Physio Edge podcast with David Pope

Alfredson. 2011. Midportion achilles tendinosis and the plantaris tendon

076. Footwear advice for running injuries with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Thu, 25 Jan 2018 09:13:55 +0000

There are a lot of myths around footwear, and your patients with running injuries will often blame an "incorrect shoe" choice for their injury, or believe that getting the "right shoe" will help resolve an injury. Are running shoes the cause of, and solution to running injuries?

What advice should you give your patients when they ask that inevitable question "Do you think I need to get new shoes?", closely followed by "What shoe do you think I should run in?"

In Physio Edge podcast episode 76 with Tom Goom , you will also discover:

What footwear should your runners and injured runners wear?
Footwear questions you need to ask your running injury patients
Does footwear change gait patterns?
Can footwear contribute to injury?
What footwear may contribute to or help in your treatment of Achilles tendinopathy
What is heel-toe drop and how is this important?
Does footwear affect ground reaction forces, and how does this relate to bone stress injuries and plantar fasciopathy?
Is minimalist or barefoot running helpful or harmful?
Can runners safely transition to barefoot or minimalist running?
Is footwear the key to resolving running injuries?
Shoe prescription
Recommendations when buying new shoes
Footwear considerations for specific pathologies
When should runners change their shoes?

If you would love to get better results with running injuries, the podcast handout contains the key takehome messages for you. You can download it here.

Free running injury assessment & treatment video series available now

Links of Interest

Research associated with this episode

075. Tendinopathy, imaging and diagnosis with Dr Sean Docking

info@clinicaledge.com.au (Physio Edge) — Mon, 11 Dec 2017 06:13:10 +0000

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

Links associated with this episode:

Articles associated with this episode:

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

074. Hip pain and femoroacetabular impingement FAI with Dr Joanne Kemp

info@clinicaledge.com.au (Physio Edge) — Fri, 24 Nov 2017 02:52:23 +0000

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

Links associated with this episode:

Articles associated with this episode:

Other episodes of interest:

073. Neck pain rehabilitation and strengthening with Kay Robinson

info@clinicaledge.com.au (Physio Edge) — Fri, 10 Nov 2017 11:55:38 +0000

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

Links associated with this episode:

Articles associated with this episode:

Other episodes of interest:

072. Accelerated hamstring injury rehabilitation exercise selection and progressions with Jack Hickey

info@clinicaledge.com.au (Physio Edge) — Fri, 03 Nov 2017 08:39:24 +0000

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

Links associated with this episode:

Sliding discs to use in hamstring slider exercises in your clinic - available in Australia. Use the code "clinicaledge" to get 20% off your order (at the above link, not applicable on Amazon)
Amazon (outside Australia)- Sliding discs to use in hamstring slider exercises

Other episodes of interest:

Articles associated with this episode:

071. Hamstring strengthening, lengthening and injury prevention with Dr David Opar

info@clinicaledge.com.au (Physio Edge) — Fri, 27 Oct 2017 02:22:28 +0000

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:

070. How to treat adductor related groin pain and complex cases with Dr Adam Weir

info@clinicaledge.com.au (Physio Edge) — Thu, 19 Oct 2017 21:00:00 +0000

Athletes with groin pain will commonly play with pain until the end of the season, and rest during the off-season in the hopes this will aid in their recovery. Unfortunately this offseason rest period rarely results in recovery, and athletes head into the preseason with long-standing groin pain and an extended recovery period.

In this episode of the Physio Edge podcast with Dr Adam Weir , you will discover how to treat adductor related groin pain (ARGP) and complex patient presentations with multiple areas of pathology or pain.

This podcast follows on from the Physio Edge podcast episode 69, where Dr Adam Weir and I discussed in detail how to assess and diagnose adductor related groin pain, identify or exclude differential diagnosis including stress fractures, hip joint involvement, inguinal related groin pain and nerve entrapment.

