoring tools (the emoji system) to empower patients to self-manage their load progression
Dr Ebonie Rio is a post doc researcher at La Trobe University and has completed her PhD in tendon pain, Masters Sports Phys, B. Phys (Hons) and B. App Sci. Her clinical career has included the Australian Institute of Sport, Australian Ballet Company, Australian Ballet School, Melbourne Heart Football Club, Alphington Sports Medicine Centre, Victorian Institute of Sport, 2006 Commonwealth Games, 2010 Vancouver Winter Olympics, 2010 Singapore Youth Olympics, 2012 London Paralympics, 18 months travelling with Disney's The Lion King stage show (Melbourne and Shanghai tour).
Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Links * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Click here to register and receive immediate access to the Tricky tendons infographic series * Free Achilles tendinopathy video series with Tom Goom * David Pope at Clinical Edge * Download and subscribe to the podcast on iTunes * Download the podcast in Overcast * Listen to the podcast on Spotify * Dr Ebonie Rio * David Pope on Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters: * 00:02:57 - How isometrics emerged as a tendinopathy treatment * 00:07:00 - How loading helps a tendon * 00:07:38 - Tendon structure & how to describe tendinopathy to patients * 00:12:27 - When and why tendinopathy develops * 00:15:17 - Tendon imaging * 00:17:38 - Differential diagnosis - Achilles peritendinitis vs mid-portion tendinopathy * 00:19:35 - Does treatment change tendon structure? * 00:21:27 - Can we load disorganised areas of tendon? * 00:22:46 - Do supplements help? * 00:24:44 - Avoid these in your tendinopathy treatment * 00:26:47 - Finding the right level of running or load * 00:28:40 - What causes tendinopathy to develop * 00:31:52 - When and how to include isometrics in treatment * 00:36:42 - When isometrics are likely to help or not help * 00:38:51 - Choosing the starting position for isometrics * 00:39:38 - How to describe isometrics to patients * 00:40:23 - How to choose the load for isometrics * 00:42:53 - When to include isotonics in treatment * 00:44:03 - Plyometric & Stair loading * 00:46:49 - How long should isometric holds be? * 00:47:26 - Patient advice & discussion
Have any of your shoulder patients improved and then plateaued, unable to regain their full range of movement, or get rid of their painful arc?
Sometimes it’s not the cuff, capsule, nerves or neck—it’s the acromioclavicular joint (ACJ) holding things back.
In this episode, Jo Gibson sheds light on this often-overlooked contributor to persistent shoulder pain.
From real patient case studies to the latest research and simple clinic-ready symptom modification tests, Jo shares practical strategies you can use immediately.
Learn how to identify ACJ involvement, and use targeted rehab exercises, symptom modification and treatment strategies to help patients break through their plateau and regain their confidence and range.
Chapters:
- 00:00 - Intro
- 02:59 - Case study: Patient with shoulder pain
- 03:29 - Recent research around the ACJ
- 06:37 - Psychosocial or biomedical factors influencing the ACJ and shoulder pain
- 06:53 - Role of the ACJ
- 07:06 - Pain and movement patterns indicating ACJ involvement
- 08:34 - Protective movement strategies that may affect the ACJ
- 09:18 - Symptom modification tests
- 10:08 - Exercises for the ACJ
- 12:43 - Manual therapy for a stiff ACJ?
- 15:40 - Summary: When to look at the ACJ
Join the free 7-day Shoulder assessment bootcamp with Jo Gibson and Clinical Edge
Click on an image below to access these free resources from Jo Gibson and Clinical Edge The handout for this podcast consists of a transcript associated with this podcast.
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Join the free 7-day Shoulder assessment bootcamp with Jo Gibson and Clinical Edge * Free video series - How to be a shoulder detective: Solving acute shoulder pain with Jo Gibson * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Anterior hip pain is often blamed on the hip flexors, but in runners, that’s rarely the diagnosis. So how can you identify the real cause and guide patients to a safe, effective recovery?
In this episode, Tom Goom (Running Physio) explores the function of the hip flexors in running, key differentials for anterior hip or groin pain, and practical rehab strategies you can use right away.
You’ll discover:
- Why true hip flexor tendinopathy is uncommon in endurance runners
- Red flags and key tests to identify bone stress fractures and intra‑articular pathology
- Early‑stage loading strategies that protect the tendon from aggravation
- The role of the adductors, trunk, and synergistic muscles in successful rehab
- Common myths and misconceptions around hip flexors
- How to progress rehab to sport‑specific drills and return to running
If you’re a physiotherapist or health professional treating runners, this episode gives you research‑backed, clinically reasoned strategies to assess and manage hip flexor pain with confidence.
Timestamps:
- 00:00 - Intro
- 03:35 - Hip flexor function
- 06:56 - Tip 1 - Is it a hip flexor tendinopathy?
- 09:48 - Tip 2 - Rehab of hip flexors
- 11:35 - Tip 3 - Other muscle groups to include in rehab
- 13:08 - Common misconceptions
- 13:37 - 1. Pronation
- 14:49 - 2. Firing order
- 16:13 - 3. Weak transversus abdominis
- 17:12 - 4. Rib alignment and breathing patterns
🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information.
Free running injury assessment & treatment video series available now Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Article associated with this episode: * Click here to download your podcast handout * Lenhart R, Thelen D, Heiderscheit B. Hip muscle loads during running at various step rates. journal of orthopaedic & sports physical therapy. 2014 Oct;44(10):766-A4.
Links associated with this episode: * Free Achilles tendinopathy videos * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Your patient presents with shoulder pain, and straight away you need to identify:
Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely?
- Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely?
- Is the pain actually coming from the shoulder?
- Could it be the cervical spine?
- Is there a tear that needs urgent referral?
- Should you order imaging? Refer to a surgeon? Or confidently continue with rehab?
In this podcast, Jo Gibson (Upper Limb Rehabilitation Specialist Physio) guides you through a simple, evidence-informed clinical reasoning framework to help you confidently assess and treat patients with shoulder pain.
Drawing on decades of clinical experience and the latest research, Jo breaks down four essential questions you need to ask in every shoulder assessment—helping you identify red flags, tailor your treatment plan, and avoid common diagnostic pitfalls.
In this episode, you’ll discover:
- How to distinguish shoulder pain from cervical spine referral
- Key subjective clues that guide your diagnosis and treatment decisions
- Whether it’s “torn”—and how to know if a surgical referral is appropriate
- Clinical signs that help differentiate frozen shoulder from other causes of stiffness
- Why pain irritability matters—and how it impacts your rehab approach
- When to use (and when to avoid) imaging
- How to identify instability and assess the likelihood of recurrence
- What assessment tests to perform in your objective examination
- The real value—and limitations—of special tests like the Hawkins-Kennedy, drop arm, Hornblower’s, and more.
- How to modify testing to better isolate rotator cuff contributions
- Why symptom modification tests are useful—and what they tell you
- How to help your patient overcome fear, regain confidence, and move again
- What research says about exercise prescription, and how many exercises you should give patients
Listen in to strengthen your clinical reasoning and give your shoulder assessments a clear structure that helps you feel more confident—and gets better outcomes for your patients.
Chapters:
- 00:00 - Intro
- 03:12 - Subjective clues that guide diagnosis
- 04:33 - What to call shoulder pain? RCRSP or SAP?
- 06:04 - 4 key questions to ask
- 06:29 - Cervical spine driven shoulder pain
- 10:03 - Is it torn and does it matter?
- 11:29 - Traumatic dislocations
- 12:37 - Special tests in the "Is it torn" group
- 15:56 - Is it stiff?
- 17:36 - Is it irritable?
- 20:38 - Can I change it?
- 23:05 - Summary
Click on an image below to access these free resources from Jo Gibson and Clinical Edge The handout for this podcast consists of a transcript associated with this podcast.
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Free video series - How to be a shoulder detective: Solving acute shoulder pain with Jo Gibson * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters:
- 00:00:00 - Intro
- 00:03:12 - Subjective clues that guide diagnosis
- 00:04:33 - What to call shoulder pain? RCRSP or SAP?
- 00:06:04 - 4 key questions to ask
- 00:06:29 - Cervical spine driven shoulder pain
- 00:10:03 - Is it torn and does it matter?
- 00:11:29 - Traumatic dislocations
- 00:12:37 - Special tests in the "Is it torn" group
- 00:15:56 - Is it stiff?
- 00:17:36 - Is it irritable?
- 00:20:38 - Can I change it?
- 00:23:05 - Summary
Your patient is running, playing sport, or jumping or lunging forward - an activity with fast eccentric or concentric activity in dorsiflexion,and suddenly they feel like they’ve been kicked in the back of the leg.
They might hear a snap and have difficulty weightbearing, walking and pushing off.
What’s your likely diagnosis?
You picked it - an Achilles tendon (AT) rupture.
AT ruptures are a devastating injury that can drastically impact a patient’s ability to walk, run, or return to sport.
Despite their frequency, there’s a lot of uncertainty among clinicians, patients, and even surgeons around how to best assess, treat, and rehabilitate Achilles tendon ruptures.
Patients are often fearful of doing the wrong thing and re-rupturing the tendon.
Therapists often follow a non-surgical protocol of putting people in a boot, but are unsure how to progress, how fast to progress and what to do during and after they’re in the boot.
An even bigger problem than AT re-rupture is the very common issue of an elongated tendon where patients have long-term difficulty with calf weakness and inefficiency, walking long distances, hopping, jumping, and returning to sport.
In this podcast, David Pope (APA Titled Musculoskeletal and Sports & Exercise Physiotherapist) is joined by Prof. Peter Malliaras (Specialist Physiotherapist FACP, clinician and researcher with a PhD in tendinopathy) to explore the latest evidence, clinical insights, and rehab strategies for Achilles tendon ruptures.
Peter draws on his extensive clinical experience, recent research, and the development of a specialist Achilles rupture service at OrthoSport Victoria to help guide your decision-making and treatment approach.
In this podcast, you’ll discover:
- The mechanism of injury and clinical presentation of Achilles tendon ruptures.
- Key diagnostic tests and how to avoid missed or delayed diagnoses.
- Common pitfalls that lead to tendon elongation—and how to prevent them.
- When to recommend surgical vs non-surgical management.
- A new, innovative approach to strengthening the Achilles tendon while the patient is in the boot.
- How to safely begin loading the Achilles in the early phase of rehab.
- Strategies to protect against tendon elongation during and after boot use.
- Whether we should be stretching or trying to improve dorsiflexion.
- Objective strength criteria to guide progression through rehab stages.
- Return-to-walking and return-to-sport timeframes—and how to individualise them.
- What to do when patients present late or have already developed elongation.
- Complications to watch for post-injury or post-surgery.
- How to help patients navigate the psychological and motivational challenges of recovery.
Listen to this episode to gain clarity on Achilles tendon rupture assessment and rehab, and develop a structured, evidence-based approach you can apply immediately in your clinical practice.
Timeline
00:06:23 Problems Physios and patients face with AT ruptures?
00:09:29 Subjective - How to identify a likely AT
00:12:03 Who gets an AT rupture?
00:18:45 Why do AT's rupture?
00:20:06 Misdiagnosis
00:24:14 Surgical or non-surgical management?
00:30:25 Elongation - Improve dorsiflexion or make the AT stiffer?
00:36:53 Safe loading in the boot & progressions
00:42:49 When to start exercising in the boot
00:46:08 Elongation - why is it a problem?
00:54:00 Bent or straight knee calf exercises?
00:59:55 RTP - How long does it take?
01:03:32 Surgical vs non-surgical timeframes
01:04:25 Assessment and diagnosis of AT ruptures
01:08:40 Initial management of an AT rupture
01:11:26 Education - What to tell patients
01:12:54 Imaging
01:14:57 Delayed presentation - How to manage
01:16:10 Red flags & complications
01:19:10 Walking - How to guide patients as they come out of the boot
01:21:27 Exercise progressions after the boot
01:23:48 Key takehome messages
Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Links associated with this episode: * Prof Peter Malliaras at OrthoSport Victoria * Prof Peter Malliaras * Online courses with Prof Peter Malliaras * Tendinopathy podcast with Prof Peter Malliaras * Summary handout * Adductor related groin pain rehab with Andrew Wallis * FAI assessment and treatment with Dr Adam Weir * Accelerated conservative management of medial knee injuries with Chris Morgan * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Click here to register and receive immediate access to the Tricky tendons infographic series * Free Achilles tendinopathy video series with Tom Goom * David Pope at Clinical Edge * Download and subscribe to the podcast on iTunes * Download the podcast in Overcast * Listen to the podcast on Spotify * Dr Lachlan Giles * David Pope on Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Research associated with this podcast * Barfod, K. W., Hansen, M. S., Sandholdt, H., Boesen, A., Hölmich, P., Troelsen, A., & Kristensen, M. T. (2022). The Copenhagen Achilles length measurement performed at time of acute Achilles tendon rupture is correlated to tendon elongation after 1 year. The Journal of Foot and Ankle Surgery, 61(5), 1098-1102. * Barfod, K. W., Overgård, A. B., Hansen, M. S., Haddouchi, I. E., Toft, M., & Hölmich, P. (2023). Effect of the Copenhagen Achilles Rupture Treatment Algorithm (CARTA) on Calf Muscle Volume and Tendon Elongation After Acute Achilles Tendon Rupture: A Predefined Secondary Analysis of the First 60 Patients in a Randomized Controlled Trial. Orthopaedic Journal of Sports Medicine, 11(11), 23259671231211282. * Hansen, M. S., Vestermark, M. T., Hölmich, P., Kristensen, M. T., & Barfod, K. W. (2020). Individualized treatment for acute Achilles tendon rupture based on the Copenhagen Achilles Rupture Treatment Algorithm (CARTA): a study protocol for a multicenter randomized controlled trial. Trials, 21, 1-14. * Hansen, M. S. (2022). Achilles tendon rupture: Tendon elongation, gait dynamics, and individualized treatment(Doctoral dissertation, School of Health and Medical Sciences, University of Copenhagen). * Hansen, M. S., Bencke, J., Kristensen, M. T., Kallemose, T., Hölmich, P., & Barfod, K. W. (2023). Achilles tendon gait dynamics after rupture: A three-armed randomized controlled trial comparing an individualized treatment algorithm vs. operative or non-operative treatment. Foot and Ankle Surgery, 29(2), 143-150. * Willits, K., Amendola, A., Bryant, D., Mohtadi, N. G., Giffin, J. R., Fowler, P., ... & Kirkley, A. (2010). Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation. JBJS, 92(17), 2767-2775.
Brazilian Jiu-Jitsu (BJJ) is a popular grappling-based martial art that uses joint locks and chokes to subdue or submit opponents. It’s an intense, physically demanding sport with complex movements and submission techniques that involve a risk of injury, particularly to the knees, shoulders, elbows, neck, and lower back. It’s important for Physiotherapists and health professionals who treat BJJ athletes to understand the different mechanisms of injury, movements and positions athletes need to be able to perform, so they can develop successful rehabilitation programs, and safely and successfully return athletes to training. In this podcast, David Pope (APA Titled Musculoskeletal and Sports and Exercise Physio) explores BJJ injuries with Dr. Lachlan Giles—a BJJ black belt and world-class BJJ competitor, including 1st Place IBJJF Pan-Pacific Championship 2016 & 2017, 3rd place ADCC 2019 Open weight division and many more accomplishments. Lachlan is also a BJJ coach to top level competitors, including Levi Jones-Leary, Craig Jones before he moved to DDS, and a Physiotherapist with a PhD in knee pain and rehab. Lachlan shares his extensive experience treating and managing BJJ injuries, drawing from the research, as well as his clinical knowledge and personal experience as an elite grappler and BJJ coach. In this podcast, we discuss:
- The challenges physiotherapists face when treating BJJ athletes and how to adapt rehab programs for them.
- Common areas injured in BJJ.
- What commonly causes knee injuries, including LCL and ACL sprains, in BJJ.
- Different positions athletes need to get into in BJJ, why it’s important to understand these positions, and how you can use this to guide your rehab and return to sport.
- Strength vs flexibility vs conditioning? Which factors are critical in injury recovery, prevention and performance?
- Practical strategies for modifying training and load to allow injured athletes to continue training safely.
- The role of neck strengthening in protecting against neck injuries from chokes and takedowns.
- How to structure a safe return-to-play progression for knee, back, and rib injuries.
- Key factors that impact athlete recovery. When athletes can continue training, when and how to modify training and when to recommend complete rest. The impact of training style, intensity, and mindset on injury risk and longevity in the sport. How older athletes can adjust their game to have fewer injuries while continuing to train and compete. Listen to this podcast now to have a better understanding of BJJ injuries, rehabilitation, and strategies to help athletes successfully get back to or continue training and competing in BJJ.
Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Links * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Click here to register and receive immediate access to the Tricky tendons infographic series * Free Achilles tendinopathy video series with Tom Goom * David Pope at Clinical Edge * Download and subscribe to the podcast on iTunes * Download the podcast in Overcast * Listen to the podcast on Spotify * Dr Lachlan Giles * David Pope on Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters:
- 04:40 - Lachlan's PhD
- 10:06 - Can VMO be targeted with rehab?
- 14:06 - What challenges do Physios face when treating BJJ athletes?
- 17:03 - When to allow patients to continue training
- 19:35 - Different types of training
- 21:36 - Lachlan's training with an LCL injury
- 26:53 - Common injuries in BJJ
- 29:18 - Other areas injured in BJJ, and why low back pain occurs
- 33:39 - How BJJ athletes can train to stay healthy and avoid injury
- 37:05 - Getting back to training and rolling
- 42:23 - Tests before patients "invert" with their legs over their head
- 48:11 - Leg entanglement, 50/50 and leg locks
- 52:09 - Positions to use when coming back from an injury
- 53:08 - Rib and costochondral injuries
- 59:44 - Forearm periostitis
Static stretching has long been used to improve flexibility, but research shows its effects are often short-lived. So how can you help patients achieve lasting improvements? In this episode, Tom Goom (Running Physio) explores exercises you can provide to patients to increase muscle fascicle length, improve flexibility, and reduce injury risk. You’ll discover:
- Why static stretching alone may not create long-term flexibility gains
- Exercises to improve muscle length and function
- Key training parameters for effective flexibility training
- Strategies to maintain flexibility improvements over time If you’re a physiotherapist or health professional looking for research-backed flexibility strategies, this episode is packed with practical insights!
🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information.
Free running injury assessment & treatment video series available now Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Article associated with this episode: * Click here to download your podcast handout * Diong J, Carden PC, O'Sullivan K, Sherrington C, Reed DS. Eccentric exercise improves joint flexibility in adults: A systematic review update and meta-analysis. Musculoskeletal Science and Practice. 2022 Aug 1;60:102556.
Links associated with this episode: * Free Achilles tendinopathy videos * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
How do the terms we use influence a patient’s understanding of their shoulder pain, their recovery expectations, and even their treatment choices? In this episode of the Physio Edge Shoulder Success Podcast, Jo Gibson (Upper Limb Rehabilitation Specialist Physio), explores the power of language in physiotherapy and how our explanations can either support or hinder a patient’s progress.
Drawing on research and real-world clinical experience, Jo discusses a compelling case study:
- Persistent shoulder pain after multiple treatments – A patient with years of ongoing pain, failed surgeries, and various diagnoses struggles to make sense of their condition. Despite normal imaging, they avoid activity and seek repeated treatments, caught in a cycle of fear and uncertainty.
Jo unpacks key questions around patient communication:
- How do diagnostic labels like "impingement" or "rotator cuff tear" shape patient beliefs?
- Why do patients often focus on the most negative aspects of their diagnosis?
- How can we explain shoulder pain in a way that reassures rather than reinforces fear?
You’ll also gain practical strategies to:
- Explore what patients understand about their diagnosis and how it influences their behavior.
- Use language that encourages confidence and movement rather than avoidance.
- Identify non-verbal cues that indicate uncertainty or distress in your patients.
With evidence-based insights and actionable communication tips, this episode will help you refine your patient interactions and improve rehabilitation outcomes.
Listen now to discover how small changes in your language can make a big impact on your patients’ recovery.
Click on an image below to access these free resources from Jo Gibson and Clinical Edge The handout for this podcast consists of a transcript associated with this podcast.
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Free video series - How to be a shoulder detective: Solving acute shoulder pain with Jo Gibson * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Bone strength and density are vital in your running and sporting patients who can experience bone stress injuries (BSI’s), and also as patients get older and more vulnerable to falls and fractures.
How can you improve bone strength in patients following a bone stress injury such as Medial Tibial Stress Syndrome or stress fractures, or in other patients that you’d like to improve bone density or strength?
Traditional approaches to strength and conditioning may not always address the needs of your patients recovering from bone stress injuries. That’s where bone loading programs come in—a targeted strategy to help prepare bones for impact, improve power, and support a return to sport.
In this episode, Tom Goom (Running Physio) dives into the research and how to use a bone loading program to stimulate bone adaptation.
In this podcast, you’ll discover:
- The theory and evidence behind bone loading programs and how bones respond to impact.
- How to identify the right stage of injury recovery for introducing impact training.
- Practical guidelines for implementing short, progressive bone loading exercises.
- Techniques for progressing exercises based on patient goals and symptoms.
- Strategies to improve bone strength in patients experiencing other musculoskeletal issues such as Achilles tendinopathy.
- Real-world applications and demonstrations of bone loading programs.
Tom also shares insights on identifying readiness for impact exercises, managing patient expectations, and adjusting programs for individual needs. You’ll leave this episode equipped with actionable strategies to help patients safely and effectively return to sport while supporting their bone health.
If you’re a clinician or physiotherapist looking for practical solutions to manage bone stress injuries or improve bone density, this podcast is packed with valuable information you can apply in your practice right away.
🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information.
Free running injury assessment & treatment video series available now Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Article associated with this episode: * Turner CH, Robling AG. Mechanisms by which exercise improves bone strength. Journal of bone and mineral metabolism. 2005 Jan;23:16-22.
Links associated with this episode: * Free Achilles tendinopathy videos * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters:
- 04:37 - Turner and Robling (2005) running longer doesn't make bones stronger
- 10:46 - Bone loading progressions
- 15:58 - Analysis of the evidence
- 17:05 - Whether loading technique matters
- 15:03 - Summary
Taping: does it really help patients with shoulder pain, or is it just a brightly coloured placebo? In this thought-provoking episode of the Physio Edge Shoulder Success Podcast, Jo Gibson, upper limb rehab specialist at Rehab for Performance, unpacks the complexities of taping in shoulder rehabilitation. Drawing from the latest evidence and her extensive experience with shoulder pain, Jo shares two compelling case studies and whether taping was useful in the treatment of:
- Volleyball player post-stabilisation surgery – Despite passing all return-to-play criteria, this patient struggled with fear of re-injury in specific positions.
- C/Sp referred shoulder pain – Severe neck and shoulder pain with difficulty sleeping left this patient guarding every movement. Learn whether taping played a role in this patient’s rehab.
Jo examines the evidence behind taping, addressing key questions:
- Does tape improve biomechanics, or are the effects purely psychological?
- How do sensory input and contextual factors influence patient outcomes?
- Can taping be a useful temporary tool, or is it overrated?
You’ll also gain insights into:
- The importance of clinical reasoning when choosing adjuncts like taping.
- How to manage patient beliefs and expectations around interventions.
- Practical applications of taping to improve confidence and support movement strategies.
With a blend of evidence, clinical expertise, and practical examples, this episode offers a balanced view on the role of taping in physiotherapy. Whether you’re a seasoned clinician or early in your career, you’ll come away with fresh perspectives on using taping effectively in your practice.
🎧 Tune in now to discover when, why, and how to use taping to support your patients’ shoulder rehab success!
Click on an image below to access these free resources from Jo Gibson and Clinical Edge The handout for this podcast consists of a transcript associated with this podcast.
Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters:
- 03:36 - Patient 1 - Taping for volleyball post shoulder stabilisation surgery
- 06:26 - Patient 2 - Neck driven shoulder pain
- 07:04 - What's the evidence for and against tape?
- 13:09 - Applying the evidence around taping
- 18:15 - Back to the case studies
- 21:47 - Question - Can tape stimulate mechanoreceptors to give somatosensory feedback to the brain?
Join hosts David Pope and The Hip Physio - Mehmet Gem as they dive deep into the myths and misconceptions surrounding hip and groin pain. This podcast explores common myths about glutes and hip flexors, effective rehab exercises, and how to accurately assess and treat various hip conditions.
Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Links * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * LEAP Trial * Click here to register and receive immediate access to the Tricky tendons infographic series * Free Achilles tendinopathy video series with Tom Goom * David Pope at Clinical Edge * Download and subscribe to the podcast on iTunes * Download the podcast in Overcast * Listen to the podcast on Spotify * Mehmet Gem * David Pope on Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Chapter markes:
- 00:00 Intro
- 00:27 Getting to know Mehmet
- 03:11 Glute myths and misconceptions - Can patients have "gluteal amnesia" or "switched off glutes"?
- 08:54 When and how to test & improve glute strength
- 12:58 Functional glute testing
- 14:49 Mehmet's favourite glute exercises
- 19:22 Greater trochanteric pain syndrome/gluteal tendinopathy
- 23:04 Stretches for lateral hip pain?
- 25:52 Should patients perform hip mobility exercises?
- 29:07 Improving hip range of movement
- 36:48 When to test hip range of movement
- 39:40 Differentiating hip osteoarthritis (OA) from GTPS
- 44:24 Hip objective assessment - OA vs GTPS
- 46:51 GTPS diagnosis
- 49:44 Return to running with hip dysplasia
- 52:37 Hip flexors - what are they responsible for?
- 53:42 Do hip flexors get tight from sitting?
- 54:39 Hip flexors - objective assessment
- 57:43 Hip rehab exercises
Upper Limb Rehabilitation Specialist Jo Gibson explores an intriguing case of an 84-year-old man with a massive rotator cuff tear of the supraspinatus and partial subscapularis tear. Despite his long history of shoulder issues, he’s improving, but constant pain and intermittent numbness in his posterior arm and into his hand complicate the situation.
In this podcast, you’ll explore:
- What a massive rotator cuff tear (MRCT) is
- Common pain patterns with rotator cuff tears
- Why the Suprascapular nerve can be affected in MRCT’s
- How to set realistic expectations with patients about their recovery
- Common causes of pain into the posterior arm, wrist and hand
- How to differentially diagnose shoulder, arm and hand pain
- Assessment tests to identify and exclude cervical involvement
- When nerve conduction tests or EMG should be performed
- Rehabilitation ideas for this patient
Listen to this podcast now to improve your rehabilitation of shoulder & arm pain and rotator cuff tears.
Free shoulder assessment infographic series Click here to access the free shoulder infographic series and learn how to easily assess shoulder pain patients with this simple 6-step shoulder assessment from Jo Gibson
The handout for this podcast consists of a transcript and research articles referenced in this podcast.
Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Free shoulder assessment infographic series with Jo Gibson * Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
ACL injuries result in significant time away from sport and distress for patients. The variety of management options, from surgical intervention to non-surgical management and rehabilitation protocols, often makes us uncertain when educating and helping patients choose the most appropriate care for their needs and goals.
Recently, a pioneering non-operative ACL injury management pathway called the “Cross bracing protocol” has been pioneered and developed by Dr Tom Cross and Tom’s father (the late Orthopaedic surgeon) Dr Merv Cross. This protocol offers a promising alternative for patients with ACL injuries who are suitable for non-surgical intervention, where the ACL injury may heal or repair itself.
Not all patients with an ACL injury are suitable for the Cross bracing protocol or non-surgical management, so how can you identify whether your patient is suitable, and which treatment options are best for each patient?
In this insightful podcast episode, we discuss the complex challenge of ACL injury management and Cross bracing with Clare Walsh (Specialist Sports & Exercise Physiotherapist, FACP).
Clare treats a lot of patients with ACL injuries with prehabilitation, post-op rehabilitation, or non-surgical management including Cross bracing. Clare works alongside Dr Tom Cross and other Sports Medicine Doctors, Orthopaedic surgeons (including the late Dr Merv Cross) and leading Sports Physiotherapists at Stadium Sports Physiotherapy and The Stadium Clinic.
Clare teaches on the Cross bracing course conducted in Australia for Physiotherapists and health professionals, and is a Senior Educator & Presenter here at Clinical Edge.
In this podcast we explore:
- Cross bracing
- What it is and how it developed.
- What research has been performed to date, and what it shows about the chances of ACL healing with the Cross bracing protocol.
- Assessment tests & specific imaging that are used to assess patient suitability.
- Why patients might opt for Cross bracing rather than surgery.
- Who isn’t suitable for Cross bracing.
- Potential negative outcomes of Cross bracing.
- Which patients are more likely to be suitable and successful with Cross bracing - eg. injury type, age, level of sport, goals, psychosocial factors.
- Medical factors that impact suitability.
- Psychosocial factors that impact whether a patient can undergo the protocol.
- Which leg (right or left) is better suited to bracing and why.
- Which type of braces are commonly used.
- How soon the protocol needs to commence after injury to be successful.
- Which concomitant injuries can still heal in a brace and which need surgery e.g. meniscus injuries, bucket handle tears of the meniscus, MCL tears.
- How long patients remain in a brace.
- Exercises and activities that can and should be performed throughout Cross bracing.
- How patients can move or walk around throughout the Cross bracing period.
- How Cross bracing has changed and evolved.
- Whether the ACL is at increased risk of re-rupture following the protocol.
- Essential medical management during the protocol.
- Whether therapists can put a patient in a brace, or manage the protocol independently.
- What to you do if you think a patient may be suitable for Cross bracing.
- How to refer patients for Cross bracing
- Followup imaging at the end of the protocol.
- Functional assessment tests used at the end of the protocol.
- Return to training (RTT) and return to play (RTP) following the protocol.
- Which patients require surgery instead of conservative management.
- Early surgery vs delayed surgery.
- Spontaneous ACL healing - what the research says.
- How to use patient-centred decision-making to guide patients into the most suitable recovery pathway - surgery, bracing or non-surgical management.
- Case studies and comparisons of patients that underwent either Cross bracing or ACL reconstruction.
This podcast is packed full of great information on this emerging ACL injury treatment. You’ll finish this podcast with a deeper understanding of ACL injury management and Cross bracing plus practical knowledge, solutions and insights you can apply into your practice.
Links * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Free Achilles tendinopathy video series with Tom Goom * David Pope at Clinical Edge * Download and subscribe to the podcast on iTunes * Download the podcast in Overcast * Listen to the podcast on Spotify * Clare Walsh on Twitter * David Pope on Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters:
- 6:26 - ACL injury treatment options
- 9:08 - Early vs late surgery
- 11:38 - Current research
- 15:40 - Cross-bracing protocol development
- 15:40 - Who's suitable for Cross bracing? 23:38
- 30:24 - Potential negative outcomes
- 41:10 - Return to sport
- 44:24 - Re ruptures
- 52:12 - Non operative management
How can you treat patients who experience knee pain and swelling during and after running? If you suspect their symptoms are caused by a meniscal injury, how can you rehab and return these patients to running without surgery?
In this Physio Edge: Running repairs podcast with Tom Goom, you’ll explore meniscal injuries in runners, recent research on runners with meniscal tears, and how to provide effective non-surgical management. You’ll discover:
- Initial steps for managing pain and swelling in affected runners.
- Techniques to restore and maintain range of movement.
- Strategies for rebuilding strength in key muscle groups.
- Approaches to improve impact control and tolerance, preparing runners for a gradual return to their sport.
- When to manage these patients non-surgically, and when to refer for a surgical opinion.
Tom explores the physical aspects of recovery, along with the impact of general health, weight management, and gait retraining on knee health. With a realistic timeline for recovery and a focus on individualised treatment plans, this podcast is a must-listen for therapists who treat runners.
🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information.
Free running injury assessment & treatment video series available now Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Links associated with this episode: * Free Achilles tendinopathy videos * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters:
- 03:36 - Recent research
- 05:17 - Management
- 09:26 - Restore ROM
- 10:42 - Rebuild muscle strength
- 12:07 - Return to sport
- 17:03 - Surgical & non-surgical management
Jo Gibson (Upper Limb Rehabilitation Specialist Physio) discusses the keys to successfully treat persistent anterior shoulder pain in two tennis players who had not recovered despite previous extensive rehab. In this podcast Jo explores what to include in your rehab of sportspeople who place large demands on their shoulders, elements commonly overlooked in shoulder rehab and how to address patients’ psychosocial factors, fears and beliefs to successfully treat persistent shoulder pain.
Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.
The handout for this podcast consists of a transcript and research articles referenced in this podcast.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Lluch-Girbés E, Requejo-Salinas N, Fernández-Matías R, Revert E, Mejías MV, Camargo PR, Jaggi A, Sciascia A, Horsley I, Pontillo M, Gibson J. Kinetic chain revisited: Consensus expert opinion on terminology, clinical reasoning, examination and treatment in people with shoulder pain. Journal of shoulder and elbow surgery. 2023 Feb 15.t * McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. Journal of athletic training. 2000 Jul;35(3):329.t * Ellenbecker TS, Aoki R. Step by step guide to understanding the kinetic chain concept in the overhead athlete. Current reviews in musculoskeletal medicine. 2020 Apr;13:155-63.t
Podcast chapters:
- 02:30 - Case studies: 2 tennis players
- 03:14 - Kinetic chain definition
- 04:18 - When to consider the kinetic chain
- 07:07 - Screening tests
- 10:17 - Objective measures
Join David Pope (APA Titled Musculoskeletal and Sports & Exercise Physio) and Zoe Russell (Specialist Sports Physiotherapist, FACP; APA Titled Musculoskeletal Physio) in the Physio Edge podcast as they explore how to assess, treat, and manage patients suffering from ACL injuries or suspected ACL injuries.
You'll discover how to assess a patient with a suspected ACL injury, and criteria you can use to identify whether a patient may be suited to non-surgical management or is likely to require surgery. You'll also understand when immediate or delayed surgery is the best option, and how to guide patients through the decision-making process and different phases of rehab. Listen in to provide your ACL injury patients with the best treatment options.
Free Achilles tendinopathy video series with Tom Goom available now Links * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Free Achilles tendinopathy video series with Tom Goom * David Pope at Clinical Edge * Download and subscribe to the podcast on iTunes * Download the podcast in Overcast * Listen to the podcast on Spotify * Zoe Russell on Twitter * David Pope on Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Rotator cuff tear arthropathy (RCTA) is a pattern of glenohumeral joint degenerative changes following rotator cuff tears, causing shoulder pain and stiffness. Subscapularis tears can also be involved in RCTA, or a significant cause of shoulder pain and disability.
How can you identify RCTA and subscap tears in your shoulder pain patients? How can they be treated, and do these patients respond well to non-surgical management?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).
Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.
The handout for this podcast consists of a transcript and research articles referenced in this podcast.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Conaire EÓ, Delaney R, Lädermann A, Schwank A, Struyf F. Massive Irreparable Rotator Cuff Tears: Which Patients Will Benefit from Physiotherapy Exercise Programs? A Narrative Review. International Journal of Environmental Research and Public Health. 2023 Mar 23;20(7):5242. * Fahy K, Galvin R, Lewis J, Mc Creesh K. Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears: A systematic review & meta-analysis. Musculoskeletal Science and Practice. 2022 Jun 10:102597.
How can you successfully treat hip pain and instability associated with your patients’ hip dysplasia? Find out the eight critical steps to excellent results with hip dysplasia in this podcast, which is part 3 in this three-part podcast series with Tom Goom (Running Physio).
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Free video series: Achilles Tendinopathy from start to finish line! with Tom Goom In this free Masterclass "Achilles tendinopathy: Assessment & rehab from start to finish line" presented by Tom Goom and hosted by Clinical Edge, you’ll discover:
- 3 common conditions that cause Achilles pain.
- How to assess patients with Achilles pain to get a clear diagnosis, and know where to start treatment.
- Rehab exercises that will help your patients overcome their Achilles pain.
- How to successfully return your patients to running or sport, and achieve their goals, without stirring up their pain.
CLICK HERE to register for your free access to this three-part video series with Tom Goom
CLICK HERE for your access to three free videos with Tom Goom
Links associated with this episode: * Free Achilles tendinopathy videos * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Physio Edge podcast 154 - Part 1 of 3 - Hip dysplasia key signs & symptoms with Tom Goom * Physio Edge podcast 156 - Part 2 of 3 - 3 Types of hip dysplasia and How0 to identify them * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the article associated with this podcast * Wilkin GP, Ibrahim MM, Smit KM, Beaulé PE. A contemporary definition of hip dysplasia and structural instability: toward a comprehensive classification for acetabular dysplasia. The Journal of arthroplasty. 2017 Sep 1;32(9):S20-7.
When a patient presents with a potential frozen shoulder, what other differential diagnoses must be considered? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), exploring the case study of a patient diagnosed with “frozen shoulder” with symptoms that don’t quite match a typical frozen shoulder. What’s the diagnosis of this patient’s stiff shoulder? You’ll also discover whether an X-ray or imaging is required when a patient presents with a stiff or frozen shoulder.
Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.
The handout for this podcast is the transcript associated with this podcast.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters:
- 04:03 - Case study
- 07:23 - Frozen shoulder or misdiagnosis?
- 10:21 - Screening tests
- 10:58 - Risk factors
- 17:14 - Key points
Hip dysplasia is a commonly missed cause of hip and groin pain. In this podcast, which is part 2 in the 3 part series with Tom Goom (Running Physio), you’ll discover three types of hip dysplasia that will cause different symptoms and need different treatment (based on Wilkins et al. 2017), how to identify each type, and common exercises and a treatment approach that may be stirring up your patients hip and groin pain.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
Links associated with this episode: * Free Achilles tendinopathy videos * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Physio Edge podcast 154 - Part 1 of 3 - Hip dysplasia key signs & symptoms with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the article associated with this podcast * Wilkin GP, Ibrahim MM, Smit KM, Beaulé PE. A contemporary definition of hip dysplasia and structural instability: toward a comprehensive classification for acetabular dysplasia. The Journal of arthroplasty. 2017 Sep 1;32(9):S20-7.
