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Physio Edge podcast with David Pope (David Pope at Clinical Edge)

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DateTitreDurée
17 Sep 2020106. Cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, and strength testing with Paula Peralta, Simon Olivotto, Nick Kendrick & David Toomey00:47:55

Explore cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, & strength tests for athletes with Simon Olivotto, Dave Toomey, Paula Peralta & Nick Kendrick.

The Clinical Edge Senior Physio Education & Presentation team and I sat down to answer Clinical Edge member questions, and we wanted to share this one with you, so you can benefit from it too. In this Q&A, we 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.

Articles associated with this episode:

24 Feb 2022137. Acute AC joint injury imaging, rehab & recovery. Physio Edge Shoulder Success podcast with Jo Gibson00:29:26

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.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. 

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

23 Nov 2015042. Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill00:28:08

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. 

Seth O'Neill and I 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
  • aping
  • Manual therapy

 Hide
 
 
02 Jun 2023155. Stingers, burners & shoulder instability in sport. Physio Edge Shoulder Success podcast with Jo Gibson00:25:58

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, summary and articles referenced in the podcast.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. 

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

Articles associated with this episode:

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

 

06 Sep 2018083. Running gait retraining, strengthening, glutes & ITB syndrome. Q&A with Tom Goom00:59:17

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?

 

Free running injury assessment & treatment video series available now

Other episodes of interest:

26 Mar 2015035. Know Pain with Mike Stewart01:26:53

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

Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info@clinicaledge.co

10 Jun 2015037. Pilates beyond low back pain with Lana Johnson01:26:05

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 former dancer and a Physiotherapist 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

 
 
 
20 Nov 2015041. The role of Plantaris in mid portion Achilles Tendinopathy with Dr Christoph Spang00:32:09

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

Get your free access to 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

09 Feb 2018077. Anterior shoulder pain, long head of biceps tendon pathology and SLAP tears with Jo Gibson01:21:45

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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

Podcast handout

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

Articles associated with this episode:

Exercise videos

Other episodes of interest:

 Hide
 
 
13 Sep 2018084. Running injury treatment - tendinopathy, MTSS, total hip replacement & high BMI patients. Q&A with Tom Goom01:16:49

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?

 

Free running injury assessment & treatment video series available now

Other episodes of interest:

19 May 2023154. Hip dysplasia key signs and symptoms. Physio Edge Track record: Running repairs podcast with Tom Goom00:15:40

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

 

Free running injury assessment & treatment video series available now

Articles associated with this episode:

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

 

27 Oct 2017071. Hamstring strengthening, lengthening and injury prevention with Dr David Opar00:58:17

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.

Articles associated with this episode:

20 Oct 2014030. CrossFit injuries with Antony Lo01:15:40

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

 Hide
 
 
09 Apr 2012012. Plantar fascia, achilles tendinopathy and nerve entrapments with Russell Wright00:38:25

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

  • keys to successful Achilles rehab

  • ankle sprain rehab – keeping it functional

(Warning: this podcast has occasional explicit language)

Links of interest

13 Mar 2023152. When should patients permanently stop running? Physio Edge Track record: Running repairs podcast with Tom Goom00:18:44

 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).

 

Free running injury assessment & treatment video series available now

 

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
21 Apr 2017057. Advanced Running Tests & Optimising Performance with Tom Goom00:30:13

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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?

Free running injury assessment & treatment video series available now

 

Links of Interest

24 Nov 2017074. Hip pain and femoroacetabular impingement FAI with Dr Joanne Kemp00:59:26

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

Articles associated with this episode:

Other episodes of interest:

12 Jun 2023156. 3 types of hip dysplasia and how to identify them. Physio Edge Track record: Running repairs podcast with Tom Goom00:15:37

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

Free running injury assessment & treatment video series available now

 

Article associated with this episode:

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

 

13 Mar 2020099. Upper traps - are they really a bad guy with Jo Gibson00:19:33

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.

Podcast handout

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

Articles associated with this episode:

19 Jul 2018081. How to treat ankle syndesmosis injuries with Chris Morgan01:14:22

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

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.

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 

Articles associated with this episode:

Other episodes of interest:

20 Nov 2024166. To tape or not to tape? Physio Edge Shoulder Success podcast with Jo Gibson00:24:32

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:

  1. Volleyball player post-stabilisation surgery – Despite passing all return-to-play criteria, this patient struggled with fear of re-injury in specific positions.
  2. 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:

 

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?