You will explore:

Treatment of acute adductor strains
Long term adductor related groin pain (ARGP)
Is rest during the off season helpful or harmful for groin pain
What pain level is ok during rehab exercises
How can you describe ARGP to decrease patient fear
Is ARGP a tendinopathy or different pathology?
How to answer your patients when they ask how long until they can return to training (RTT) or return to play (RTP)?
What is and how can you incorporate the Copenhagen Adductor exercise?
Is there a role for passive treatment?
Is hand held dynamometry useful during recovery?
Treatment for adductor related groin pain (ARGP)
Starting treatment
Exercise progressions
What criteria can you utilise for treatment progressions?
What criteria can you use prior to allowing your patients to return to running, change of direction and RTP
How to progress running and change of direction training
Adductor to abductor strength ratios your athletes can achieve prior to RTP

Complex presentations

How can you make a diagnosis and tailor your rehab when a patient has multiple areas of pain and positive tests eg ARGP plus Psoas related groin pain or Inguinal related groin pain?
How your treatment program may evolve as your patient progresses through their rehab

Dr Adam Weir will be presenting at the upcoming Sports Injuries virtual conference on the assessment and treatment of Inguinal related groin pain. You can access his free preconference presentation, along with other free sports injury assessment and treatment videos AT THIS LINK

Links associated with this episode:

Articles associated with this episode:

069. Adductor related groin pain stress fractures and nerve entrapment assessment diagnosis with Dr Adam Weir

info@clinicaledge.com.au (Physio Edge) — Fri, 13 Oct 2017 06:17:06 +0000

Adductor related groin pain is the most common diagnosis for athletes with groin pain. In this episode of the Physio Edge podcast you will discover how to assess and diagnose adductor related groin pain, identify or exclude differential diagnosis including stress fractures, hip joint involvement, inguinal related groin pain and nerve entrapment.

Dr Adam Weir is a Sports Physician with a PhD on groin pain, the lead author for the Doha agreement meeting on terminology and definitions in groin pain in athletes, who currently shares his time between the Aspetar sports groin pain centre and the Erasmus University Hospital Academic Centre for Groin Injuries in Holland. Adam will take you through exactly how to perform an assessment around the hip and groin, how to interpret your findings and how to explain your diagnosis to your patients. You will explore:

The common presentation and symptoms of someone with adductor related groin pain
Structures that are commonly involved
Aggravating and easing activities
Area of pain, and new research highlighting unexpected pain referral areas from the adductor tendons
Differential diagnosis
Bone stress injuries around the hip and pubic bone
Genitofemoral nerve entrapments - symptoms, diagnosis and treatment
Red flags
Acute versus chronic presentations
Adductor related versus pubic related groin pain
How to perform an assessment, including screening tests
Tests you need to incorporate into your assessment
Identifying and diagnosing all the structures contributing to a patient's symptoms
What is the value of imaging and when should it be performed?

Links associated with this episode:

Download your free podcast handout
Dr Adam Weir on Twitter - @adamweirsports
Aspetar – Sports groin pain centre
Erasmus University Hospital Academic Centre for Groin Injuries
Get your free trial Clinical Edge membership
David Pope on Twitter
Clinical Edge on Facebook

Articles associated with this episode:

068. Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras

info@clinicaledge.com.au (Physio Edge) — Fri, 06 Oct 2017 08:00:29 +0000

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:

067. Shoulder special tests and the rotator cuff with Dr Chris Littlewood

info@clinicaledge.com.au (Physio Edge) — Fri, 18 Aug 2017 09:15:05 +0000

Shoulder pain can involve the rotator cuff, scapula, cervical spine, thorax, and other structures in this area. Recent research has also explored the role of patient beliefs and expectations on the outcomes of Physiotherapy for shoulder pain. Which factors are important in your shoulder pain patients? Can we identify the contributing factors to your patients shoulder pain? What information will you get from orthopaedic special tests during a shoulder examination? How can you improve your treatment results with your patient education?

In this episode of the Physio Edge podcast, Dr Chris Littlewood and David Pope discuss shoulder pain, including:

Classification of shoulder pathology
How to identify painful vs stiff vs unstable shoulder pain vs cervical spine referred pain
Questions to ask in your subjective assessment
Does subacromial impingement exist, and how does a diagnosis of subacromial impingement effect outcomes
Patient expectations of treatment outcomes
How to perform an objective assessment
What information special tests provide
Is scapular dyskinesis pathological or normal movement variation
Are painful or non-painful exercises most helipful in chronic shoulder pain
What role does imaging have in shoulder pain

This podcast adds to Physio Edge podcast 47 - Rotator cuff tendinopathy with Dr Chris Littlewood .