Chapters:
- 03:12 - Signs & symptoms
- 06:05 - Assessment
- 08:05 - 3 types of hip dysplasia
- 08:28 - Anterior instability
- 09:58 - Posterior instability
- 11:42 - Lateral/global instability
- 13:29 - Key takeaways
Stingers or burners are a burning or stinging pain, often with some paraesthesia and occasionally weakness, often occurring in impact sports such as rugby or American football.
When your patients present with neck and arm symptoms, how can you differentiate a stinger or burner from a C/sp fracture, discogenic symptoms or nerve root compression, which all require very different treatment?
How should you manage patients with one-off or repeated stingers or burners?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).
The handout for this podcast consists of a transcript and articles referenced in the podcast.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the article associated with this podcast * Bowles DR, Canseco JA, Alexander TD, Schroeder GD, Hecht AC, Vaccaro AR. The prevalence and management of stingers in college and professional collision athletes. Current reviews in musculoskeletal medicine. 2020 Dec;13:651-62. * Sobue S, Kawasaki T, Hasegawa Y, Shiota Y, Ota C, Yoneda T, Tahara S, Maki N, Matsuura T, Sekiguchi M, Itoigawa Y. Tackler’s head position relative to the ball carrier is highly correlated with head and neck injuries in rugby. British journal of sports medicine. 2018 Mar 1;52(6):353-8. * Swiatek PR, Nandurkar TS, Maroon JC, Cantu RC, Feuer H, Bailes JE, Hsu WK. Return to play guidelines after cervical spine injuries in American football athletes: a literature-based review. Spine. 2021 Jul 1;46(13):886-92.
Chapters:
- 03:56 - What are stingers or burners?
- 08:13 - 3 key mechanisms
- 14:36 - Signs & symptoms
- 15:36 - Management guidelines
- 18:46 - Shoulder instability treatment
Hip dysplasia is a commonly missed cause of hip and groin pain, catching, clicking, locking or popping, resulting from lack of coverage of the femoral head by the acetabulum.
How can you identify hip dysplasia in your hip or groin pain patients, and avoid misdiagnosing it as iliopsoas or adductor related groin pain? What signs and symptoms will your patients reveal in their subjective history that’ll help you identify this condition?
Find out the key signs and symptoms of hip dysplasia in this podcast with Tom Goom (Running Physio).
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
Links associated with this episode: * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the article associated with this podcast * Jacobsen JS, Søballe K, Thorborg K, Bolvig L, Storgaard Jakobsen S, Hölmich P, Mechlenburg I. Patient-reported outcome and muscle–tendon pain after periacetabular osteotomy are related: 1-year follow-up in 82 patients with hip dysplasia. Acta orthopaedica. 2019 Jan 2;90(1):40-5. * Nunley RM, Prather H, Hunt D, Schoenecker PL, Clohisy JC. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. JBJS. 2011 May 4;93(Supplement_2):17-21. * O'Brien MJ, Jacobsen JS, Semciw AI, Mechlenburg I, Tønning LU, Stewart CJ, Heerey J, Kemp JL. Physical impairments in Adults with Developmental Dysplasia of the Hip (DDH) undergoing Periacetabular osteotomy (PAO): A Systematic Review and Meta-Analysis. International Journal of Sports Physical Therapy. 2022 Oct 1;17(6):988-1001. * Reiman MP, Décary S, Mathew B, Reiman CK. Accuracy of clinical and imaging tests for the diagnosis of hip dysplasia and instability: a systematic review. journal of orthopaedic & sports physical therapy. 2019 Feb;49(2):87-97.
Chapters:
- 03:43 - Who develops hip dysplasia?
- 06:35 - Objective tests
- 09:11 - Hip dysplasia vs gluteal tendinopathy
- 10:45 - Hip dysplasia vs femoral neck stress structure
- 14:13 - Key takeaways
Posterior shoulder instability can occur after a fall onto an outstretched arm, or diving and hitting the ground with your arm (like diving to score a try in rugby), injuring the posterior labrum and/or the glenohumeral joint. Unlike anterior shoulder instability, patients with posterior shoulder instability may not have have a feeling of instability, but may just experience pain, fatigue and weakness.
How can you identify posterior shoulder instability in your shoulder pain patients? What does your rehab for posterior shoulder instability need to include?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).
The handout for this podcast consists of a transcript and articles referenced in the podcast.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the article associated with this podcast * Brelin A, Dickens JF. Posterior shoulder instability. Sports Medicine and Arthroscopy Review. 2017 Sep 1;25(3):136-43. * Gutkowska O, Martynkiewicz J, Urban M, Gosk J. Brachial plexus injury after shoulder dislocation: a literature review. Neurosurgical review. 2020 Apr;43:407-23. * Longo UG, Ciuffreda M, Locher J, Casciaro C, Mannering N, Maffulli N, Denaro V. Posterior shoulder instability: a systematic review. British Medical Bulletin. 2020 Jul 9. * Sadi J, Torchia E, Faber KJ, MacDermid J, Lalonde C, Watson L, Weber M, Wu N. Posterior shoulder instability classification, assessment, and management: an international Delphi study. Journal of Orthopaedic & Sports Physical Therapy. 2020 Jul;50(7):373-80.
After injury or surgery, a lot of runners are told to stop running for different reasons. How can you answer patients that ask if they need to give up running for good? When should patients consider permanently stopping running? Find out in this podcast with Tom Goom (Running Physio).
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
Links associated with this episode: * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters:
03:25 - Stop running permanently
8:15 - Safe to continue running?
10:05 - Post ACL surgery
11:22 - Knee OA
13:27 - Running rehab plan
16:44 - Key takeaways
Will strength training help your patients reduce their risk of running injury and improve their running performance? Find out what the latest research reveals in this Physio Edge Track record: Running repairs podcast with Tom Goom (Running Physio), as you discover:
- The latest research on whether strength training reduces running injury risk.
- Which runners are more likely to develop a running injury, and which runners more successfully avoid running injury.
- How to get runners to “buy in” and perform a strength program, when they’re short on time and motivation.
- 3 key exercises your runners can do to improve their performance and reduce their running injury risk.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
Links associated with this episode: * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Article associated with this episode: * CLICK HERE to download the article associated with this podcast * Desai P, Jungmalm J, Börjesson M, Karlsson J, Grau S. Effectiveness of an 18-week general strength and foam-rolling intervention on running-related injuries in recreational runners. Scandinavian Journal of Medicine & Science in Sports. 2023 Jan 11
Chapters:
02:22 - Research study
04:38 - Results
07:47 - Training program
Marathon runners often come to us with pain, but also they need to build up their mileage in preparation for one of the most challenging events in endurance sport. They're trying to do more when their body may be telling them they need to be doing less.
How do we manage their symptoms, and guide them up to the marathon itself?
Find out in this podcast with Tom Goom (Running Physio).
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
Links associated with this episode: * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
- 00:02:40 - Marathon training phases
- 00:09:08 - Training priority
- 00:11:41 - Manageable goals
- 00:12:27 - Discussing risks
- 00:13:59 - Short and simple rehab
- 00:15:23 - Hands-on treatment
- 00:17:17 - Case study
How can you settle symptoms and make progress with patients, when pain is a significant barrier to performing the rehab that will help them get back to the things they want to do?
Discover the five step process in this podcast with Tom Goom (Running Physio) to settle patients symptoms, overcome this barrier of pain, and help patients make progress with their rehab.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
Links associated with this episode: * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Chapters * 03:05 - Screen for serious pathology * 04:13 - Analgesic review * 05:13 - Discuss the pain * 06:09 - Identify and modify aggravating factors * 07:58 - Reduce irritation * 15:48 - Key takeaways
Zoe Russell discusses ankle sprain assessment and treatment, and how to return your patients to sport. You’ll discover how to help your ankle sprain patients fully recover as quickly as possible, and avoid long term issues, such as chronic ankle instability, osteoarthritis or other lower limb injuries.
Zoe is a Specialist Sports Physiotherapist (FACP), APA Titled Musculoskeletal and Sports Physio, as well as a Clinical Edge Senior Educator and Presenter, and in this Physio Edge podcast hosted by David Pope, we discuss the latest evidence and practical strategies for ankle sprains, including:
Assessment
- Common issues therapists face when rehabilitating ankle sprain patients.
- Questions you need to ask your ankle sprain patients.
- How a previous history of ankle sprains impacts your assessment & treatment.
- Why patients with inversion injuries may have medial ankle pain.
- How to avoid stirring up patients pain during your assessment.
Diagnosis
- Common mechanisms of injury, and how this guides your diagnosis.
- Structures that are likely to be injured with different ankle injuries.
Treatment
- 10 key elements to include in your assessment & treatment.
- How to help reduce swelling quickly after an ankle sprain, and why this is important.
- Immediate sideline management for ankle sprains at sporting events.
- Whether manual therapy has a role in acute ankle injuries or persistent ankle pain and swelling.
- How to explain ankle sprains, recovery & rehab to your patient.
- What you’re looking to achieve with your early rehab.
- How to set rehab targets or goals with your patients.
- The role of taping in ankle rehab.
- Taping compared to bracing.
- Whether long term taping or bracing is a useful long term injury prevention strategy.
- The latest surgical procedures for patients with chronic ankle instability (CAI).
Links * Zoe Russell * David Pope on Twitter * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module * Comprehensive low back pain assessment & treatment training module * David Pope at Clinical Edge
References * CLICK HERE to download the article associated with this podcast * Bestwick-Stevenson, T., Wyatt, L. A., Palmer, D., Ching, A., Kerslake, R., Coffey, F., Batt, M. E., & Scammell, B. E. (2021). Incidence and risk factors for poor ankle functional recovery, and the development and progression of posttraumatic ankle osteoarthritis after significant ankle ligament injury (SALI): the SALI cohort study protocol. BMC musculoskeletal disorders, 22(1), 362. https://doi.org/10.1186/s12891-021-04230-8 * Delco ML, Kennedy JG, Bonassar LJ, Fortier LA. Post-traumatic osteoarthritis of the ankle: A distinct clinical entity requiring new research approaches. J Orthop Res. 2017 Mar;35(3):440-453. doi: 10.1002/jor.23462. Epub 2016 Nov 8. PMID: 27764893; PMCID: PMC5467729. * Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. Epidemiology of Ankle Sprains and Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):603-610. doi: 10.4085/1062-6050-447-17. Epub 2019 May 28. PMID: 31135209; PMCID: PMC6602402. * van Ochten, J. M., de Vries, A. D., van Putte, N., Oei, E., Bindels, P., Bierma-Zeinstra, S., & van Middelkoop, M. (2017). Association between Patient History and Physical Examination and Osteoarthritis after Ankle Sprain. International journal of sports medicine, 38(9), 717–724. https://doi.org/10.1055/s-0043-109554
Chapters:
- 03:47 - Untreated ankle sprains
- 05:27 - Latest evidence
- 07:04 - Subjective questions
- 09:45 - Common mechanisms of injury
- 11:47 - Plantarflexion/inversion injury with medial ankle pain
- 15:22 - Dorsiflexion eversion injuries
- 15:54 - Swelling
- 21:11 - Objective tests
- 26:32 - Irritability
- 26:47 - Figure of 8 taping technique
- 28:56 - Inferior and superior tib-fib joint assessment
- 32:14 - Treatment
- 42:41 - Change of direction
- 43:17 - Tape or brace?
- 50:06 - Mobilise or immobilise?
Patients with knee osteoarthritis (OA) often have a sensitive and painful knee, and are reluctant to use or exercise it, feeling that it’ll just further “wear out” the joint.
In this podcast with Dr JP Caneiro (Specialist Sports Physiotherapist, PhD) you’ll discover how to assess and rehabilitate knee OA patients, including:
- Subjective questions you need to ask knee OA patients.
- How to use your subjective assessment to identify tests to perform in your objective assessment.
- How to identify patient fears and negative beliefs that will interfere with rehab and limit progress.
- Objective assessment tests you need to perform.
- How to differentially diagnose knee OA from other causes of knee pain.
- How to assess patients’ functional ability.
- How to use palpation in your assessment of knee OA.
- Where to start your treatment.
- What to do if your patient is performing knee exercises and their pain is not improving, or getting worse.
- How to break through negative patient beliefs so you can get your patient on the road to better knee health, movement and pain.
Enjoy this podcast with Dr JP Caneiro, hosted by David Pope and Clinical Edge now to improve your treatment of knee OA.
Links * Dr JP Caneiro on Twitter * David Pope on Twitter * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module * Comprehensive low back pain assessment & treatment training module * David Pope at Clinical Edge * Dr JP Caneiro at Body Logic * Dr JP Caneiro on ResearchGate
Related podcasts * How to choose exercises that improve patients pain with David Toomey * Cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, and strength testing with Paula Peralta, Simon Olivotto, Nick Kendrick & David Toomey * Strength training & treating knee osteoarthritis with Dr Claire Minshull * "Sore but not stuffed" - understanding and explaining your patients pain with Dr Tim Mitchell and Dr Darren Beales
Chapters:
- 09:04 - Knee OA myths & misconceptions
- 14:07 - Subjective questions
- 15:33 - Patient fears & beliefs
- 24:07 - Subjective follow up questions
- 30:44 - Objective assessment
- 41:40 - Functional assessment
- 42:09 - Palpation
- 50:45 - Where to start treatment
Patients with knee osteoarthritis (OA) often have a sensitive and painful knee, and are reluctant to use or exercise it, feeling that it’ll just further “wear out” the joint.
In this podcast with Dr JP Caneiro (Specialist Sports Physiotherapist, PhD) you’ll discover how to assess and rehabilitate knee OA patients, including:
- Subjective questions you need to ask knee OA patients.
- How to use your subjective assessment to identify tests to perform in your objective assessment.
- How to identify patient fears and negative beliefs that will interfere with rehab and limit progress.
- Objective assessment tests you need to perform.
- How to differentially diagnose knee OA from other causes of knee pain.
- How to assess patients’ functional ability.
- How to use palpation in your assessment of knee OA.
- Where to start your treatment.
- What to do if your patient is performing knee exercises and their pain is not improving, or getting worse.
- How to break through negative patient beliefs so you can get your patient on the road to better knee health, movement and pain.
Enjoy this podcast with Dr JP Caneiro, hosted by David Pope and Clinical Edge now to improve your treatment of knee OA.
Links * Dr JP Caneiro on Twitter * David Pope on Twitter * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module * Comprehensive low back pain assessment & treatment training module * David Pope at Clinical Edge * Dr JP Caneiro at Body Logic * Dr JP Caneiro on ResearchGate
Related podcasts * How to choose exercises that improve patients pain with David Toomey * Cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, and strength testing with Paula Peralta, Simon Olivotto, Nick Kendrick & David Toomey * Strength training & treating knee osteoarthritis with Dr Claire Minshull * "Sore but not stuffed" - understanding and explaining your patients pain with Dr Tim Mitchell and Dr Darren Beales
Chapters:
- 09:04 - Knee OA myths & misconceptions
- 14:07 - Subjective questions
- 15:33 - Patient fears & beliefs
- 24:07 - Subjective follow up questions
- 30:44 - Objective assessment
- 41:40 - Functional assessment
- 42:09 - Palpation
- 50:45 - Where to start treatment
Patients with knee osteoarthritis (OA) often believe their knee is “bone on bone”, exercises will wear out their knee more and they just need a knee replacement. This narrative can make it difficult to motivate your patients to perform knee rehab exercises that have the potential to improve their pain, function and quality of life.
How can you shift the narrative, educate your patients with knee OA so they “buy in” and perform an effective knee rehab program, and get better results with your treatment?
In this podcast with Dr JP Caneiro you’ll discover:
- How to start your patient on a rehab program when they have fear avoidance, and don’t want to exercise.
- How to help patients have a positive response to your treatment, experiencing better movement, function or pain with exercise and movement.
- How to encourage your patient to share their narrative and perspective, so you can start addressing this with your treatment.
- How to accurately describe OA to your patients and provide a positive narrative.
- How to help patients recognise load and lifestyle factors that are influencing their pain and movement.
- How to modify patients’ unhelpful behaviours and integrate new movement strategies into daily activities.
- How to manage flareups and provide patients with self-management strategies.
Enjoy this podcast with Dr JP Caneiro and hosted by David Pope and Clinical Edge now to improve your treatment of knee OA.
Links * Dr JP Caneiro on Twitter * David Pope on Twitter * Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership * Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module * Comprehensive low back pain assessment & treatment training module * David Pope at Clinical Edge * Dr JP Caneiro at Body Logic * Dr JP Caneiro on ResearchGate
Related podcasts * How to choose exercises that improve patients pain with David Toomey * Cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, and strength testing with Paula Peralta, Simon Olivotto, Nick Kendrick & David Toomey * Strength training & treating knee osteoarthritis with Dr Claire Minshull * "Sore but not stuffed" - understanding and explaining your patients pain with Dr Tim Mitchell and Dr Darren Beales
Exercise is a vital component in our rehabilitation of patients with musculoskeletal pain and injuries.
How can you, as a Physiotherapist, Physical therapist or health professional, choose exercises for your patients that improve their pain, strength, control, confidence and the ability to reach their goals, without stirring up their pain?
Find out in this podcast with David Pope (APA Titled Sports & Musculoskeletal Physio) and David Toomey (NZ Titled Musculoskeletal Physio & PhD Candidate) from the Clinical Edge education & presentation team.
Links associated with this episode: * iTunes - Download and follow the podcast
- Overcast - Download the podcast in Overcast
- Spotify - Listen to the podcast on Spotify
- Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership
- David Toomey
- Let David know what you liked about this podcast on Twitter
- Follow and review the podcast on iTunes
- Infographics by Clinical Edge
Do we need to target “proprioception” in shoulder rehab with flexible or vibratory, blade-like rehab tools or water-filled pipes? Does the evidence support the use of these proprioceptive tools to improve patients shoulder pain, or are there different exercises that provide better results?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio) and discover whether to include proprioceptive treatment tools in your patients shoulder rehabilitation programs.
The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the article associated with this podcast * Ager AL, Borms D, Bernaert M, Brusselle V, Claessens M, Roy JS, Cools A. Can a conservative rehabilitation strategy improve shoulder proprioception? A systematic review. Journal of Sport Rehabilitation. 2020 Jul 31;30(1):136-51. * Ager AL, Borms D, Deschepper L, Dhooghe R, Dijkhuis J, Roy JS, Cools A. Proprioception: How is it affected by shoulder pain? A systematic review. Journal of hand therapy. 2020 Oct 1;33(4):507-16. * Ager AL, Roy JS, Roos M, Belley AF, Cools A, Hébert LJ. Shoulder proprioception: how is it measured and is it reliable? A systematic review. Journal of Hand Therapy. 2017 Apr 1;30(2):221-31.
What strategies can you recommend to your patients that are recovering from injury or increasing their training to help improve physical recovery? Athletes often use various recovery strategies such as ice baths, compression stockings, massage and more to improve their recovery, but are they actually effective? What key strategies are evidence-based and useful?
Patients experiencing pain or a flareup may feel distressed or anxious. What mental recovery strategies can your patients use to help with these feelings of distress or anxiety?
Find out in this podcast with Tom Goom (Running Physio), as you discover the key recovery strategies for physical and mental health.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
Links associated with this episode: * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Traumatic superior labrum anterior to posterior (SLAP) tears can occur in contact athletes and other patients that land on their arm or shoulder, and in throwers and other athletes. Initial assessment and even MRI often miss or misdiagnose these injuries, leading to ongoing shoulder, long head of biceps tendon (LHBT) or ACJ pain.
In this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio) you’ll discover how to identify patients with SLAP tears. You’ll explore which assessment tests can be used to diagnose and differentiate SLAP tears from other causes of shoulder pain, and which imaging modalities will actually identify SLAP tears.
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Article associated with this episode: * CLICK HERE to download the article associated with this podcast * Michener LA, Abrams JS, Bliven KC, Falsone S, Laudner KG, McFarland EG, Tibone JE, Thigpen CA, Uhl TL. National Athletic Trainers' Association position statement: evaluation, management, and outcomes of and return-to-play criteria for overhead athletes with superior labral anterior-posterior injuries. Journal of athletic training. 2018 Mar;53(3):209-29.
Patients with anterior knee pain may have pain with activities that load the patellofemoral joint (PFJ), such as squatting, going up or down stairs, and running. When is it important to offload patients PFJ during your rehab, to help settle their symptoms? How can you design a rehab program to improve your patients' knee pain?
Find out in this podcast with Tom Goom (Running Physio) as you discover how to effectively offload and treat patellofemoral joint pain, exercises to include in rehab, and activities and exercises to reduce during your initial phases of treatment.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
Links associated with this episode: * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Article associated with this episode: * Hart HF, Patterson BE, Crossley KM, Culvenor AG, Khan MC, King MG, Sritharan P. May the force be with you: understanding how patellofemoral joint reaction force compares across different activities and physical interventions—a systematic review and meta-analysis. British Journal of Sports Medicine. 2022 Feb 3.
When things don’t go well in a treatment session, what will help you identify the potential reasons and clues?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), and discover how to use non-verbal communication to improve the success of your treatment sessions.
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the article associated with this podcast * Riess H, Kraft-Todd G. EMPATHY: a tool to enhance nonverbal communication between clinicians and their patients. Academic Medicine. 2014 Aug 1;89(8):1108-12.
Can shockwave improve pain and function in Achilles tendinopathy patients that fail to improve with rehab?
Find out in this podcast as Tom Goom (Running Physio) reveals whether the latest research supports the use of shockwave in Achilles tendinopathy patients, and how to successfully return patients to running and rehab.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.
Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.
Get your free access to this video series now.
CLICK HERE for your access to three free videos with Tom Goom
CLICK HERE for your access to three free videos with Tom Goom
Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Article associated with this episode: * CLICK HERE to download the article associated with this podcast * Abdelkader NA, Helmy MN, Fayaz NA, Saweeres ES. Short-and intermediate-term results of extracorporeal shockwave therapy for noninsertional Achilles tendinopathy. Foot & Ankle International. 2021 Jun;42(6):788-97.
How can you treat patients with an achilles or patellar tendinopathy while they’re in the middle of a season or training for an event? Successful treatment often includes loading and strengthening the tendon, but how can you quickly identify the best exercises and load for each patient?
Find out in this Physio Edge podcast as David Pope and Daniel Silvan (Head Physiotherapist at Aspire Academy, Aspetar) discuss how to choose the most effective exercises for your patients to successfully treat lower limb tendinopathy.
Links associated with this episode: * iTunes - Download and follow the podcast * Overcast - Download the podcast in Overcast * Spotify - Listen to the podcast on Spotify * Download the infographic handout for this podcast * Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership * Daniel Silvan * Let David know what you liked about this podcast on Twitter * Follow and review the podcast on iTunes * Infographics by Clinical Edge
Do your acute ACJ injury patients require surgery, or can they be managed conservatively with a rehab program? Find out in this podcast as Jo Gibson (Upper Limb Rehabilitation Specialist Physio) reveals how to grade patients’ acute ACJ injuries, help patients decide on surgery or conservative management, and rehab your patients effectively.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Shoulder pain & frozen shoulder can be extremely debilitating for patients, impacting their ability to sleep, fulfill their normal work and family role or have fun. How can you as a therapist understand your patients pain experience, help them feel supported and meet your patients needs throughout their journey to recovery from shoulder pain or frozen shoulder?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), hosted by Clinical Edge, as you explore how the latest research can help improve your shoulder pain treatment.
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Jones S, Hanchard N, Hamilton S, Rangan A. A qualitative study of patients’ perceptions and priorities when living with primary frozen shoulder. BMJ open. 2013 Sep 1;3(9):e003452. * King W, Hebron C. Frozen shoulder: living with uncertainty and being in'no man's land'. Physiotherapy Theory and Practice. 2021 Dec 23. * Minns Lowe CJ, Moser J, Barker K. Living with a symptomatic rotator cuff tear ‘bad days, bad nights’: a qualitative study. BMC musculoskeletal disorders. 2014 Dec;15(1):1-0. * Ulack C, Suarez J, Brown L, Ring D, Wallace S, Teisberg E. What are People That Seek Care for Rotator Cuff Tendinopathy Experiencing in Their Daily Life?. Journal of Patient Experience. 2022 Jan;9:23743735211069811.
Calf strains are common in runners, footballers, dancers and other athletes. Discover how to assess, differentially diagnose and tailor your treatment of calf strains using the latest evidence in this podcast with Tom Goom (Running Physio).
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Your comprehensive guide to ITB assessment & treatment with Tom Goom
If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).
What causes ITB syndrome? How can you assess, diagnose and successfully treat it?
CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:
- Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.
- Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.
- Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.
CLICK HERE to get immediate access to this free ITB video series with Tom Goom.
Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Successfully treat ITB pain with this free three part video series with Tom Goom. * Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Article associated with this episode: * CLICK HERE to download the article associated with this podcast * The Assessment, Management and Prevention of Calf Muscle Strain Injuries: A Qualitative Study of the Practices and Perspectives of 20 Expert Sports Clinicians. Green et al., 2022
When you’re treating patients that feel like their scapulae are asymmetrical, a rib is “out of place”, or they feel neck or thoracic stiffness without any restriction in movement, they may expect you to perform treatment that is unlikely to help, like joint mobilisation, manipulation or massage.
How can you use the latest pain science in your treatment to help patients overcome the experience of asymmetry, stiffness or something being out of place?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Tabor A, Keogh E, Eccleston C. Embodied pain—negotiating the boundaries of possible action. Pain. 2017 Jun 1;158(6):1007-11. * Tabor A, Vollaard N, Keogh E, Eccleston C. Predicting the consequences of physical activity: An investigation into the relationship between anxiety sensitivity, interoceptive accuracy and action. Plos one. 2019 Mar 28;14(3):e0210853. * Tabor A, Van Ryckeghem DM, Hasenbring MI. Pain unstuck: the role of action and motivation. The Clinical Journal of Pain. 2020 Mar 10;36(3):143-9. * Venter E. Toward an embodied, embedded predictive processing account. Frontiers in Psychology. 2021:137.
Calcaneal bony stress injuries or fractures are often misdiagnosed and incorrectly treated as insertional Achilles tendinopathy or plantar heel pain, leading to worsening pain and poor recovery.
In this podcast with Tom Goom (Running Physio), hosted by Clinical Edge, discover how to accurately assess and effectively treat patients with calcaneal bony stress injuries or fractures.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Your comprehensive guide to ITB assessment & treatment with Tom Goom
If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).
What causes ITB syndrome? How can you assess, diagnose and successfully treat it?
CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:
- Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.
- Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.
- Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.
CLICK HERE to get immediate access to this free ITB video series with Tom Goom.
Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Successfully treat ITB pain with this free three part video series with Tom Goom. * Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Article associated with this episode: * CLICK HERE to download the article associated with this podcast * Italiano J, Bitterman AD. Diagnosis and Management of Calcaneal Stress Fractures. Radiologic Technology. 2021 Nov 1;93(2):177-94.
Why do some rotator cuff (RC) repair patients progress really slowly post-operatively and experience high levels of pain and sleep disturbance for long periods?
Find out in this case study and exploration of the latest evidence in this podcast with Jo Gibson (Shoulder Rehabilitation Specialist) as she reveals:
Quick or slow recovery?
- Which patients are likely to improve quickly, and which patients are likely to take longer to improve.
- How soon after arthroscopic RC repair your patients will experience significant improvements in pain.
- When patients sleep is likely to improve.
Objective assessment tests
- How to identify post-op nerve injury, red flags and infection.
- Objective tests you can safely perform without overstressing the rotator cuff.
- How to identify patients developing post-op frozen shoulder.
Expectations, education & reassurance
- How to help set patient expectations for recovery before and after surgery.
- Questions to ask patients after surgery that will help guide your treatment.
- How to reassure patients that are experiencing pain.
- How to explain post-op recovery to patients that are unhappy with their progress, even when their recovery is on track.
Treatment & resources
- Activities your patients may be performing that slow their post-op recovery.
- Positions and postures you can show patients to improve their pain in the day, and sleep at night.
- Resources to give your post-op patients.
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast
- Cho CH, Bae KC, Kim DH. Patients who have undergone rotator cuff repair experience around 75% functional recovery at 6 months after surgery. Knee Surgery, Sports Traumatology, Arthroscopy. 2021 Jul;29(7):2220-7.
- Grubhofer F, Martinez AR, Ernstbrunner L, Haberli J, Selig ME, Yi K, Warner JJ. Speed of recovery of the most commonly performed shoulder surgeries. JSES international. 2021 Jul 1;5(4):776-81.
- Kurowicki J, Berglund DD, Momoh E, Disla S, Horn B, Giveans MR, Levy JC. Speed of recovery after arthroscopic rotator cuff repair. Journal of Shoulder and Elbow Surgery. 2017 Jul 1;26(7):1271-7.
We’re heading into the holiday season, when your patients will either keep progressing with their rehab program, or give their exercises a miss for a while and risk an increase in symptoms, skip appointments in the new year, and disappear off your list.
How can you prepare & motivate your patients for the holiday period, or effectively hand over care of your patients to another therapist, so their pain and strength keep improving?
In this live mentoring session, the Clinical Edge presentation team of Specialist and Titled Physiotherapists will reveal to you:
- How to keep your patients engaged and progressing over the holiday period.
- If you’re going away, how to effectively keep in contact with patients or hand patients over to other therapists, and avoid losing them over the Christmas period.
- How to help kids and young athletes stay active and manage load over the holidays, to stay strong and healthy and avoid overuse injuries early next year.
Prepare your patients now, and set yourself up for a successful holiday season and new year with this free mentoring session.
Links associated with this episode: * iTunes - Download and follow the podcast * Overcast - Download the podcast in Overcast * Spotify - Listen to the podcast on Spotify * Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership * Twitter - Paula Peralta * Twitter - Simon Olivotto * Twitter - David Toomey * Twitter - Zoe Russell * Let David know what you liked about this podcast on Twitter * Follow and review the podcast on iTunes * Infographics by Clinical Edge
How can you thoroughly assess your neck pain patients, and use the information from your assessment to guide your treatment? What treatments are effective in helping patients overcome their neck pain?
In the first podcast with Specialist Musculoskeletal Physiotherapist, researcher and Emeritus Prof. Gwen Jull 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull, we discussed questions to ask during your subjective history that help guide your neck pain assessment and clinical reasoning.
In this followup podcast, discover how to accurately assess and effectively treat neck pain with Emeritus Prof. Gwen Jull, including:
Objective examination (OE)
- How to perform a thorough OE.
- What information a skilled manual assessment provides.
- What we can actually identify & diagnose.
- How to use your OE to guide your Rx.
- Whether posture is relevant to neck pain.
- When and how to assess posture.
- How to assess physical impairments, and identify if they’re relevant to a patients neck pain.
- Common impairments that exist in neck pain patients
- Which tests are valuable for:
- ROM
- Strength
- Endurance
Treatment
- How to decide where to start with your treatment.
- Whether manual therapy (MT) is useful in the treatment of neck pain.
- How to decide whether to use
- MT.
- Postural changes.
- Strength exercises.
- Control exercises.
- Neurodynamic treatment.
- General strength and endurance training.
- Exercises for flexibility and range of motion.
- Graded activity.
- Motor control.
- Aerobic exercise for general fitness.
- How to use symptom modification to help decide on your treatment.
- How to target our treatment to what your patient needs and will get the most benefit from.
- Neck exercises and treatment progressions.
- How do you decide on the treatment progression to use.
- Whether there is evidence to include shoulder strength in neck pain patients.
- Craniocervical flexion test - when do you use this?
- Whether the biofeedback cuff is essential to use with neck pain patients.
- How craniocervical flexion exercises compare to cervical spine physiological flexion.
- When to have a strength focus in your treatment.
- How to incorporate strength training in treatment.
-
How to improve the likelihood of successful neck pain treatment.
CLICK HERE to get access to Cervical spine assessment & treatment for neck pain & upper limb symptoms
CLICK HERE to get access to Cervical radiculopathy assessment & treatment case study
Links associated with this episode: * 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull * iTunes - Download and follow the podcast * Overcast - Download the podcast in Overcast * Spotify - Listen to the podcast on Spotify * Download the infographic handout for this podcast * Cervical spine assessment & treatment for neck pain & upper limb symptoms - available with a free trial membership * Cervical radiculopathy assessment & treatment case study available with a free trial membership * Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership * Prof Gwen Jull * Management of Neck Pain Disorders: a research informed approach 1st Edition, by Gwendolen Jull, Deborah Falla, Julia Treleaven, Shaun O'Leary, and foreword by Jeremy S Lewis * Let David know what you liked about this podcast on Twitter * Follow and review the podcast on iTunes * Infographics by Clinical Edge
When patients have a running injury, such as knee pain or Achilles tendinopathy, do we need to include strength training in their rehab? Discover when strength training is an important part of comprehensive running injury rehab in this podcast with Tom Goom (Running Physio), and explore:
- Whether strength is important in runners.
- Whether patients that are stronger are less likely to develop running injuries.
- Why recent research found higher levels of strength in recently injured runners compared to uninjured runners.
- When we need to improve patients' strength in running injury rehab.
- Can strength training reduce the risk of running injuries?
- How strength training fits into a comprehensive rehab program.
- When strength is relevant to pain and pathology.
- When rehab does NOT need to include strength training.
- How to know what to focus on during rehab.
- Which patients don’t require exercises or strength training.
- How to identify when strength goals are a barrier to recovery and return to running.
- Additional benefits of strength training, beyond improved strength.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Your comprehensive guide to ITB assessment & treatment with Tom Goom
If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).
What causes ITB syndrome? How can you assess, diagnose and successfully treat it?
CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:
- Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.
- Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.
- Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.
CLICK HERE to get immediate access to this free ITB video series with Tom Goom.
Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Links associated with this episode: * Successfully treat ITB pain with this free three part video series with Tom Goom. * Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Patients may develop stiffness following rotator cuff repair or other shoulder surgery, particularly with longer periods of immobilisation. On the other hand, some patients may fail rehab without sufficient immobilisation. How can you identify which patients are likely to develop stiffness and will benefit from early mobilisation? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:
- Which patients are likely to benefit from rotator cuff or other surgical repair.
- How to plan post-op surgical rehab.
- Whether patients should have a period of immobilisation or not.
- How to predict patients that are likely to develop post-op shoulder stiffness.
- Metabolic, genetic, age-related and psychosocial factors that influence development of stiffness.
- Pre-operative and surgical factors that influence development of stiffness.
- How to reduce the likelihood of stiffness developing.
- Comparison between early post-op shoulder mobilisation and six weeks in a sling.
- Patients more likely to fail a RC repair, who may need more of a conservative approach to early mobilisation.
- How to explain mobilisation vs immobilisation to patients.
- Short and long term outcomes when patients develop stiffness.
-
Frozen shoulder
- If and when corticosteroid injections are helpful.
- The role of P. acnes in development of frozen shoulder.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Links associated with this episode: * Accurately assess, diagnose & treat frozen shoulder, with this free videos series from Jo Gibson * Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Comprehensively assess and treat shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Can you solve this case of a badminton player with a five year history of posterior shoulder pain and shoulder fatigue with overhead movements? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover the diagnosis and why the patient hasn’t improved with rehabilitation, as Jo reveals the case study and:
- Subjective clues to help diagnose this condition.
- Questions to ask in the subjective history.
- Differential diagnoses to keep in mind.
- How to identify and rule out red flags.
- Clinical tests to use to rule this condition in and out.
- What medical tests and MRI reveal.
- Common causes of this condition.
- Conservative, medical and surgical management and results.
-
Ideal treatment pathways for this condition.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
When your patient with Achilles tendon pain isn’t progressing as well as you hoped, could Plantaris be implicated in their pain? Find out in this latest Physio Edge Track record: Running repairs podcast with Tom Goom, where you’ll discover:
- Plantaris anatomy and relationship to the Achilles tendon.
- Common symptoms when Plantaris is causing Achilles tendon pain.
- How to differentiate Achilles tendinopathy from Plantaris involvement.
- Why patients with Plantaris involvement may not progress with a tendon loading program.
- How to adjust treatment when you suspect Plantaris involvement.
- When Plantaris patients can return to running and hill running.
- Additional medical and surgical management when Plantaris conservative treatment doesn’t resolve symptoms.
Enjoy this new podcast with Tom Goom now to improve your treatment of Achilles tendon pain.
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Your comprehensive guide to ITB assessment & treatment with Tom Goom
If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).
What causes ITB syndrome? How can you assess, diagnose and successfully treat it?
CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:
- Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.
- Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.
- Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.
CLICK HERE to get immediate access to this free ITB video series with Tom Goom.
Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom
Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs
Links associated with this episode: * Successfully treat ITB pain with this free three part video series with Tom Goom. * Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Immobilisation following a humeral fracture or shoulder surgery quickly results in muscle atrophy and decreased shoulder strength and proprioception. How can you limit strength deficits that develop while patients are in a sling?
During this period of immobilisation, cross education (CE) can help retain shoulder strength. This improved shoulder strength and proprioception after the immobilisation period concludes may enable a faster return to work, high load activities or sport. What is CE, and how can you use it in your treatment? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:
- What is cross education (CE)?
- What the latest research reveals about the effectiveness of CE?
- Which patients benefit most from CE.
- Common strength and proprioceptive deficits after shoulder stabilisation surgery.
- How CE improves strength and proprioception.
- Recommendations for CE exercise intensity and dosage.
- Whether to use eccentric, concentric or isometric exercises.
- How to amplify the strength and cortical effects of CE.
- How to target the rotator cuff with CE.
- How to incorporate proprioception into CE.
- How to use CE in rehab for instability, movement apprehension & kinesiophobia.
- When to include CE in MRCT post-op rehab.