 

14 Dec 2018086. "Sore but not stuffed" - understanding and explaining your patients pain with Dr Tim Mitchell and Dr Darren Beales01:24:07

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

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

23 Oct 2020107. Treatment of peripheral nerve sensitisation with Dr Toby Hall01:22:52

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?

CLICK HERE to get access to Sherlock Holmes and the sign of the four hypotheses with Nick Kendrick

14 Jun 2019091. Return to running - a guide for therapists with Tom Goom01:25:11

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

 

Free running injury assessment & treatment video series available now

 

Other episodes of interest:

02 Jan 201209. Lateral hip pain with Dr Alison Grimaldi00:53:29

Patients regularly present for Physiotherapy with lateral hip pain. This is often aggravated by walking or standing, sidesleeping, performing hip stretches, and sitting, amongst other activities, and lateral hip pain can often mimic lumbar spine pathology. In this podcast, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain – Glute Med Tendinopathy (GMT), a condition which is often misdiagnosed 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

  • Essential elements for an effective treatment program much more

Links of interest

29 Mar 2025169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom00:14:50

 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:

Links associated with this episode:

09 May 2014026. Gymnastics injuries with Kingsley Gibson01:22:44

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

 
 
08 Mar 2017055. Patellofemoral pain in runners with Brad Neal01:08:59

Image title

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 55 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

Links of Interest

Articles related to this episode:

Related resources

Physio Edge podcasts related to running injuries

16 Aug 2013020. Womens health with Lori Forner01:19:07

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

Links of interest

03 Mar 2021111. How to identify shoulder pain from pelvic health issues. Case studies with Jo Gibson00:18:09

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 video/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?

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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

03 Mar 2022138. How to treat patellar & achilles tendinopathy with Daniel Silvan01:24:37

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.

 
 
23 Jul 2021126. 3 signs of Plantaris involvement in Achilles Tendinopathy. Physio Edge Track record: Running repairs podcast with Tom Goom00:11:49

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

Free running injury assessment & treatment video series available now

 

19 Sep 2013023. Lower limb tendinopathies with Dr Peter Malliaras01:34:49

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

Links of Interest

04 Mar 2014025. Groin assessment with Dr Kristian Thorborg01:00:16

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!

Links of interest

 
 
 
12 Apr 2022144. Proprioceptive rehab tools for shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson00:21:18

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.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. 

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

Articles associated with this episode:

23 Jun 2016047. Rotator cuff tendinopathy with Dr Chris Littlewood01:17:49

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?

Links of interest

Enrol on the free webinar with Dr Chris Littlewood

Download the handout from this podcast

Subscribe to the podcast free on iTunes

Dr Chris Littlewood on Twitter

Dr Chris Littlewood

Webinar with Tom Goom on Bone stress injuries

Cervical spine assessment & treatment online course

Clinical Edge

Clinical Edge free trial

David Pope on Twitter

03 Mar 2023151. Does strength training reduce running injury risk? Physio Edge Track record: Running repairs podcast with Tom Goom00:12:11

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

 

Free running injury assessment & treatment video series available now

 

Article associated with this episode:

Chapters:

  • 02:22 - Research study
  • 04:39 - Results
  • 07:47 - Training program
24 May 2017062. How to treat plantar fasciopathy in runners with Tom Goom00:41:29

Image title

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.

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

Free running injury assessment & treatment video series available now

Related posts

Research associated with this episode

06 Sep 201103. Rugby, rehab and return to sport with Andrew Ryan00:34:52

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, adductors. Some great insights into elite sports management. This podcast is brought to you by Physio Edge, hosted by David Pope, and sponsored by Clinical Edge.

 
 
 
03 Nov 2017072. Accelerated hamstring injury rehabilitation exercise selection and progressions with Jack Hickey01:16:50

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
  • When you can start your patient's rehabilitation
  • Which exercises you can use with your hamstring injury patients
  • How to know when to progress your patient's exercises
  • How often high-level exercises need to be performed
  • When your patients can return to running
  • How to progress your patients through a return to running program
  • When your patients are suitable for return to sport

Other episodes of interest:

Articles associated with this episode:

29 Nov 2024167. Bones, them strong bones: How to use bone loading programs. Physio Edge Running repairs podcast with Tom Goom00:21:36

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:

Links associated with this episode:

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
 
10 Feb 2022133. How to assess and treat calcaneal stress fractures. Physio Edge Running Repairs podcast with Tom Goom00:17:57

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

The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.