Links of interest

066. How to treat calf pain in runners with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Fri, 23 Jun 2017 05:22:53 +0000

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

Links of Interest

Research associated with this episode

065. Differential diagnosis of calf pain in runners with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Thu, 15 Jun 2017 02:34:38 +0000

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

Links of Interest

Research associated with this episode

064. What is causing calf pain in runners and how can you assess it with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Fri, 09 Jun 2017 09:32:53 +0000

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

Links of Interest

Related posts

Research associated with this episode

063. How to assess and treat posterior hip and gluteal pain with Benoy Mathew

info@clinicaledge.com.au (Physio Edge) — Wed, 31 May 2017 02:08:18 +0000

Posterior hip pain can have a number of causes, with referral from the lumbar spine, SIJ and hip, along with local structures such as the hip joint, gluteals, glute tendons, proximal hamstring tendons. How can you identify the structures involved in your patient's posterior hip pain? What tests can you perform in your objective assessment to assist your treatment? What is the best way to treat the glutes if they are the involved in your patient's pain?

In episode 63 of the Physio Edge podcast, Benoy Mathew and David Pope explore how you can improve your diagnosis and results with posterior hip pain.

You will discover:

What are some of the common causes of posterior hip pain?
Gluteal tendinopathy (GT)
- What area of symptoms will patients with GT report?
- What are the pattern of symptoms for GT?
- What tests can we perform to make GT more or less likely
- How can we treat GT?
Deep gluteal syndrome (DGS)
- What is deep gluteal syndrome?
- What muscles can be involved in DGS?
- How can we differentiate it from Gluteal tendinopathy?
- What tests can you perform to confirm or exclude DGS?
- How does the treatment for DGS differ to GT?

Benoy is presenting a free webinar with Clinical Edge on "How to assess & diagnose posterior hip and gluteal pain", that complements this podcast, and takes you through the common sources of hip pain, how to identify hip and lumbar spine red flags, and demonstrates exactly how you can perform an assessment to test and differentially diagnose the structures involved in your patients pain.

CLICK HERE to enrol on this free webinar with Benoy Mathew

Ben also presented a webinar with Clinical Edge on how to rehabilitate adductor and psoas related groin pain. The webinar helps you discover:

Rehabilitation of adductor and psoas related groin pain
Practical tips
Common presentations
Osteitis pubis, sports hernia, hip impingement
Rehabilitation from initial stages to plyometrics

CLICK HERE to watch the webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew with a free trial Clinical Edge membership

Links of Interest

Articles related to this episode:

062. How to treat plantar fasciopathy in runners with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Wed, 24 May 2017 22:00:00 +0000

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

Links of Interest

Related posts

Research associated with this episode

Rathleff et al. 2014. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.

061. How to assess & diagnose plantar fasciopathy in runners with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Wed, 17 May 2017 06:25:19 +0000

Assessment and diagnosis is vital in planning your plantar fasciopathy treatment program, and successfully returning your patients to activity and running. Structures in the vicinity of the plantar fascia insertion may contribute to plantar heel pain, but require a very different treatment approach. How can you identify other structures that are involved? What questions do you need to ask in the history? How can you perform an examination, and what tests should you perform on patients with plantar fasciopathy?

In episode 61 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can assess and differentially diagnose plantar fasciopathy.

You will discover:

Plantar fasciopathy clinical presentation
How to identify fat pad irritation
Patterns of calcaneal and navicular bony stress injuries
How you can identify nerve entrapment and radiculopathy
Red flags such as spondyloarthropathy
Questions to ask in your subjective that will guide your diagnosis and treatment
How to perform an objective assessment
Tests you need to perform
Identifying impairments to address during rehabilitation
When you should perform a running assessment

This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom

Free running injury assessment & treatment video series available now

Links of Interest

Research associated with this episode

060. Plantar fasciopathy in runners with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Tue, 09 May 2017 02:25:41 +0000

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

059. Running Injuries - What are the most important factors? A group discussion with Tom Goom, Greg Lehman & Dr Christian Barton

info@clinicaledge.com.au (Physio Edge) — Sat, 06 May 2017 10:58:42 +0000

How can you identify the most important factors involved in your patients running injuries? During your rehabilitation of runners, which is most important to address - load, gait pattern, strength, foot strike, pelvic position, footwear, range of movement or other factors?

I wanted to discuss and debate these issues with a number of Physiotherapists that treat and research running injuries, so I have a very different format for you on this episode of the Physio Edge podcast - a group podcast.