Get free access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/shoulder
Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson
Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
What do foam rolling and stretching do to the ITB? Are they effective in the treatment of ITB syndrome? Find out in this podcast with Tom Goom (Running Physio).
Your comprehensive guide to ITB assessment & treatment with Tom Goom
If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).
What causes ITB syndrome? How can you assess, diagnose and successfully treat it?
CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:
- Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.
- Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.
- Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.
CLICK HERE to get immediate access to this free ITB video series with Tom Goom.
Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom
Links associated with this episode: * Successfully treat ITB pain with this free three part video series with Tom Goom. * Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Is subscapularis the forgotten part of the rotator cuff? Do we ever need to target it individually? If we do what are the best options for exercises?
Find out which patients with torn or painful shoulders benefit from targeted subscapularis rehab in this episode of the Physio Edge Shoulder success podcast with Jo Gibson. You’ll discover:
Rotator cuff & subscapularis anatomy & function.
- Role and function of subscapularis with shoulder movement.
- How subscapularis works with the posterior cuff and larger shoulder muscles.
Subscapularis pain & injury
- Subscapularis tears - mechanism of injury.
- Whether subscapularis is implicated in swimmers’ shoulder pain.
Objective assessment
- Objective tests to assess subscapularis strength.
- The role of special tests to identify subscap tears.
Targeted subscapularis rehabilitation
- Which shoulder pain patients require targeted subscapularis rehab.
- When to target subscap in post-op rehab.
- Why and how to start subscap rehab in patients with massive rotator cuff tears
- Exercises to target subscap.
- How incorporating the kinetic chain can help your subscap rehab.
- How to improve subscap recruitment with altered speed of exercise.
- Plyometrics for subscapularis.
Subscapularis rehab in other patients
- Stiff shoulders - using eccentric subscap exercises to improve range of movement.
- Whether subscap should be targeted post long head of biceps (LHB) rupture.
Improve your rehab of painful and torn shoulders now with this podcast.
Get free access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/frozenshoulder
Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Links associated with this episode: * Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Are vaccinations associated with shoulder pain? Shoulder injury related to vaccine administration (SIRVA) has received a lot of attention on social media as vaccination levels have increased. If your patient has shoulder pain after a vaccine, what does this mean for treatment?
Also in this podcast, how can you identify non-musculoskeletal causes of shoulder pain related to NSAID use or viscera?
Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist).
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/frozenshoulder
Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson at clinicaledge.co/shoulder
Links associated with this episode: * Free video series “Frozen shoulder assessment & treatment” with Jo Gibson * Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Bancsi A, Houle SK, Grindrod KA. Getting it in the right spot: Shoulder injury related to vaccine administration (SIRVA) and other injection site events. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada. 2018 Sep;151(5):295-9. * Cross GB, Moghaddas J, Buttery J, Ayoub S, Korman TM. Don't aim too high: avoiding shoulder injury related to vaccine administration. Australian family physician. 2016 May;45(5):303-6. * Gonzalez AI, Kortlever JT, Moore MG, Ring DC. Influenza Vaccination Is Not Associated with Increased Number of Visits for Shoulder Pain. Clinical Orthopaedics and Related Research®. 2020 Oct 1;478(10):2343-8. * Hesse EM, Atanasoff S, Hibbs BF, Adegoke OJ, Ng C, Marquez P, Osborn M, Su JR, Moro PL, Shimabukuro T, Nair N. Shoulder injury related to vaccine administration (SIRVA): petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016. Vaccine. 2020 Jan 29;38(5):1076-83. * Hibbs BF, Ng CS, Museru O, Moro PL, Marquez P, Woo EJ, Cano MV, Shimabukuro TT. Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010–2017. Vaccine. 2020 Jan 29;38(5):1137-43.
How can you accurately assess neck pain patients and choose the most effective treatment to help resolve their pain and prevent recurrence? Find out in part 1 of this two part podcast series with Emeritus Professor Gwendolen Jull, and explore:
- How to accurately assess patients movements, muscular control, strength, posture, and palpate the cervical spine to identify the source of neck symptoms and contributing factors.
- Which questions and assessment tests will help you choose treatment that resolves symptoms, fully rehabilitates patients and helps to prevents future episodes of neck pain?
- How to use clinical reasoning to target your rehab, and decide if your treatment should include neck strengthening, manual therapy, sensory motor control, postural or work position changes?
Download this podcast now to improve your assessment and treatment of neck pain.
The next podcast with Prof Gwen Jull, available soon, will build on the knowledge you gain from part 1, and provide you with additional neck pain treatment strategies.
CLICK HERE to get access to Cervical spine assessment & treatment for neck pain & upper limb symptoms
CLICK HERE to get access to Cervical radiculopathy assessment & treatment case study
Links associated with this episode: * iTunes - Download and follow the podcast * Overcast - Download the podcast in Overcast * Spotify - Listen to the podcast on Spotify * Download the infographic handout for this podcast * Cervical spine assessment & treatment for neck pain & upper limb symptoms - available with a free trial membership * Cervical radiculopathy assessment & treatment case study available with a free trial membership * Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership * Prof Gwen Jull * Management of Neck Pain Disorders: a research informed approach 1st Edition, by Gwendolen Jull, Deborah Falla, Julia Treleaven, Shaun O'Leary, and foreword by Jeremy S Lewis * Let David know what you liked about this podcast on Twitter * Follow and review the podcast on iTunes * Infographics by Clinical Edge
Pec minor cops the blame for shoulder pain, scapular dyskinesia and all sorts of upper limb pain and “dysfunction”. Is pec minor shortness or “tightness” really responsible for shoulder pain?
In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you’ll discover whether the latest evidence supports pec minor as a major cause of shoulder pain, or whether pec minor is an innocent victim. You’ll also explore:
- Is pec minor responsible for shoulder pain?
- Does pec minor truly become “shortened”?
- Is there a link between a shortened pec minor, scapular dyskinesia and risk of developing shoulder pain?
- Should the Pectoralis minor be stretched in patients with shoulder pain?
- Review of pec minor attachments & anatomy
- Measurement of pec minor length has been shown in the literature to be reliable, but do we need to measure it?
- What is the most effective way of increasing length in pec minor? Stretching, self release, taping or strengthening the rotator cuff?
- Does pec minor stretching help to improve shoulder function, mechanics or prevent injury in overhead athletes?
- How long do ROM improvements following pec minor stretching last?
- If patients have a clear history of trauma, is pec minor shortness relevant?
- Is pec minor shortness relevant in thoracic outlet syndrome (TOS)?
- Can weightlifters develop pec minor tendinopathy?
- Is it worth assessing pec minor length in shoulder pain patients?
- Does the evidence support treating PM shortness in shoulder pain patients?
The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Physio Edge 096 Thoracic outlet syndrome with Jo Gibson * Physio Edge 099 Upper traps - are they really a bad guy? with Jo Gibson * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Article associated with this episode: * CLICK HERE to download the article associated with this podcast * Illig KA, Donahue D, Duncan A, Freischlag J, Gelabert H, Johansen K, Jordan S, Sanders R, Thompson R. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. Journal of vascular surgery. 2016 Sep 1;64(3):e23-35.
Stress fractures and bone stress injuries in running patients need to be identified early, to allow recovery before the injury worsens and requires extensive time away from running. When should you suspect a stress fracture or a bone stress injury (BSI) in your running patients? Find out in the podcast with Tom Goom (Running Physio), and explore:
- How to identify stress fractures & BSI’s in your patients.
- Which patients are at greater risk of developing BSI or stress fractures?
- Features in your patient history, including past & medical history, onset & aggravating factors that increase your suspicion of a stress fracture.
- Which BSI’s are “high risk”?
- Common training errors that lead to a stress fracture.
- What tests can be performed in your objective assessment to help diagnose stress fractures?
- How to differentiate tendon pain from bone stress injuries
- Will bruising or swelling appear with bone stress fractures?
- How palpation can help your diagnosis
- Why common assessment tests are often painfree in bone stress injuries.
- When imaging is important.
- Which imaging modalities to request when you suspect a stress fracture or BSI.
Improve your identification and assessment of stress fractures and bone stress injuries now with this podcast.
Your comprehensive guide to ITB assessment & treatment with Tom Goom
If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).
What causes ITB syndrome? How can you assess, diagnose and successfully treat it?
CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:
- Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.
- Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.
- Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.
CLICK HERE to get immediate access to this free ITB video series with Tom Goom.
Lateral hip pain assessment, diagnosis & treatment video series
To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom
Links associated with this episode: * Successfully treat ITB pain with this free three part video series with Tom Goom. * Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Tom live on Facebook & ask your shoulder related questions every Friday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Tom Goom on Twitter * Tom Goom’s website * David Pope - Twitter * David Pope & why I started Clinical Edge * Review the podcast on iTunes * Infographics by Clinical Edge
Patients with atraumatic sternoclavicular joint (SCJ) instability may have pain during overhead activities, throwing or playing sport. How can you diagnose and successfully rehabilitate SCJ instability? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and explore:
Assessment & diagnosis
- Which bony surfaces, ligaments and muscles provide stability at the SCJ.
- Why do patients develop SCJ instability, and what are the risk factors?
- What the research reveals about SCJ instability.
- Common symptoms that help you identify SCJ instability.
- Questions you need to ask that help with diagnosis.
- Posterior instability - Common symptoms & anatomical structures that can be impacted.
- How to identify clavicular epiphyseal plate injuries in young athletes.
- When closing of the proximal clavicular epiphyseal plate occurs, and why this is important to know.
Rehab & recovery
- Rehab exercises you can use to develop muscular support for the SCJ.
- How and why you can add C/Sp exercises into SCJ rehab.
- How long recovery will take your patients.
- When patients are likely to start noticing improvements in symptoms.
- Will SCJ instability patients continue to experience instability and pain after rehab?
- Is this condition self-limiting?
- How can involvement of the SCJ disc be identified?
- What imaging can be helpful?
- When should you request SCJ imaging?
- When is SCJ surgery indicated?
Jo also answered these questions from FB Live listeners:
- Does hypermobility change with age?
- Can asymptomatic SCJ instability occur in weightlifters that do not have hypermobility, and do we need to treat it?
- Which SCJ patients benefit from injections?
- When should SCJ injections be avoided?
- What autoimmune inflammatory conditions may result in SCJ swelling?
The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * The Hypermobility Syndromes Association (HMSA) * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Castori M, Tinkle B, Levy H, Grahame R, Malfait F, Hakim A. A framework for the classification of joint hypermobility and related conditions. InAmerican Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017 Mar (Vol. 175, No. 1, pp. 148-157). * Malfait F, Francomano C, Byers P, Belmont J, Berglund B, Black J, Bloom L, Bowen JM, Brady AF, Burrows NP, Castori M. The 2017 international classification of the Ehlers–Danlos syndromes. In American Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017 Mar (Vol. 175, No. 1, pp. 8-26). * Martetschläger F, Warth RJ, Millett PJ. Instability and degenerative arthritis of the sternoclavicular joint: a current concepts review. The American journal of sports medicine. 2014 Apr;42(4):999-1007. * Sewell MD, Al-Hadithy N, Le Leu A, Lambert SM. Instability of the sternoclavicular joint: current concepts in classification, treatment and outcomes. The bone & joint journal. 2013 Jun;95(6):721-31.
How can you rehab patients with an acromioclavicular joint (ACJ) injury, or end of range elevation shoulder pain, long term shoulder pain, clavicular osteolysis, or osteoarthritis? What exercises and manual therapy can you use in your rehab program? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:
- Common ACJ mechanisms of injury
- A recap of ACJ injury classification and treatment pathways for different grades of injury.
- How useful is X-ray in ACJ injuries, and what is the best imaging for this injury?
- What imaging should ACJ injury patients have?
- What are the long term risks for ACJ patients?
- What factors correlate with worsening ACJ pain?
- Can atraumatic instability occur at the ACJ?
- What movements should be assessed in ACJ injury patients?
- Why is symptom modification helpful in shoulder pain and ACJ patients?
- What compensatory movement patterns do patients adapt that may contribute to ongoing pain?
- How can we help to break the cycle of ACJ pain?
- What tests can be performed to identify the best treatment for individual ACJ patients?
- What muscles help to improve stability around the ACJ, and how can these be targeted in ACJ injury patients?
- What exercises can be used in initial ACJ rehab?
- How can ACJ rehab be progressed?
- How can end range pain (ERP) be improved in ACJ patients?
- How to identify when scapular mechanics affect the ACJ.
- Exercises that improve scapular mechanics in ACJ patients?
- When is manual therapy useful in ACJ patients?
- What combination of manual therapy or mobilisation with movement and exercises can be used in ACJ patients?
- What role can the ACJ play in shoulder pain?
- Does the ACJ need to be symptomatic to cause shoulder pain?
- What common symptoms make you suspect the ACJ is involved in shoulder pain?
Answers to live listener questions:
What humeral fractures or bone stress injuries occur in throwing athletes?
Who develops humeral spiral fractures or stress fractures?
Are recreational or high level athletes more likely to develop humeral fractures?
Are players more or less likely to have a fracture after having a 6 week break from training?
How can players prevent humeral stress fractures?
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
How can you diagnose posterior shoulder, neck and supraclavicular pain in your weightlifting patients and throwing athletes? Could a bone stress injury be responsible for your patients pain?
Explore how to assess, diagnose and rehab shoulder pain from bone stress injuries in weightlifters or throwing athletes in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover:
- Bone stress injuries in the upper limb and ribcage that cause shoulder pain.
- What causes first rib stress fractures?
- Which patients develop first rib bone stress injuries - common populations and activities.
- Common areas of pain with first rib stress fractures.
- How to assess & diagnose first rib bone stress injuries.
- Common painful and restricted movements that help with diagnosis.
- How to differentiate between a rotator cuff injury and first rib bone stress injuries.
- Cervical spine & shoulder strength and control assessment tests that help identify where to target your rehab.
- Do biomechanics in weightlifting matter?
- How to assess and address weightlifting biomechanics to allow healing and return to sport.
- Imaging
- Why imaging is vital in patients with this injury.
- Common imaging that misses 1st rib bone stress fracture, and what imaging to request that actually identifies it.
- Why non-healing with the formation of pseudoarthrosis may lead to better outcomes than bony callous formation.
- Whether patients can return to sport if rib stress fractures don’t heal.
- How can you rehab patients with 1st rib stress fracture?
- How to progress rehab exercises.
- Treatment when 1st rib callus formation is causing thoracic outlet syndrome.
Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder
Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson clinicaledge.co/shoulder
Improve clinical skills, confidence and reasoning for all other areas of the body with a free trial Clinical Edge membership clinicaledge.co/freetrial
The handout for this podcast consists of an article referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Article associated with this episode: * CLICK HERE to download the article associated with this podcast * Miller A, Dodson CC, Ilyas AM. Thrower's fracture of the humerus. The Orthopedic Clinics of North America. 2014 Aug 3;45(4):565-9.
Time for some detective work - can you diagnose the cause of this man’s shoulder pain? Listen out for the clues in this interesting case study.
When your shoulder pain patient has bilateral shoulder pain after starting a gym program, difficulty lifting their arms overhead due to weakness, significant bilateral scapular winging and muscle atrophy, what are your potential diagnoses?
Find out in this case study with Jo Gibson (Clinical Physiotherapy Specialist), and discover:
- When patients have uncommon shoulder pain presentations, what potential diagnoses can you keep in mind?
- How does it impact your diagnosis if your patient has difficulty smiling, whistling and drinking through a straw?
- What’s this patients’ diagnosis?
- What tests can be performed to confirm the diagnosis?
- Which muscles are commonly affected?
- How much muscle weakness commonly occurs?
- What is the long term prognosis for this condition?
- What treatment is supported by the evidence?
- Are braces helpful?
- Which medical specialists are important to include in diagnosis & management?
Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder
The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * The Facioscapulohumeral Muscular Dystrophy (FSHD) Society * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Hamel J, Tawil R. Case Studies on the Genetic and Clinical Diagnosis of Facioscapulohumeral Muscular Dystrophy. Neurologic Clinics. 2020 Aug 1;38(3):529-40. * Mul K, Lassche S, Voermans NC, Padberg GW, Horlings CG, van Engelen BG. What's in a name? The clinical features of facioscapulohumeral muscular dystrophy. Practical neurology. 2016 Jun 1;16(3):201-7.
When paediatric or skeletally immature patients have shoulder pain, what diagnoses should be kept in mind? What are the potential diagnoses following trauma, in overuse injuries or “little leaguers shoulder”? What assessment and imaging is required in these patients?
Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and explore:
- What growth plate injuries may occur in skeletally immature athletes?
- The case study of a young athlete with misdiagnosed pain over the acromioclavicular joint (ACJ)
- A recap of acromial apophylysis and distal clavicular osteolysis.
- What are the common mechanisms of injury for ACJ?
- How are ACJ injuries classified?
- What are the limitations of ACJ injury classifications?
- Why are there often differences in ACJ injury classification between X-ray and MRI?
- How can ACJ imaging lead to incorrect return to play timeframes in mature athletes?
- In paediatric patients, what differential diagnosis do you need to keep in mind with an apparent ACJ injury?
- How does imaging help guide prognosis and treatment in younger athletes with ACJ injuries?
- How can growth plate injuries be identified?
- Can patients have a slipped humeral epiphysis?
- What are the most common humeral fractures
- What are humeral Salter-Harris fractures?
- Which fractures may impact future growth in the humerus?
- When is imaging absolutely required in paediatric shoulder injuries?
- What is “little leaguers shoulder” and why is it important to identify this early?
- When is glenohumeral internal rotation deficit (GIRD) relevant in lateral humeral pain?
- What are the risk factors for shoulder pain in young athletes?
- What causes GIRD in paediatric and skeletally mature athletes?
- What tests help with diagnosis in stiff shoulders?
- When is GIRD relevant?
- Why should the term “shoulder impingement” be avoided?
- How can you describe shoulder pain to patients?
- Can osteolysis of the whole scapula occur?
Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder
The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Hall K, Borstad JD. Posterior shoulder tightness: to treat or not to treat?. journal of orthopaedic & sports physical therapy. 2018 Mar;48(3):133-6. * Zajac JM, Tokish JM. Glenohumeral Internal Rotation Deficit: Prime Suspect or Innocent Bystander?. Current reviews in musculoskeletal medicine. 2020 Feb 12:1-0.
What are the best rehab options for patients with an irreparable rotator cuff tear? Can we predict which patients will do well and how long rehab will take?
Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), discussing rehab options, a patient case study and the latest evidence for massive rotator cuff tear (MRCT) rehab. Discover:
- When patients are unable to have surgery, what rehab options are available to rehab MRCT?
- What is classified as a MRCT?
- What common issues do patients with MRCT face?
- What proprioceptive deficits exist in MRCT patients functionally and on fMRI?
- Is the “Anterior deltoid program” really the best rehab program for MRCT patients?
- What MRCT rehab exercises & programs are supported by the latest research?
- Which MRCT patients are likely to respond to rehab?
- Is scapular dyskinesis important to target in MRCT rehab?
- When patients are unable to lie supine, and are therefore unable to complete the anterior deltoid program, what options are available for rehab?
- How do rotator cuff imaging results help guide treatment?
- Which rotator cuff tendons need to be intact for successful rehab?
- Specific exercise ideas and progressions that can be used in rehab.
- How long is recovery likely to take?
- What key messages are important to convey to patients?
- What is the evidence for injections in MRCT, including prolotherapy, PRP?
- How can rehab programs target subscapularis strength?
- Is humeral head depression an important component in rehab?
Get free access to video series on assessment & diagnosis of acute shoulder pain and stiff shoulders at clinicaledge.co/shoulder
For improved clinical skills, knowledge and treatment results with all other areas of the body, get a free trial Clinical Edge membership at clinicaledge.co/freetrial
The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Agout C, Berhouet J, Spiry C, Bonnevialle N, Joudet T, Favard L, Society FA. Functional outcomes after non-operative treatment of irreparable massive rotator cuff tears: Prospective multicenter study in 68 patients. Orthopaedics & Traumatology: Surgery & Research. 2018 Dec 1;104(8):S189-92. * Cavalier M, Jullion S, Kany J, Grimberg J, Lefebvre Y, Oudet D, Grosclaude S, Charousset C, Boileau P, Joudet T, Bonnevialle N. Management of massive rotator cuff tears: prospective study in 218 patients. Orthopaedics & Traumatology: Surgery & Research. 2018 Dec 1;104(8):S193-7. * Cools AM, Van Tongel A, Berckmans K, Spanhove V, Plaetevoet T, Rosseel J, Soen J, Levy O, Maenhout A. Electromyographic analysis of selected shoulder muscles during a series of exercises commonly used in patients with symptomatic degenerative rotator cuff tears. Journal of Shoulder and Elbow Surgery. 2020 Oct 1;29(10):e361-73. * Levy O, Mullett H, Roberts S, Copeland S. The role of anterior deltoid reeducation in patients with massive irreparable degenerative rotator cuff tears. Journal of shoulder and elbow surgery. 2008 Nov 1;17(6):863-70.
When swimmers and overhead athletes have superior & anterior shoulder pain, what are your likely diagnoses? How can you successfully treat shoulder pain that improves with rest from sport, then comes back each time they return to training or sport? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), where you’ll discover:
- What are your likely diagnoses?
- Distal clavicular osteolysis (DCO) - what is it?
- How to differentially diagnose acromial apophysitis/apophylysis (AA) in young overhead athletes.
- What are common areas of pain and aggravating movements in DCO patients?
- Common training errors and weight training exercises that can cause or aggravate symptoms.
- Which athletes are likely to develop DCO, and common mechanisms of injury.
- Imaging you need to order.
- What Xray and other imaging reveals in DCO.
- What are potential long term issues following DCO, and how can this be avoided?
- The MOST important treatment for patients with DCO and AA.
- How can DCO be successfully managed?
- How to modify work activities in DCO patients.
- How long recovery takes.
- Why asymptomatic stress tests and palpation doesn’t mean your patient is safe to return to sport.
- How to work with coaches when your patients are experiencing DCO.
- How to successfully return DCO patients to sport.
Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
When your female patient has shoulder pain, how can you identify if the cause is musculoskeletal, or related to women’s health issues? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). You’ll explore two separate case studies of female shoulder pain patients with different diagnoses, that’ll help you discover:
- Which female reproductive issues can cause shoulder pain?
- How can you differentiate musculoskeletal and non-musculoskeletal causes of shoulder pain?
- Is pain at different stages of the menstrual cycle really just “hormones”?
- What questions can you ask your patients to help guide your diagnosis?
- What is the typical history of patients with shoulder pain related to women’s health?
- If patients wake with acute shoulder pain, what are the potential musculoskeletal and non-musculoskeletal diagnoses?
For free video series covering assessment & diagnosis of acute shoulder pain and stiff shoulders head over to clinicaledge.co/shoulder
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
Are eccentric exercises useful in subacromial shoulder pain rehab? When shoulder pain rehab has stalled, and patients aren’t improving, will eccentric exercises help? Are eccentric exercises the missing component in successful rehab programs for recalcitrant shoulder pain?
Find out in this discussion with Jo Gibson (Clinical Physiotherapy Specialist). Also discover:
- Should eccentric exercises be included in shoulder rehab programs?
- What does the research reveal about eccentric shoulder exercises?
- How can the research be applied and adapted clinically with shoulder pain patients?
- If eccentric exercises are helpful, which exercises should patients use?
- When and how often should eccentric exercises be performed?
- Are eccentric exercises helpful in acute shoulder pain?
- How long does shoulder pain normally take to recover from?
- How can gym programs be adapted to allow shoulder pain to recover while patients continue training or exercising?
- How many exercises should be included in shoulder pain rehab programs?
Get free access to the stiff shoulder & acute shoulder pain assessment & diagnosis video series with Jo Gibson at clinicaledge.co/shoulder
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
An unusual cause of shoulder pain - what's the diagnosis? Solve this patient case study with Jo Gibson (Clinical Physiotherapy Specialist) and discover musculoskeletal and non-musculoskeletal causes of shoulder pain that are important to keep in mind when features don't fit.
Get free access to the free webinar series on how to assess & diagnose shoulder pain and stiff shoulders with Jo Gibson at clinicaledge.co/shoulder
Links associated with this episode: * Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) * Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Jo Gibson on Twitter * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Infographics by Clinical Edge
When is shoulder pain from the C/sp? When a patient presents with shoulder pain and stiffness, how can C/Sp referral be identified? If a patient has full neck range of movement, and neck movements don’t reproduce shoulder pain, can their pain still be from the C/sp?
Recent research shows that including treatment of the C/sp can improve results in up to ⅓ of shoulder pain patients. In this video with Jo Gibson (Clinical Physiotherapy Specialist) discover how to identify, assess and treat patients with cervical referral, including:
- What history and pain features will patients with cervical referred shoulder pain report?
- What assessment tests can be performed to diagnose or rule out the C/Sp involvement in shoulder pain?
- What information does palpation and repeated movements in the objective assessment provide?
- What does the research reveal about cervical referred shoulder pain?
- What biopsychosocial factors may be involved in cervical referred shoulder pain?
- How can manual therapy to the C/Sp improve shoulder range of movement?
- What education can be provided to patients with cervical spine referral?
- What exercises and exercise variations may be used to improve cervical referred shoulder pain?
- Are upper muscle fibres of trapezius “overactive” or are these muscles actually weak?
- What exercises can be used for upper traps in C/sp referred shoulder pain?
- What manual therapy can be used for C/sp referred shoulder pain?
- Does the thorax get “stiff”, and what exercises help improve thoracic range of movement?
Get your access to free videos with Jo Gibson on acute shoulder pain & stiff shoulder assessment & diagnosis at clinicaledge.co/shoulder.
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Jo Gibson on Twitter
Articles associated with this episode:
- CLICK HERE to download the articles associated with this podcast
- Alonso-Perez JL, Lopez-Lopez A, La Touche R, Lerma-Lara S, Suarez E, Rojas J, Bishop MD, Villafañe JH, Fernández-Carnero J. Hypoalgesic effects of three different manual therapy techniques on cervical spine and psychological interaction: A randomized clinical trial. Journal of Bodywork and Movement Therapies. 2017 Oct 1;21(4):798-803.
- Hauswirth J, Ernst MJ, Preusser ML, Meichtry A, Kool J, Crawford RJ. Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients. Journal of back and musculoskeletal rehabilitation. 2017 Jan 1;30(3):615-23.
- Katsuura Y, Bruce J, Taylor S, Gullota L, Kim HJ. Overlapping, Masquerading, and Causative Cervical Spine and Shoulder Pathology: A Systematic Review. Global Spine Journal. 2020 Apr;10(2):195-208.
- Vicenzino B, Collins D, Benson H, Wright A. An investigation of the interrelationship between manipulative therapy-induced hypoalgesia and sympathoexcitation. Journal of manipulative and physiological therapeutics. 1998 Sep 1;21(7):448-53.
When your patient has neck and arm pain, or low back and leg pain from neural tissue pain disorders (NTPD) such as peripheral nerve sensitisation (PNS), how will you treat them? Pain associated with PNS can occasionally be mild and non-irritable, but more often than not, it’s severe, highly irritable, and easy to stir up.
How can you provide treatment that settles their pain, without stirring them up? What advice, education, manual therapy and exercise will you provide to help improve symptoms and speed up recovery? What are the keys to success with PNS patients?
In Physio Edge podcast 104, Dr Toby Hall and I discussed PNS, common symptoms, causes, questions to ask, and how to assess and diagnose PNS in your patients. In this followup podcast, the second in our two-part series, Dr Toby Hall and I take you through the next phase - how to treat PNS. You’ll discover:
- The 7 keys to success with PNS
- How to successfully treat PNS in the neck and upper limb, AND the low back and lower limb.
- What education and advice should you provide to your patient about activities to avoid or reduce, and which activities should they increase?
- What are the most effective exercises for patients with PNS?
- Should exercise be painful or painless?
- When is neural mobilisation an effective treatment?
- When should you avoid using neural mobilisation as a treatment?
- Is manual therapy effective in PNS?
- Which manual therapy techniques can you use to improve symptoms and range of movement (ROM) immediately?
- How to perform effective manual therapy techniques that reduce pain without stirring up your patients.
- How can you combine neural mobilisation with manual therapy?
- If you use manual therapy to improve symptoms, what home exercises should patients perform after each treatment session?
Links associated with this episode: * Physio Edge podcast 104 - Peripheral nerve sensitisation & neural tissue pain disorders with Dr Toby Hall * Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership * The new “Making sense of pain” module available with a free trial Clinical Edge membership * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Sherlock Holmes & the Sign of the Four Hypotheses case study with Nick Kendrick * Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership * Dr Toby Hall on Twitter * Manual Concepts * Dr Annina Schmid * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Join live Q&A podcasts on Facebook * Infographics by Clinical Edge
Explore cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, & strength tests for athletes with Simon Olivotto, Dave Toomey, Paula Peralta & Nick Kendrick.
In this Clinical Edge member Q&A, the Clinical Edge Senior Physio Education & Presentation team discussed:
Cervical radiculopathy patients with an irritable presentation
- Do imaging findings such as modic changes, alter our management
- How can you approach treatment of cervical radiculopathy?
- Are medications indicated?
- Red flags you need to rule out
- Are sliders and gliders a useful treatment?
Sensitivity to cold or ice
- How can you use tests to identify sensitivity to cold or ice to guide your treatment?
- Does ice sensitivity indicate central sensitisation?
- How does this impact management?
- If your whiplash patients have sensitivity to cold or ice, how does this impact treatment & prognosis?
- Which research articles cover this topic?
Calf & achilles strengthening
- When is it best to perform calf raises into dorsiflexion (DF)?
- When should you avoid strengthening the calf into end of range (EOR) DF?
- What ankle issues may lead you to avoid strengthening or stretching into EOR DF?
Hip joint pain and the acetabular labrum
- Can we identify when the labrum is responsible for hip or groin pain?
- What tests are important to perform in patients with hip or groin pain?
- If deep structures such as the hip joint are painful or injured, does this mean more superficial structures such as the acetabular labrum are also pain generators?
Strength assessment & screening of athletes
- What strength screening tests can you perform in athletes with large demands such as motorcross?
- Which areas do you need to assess?
- What are simple and more complex ways to assess strength in different regions of the body?
- What are important considerations when designing a S&C program for a motocross athlete?
- Making sense of pain
How can you make sense of pain? How can you describe pain to your patients in a way that makes sense, and doesn’t tell them “it’s all in your head”? Find out how to improve your confidence with acute and persistent pain in the upcoming “Making sense of pain” module.
Warning: Contains swearing
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Improve your clinical reasoning, assessment and treatment effectiveness, efficiency and results with a free trial Clinical Edge membership * Clinical reasoning module - simplify complex patients, clarify your assessment and get great results with clinically reasoned treatment * “Making sense of pain” module * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Clinical Edge Education & presentation team * Simon Olivotto * Paula Peralta * David Toomey * Nick Kendrick
Articles associated with this episode: * Maxwell S, Sterling M. An investigation of the use of a numeric pain rating scale with ice application to the neck to determine cold hyperalgesia. Manual therapy. 2013 Apr 1;18(2):172-4. * Machado GC, Maher CG, Ferreira PH, Day RO, Pinheiro MB, Ferreira ML. Non-steroidal anti-inflammatory drugs for spinal pain: a systematic review and meta-analysis. Annals of the rheumatic diseases. 2017 Jul 1;76(7):1269-78. * Zhu S, Zhu J, Zhen G, Hu Y, An S, Li Y, Zheng Q, Chen Z, Yang Y, Wan M, Skolasky RL. Subchondral bone osteoclasts induce sensory innervation and osteoarthritis pain. The Journal of clinical investigation. 2019 Mar 1;129(3):1076-93.
When you assess your patients shoulder movements, and notice a winging scapula, altered resting position or timing of scapula movement, do you need to treat it? Can we diagnose “Scapular dyskinesis”, and does it matter? How can you simplify your scapular assessment?
In this podcast, Jo Gibson (Clinical Physiotherapy Specialist) explores common beliefs and myths around the scapula, including:
- Abnormal scapular kinematics cause pain
- We can predict patients that are going to get shoulder pain
- Upper traps should be retrained to decrease their activation
- Scapular-based interventions are superior to rotator cuff based treatment
- There are reliable and valid ways to assess scapular movement
Alongside this mythbusting, you’ll explore:
- Is there any point assessing the scapula?
- Is scapular asymmetry normal or abnormal?
- Is scapular dyskinesis a normal response to exercise or loading?
- How accurate are we at identifying scapular dyskinesis compared to findings in laboratory studies of scapula movement?
- What scapular findings will you commonly observe in patients with massive rotator cuff tears, nerve injuries & stiffness?
- How does rotator cuff fatigue impact scapular movement?
- How does fear avoidance and worry about particular movements impact muscle activity and movement?
- When is increased upper traps activity helpful and beneficial?
- Should we try to decrease upper traps activity in patients with C/Sp driven shoulder pain?
- Can we preferentially target the scapular or rotator cuff with our exercises?
- Do improvements in shoulder pain correlate with changes or “improvements” in scapular movement?
- How do scapular assessment test (SAT) results impact your treatment and exercise prescription?
- If the SAT improves pain, does that mean we should perform scapular based exercises?
- Can we use scapular dyskinesia classification to stratify patients or guide our treatment?
- Is there any reliability in scapular assessment?
- Does the SAT simply identify those that have a favourable natural history ie are going to get better on their own regardless?
- Do scapular treatments increase the subacromial space, and does this matter?
- Is winging post-surgery (posterior stabilisation + labral repair) a product of surgery or does this need to be addressed?
- How does incorporating the kinetic chain into rehab impact patient movement strategies, scapular and rotator cuff recruitment?
- Are scapulothoracic bursae relevant to shoulder pain?
- How can you address patient beliefs and fear avoidance around their shoulder pain?
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Jo Gibson on Twitter
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Andersson SH, Bahr R, Clarsen B, Myklebust G. Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed. British journal of sports medicine. 2018 Sep 1;52(18):1191-8. * Asker M, Brooke HL, Waldén M, Tranaeus U, Johansson F, Skillgate E, Holm LW. Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis. British journal of sports medicine. 2018 Oct 1;52(20):1312-9. * Christiansen DH, Møller AD, Vestergaard JM, Mose S, Maribo T. The scapular dyskinesis test: Reliability, agreement, and predictive value in patients with subacromial impingement syndrome. Journal of Hand Therapy. 2017 Apr 1;30(2):208-13.
When your patient has leg, shoulder or arm pain, how can you identify if their pain is due to neural tissue compression, sensitisation or irritation? How can you differentiate whether pain is from neural tissue or local structures like nearby joints, tendons or muscles? What questions and objective tests will help you diagnose a neural tissue pain disorder (NTPD)?
In this podcast with Dr Toby Hall (Specialist Musculoskeletal Physiotherapist, FACP, PhD), you’ll discover:
- Three types of neural tissue pain disorders, and how to identify each one
- What is Peripheral nerve sensitisation (PNS)?
- What clues in your subjective examination will help you identify PNS?
- Why do nerves become inflamed or irritated?
- How to identify & differentiate radiculopathy and radicular pain in patients with radiating limb pain.
- Do all patients with NTPD have obvious neuro symptoms such as pins and needles, numbness or weakness?
- Quick screening tests you can use in your assessment to identify PNS.
- How to identify if your patients shoulder and arm pain is from neural tissue or from local shoulder structures.
- How to diagnose a NTPD in patients with hip or leg pain.
- How to perform passive neurodynamic tests such as the straight leg raise (SLR), upper limb neurodynamic test (ULNT), slump test and femoral nerve slump test.
- What information does a positive or negative neurodynamic test provide?
- Can we identify the location of a nerve lesion or irritation with our passive neurodynamic tests or palpation?
- Initial PNS treatment options
- Is exercise helpful or harmful in patients with PNS?
- How can you palpate over neural tissue, and what information does this provide?
- Do opioids provide pain relief, or prolong recovery in patients with NTPD?
This podcast is the first part in a two part series on neural tissue pain disorders with Dr Toby Hall. Part 1 (this podcast) guides you through the types of NTPD, and how to assess and diagnose NTPD. Part 2 (available soon) will take you through how to treat PNS.
I highly recommend listening to this episode (part 1) prior to part 2, to have a thorough understanding of when and how to treat PNS.
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Sherlock Holmes & the Sign of the Four Hypotheses case study with Nick Kendrick * Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership * Dr Toby Hall on Twitter * Manual Concepts * Dr Annina Schmid * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Join live Q&A podcasts on Facebook * Infographics by Clinical Edge
A young male patient woke with an acute onset of constant, shooting shoulder pain, is painful into abduction, reluctant to lift his arm, and feels like he’s losing shoulder strength. He has no recent history of injury.
Can you diagnose this unusual cause of shoulder pain, based on this patient's symptoms and physical tests? What are your differential diagnoses and red flags to keep in mind with this patient?
In this podcast, Jo Gibson puts your knowledge of shoulder pain and diagnostic skills to the test, and explores how you can treat patients with this diagnosis.
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Jo Gibson on Twitter
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Clarke CJ, Torrance E, McIntosh J, Funk L. Neuralgic amyotrophy is not the most common neurologic disorder of the shoulder: a 78-month prospective study of 60 neurologic shoulder patients in a specialist shoulder clinic. Journal of shoulder and elbow surgery. 2016 Dec 1;25(12):1997-2004. * Cup EH, Ijspeert J, Janssen RJ, Bussemaker-Beumer C, Jacobs J, Pieterse AJ, van der Linde H, van Alfen N. Residual complaints after neuralgic amyotrophy. Archives of physical medicine and rehabilitation. 2013 Jan 1;94(1):67-73. * DO MAGDALIA PB. Neuralgic Amyotrophy. Challenging Neuropathic Pain Syndromes: Evaluation and Evidence-Based Treatment. 2017 Nov 12:197. * Feinberg JH, Nguyen ET, Boachie‐Adjei K, Gribbin C, Lee SK, Daluiski A, Wolfe SW. The electrodiagnostic natural history of parsonage–turner syndrome. Muscle & nerve. 2017 Oct;56(4):737-43. * Lustenhouwer R, Cameron IG, van Alfen N, Oorsprong TD, Toni I, van Engelen BG, Groothuis JT, Helmich RC. Altered sensorimotor representations after recovery from peripheral nerve damage in neuralgic amyotrophy. Cortex. 2020 Feb 28. * Seror P. Neuralgic amyotrophy. An update. Joint Bone Spine. 2017 Mar 1;84(2):153-8.