Free running injury assessment & treatment video series available now

Article associated with this episode:

22 Jul 2021125. Cross education to improve shoulder strength. Physio Edge Shoulder success podcast with Jo Gibson00:20:35

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.

Improve your rehab of post-op, post-fracture and immobilised patients now with this podcast.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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

22 Apr 2022145. How to choose exercises that improve patients pain with David Toomey00:24:07

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.

21 Aug 2023158. Hip dysplasia treatment. Physio Edge Track record: Running repairs podcast with Tom Goom00:24:12

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).

Free running injury assessment & treatment video series available now

 

Articles associated with this episode:

Chapters: 

  • 05:36 - Step 1: Assessment
  • 07:10 - Step 2: Investigations
  • 08:35 - Step 3: Patient education
  • 10:07 - Step 4: Settling symptoms
  • 16:25 - Step 5: Strength
  • 18:15 - Step 6: Control and proprioception
  • 20:08 - Step 7: Co-existing pathology
  • 21:09 - Step 8: General health
  • 22:32 - Key points

 

12 Oct 2022147. Knee osteoarthritis (OA) assessment, rehab & overcoming patient fears with Dr JP Caneiro00:58:57

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

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
12 Mar 2021114. Paediatric shoulder injuries. Physio Edge Shoulder success podcast with Jo Gibson00:36:08

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/video 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?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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

Articles associated with this episode:

15 Dec 201108. Golf injuries and performance improvement with Matt Green00:39:19

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

 
 
 
11 Oct 2019094. Strength training treating knee osteoarthritis with Dr Claire Minshull01:19:17

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?

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

Articles associated with this episode:

19 Dec 2013024. Thoracic ring approach with Dr Linda-Joy (LJ) Lee01:20:23

The thorax is often considered stiff and stable by Physiotherapists and manual therapists, and precious little of our undergrad or postgrad training incorporates motor control of this area. Is it really important?

In episode 24 of the Physio Edge podcast, Dr 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™ 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”
  • What is the Thoracic Ring Approach™  
  • 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?

Links of Interest

Have an awesome holiday, and review the Physio Edge podcast on iTunes

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

 
 
 
09 May 2017060. Plantar fasciopathy in runners with Tom Goom00:34:59

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
  • When is imaging indicated, and what information does it provide
  • 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

 

Free running injury assessment & treatment video series available now

Links of Interest

Research associated with this episode

19 Feb 2015034. Advanced ACL rehab with Enda King01:26:09

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

03 Apr 2020100. 5 practical strategies to improve your clinical reasoning & treatment results with David Toomey, Jordan Craig & Simon Olivotto01:22:33

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.

29 Jan 2020097. Anterior shoulder pain, long head of biceps and SLAP tears with Jo Gibson00:27:56

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 (video/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?

Podcast handout

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

Articles associated with this episode:

  • Download the podcast handout to receive the articles associated with this podcast.
16 May 2019090. Combating hand wrist injuries part 3 - Treatment with Ian Gatt01:22:45

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 work and sport?

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 that have never picked up a pair of boxing gloves or hit a bag.

Dive into this podcast, and pick up a lot of great ideas for your hand & wrist injury treatment.

CLICK HERE for your spot on a free shoulder assessment webinar with Jo Gibson, available soon.

Resources associated with this episode:

Other Episodes of Interest:

18 Jul 2024164. Case study: Rotator cuff tear + arm symptoms. Physio Edge Shoulder Success podcast with Jo Gibson00:14:51

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:

12 Mar 2021113. Massive rotator cuff tear rehab. Physio Edge Shoulder success podcast with Jo Gibson00:35:50

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 video/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?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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

Articles associated with this episode:

08 Apr 2022142. Shoulder SLAP tear assessment, diagnosis and treatment. Physio Edge Shoulder Success podcast with Jo Gibson00:26:26

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.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. 

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

Article associated with this episode:

18 Oct 2018085. How to rehab groin and lower abdominal pain in runners gym junkies with Andrew Wallis00:47:40

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

Resources associated with this episode:

Other Episodes of Interest:

CLICK HERE to watch this online course with a free trial membership

08 Feb 2024160. ACL injuries with Zoe Russell00:53:03

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.