On this podcast, we have Tom Goom, Greg Lehman and Dr Christian Barton all in one virtual room discussing and debating the merits of the various approaches to running injuries.

In this episode of the Physio Edge podcast David Pope and the group discuss:

When is it ok for your runners to continue running, and when do they need to stop
Common myths around running retraining
When is it important to change your patients foot strike?
Which patient presentations and pathologies will be assisted with running retraining?
How can you identify a suitable running load during rehab
How can you incorporate running retraining into your rehab
Which areas are important to running assessment
How can you manage training load strength and conditioning
When are plyometrics appropriate during rehabilitation
Other factors that impact injury prognosis and duration
What advice can you give new runners
Which footwear should runners wear?

Free running injury assessment & treatment video series available now

Links of Interest

Tom Goom

Greg Lehman

Dr Christian Barton

Papers mentioned in this episode

058. How to monitor your athletes workload with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Wed, 26 Apr 2017 05:28:25 +0000

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

057. Advanced Running Tests & Optimising Performance with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Fri, 21 Apr 2017 05:44:23 +0000

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

056. How to assess your patient's running capacity and performance with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Sat, 15 Apr 2017 06:21:40 +0000

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

055. Patellofemoral pain in runners with Brad Neal

info@clinicaledge.com.au (Physio Edge) — Wed, 08 Mar 2017 00:21:26 +0000

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

054. Hip and groin part 2 - assessment and treatment with Benoy Mathew

info@clinicaledge.com.au (Physio Edge) — Thu, 02 Feb 2017 01:03:36 +0000

In this second podcast on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore:

How you can assess the hip and groin
How to assess the lumbar spine, SIJ and the lower limb for factors contributing to your patient's groin pain
Tests you can perform to identify the source of your patient's hip and groin pain
Identifying hip joint involvement
How to start your patient's hip and groin exercises
When to incorporate exercises for local hip stabilising muscles
When you need to utilise and progress hip strengthening exercises
Exercise progressions you can use
How to strengthen while you lengthen the hip flexors
When and which plyometric exercises your patients can perform
When speed and agility work can be incorporated

In the first podcast with Ben Mathew "Hip and groin pain part 1 - diagnosis, pathology and red flags" with Benoy Mathew", we explored pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain.

As mentioned in this episode Benoy presented a webinar with Clinical Edge. The webinar helps you discover:
• Rehabilitation of adductor and iliopsoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics

CLICK HERE to watch the webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew with a free trial Clinical Edge membership

Links of Interest

Articles related to this episode:

053. Hip & groin pain - diagnosis, pathology and red flags with Benoy Mathew

info@clinicaledge.com.au (Physio Edge) — Fri, 25 Nov 2016 09:39:14 +0000

Acute and chronic groin pain is common in sports, however diagnosis can be challenging. A thorough understanding of pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain.

In the first of two podcasts on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore:

How you can use the patient history to help your diagnosis and treatment
Important questions you NEED to ask all of your hip and groin pain patients
Sources of hip and groin pain - intra and extra-articular
How you can identify referred pain from the lumbar spine and SIJ
How you can identify important red flags around the hip and groin
When you should refer your patients for further investigations, medical assessment and surgical opinion
How you can identify osteoarthritis in younger patients
Differentiating hip impingement, labral pathology and hip dysplasia
When to request X-ray or MRI
Identifying and understanding iliopsoas pain and pathology

This is a vital podcast for anyone that treats hip and groin pain, and is highly recommended listening before Hip & groin pain part 2 - Assessment & Treatment with Benoy Mathew coming soon.

As mentioned in this episode Benoy is presenting a webinar with Clinical Edge. The webinar will discuss:
• Rehabilitation of adductor and iliopsoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics

CLICK HERE to enrol on the free webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew

Links of Interest

Articles related to this episode:

052. Conservative or surgical management for ACL injuries with Enda King

info@clinicaledge.com.au (Physio Edge) — Sun, 23 Oct 2016 12:39:56 +0000

ACL injuries commonly occur during pivoting and change of direction sports. What is the best way to manage these injuries? Are your patients suitable for conservative managment or will they require surgery?

In Physio Edge podcast 052, David Pope and Enda King discuss acute management of ACL injuries, and how you can help your patient decide whether to have conservative or surgical management.