Get access to free videos with Jo Gibson on diagnosis of shoulder pain at clinicaledge.co/shoulder
Do you include stretches in your treatment of shoulder pain? Have you ever identified a glenohumeral internal rotation deficit (GIRD) and used the "Sleeper stretch" to help improve internal rotation? Do stretches have any value for shoulder pain, or are there better treatment options?
In this podcast, Jo Gibson (Clinical Physiotherapy Specialist) discusses how to differentiate true capsular stiffness from muscle stiffness, what information GIRD provides, and whether sleeper stretches for shoulder pain are a useful treatment.
Jo explores the current research and clinical implications on your treatment, including:
- What is the driver of decreased range of movement (ROM)?
- If we get immediate changes in ROM with a sleeper stretch, does that mean we should use this as a treatment?
- Is stretching an effective, efficient and evidence-based treatment?
- Can we use strengthening movements to improve range and cuff recruitment?
- What exercises can you use with patients with GIRD to improve ROM and cuff recruitment?
- Humeral retroversion and how torsional load from throwing sports at a young age impact your ROM assessment.
- If you have a patient with GIRD, what does this tell you?
- In patients with true capsular stiffness, does stretching in combination with damp heat have a role?
- Does eccentric strengthening have a role in improving GIRD in patients with true capsular stiffness or fibrosis?
- How can you use GIRD to monitor your athletes fatigue and recovery?
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Download the podcast now using the best podcast app currently in existence - Overcast * Listen to the podcast on Spotify * Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson * Improve your confidence and clinical reasoning with a free trial Clinical Edge membership * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Jo Gibson on Twitter
Articles associated with this episode: * CLICK HERE to download the articles associated with this podcast * Hall K, Borstad JD. Posterior Shoulder Tightness: To Treat or Not to Treat?. journal of orthopaedic & sports physical therapy. 2018 Mar;48(3):133-6. * Keller RA, De Giacomo AF, Neumann JA, Limpisvasti O, Tibone JE. Glenohumeral internal rotation deficit and risk of upper extremity injury in overhead athletes: a meta-analysis and systematic review. Sports health. 2018 Mar;10(2):125-32. * Mine K, Nakayama T, Milanese S, Grimmer K. Effectiveness of stretching on posterior shoulder tightness and glenohumeral internal-rotation deficit: a systematic review of randomized controlled trials. Journal of sport rehabilitation. 2017 Jul 1;26(4):294-305.
Shoulder surgery in athletes is common following dislocation. Accelerated post-op shoulder stabilisation rehab protocols include early mobilisation to reduce movement, proprioceptive and strength deficits. This has allowed earlier return to play (RTP), however athletes often still have significant proprioceptive and strength deficits up to 2 years post surgery. Despite getting back to play, athletes may struggle to get back to performance.
Following surgery, contact athletes such as rugby players, throwing athletes and young players have additional RTP challenges. Redislocation risks in contact sports such as rugby are high, leading to poor outcomes. Younger athletes are not skeletally mature, and with early RTP following stabilisation surgery may have higher failure rates. How can you identify and address these challenges?
Which tests and features in a patients history help you determine whether a patient is suitable for an early RTP? In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you’ll explore:
- Which shoulder tests are most valuable with your patients?
- How has emerging evidence challenged our previous approach to RTP testing?
- What are the risks associated with early RTP following shoulder surgery?
- How can you help identify athletes at risk of redislocation?
- Which psychosocial factors impact RTP?
- How does fear of reinjury and levels of anxiety about their shoulder affect RTP?
- How does your patient’s sport of choice affects dislocation risks?
- How is RTP impacted by patients age?
- How do daily stressors impact RTP and predict outcomes?
- Which psychosocial factors impact RTP?
- What is the biggest factor in whether an athlete gets back to play?
- Which question are key to ask your patients?
- Which questionnaires can you use with your post-op shoulder patients?
- Which tests and combinations of tests have been validated and are evidence-based?
- How can you assess range of movement (ROM)?
- How can you measure patients strength?
- How is rate of force development (RFD) affected following shoulder injury?
- How can you assess RFD?
- How does fatigue impact strength testing eg testing at the start of training compared to the after training?
- How does the kinetic chain impact RTP testing for throwers?
- How can you assess shoulder endurance?
- RTP tests for swimmers
- What role does manual therapy have in shoulder rehab?
Links associated with this episode: Download and subscribe to the podcast on iTunes
Download the podcast now using the best podcast app currently in existence - Overcast
Listen to the podcast on Spotify
Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson
Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
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Articles associated with this episode: CLICK HERE to download the articles associated with this podcast
100 Physio Edge podcast episodes since I discovered a love of podcasts, and created the Physio Edge podcast to help Physio’s, Physical Therapists and other health professionals in their clinical practice with practical information from the leaders in different musculoskeletal and sports injuries. I really enjoy recording each podcast, helping you with your clinical challenges and hearing how the podcast has helped you with your patients.
While recording each of these podcasts, I’ve noticed that one area Physiotherapy experts & leaders have in common is their well developed clinical reasoning. They use effective & efficient clinical problem solving to assess and treat their patients. How can you improve your clinical reasoning to more effectively assess and treat your patients?
In this podcast with the new Clinical Edge Senior Physio education & presentation team - David Toomey (NZ based Musculoskeletal Physio), Jordan Craig (APA Titled Musculoskeletal & Sports Physio) and Simon Olivotto (Specialist Musculoskeletal Physiotherapist, FACP), you’ll explore:
- Five practical strategies you can use immediately to improve your clinical reasoning and treatment results.
- Clinical reasoning - what is it and how will it help you with your patients?
- How to effectively & efficiently assess and treat in short treatment sessions
- How to create a rehabilitation or training plan for a patient to suit their individual needs.
- Low back pain patients - How to use clinical reasoning to target your questioning, objective assessment and treatment to your patients needs
Download this podcast now to improve your clinical reasoning and treatment results with these five practical strategies.
Links associated with this episode: Download and subscribe to the podcast on iTunes
Download the podcast now using the best podcast app currently in existence - Overcast
Listen to the podcast on Spotify
Improve your clinical reasoning, assessment and treatment effectiveness, efficiency and results with a free trial Clinical Edge membership
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Clinical Edge Education & presentation team
Simon Olivotto on Twitter
Jordan Craig
David Toomey on Twitter
Articles associated with this episode: CLICK HERE to download your podcast handout
Patients with shoulder pain, rotator cuff tears and nerve injuries can often be seen shrugging their shoulder while they lift their arm, appearing to overuse their upper fibres of trapezius. Surface EMG research has shown increased activity in UFT in shoulder pain and whiplash patients. To add to this, patients get sore upper traps, and can be adamant that they need regular massage of their upper fibres of trapezius (UFT).
We seem to have plenty of evidence that we need to decrease UFT muscle activity, and help this by providing exercises to target the middle and lower traps.
Is this really the case? Are the upper traps really a bad guy, or a victim caught in the spotlight? Do we need to decrease upper traps muscle activity to help our patients shoulder or neck pain? Or perhaps counter-intuitively, do we need to strengthen upper traps and help them to work together with the surrounding muscles?
In this podcast, Jo Gibson (Clinical Specialist Physio) explores the evidence around the upper fibres of trapezius, and implications on your clinical practice. You’ll discover:
- What are the myths around upper traps?
- Are upper fibres of trapezius a bad guy or a victim?
- Why do upper traps sometimes seem to be overactive?
- Should we aim to increase the activity in middle and lower traps?
- What information does surface EMG really provide?
- Can taping of the scapula change recruitment of the trapezius?
- Should we strengthen UFT?
- Why is initial activation of the UFT important in shoulder elevation movements?
- Why should patients with rotator cuff tears or stiff & painful shoulders use upper traps more with their movements?
- How can we incorporate UFT strengthening into our shoulder strengthening?
- What exercises can we use to strengthen UFT without increasing activity in levator scapulae?
- Why is UFT strengthening important in ACJ injury rehab?
- In gym goers, what scapula setting errors are commonly used?
- How do nerve injuries that affect the upper traps impact movement?
- Do trigger points or soreness indicate that our patients need massage or exercises to decrease UFT activity?
Download this episode now to improve your treatment of shoulder and neck pain.
Links associated with this episode: Download and subscribe to the podcast on iTunes
Listen to the podcast on Spotify
Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson
Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
Let David know what you liked about this podcast on Twitter
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Articles associated with this episode: CLICK HERE to download the articles associated with this podcast
Lee JH, Cynn HS, Choi WJ, Jeong HJ, Yoon TL. Various shrug exercises can change scapular kinematics and scapular rotator muscle activities in subjects with scapular downward rotation syndrome. Human movement science. 2016 Feb 1;45:119-29.
Pizzari T, Wickham J, Balster S, Ganderton C, Watson L. Modifying a shrug exercise can facilitate the upward rotator muscles of the scapula. Clinical Biomechanics. 2014 Feb 1;29(2):201-5.
Strength training can be used in your treatment and rehab programs to improve your patients strength, load capacity, function & pain, so they can get back into work and the activities they enjoy. In your athletic patients, strength training can be used to help restore power and speed, which are vital for sporting performance.
Would you like to include more strength training in your treatment, but aren’t completely sure about the most effective ways to build strength? Which exercises can you use? How many sets and reps should your patients perform? Will 3 sets of 10 reps build strength effectively? What is power training, when should you focus on improving power, and how can you incorporate power training?
In this podcast with David Joyce - Sports Physiotherapist, S&C expert and co-author of High performance training for sports, and Sports injury prevention and rehabilitation, you will discover:
- How to use strength training with your patients
- The most effective ways to help your patients develop strength
- Set and rep ranges for strength improvements
- Recent developments in S&C
- What is power & power training, and how does this compare to strength?
- When should your patients work on improving power vs strength
- How to improve power using different areas on the force/velocity curve
- Power development using bodyweight and barbell exercises
- Calf strengthening
- How to incorporate velocity/explosiveness training
- When are higher reps useful?
- Does endurance training with higher reps carryover to improved running or cycling
- When your patients are performing deadlifts or squats, what elements should you monitor?
- Do biomechanics in a deadlift or squat matter?
- What rest periods should be used to help develop strength, while maintaining an efficient training routine
- What is strength training vs conditioning?
- How can patients perform conditioning for improved fitness?
- Should conditioning be incorporated into strength training sessions for maximum improvements in strength?
- Should exercises and sets be performed to temporary muscular failure (when the bar is unable to be lifted for another repetition)
- Resources to help improve your strength & conditioning
CLICK HERE to download your podcast handout Links associated with this episode: Download and subscribe to the podcast on iTunes
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S&C online courses with Dr Claire Minshull - available with a free trial
S&C for youths and adolescents online course with Dr Jon Oliver
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Long head of biceps (LHB) tendinopathy and associated anterior shoulder pain can develop in patients that increase their lifting load eg moving house, overhead activities, activities that involve loaded shoulder extension and in throwing athletes. Patients may also develop long head of biceps tendon pain after a traumatic ACJ injury or SLAP tear.
How can you identify and treat LHB tendinopathy? In this podcast with Jo Gibson, you’ll explore:
What causes LHB tendinopathy?
- What mechanisms of injury commonly cause LHB pain, ACJ injury or SLAP tears?
- Key traumas you need to keep an eye out for that impact LHB
- Why do patients with ACJ injuries develop LHB pain?
- Why do patients with SLAP lesions develop LHB pain?
- What causes LHB reactive tendinopathy?
LHB Anatomy & function
- What activities does LHB help with?
- Long head of biceps (LHB) anatomy
- Variance in proximal biceps attachment and how traumatic LHB injuries impact different structures
- How the LHB is stabilised anatomically in the bicipital groove
- Does the transverse ligament exist?
Patient features that help your diagnosis
- Which patients are likely to present with LHB pain?
- Which structures are more likely to be affected with traumatic shoulder injuries in younger vs older patients?
- Why do young patients with LHB instability develop pain?
Subjective history features that help your diagnosis
- Where do patients with LHB tendinopathy experience pain?
- Which movements are likely to be painful in LHB tendinopathy patients?
Objective testing & diagnosis
- Which tests or combinations of tests help diagnose LHB pain?
- Which special tests help your diagnosis?
- Does palpation have any value in LHB diagnosis?
- How can you exclude intra-articular pathology with your testing?
- How can you rule in or rule out rotator cuff pathology?
Rotator cuff tears & involvement in LHB
- How does LHB muscle activity vary in painful vs painfree massive rotator cuff tear patients?
- How do traumatic rotator cuff tears, particularly subscapularis, impact LHB?
- If patients have rotator cuff surgery, what details in the operation notes will help you identify if they are at risk of persistent post-op pain and stiffness?
- Why do subscapularis tears cause LHB pain?
Imaging
- What information does imaging of LHB provide?
- What imaging can you use if your patient is not progressing?
- MRI vs MRA vs US for different pain & injuries
How to treat LHB
- What is the best way to treat LHB tendon pain?
- Are isometrics helpful with LHB, and how do these help?
- What surgery is used for LHB pain?
Additional questions covered
- How are results after rotator cuff tears impacted by the rotator interval?
Links associated with this episode: Download and subscribe to the podcast on iTunes
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Patients with thoracic outlet syndrome (TOS) may have undiagnosed pain and symptoms into their shoulder, arm, hand, scapula, head, face, upper back, axilla, chest and anterior clavicle.
With a number of potential sources of pain in these areas, TOS patients commonly have a delayed or incorrect diagnosis, followed by unnecessary and unsuccessful surgery. Further complicating matters, imaging and nerve conduction studies are often clear or inconclusive. Studies show that on average, patients with TOS have an average of 5 years of symptoms and see 6 doctors before receiving an accurate diagnosis.
What tests and questionnaires will help guide your diagnosis and intervention? When are patients suitable for Physiotherapy and conservative management? When should you refer on for a surgical opinion?
In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you will discover:
- What is Thoracic outlet syndrome (TOS)?
- Commonly reported symptoms of TOS
- Three different types of TOS
- The most common type of TOS with around 80% of all TOS patients
- Why imaging and investigations are often clear, and don’t match up with symptoms
- 3 key causes of TOS
- The relationship between TOS and hypermobility syndrome
- Criteria for diagnosis in the latest TOS diagnostic consensus statement
- Differential diagnosis (DDx) - Cervical NR compression, and peripheral nerve entrapment
- Common subjective findings that guide you towards a diagnosis of TOS
- A questionnaire you can use to assist cervicobrachial diagnosis
- What information is gained from imaging, including MRI and MR Neurography & nerve conduction studies
- What are the limitations of imaging?
- What is the difference between small nerve fibre and large nerve fibres, and how this impacts diagnosis
- QST - Quantitative sensory testing - Pin prick (Neurotip) and Thermal testing - warm and cold
- Simple QST test using a coin
- Objective testing
- What tests do you need to perform in patients with suspected TOS?
- What is the elevated stress test (EST)?
- What information does an upper limb tension test (ULTT) provide?
- Does a negative ULTT test exclude TOS?
- How are nerve blocks used?
- What is the best way to perform a nerve block?
- How effective are nerve blocks in assisting diagnosis?
- Who should we refer on for early medical or surgical management?
- When should you get an early surgical opinion?
- Which patients are likely to benefit from conservative management?
Links associated with this episode: Download and subscribe to the podcast on iTunes
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Articles associated with this episode: CLICK HERE to download the articles associated with this podcast
The sternoclavicular joint (SCJ) can cause pain locally, or refer into the neck and shoulder. With a relatively high incidence of serious and potentially life-threatening pathology at the SCJ, it’s important to diagnose the source of SCJ pain. In this (Facebook live/video/podcast) with Jo Gibson (Clinical Physiotherapy Specialist ), you’ll discover:
- How to identify and diagnose the SCJ as the source of pain
- Where does the SCJ commonly refer pain to?
- What pathologies cause SCJ pain
- What activities & movements commonly reproduce pain in the SCJ?
- Who develops SCJ pain?
- Which differential diagnosis (DDx) are important to identify, including
- localised osteoarthritis (OA)
- rheumatoid arthritis
- septic arthritis
- atraumatic subluxation
- seronegative spondyloarthropathies
- gout, pseudogout
- SC hyperostosis
- condensing osteitis
- Friedrich’s disease/avascular necrosis
- condensing arthritis
- Friedrich’s disease and
- ‘SAPHO’ (Synovitis Acne Pustulosis Hyperostosis Osteitis) syndrome
- How does DDx impact prognosis?
- What role does imaging have with the SCJ?
- SCJ Imaging - MRI vs CT vs Xray.
- If pain refers down to the anterior chest, what other structures may be involved?
- Tietze syndrome at the costochondral junction.
- Costochondritis - who develops it, is there a mechanism of injury?
- Red flags you need to be aware of around the SCJ
- Case study of an SCJ patient where a potentially life-threatening illness was identified
- Other red flags - infection, HIV, septic arthritis, diabetes, ankylosing spondylitis, gout
- What investigations are important for SCJ pain patients?
- What are realistic expectations for prognosis and resolution of SCJ symptoms?
- How can you rehab patients with SCJ pain?
- Costochondral joint pain
- Rehab following clavicular ORIF
- When is arthroscopic release suitable in frozen shoulder patients
Links associated with this episode: Download and subscribe to the podcast on iTunes
Download the podcast now using the best podcast app currently in existence - Overcast
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Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson
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Have you ever wanted to improve your patients strength, but weren't sure about the best way to go about it? What exercises should you use? How many sets, reps and sessions per week should you ask your patients to complete? Strength levels often start to decline with pain or after an injury, from neuromuscular inhibition, swelling, inflammation or joint laxity (Hopkins & Ingersoll, 2000; Rice & McNair, 2010). Unfortunately strength doesn't always return as quickly as it disappears, and neuromuscular inhibition can carry on (Roy et al, 2017).
In this podcast with Dr Claire Minshull, we dive into the role of strength and conditioning in rehab, and explore:
- Why building strength is an important part of rehab
- How can you build strength effectively and efficiently?
- Do 8-12 rep sets or 3-5 rep sets build greater strength?
- How many sets of an exercise should your patient perform?
- How frequently do patients need to perform their exercises?
- Is maximal loading necessary in rehab?
- Which patients should use lower load exercises?
- Will strength training make endurance athletes slow and muscular, or improve running economy?
- "Functional exercises" vs strength exercises
- When should exercises target strength, and when can you use "functional exercises"?
- What is power training, and what exercises help to develop power?
- When should power training be used?
- What lifting cues can you use with beginning lifters e.g. in deadlifts?
- Patients with knee osteoarthritis:
- What is an effective exercise strategy for patients with knee osteoarthritis (OA)?
- What important factors do you need to incorporate in your pain education?
- How can you start a strengthening program?
- What exercises can you use?
- What pain levels are acceptable during exercise?
- How can you know if your exercises are appropriate for each patient?
- What braces or supports can you use to make unicompartmental knee OA more comfortable and able to exercise?
CLICK HERE to download your podcast handout
Dr Claire Minshull also presented two online courses for Clinical Edge members to further develop your strength & conditioning skills and confidence. You can get access to these online courses with your free trial membership.
What is in Dr Claire Minshull's webinar?
- How to incorporate strength development in your rehab programs
- How to progress strength in rehab
- Exercise progressions and regressions to maintain a strength focus
- Case study examples taking you through how to apply S&C principles with your patients
Links associated with this episode: Download and subscribe to the podcast on iTunes
Listen to the podcast on Spotify
Improve your confidence and clinical reasoning with a free trial Clinical Edge membership, and get access to the online courses on S&C with Dr Claire Minshull
Let David know what you liked about this podcast on Twitter
Review the podcast on iTunes
Like the podcast on Facebook
Infographics by Clinical Edge
Dr Claire Minshull on Twitter
Website - Get Back to Sport
Instagram - Get Back to Sport
Versus Arthritis
Articles associated with this episode: Campos et al. 2002. Muscular adaptations in response to three different resistance-training regimens: specificity of repetition maximum training zones.
Hall et al. 2018. Knee extensor strength gains mediate symptom improvement in knee osteoarthritis: secondary analysis of a randomised controlled trial.
Jorge et al. 2015. Progressive resistance exercise in women with osteoarthritis of the knee: a randomized controlled trial.
Latham et al. 2010. Strength training in older adults: the benefits for osteoarthritis.
Teixeira et al. 2018. Effect of resistance training set volume on upper body muscle hypertrophy: are more sets really better than less?
Uusi-Rasi et al. 2017. Exercise Training in Treatment and Rehabilitation of Hip Osteoarthritis: A 12-Week Pilot Trial.
Manual therapy (MT) comes in all shapes and sizes - mobilisation, manipulation, mobilisation with movement, soft tissue massage, instrument assisted massage, muscle energy techniques, pointy elbows pressed into flesh and more. Patients (often) love it, and it's a popular treatment modality with therapists. Debate rages, and myths and misconceptions surround MT. Could the time we spend performing MT be better spent elsewhere? How does MT work? Is it worth using if treatment effects are short lived? Is it just used as revenue raising by therapists, while creating reliance on passive therapies?
Is MT evidence-based? Is it worth including in our treatment? Which patients may benefit from MT, and which patients you should steer away from MT?
In this podcast, clinical researcher, physical therapist and Professor at Duke University, Dr Chad Cook, we discuss the evidence around MT, myths and misconceptions, how MT works, and using your clinical reasoning to decide when and how to utilise MT.
You'll discover:
- What are the arguments against manual therapy?
- Do the arguments against MT have merit?
- Does MT break up scar tissue or adhesions, correct alignment of joints, or put them back into place?
- Do we have evidence that MT creates reliance on passive therapies?
- Evidence for and against MT
- How to use clinical reasoning with MT
- How MT works - potential mechanisms
- What MT is NOT doing
- How to explain MT to your patients
- Clinical reasoning
- Identifying pain adaptive and non pain adaptive patients
- How MT can help identify patients with a better or worse prognosis
- How many sessions of MT should patients receive?
- How to select MT techniques
- Does MT cause harm and patient reliance?
- How to identify patient treatment expectations
- How to help change patient expectations
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Listen to the podcast on Spotify * Improve your confidence and plantar fasciopathy results with a free trial Clinical Edge membership, and get access to the 3 part webinar series on PHP with Henrik Riel * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Dr Chad Cook at Duke University * Twitter - @ChadCookPT * Book - Orthopaedic Manual Therapy
Articles associated with this episode: Bialosky et al. 2009. The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model.
Bialosky JE, Bishop MD, Penza CW. Placebo mechanisms of manual therapy: a sheep in wolf's clothing?. journal of orthopaedic & sports physical therapy. 2017 May;47(5):301-4.
Cook et al. 2014. Is there preliminary value to a within- and/or between-session change for determining short-term outcomes of manual therapy on mechanical neck pain?
Cook et al. 2013. Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial.
Cook et al. 2012. Can a within/between-session change in pain during reassessment predict outcome using a manual therapy intervention in patients with mechanical low back pain?
Cook. 2011. Immediate effects from manual therapy: much ado about nothing?
Deyle et al. 2005. Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program.
Goss et al. 2004. A Cochrane review of manipulation and mobilization for mechanical neck disorders.
Learmann et al. 2014. No Differences in Outcomes in People with Low Back Pain Who Met the Clinical Prediction Rule for Lumbar Spine Manipulation When a Pragmatic Non-thrust Manipulation Was Used as the Comparator.
Rubinstein et al. 2011. Spinal manipulation therapy for chronic low back pain.
Schneider et al. 2014. Derivation of a clinical decision guide in the diagnosis of cervical facet joint pain.
Traeger et al. 2018. Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain.
When your patient has heel pain with their first few steps in the morning, after sitting for a while or at the start of a run, a diagnosis of plantar heel pain (PHP) or plantar fasciopathy might jump straight to the top of your list. How will you treat your patients with PHP? How long will it take? How can you explain PHP, the rehab and recovery to your patients?
In this podcast with Henrik Riel (Physiotherapist, researcher and PhD candidate at Aalborg University) we take a deep dive into PHP, and how you can treat it, including:
- How to describe plantar heel pain to your patients
- How to explain to your patient why they developed PHP, recovery timeframes and rehab
- Plantar fasciitis, plantar fasciopathy, plantar heel pain? What's the most appropriate terminology?
- Differential diagnosis for PHP including
- Neuropathic pain
- Fat pad irritation, contusion or atrophy
- Calcaneal stress fracture
- Other diagnoses
- How to systematically perform an objective assessment and diagnose PHP
- Assessment tests to identify factors contributing to your patients pain
- Whether your patients require imaging
- How long PHP takes to recover
- What factors affect your patients prognosis and recovery times
- How to differentiate your treatment for active or sedentary patients
- Whether your patients can continue to run with PHP
- Factors that may hinder the recovery of your sedentary patients, and how to address these
- Whether your patients should include stretching in their rehab
- Types of strengthening to include in your rehab - isometric, isotonic or otherwise
- How many sets and reps should your patients perform of their strengthening exercises
- Whether orthotics are useful
- Corticosteroid injections - do they help or increase the risk of plantar fascia rupture?
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Download the podcast now using my favourite podcast app - Overcast * Improve your confidence and plantar fasciopathy results with a free trial Clinical Edge membership, and get access to the 3 part webinar series on PHP with Henrik Riel * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Twitter - @Henrik_Riel * Research Gate - Henrik Riel
Articles associated with this episode: Alshami et al. 2008. A review of plantar heel pain of neural origin: differential diagnosis and management.
Chimutengwende-Gordon et al. 2010. Magnetic resonance imaging in plantar heel pain.
Dakin et al. 2018. Chronic inflammation is a feature of Achilles tendinopathy and rupture.
David et al. 2017. Injected corticosteroids for treating plantar heel pain in adults.
Digiovanni et al. 2006. Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up.
Hansen et al. 2018. Long-Term Prognosis of Plantar Fasciitis: A 5- to 15-Year Follow-up Study of 174 Patients With Ultrasound Examination.
Lemont et al. 2003. Plantar fasciitis: a degenerative process (fasciosis) without inflammation.
Rathleff et al. 2015. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.
Riel et al. 2017. Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on.
Riel et al. 2018. The effect of isometric exercise on pain in individuals with plantar fasciopathy: A randomized crossover trial.
Riel et al. 2019. Self-dosed and pre-determined progressive heavy-slow resistance training have similar effects in people with plantar fasciopathy: a randomised trial.
Other Episodes of Interest: PE 062 - How to treat plantar fasciopathy in runners with Tom Goom
PE 061 - How to assess and diagnose plantar fasciopathy in runners with Tom Goom
PE 060 - Plantar fasciopathy in runners with Tom Goom
PE 038 - Plantar fasciopathy loading programs with Michael Rathleff
PE 012 - Plantar Fascia, Achilles Tendinopathy And Nerve Entrapments With Russell Wright
When you love running or any other sport or activity, having to take time off with an injury is really frustrating. Your patients with an injury limiting their running will feel frustrated and be keen to keep running or get back to running as quickly as possible. We can make a huge difference in helping them return to running, but how do we do it?
It would be pretty simple if we could hand all of our running injury patients a standard return to running table with a list of set running distances, and send them on their way to just follow the program. The trouble is, it doesn’t work that way in real life.
Each of your patients will have different goals, and respond differently to rehab and increases in running, depending on their injury, irritability of their symptoms, their load tolerance, and a lot of factors. Since recipe-based approaches won’t work for a lot of patients, how can you tailor your rehab and guide your running injury patients through their return to running?
In this podcast with Tom Goom, we’re going to help you return your patients to running as quickly as possible, know which factors you need to address in your rehab, and how to tailor your rehab to each of your patients. You will explore how to:
- Test whether your patient is ready to run
- Find your patients ‘run tolerance’
- Incorporate your athlete’s goals into their rehab
- Use their pathology to guide return to running eg stress fractures or plantar fasciopathy
- Use irritability to guide your load progression
- Vary your treatment depending on the stage of their competitive season
- Address strength, range of movement, control, muscle mass, power and plyometric impairments in their rehab program
- Choose the number of exercises you use
- Balance risk and reward to meet patients goals
- Four key steps to return your patient to running
- Use impact tests when assessing whether your patient is ready to run
- Plan training structure and progression
- Monitor return to running
- Identify acceptable pain levels while increasing running
We will take you through four real patient case study examples so you can apply the podcast in your clinical practice, including:
- Achilles tendon pain
- Medial tibial stress syndrome (MTSS)/Shin splints
- Calf pain
- High risk tibial stress fracture
CLICK HERE to download your podcast handout
Links associated with this episode: * Free lateral hip pain video series with Tom Goom * Download and subscribe to the podcast on iTunes * Twitter - @tomgoom * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge
Other episodes of interest: * Physio Edge 084 Running injury treatment - tendinopathy, MTSS, total hip replacement & high BMI patients. Q&A with Tom Goom * Physio Edge 083 Running gait retraining, strengthening, glutes & ITB syndrome. Q&A with Tom Goom * Physio Edge 082 Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill * Physio Edge 076 Footwear advice for running injuries with Tom Goom * Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking * Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras * Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill * Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang
Squeezing a stress ball and strengthening with 0.5kg dumbells will only get you so far with your treatment of hand and wrist injuries, and soon enough you'll hit a wall with treatment results. How are you going to smash through that wall, and help your patients keep working or playing, or get back to it? If you've felt limited with your hand and wrist treatment and exercises, you'll love the treatment approach and strengthening exercises from the third and final podcast in this series with Ian Gatt.
In the previous two podcasts with Ian we explored how you can take a great history, assess and diagnose wrist and hand injuries. You discovered types of grip strength and how to perform low and high tech grip strength assessment. In this new podcast with Ian Gatt you will discover how to use your assessment findings to develop a treatment plan, and how to develop your patients hand and wrist strength, plus:
- Strength exercises can you use in your rehab of hand and wrist injuries
- What pain level is acceptable during rehab exercises?
- How many sets and reps should your patients perform of each exercise?
- How can you reduce the pain your athlete experiences so they can perform their rehab exercises?
- What finger strengthening exercises can you use?
- Why is the proximal radio-ulnar joint (PRUJ) so important to treat with wrist and elbow injuries?
- How can you treat the PRUJ?
- How can you incorporate the kinetic chain into your hand and wrist rehab?
- How and why would you want to use vibration as part of rehab, even if you don't have a vibration plate?
- What manual therapy can you use with your hand patients?
- How can you maintain your athletes skill and performance while taking them through a rehab program?
- How should you adjust training volume or intensity with knuckle or Carpometacarpal joint (CMCJ) injuries?
- Can boxers with CMCJ injuries continue to hit the bag?
- What wrist positions and movements need to be limited during rehab and to prevent injury?
- Why is wrapping your boxers hands properly so important?
- How can you wrap your boxers hands?
- What gloves are recommended for boxers?
Ian works with GB Boxing, which involves helping boxers recover from hand, wrist and other injuries. This podcast is therefore boxer-centric, however there are a lot of specifics, exercises & principles in this podcast that you can use with your hand & wrist patients.
Dive into this podcast, and pick up a lot of great ideas for your hand & wrist injury treatment.
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Listen to the podcast on Spotify * Improve your confidence and patient results with a free trial Clinical Edge membership * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * LinkedIn - Ian Gatt * Twitter - @IanGattPhysio * Instagram - @IanGattman * Sheffield Hallam University - Ian Gatt * Courses - HE Seminars
CLICK HERE for your spot on a free shoulder assessment webinar with Jo Gibson, available soon.
Resources associated with this episode: * Video - How to wrap a boxer's hands with Ian Gatt * Loosemore et al. 2016. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad.
Other Episodes of Interest: * PE089 - Combating hand & wrist injuries part 2 - Objective assessment with Ian Gatt * PE 088 - Combating hand and wrist injuries part 1 with Ian Gatt * PE 043 - Sporting Shoulder with Jo Gibson * PE 027 - Sports Injury Management with Dr Nathan Gibbs
Your knuckles getting crushed in an overenthusiastic handshake by hands the size of watermelons isn't a fun experience. Do these knuckle-crushers know they're squeezing that hard, or do they just regularly snap pencils while taking notes, and wonder why pens and pencils are so fragile nowadays?
How much grip strength do you actually need, even if you're not planning on crushing any knuckles the next time you meet someone? How much grip strength do your patients need when recovering from a hand, wrist or upper limb injury?
Testing and building grip strength is a really important part of helping your hand, wrist, elbow pain and injury patients get back to work and day to day life. Gripping also pre-activates the rotator cuff, so you can use gripping as part of your patients shoulder rehab exercises.
Grip strength tests using handheld dynamometers (HHD)* test your "Power Grip", but this test doesn't assess thumb or pinch grip strength. There are two other grip strength tests that are pretty easy to perform, that are going to be better suited to some of your patients. What are they, and how can you test the different types of grip strength in your patients?
In this podcast with Physiotherapist (English Institute of Sport Boxing Technical Lead Physio) Ian Gatt, we discuss assessing and building grip strength, assessing hand and wrist injuries and more, including:
- 3 different types of grip strength you need to measure in your hand and wrist patients
- How grip strength measures help guide your assessment and prognosis
- What is the "Power grip" and how is it useful?
- How can you test thumb strength?
- Low-tech, simple grip strength tests you can use in your clinic
- The high-tech approach to grip strength testing
- How strong should wrist flexors and extensors be?
- How can you assess weight bearing tolerance of the hand and wrist?
- Why your patient can have a painfree grip and still be painful with weightbearing on the hand
- What exercises, weights and reps should you use following upper limb injury?
- How can you accurately measure wrist range of movement?
- How are the proximal radio-ulnar joint (PRUJ) and radio-humeral joint (RHJ) involved in hand and wrist injuries, and how can you assess these?
Like the tests demonstrated in the Clinical Edge online courses on Assessment & treatment of the elbow
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Download the podcast now using my favourite podcast app - Overcast * Listen to the podcast on Spotify * Improve your confidence and patient results with a free trial Clinical Edge membership * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Linked In - Ian GattTwitter - @IanGattPhysio * Instagram - @IanGattman * Sheffield Hallam University - Ian Gatt * Courses - HE Seminars
CLICK HERE for your spot on a free shoulder assessment webinar with Jo Gibson, available soon.
Resources associated with this episode: Video - How to wrap a boxer's hands with Ian Gatt
Loosemore et al. 2016. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad.
Other Episodes of Interest: PE 088 - Combating hand and wrist injuries part 1 with Ian Gatt
PE 043 - Sporting Shoulder with Jo Gibson
PE 027 - Sports Injury Management with Dr Nathan Gibbs
Hand and wrist assessment and treatment can be overwhelming. There are a lot of tendons, ligaments and bones crammed into a small area, you need to worry about ligament and cartilage tears, rehabbing fine and gross motor control, strengthening, and then there are those fancy-looking splints you see. How would you like to get a better grip on hand and wrist injuries?
Physio Edge 088 Combating hand & wrist injuries part 1 with Ian Gatt
In this podcast with Physiotherapist (English Institute of Sport Boxing Technical Lead Physio) Ian Gatt, we discuss hand and wrist injuries in general, and dive into details on contact-related injuries encountered in boxing. If you treat patients that fall onto their hands and wrists, cop a blow to their fingers in ball sports, are boxers or martial artists, or just occasionally get involved in confrontations with walls or other immovable objects, you will enjoy this episode. You will explore:
- How to take a comprehensive subjective history for hand and wrist pain patients
- Questions you need to ask your hand and wrist patients
- Identify likely diagnoses for your patients injuries based on their pattern of symptoms
- When imaging is useful
- Figure out if your patient is likely to have a quick or slow recovery
- What is most important - pathology &structural diagnosis, biomechanics or function?
- Common boxing or contact-related hand and wrist injuries
- How to establish the severity of an injury
- Carpometacarpal (CMC) joint injury management
- Knuckle (Sagittal band) injuries
- Bone stress injuries of the hand and wrist
- Triangular fibrocartilage complex (TFCC) injuries, and why these are not as common now in contact sports
In the next two podcasts with Ian, we will explore how you can assess and treat these injuries
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Listen to the podcast on Spotify * Improve your confidence and patient results with a free trial Clinical Edge membership * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Linked In - Ian Gatt * Twitter - @IanGattPhysio * Instagram - @IanGattman * Sheffield Hallam University - Ian Gatt * Courses - HE Seminars
Resources associated with this episode: Video - How to wrap a boxer's hands with Ian Gatt
Loosemore et al. 2016. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad.
Other Episodes of Interest: PE 043 - Sporting Shoulder with Jo Gibson
PE 027 - Sports Injury Management with Dr Nathan Gibbs
A crunching tackle, flying headfirst off the bike onto your shoulder, or falling onto an elbow will often be enough to injure an acromio-clavicular joint (ACJ). When your patient walks in supporting their arm, or wearing a collar-and-cuff to offload their ACJ, how will you accurately assess and grade their injury? What will you include in your ACJ patient rehab to help them get back to full shoulder function and return to sport?