Click here or on the image below for podcast 163. ACL treatment options & Cross bracing with Clare Walsh

 
 
 
11 Dec 2017075. Tendinopathy, imaging and diagnosis with Dr Sean Docking01:13:59

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

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

PE 041 - Plantaris involvement in achilles tendinopathy with Dr Christoph Spang

24 Feb 2023150. Top tips for treating marathon runners. Physio Edge Track record: Running repairs podcast with Tom Goom00:20:47

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

 

Free running injury assessment & treatment video series available now

 

Chapters:

  • 02:40 - Marathon training phases
  • 09:08 - Training priority
  • 11:41 - Manageable goals
  • 12:27 - Discussing risks
  • 13:59 - Short and simple rehab
  • 15:23 - Hands-on treatment
  • 17:17 - Case study
18 May 2020102. Stretching for shoulder pain - Is it time to put sleeper stretches to bed? with Jo Gibson00:26:34

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?

Podcast handout

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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

CLICK HERE to get access to Sherlock Holmes and the sign of the four hypotheses with Nick Kendrick

Articles associated with this episode:

05 Dec 2019095. Sternoclavicular joint pain diagnosis, imaging & red flags with Jo Gibson00:33:43

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 Specialist Physiotherapist), 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

Podcast handout

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

13 Oct 2017069. Adductor related groin pain stress fractures and nerve entrapment assessment diagnosis with Dr Adam Weir01:09:31

PE069 cover image

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?

Articles associated with this episode:

15 Jan 2012010. Biomechanics of running with Blaise Dubois01:08:05

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.

Links of interest

 Hide
 
 
26 Aug 2021130. Neck pain objective assessment & treatment part 2 with Prof. Gwendolen Jull01:31:27

When assessing and treating neck pain patients, there are a lot of tests and treatments to choose from. If you choose treatments that aren’t suitable for your patient's presentation, your patient won’t progress, or worse, you’ll aggravate their symptoms. How can you thoroughly assess your neck pain patients, and use the information from your assessment to choose treatments that help improve their 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 to identify why your patient has pain, and the best treatment for each patient.
  • How to perform a skilled manual assessment.
  • What we can actually identify & diagnose in neck pain patients.
  • 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 patient's neck pain.
  • Which tests you should use to assess:
    • ROM
    • Strength
    • Endurance
    • Control

Successful treatment

  • How to decide where treatment should start in your initial session.
  • Whether manual therapy (MT) is useful in the treatment of neck pain.
  • How to tailor and progress your treatment to successfully rehab each patient, and choose between:
    • MT
    • Postural changes
    • Strength exercises
    • Control exercises
    • Craniocervical flexion and extension exercises
    • Neurodynamic treatment
    • General strength and endurance training
    • Exercises for flexibility and range of motion
    • Graded activity
    • Motor control
    • Shoulder girdle strengthening
    • Aerobic exercise for general fitness

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

05 Nov 2024165. Busting hip pain myths with Mehmet Gem01:08:35


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

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

 

15 Feb 2022135. Rehab calf strain patients effectively. Physio Edge Track record: Running repairs podcast with Tom Goom00:24:17

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

The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.

Free running injury assessment & treatment video series available now

Article associated with this episode:

25 Mar 2022141. How to reduce patellofemoral pain & load. Physio Edge Track record: Running repairs podcast with Tom Goom00:17:49

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

Free running injury assessment & treatment video series available now

 

Article associated with this episode:

18 Aug 2017067. Shoulder special tests and the rotator cuff with Dr Chris Littlewood01:10:00

PE067 image

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 .

26 Jun 2012014. Chronic low back pain with Peter O'Sullivan01:19:15

What is contributing to your patients low back pain? How do you know when manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP will be helpful? In episode 14 of the Physio Edge podcast, Peter O’Sullivan and David Pope discuss chronic low back pain, Peter’s research into this area, and the approach of Peter and his team to getting over chronic low back pain. 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” for CLBP
  • 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

23 Sep 201104. Hip injuries and labral tears with Nichole Hamilton00:31:51

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

I hope you enjoy this episode, please post your questions below, on www.physioedge.com.au and we would love you to give us a review on iTunes

15 Jun 2017065. Differential diagnosis of calf pain in runners with Tom Goom00:40:35

Image title

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

 

Free running injury assessment & treatment video series available now

 

Research associated with this episode

23 Jan 2015033. How to treat anterior knee pain with Kurt Lisle01:16:10

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

Links of Interest

10 Oct 2016051. Lateral knee and LCL injuries with Matt Konopinski01:09:04

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

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

Get your free access to videos on sports injury assessment and treatment.

03 Aug 201101. Painful paradigms and sensitive systems with David Butler00:41:32

Fascinating insights into pain, painful experiences, and neurodynamics from one of the world’s leading neuroscience and pain experts. Learn why we (and our 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 and you podcast host, David Pope

This show is supported and sponsored by Clinical Edge - providers of fantastic online and face-to-face education for Physiotherapists.