We also explore:

What is the latest research around ACL injury
What leads to an ACL injury, and how is this important in your rehab?
What are the outcomes following ACL injury
How can you make clear decisions on when your patient is ready for return to training and return to sport
What biomechanics lead to ACL injury
What role does trunk control have in ACL injury
A patient example with an ACL injury
Conservative vs surgical management
Post injury management
Timeframe for surgery
Who is suitable for conservative management
How to prepare your patient for the extended rehab process following ACL injury
Strength and power training in ACL rehab
Youth and adolescent ACL injury management
How to manage concomitant chondral and meniscal injury
When can your patient return to running

You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here

Enda King will also be presenting at the Sports Injury Virtual Conference hosted by Clinical Edge along with the world leaders in sports injury management.

How can you manage ACL injuries conservatively? What are the important components of ACL rehab to help your players return to sport? Enda's presentation will take you through ACL rehab to address common strength and biomechanical issues found in athletes with ACL injuries. Discover exactly how to progress your conservative management of ACL injuries, and when your players can return to running and sport.

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

Links mentioned in this episode

Enda King

Free sports injury assessment and treatment videos

Sports Injuries virtual conference

Free podcast handout on ACL and lateral knee injuries

Download or subscribe to the podcast on iTunes

Enda King on Twitter @enda_king

Sports Surgery Clinic Dublin

Free trial of clinical edge membership

You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here

051. Lateral knee and LCL injuries with Matt Konopinski

info@clinicaledge.com.au (Physio Edge) — Mon, 10 Oct 2016 07:05:43 +0000

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

Links mentioned in this episode

Matt Konopinski

Free sports injury assessment and treatment videos

Free podcast handout on LCL and lateral knee injuries

Matt Konopinski on Twitter @Matt_Kono

LFC Liverpool football club

Article Impact of exercise selection on hamstring muscle activation

Free trial of clinical edge membership

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

050. Treating the TMJ and jaw pain with Dr Stephen Shaffer

info@clinicaledge.com.au (Physio Edge) — Tue, 20 Sep 2016 06:21:57 +0000

Temporomandibular joint pain and dysfunction can significantly impact your patients life, limiting their ability to enjoy eating and talking. Temporomandibular dysfunction (TMD) has a lot of musculoskeletal contributors that physiotherapists are perfectly positioned to treat and help improve patient's lives.

In episode 50 of the Physio Edge podcast, Dr Stephen Shaffer and David Pope discuss TMD, structures that can be affected, and how you can assess and get great results treating TMD patients. We also explore:

Structures involved in TMD
Involvement of the cervical spine
Common presentations of TMD
Questions to ask in your subjective assessment
Red flags
How to perform an objective assessment
Normal TMJ movement
How you can treat TMD
Manual therapy
Education
Exercise therapy
Are the Rocabado 6x6 the best exercises to provide your patients

Dr Stephen Shaffer is presenting a webinar on TMD, hosted by Clinical Edge, and you can enrol free on this webinar by CLICKING HERE

Links mentioned in this episode

049. Running from injury part 2 with Dr Rich Willy

info@clinicaledge.com.au (Physio Edge) — Fri, 09 Sep 2016 10:25:49 +0000

In Running from Injury part 2, Dr Rich Willy will help you assess and retrain running in your patients with achilles tendinopathy, patellofemoral joint pain, ITB Syndrome and stress fractures. We explore the latest evidence and how it will help you address pain and injuries related to running.

You will discover:

Treadmill or overground running assessments?
Gait retraining for particular musculoskeletal conditions
How to provide your patients with the individual running cue they need
What cadence should we be aiming at for runners (hint: it may not be what you expect!)
Is heel strike important to assess
Running assessment from the side
Important factors when treating runners with PFJP
Running assessment & retraining for achilles tendinopathy
Factors involved in ITB Syndrome
When are orthotics useful

You can download the handout to go along with this podcast to help you perform a running assessment, retrain runners and address achilles tendinopathy, knee pain and tibial stress injuries.

Links mentioned in this episode

Other Physio Edge podcasts related to running injuries

048. Running from injury part 1 with Dr Rich Willy

info@clinicaledge.com.au (Physio Edge) — Wed, 03 Aug 2016 04:59:43 +0000

Are you looking to improve your assessment & treatment of runners? Would you like to know exactly what to look for in a running assessment? What are the most important factors to treat when your running patients have achilles tendinopathy? How is that different when they have patellofemoral joint pain (PFJP)? The research around running is evolving quickly, and in this podcast with Dr Rich Willy we explore the latest evidence and how it will help you address the most important factors with different musculoskeletal issues.