In Physio Edge podcast episode 87 with Dr Ian Horsley, Physio with English Rugby, English Institute of Sport and Olympic Team GB, we explore ACJ and clavicular injuries, including:
- ACJ anatomy, and which ligaments are commonly injured
- How to grade an ACJ injury
- When to request imaging
- Clavicular osteolysis
- How to identify SLAP lesions that occur with ACJ injuries
- How to assess patients with ACJ injury
- Objective assessment tests to help your diagnosis
- The role of the scapula in ACJ rehab
- Common exercises you can use in rehab
- Progressing ACJ rehab to prepare for return to sport
- How to include return to contact in your rehab eg for rugby players
- How much pain is ok during rehabilitation
- Return to play timeframes with common
- What do do when rehab is not progressing to plan
- Clavicular fractures - conservative or surgical management
- Ways to stimulate osteoblastic activity post fracture
CLICK HERE to download your free handout on AC Joint injuries
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Listen to the podcast on Spotify * Improve your confidence and patient results with a free trial Clinical Edge membership * Online course - Shoulder rehabilitation for contact sports and the rugby shoulder with Dr Ian Horsley * Let David know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Dr Ian Horsley on Twitter - @Back_in_action * Back in Action Physiotherapy * You Tube - Back in Action * Facebook - Back in Action * Research Gate - Dr Ian Horsley
Resources associated with this episode: Jacob et al. 2017. Classifications in Brief: Rockwood Classification of Acromioclavicular Joint Separations.
Robertson et al. 2016. Return to sport following clavicle factors: a systemic review.
Other Episodes of Interest: PE 076 - Anterior shoulder pain, long head of biceps tendon pathology and SLAP tears with Jo Gibson
PE 067 - Shoulder special tests and the rotator cuff with Dr Chris Littlewood
PE 043 - Sporting Shoulder with Jo Gibson
PE 040 - Shoulder Simplified With Adam Meakins
PE 021 - Shoulder Pain With Dr Jeremy Lewis
How do you answer your patient when they ask why they still have back or neck pain more than 12 months after an injury? Shouldn't their body have healed by now? Why does their knee pain get worse every time they do their exercises, put tape on it, go for a walk or just climb the stairs?
What is going on? Why do they still have pain? How are you going to explain it, and how can you help them?
In this podcast with Dr Tim Mitchell and Dr Darren Beales, you'll discover:
- 4 types of pain, and how they change your assessment and treatment
- Why some patients become sensitised following an injury
- Questions you need to ask in your subjective
- How to identify red flags
- Is night pain and disturbed sleep a red flag?
- When your patient is sensitised to pain, can you differentiate between central and peripheral sensitisation?
- Important aspects to include in your objective assessment
- Assessing movement and function
- How hyperalgesia and allodynia affect your treatment
- Why it can backfire if you tell your patient they have central sensitisation and pain is in their brain
- How to challenge a patient's beliefs about their pain, like they "just need a massage" or their "pelvis is out" so that it won't backfire and make their faulty belief even stronger
- When should your patients return to work or have adjusted duties?
- How to use the Musculoskeletal clinical translation framework and apply it in your clinical practice
Download and subscribe to the Physio Edge podcast now to improve your treatment of musculoskeletal pain and sports injuries
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Increase your confidence and results with patients with a free trial Clinical Edge membership * Discover a quick simple shoulder assessment in three free videos with Jo Gibson * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Musculoskeletal Clinical Translation Framework * Dr Tim Mitchell * Dr Darren Beales * Twitter: @PeteOSullivanPT * TWITTER: @hels_slater * Curtin University - Master of Clinical Physiotherapy
Resources associated with this episode: * BJSM Podcast - Lorimer Moseley * Pain Options - Pain Resources * Pain Health - Pain Self-checks * Örebro Musculoskeletal Pain Questionnaire * Örebro Musculoskeletal Pain Questionnaire Short Form * Agency for Clinical Innovation - Best practice care for people with acute low back pain * Pain-Ed
Other Episodes of Interest: * PE 035 - Know pain with Mike Stewart Part 1 * PE 036 - Know pain with Mike Stewart Part 2
Have you had patients that developed groin pain after getting a bit carried away with situps or abdominal exercises in the gym? Or have your patients developed lower abdominal pain after running or training that is causing them pain into hip extension?
In this podcast with Andrew Wallis, Sports Physiotherapist with the St Kilda AFL team, we explore how you can treat patients that were a little too exuberant with their abdominal training or running, including:
- The Doha Agreement on groin pain terminology
- Inguinal related groin pain
- Anatomy of the abdominal region and groin
- Rectus abdominus tendon overload
- Whether pelvic tilt contributes to abdominal overload
- How you can identify the cause of pain in this suprapubic region
- How to objectively assess patients, and key tests to perform
- How you can treat patients with an acute overload history
- Progressive abdominal loading, including exercises you can use
- How to progress running, interval training and hill running
- Adding in cutting, agility training and kicking
- How to help set your patient's expectations about recovery timeframes and progress
Andrew Wallis is also presenting a webinar on how to treat athletes with the most common type of groin pain - adductor-related groin pain. It'll be held on Wednesday 25th October, so grab your spot on this webinar now!
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Andrew Wallis on Twitter @Andrewwallis15 * Facebook - The Hip and Groin Clinic * The Hip and Groin Clinic website
Resources associated with this episode: * Cook and Purdam. 2009. Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy * King et al. 2018. Clinical and biomechanical outcomes of rehabilitation targeting intersegmental control in athletic groin pain: prospective cohort of 205 patients * Weir et al. 2015. Doha agreement meeting on terminology and definitions in groin pain in athletes
Other Episodes of Interest: * Physio Edge 070 How to treat adductor related groin pain and complex cases with Dr Adam Weir * Physio Edge 069 Adductor related groin pain, stress fractures and nerve entrapment assessment and diagnosis with Dr Adam Weir * Physio Edge 054 Hip and groin part 2: Assessment and treatment with Benoy Mathew * Physio Edge 053 Hip and groin part 1: Diagnosis, pathology and red flags with Benoy Mathew * Physio Edge 028 Groin Injury Screening and Rehabilitation With Dr Kristian Thorborg * Physio Edge 025 Groin Assessment With Dr Kristian Thorborg
How can you manage lower limb tendinopathy in your patients that like to run? Can runners with medial tibial stress syndrome (MTSS) continue to run? Can patients with high BMI or following total hip replacement run?
Physiotherapists Tom Goom and David Pope answer your questions on how to assess and treat patients with running-related injuries in this Q&A conducted live, including:
- How can you manage post-run morning stiffness?
- What are the important aspects when managing load?
- How can you treat Achilles tendinopathy patients with decreasing tolerance to running and walking, and increasing pain?
- Differential diagnosis for Achilles pain
- Proximal hamstring tendinopathy
- What exercises can be used?
- Is a feeling of tightness normal, and how can this be addressed?
- Are stretches helpful?
- When can deadlifts and Romanian deadlifts (RDL's) be used?
- Patellar tendinopathy - how can you manage a runner that is not willing to decrease running volume even temporarily?
- Peroneal tendinopathy
- Running vs rest in female distance runners with chronic hamstring origin injuries
- Patellar tendinopathy
- Medial tibial stress syndrome (MTSS)/Shin splints treatment
- Working at marathons or running events - How can you help your runners with ITBS or PFP finish a race?
- Can runners return to running following total hip replacement?
- Is running harmful for patients with high body mass index (BMI) when they want to reduce weight?
To improve your skills and results with low back pain patients, CLICK HERE for your free access to 3 videos with Tom Goom on "How to assess low back pain in runners and athletes"
Links associated with this episode: * Submit questions for the Physio Edge podcast * Download and subscribe to the podcast on iTunes * Twitter - @tomgoom * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge
Other episodes of interest: * Physio Edge 083 Running gait retraining, strengthening, glutes & ITB syndrome. Q&A with Tom Goom * Physio Edge 082 Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill * Physio Edge 076 Footwear advice for running injuries with Tom Goom * Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking * Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras * Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill * Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang
What are the key components when assessing and treating runners? Should your treatment of running injuries focus on glutes? How can your runners schedule their training to improve recovery?
Physiotherapists Tom Goom and David Pope answer your questions on how to assess and treat patients with running-related injuries, including:
- The key concepts when assessing and treating running injuries
- Gait retraining programs
- The best ways to change running technique
- Does gait retraining cause fatigue?
- Is gait retraining suitable in painfree runners?
- What are the most important elements to prevent injury in runners?
- Scheduling to improve recovery from injury. When should your runner run, and when should they rest?
- Can we increase leg stiffness when running? Does increasing leg stiffness reduce injury risk?
- Strengthening for runners
- Do glutes become underactive or "not fire properly"?
- Does improving glute strength improve running mechanics?
- Calf tears - how can you treat these?
- What tests can you perform for your runners calves?
- Do runners have "stiff hips", and does it matter?
- Can you help runners with meniscal tears?
- How can you treat ITB syndrome?
- Is barefoot running helpful or harmful?
- Should we run in only 1 shoe if we want to win a race?
To improve your skills and results with low back pain patients, CLICK HERE for your free access to 3 videos with Tom Goom on "How to assess low back pain in runners and athletes"
Links associated with this episode: * Submit your running-injury related questions for the Physio Edge podcast * Download and subscribe to the podcast on iTunes * Twitter - @tomgoom * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge
Other episodes of interest: * Physio Edge 082 Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill * Physio Edge 076 Footwear advice for running injuries with Tom Goom * Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking * Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras * Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill * Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang
Achilles tendinopathy treatment - what is the latest research, and how can it help your treatment? What is the best way to treat Achilles tendinopathy (AT)?
Over the years our treatment of tendinopathy has evolved significantly. You may remember rubbing tendons with ultrasound or our thumbs in years gone past, and stretching the painful area or muscle-tendon complex. If you did, you may also remember the number of people that didn't really improve or develop the load tolerance to return to activity with this approach, supported by research demonstrating the lack of effectiveness of this approach.
We progressed to the golden era of loading, initially using eccentric training. Additional research emerged on the benefits of heavy slow resistance in tendinopathy treatment, closely followed by the importance of load management demonstrated in research on soft tissue injuries. In 2015 and 2016 Rio et al. released promising preliminary research utilising isometric holds in patellar tendinopathy patients, and we have extrapolated and used isometric holds with many different types of tendinopathy.
In Physio Edge podcast episode 82 with Dr Seth O'Neill, you will discover:
- Are isometric holds effective with Achilles tendinopathy patients?
- What is the most effective treatment for AT?
- What does the latest research on the treatment of AT reveal?
- Is relief of pain with isometric holds necessary to make a diagnosis of tendinopathy?
- What assessment tests can you perform to diagnose AT?
- How can you assess patient calf strength?
- How can you differentially diagnose other conditions including Plantaris involvement, insertional AT, talocrural impingement or neural irritation?
- How can you explain AT to your patients?
- What exercises can you include in your treatment?
- Exercise progressions you can use
- When are eccentrics a useful addition to a treatment program?
- When can patients start, continue or progress a walking or running program?
- How can you incorporate the biopsychosocial model into your treatment?
- Is dorsiflexion range of movement important?
- Is stretching an effective treatment for tendinopathy?
- Are ice, massage or ESWT useful?
- When is imaging useful?
- How can you treat insertional Achilles tendinopathy?
Download this podcast now to improve your results with Achilles tendinopathy
Dr Seth O'Neill completed a MSc in Musculoskeletal Physiotherapy, followed by a PhD focused on Achilles tendon disorders. Seth is a lecturer in Physiotherapy at the Universities of Leicester and Coventry, and has a Physio private practice in Nottingham, UK.
Click here to download your FREE podcast handout
Click here to register for this FREE webinar "Anterior knee pain and the impact of load" with Lee Herrington
Click here to register for this FREE webinar "Accelerated conservative management of medial knee injuries" with Chris Morgan
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Twitter - @Seth0Neill * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge
Articles associated with this episode: * Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy slow resistance versus eccentric training as treatment for Achilles tendinopathy: a randomized controlled trial. The American journal of sports medicine. 2015 Jul;43(7):1704-11. * O’Neill S, Radia J, Bird K, Rathleff MS, Bandholm T, Jorgensen M, Thorborg K. Acute sensory and motor response to 45-s heavy isometric holds for the plantar flexors in patients with Achilles tendinopathy. Knee Surgery, Sports Traumatology, Arthroscopy. 2018:1-9. * Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med. 2015 May 15:bjsports-2014.
Other episodes of interest: * Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras * Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking * Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill * Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang
Ankle syndesmosis injuries following forced ankle dorsiflexion and lateral rotation of the foot require very specific management and rehabilitation to achieve great treatment outcomes. If you approach management of ankle syndesmosis injuries in the same manner as a lateral ankle ligament injury it will likely result in long term pain and dysfunction for your patients.
In the previous episode of the Physio Edge podcast - How to assess ankle syndesmosis injuries, Chris Morgan and David Pope explored how to assess and diagnose ankle syndesmosis injuries (ASI).
In this new Physio Edge podcast - "How to treat ankle syndesmosis injuries with Chris Morgan (Arsenal 1st Team Physiotherapist in the English Premier League), you will discover how to manage different grades of ASI, including:
Grade 1 syndesmosis injury management
- Initial injury management
- How long should you immobilise a Grade 1 injury for?
- What weight bearing should be allowed in the initial stages?
- Taping techniques that can be utilised during return to running, training and play
- Rehab - initial exercises and progressions
- How much pain is acceptable during return to training?
- Return to sport timeframes & how you and your athlete can decide when RTP is appropriate
- When can contact be initiated?
Grade 2 syndesmosis injuries
- Grade 2 injury management and immobilisation
- Which players are likely to require arthroscopy to confirm instability, and subsequent stabilisation surgery?
- Why rehabilitation of stable grade 2 injuries is different from grade 1 injuries
- Which movements you need to restrict
- How to maintain lower limb musculature and minimise muscle atrophy should be performed
- Additional general conditioning your patient should perform during the early phase of rehab
- How to incorporate an Alter G treadmill into rehab
- Occlusion training for lower limb conditioning
- How to modify rehab if you do not have access to an Alter G
- Timeframes and criteria to assess when your patient can remove their immobilisation boot
- Tests to perform at each stage of rehab
- When and how should dorsiflexion range be improved?
- Timeframes and criteria to meet prior to return to running
- Exercise progressions and variations
- Return to play markers and tests you can use
- What to do when a player still reports a ‘nipping’ at the front of the ankle after 6 weeks and is having difficultly achieving full dorsiflexion
Unstable injuries - Grades 2b, 3 and 4
- Management of unstable injuries
- Post-surgical immobilisation and management
- Common return to play timeframes
Click here to download your podcast handout
To accurately grade your patients ASI and prescribe the most appropriate rehab I strongly recommend listening to Physio Edge podcast episode 80 – How to assess ankle syndesmosis injuries with Chris Morgan prior to this podcast
CLICK HERE to register for the free webinar - Medial knee injuries with Chris Morgan
Medial knee injuries often occur in snow sports, or other sports when landing or being tackled. Different areas of the medial knee can be injured, including the deep, superficial, proximal or distal fibres of the MCL and medial knee. Depending on the injured structures, patients will either cope with a more aggressive treatment approach and early return to sport, or require a more conservative approach. How can you know the rehab approach your individual patient requires?
In this free webinar with Chris Morgan (1st Team Physiotherapist with Arsenal FC), you will explore:
- Applied anatomy of the medial knee
- Mechanism of injury, presentation and diagnosis of medial knee injuries
- How you can differentiate between deep, superficial, proximal, distal and Grade 1, 2 and 3 clinical injuries
- How imaging findings correlate with your clinical findings
- MRI grading (radiological versus clinical)
- How you can perform an objective assessment
- How function, pain and instability impact your treatment
- Accelerated vs more conservative treatment - how can you choose the ideal approach for your patient?
- Are PRP injections appropriate?
- Rehabilitation principles you can use with your medial knee injury patients
- Ligament loading
- Which bracing and weight bearing regime should you utilise?
- What should you do when your patient has joint laxity?
- Is pain during rehab acceptable?
- Should you overload OR "under load to overcome"?
You can CLICK HERE to access this free webinar
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Twitter - @ChrisMorgan10 * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge
Articles associated with this episode: * Calder et al. 2016. Stable Versus Unstable Grade II High Ankle Sprains: A Prospective Study Predicting the Need for Surgical Stabilization and Time to Return to Sports * Latham et al. 2017. Ankle syndesmosis repair and rehabilitation in professional rugby league players: a case series report * Morgan et al. 2014. Conservative management of syndesmosis injuries in elite football * Sikka RS, Fetzer GB, Sugarman E, Wright RW, Fritts H, Boyd JL, Fischer DA. Correlating MRI findings with disability in syndesmotic sprains of NFL players. Foot & ankle international. 2012 May;33(5):371-8. * Sman AD, Hiller CE, Rae K, Linklater J, Black DA, Nicholson LL, Burns J, Refshauge KM. Diagnostic accuracy of clinical tests for ankle syndesmosis injury. Br J Sports Med. 2015 Mar 1;49(5):323-9.
Other episodes of interest: * PE 051 - Lateral knee and LCL injuries with Matt Konopinski * PE 052 - Conservative or surgical management of ACL injuries with Enda King
Ankle syndesmosis injuries, also known as a high ankle sprain, commonly occur during high impact tackles or collisions that involve forced lateral rotation of the foot in ankle dorsiflexion. Syndesmosis injuries can be missed in the early stages as the degree of pain and swelling may not reflect the severity of the injury. Early diagnosis of syndesmosis injuries is key in preventing persistent pain, disability and limited ability to return to play or activity.
In Physio Edge podcast episode 80, English Premier League Physiotherapist Chris Morgan, and David Pope explore how to assess and diagnose ankle syndesmosis injuries (ASI), including:
- Questions you need to ask when your patient has had an ankle injury
- What is an ASI?
- What symptoms will your patient report following ASI?
- Ligaments and structures that are often involved in an ASI
- What is a "peeling injury", and how does this influence the structures that are injured?
- Common mechanism of injury
- How to assess, diagnose, classify and grade ASI
- How to differentiate between stable and unstable ASI
- Which tests can you perform to accurately diagnose ASI?
- Differential diagnosis
- Which injuries are likely to require surgical intervention, and which injuries may be managed conservatively?
- When imaging is useful
- What type of imaging to perform
- Identifying underlying chondral lesions
- Early management strategies
CLICK HERE to download your podcast handout
Upcoming podcast - How to treat ankle syndesmosis injuries with Chris Morgan
A subsequent podcast with Chris Morgan will discuss in detail how to treat ankle syndesmosis injuries . Download this podcast now to improve your assessment and diagnosis of ankle syndesmosis injuries.
Free webinar - Medial knee injuries with Chris Morgan
Chris Morgan's Physiotherapy roles in English Premier League with Liverpool and Crystal Palace have provided him with a lot of experience treating acute injuries, including the ankle and knee. To help you take advantage of this experience, Chris is presenting a Clinical Edge webinar on medial knee injuries. In his webinar Chris will discuss:
• Presentation of medial knee injuries
• How imaging findings correlate with clinical findings
• How to progress your rehabilitation and return players to performance
• Incorporating change of direction and trunk control into rehabilitation
You can CLICK HERE to access this free webinar
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Twitter - @ChrisMorgan10 * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge
Articles associated with this episode: Morgan et al. 2014. Conservative management of syndesmosis injuries in elite football
Sikka RS, Fetzer GB, Sugarman E, Wright RW, Fritts H, Boyd JL, Fischer DA. Correlating MRI findings with disability in syndesmotic sprains of NFL players. Foot & ankle international. 2012 May;33(5):371-8.
Sman AD, Hiller CE, Rae K, Linklater J, Black DA, Nicholson LL, Burns J, Refshauge KM. Diagnostic accuracy of clinical tests for ankle syndesmosis injury. Br J Sports Med. 2015 Mar 1;49(5):323-9.
Other episodes of interest: PE 017 - Injury reduction with Dr Peter Brukner
PE 027 - Sports injury management with Dr Nathan Gibbs
Following ACL injury, patients can have a smooth recovery with full return to sport and activity, or end up with ongoing knee symptoms and limited ability to perform the activities they love. How can you help your ACL injured patients have a great outcome?
In Physio Edge podcast episode 079, Dr Lee Herrington and David Pope explore how to make your ACL injury rehab successful, and provide you with a comprehensive guide to rehabilitate ACL injuries. You will understand how to take your patients from initial injury to return to sport, and develop the knowledge to help inform your patients decide with your patient whether surgical repair or conservative management is their best option.
You will discover:
- Do ACL injuries require surgical management?
- Which factors commonly affect whether people with ACL-deficient knees require surgery?
- Common diagnostic errors in ACL injury patients
- What are the key elements you need to include in your rehab of ACL injuries?
- Conservative vs surgical management
- Should your rehab focus on movement control, strength or skills?
- How you should objectively assess your patients rehab progress?
- What valid measurement tools can you use when assessing patient progress?
- Are open-chain exercises safe, and should they be used in your rehab?
- Most effective types of movement control and skill training
- How to know when your patient should progress their exercises?
- Which strength measures are important?
- Which strength training exercises can you include?
- When can running be commenced?
- Running progressions you can use
- What pain measures should you monitor throughout rehab?
- Is pain during rehab ok?
- How to return your patient to training and sport
- What maintenance exercises should your patient continue after completing their rehab?
Related online courses
Advanced ACL rehab with Andrew Ryan
Other episodes of interest:
- Physio Edge 052 Conservative or surgical management for ACL injuries with Enda King
- Physio Edge 051 Lateral knee and LCL injuries with Matt Konopinski
- Physio Edge 034 - Advanced ACL rehab with Enda King
Click here to download the podcast handout
Links associated with this episode: * Download and subscribe to the podcast on iTunes * Twitter - @LeeHphysio * MSc Sports injury rehabilitation - University of Salford * Online course - Acute low back pain treatment with David Pope - available with a free trial Clinical Edge membership * Free sports injuries videos with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge
Articles associated with this episode: * Bollen et al. 1996. Rupture of the anterior cruciate ligament - a quiet epidemic? * Comfort et al. 2011. Kinetic comparisons during variations of the power clean * Frobell et al. 2010. A randomised trial of treatment for acute anterior cruciate ligament tears * Gabbett. 2016. The training - injury prevention paradox: should athletes be training smarter and harder? * Harris et al. 2017. Tibiofemoral osteoarthritis after surgical or nonsurgical treatment of anterior cruciate ligament rupture: a systematic review * Herrington et al. 2013. Task based rehabilitation protocol for elite athletes following Anterior Cruciate ligament reconstruction: a clinical commentary * Hewett et at. 2010. Understanding and Preventing ACL injuries: current biomechanical and epidemiological considerations * Mikkelsen et al. 2000. Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study * Weiler et al. 2015. Non-operative management of a complete anterior cruciate ligament injury in an English Premier League football plater with return to play in less that 8 weeks: applying common sense in the absence of evidence
How can you incorporate high performance elements into your sports injury rehab, to help your injured players and athletes become strong, fit, powerful and fast? How can you rehab a player to perform at a high level when they return to sport following injury?
In Physio Edge podcast episode 78, David Joyce shares how you can improve the performance aspects of your rehabilitation. You will discover some of the key elements when managing high performance athletes and sporting teams. If you work with injured athletes at an elite, recreational or junior level, or would like to work with a sports team, you will love this podcast.
In this podcast, David Joyce and David Pope discuss:
- How to help athletes move from being a junior player to performing at an elite level
- How to help players build tolerance and resilience to cope with high level sport
- How to create "elite level people", not just "elite level players"
- What makes a player likely to succeed?
- Schedules and weekly programs you can use to prepare junior players
- What load should a junior player perform during preseason relative to a senior player?
- When players need to be exposed to higher loads
- How to schedule training and running to prevent bony and soft tissue injuries
- How many running sessions per week should players perform?
- "Earning the right" to run at full speed
- How to structure strength sessions do players perform
- Incorporating plyometrics
- What load measures are actually important
- Important screening questions to ask your players
- How to return injured players to high level sport
- How many weeks of full training do ACL injured players require before return to play
- Key tests to perform for your players
- Tips when objectively testing athletes
CLICK HERE to download your podcast handout
Get your access to Sports Injury Assessment and Treatment FREE videos
Links associated with this episode: * David Joyce at Greater Western Sydney Giants * David Joyce on Twitter - @DavidGJoyce * Twitter - Giants Athletic Performance Unit @Giants_APU * Book - Sports injury prevention and rehabilitation * Book - High performance training for sports * Online course - Acute low back pain treatment with David Pope - available with a free trial Clinical Edge membership * Download and subscribe to the podcast on iTunes * Free sports injuries videos with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge
Other episodes of interest: * PE 003 - Rugby, rehab and return to sport with the Australian Wallabies Physio * PE 027 - Sports injury management with Dr Nathan Gibbs * PE 034 - Advanced ACL rehab with Enda King
The long head of biceps tendon and superior labrum can get a hard time in throwing athletes and patients that fall on their arm or shoulder. This can result in long head of biceps tendon pathology or SLAP tears, and cause ongoing shoulder pain.
A lot of our shoulder tests are non-specific, and are unable to identify particular structures that are irritated or painful in the shoulder. In the case of the long head of biceps (LHB) tendon and slap tears, there are a few useful tests that in combination with a good history can help you identify when the structures are involved in your patient's shoulder pain.
In episode 77 of the Physio Edge podcast, Jo Gibson, Shoulder Specialist Physio and David Pope discuss anterior shoulder pain, LHB pathology and SLAP tears. You will discover:
- Anatomy of the long head of biceps tendon and superior labrum
- Why the anatomy is important, and may be different to what you learnt at university around the biceps tendon and bicipital groove
- The clinical presentation and relevant history of patients with SLAP lesions and LHB tendon pathology
- Which patients are more likely to get SLAP tears following trauma
- Special tests that may help you identify LHB pathology and SLAP tears
- What information imaging gives us
- When to request imaging for your shoulder pain patients
- Different groups of patients that develop LHB pathology
- Rehabilitation of LHB tendon pathology and SLAP tears
- When to specifically target the LHB tendon, and when to target the surrounding structures for best results
- Other areas to consider in your rehab beyond the shoulder
- How the kinetic chain can impact shoulder pain
- How someone's hop distance can influence their shoulder pain
- How to start treatment of someone with an irritable LHB tendon
- Important education components to include in your treatment
- Time frames - How long do these injuries take to recover?
- Which patients are suitable for surgical management?
- Different types of surgery for LHB tendon pathology
- Which SLAP tear patients should have conservative treatment?
- How suprascapular nerve involvement can present following traumatic shoulder injury, and how to identify patients with suprascapular nerve compression
Links of Interest * Free Shoulder assessment videos with Jo Gibson - a series of three evidence-based videos to get you great results with shoulder pain * Free sports injuries videos including the AC joint with Jo Gibson * Download and subscribe to the podcast on iTunes * Jo Gibson on Twitter - @ShoulderGeek1 * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Courses - Steps to Success
Articles associated with this episode: * Hendy et al. 2012. Cross education and immobilisation: mechanisms and implications for injury rehabilitation * Kibler et al. 2009. Clinical utility of traditional and new tests in the diagnosis of biceps tendon injuries and superior labrum anterior and posterior lesions in the shoulder * McCreesh et al. 2017. Increased supraspinatus tendon thickness following fatigue loading in rotator cuff tendinopathy: potential implications for exercise therapy * Parle et al. 2017. Acute rotator cuff tendinopathy: does ice, low load isometric exercise, or a combination of the two produce an analgaesic effect? * Saithna et al. 2016. Shoulder Arthroscopy Does Not Adequately Visualize Pathology of the Long Head of Biceps Tendon * Schroder et al. 2017. Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial * Taylor et al. 2017. The "3-Pack" Examination Is Critical for Comprehensive Evaluation of the Biceps-Labrum Complex and the Bicipital Tunnel: A Prospective Study
Exercise videos * Thoracic rotation exercise * Dynamic rotation exercise
Other episodes of interest: * PE 043 - Sporting Shoulder with Jo Gibson * PE 031 - Unruly scapular assessment and retraining with Ann Cools
There are a lot of myths around footwear, and your patients with running injuries will often blame an "incorrect shoe" choice for their injury, or believe that getting the "right shoe" will help resolve an injury. Are running shoes the cause of, and solution to running injuries?
What advice should you give your patients when they ask that inevitable question "Do you think I need to get new shoes?", closely followed by "What shoe do you think I should run in?"
In Physio Edge podcast episode 76 with Tom Goom, you will also discover:
- What footwear should your runners and injured runners wear?
- Footwear questions you need to ask your running injury patients
- Does footwear change gait patterns?
- Can footwear contribute to injury?
- What footwear may contribute to or help in your treatment of Achilles tendinopathy
- What is heel-toe drop and how is this important?
- Does footwear affect ground reaction forces, and how does this relate to bone stress injuries and plantar fasciopathy?
- Is minimalist or barefoot running helpful or harmful?
- Can runners safely transition to barefoot or minimalist running?
- Is footwear the key to resolving running injuries?
- Shoe prescription
- Recommendations when buying new shoes
- Footwear considerations for specific pathologies
- When should runners change their shoes?
If you would love to get better results with running injuries, the podcast handout contains the key take-home messages for you. You can download it here.
To complement this podcast and improve your treatment of runners, Tom Goom and I have created three awesome free Achilles tendinopathy rehab videos. This is a series of three evidence-based videos to help you master Achilles treatment. CLICK HERE to get your free access to these videos
Links of Interest * Free Achilles tendinopathy rehabilitation in runners videos with Tom Goom - a series of three evidence-based videos to get you great results with achilles tendinopathy * Download and subscribe to the podcast on iTunes * Download your free podcast handout on treatment of calf pain in runners * Tom Goom on Twitter * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Get your free trial Clinical Edge membership * Tom Goom's website & courses * Tom on Facebook Live
Related posts
- Physio Edge 065 - Differential diagnosis of calf pain in runners with Tom Goom
- Physio Edge 064 What is causing calf pain in runners and how can you assess it with Tom Goom
- Physio Edge 062 How to treat plantar fasciopathy in runners with Tom Goom
- Infographic - How to treat plantar fasciopathy in runners with Tom Goom
- Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy imaging & education with Tom Goom
Research associated with this episode
- Esculier et al. 2015. A consensus definition and rating scale for minimalist shoes.
- Fuller et al. 2017. Six week transition to minimalist shoes improves running economy and time-trial performance.
- Kong et al. 2009. Running in new and worn shoes: a comparison of three types of cushioning footwear.
- Mallisoux et al. 2015. Influence of heel to toe drop of standard cushioned running shoes on injury risk in leisure time runners: a randomised controlled trial with 6 month follow up.
- Nigg et al. 2015. Running shoe and running injuries: myth busting and a proposal for two new paradigms: ‘preferred movement path’ and ‘comfort filter’.
- Salzier et al. 2016. Injuries observed in a prospective transition from traditional to minimalist footwear: correlation of high impact transient forces and lower injury severity.
Tendinopathy patients may present for treatment with an ultrasound or MRI report in hand, unsure how you can help them, or how they can possibly recover when they have so much tendon pathology. To add insult to injury, they may even have a partial tendon tear on their imaging report thrown into the mix. How do imaging results impact your treatment and your patient's recovery? Are the imaging findings relevant to their pain?
In this Physio Edge podcast with Dr Sean Docking (Physiotherapist, PhD), you will explore what information imaging actually provides in your tendinopathy patients, how to explain imaging to your patients, and whether partial tendon tears identified on imaging will effect your treatment. You will also discover:
- Who develops tendon pathology
- If patients have tendon pathology on imaging, is this responsible for their symptoms, or will it cause future tendon pain
- Asymptomatic tendon pathology in sports people
- How tendon pathology can actually be linked to better performance
- Can we prevent tendon pathology
- The advantages and disadvantages of different imaging types, including
- MRI
- Ultrasound
- Ultrasound tissue characterisation (UTC)
- Why a thickened tendon may actually be helpful in recovery
- How can we actually diagnose tendinopathy
- When is imaging useful
- Differential diagnosis of Achilles pain, including
- Achilles tendinopathy
- Paratenonitis
- Plantaris associated tendinopathy
- Partial tendon tears, the accuracy of identification, and how they impact your treatment
Sports injuries virtual conference
As mentioned in this episode Sean presented at the 2017 Sports Injuries virtual conference. His main conference presentation on tendinopathy and imaging discusses:
- The research around the use for imaging
- A framework for when and when not to use imaging
- How to explain imaging findings to patients
You can get immediate access to his presentation, and presentations from 13 of the leaders in sports injuries by CLICKING HERE
Download this podcast and subscribe on iTunes
Links associated with this episode: * Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino * Enrol on the 2017 Sports Injuries virtual conference * Twitter - @SIDocking * Sean Docking - La Trobe University website * Sean Docking - Research gate * David Pope on Twitter * Clinical Edge on Facebook * Have a free trial Clinical Edge membership
Articles associated with this episode: Alfredson. 2011. Midportion achilles tendinosis and the plantaris tendon
Brown et al. 2011. The COL5A1 gene, ultra-marathon running performance and range of motion
Docking et al. 2016. Pathological tendons maintain sufficient aligned fibrillar structure on ultrasound tissue characterization (UTC).
Docking et al. 2015. Tendinopathy: Is imaging telling us the entire story?
Lieberthal et al. 2014. Asymptomatic achilles tendinopathy in male distance runners
McAuliffe et al. 2016. Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis
Simpson et al. 2016. At What Age Do Children and Adolescents Develop Lower Limb Tendon Pathology or Tendinopathy? A Systematic Review and Meta-analysis
Other episodes of interest: PE 068 - Lower limb tendinopathy loading, running and rehab with Dr Pete Malliaris
PE 042 - Treatment of Plantaris and achilles tedninopathy with Seth O’Neil
PE041 - Plantaris involvement in achilles tendinopathy with Dr Christoph Spang
Femoroacetabular impingement (FAI) may contribute to hip and groin pain, buttock pain, pelvic or low back pain and referred pain into the thigh. Is conservative management effective in patients with FAI, or is surgery required? If we can treat FAI conservatively, what is the best treatment, and how can you tailor your treatment to your individual patients?
In episode 74 of the Physio Edge podcast with Dr Joanne Kemp you will discover:
- What is FAI, and how can you identify it?
- Common clinical presentations
- Key subjective questions to ask
- Types of FAI morphology and how they are identified
- Is FAI just a normal finding?
- How you can perform an objective assessment in patients with FAI
- Differential diagnosis
- Components you need to include in your conservative treatment for FAI
- Which objective markers to use when treating FAI
- How to address common impairments in your rehabilitation, including strength, functional tasks, cardiovascular training and range of movement
- When to refer for a surgical opinion
- Outcomes of surgical treatment
- Future risk of developing OA in presence of FAI
Sports Injuries virtual conference presentation
As mentioned in this episode Joanne will be part of the Sports Injury virtual conference. Her pre conference presentation will discuss FAI and the diagnostic process in more detail. Her subsequent conference presentation will be available on 9-10 December 2017, with access for up to 12 months following the conference, and will discuss:
• Conservative management of FAI
• Specific exercise progressions you can use
• Return to sport for athletes
Enrol on the 2017 Sports Injuries virtual conference by CLICKING HERE
Download this podcast and subscribe on iTunes
Links associated with this episode: * Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino * Enrol on the 2017 Sports Injuries virtual conference * Twitter - @JoannaLKemp * Joanna Kemp - Research gate * David Pope on Twitter * Clinical Edge on Facebook * Have a free trial Clinical Edge membership * LaTrobe Sports and Exercise Medicine Research Blog * Twitter - @LaTrobeSEM * GLA:D Australia * Lake Health Group
Articles associated with this episode: Griffin et al. 2016. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement.
Articola et al. 2014. A Cam Deformity Is Gradually Acquired During Skeletal Maturation in Adolescent and Young Male Soccer Players. A Prospective Study With Minimum 2-Year Follow-up.
Other episodes of interest: * Physio Edge 054 - Hip and groin pain part 2 with Benoy Matthew * Physio Edge 053 - Hip and groin pain part 1 with Benoy Matthew * Physio Edge 009 - Lateral hip pain with Dr Alison Grimaldi * Physio Edge 004 - Hip injuries and labral tears with Nicole Hamilton
Strengthening is not commonly used in neck pain treatment and rehabilitation, however athletes may place large demands on their neck during training and play that require a high level of strength or endurance.
When should you include strength training in your rehabilitation? What patients will benefit from strength training? How can you incorporate strengthening into your treatment?
In episode 73 of the Physio Edge podcast, we explore the role of neck strengthening with Kay Robinson, Physiotherapist working with Australian sailing, and previously with the British Olympic Skeleton team.
In the podcast you will discover:
- Objective assessment of patients with neck pain
- Range of movement and strength tests you can use with your neck pain patients
- How to assess neck strength in your patients
- Indications for strength training
- Is strength training suitable in the early stages of neck pain rehabilitation?
- Early-stage cervical spine rehabilitation exercises you can use
- Exercise progressions to improve neck strength
- Neck strengthening in concussion
- Is neck strength training suitable for whiplash patients?
- Aspects incorporated into a typical neck strengthening program
Kay Robinson will also be presenting at the 2017 Sports Injury virtual conference. Her conference presentation on neck strengthening will discuss:
- How to incorporate neck training into rehabilitation post injury
- Neck strengthening for injury prevention
- How to make exercise patient or sport specific
- Other consideration with neck training
- Case studies
Download this podcast and subscribe on iTunes
Links associated with this episode: * Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino * Enrol on the 2017 Sports Injuries virtual conference * Kay Robinson on Twitter - @kaylourob * Kay Robinson at Total Physiotherapy * David Pope on Twitter * Clinical Edge on Facebook * Have a free trial Clinical Edge membership * Book - Sports Injury Prevention and Rehabilitation: Integrating Medicine and Science for Performance Solutions * High-Performance Training for Sports
Articles associated with this episode: Durall. 2012. Therapeutic Exercise for Athletes With Nonspecific Neck Pain: A Current Concepts Review.
Falla et al. 2003. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion.
Falla et al. 2007. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting.
Jull et al. 2009. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain.
Other episodes of interest: PE 013 - Cervical Spine Artery and VBI Testing with Roger Kerry
5 Minute Physio tip - Manual therapy for the cervical spine - Is there any evidence?
5 Minute Physio tip - Contraindications and red flags to cervical spine manual therapy.
Injured athletes like to recover and return to play as quickly as possible, and we need to balance return to play against impaired strength, performance and risk of reinjury. Initial injury rehabilitation often commences with isometric exercises, progressing into concentric/eccentric style exercises when isometric tests are pain-free. Finally high load eccentric exercises such as the Nordic hamstring are introduced for their positive effects of increased strength, fascicle length and reduced injury risk.