NOI Group

Explain Pain by David Butler and Lorimer Moseley

Sensitive Nervous System by David Butler

Neurodynamics Techniques DVD

15 Jul 2022146. Knee osteoarthritis (OA) rehab. Shifting patient beliefs & narratives with Dr JP Caneiro01:07:24

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

03 Aug 2018082. Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill01:49:16

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?

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.

Articles associated with this episode:

Other episodes of interest:

13 Sep 2013022. Chronic low back pain with Dr Kieran O'Sullivan01:18:05

Dr Kieran O’Sullivan is back on the Physio Edge podcast after talking previously 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 chronic low back pain
  • 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

Links of Interest

29 Jun 2013019. Hamstring strength, flexibility and injuries with Kieran O'Sullivan01:08:17

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

Links of Interest

12 Apr 2019089. Combating hand wrist injuries part 2 - Objective assessment with Ian Gatt01:35:47

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

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

15 Feb 2016043. Sporting Shoulder with Jo Gibson01:29:11

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

Podcast handout

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

26 Apr 2017058. How to monitor your athletes workload with Tom Goom00:28:19

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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?

Free running injury assessment & treatment video series available now

Links of Interest

Reference: Gabbett, TJ. The training—injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med 2016;50:273-280

16 Apr 2021120. Pec minor - a major cause of shoulder pain? Physio Edge Shoulder success podcast with Jo Gibson00:19:58

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?

Podcast handout

The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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

Article associated with this episode:

15 Apr 2017056. How to assess your patient's running capacity and performance with Tom Goom00:33:52

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.

Free running injury assessment & treatment video series available now

 

Links of Interest

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

23 Jun 2017066. How to treat calf pain in runners with Tom Goom00:21:44

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

Free running injury assessment & treatment video series available now

Research associated with this episode

18 Nov 2022148. How to assess ankle sprains & start rehab with Zoe Russell00:56:06

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Untreated or poorly rehabilitated ankle sprains can develop into chronic ankle instability (CAI), osteoarthritis, or other lower limb injuries (Bestwick-Stevenson et al. 2021; Delco et al., 2017; Herzog et al., 2019; van Ochten et al., 2017).

In this podcast 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 ankle issues.

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 treatment 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

References

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?



17 Aug 2021128. Postoperative shoulders - can we predict who gets stiff? Physio Edge Shoulder success podcast with Jo Gibson00:16:04

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 webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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

10 Nov 2017073. Neck pain rehabilitation and strengthening with Kay Robinson00:49:34

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

Articles associated with this episode:

Other episodes of interest:

19 Jun 2014028. Groin injuries, screening and rehabilitation with Dr Kristian Thorborg01:09:49

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

14 Apr 2021119. Suspect a stress fracture? Physio Edge Track record: Running repairs podcast with Tom Goom00:14:07

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.

Free running injury assessment & treatment video series available now

09 Jun 2017064. What is causing calf pain in runners and how can you assess it with Tom Goom00:28:56

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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.

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?

 

Free running injury assessment & treatment video series available now

Related posts

Research associated with this episode

14 Feb 2020098. How to use strength training in your treatment with David Joyce00:47:31

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

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. 

CLICK HERE to get access to these online courses on strength & conditioning for youths and adolescents with Dr Jon Oliver with your free trial membership 

 
29 Apr 2015036. How to help patients with persistent pain - part 2 with Mike Stewart01:23:11

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

Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info@clinicaledge.co

 
 
 
12 Sep 2015040. Shoulder Simplified with Adam Meakins01:19:32

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

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

Shoulder conference enrolment 600W

 
 
14 Nov 201106. TA, "core stability", drivers and going beyond the pain experience with LJ Lee00:54:21

When should Transversus (TA) be included in your patient rehab? When is TA retraining a waste of time? Are your patients running like a block of wood with legs? 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 with LJ Lee for the second time, this time covering TA, “Core Stability”, and more including:

  • Retraining TA in your treatment
  • Planks
  • 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

 
 
 
11 Apr 2022143. Key recovery strategies for physical and mental health. Physio Edge Track record: Running repairs podcast with Tom Goom00:37:01

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

Free running injury assessment & treatment video series available now

 

15 May 2018078. High performance athlete management with David Joyce00:57:17

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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

Other episodes of interest:

Sports injuries free videos

06 Oct 2017068. Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras01:23:42

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

Other episodes of interest:

Articles associated with this episode:

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