You will also discover:

How to perform a running gait analysis
Key communication points with runners
How to explain your gait analysis & running injuries to your patients
Important questions to ask runners
Intensity runners should train at to avoid illness and injury
Technology you can incorporate in your running assessment and retraining
Important factors when treating runners with PFJP and achilles tendinopathy
Does pronation & foot mechanics matter?

I have an awesome freebie for you with this podcast!

You can download free the podcast handout that will take you through the 8 essential areas to analyse when performing a running assessment, communication tips, advice to give your running patients during their recovery and much more.

Links mentioned in this episode

Dr Rich Willy on Twitter

Dr Rich Willy at East Carolina University

Dr Rich Willy on ResearchGate

University of Delaware

Irene Davis - Harvard

Garmin 620

RunCadence app for iOS and Android

Run Scribe

Purchase a RunScribe

Article on polarised training approach

Bone stress injuries in runners webinar with Tom Goom

Achilles tendinopathy in runners online course

Free trial of Clinical Edge membership

i. Patellofemoral Joint and Achilles Tendon Loads During Overground and Treadmill Running

Some papers of interest:

ii. In-field gait retraining and mobile monitoring to address running biomechanics associated with tibial stress fracture: In-field gait retraining and monitoring

iii. Mirror gait retraining for the treatment of patellofemoral pain

Other Physio Edge podcasts related to running injuries

Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom

Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill

Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff

Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff

Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras

Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright

Physio Edge 010 Biomechanics Of Running With Blaise Dubois

Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook

047. Rotator cuff tendinopathy with Dr Chris Littlewood

info@clinicaledge.com.au (Physio Edge) — Thu, 23 Jun 2016 02:19:57 +0000

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 free trial

Dr Leanne Bisset on ResearchGate

046. Proximal hamstring tendinopathy with Tom Goom

info@clinicaledge.com.au (Physio Edge) — Wed, 04 May 2016 07:20:09 +0000

Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active.

There are a number of structures that can contribute to pain in this area, and in this podcast, Tom Goom and David Pope discuss how to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions.

Tom recently released an article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management with Peter Malliaras, Mike Reiman and Craig Purdam. We explore this article, and the research around PHT, and cover in detail:

Subjective clues to guide you towards diagnosis
Aggravating factors and 24 hour pain patterns
Differential diagnosis
Lumbar spine pain
How the lumbar spine could contribute to development of PHT
Hip pain
SIJ pain
Sciatic nerve pain
Development of PHT
Central sensitisation
Diagnostic tests for PHT
Hamstring tests
Other assessment tests
Functional tests
The value of palpation
Tests for involvement of the rest of the kinetic chain
Running assessment/gait analysis
Testing load tolerance
Biopsychosocial aspects of tendon recovery
Other advice for patients
Whether stretching is helpful
When your patient can return to running
Cross training
Does manual therapy have a role in the treatment of PHT?
Starting treatment (Stage 1)
When and how to progress rehabilitation (Stage 2)
Further rehabilitation progressions (Stage 3)
Advanced exercise progressions for high load sports
Exercises you can incorporate during the various stages
How long recovery will take

Free running injury assessment & treatment video series available now

Links

Tags: running, hamstring, tendinopathy, tom goom, podcast, proximal, peter malliaras, craig purdam, mike reiman, treatment, assessment

045. Treatment of Lateral Elbow Pain Part 2 With Dr Leanne Bisset

info@clinicaledge.com.au (Physio Edge) — Thu, 14 Apr 2016 10:38:48 +0000

How can you treat your patient's lateral elbow pain (lateral epicondylalgia (LE)/tennis elbow)? How and when should you progress your patient's exercise program? Is pain during their exercise program ok?

In this episode, which is Part 2 of Lateral Elbow pain with Dr Leanne Bisset, we explore in detail how you can differentially diagnose LE from other causes of lateral elbow pain, and treat it successfully.