High level and eccentric exercises are often avoided in the early stages of rehab, for fear of aggravating the injury. What if we could commence higher-level and eccentric exercises safely at an earlier stage? Would this impair or accelerate your patients' recovery?
In this podcast with Jack Hickey, currently completing a PhD with the QUT/ACU hamstring injury research group, we explore an accelerated hamstring injury rehabilitation program, and how this can be implemented with your patients. You will discover:
- The limitations of traditional rehabilitation
- What is the evidence for only using isometric exercises in the early stages of rehab
- Why eccentric exercises are commonly thought of as too high a load for initial rehab
- More modern rehabilitation programs for hamstring strain injuries, including the Askling (2013), Aspetar (2017) and Mendiguchia (2017) programs
- An accelerated rehab program, introducing higher-level and eccentric exercises at an early stage
- How often high-level exercises need to be performed
- Which exercises you can use with your hamstring injury patients
- How to know when to progress your patient's exercises
- When you can start your patient's rehabilitation
- When your patients can return to running
- How to progress your patience through a return to running program
- When your patients are suitable for return to sport
Download this podcast and subscribe on iTunes
Links associated with this episode: * Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino * Jack Hickey * David Pope on Twitter * Clinical Edge on Facebook * Have a free trial Clinical Edge membership * ACU open access hamstring journal repository * Dr David Opar on Twitter * Dr Anthony Shield * Dr Morgan Williams * Dr Matthew Bourne * Nicol van Dyk * Rod Whiteley * Nirav Maniar * Ryan Timmins * Dr Steve Duhig * Sliding discs to use in hamstring slider exercises in your clinic - available in Australia. Use the code "clinicaledge" to get 20% off your order (at the above link, not applicable on Amazon) * Amazon (outside Australia)- Sliding discs to use in hamstring slider exercises
Other episodes of interest: * PE 071 - Hamstring strengthening, lengthening and injury prevention with Dr David Opar * PE 019 - Hamstring strength, flexibility and injury reduction with Dr Kieran O’Sullivan * PE016 - Preventing hamstring injuries with Dr Kristian Thorborg
Articles associated with this episode: * Askling et al. 2013. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols * Aspetar Hamstring Protocol * Hickey et al. 2016. Criteria for Progressing Rehabilitation and Determining Return-to-Play Clearance Following Hamstring Strain Injury: A Systematic Review * Jacobsen et al. 2016. A combination of initial and follow-up physiotherapist examination predicts physician-determined time to return to play after hamstring injury, with no added value of MRI. * Järvinen et al. 2007. Muscle injuries: optimising recovery. * Mendiguchia et al. 2017. Hamstring rehab for football players. * Silder et al. 2013. Clinical and Morphological Changes Following 2 Rehabilitation Programs for Acute Hamstring Strain Injuries: A Randomized Clinical Trial
Hamstring injuries are the most common injury in football and AFL, and we can help our patients strengthen their hamstrings while significantly reducing their risk of injury with the right exercise program. What are the best exercises to use to strengthen and lengthen the hamstrings, and to prevent hamstring injury?
In this Physio Edge podcast with Dr David Opar, we discuss hamstring injury prevention, which athletes will benefit, which exercises to use, the most important aspects of each exercise and how to incorporate these with your athletes. You will discover:
- What does the latest research around hamstring exercises and injury reveal?
- Which players are most at risk of hamstring injury?
- How can we prevent hamstring injuries?
- How does hamstring muscle architecture adapt to training, and how does this relate to your exercise selection or prescription?
- How can we increase hamstring muscle fascicle length?
- How can we tailor our patients hamstring program based on whether they are preseason, in-season, uninjured or previously injured?
- Which exercises are important in hamstring rehabilitation and prehabilitation?
- How can you start and progress a hamstring injury prevention program?
- How quickly do patients lose their hamstring gains, and how much maintenance do they need to perform?
- What happens to hamstring muscle strength and flexibility following injury?
- What neuromuscular inhibition happens following hamstring injuries, and how can we address this in our rehab?
There has been a lot of great research performed recently on hamstring injuries, and to share this and help you with your hamstring injury patients, we have invited Dr David Opar to present at the upcoming Sports Injuries virtual conference in December 2017. You can access six free preconference sports injury presentations by CLICKING HERE.
Links * Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino * David Pope on Twitter * Clinical Edge on Facebook * Have a free trial Clinical Edge membership * ACU open access hamstring journal repository * Dr David Opar on Twitter * Dr Anthony Shield * Dr Morgan Williams * Dr Matthew Bourne * Nicol van Dyk * Rod Whiteley * Nirav Maniar * Jack Hickey * Ryan Timmins * Dr Steve Duhig
Articles associated with this episode: * Bourne et al. 2017. Impact of exercise selection on hamstring muscle activation. * Opar et al. 2015. Eccentric hamstring strength and hamstring injury risk in Australian footballers. * Petersen et al. 2011. Preventive Effect of Eccentric Training on Acute Hamstring Injuries in Men’s Soccer. * Timmins et al. 2015. Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study. * Timmins et al. 2016. Architectural Changes of the Biceps Femoris Long Head after Concentric or Eccentric Training. * van Dyk et al. 2016. Hamstring and Quadriceps Isokinetic Strength Deficits Are Weak Risk Factors for Hamstring Strain Injuries: A 4-Year Cohort Study.
Athletes with groin pain will commonly play with pain until the end of the season, and rest during the off-season in the hopes this will aid in their recovery. Unfortunately this offseason rest period rarely results in recovery, and athletes head into the preseason with long-standing groin pain and an extended recovery period.
In this episode of the Physio Edge podcast with Dr Adam Weir , you will discover how to treat adductor related groin pain (ARGP) and complex patient presentations with multiple areas of pathology or pain.
This podcast follows on from the Physio Edge podcast episode 69, where Dr Adam Weir and I discussed in detail how to assess and diagnose adductor related groin pain, identify or exclude differential diagnosis including stress fractures, hip joint involvement, inguinal related groin pain and nerve entrapment.
You will explore:
- Treatment of acute adductor strains
- Long term adductor related groin pain (ARGP)
- Is rest during the off season helpful or harmful for groin pain
- What pain level is ok during rehab exercises
- How can you describe ARGP to decrease patient fear
- Is ARGP a tendinopathy or different pathology?
- How to answer your patients when they ask how long until they can return to training (RTT) or return to play (RTP)?
- What is and how can you incorporate the Copenhagen Adductor exercise?
- Is there a role for passive treatment?
- Is hand held dynamometry useful during recovery?
- Treatment for adductor related groin pain (ARGP)
- Starting treatment
- Exercise progressions
- What criteria can you utilise for treatment progressions?
- What criteria can you use prior to allowing your patients to return to running, change of direction and RTP
- How to progress running and change of direction training
- Adductor to abductor strength ratios your athletes can achieve prior to RTP
Complex presentations
- How can you make a diagnosis and tailor your rehab when a patient has multiple areas of pain and positive tests eg ARGP plus Psoas related groin pain or Inguinal related groin pain?
- How your treatment program may evolve as your patient progresses through their rehab
Dr Adam Weir will be presenting at the upcoming Sports Injuries virtual conference on the assessment and treatment of Inguinal related groin pain. You can access his free preconference presentation, along with other free sports injury assessment and treatment videos AT THIS LINK
Links associated with this episode: * Get your access to free Sports Injuries presentations * Download your free podcast handout * Dr Adam Weir on Twitter - @adamweirsports * Aspetar – Sports groin pain centre * Get your free trial Clinical Edge membership * David Pope on Twitter * Clinical Edge on Facebook * Adductor protocol on Mobile devices * Adductor protocol videos on Youtube
Articles associated with this episode: * Branci et al. 2014. MRI findings in soccer players with long-standing adductor-related groin pain and asymptomatic controls. * Drew et al. 2017. Experimental pain in the groin may refer into the lower abdomen: implications to clinical assessment. * Drew. 2017. PhD Thesis - Beyond the pathoanatomical explanation of long-standing groin pain in athletes * Mosler et al. 2015. Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis. * Weir et al. 2015. Doha agreement meeting on terminology and definitions in groin pain in athletes. * Whittaker et al. 2015. Risk factors for groin injury in sport: an updated systematic review.
Adductor related groin pain is the most common diagnosis for athletes with groin pain. In this episode of the Physio Edge podcast you will discover how to assess and diagnose adductor related groin pain, identify or exclude differential diagnosis including stress fractures, hip joint involvement, inguinal related groin pain and nerve entrapment.
Dr Adam Weir is a Sports Physician with a PhD on groin pain, the lead author for the Doha agreement meeting on terminology and definitions in groin pain in athletes, who currently shares his time between the Aspetar sports groin pain centre and the Erasmus University Hospital Academic Centre for Groin Injuries in Holland. Adam will take you through exactly how to perform an assessment around the hip and groin, how to interpret your findings and how to explain your diagnosis to your patients. You will explore:
- The common presentation and symptoms of someone with adductor related groin pain
- Structures that are commonly involved
- Aggravating and easing activities
- Area of pain, and new research highlighting unexpected pain referral areas from the adductor tendons
- Differential diagnosis
- Bone stress injuries around the hip and pubic bone
- Genitofemoral nerve entrapments - symptoms, diagnosis and treatment
- Red flags
- Acute versus chronic presentations
- Adductor related versus pubic related groin pain
- How to perform an assessment, including screening tests
- Tests you need to incorporate into your assessment
- Identifying and diagnosing all the structures contributing to a patient's symptoms
- What is the value of imaging and when should it be performed?
Links associated with this episode: * Get your access to free Sports Injuries presentations * Download your free podcast handout * Dr Adam Weir on Twitter - @adamweirsports * Aspetar – Sports groin pain centre * Erasmus University Hospital Academic Centre for Groin Injuries * Get your free trial Clinical Edge membership * David Pope on Twitter * Clinical Edge on Facebook
Articles associated with this episode: * Branci et al. 2014. MRI findings in soccer players with long-standing adductor-related groin pain and asymptomatic controls. * Drew et al. 2017. Experimental pain in the groin may refer into the lower abdomen: implications to clinical assessment. * Drew. 2017. PhD Thesis - Beyond the pathoanatomical explanation of long-standing groin pain in athletes * Mosler et al. 2015. Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis. * Weir et al. 2015. Doha agreement meeting on terminology and definitions in groin pain in athletes. * Whittaker et al. 2015. Risk factors for groin injury in sport: an updated systematic review.
There are a range of tendinopathy presentations, from easily diagnosed with a local area of pain and clear pain response to tissue overload; through to patients with trickier presentations and multiple contributors to pain e.g. long term proximal hamstring or gluteal tendinopathy with a lumbar spine radiculopathy.
How can you diagnose and treat patients with complex tendinopathy presentations? How does the latest research around tendinopathy help us? I explore these issues and more with Dr Peter Malliaras in episode 68 of the Physio Edge podcast. We also explore:
- Do tendinopathy patients always present with a small area of pain, or can they have pain in larger, more diffuse areas?
- How will you identify tendinopathy or other structures that may be contributing to your patients symptoms?
- Clues in your patients' history to help you identify and differentiate tendinopathies, lumbar and SIJ referral
- Symptoms and how your treatment will differ in patients with paratenon and fat pad involvement
- How can you measure your patients load tolerance?
- What categories of tendinopathy patients can you use to help differentiate your treatment?
- How can you rehabilitate patients with tendinopathy?
- What role does biomechanics have?
- What advice can you provide to your patients about load management, symptoms and flareups?
- When is it ok for your patients to continue or return to running?
- What strength tests should your patients be able to complete before returning to running?
- If your patients are not tolerating running, which aspects should you modify first - frequency, intensity, type or duration?
- When are isometrics useful in your treatment?
- When can you start isotonic and plyometric exercises?
- How can you incorporate tendon neuroplastic training (TNT)?
Links associated with this episode
- Download your podcast handout
- Dr Peter Malliaras on Twitter
- Tendinopathy rehab blog with Dr Peter Malliaras
- Get your free trial Clinical Edge membership
- David Pope on Twitter
- Clinical Edge on Facebook
Other episodes of interest:
- PE 046 - Proximal hamstring tendinopathy with Tom Goom
- PE 042 – Treatment of plantaris and Achilles tendinopaty with Seth O’Neil
- PE 023 – Lower limb tendinopathies with Dr Pete Malliaras
Articles associated with this episode:
- Coombes et at. 2016. Isometric exercise above but not below an individuals pain threshold influences pain perception in people with lateral epicondylalgia
- Rio et al. 2015. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy
- Silbernagel et al. 2007a. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled trial.
- Silbernagel et al. 2007. Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy.
Shoulder pain can involve the rotator cuff, scapula, cervical spine, thorax, and other structures in this area. Recent research has also explored the role of patient beliefs and expectations on the outcomes of Physiotherapy for shoulder pain. Which factors are important in your shoulder pain patients? Can we identify the contributing factors to your patients shoulder pain? What information will you get from orthopaedic special tests during a shoulder examination? How can you improve your treatment results with your patient education?
In this episode of the Physio Edge podcast, Dr Chris Littlewood and David Pope discuss shoulder pain, including:
- Classification of shoulder pathology
- How to identify painful vs stiff vs unstable shoulder pain vs cervical spine referred pain
- Questions to ask in your subjective assessment
- Does subacromial impingement exist, and how does a diagnosis of subacromial impingement effect outcomes
- Patient expectations of treatment outcomes
- How to perform an objective assessment
- What information special tests provide
- Is scapular dyskinesis pathological or normal movement variation
- Are painful or non-painful exercises most helipful in chronic shoulder pain
- What role does imaging have in shoulder pain
This podcast adds to Physio Edge podcast 47 - Rotator cuff tendinopathy with Dr Chris Littlewood .
Links of interest Webinar - "Exercise for rotator cuff tendinopathy: Does it work as we think it should, and can we do better? with Dr Chris Littlewood
Download the handout from this podcast
Cervical spine assessment & treatment online course
Get your free trial Clinical Edge membership
David Pope on Twitter
Clinical Edge on Facebook
Dr Chris Littlewood at Keele University
Dr Chris Littlewood on Twitter
Dr Chris Littlewood on ResearchGate
Experiencing increasing calf pain with running can be an incredibly frustrating experience for your running patients, especially when it is severely limiting or stopping them from being able to run. You can have a lot of success in helping your runners overcome running related calf pain, and in episode 66 of the Physio Edge podcast, we give you practical strategies and exercises you can use in your treatment.
Tom Goom and David Pope helped you explain the causes of calf pain to your running patients, differential diagnosis and red flags, and what you need to assess in episode 64 and episode 65, and in Episode 66 you will explore:
- How to strengthen the calf complex
- Strengthening for local ankle and foot muscles
- Benefits and how to incorporate strengthening for the kinetic chain
- Incorporating neural mobility into your treatment
- Adjusting and progressing training loads
- The role of gait retraining in the treatment of calf pain
If you would love to get better results with calf pain in runners, the podcast handout contains the key takehome messages for you. You can download it here.
To complement this podcast and improve your treatment of runners, Tom Goom and I have created three awesome free Achilles tendinopathy rehab videos. This is a series of three evidence-based videos to help you master Achilles treatment. CLICK HERE to get your free access to these videos
Links of Interest * Free Achilles tendinopathy rehabilitation in runners videos with Tom Goom - a series of three evidence-based videos to get you great results with achilles tendinopathy * Download and subscribe to the podcast on iTunes * Download your free podcast handout on treatment of calf pain in runners * Tom Goom on Twitter * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Get your free trial Clinical Edge membership * Tom Goom's website & courses * Tom on Facebook Live
Related posts
- Physio Edge 065 - Differential diagnosis of calf pain in runners with Tom Goom
- Physio Edge 064 What is causing calf pain in runners and how can you assess it with Tom Goom
- Physio Edge 062 How to treat plantar fasciopathy in runners with Tom Goom
- Infographic - How to treat plantar fasciopathy in runners with Tom Goom
- Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy imaging & education with Tom Goom
Research associated with this episode
- Breen et al. 2015. Gait re-training to alleviate the symptoms of anterior exertional lower leg pain: A case series
- Franklyn-Miller et al. 2012. Biomechanical overload syndrome: defining a new diagnosis
- Kerry et al. (2005). Mechanical calf pain in a 23-year-old male due to dynamic functional entrapment of the popliteal artery
- Scarvelis and Wells. (2006). Diagnosis and treatment of deep vein thrombosis
When your patients present with calf pain, do you have a clear understanding of the likely causes and potential differential diagnosis? Do they have any red flags that require urgent medical attention? What other issues besides a calf tear could be causing their calf pain?
It's time to brush off those diagnostic skills, to understand the types of calf pain you can treat, and which patients you need to refer on immediately.
In this podcast with Tom Goom and David Pope, we are going to break it down for you, so you are confident in assessing and diagnosing the different types of calf pain. You will understand:
- How to identify calf muscle pathology or tears
- When symptoms are due to neural irritation or pathology
- Different types of vascular pathology, including popliteal artery entrapment
- Red flags such as deep vein thrombosis (DVT)
- What information imaging can provide
You can download a free handout containing a summary of the podcast info on differential diagnosis, which you can download here.
Tom Goom and I are really excited to share three free evidence-based Achilles tendinopathy rehabilitation videos - to help you master the treatment of achilles tendinopathy. These will be out soon, so join us for these free masterclasses
Links of Interest * Free Achilles running rehab videos with Tom Goom - a series of three evidence-based videos to get you great results with achilles tendinopathy * Download and subscribe to the podcast on iTunes * Download your free podcast handout on differential diagnosis of calf pain in runners * Tom Goom on Twitter * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Get your free trial Clinical Edge membership * Tom Goom's website & courses * Tom on Facebook Live
Related posts
- Physio Edge 064 What is causing calf pain in runners and how can you assess it with Tom Goom
- Physio Edge 062 How to treat plantar fasciopathy in runners with Tom Goom
- Infographic - How to treat plantar fasciopathy in runners with Tom Goom
- Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy imaging & education with Tom Goom
Research associated with this episode
- Breen et al. 2015. Gait re-training to alleviate the symptoms of anterior exertional lower leg pain: A case series
- Franklyn-Miller et al. 2012. Biomechanical overload syndrome: defining a new diagnosis
- Kerry et al. (2005). Mechanical calf pain in a 23-year-old male due to dynamic functional entrapment of the popliteal artery
- Scarvelis and Wells. (2006). Diagnosis and treatment of deep vein thrombosis
One of the most popular blogposts of all time on Tom Goom's website running-physio.com is on how to manage calf tears in runners. Is this because it is a really common problem, or because Tom wrote such a great blogpost? It's a bit hard to tell, and most likely it's a bit of both, but it begs the question "Why is calf pain one of the issues so many runners face? "
In episode 64 of the Physio Edge podcast, David Pope and Tom Goom discuss the latest research around calf pain in runners and what is actually going on. We want to give you all the tools you need to assess runners that present with calf pain, so we have included this in the episode as well.
We also created a free handout with the info and assessment tests from this podcast, which you can download here.
If you would like to up your game on calf pain, here are some of the highlights from the podcast:
- What is responsible for calf pain in runners?
- What are the common symptoms?
- What will imaging show (or not show)?
- What happened to chronic exertional compartment syndrome (CECS)? Does it still exist?
- What is biomechanical overload syndrome, and how is it different to CECS?
- Who are the most likely culprits to experience calf pain?
- How can you assess runners with calf pain?
- What tests should you perform?
- How can you perform a calf capacity test?
Tom Goom and I are releasing free Achilles running rehab videos - a series of three evidence-based videos to get you great results with achilles tendinopathy. These will be out soon, so join us to master Achilles treatment
Links of Interest * Free Achilles running rehab videos with Tom Goom - a series of three evidence-based videos to get you great results with achilles tendinopathy * Join the 21 day challenge to improve your exercise prescription skills, confidence and results with rehabilitation of running injuries * Download and subscribe to the podcast on iTunes * Download your free podcast handout on calf pain in runners * Tom Goom on Twitter * Let David Pope know what you liked about this podcast on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Get your free trial Clinical Edge membership * Tom Goom's website & courses * Tom on Facebook Live
Related posts
- Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy imaging & education with Tom Goom
- Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Physio Edge 062 How to treat plantar fasciopathy in runners with Tom Goom
- Infographic - How to treat plantar fasciopathy in runners with Tom Goom
Research associated with this episode
- Franklyn-Miller et al. 2012. Biomechanical overload syndrome: defining a new diagnosis
- Breen et al. 2015. Gait re-training to alleviate the symptoms of anterior exertional lower leg pain: A case series
Posterior hip pain can have a number of causes, with referral from the lumbar spine, SIJ and hip, along with local structures such as the hip joint, gluteals, glute tendons, proximal hamstring tendons. How can you identify the structures involved in your patient's posterior hip pain? What tests can you perform in your objective assessment to assist your treatment? What is the best way to treat the glutes if they are the involved in your patient's pain?
In episode 63 of the Physio Edge podcast, Benoy Mathew and David Pope explore how you can improve your diagnosis and results with posterior hip pain.
You will discover:
- What are some of the common causes of posterior hip pain?
-
Gluteal tendinopathy (GT)
- What area of symptoms will patients with GT report?
- What are the pattern of symptoms for GT?
- What tests can we perform to make GT more or less likely
- How can we treat GT?
-
Deep gluteal syndrome (DGS)
-
What is deep gluteal syndrome?
- What muscles can be involved in DGS?
- How can we differentiate it from Gluteal tendinopathy?
- What tests can you perform to confirm or exclude DGS?
- How does the treatment for DGS differ to GT?
Benoy is presenting a free webinar with Clinical Edge on "How to assess & diagnose posterior hip and gluteal pain, that complements this podcast, and takes you through the common sources of hip pain, how to identify hip and lumbar spine red flags, and demonstrates exactly how you can perform an assessment to test and differentially diagnose the structures involved in your patients pain.
CLICK HERE to enrol on this free webinar with Benoy Mathew
Ben also presented a webinar with Clinical Edge on how to rehabilitate adductor and psoas related groin pain. The webinar helps you discover:
- Rehabilitation of adductor and psoas related groin pain
- Practical tips
- Common presentations
- Osteitis pubis, sports hernia, hip impingement
- Rehabilitation from initial stages to plyometrics
CLICK HERE to watch the webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew with a free trial Clinical Edge membership
Links of Interest
- Download and subscribe to the podcast on iTunes
- Download your free podcast handout on how to assess and treat posterior hip pain
- Physio Edge podcast 053 Hip and groin pain part 1 - diagnosis, pathology and red flags with Benoy Mathew
- Physio Edge 054 Hip and groin part 2 - assessment and treatment with Benoy Mathew
- Download the free podcast handout for Physio Edge 054 Hip & Groin pain Part 2
- Webinar on groin pain rehabilitation with Benoy
- Benoy Mathew on Twitter
- Benoy Mathew's website and courses
- Access to Ben's webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership
- David on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Free sports injury videos
Articles related to this episode:
- Franklyn-Miller et al (2009)- The Gluteal Triangle: a clinical patho-anatomical approach to the diagnosis of gluteal pain in athletes , BJSM. Open Access Link
- Grimaldi & Fearon (2015)- Gluteal Tendinopathy: Integrating Pathomechanics and Clinical Features in Management, JOSPT. Open Access Link
- Hernando et al (2016)- Evaluation and management of ischio-femoral impingement: a pathophysiologc, radiolgic and therapeutic approach to a complex diagnosis, Skeletal Radiol
- Martin et al (2016)- Deep Gluteal Syndrome, JHPS, Open Access Link
- Martin et al (2016)- Ishiofemoral Impingement and Hamstrings Syndrome, Distal Causes of Deep Gluteal Syndrome. Where do we go next? Clin Sports Med. Open Access Link
- Michel et al (2013)- Piriformis muscle syndrome: Diagnostic criteria and treatment of a mono centricseries of 250 patients, Annals of Physical and Rehabilitation Medicine
- The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist
- Physical Examination of the Hip by Dr. Hal D. Martin
How can you treat plantar fasciopathy? How can you return your plantar fasciopathy patients to activity and running? When can they run without aggravating their pain?
In episode 62 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can get great treatment outcomes with plantar fasciopathy.
You will discover:
- How can you treat plantar fasciopathy (PF)?
- How can you help reduce plantar fascia pain during the "pain-dominant" phase?
- How can you improve load capacity during the "load-dominant" phase?
- When do your patients need relative rest?
- What cross training options are suitable for runners with PF?
- When and how can you incorporate strengthening into your treatment?
- What other impairments should you address in your treatment?
- How do you adapt strengthening if your patients pain is irritable vs non-irritable
- Is stretching helpful?
- Should you include other treatment, eg taping, orthotics, gel heel cup
- When can your patients return to running?
- How long is the average recovery from PF?
- A PF case study with exercise progressions and return to running.
Download Physio Edge podcast episode 62 now to find out all of this and more
This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom and Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
Links of Interest * Join the 21 day challenge to improve your exercise prescription skills, confidence and results with rehabilitation of running injuries * Download and subscribe to the podcast on iTunes * Download your free podcast handout on plantar fasciopathy in runners * Tom Goom on Twitter * Connect with David Pope on Twitter * Review the podcast on iTunes * Like the podcast on Facebook * Infographics by Clinical Edge * Get your free trial Clinical Edge membership * Tom Goom's website & courses * Tom on Facebook Live
Related posts
- Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy in runners with Tom Goom
- Infographic - Plantar fasciopathy imaging & education with Tom Goom
- Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
- Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom
Research associated with this episode
Rathleff et al. 2014. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.
Assessment and diagnosis is vital in planning your plantar fasciopathy treatment program, and successfully returning your patients to activity and running. Structures in the vicinity of the plantar fascia insertion may contribute to plantar heel pain, but require a very different treatment approach. How can you identify other structures that are involved? What questions do you need to ask in the history? How can you perform an examination, and what tests should you perform on patients with plantar fasciopathy?
In episode 61 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can assess and differentially diagnose plantar fasciopathy.
You will discover:
- Plantar fasciopathy clinical presentation
- How to identify fat pad irritation
- Patterns of calcaneal and navicular bony stress injuries
- How you can identify nerve entrapment and radiculopathy
- Red flags such as spondyloarthropathy
- Questions to ask in your subjective that will guide your diagnosis and treatment
- How to perform an objective assessment
- Tests you need to perform
- Identifying impairments to address during rehabilitation
- When you should perform a running assessment
Download Physio Edge podcast episode 61 now to find out all of this and more
This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
Links of Interest
- Join the 21 day challenge to improve your exercise prescription skills, confidence and results with rehabilitation of running injuries
- Download and subscribe to the podcast on iTunes
- Download your free podcast handout on plantar fasciopathy in runners
- Enrol on the free 21 day challenge "21 days to better skills, confidence and results with runners
- Tom Goom on Twitter
- Connect with David Pope on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Infographics by Clinical Edge
- Get your free trial Clinical Edge membership
- Tom Goom's website & courses
- Tom on Facebook Live
- Enrol on the free webinar "How to treat persistent pain, and use the latest pain education strategies in your treatment" with Mike Stewart
- Enrol on the free webinar "How to perform a running assessment" with Dr Rich Willy
Research associated with this episode
- Rathleff et al. 2014. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.
- Riel H, et al Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on
Plantar fasciopathy is one of the most common causes of foot pain in runners and non-athletes alike. Our understanding of plantar fasciopathy (PF) pathology and treatment has progressed significantly over recent years. In episode 60 of the Physio Edge podcast, Tom Goom and David Pope explore PF, what we know about it, and how you can explain the condition, treatment and recovery process to your patients.
You will discover:
- What we know about plantar fasciopathy
- What pathology is present
- What information imaging provides
- Which forms of imaging are the most useful
- What are the risk factors for developing PF
- Which aspects of running may be related or contribute to developing PF?
- How can you explain PF the condition, treatment and recovery process to your patients
Download this podcast now to find out all of this and more
Links of Interest
- Download and subscribe to the podcast on iTunes
- Download your free podcast handout on plantar fasciopathy in runners
- Enrol on the free 21 day challenge "21 days to better skills, confidence and results with runners
- Tom Goom on Twitter
- Connect with David Pope on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Get your free trial Clinical Edge membership
- Tom Goom's website & courses
- Tom on Facebook Live
- Enrol on the free webinar "How to perform a running assessment" with Dr Rich Willy
Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
Research associated with this episode
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Sullivan et al. 2015. Musculoskeletal and Activity-Related Factors Associated With Plantar Heel Pain
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Nielsen et al. 2013. Predictors of Running-Related Injuries Among 930 Novice Runners
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van Leeuwen, et al. 2015. Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors
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Riel H, et al Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on
How can you identify the most important factors involved in your patients running injuries? During your rehabilitation of runners, which is most important to address - load, gait pattern, strength, foot strike, pelvic position, footwear, range of movement or other factors?
I wanted to discuss and debate these issues with a number of Physiotherapists that treat and research running injuries, so I have a very different format for you on this episode of the Physio Edge podcast - a group podcast.
On this podcast, we have Tom Goom, Greg Lehman and Dr Christian Barton all in one virtual room discussing and debating the merits of the various approaches to running injuries.
In this episode of the Physio Edge podcast David Pope and the group discuss:
- When is it ok for your runners to continue running, and when do they need to stop
- Common myths around running retraining
- When is it important to change your patients foot strike?
- Which patient presentations and pathologies will be assisted with running retraining?
- How can you identify a suitable running load during rehab
- How can you incorporate running retraining into your rehab
- Which areas are important to running assessment
- How can you manage training load strength and conditioning
- When are plyometrics appropriate during rehabilitation
- Other factors that impact injury prognosis and duration
- What advice can you give new runners
- Which footwear should runners wear?
Download this podcast now to find out all of this and more
Links of Interest
- Download and subscribe to the podcast on iTunes
- Download your free podcast handout on running injuries
- Enrol on the free webinar "How to perform a running assessment" with Dr Rich Willy
- Connect with David Pope on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Get your free trial Clinical Edge membership
Tom Goom - Running Physio website - Tom on Twitter - Tom Goom's website & courses - Tom on Facebook Live
Greg Lehman - Greg Lehman's website - Twitter - Facebook
Dr Christian Barton - Twitter - LaTrobe Sport and Exercise Medicine Research Blog
Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
Papers mentioned in this episode
Is there an economical running technique? A review of modifiable biomechanical factors affecting running economy
Influence of step length and landing pattern on patellofemoral joint kinetics during running
The training-injury prevention paradox: should athletes be training smarter and harder?
Optimizing strength training for running and cycling endurance performance: A review
A negative life event impairs psychosocial stress, recovery and running economy of runner
Running shoes and running injuries: mythbusting and a proposal for two new paradigms: preferred movement path and comfort filter
The effectiveness of exercise interventions to prevent sports injuries: a syatematic review and meta-analysis of randomized controlled trials
Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period
Frontal plane kinematics of the hip during running: Are they related to hip anatomy and strength?
High eccentric hip abduction strength reduces the risk of developing patellofemoral pain among novice runners initiating a self structured running program: a 1 year observational study
Your athletes workload consists of the amount of running, training and matches performed. Their current workload can be compared to previous workload to identify periods where they may be at risk of injury or setting back their rehabilitation (Gabbett 2016). Balancing your athletes workload during rehabilitation and afterwards is vital to allow recovery from injury, improved performance while avoiding further injury.
What do you need to monitor, and how can you monitor workload in an easy and efficient manner? Find out in this episode of the Physio Edge podcast with Tom Goom and David Pope.
You will also discover:
- What is athlete monitoring?
- What is the aim?
- What do we want to monitor?
- What are external training loads?
- What are internal training loads?
- How might we monitor athletes?
- What do we do with the data we get?
Download this podcast now to find out all of this and more
Links of Interest
- Download and subscribe to the podcast on iTunes
- Download your free podcast handout on athlete monitoring
- Enrol on the free webinar "How to perform a running assessment" with Dr Rich Willy
- Tom Goom on Twitter
- Connect with David Pope on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Get your free trial Clinical Edge membership
- Tom Goom's website & courses
- Tom on Facebook Live
Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
Reference: Gabbett, TJ. The training—injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med 2016;50:273-280
Helping our running patients recover and return to running following injury is our primary rehab priority, however we may also have the opportunity to help improve their running performance. Runners are often motivated by improving their speed, performance and times, and incorporating these goals into their rehab can increase motivation and exercise compliance. How then can we help our patients to improve their performance when returning from an injury? Find out in this episode of the Physio Edge podcast with Tom Goom.
You will also discover:
- Why consider performance?
- How might we assess performance in a more scientific way?
- What are the benefits of performance tests?
- How can we link it to other aspects e.g. gait analysis?
- How does performance influence training structure and progression?
- How do we optimise performance in injured athletes?
Links of Interest
- Download and subscribe to the podcast on iTunes
- Download your free podcast handout on advanced performance tests & optimising performance in runners
- Enrol on the free webinar "How to perform a running assessment" with Dr Rich Willy
- Tom Goom on Twitter
- Connect with David Pope on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Get your free trial Clinical Edge membership
- Tom Goom's website & courses
- Tom on Facebook Live
Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
Identifying how much running each of your patients can perform (their load capacity) during their rehabilitation is a skill. This podcast will help you develop your load management skills, and know how much running your individual patients should perform at each stage of their rehabilitation.
In this podcast with Tom Goom, you will discover:
- What is load capacity?
- How do we identify your patient’s running capacity?
- How are your patient’s progressing in their rehabilitation, relative to where they want to be?
- How can you identify what your patients goals are, so that you can help tie this into a rehab program?
- What questions can you ask your patients to assess load capacity and identify the right amount of load?
- What objective tests can you use to help identify your patient’s load capacity?
- How should you adapt your testing with different pathology?
- What tests can you perform to identify your patient’s load capacity if your patient has an Achilles Tendinopathy?
- What measures can we use to identify your patient’s running performance?
This podcast is the first in a series of podcasts over the next few months with Tom Goom, where we will help to develop your assessment and treatment skills, while improving your results with runners.
Links of Interest
- Download and subscribe to the podcast on iTunes
- Download your free podcast handout on load capacity in runners
- Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
- Tom Goom on Twitter
- Connect with David Pope on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Get your free trial Clinical Edge membership
- Tom Goom’s website & courses
- Tom on Facebook Live
Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
Related articles
Cook J, Docking S. “Rehabilitation will increase the ‘capacity’ of your …insert musculoskeletal tissue here….” Defining ‘tissue capacity’: a core concept for clinicians. BJSM 2015
Runners regularly present for treatment of anterior knee pain. Accurate diagnosis is vital in guiding your treatment, and helping your patients return to painfree running.
In episode 53 of the Physio Edge podcast Brad Neal and David Pope discuss the different patient presentations with anterior knee pain, along with the subjective clues and objective tests that will help guide successful treatment.
We also explore:
• Sources of anterior knee pain
- Patellofemoral pain
- Acute synovitis
- Fat pad irritation
- Osteochondral defects
• The role of imaging
• How to perform an objective assessment in patients with anterior knee pain, including key special tests
• Red flags
• Saphenous nerve involvement
• How to assess if the patient will benefit from an orthotic intervention
• Treatment of patellofemoral pain, synovitis, and fat pad irritation
• Taping techniques
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Links of Interest
- Download and subscribe to the podcast on iTunes
- Download your free podcast handout on patellofemoral pain in runners with Brad Neal
- Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
- Brad Neal on Twitter
- Connect with David Pope on Twitter
- Brad Neal on ResearchGate
- Brad Neal on Google Scholar
- Pure Sports Medicine
- Team PFP
- TREK – Translation of research education and knowledge
- Review the podcast on iTunes
- Like the podcast on Facebook
- Free sports injury videos
Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
Articles related to this episode:
- Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anaesthesia
- Runners with patellofemoral pain have altered biomechanics which targeted interventions can modify: a systematic review and meta-analysis
Related resources
Infographic - Running retraining with Dr Rich Willy
In this second podcast on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore:
- How you can assess the hip and groin
- How to assess the lumbar spine, SIJ and the lower limb for factors contributing to your patient’s groin pain
- Tests you can perform to identify the source of your patient’s hip and groin pain
- Identifying hip joint involvement
- How to start your patient’s hip and groin exercises
- When to incorporate exercises for local hip stabilising muscles
- When you need to utilise and progress hip strengthening exercises
- Exercise progressions you can use
- How to strengthen while you lengthen the hip flexors
- When and which plyometric exercises your patients can perform
- When speed and agility work can be incorporated
In the first podcast with Ben Mathew “Hip and groin pain part 1 - diagnosis, pathology and red flags” with Benoy Mathew", we explored pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain.
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As mentioned in this episode Benoy presented a webinar with Clinical Edge. The webinar helps you discover:
• Rehabilitation of adductor and iliopsoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics
CLICK HERE to watch the webinar “Rehab of adductor and iliopsoas related groin pain” with Benoy Mathew with a free trial Clinical Edge membership
Links of Interest
- Download and subscribe to the podcast on iTunes
- Download the free podcast handout for Physio Edge 054 Hip & Groin pain Part 2
- Download the free podcast handout for Physio Edge 053 Hip & Groin pain part 1, including an additional summary and pictures by Ben Mathew
- Webinar on groin pain rehabilitation with Benoy
- Webinar on How to perform a running assessment with Dr Rich Willy
- Benoy Mathew on Twitter
- Benoy Mathew’s website and courses
- Access to Ben’s webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership
- David on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Free sports injury videos
Articles related to this episode:
- Hip Joint Pathology as a Leading Cause of Groin Pain in the Sporting Population
- The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment
- Rehabilitation following Hip Arthroscopy: An evolving process
- Iliopsoas: Pathology, Diagnosis and Treatment
- The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist
- How much arthritis is too much for hip arthroscopy: a systematic review
- Video – Hip special tests
Acute and chronic groin pain is common in sports, however diagnosis can be challenging. A thorough understanding of pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain.
In the first of two podcasts on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore:
- How you can use the patient history to help your diagnosis and treatment
- Important questions you NEED to ask all of your hip and groin pain patients
- Sources of hip and groin pain - intra and extra-articular
- How you can identify referred pain from the lumbar spine and SIJ
- How you can identify important red flags around the hip and groin
- When you should refer your patients for further investigations, medical assessment and surgical opinion
- How you can identify osteoarthritis in younger patients
- Differentiating hip impingement, labral pathology and hip dysplasia
- When to request X-ray or MRI
- Identifying and understanding iliopsoas pain and pathology
This is a vital podcast for anyone that treats hip and groin pain, and is highly recommended listening before Hip & groin pain part 2 - Assessment & Treatment with Benoy Mathew coming soon.
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As mentioned in this episode Benoy is presenting a webinar with Clinical Edge. The webinar will discuss:
• Rehabilitation of adductor and iliopsoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics
CLICK HERE to enrol on the free webinar “Rehab of adductor and iliopsoas related groin pain” with Benoy Mathew
Links of Interest
- Download and subscribe to the podcast on iTunes
- Download the free podcast handout
- Benoy Mathew on Twitter
- Benoy Mathew’s website and courses
- Free webinar on groin pain rehabilitation with Benoy
- Access to Ben’s webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership
- David on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Free sports injury videos
Articles related to this episode:
- Hip Joint Pathology as a Leading Cause of Groin Pain in the Sporting Population
- The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment
- Rehabilitation following Hip Arthroscopy: An evolving process
- Iliopsoas: Pathology, Diagnosis and Treatment
- The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist
- How much arthritis is too much for hip arthroscopy: a systematic review
- Video – Hip special tests
ACL injuries commonly occur during pivoting and change of direction sports. What is the best way to manage these injuries? Are your patients suitable for conservative managment or will they require surgery?
In Physio Edge podcast 052, David Pope and Enda King discuss acute management of ACL injuries, and how you can help your patient decide whether to have conservative or surgical management.
We also explore:
- What is the latest research around ACL injury
- What leads to an ACL injury, and how is this important in your rehab?
- What are the outcomes following ACL injury
- How can you make clear decisions on when your patient is ready for return to training and return to sport
- What biomechanics lead to ACL injury
- What role does trunk control have in ACL injury
- A patient example with an ACL injury
- Conservative vs surgical management
- Post injury management
- Timeframe for surgery
- Who is suitable for conservative management
- How to prepare your patient for the extended rehab process following ACL injury
- Strength and power training in ACL rehab
- Youth and adolescent ACL injury management
- How to manage concomitant chondral and meniscal injury
- When can your patient return to running
You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here.
Get your free access to videos on sports injury assessment and treatment, including accelerated rehabilitation of LCL injuries with Matt Konopinski.
Enda King will also be presenting at the Sports Injury Virtual Conference hosted by Clinical Edge along with the world leaders in sports injury management.
How can you manage ACL injuries conservatively? What are the important components of ACL rehab to help your players return to sport? Enda’s presentation will take you through ACL rehab to address common strength and biomechanical issues found in athletes with ACL injuries. Discover exactly how to progress your conservative management of ACL injuries, and when your players can return to running and sport.
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Links mentioned in this episode Enda King
Free sports injury assessment and treatment videos
Sports Injuries virtual conference
Free podcast handout on ACL and lateral knee injuries
Enda King on Twitter @enda_king
Sports Surgery Clinic Dublin
Free trial of clinical edge membership
David Pope on Twitter
Lateral knee injuries are common in football with landing from a jump or header, or during tackles when the tibia is forced into external rotation. This mechanism of injury often affects the Lateral/Fibular collateral ligament (LCL), however LCL injury is not always obvious from the patient’s history, and can be misdiagnosed.
In this podcast with Liverpool FC Physiotherapist Matt Konopinski, we discuss LCL and lateral knee injuries, and how you can identify and treat these. LCL injuries can often respond extremely well to an accelerated rehabilitation approach, and in this podcast you will discover:
Sources of lateral knee pain
- Lateral meniscus
- Osteochondral defects
- Lateral/Fibular collateral ligament
- ACL
- Postero lateral corner
Mechanism of injury
What your patients will report with LCL injury
Questions you need to ask your patients with lateral knee pain
Red flags
Objective assessment
Assessment tests you can use with lateral knee pain
When imaging is useful and when it should be avoided
Risk factors for injury
Management of LCL injury
When to commence strengthening
How to maintain strength and cardiovascular fitness during rehabilitation
How to explain the injury and rehabilitation to your patients
You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here.
Get your free access to videos on sports injury assessment and treatment, including accelerated rehabilitation of LCL injuries with Matt Konopinski.
Links mentioned in this episode
Matt Konopinski
Free sports injury assessment and treatment videos
Free podcast handout on LCL and lateral knee injuries
Matt Konopinski on Twitter @Matt_Kono
LFC Liverpool football club
Article Impact of exercise selection on hamstring muscle activation
Free trial of clinical edge membership
David Pope on Twitter
Temporomandibular joint pain and dysfunction can significantly impact your patients life, limiting their ability to enjoy eating and talking. Temporomandibular dysfunction (TMD) has a lot of musculoskeletal contributors that physiotherapists are perfectly positioned to treat and help improve patient’s lives.
In episode 50 of the Physio Edge podcast, Dr Stephen Shaffer and David Pope discuss TMD, structures that can be affected, and how you can assess and get great results treating TMD patients. We also explore:
- Structures involved in TMD
- Involvement of the cervical spine
- Common presentations of TMD
- Questions to ask in your subjective assessment
- Red flags
- How to perform an objective assessment
- Normal TMJ movement
- How you can treat TMD
- Manual therapy
- Education
- Exercise therapy
- Are the Rocabado 6x6 the best exercises to provide your patients
Dr Stephen Shaffer is presenting a webinar on TMD, hosted by Clinical Edge, and you can enrol free on this webinar by CLICKING HERE
Links mentioned in this episode
Enrol free on the TMD webinar with Dr Stephen Shaffer by CLICKING HERE
Download your podcast handout here
Dr Stephen Shaffer on ResearchGate
Cervical spine assessment and treatment online course with David Pope
Free trial of Clinical Edge membership
David Pope on Twitter
In Running from Injury Part 2, Dr Rich Willy will help you perform a running assessment and tie this into running retraining for patients with achilles tendinopathy, patellofemoral joint pain, ITB Syndrome and stress fractures. We explore the latest evidence and how it will help you address your running patients pain and injuries.
You will discover:
- Treadmill or overground running assessments?
- Gait retraining for particular musculoskeletal conditions
- How to provide your patients with the individual running cue they need
- What cadence should we be aiming at for runners (hint: it may not be what you expect!)
- Is heel strike important to assess
- Running assessment from the side
- Important factors when treating runners with PFJP
- Running assessment & retraining for achilles tendinopathy
- Factors involved in ITB Syndrom
- When are orthotics useful
You can download the handout to go along with this podcast to help you perform a running assessment, retrain runners and address achilles tendinopathy, knee pain and tibial stress injuries.
Download your free handout by clicking here
Links mentioned in this episode
- Physio Edge podcast 048 Running from injury part 2 with Dr Rich Willy
- Dr Rich Willy on Twitter
- Dr Rich Willy on ResearchGate
- RunCadence app for iOS and Android
- Bone stress injuries in runners webinar with Tom Goom
- Achilles tendinopathy in runners online course
- Free trial of Clinical Edge membership
- David Pope on Twitter
Other Physio Edge podcasts related to running injuries
- Physio Edge podcast 048 Running from injury part 2 with Dr Rich Willy
- Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom
- Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill
- Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff
- Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff
- Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras
- Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright
- Physio Edge 010 Biomechanics Of Running With Blaise Dubois
- Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook
Are you looking to improve your assessment & treatment of runners? Would you like to know exactly what to look for in a running assessment? What are the most important factors to treat when your running patients have achilles tendinopathy? How is that different when they have patellofemoral joint pain (PFJP)? The research around running is evolving quickly, and with Dr Rich Willy we explore the latest evidence and how it will help you address the most important factors with different musculoskeletal issues.
You will also discover:
- How to perform a running gait analysis
- Key communication points with runners
- How to explain your gait analysis & running injuries to your patients
- Important questions to ask runners
- Intensity runners should train at to avoid illness and injury
- Technology you can incorporate in your running assessment and retraining
- Important factors when treating runners with PFJP and achilles tendinopathy
- Does pronation & foot mechanics matter?
I have an awesome freebie for you with this podcast!
You can download free the podcast handout that will take you through the 8 essential areas to analyse when performing a running assessment, communication tips, advice to give your running patients during their recovery and much more.
Links mentioned in this episode
- Dr Rich Willy on Twitter
- Dr Rich Willy at East Carolina University
- Dr Rich Willy on ResearchGate
Some papers of interest:
i. Patellofemoral Joint and Achilles Tendon Loads During Overground and Treadmill Running
ii. In-field gait retraining and mobile monitoring to address running biomechanics associated with tibial stress fracture: In-field gait retraining and monitoring
iii. Mirror gait retraining for the treatment of patellofemoral pain
- University of Delaware
- Irene Davis - Harvard
- Garmin 620
- RunCadence app for iOS and Android
- Run Scribe
- Purchase a RunScribe
- Article on polarised training approach
- Bone stress injuries in runners webinar with Tom Goom
- Achilles tendinopathy in runners online course
- Free trial of Clinical Edge membership
- David Pope on Twitter
Other Physio Edge podcasts related to running injuries
- Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom
- Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill
- Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff
- Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff
- Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras
- Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright
- Physio Edge 010 Biomechanics Of Running With Blaise Dubois
- Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook
The rotator cuff and rotator cuff tendons are often involved in shoulder pain, and targeted with our treatment. Dr Chris Littlewood is a Physio and senior research fellow at the University of Sheffield, and spends a large portion of his time studying and treating shoulder pain, including rotator cuff tendinopathy. In this episode, Chris and I discuss how to identify rotator cuff tendinopathy and other types of shoulder pain, and how you can direct your treatment for rotator cuff tendinopathy. We also explore:
- Other sources of shoulder pain
- Clues that the cervical spine could be referring pain to the shoulder
- Unstable shoulder
- Red flags
- When to image the shoulder
- When bursal thickness or effusion is or isn’t a problem
- Shoulder assessment
- Stiff painful shoulders
- Treatment for rotator cuff tendinopathy
- Improving exercise adherence
- When to perform special orthopaedic tests
- Injections
- Surgery
- Is there really a rotator cuff exercise, compared to a scapular muscle exercise?
- Do exercises isolate the rotator cuff?
Download your free handout “Rotator cuff tendinopathy”
Links of interest
- Webinar with Dr Chris Littlewood
- Download the handout from this podcast
- Webinar with Tom Goom on Bone stress injuries
- Cervical spine assessment & treatment online course
- Clinical Edge
- Clinical Edge free trial
- David Pope on Twitter
- David on Facebook Live video
Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active.
There are a number of structures that can contribute to pain in this area, and in this podcast, Tom Goom and David Pope discuss how to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions.
Tom recently released an article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management with Peter Malliaras, Mike Reiman and Craig Purdam. We explore this article, and the research around PHT, and cover in detail:
- Subjective clues to guide you towards diagnosis
- Aggravating factors and 24 hour pain patterns
- Differential diagnosis
- Lumbar spine pain
- How the lumbar spine could contribute to development of PHT
- Hip pain
- SIJ pain
- Sciatic nerve pain
- Development of PHT
- Central sensitisation
- Diagnostic tests for PHT
- Hamstring tests
- Other assessment tests
- Functional tests
- The value of palpation
- Tests for involvement of the rest of the kinetic chain
- Running assessment/gait analysis
- Testing load tolerance
- Biopsychosocial aspects of tendon recovery
- Other advice for patients
- Whether stretching is helpful
- When your patient can return to running
- Cross training
- Does manual therapy have a role in the treatment of PHT?
- Starting treatment (Stage 1)
- When and how to progress rehabilitation (Stage 2)
- Further rehabilitation progressions (Stage 3)
- Advanced exercise progressions for high load sports
- Exercises you can incorporate during the various stages
- How long recovery will take
Links
- Free webinar with Tom Goom
- Download the free handout summary of this podcast
- Tom’s website - Running Physio
- Tom on Twitter
- Running Repairs courses with Tom
- Article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management
- JOSPT
- Peter Malliaras
- Mike Reiman
- Craig Purdam
- VISA-H
- Become a Clinical Edge member to access Tom’s webinar and other great online education
How can you treat your patient’s lateral elbow pain (lateral epicondylalgia (LE)/tennis elbow)? How and when should you progress your patient’s exercise program? Is pain during their exercise program ok?
In this episode, which is Part 2 of Lateral Elbow pain with Dr Leanne Bisset, we explore in detail how you can differentially diagnose LE from other causes of lateral elbow pain, and treat it successfully.
Discover:
- Diagnosis and differential diagnosis of LE
- How to get the best outcomes for your patients when treating LE
- Do isometrics work?
- How can you commence strengthening?
- Should your patient experience any pain during their exercise program?
- When and how can you incorporate Mobilisation with Movement into your treatment program?
- How to perform MWM’s for LE
- How to progress your treatment
- Identifying and treating radial nerve involvement
- Incorporating strengthening for the upper limb
- High level athletes and weightlifters with lateral elbow pain - is this likely to be LE or another condition?
- Identifying nerve root irritation with pain over the lateral elbow
- Taping methods to deload the lateral elbow when there is nerve involvement
- Clinical reasoning of your treatment
- Predictors of poor treatment prognosis
- When to order imaging
- Evidence for and against other treatment strategies including the Cyriax approach, massage, laser, ESWT, corticosteroids and PRP
- Validated screening tools for LE, including the PRTEE
In this episode, Leanne answers a lot of your questions on LE, asked via Twitter and the Clinical Edge newsletter.
Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia who has extensively researched and published on lateral elbow pain, and spends a large proportion of her clinical time treating the upper limb and lateral elbow.
This is a two part podcast, followup up Lateral Elbow Pain Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset.
Download your free handout "Treatment of Lateral Elbow Pain 2"
Download the podcast here Subscribe free to the Physio Edge podcast in iTunes
Download the podcast from Stitcher
Download and listen to the podcast on Soundcloud
Download your free podcast handout
Links of Interest Dr Leanne Bisset
Dr Leanne Bisset on ResearchGate
Dr Leanne Bisset on Twitter
Download the Patient-Rated Tennis Elbow Evaluation (PRTEE)
Download the free podcast handout
Lateral Elbow Pain Part 1 with Dr Leanne Bisset
Review the podcast in iTunes
David Pope
Clinical Edge
Get your free trial of Clinical Edge online education
Lateral elbow pain (lateral epicondylalgia/tennis elbow) affects , and can respond fantastically to Physiotherapy treatment, or in other patients with a similar presentation, not at all.
Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia that has extensively researched and published on lateral elbow pain, and spends the majority of her clinical time treating the upper limb and lateral elbow.
This is a two part podcast, and in Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset discuss:
- Why is Lateral Epicondylalgia (LE) difficult to treat?
- What tissue pathology exists in LE
- Pain pattern for LE
- Patient reports that will help your diagnosis of LE
- Important aspects to communicate with your patients regarding their LE
- Objective tests that you can perform
- Patient advice
- Should you rest your patients or provide exercises?
- How is tendinopathy in the Upper Limb different to the Lower Limb?
- Commencing treatment
- How to incorporate manual therapy into your treatment
- Exercises you can start your treatment with
- Should you include isometric exercises for lateral elbow pain
- How often should your patients perform their exercises
- Exercise into pain, or avoid pain?
Download the podcast from iTunes * Subscribe free to the Physio Edge podcast in iTunes * Download the podcast from Stitcher * Download and listen to the podcast on Soundcloud * Download your free handout and Podcast Summary on Lateral Elbow Pain Part 1
Links of Interest * Dr Leanne Bisset * Dr Leanne Bisset on ResearchGate * Dr Leanne Bisset on Twitter * Download the free podcast handout * Review the podcast in iTunes * David Pope * Clinical Edge * Get your free trial of Clinical Edge online education
Shoulder pain and injury in overhead athletes is very common and has a high recurrence rate. In this podcast with Jo Gibson we discuss sporting shoulder injuries and rehabilitation, including:
- The role of the Rotator Cuff
- Train strength or efficiency in the Rotator Cuff?
- Rotator Cuff muscle balance
- When is (and when isn’t) surgery necessary for Rotator Cuff or SLAP tears
- Assessment of shoulder stiffness
- Bursal involvement
- Imaging of the shoulder
- How you can help improve Rotator Cuff activation
- What role does manual therapy have in shoulder treatment?
- The importance of the postero-superior cuff
- What stretches can you perform for the postero-superior Rotator Cuff
- Treating pain in loaded and overhead activities
- Exercises you can use in shoulder treatment with your athletes
- Incorporating the kinetic chain in shoulder rehabilitation
- Managing shoulder load
- Central sensitisation
- Treating throwing athletes
- The role of the thoracic spine in shoulder pain
- Communication tips with your shoulder pain patients
Download the podcast from iTunes
Review the Physio Edge podcast in iTunes
Download the podcast from Stitcher
Download and listen to the podcast on Soundcloud
Links of Interest Jo Gibson
Download the free podcast handout
Subscribe free to the podcast in iTunes
Jo Gibson’s courses
David Pope
Clinical Edge
Get your free trial of Clinical Edge online education
Jo Gibson’s video - Gym ball rollout
Jo Gibson’s video - Wall squat
Jo Gibson’s video - Step up with V
Physio Matters Podcast with Jo Gibson
Skills for Communicating with Patients Book
Key communication skills and how to acquire them - Article in BMJ by Peter Maguire, Carolyn Pitceathly
EUSSER
Treatment of your patients’ Achilles Tendinopathy may be slowed by involvement of Plantaris.
In Episode 41 of the Physio Edge podcast, Dr Christoph Spang and I discussed how Plantaris may play a role in Achilles tendinopathy. In this episode of the Physio Edge podcast, I discuss with Seth O’Neill how you can identify Plantaris involvement in your patients, and adjust and progress your conservative treatment of Achilles pain and tendinopathy with Plantaris involvement.
We discuss:
- What indicates Plantaris involvement and helps you differentiate from mid portion Achilles Tendinopathy
- Where do patients have pain with Plantaris tendinopathy
- What history do patients with Plantaris involvement or tendinopathy present with
- Objective tests and findings for Plantaris tendinopathy and involvement
- Biomechanics contributing to Plantaris tendinopathy
- Is treatment successful for Plantaris
- How to treat Plantaris tendinopathy and involvement in midportion Achilles
- How to perform a loading program
- Running adjustments
- Taping
- Manual therapy
Links of Interest
Download your podcast handout by CLICKING HERE
Access to the Lower Limb Tendinopathy free videos, including Seth’s presentation on Achilles Tendinopathy
Lower Limb Tendinopathy Virtual Conference with detailed, practical presentations:
- Dr Jill Cook will cover “Structure, function and pain in tendinopathy”
- Dr Sean Docking is then going to take us through “The role of imaging in the diagnosis and monitoring of tendinopathy”.
- Dr Peter Malliaras is presenting “Staged rehabilitation of Patellar Tendinopathy”.
- Craig Purdam takes you through “Staged rehabilitation of Hamstring Tendinopathy”
- Seth O’Neill will help you understand “Achilles Tendinopathy Exercise & rehab progressions. Risk factors and the importance of Soleus in Achilles tendinopathy”
- Dr Ebonie Rio will conclude the Virtual Conference with “Tendon pain and the brain – what do we know and can we change it?”
CLICK HERE for more information on the Lower Limb Tendinopathy Virtual Conference
Seth on Twitter
Seth’s website on Achilles Tendon Research
David on Twitter
Subscribe to the podcast on iTunes
Physio Edge podcast episode 41 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang
Plantaris tendinopathy and compression of Plantaris on the Achilles has been shown to play a role in some cases of Achilles Tendinopathy, slowing down their rate of rehabilitation progress.
Dr Christoph Spang is a Biologist and Sports Scientist, and completed a PhD on “The plantaris tendon in relation to the Achilles tendon in midportion Achilles tendinopathy”. In this podcast we discuss the interaction of Plantaris in patients with midportion Achilles Tendinopathy, including:
- Why consider Plantaris in Achilles Tendinopathy patients?
- How can Plantaris cause or be involved in Achilles pain?
- Anatomy, function and role of Plantaris
- What interaction does Plantaris have with the Achilles and calf?
- Do patients with Plantaris involvement respond to a loading program?
- What is the clinical presentation of a patient with Plantaris involvement?
- How can Ultrasound or Ultrasound Tissue Characterisation (UTC) be utilised to identify Plantaris?
- The role of injection therapy
- Surgical treatment
Links of Interest
- Free videos on Lower Limb Tendinopathy
- Dr Christoph Spang at UMU
- Dr Christoph Spang’s PhD Thesis
- Dr Christoph Spang on Research Gate
- David Pope on Twitter
Out very soon…. Conservative management of Plantaris involvement in Achilles Tendinopathy with Seth O’Neill
How complex does your shoulder assessment need to be? How can you can simplify your shoulder assessment and treatment?
Find out in episode 40 of the Physio Edge podcast with Adam Meakins, where Adam and I discuss:
- Common mistakes Physio’s make in assessment and treatment of the shoulder
- Adam’s classification of shoulder pain
- Subjective clues to guide your objective and treatment
- How to identify weak and painful shoulders
- Red flags with shoulder pain
- Frozen shoulders
- Objective assessment
- Subacromial impingement
- GIRD (Glenohumeral Internal Rotation Deficit)
- The use of US in shoulder pain
- Surgical treatment for shoulder pain
- Treatment for weak and painful shoulders
- Loading the rotator cuff for pain relief and strength
- Gym junkie shoulder pain and how to adapt their weight training programs
Links of Interest
Download your free handout on The Shoulder Simplified
Follow Adam Meakins on Twitter
Adam’s website
Adam’s Shoulder courses
Adam’s presentation on “When is a GIRD not a GIRD”
Shoulder Pain Virtual Conference
Follow David on Twitter
Access practical Online Courses for Physiotherapists with a Free Membership Trial of Clinical Edge
Download your free handout on the Shoulder Simplified
Patellofemoral joint pain (PFJP) is very common in adolescents, and in the Physio Edge podcast episode 39, I discuss causes, assessment and treatment with the author of numerous studies on PFJP in Adolescents, Dr Michael Rathleff.
You will explore:
- Different types/groups of Adolescents that suffer with PFJP
- Common reasons for failure of Physiotherapy
- Diagnosis and DDx of PFJP
- Examination of the knee
- Treatment of PFJP
- How to tailor and progress your exercise programs
- The use of orthotics
- Taping
- The usefulness of stretching
- Prognosis & predictors of recovery
- Biomechanics
- and more.
I have also created a free handout to supplement and help you get the most from this podcast, which you can download here
Dr Michael Rathleff also provided great insights into Loading Programs for Plantar Fasciopathy on the Physio Edge podcast episode 38, also well worth a listen if you haven’t already.
Links of interest
- Download your free handout on Patellofemoral Pain in Adolescents to go along with this podcast
- Dr Michael Rathleff’s publications on PFJP in Adolescents
- Dr Michael Rathleff on Twitter
- Free Shoulder Assessment & Treatment videos with leading international presenters
- 2015 Patellofemoral research retreat
- David Pope on Twitter
- Other related Physio Edge podcasts:
- Plantar Fasciopathy with Dr Michael Rathleff
- Anterior Knee Pain with Kurt Lisle
Download your free handout on patellofemoral pain in adolescents
Plantar Fasciopathy (Plantar heel pain) can be a stubborn condition to treat, or you can learn to love treating it like Dr Michael Rathleff, incorporate the right loading program and activity modification and get some great results.
In episode 38 of the Physio Edge podcast, I talk to Dr Michael Rathleff, author of the RCT “High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up: HL strength training and plantar fasciitis”.
We discuss:
- Common mistakes in the treatment of plantar fasciopathy (PF)
- How we can improve our treatment of PF
- Why call it plantar fasciopathy instead of plantar fasciitis?
- Research on PF
- Loading programs for PF
- Patient advice
- Activity modification
- Running load modification
- Short and long term results from loading the plantar fascia
- Considerations when treating PF
- Who is not suitable for a loading program
- Who respond the best to this program, and who responds the least
- How to modify the loading program
- Development of PF
- Running technique
- Treatment or strengthening of other areas
- Stretching
- Orthotics
- Cortisone
- Plantar fascia tears
Links of interest
- Subscribe to the Physio Edge podcast in iTunes
- Dr Michael Rathleff on ResearchGate
- Dr Michael Rathleff on Twitter
- “High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up: HL strength training and plantar fasciitis”
- BJSM Blogpost by Michael Rathleff on Plantar Fasciopathy
- Clinical Edge Online Education
- Virtual conferences with Physio Edge and Clinical Edge
- Physioedge on Facebook
- David on Twitter
Pilates is commonly known and used for rehabilitation of persistent low back pain, however Pilates principles and equipment can also be used for assessment and treatment of pain beyond the pelvis and lumbar spine.
In episode 37 of the Physio Edge podcast, Lana Johnson, a Physiotherapist and former dancer, from BPS Tensegrity in Sydney and I discuss how you can use Pilates for knee and shoulder pain, as well as:
- Common misconceptions about Pilates
- Functional vs non-functional exercises
- Common errors made in Pilates training and rehabilitation
- Pilates for hip and knee pain
- Case studies using Pilates with shoulder and knee pain patients
- Patient progression
- Cues you can use with your patients for hip and shoulder retraining
- Exercise progressions
- Exercises to stay away from
Links of Interest
- Lana Johnson
- BPS Tensegrity
- Clinical Edge
- Clinical Edge Online Education
- Virtual conferences with Physio Edge and Clinical Edge
- Physioedge on Facebook
- David on Twitter
Mike Stewart and further explore persistent pain, helpful language you can use with your persistent pain patients, how you can use group sessions, as well as:
- How the bio fits into biopsychosocial
- How you can develop an educational toolkit
- Case study of a patient with persistent peripheral pain
- Language & communication recommendations.
- Misconceptions about persistent pain education
- And much more.
Links of Interest
- Physio Edge podcast episode 35 - Know Pain part 1 with Mike Stewart
- Mike Stewart
- Know Pain
- Courses with Mike Stewart
- Mike Stewart on Twitter
- Virtual conferences with Physio Edge and Clinical Edge
Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info at clinicaledge.com.au
- Clinical Edge online education
- Free Sports Medicine articles in the Aspetar Journal
- Headspace
- “Living in the moment” by Anna Black
- “Rainy brain, Sunny brain” by Elaine Fox
- Free video on Metatarsal head padding with Nick Torrance
- Free video on soft metatarsal domes for acute metatarsalgia
- Free video on firmer metatarsal domes for metatarsalgia
- David on Twitter
Persistent pain can be a challenge, but also enjoyable to treat. In this episode of the Physio Edge podcast, Mike Stewart and I focus on specific examples and case studies of patients with complex or persistent pain, how you may approach persistent pain patients, explain their pain, use metaphors and explanations so they understand it, and help guide them through the recovery process.
Mike and I get into the details on:
- Why Physios need a deep understanding of pain science
- How does the “bio” part come into bio-pscyho-social
- How can we identify if the patient needs pain education, further investigations, a biological approach eg specific exercise
- How can you incorporate pain science into the treatment of patients with acute pain
- Mike’s top tips when working with persistent pain
- Specific case studies of patients with persistent and complex back pain, and how Mike has worked with these patients, including their presentation, beliefs, Mike’s language used in their session, activity modification and results achieved with these patients
- How to develop our teaching skills to achieve the best results with our patients
Links of Interest
Mike Stewart
Know Pain
Courses with Mike Stewart
Mike Stewart on Twitter
Virtual conferences with Physio Edge and Clinical Edge
Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info at clinicaledge.com.au
Clinical Edge online education
Free video on Metatarsal head padding with Nick Torrance
Free video on soft metatarsal domes for acute metatarsalgia
Free video on firmer metatarsal domes for metatarsalgia
David on Twitter
The advanced stages of ACL rehabilitation are enjoyable to progress your patients through, and at the same time challenging to find the right exercises, and optimise the rate of progression through to return to training (RTT) and return to play (RTP). In this episode, Enda King from the Sports Surgery Clinic Dublin and David Pope discuss these later stages of rehabilitating your patients following an ACL Reconstruction.
We discussed the prehabilitation and early stage ACL Rehab in the Physio Edge podcast episode 32, and episode 34 Enda and I cover in detail:
• Return to straight line running and change of direction
• Advanced Exercise Programming
• What exercises to choose
• Proprioception and motor control training
• Strength and power programming
• Periodisation
• Sports specific conditioning
• Plyometrics - readiness, what to use and timing of these in the training schedule
• Multi-directional performance
• Strength testing - what Enda uses, indicators of strength
• Decisions on return to training
• Return to contact
• Decision making on Return to play
• Bridging the gap between the gym and the field
• Advice for Physios rehabilitating athletes recovering from an ACL reconstruction
• When to discharge an ACL athlete
• And much more
Links of interest
Physio Edge podcast episode 32 - How to rehabilitate ACL Injuries with Enda King
Enda King
Enda on Twitter @enda_king
Sports Surgery Clinic, Dublin
SSC Research Foundation
David Pope on Twitter
Clinical Edge Webinar program - register your interest
Clinical Edge
Review the podcast in iTunes
David Pope
Tags: ACL, knee, injury, anterior cruciate ligament, surgery, rehabilitation, soccer, football, strengthening, movement, non-contact, physiotherapy, physio edge, podcast, enda king, SSC, sports surgery clinic, david pope, clinical edge, advanced, strengthening, proprioception
Anterior knee pain can occur in your elite sports patients right through to office workers and weekend warriors. In this podcast with Kurt Lisle, we discuss anterior knee pain, the causes, how to diagnose the source of the pain, and the best ways to treat and rehabilitate these patients.
Kurt Lisle is the Australian Socceroos Physio and co-owner of The Knee Joint Physio in Queensland. Kurt and I discussed acute knee injuries on the Physio Edge podcast in episode 29, and I really wanted to get Kurt back on the podcast to discuss the anterior knee.
In this fantastic, detailed episode of the Physio Edge podcast, Kurt and I explore:
- Subjective clues that give you ideas about differential diagnosis
- Fat pad - location of pain, activities that irritate
- Patellofemoral joint - aggravating activities and DDx
- Patellar tendon - subjective clues, location of pain
- Objective examination of the anterior knee
- Tests for PFJ
- Functional tests first or examination on the treatment table?
- Palpation of the anterior knee
- Fat pad palpation and tests
- Is the fat pad tender medial and laterally, or can it be tender only on one aspect
- Neuromuscular patterning
- Squat and one leg squat examination
- What causes “catching” pain on movement
- Chondral defects - identifying
- Is there value in the grind test
- When to refer for MRI and other imaging
- Important factors that may contribute to AKP
- Gait contributors to AKP
- Treatment of PFJ pain
- Modifying PFJ aggravating activities
- Using EMG
- Quadricep rehabilitation and strengthening
- When to incorporate squats into your rehabilitation program
- The role of taping for PFJ or fat pad irritation
- Red flags causing knee pain
You can download this episode from iTunes or Soundcloud.
If you enjoy the Physio Edge podcast, we would love you to take a couple of minutes write us a review on iTunes. Please take a screenshot of your review before posting it, and email it to info@physioedge.com.au so I can give you a shoutout in the next podcast
Links of Interest
- Kurt Lisle
- The Knee Joint Physiotherapy, Bokarina, QLD
- Socceroos
- Review the Physio Edge podcast in iTunes
- Download the Physio Edge podcast from iTunes
- Clinical Edge
- 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE
- Review the Physio Edge podcast in iTunes
- Download the Physio Edge podcast from iTunes
- Clinical Edge
- 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE
ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than your patients had before they injured their ACL.
In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance.
Going deep on the details involved in ACL Rehabilitation, including:
01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like
- What does a fully rehabilitated athlete look like?
- Incorporating performance goals into the rehab process
- Can athletes achieve better performance post ACL rehab than they were pre-injury
- Types of ACL grafts
- Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery
- Preoperative education
- Restoring knee extension, balancing pain and improved range of movement, empowering your patient
- Guidelines for pain, swelling when restoring range of movement
- Restoring quadriceps activation, normalising gait patterns
- Clinical Edge
- Clinical Edge’s free webinar program
- Preoperative length of time
- Post-op - initial management
- To use or not use co-contraction exercises of quads and hamstrings
- Should you use squatting style exercises Week 1 post op
- Activating quadriceps - internal quadriceps cues or external exercise focus
- How much pain should a patient experience during or after an exercise
- Week 2 post-op
- When can heavy gym training commence
- Changing movement patterns throughout the kinetic chain
- Advice for patients in the early stages of rehab
- Frequency of exercise
- Week 2 onwards - exercises incorporating balance and proprioception
- Open vs closed chain exercises
- Advice for patients in weeks 2–6
- Nutrition and dietary advice for patients
- Gym based rehabilitation
- Choosing and modifying exercises for middle stages of the rehabilitation process
- Various types of squatting movement, and progressing the types of squats
- Goblet squats
- Retraining ideal squat patterns
- Progressing squats, deadlifts and lunges
- Front squats
- Front squats and trap bar deadlifts vs back squats during rehabilitation
- When can an athlete start cycling
- Disadvantages of using cycling as the main part of a rehabilitation program
- Hamstring rehabilitation after semitendinosis/gracilis graft
- Strength and power development
- Strength testing - mid thigh pull, leg press
- Should we use open chain strength tests
- When to perform strength tests
- Strength vs power and rate of force development
- Running - incorporating into the program. When can your patient start running?
- Preparation for running
- Running drills
- Ideal movement patterns in running
- Enda King and SSC, and working with ACL athletes
Podcast timeline
3:35 What does a fully rehabilitated athlete look like?
5:40 Incorporating performance goals into the rehab process
6:50 Can athletes achieve better performance post ACL rehab than they were pre-injury
8:20 Types of ACL grafts
11:10 Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery - an opportunity to prepare your patients knee, ROM, strength and educate them on the rehabilitation process
14:20 Preoperative education
14:40 Restoring knee extension, balancing pain and improved range of movement, empowering your patient with
15:40 Guidelines for pain, swelling when restoring range of movement
16:15 Restoring quadriceps activation, normalising gait patterns
17:10 Clinical Edge
18:45 Clinical Edge’s free webinar program
19:30 Preoperative length of time
20:35 Post-op - initial management
23:20 To use or not use co-contraction exercises of quads and hamstrings
24:50 Should you use squatting style exercises Week 1 post op
25:25 Activating quadriceps - internal quadriceps cues or external exercise focus
26:30 How much pain should a patient experience during or after an exercise
27:30 Week 2 post-op
28:30 When can heavy gym training commence
29:30 Changing movement patterns throughout the kinetic chain
31:00 Advice for patients in the early stages of rehab
32:10 Frequency of exercise
32:55 Week 2 onwards - exercises incorporating balance and proprioception
34:10 Open vs closed chain exercises
35:40 Advice for patients in weeks 2–6
37:15 Nutrition and dietary advice for patients
37:45 Gym based rehabilitation
38:50 Choosing and modifying exercises for middle stages of the rehabilitation process
41:00 Various types of squatting movement, and progressing the types of squats
41:45 Goblet squats
42:30 Retraining ideal squat patterns
43:25 Progressing squats, deadlifts and lunges
44:00 Front squats
46:00 Front squats and trap bar deadlifts vs back squats during rehabilitation
47:25 When can an athlete start cycling
48:00 Disadvantages of using cycling as the main part of a rehabilitation program
48:30 Hamstring rehabilitation after semitendinosis/gracilis graft
49:45 Strength and power development
51:00 Strength testing - mid thigh pull, leg press
53:15 Should we use open chain strength tests
54:20 When to perform strength tests
55:00 Strength vs power and rate of force development
55:50 Running - incorporating into the program. When can your patient start running?
57:30 Preparation for running
58:35 Running drills
1:00:30 Ideal movement patterns in running
Links:
Enda King
Enda on Twitter @enda_king
Sports Surgery Clinic, Dublin
SSC Research Foundation
David Pope on Twitter
Clinical Edge Webinar program - register your interest
Clinical Edge
Review the podcast in iTunes
Tags: ACL, knee, injury, anterior cruciate ligament, surgery, rehabilitation, soccer, football, strengthening, movement, non-contact, physiotherapy, physio edge, podcast, enda king, SSC, sports surgery clinic, david pope, clinical edge, webinar
CrossFit is a very popular form of improving strength and fitness, and CrossFit athletes have a variety of common injuries. Training errors and the athlete’s biomechanics often contribute to these injuries, and identifying incorrect biomechanics and other contributing elements in their training is often the key to helping your patients recover from injury, train pain free and importantly for your patients, ultimately get stronger and fitter.
In episode 30 of the Physio Edge podcast, David Pope discusses CrossFit injuries, training, biomechanics and injury recovery with Antony Lo. Antony is a Musculoskeletal Physiotherapist with a number of clinics within CrossFit gyms across Sydney, and a large proportion of his patient population are CrossFit athletes.
In this podcast Antony and David explore:
- The most common injuries in CrossFit
- Factors that contribute to injuries in the Shoulders, Neck, Back, Knees, and lower limb
- Specific exercises performed in CrossFit
-
- Squats
- Pullups/Chinups
- Pushups
- Overhead exercises
- Double unders
- Overhead squats
- Snatch
- Running
- Ideal biomechanics for each of these movement
- Common movement errors and ways to assess each movement
- Rest from training vs continue training
- Manual therapy on cross fit athletes
- Modifying training loads
- Rhabdomyolisis
- Urinary continence while training
- Advice for Physios treating CrossFit athletes
Links of Interest
- Subscribe to the podcast in iTunes
- Review the podcast in iTunes
- Listen to the podcast on Soundcloud
- Antony Lo
- Antony’s Website - physiodetective.com
- Antony on Twitter
- CrossFit
Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain? When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax?