Discover:

Diagnosis and differential diagnosis of LE
How to get the best outcomes for your patients when treating LE
Do isometrics work?
How can you commence strengthening?
Should your patient experience any pain during their exercise program?
When and how can you incorporate Mobilisation with Movement into your treatment program?
How to perform MWM's for LE
How to progress your treatment
Identifying and treating radial nerve involvement
Incorporating strengthening for the upper limb
High level athletes and weightlifters with lateral elbow pain - is this likely to be LE or another condition?
Identifying nerve root irritation with pain over the lateral elbow
Taping methods to deload the lateral elbow when there is nerve involvement
Clinical reasoning of your treatment
Predictors of poor treatment prognosis
When to order imaging
Evidence for and against other treatment strategies including the Cyriax approach, massage, laser, ESWT, corticosteroids and PRP
Validated screening tools for LE, including the PRTEE

In this episode, Leanne answers a lot of your questions on LE, asked via Twitter and the Clinical Edge newsletter.

Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia who has extensively researched and published on lateral elbow pain, and spends a large proportion of her clinical time treating the upper limb and lateral elbow.

This is a two part podcast, followup up Lateral Elbow Pain Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset.

Links of Interest

Dr Leanne Bisset

Dr Leanne Bisset on Twitter

Download the Patient-Rated Tennis Elbow Evaluation (PRTEE)

Download the free podcast handout

Lateral Elbow Pain Part 1 with Dr Leanne Bisset

Review the podcast in iTunes

David Pope

Get your free trial of Clinical Edge online education

044. Lateral Elbow Pain Part 1 with Dr Leanne Bisset

info@clinicaledge.com.au (Physio Edge) — Mon, 07 Mar 2016 23:53:12 +0000

Lateral elbow pain (lateral epicondylalgia/tennis elbow) affects a lot of athletes, manual workers and office workers, and can respond fantastically to Physiotherapy treatment, or in other patients with a similar presentation, not at all.

Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia that has extensively researched and published on lateral elbow pain, and spends the majority of her clinical time treating the upper limb and lateral elbow.

This is a two part podcast, and in Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset discuss:

Why is Lateral Epicondylalgia (LE) difficult to treat?
What tissue pathology exists in LE
Pain pattern for LE
Patient reports that will help your diagnosis of LE
Important aspects to communicate with your patients regarding their LE
Objective tests that you can perform
Patient advice
Should you rest your patients or provide exercises?
How is tendinopathy in the Upper Limb different to the Lower Limb?
Commencing treatment
How to incorporate manual therapy into your treatment
Exercises you can start your treatment with
Should you include isometric exercises for lateral elbow pain
How often should your patients perform their exercises
Exercise into pain, or avoid pain?

Links of Interest

Dr Leanne Bisset

Dr Leanne Bisset on ResearchGate

Dr Leanne Bisset on Twitter

Review the podcast in iTunes

David Pope

Get your free trial of Clinical Edge online education

043. Sporting Shoulder with Jo Gibson

info@clinicaledge.com.au (Physio Edge) — Mon, 15 Feb 2016 13:37:46 +0000

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

Links associated with this episode:

042. Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill

info@clinicaledge.com.au (Physio Edge) — Mon, 23 Nov 2015 22:49:27 +0000

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

Links of Interest

Download your free handout on Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill
Access to the Lower Limb Tendinopathy free videos, including Seth's presentation on Achilles Tendinopathy
Lower Limb Tendinopathy Virtual Conference with detailed, practical presentations:
Dr Jill Cook will cover "Structure, function and pain in tendinopathy"
Dr Sean Docking is then going to take us through "The role of imaging in the diagnosis and monitoring of tendinopathy".
Dr Peter Malliaras is presenting "Staged rehabilitation of Patellar Tendinopathy".
Craig Purdam takes you through "Staged rehabilitation of Hamstring Tendinopathy"
Seth O'Neill will help you understand "Achilles Tendinopathy Exercise & rehab progressions. Risk factors and the importance of Soleus in Achilles tendinopathy"
Dr Ebonie Rio will conclude the Virtual Conference with "Tendon pain and the brain – what do we know and can we change it?"
CLICK HERE for more information on the Lower Limb Tendinopathy Virtual Conference
Seth on Twitter
Seth's website on Achilles Tendon Research
David on Twitter
Subscribe to the podcast on iTunes
Physio Edge podcast episode 41 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang

Get your free access to videos on Lower Limb Tendinopathy

041. The role of Plantaris in mid portion Achilles Tendinopathy with Dr Christoph Spang

info@clinicaledge.com.au (Physio Edge) — Fri, 20 Nov 2015 07:04:12 +0000

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

Dr Christoph Spang at UMU

Dr Christoph Spang's PhD Thesis

Dr Christoph Spang on Research Gate

Download your free handout on The Shoulder Simplified

Out very soon…. Conservative management of Plantaris involvement in Achilles Tendinopathy with Seth O'Neill

040. Shoulder Simplified with Adam Meakins

info@clinicaledge.com.au (Physio Edge) — Sat, 12 Sep 2015 10:28:46 +0000

How complex does your shoulder assessment need to be? How can you can simplify your shoulder assessment and treatment?