In this podcast, David Pope talks to Ann Cools, a Physiotherapist and Head of Education for Rehabilitation Sciences and Physiotherapy at Ghent University in Belgium, and is also the founding member and president (2010–2012) of EUSSER - European Society of Shoulder and Elbow Rehabilitation. We discuss in detail assessment of the scapula, the role of the scapula in shoulder pain and how to retrain unruly scapulae.
Other topics covered in this podcast include:
- Research by Ann Cools
- What we currently know from the research about the role, movement and control of
- the scapula
- Scapula dyskinesis - what is it
- Static vs dynamic assessment of the scapula
- Altering muscle balance and timing with specific exercises
- How altering scapula mechanics effects muscle balance around the shoulder
- Important parts of the subjective history
- Scapula vs glenohumeral joint
- How subjective will guide your objective assessment and treatment
- Red flags around the shoulder, nerve pathology and frozen shoulder
- Frozen shoulder imaging
- Nerve injuries - symptoms, objective examination and treatment
- Assessment of the scapula, Type 1 scapula dyskinesis
- Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)
- Testing GHJ IR
- Clinical Edge and online education on the shoulder
- Stretching and shoulder joint mobilisation
- Palpation, stretching and manual therapy for pec minor
- Type 2 scapula dysfunction
- Handheld dynamometry - serratus
- Handheld dynamometry - middle and lower traps
- Pain when strength testing
- Type 3 scapula dysfunction
- Dynamic assessment of the scapula
- To retract and depress the scapula or not?
- Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis
- Special tests around the shoulder
- Laxity tests for the GH joint
- Posterior GHJ laxity
- Anterior GHJ laxity
- Explanations of scapula dysfunction to your patients
- Information on Ann Cools
- EUSSER
Timeline:
0:30 Research by Ann Cools
4:20 What we currently know from the research about the scapula
6:30 Scapula dyskinesis - what is it
8:30 Static vs dynamic assessment of the scapula
11:45 Altering muscle balance and timing with specific exercises
13:15 How altering scapula mechanics effects muscle balance around the shoulder
14:10 Important parts of the subjective history
16:20 Scapula vs glenohumeral joint
18:20 How subjective will guide your objective assessment and treatment
18:55 Red flags around the shoulder, nerve pathology and frozen shoulder
21:15 Frozen shoulder imaging
21:45 Nerve injuries - symptoms, objective examination and treatment
30:30 Assessment of the scapula, Type 1 scapula dyskinesis
35:00 Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)
36:10 Testing GHJ IR
42:00 Clinical Edge
44:00 Stretching and shoulder joint mobilisation
51:45 Palpation, stretching and manual therapy for pec minor
55:40 Type 2 scapula dysfunction
59:20 Handheld dynamometry - serratus
1:00:51 Handheld dynamometry - middle and lower traps
1:03:54 Pain when strength testing
1:04:50 Type 3 scapula dysfunction
1:10:03 Dynamic assessment of the scapula
1:15:00 To retract and depress the scapula or not?
1:16:23 Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis
1:17:50 Special tests around the shoulder
1:20:35 Laxity tests for the GH joint
1:23:00 Posterior GHJ laxity
1:24:30 Anterior GHJ laxity
1:26:20 Explanations of scapula dysfunction to your patients
1:31:00 Information on Ann Cools
1:32:20 EUSSER
1:33:00 Wrap up
Links of Interest
- Anne Cools on Linked In
- Ann Cools’ Research
- Ann Cools at Ghent University
- Ann on Twitter
- Clinical Edge
- Show your love for the Physio Edge podcast with a review on iTunes
On episode 29 of the Physio Edge podcast, David Pope is joined by the Australian Socceroos Physio Kurt Lisle, a Specialist Sports Physiotherapist to discuss assessment and management of Acute knee injuries. On this podcast, David and Kurt discuss:
- Acute Ligament Injuries - Initial management
- When to refer for Orthopaedic consult
- Bracing/not bracing
- Adolescent knee injuries - when to refer for XR to check for an avulsion injury
- Swelling during and after treatment
- ACL injury - when to trial conservative management and when to refer for surgery
- Timeframes for surgery following ACL injury
- Different types of ACL grafts - pros and cons
- LARS
- Hamstring vs ITB tendon vs Patella tendon
- Open chain X’s eg leg extensions to restore quads and patellar tendon load capacity?
- Important aspects of post op rehab
- Return to training/change of direction criteria
- RTP criteria
- PLC
- Details of PLC injuries
- Mechanism
- Structures normally injured
- Symptoms
- Testing for PLC injuries
- Conservative vs surgical
- Rehab guidelines
- RTP timeframes
Links of Interest
- Kurt Lisle
- The Knee Joint Physiotherapy, Bokarina, QLD
- Socceroos
- Review the Physio Edge podcast in iTunes
- Download the Physio Edge podcast from iTunes
- Clinical Edge
- 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE
- Review the Physio Edge podcast in iTunes
- Download the Physio Edge podcast from iTunes
- Clinical Edge
- 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE
David Pope and Dr Kristian Thorborg (Physiotherapist, PhD) discuss screening and rehabilitation of groin injuries. Find out in this podcast:
- Which tests to use when screening for potential groin injuries
- Prevention tactics
- Acute groin injuries - initial management and exercise progressions
- Rehabilitation of adductor related groin pain
- Rehabilitation of hip flexor related groin pain
- Rehabilitation of long standing groin pain
- Conservative management of hip related groin pain and FAI
- Pubic symphysis
- Management of acute compared to long standing groin pain
- Role of manual therapy in the treatment of groin pain
- Stretching
- Adductor tendinopathy
- Load management for groin pain
- and much more!
This episode follows on from Episode 25 of the Physio Edge podcast on Groin Assessment with Dr Kristian Thororg. I hope you enjoy Kristian sharing his experience, research and knowledge of the evidence with us on the treatment of groin pain.
Links of Interest
- Case Study of Adductor tear rehabilitation
- Dr Kristian Thorborg
- Dr Kristian Thorborg on Twitter
- HAGOS
- Studies that Dr Kristian Thorborg has completed or been involved in
- PE #025 Groin Assessment with Dr Kristian Thorborg
- PE #016 Preventing hamstring injuries with Dr Kristian Thorborg
- Review the Physio Edge podcast in iTunes
- Download the Physio Edge podcast from iTunes
- Clinical Edge
- 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE
- Kristian Thorborg’s editorial on BJSM
- Kristian Thorborg’s PhD Thesis
- Review the Physio Edge podcast in iTunes
- Download the Physio Edge podcast from iTunes
- Clinical Edge
- 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE
In one of the most controversial Physio Edge podcasts to date, Dr Nathan Gibbs and I discuss managing sports injuries in a team setting. Dr Nathan Gibbs has worked with many professional sports teams, including the Sydney Swans for 15 years, 10 years with South Sydney Rugby League Football club and is one of the owners of South Sydney Sports Medicine, and in episode 27 of the Physio Edge podcast, we discuss:
- Ideal working relationships between Physiotherapists and Sports Physicians
- The role of a Sports Physician
- Hamstring injury - common factors involved, imaging and return to play
- Injections - cortisone, PRP
- Use of PRP in ligament injury, with chondroplasty and OA
Links of Interest
- Dr Nathan Gibbs
- Sydney Swans
- South Sydney Rugby League Football club
- Review the Physio Edge podcast in iTunes
- Download the Physio Edge podcast from iTunes
- Clinical Edge
- 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE
Gymnastics places some fairly unique demands on fairly young bodies. In episode 26 of the Physio Edge podcast, I discuss these demands with Kingsley Gibson, a Sports Titled Physiotherapist that has worked with Australian Diving, Synchronised Swimming, Shooting and Hockey teams at a number of Commonwealth and Olympic games, and works with elite gymnasts on a daily basis. For his services to gymnastics, in 2000 the Commonwealth awarded Kingsley with a Sports Services Medal. So Kingsley has a lot of experience to draw on, and we got into detail on a number of topics.
In this podcast we discuss:
- Common injury patterns in the various gymnastic disciplines
- Important factors to consider when returning gymnasts to training and competition
- Factors that can influence your gymnasts treatment outcome
- Communication with parents and coaches
- How to best implement load management strategies
- Various motor control patterns in gymnasts that contribute to injuries
- Screening gymnasts
- Designing specific upper limb rehab programs
- Lower limb and lumbar spine rehab programs
- Management of acute vs chronic injuries
- Stress reactions in the Lumbar spine
- Apophyseal injuries - hip flexors, hamstrings, calcaneus (Sever’s) and Osgood-Schlatter’s
- Management of apophyseal injuries compared to tendinopathy
- Motor control/“stability” patterns in gymnasts
- When to order imaging
- Growth plate injury management - particularly in the wrist
- The effect of other factors such as training surfaces and equipment on injury
Links of Interest
- Become incredibly flexible by subscribing to the Physio Edge podcast or giving it a review on iTunes
- Kingsley Gibson Sydney Sports Medicine Centre at Homebush
- Sydney Wests Sports Medicine at Rooty Hill
- Clinical Edge
- Available online education with Clinical Edge
How can you identify the reason your patient has groin pain and the structures that may be causing it? Groin pain is one of the most common issues in a lot of sports, particularly the football codes, and in episode 25 of the Physio Edge podcast, David Pope talks to Dr Kristian Thorborg about assessment of the groin.
Some of the topics we discuss on this podcast include:
Types of groin injuries Identifying and diagnosing groin pain and injury Groin vs hip pain Tests you can perform to identify the irritated or painful structures The relevance of diagnostic imaging, and when to refer for this Hip and Groin Outcome Score (HAGOS) Using the HAGOS in your clinic Adductor related groin pain Hip flexor related groin pain Abdominal related groin pain The hip joint Pubic symphysis Sports Hernias Testing hip strength Assessment of function And much more!
I had Kristian on the Physio Edge podcast for episode 21 discussing hamstring injury prevention, and wanted to get him back to discuss his other area of special interest - the groin. I am sure you will get as much out of this episode with Kristian as I did, and you will be all over diagnosis of groin pain by the end of the episode. Enjoy!
Links of interest
- Dr Kristian Thorborg
- Dr Kristian Thorborg on Twitter
- HAGOS
- Studies that Dr Kristian Thorborg has completed or been involved in
- Review the Physio Edge podcast in iTunes
- Download the Physio Edge podcast from iTunes
- Clinical Edge
- 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE
- Kristian Thorborg’s editorial on BJSM
- Kristian Thorborg’s PhD Thesis
The thorax is often considered stiff and stable by Physiotherapists and manual therapists, and precious little of our undergrad or postgrad training incorporating or seeing the need for motor control of this area.
In episode 24 of the Physio Edge podcast, LJ Lee and David Pope explore the function of the thorax, the impact the thorax can have, not only on thoracic pain, but also on other parts of the body. We discuss the Thoracic Ring Approach (TRA) created by LJ, which incorporates manual techniques to assess and treat the thoracic rings, and integrates motor control training for this area. In this podcast you will learn:
- What bones and joints make up a “Thoracic ring”
- Is the thorax inherently stiff?
- What is ideal motor control of the thorax?
- How can listeners identify non-optimal control of the thorax in their patients
- How can motor control of the thorax be trained?
- Identifying articular/joint restriction vs neuromuscular factors interfering with normal thorax movement
- How can the thorax impact on other areas of the body eg the hip
- When is manipulation of the thorax ideal?
- What are some guidelines for manipulation of the thorax?
Download this podcast free from iTunes
Links of Interest
- Have an awesome holiday, and review the Physio Edge podcast on iTunes
- LJ Lee
- The Sports Thorax course with LJ Lee
- The Sports Pelvis course with LJ Lee
- Videos on the Thoracic Ring Approach with LJ Lee via Clinical Edge
- Physio Edge podcast episode 2 - “Analysing movement, and clinical expertise or research” with LJ
- Physio Edge Podcast episode 6 - TA, “Core Stability”, Drivers and going beyond the pain experience" with LJ Lee
Tendinopathies are a hot topic, and there are lots of new developments in research and treatment. Dr Peter Malliaras, a Physiotherapist with a PhD studying tendinopathy, has a special interest in the treatment of tendinopathy, and treats elite basketball and volleyball, EPL football, rugby, and cricket players, the Royal Ballet and track and field athletes. Peter has also published numerous studies on tendinopathy.
In this episode of the Physio Edge podcast, Peter and David Pope discuss:
- The latest research on tendinopathy
- Different types of loading programs for tendinopathy
- Outcomes for various types of loading
- Tendinopathy on Doppler Ultrasound or other imaging, and what changes with a loading program
- The tendon pathology continuum by Dr Jill Cook and Craig Purdham
- Mid portion Achilles tendinopathy
- Insertional Achilles treatment
- Patellar tendinopathy treatment, and a loading program for this that may challenge your preconceptions!
- Tenosynovitis
- Biomechanics contributing to tendinopathy
- Return to sport following tendinopathy
- Injury reduction/prevention
- Injections
Peter shared so much great info on tendinopathy, check it out now on episode 23 of the Physio Edge podcast
Show your love for the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.
Links of Interest
- Be. Awesome. Write a review on iTunes
- Dr Peter Malliaras
- Studies with Dr Peter Malliaras as one of the authors
- Physio Edge podcast episode 5 with Dr Jill Cook
- Clinical Edge
- Subscribe to the Physio Edge podcast on iTunes
Dr Kieran O’Sullivan is back on the Physio Edge podcast after talking about hamstring injuries, this time discussing his other big area of interest and expertise - chronic low back pain (CLBP). In this episode, Kieran and David Pope discuss:
- Recent research on CLBP
- Central vs peripheral contributions to CLBP
- Sitting postures and behaviours, and the relationship of this to pain
- Is there an ideal sitting posture, and does changing sitting behaviour change CLBP?
- Manual therapy in CLBP
- Lumbar kyhposis/lordosis
- Physical and psychological interventions for CLBP
- The effect of exercise on CLBP
- Movement patterns and retraining in chronic pain states
- The challenges of talking to patients about chronic pain states
Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.
Links of Interest
- Show your love of feeling great, and also the podcast by writing a review on iTunes
- Kieran O’Sullivan
- Pain Education website with Peter O’Sullivan, Kieran O’Sullivan, Wim Dankaerts, Kjartan Vibe Fersum
- University of Limerick
- The role of muscle strength in hamstring injury. Kieran O Sullivan and Cian McGinley. 2010. Nova Publications
- Clinical Edge
Shoulder pain - what are the causes, and how can you treat it? Are your special tests around the shoulder really isolating and identifying pathology? How can the rotator cuff still function with small and large tears?
In Episode 21 of the Physio Edge podcast, Jeremy Lewis and David Pope discuss these questions and more including:
- What is the value of special tests around the shoulder?
- What diagnosis can you provide your patients for their shoulder pain
- How can you identify if you need to focus your treatment on the scapula, glenohumeral joint, cervical spine or thorax?
- How can you identify a rotator cuff tendinopathy?
- What is the Rotator Cable, and how is it important in rotator cuff tears?
- Is the acromion really the cause of “impingement” or subacromial pain?
- If a patient has a biceps tendinopathy and a rotator cuff tendinopathy, which should be treated first?
- What contributes to biceps tendinopathy?
- Theraband - valuable?
- When imaging of the shoulder is valuable, and when it is a waste of time Frozen shoulder - what treatments work well
Podcast links
- Dr Jeremy Lewis
- London Shoulder Clinic
- Courses with Jeremy Lewis
- Clinical Edge
- Become a Clinical Edge member
- Review the Physio Edge podcast on iTunes
Is “peeing while you work out” in Crossfit or any other type of exercise ok?
When does your patients pelvic floor need more muscle activation, and when does it need less work?
Does Stress Urinary Incontinence (SUI) need addressing, and if so, how?
In episode 20 of the Physio Edge podcast, I talk to Lori Forner, a Physiotherapist with a special interest in Women’s Health in Brisbane, Queensland, about all of these topics, and more, including:
- The role of Physio’s that specialise in Women’s Health, and when it is a good idea to refer to one
- Common conditions seen clinically
- When real-time ultrasound can be used to assess pelvic floor function, and what you should see on US
- Pelvic floor overactivity and underactivity
- Treatment for SUI
- Antenatal and postnatal advice
- Advice on exercising during and after pregnancy and much more
What are the best ways to avoid hamstring injuries? What are the main factors to consider in hamstring rehabilitation? How does muscle strength relate to hamstring injury? How can we screen for or predict hamstring injuries?
In episode 19 of the Physio Edge podcast, Kieran O’Sullivan, PhD of the University of Limerick, Physiotherapist and co-author of the book “The role of muscle strength in hamstring injury.” Kieran O Sullivan and Cian McGinley. 2010. Nova Publications and David Pope get stuck into hamstrings and the many facets of this important muscle group, including:
- Injury reduction
- Rehabilitation - early stages, and return to sport
- Return to Sport
- Flexibility
- Eccentric training
- Predicting hamstring injury
- Assessing readiness of return to sport
- Stretching - Static vs Dynamic vs PNF etc, and the clinical implications
Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.
Links of Interest
Love the podcast by writing a review on iTunes
Kieran O’Sullivan
Pain Education website with Peter O’Sullivan, Kieran O’Sullivan, Wim Dankaerts, Kjartan Vibe Fersum
University of Limerick
The role of muscle strength in hamstring injury. Kieran O Sullivan and Cian McGinley. 2010. Nova Publications
Clinical Edge
Tags: Physio, Hamstrings, Podcast, Flexibility, Strength, Injuries, Hamstring Injury, Rehabilitation, Physio Edge, Eccentric training, Return to sport, Clinical Edge
How can the pelvis contribute to pain and dysfunction? Is the SIJ the main pain producer around the pelvis, or what is? What is the state of current research around the pelvis? Is it possible to feel “unlocking” of the SIJ? Do Pelvic Upslips exist?
In episode 18 of the Physio Edge podcast Diane Lee of Discover Physio and David Pope discuss the pelvis and SIJ in detail, including:
- palpation around the pelvis
- how can you palpate for unlocking of the SIJ
- what role the pelvis has in low back pain
- how the pelvis can be affected by other areas of the body
- does the current research support unlocking of the pelvis
- how can the thorax affect the pelvis
- when should you perform deep abdominal or multifidus training
And then we dive into Paediatric musculoskeletal development, including
- footwear for kids
- sporting activities for kids
- should kids sit in chairs or on the floor
- is a simple ankle sprain all that simple
- advice for parents
- children’s furniture
- and lots of other great info that will help you when treating or bringing up kids
Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.
Links of Interest
Love the show by writing a review on iTunes
Diane Lee
Diane Lee on Twitter
The Pelvic Girdle, 4th Edition by Diane Lee
Discover Physio
Linda-Joy Lee
Discover the Sports Pelvis with LJ Lee
Clinical Edge
How can you reduce the chance of sporting injury? What are the most useful recovery aids from games and training? When are injections helpful in injury recovery?
In episode 17 of the Physio Edge podcast, Dr Peter Brukner, fresh from working with Liverpool Football Club in the EPL, co-author of Clinical Sports Medicine with Dr Karim Khan, and author of many other publications discusses with David Pope the management of sporting teams, injury reduction, prevention, recovery and a multitude of other topics, including:
- ACL Injury Prevention
- Hamstring Injury Prevention
- Strength training vs Specific strengthening
- Player load management
- Recovery from tendinopathy
- The role of injections, including PRP, Cortisone and Orthokine
- Player screening
- Player game recovery
and more. Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.
Hamstrings are one of the most common acute muscular injuries in athletics and team sports. In this episode of the Physio Edge podcast I discuss recent research with promising results preventing hamstring injuries with Dr Kristian Thorborg, a Specialist Sports Physiotherapist in Copenhagen, Denmark.
Links of Interest * Get incredible legs by subscribing to the podcast in iTunes * Review the Physio Edge podcast in iTunes * Clinical Edge * Free membership to Clinical Edge! * Kristian Thorborg’s editorial on BJSM * Kristian Thorborg’s PhD Thesis * Contact Kristian Thorborg * Carl Askling * H-test * Classification of hamstring injuries by Carl Askling on BJSM * Carl Askling on BJSM podcast * Acute Hamstring Injuries with Andrew Ryan, and Rehabilitation of Hamstring Injuries with Merryn Aldridge - Online education for Physiotherapists for Clinical Edge members * 20% off your first months Clinical Edge membership with the code “physioedge” * Contact David * David on Twitter
How can you recognise when the cervical spine is involved in a patients headache? How can you treat headaches caused by cervical dysfunction? What role does manual therapy play in their treatment? When and how should you treat their cervical motor control?
In this podcast, Ken Niere and David Pope discuss cervicogenic headaches, effective physio treatment, and how to recognise the difference between cervicogenic headaches, tension type headaches and migraine.
Ken Niere is a Specialist Musculoskeletal Physiotherapist with over 25 years’ clinical experience in the assessment and treatment of spinal disorders. He is a senior lecturer in the School of Physiotherapy at La Trobe University, where he has taught spinal musculoskeletal physiotherapy at undergraduate and postgraduate levels since 1989.
Ken is an examiner for the Australian College of Physiotherapists and he recently contributed to and co-edited a book on headache, orofacial pain and bruxism. His special interests include the diagnosis and management of headaches and neck disorders, and he has lectured on these topics in Australia and overseas.
Tags: Cervicogenic headache, cervical spine, headache, tension type headaches, migraine, physiotherapy, ken niere, physio, differential diagnosis, la trobe university, australian college of physiotherapists, david pope, physioedge, podcast, assessment, treatment
Links of Interest Get your spine into awesome shape by subscribing to the podcast in iTunes
Review the Physio Edge podcast in iTunes
Clinical Edge
Free membership to Clinical Edge!
Ken Niere
Ken Niere at La Trobe University
The essential role of the thorax in whole body function and the “Thoracic ring approach” with LJ Lee - Online education for Physiotherapists for Clinical Edge members
20% off your first months Clinical Edge membership with the code “physioedge”
Contact David
David on Twitter
What is contributing to your patients low back pain? How do you know when to use manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP? In episode 14 of the Physio Edge podcast, Peter O’Sullivan and David Pope discuss chronic low back pain and Peter’s approach to getting past it. Some of the topics we dug into include:
- Causes, classification and treatment of chronic low back pain (CLBP)
- Common treatment errors
- Identifying mechanical contributors
- When manual therapy is helpful
- Myths around “core stability”
- What is the current evidence base for CLBP classification and treatment
- Tips for treatment of CLBP
- A lot of other great treatment advice for CLBP….
Listen to it now, and subscribe free to the podcast in iTunes
Links of interest Look your best this weekend by subscribing to the podcast in iTunes
Give the Physio Edge podcast a review in iTunes
Clinical Edge
Free membership to Clinical Edge!
Peter O’Sullivan
Peter O’Sullivan at Curtin University
The essential role of the thorax in whole body function and the “Thoracic ring approach” with LJ Lee - Online education for Physiotherapists for Clinical Edge members
20% off your first months Clinical Edge membership with the code “physioedge”
Contact David
David on Twitter
Tags: physio, physio edge, physiotherapist, podcast, courses, evidence based practice, online education, peter o’sullivan, curtin university, bodylogic physiotherapy, low back pain, chronic low back pain, treatment, assessment, classification, clinical edge
Treatment of the cervical spine often involves some degree of manual therapy or manipulation, and VBI testing is generally encouraged or required prior to this. In this episode of the Physio Edge podcast, Roger Kerry and David Pope discuss Cervical Arterial Dysfunction (CAD), the accuracy and limitations of VBI testing, and a lot of other good stuff, including:
- Cervical Arterial Dysfunction (CAD), and VBI
- Why is it important for clinicians to know about CAD
- The limitations of VBI testing
- Clues within the history to alert you to the possibility of CAD
- Symptoms of CAD
- 2 types/causes of dizziness and differentiation
- The 5 Ds and 3 N’s - what are the limitations of this approach
- Signs & Symptoms of Cerebral and retinal ischaemia
- Aetiology
- Upper cervical instability
- As clinicians, where should CAD and VBI testing lead our assessment, treatment and investigations?
- When can we conservatively treat someone with these symptoms
- Monitoring - during and post rx
- Contraindications to Rx
Listen to it now, and subscribe to the podcast in iTunes
Links of interest * Get a flatter stomach by subscribing to the podcast in iTunes * Give the Physio Edge podcast a review in iTunes * Clinical Edge * Free membership to Clinical Edge! * Roger Kerry on Twitter @rogerkerry1 * Roger Kerry’s profile at Nottingham University - Physiotherapy * Roger Kerry’s profile at Nottingham University - Philosophy * Courses with Roger Kerry * IFOMPT Conference 2012 * Hamstring Rehab for Elite Sprinters - Online education for Physiotherapists for Clinical Edge members * 20% off your first months Clinical Edge membership with the code “physioedge” * Contact David * David on Twitter
David Pope and Russell Wright talk about everything to do with feet and ankles. Plantar Fascia and Achilles Tendinopathy are conditions that need good differential diagnosis and specific tailored treatment programs, especially in runners, and in this episode we chat about how you can get the best results with these patients. We cover:
- causes of plantar fasciosis
- strengthening of the plantar fascia
- what exercises work with plantar fasciosis, and which ones are a waste of time
- nerve entrapments that can be involved in plantar fasciosis, and how to identify * these
- the role of taping and orthotics
- achilles tendinopathy
- eccentric programs and progressions
- ankle sprain rehab - keeping it functional
Listen to it now, and subscribe to the podcast in iTunes
(Warning: this podcast has occasional explicit language)
Links of interest Get sexy feet by subscribing to the podcast in iTunes
Give the Physio Edge podcast a review in iTunes
Clinical Edge
Free membership to Clinical Edge!
Russell Wright
Ocean View Physio
Have you subscribed to the Podcast in iTunes yet?
Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members
20% off your first months Clinical Edge membership with the code “physioedge”
Contact David
David on Twitter
Tags: physio, physio edge, physiotherapist, podcast, courses, achilles, plantar fascia, nerve entrapments, russell wright, ocean view physio, tendinopathy, treatment, eccentric, strengthening, fasciopathy, feet, ankle, runners, running, barefoot running, ankle sprain, rehabilitation
Hamstrings are one of the more frequently injured muscles in sportspeople, and in this episode, Alison and I discuss hamstring tendinopathy, symptoms, assessment and treatment of this common condition.
Some of the aspects we explore in this podcast are:
- Subjective clues that someone may have a Hamstring Tendinopathy
- Differentiating Hamstring Tendinopathy from pain of Lumbar origin
- Assessment of the hamstring
- Tests to confirm or rule out a Hamstring Tendinopathy
- Causes
- Advice for patients
- Rehabilitation
- Deep hip muscle activation
- Keys to a successful treatment program
- a whole lot more
There is currently limited research around the area of hamstring tendinopathy, and Alison’s tips and insights are based on this evidence base as well as her clinical experience.
I hope you enjoy it!
Links of interest Get great legs by subscribing to the podcast in iTunes
Give the Physio Edge podcast a review in iTunes
Clinical Edge
Dr Alison Grimaldi
Dr Alison Grimaldi’s Publications
PhysioTec
University of Queensland
Have you subscribed to the Podcast in iTunes yet?
Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members
Become a Clinical Edge member
Contact David
Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, hamstring, posterior thigh pain, tendinopathy, runners, rugby, sprinters, lumbar spine, dr alison grimaldi, physiotec
Barefoot running has been sweeping the globe in the last few years, and as a Physio, which of your patients are best suited to this type of running technique. How does running technique relate to a runner’s pain and dysfunction, and really, what is the ideal running technique?
In this podcast with Blaise Dubois - a Physiotherapist with a clinic, website and courses devoted to helping runners and Physiotherapists that treat runners, we chat about these topics, as well as:
- Running assessment
- Biomechanics of running
- Improving running technique and performance
- Which patients should change their running technique
- Barefoot running
- Heelstrike and landing
- Current evidence on running technique
- Injury prevention in runners
- Downhill running technique
- Footwear for running
- Improving running in patients with pathology eg Achilles Tendinopathy
Blaise has also been kind enough to provide a PDF handout to go along with this podcast, which is available for free download -
Download the PDF handout
Links of interest Get more (or less) hair on your chest by subscribing to the podcast in iTunes
Give the Physio Edge podcast a review in iTunes
Clinical Edge
Blaise Dubois
PDF Handout to go with the podcast
The Running Clinic
Blaise Footwear Reviews
Big bulky shoes to avoid
Blaise’ course - New Trends in the Prevention of Running Injuries - Newcastle, March 2012
Blaise’ course - New Trends in the Prevention of Running Injuries - Melbourne, March 2012
Have you subscribed to the Podcast in iTunes yet?
Online education for Physiotherapists for Clinical Edge members
MBT Footwear
Vibram 5 Fingers
Become a Clinical Edge member
Next time on the Physio Edge Podcast: The Thorax and Biomechanics of the Thoracic Rings with LJ Lee
Contact David
Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, running, biomechanics, achilles, tendinopathy, blaise dubois, the running clinic, assessment, barefoot running, injuries, injury prevention, downhill, Vibram 5 fingers, MBT, big bulky shoes, footwear, evidence, heelstrike
Lateral hip pain is a condition patients present with regularly to Physiotherapists, with pain walking or standing, sleeping on their side, stretching of the posterior hip, and sitting, amongst other symptoms, and can often mimic lumbar spine pathology. In this episode, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain - Glute Med Tendinopathy (GMT), that is often incorrectly diagnosed as “trochanteric bursitis”.
Some of the aspects we explore in this podcast are:
- Subjective clues that someone may have a Glute Med Tendinopathy
- “Trochanteric Bursitis”
- Differentiating Glute Med Tendinopathy from pain of Lumbar origin
- Assessment of the hip
- Tests to confirm or rule out a Glute Med Tendinopathy
- Causes of a Glute Med Tendinopathy
- Advice for patients
- Treatment of Glute Med Tendinopathy
- Deep hip muscle activation
- How to design a treatment program to make the difference between it working and failing
- much more
I also want to take this moment to wish you and your family a very Happy New Year.
Links of interest * Become incredibly sexy by subscribing to the podcast in iTunes * Give the Physio Edge podcast a review in iTunes * Clinical Edge * Dr Alison Grimaldi * Dr Alison Grimaldi’s Publications * PhysioTec * University of Queensland * Have you subscribed to the Podcast in iTunes yet? * Online education for Physiotherapists for Clinical Edge members * Become a Clinical Edge member
Next time on the Physio Edge Podcast: The Biomechanics of Running
Contact David
All golfers want to hit as far as Tiger Woods, but without the injuries. How can you treat the injuries in your golfing patients, prevent further injury and improve their “coachability” and performance?
Golfers regularly need Physio treatment for injuries like tendinopathy around the elbow, low back and neck pain, and plenty of other injuries. In episode 8 of the Physio Edge podcast, I chat with Matt Green of High Performance Golf about
- Common golf injuries
- How to assess and treat golfers
- Technique errors that contribute to injury
- Tendinopathy around the elbow
- Assessing the golf swing
- Strengthening and motor control
- Advice to give your golfers and
- plenty more.
If you treat golfers, or would like to treat more golfers, get stuck into this episode free on iTunes, and brought to you by the podcast sponsor Clinical Edge.
Links of interest * Become incredibly sexy by subscribing to the podcast in iTunes * Give the Physio Edge podcast a review in iTunes * Clinical Edge * High Performance Golf * Ramsay McMaster * Have you subscribed to the Podcast in iTunes yet? * Online education for Physiotherapists for Clinical Edge members * Become a Clinical Edge member
Next time on the Physio Edge Podcast: Glute Med Tendinopathy
Contact David
Dry Needling has become incredibly popular in Physiotherapy recently. Is dry needling really the way forward for Physios?
In this podcast I chat with Andrew Hutton of Dry Needling Plus, presenter of the Dry Needling Plus courses for Clinical Edge, and we discuss dry needling and whether it complements regular Physio treatment. Some of the topics we cover include
- What are the different styles of dry needling?
- How can dry needling be used in sporting populations?
- How to know immediately if your needling has been effective
- What is the evidence for dry needling
- Studies show decreased ROM with needling, is it possible to improve ROM with dry needling
- How does changing ROM actually relate to a patient’s pain?
- Some clinical scenarios where dry needling could be incorporated
Links of interest Become better looking by subscribing to the podcast in iTunes
Give the Physio Edge podcast a review in iTunes
Dry Needling Plus"
Dry Needling Plus courses with Clinical Edge
Clinical Edge
IMS
Have you subscribed to the Podcast in iTunes yet?
“Treatment of Acute Lateral Ankle Sprains” with Russell Wright for Clinical Edge members
Become a Clinical Edge member
Next time on the Physio Edge Podcast: Golf Injuries and Performance
Contact David
When should Transversus (TA) be included in your patient rehab? When is TA retraining a waste of time? Is planking good for anything other than entertaining your mates? How can we go beyond just treating the pain experience to connect with your patient and improve their performance.
In Episode 6 of the Physio Edge podcast, I chat again with LJ Lee, this time covering TA, “Core Stability”, and more including:
- Retraining TA in your treatment
- Planks
- Running like a block of wood with legs
- McGill’s Big 3 exercises
- Body “flow” and agility Vs stiffness and rigidity
- Specificity of exercise
- How can the Cervical Spine affect knee pain in a squat?
- The Discover Physio Series
- “Salsa in your ribcage” and breathing
- The impact of intra-thoracic pressure on the pelvic floor
Links of interest Subscribe to the podcast in iTunes
Give the Physio Edge podcast a review in iTunes
Linda-Joy Lee
Clinical Edge
Discover the Sports Thorax
Discover the Sports Pelvis
Discover Physio Series
Canadian Academy of Manual and Manipulative Therapy
Diane Lee
Discover Physio
University of Queensland
Prof Paul Hodges
Sackett
Stuart McGill
“See What I’m Saying” by Rosenblum
“Mindsight” by Dan Siegel
Subscribe to the Podcast in iTunes
“Assessment of the Pelvis” online education for Clinical Edge members
Become a Clinical Edge member
Contact David
What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is it just about eccentric training for tendinopathy? When should NSAID’s be used?
This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. We also chatted about some other aspects of tendinopathy, including
- Factors that contribute to tendinopathy beyond biomechanics
- Eccentrics - what is the future of training to rebuild tendons
- Return to sport or running after tendinopathy
- Avoiding tendinopathy
- Treatment at each stage of tendinopathy
- Rehabing achilles tendinopathy
- Rehab for hamstring tendinopathy
plus we related all of these to clinical scenarios. Enjoy!
Links of interest Subscribe to the podcast in iTunes
Give the Physio Edge podcast a review in iTunes
Jill Cook
Craig Purdam
Monash University
“Achilles Tendinosis in Runners” online education for Clinical Edge members
Become a Clinical Edge member
BJSM Podcast
Contact David
Acetabular Labral tears in the hip are becoming more commonly diagnosed and operated on. In this episode, I chat to Nichole Hamilton, a Physio with a lot of experience treating hips, designing post-op arthroscopic hip protocols and lecturing about the hip. Some nice insights into hip injuries and diagnosing and treating labral tears.
This week we talk about all sorts of issues around the hip, including:
- Diagnosing labral tears Labral tear symptoms What causes a labral tear?
- Activities that contribute to labral tears When is surgery required for labral tears
- When is conservative treatment a good option
- Kicking sports - what muscle control is required What is the role of psoas
- Dancers - what activities and positions load the labrum How can maximum hip range of movement be attained safely
- Posterior pelvic tilt or tuck - how does this relate to the hip
- Progressing exercises to incorporate functional positions
Links of interest * Subscribe to the Podcast in iTunes * Nichole Hamilton * Synergy Physio * Clinical Edge * Free videos with Nichole Hamilton * Thoracic Outlet Syndrome video for Clinical Edge members * Standing Posture Assessment video for Clinical Edge members * The Irritable Hip course with Nichole Hamilton * Shirley Sahrmann * APA Dance Course
Andrew Ryan is a Sports Physio with the Australian Qantas Wallabies, and in this weeks episode Andrew and I chat about acute injury management, player screening, on-season treatment, corks, and adductors. Some great insights into elite sports management.
Links of interest * Subscribe to the Podcast in iTunes * Andrew Ryan * Clinical Edge * Australian Qantas Wallabies * Adductors (I would provide a link, but if you don’t know what these are you should probably be reading a textbook about now) * Impact Injuries to the Shoulder video for Clinical Edge members * Discover Physio Series with LJ Lee * Linda-Joy Lee * James Sutherland * James Sutherland’s interview on The Sports Physiotherapist podcast
Analyse movement using your manual skills and palpation, plus insights into what clinical expertise and “Evidence Based Practice” really means - an interview with LJ Lee.
This podcast is brought to you by Physio Edge, your host David Pope, and the podcast sponsor, Clinical Edge.
Links of Interest
- Linda-Joy Lee
- Clinical Edge
- Discover the Sports Thorax
- Discover the Sports Pelvis
- Discover Physio Series
- Florence Kendall
- IFOMPT
- Canadian Academy of Manual and Manipulative Therapy
- Diane Lee
- Discover Physio
- University of Queensland
- Prof Paul Hodges
- Physio First
- Sackett
- David Sackett on YouTube
- “See What I’m Saying” by Rosenblum
- “Mindsight” by Dan Siegel
Fascinating insights into pain, painful experiences, and neurodynamics from one of the world's leading neuroscience and pain experts. Learn why we (and out patients) experience pain, the latest research in pain and pain management. Learn how to talk to your patients to reduce their pain experience, when pain is more from joints or the periphery, and how to use neural glides.
Brought to you by Physio Edge - www.physioedge.com.au and your host, David Pope