Find out in episode 40 of the Physio Edge podcast with Adam Meakins, where Adam and I discuss:

Common mistakes Physio's make in assessment and treatment of the shoulder
Adam's classification of shoulder pain
Subjective clues to guide your objective and treatment
How to identify weak and painful shoulders
Red flags with shoulder pain
Frozen shoulders
Objective assessment
Subacromial impingement
GIRD (Glenohumeral Internal Rotation Deficit)
The use of US in shoulder pain
Surgical treatment for shoulder pain
Treatment for weak and painful shoulders
Loading the rotator cuff for pain relief and strength
Gym junkie shoulder pain and how to adapt their weight training programs

Links of Interest

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

039. Patellofemoral pain in adolescents with Dr Michael Rathleff

info@clinicaledge.com.au (Physio Edge) — Sat, 22 Aug 2015 14:19:22 +0000

Patellofemoral joint pain (PFJP) is very common in adolescents, and in the Physio Edge podcast episode 39, I discuss causes, assessment and treatment with the author of numerous studies on PFJP in Adolescents, Dr Michael Rathleff.

You will explore:

Different types/groups of Adolescents that suffer with PFJP
Common reasons for failure of Physiotherapy
Diagnosis and DDx of PFJP
Examination of the knee
Treatment of PFJP
How to tailor and progress your exercise programs
The use of orthotics
Taping
The usefulness of stretching
Prognosis & predictors of recovery
Biomechanics
and more.

I have also created a free handout to supplement and help you get the most from this podcast, which you can download here

Dr Michael Rathleff also provided great insights into Loading Programs for Plantar Fasciopathy on the Physio Edge podcast episode 38, also well worth a listen if you haven't already.

Links of interest

Download your free handout on Patellofemoral Pain in Adolescents to go along with this podcast

Dr Michael Rathleff's publications on PFJP in Adolescents

Dr Michael Rathleff on Twitter

Free Shoulder Assessment & Treatment videos with leading international presenters

2015 Patellofemoral research retreat

Download your free handout on Patellofemoral Pain in Adolescents

Other related Physio Edge podcasts:

038. Plantar fasciopathy loading programs with Michael Rathleff

info@clinicaledge.com.au (Physio Edge) — Thu, 09 Jul 2015 00:03:28 +0000

Plantar Fasciopathy (Plantar heel pain) can be a stubborn condition to treat, or you can learn to love treating it like Dr Michael Rathleff, incorporate the right loading program and activity modification and get some great results.

In episode 38 of the Physio Edge podcast, I talk to Dr Michael Rathleff, author of the RCT "High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up: HL strength training and plantar fasciitis".

We discuss:

Common mistakes in the treatment of plantar fasciopathy (PF)
How we can improve our treatment of PF
Why call it plantar fasciopathy instead of plantar fasciitis?
Research on PF
Loading programs for PF
Patient advice
Activity modification
Running load modification
Short and long term results from loading the plantar fascia
Considerations when treating PF
Who is not suitable for a loading program
Who respond the best to this program, and who responds the least
How to modify the loading program
Development of PF
Running technique
Treatment or strengthening of other areas
Stretching
Orthotics
Cortisone
Plantar fascia tears

Links of interest

037. Pilates beyond low back pain with Lana Johnson

info@clinicaledge.com.au (Physio Edge) — Wed, 10 Jun 2015 06:56:49 +0000

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

036. How to help patients with persistent pain - part 2 with Mike Stewart

info@clinicaledge.com.au (Physio Edge) — Wed, 29 Apr 2015 12:50:26 +0000

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

035. Know Pain with Mike Stewart

info@clinicaledge.com.au (Physio Edge) — Thu, 26 Mar 2015 02:39:36 +0000

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

034. Advanced ACL rehab with Enda King

info@clinicaledge.com.au (Physio Edge) — Thu, 19 Feb 2015 00:36:53 +0000

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

033. How to treat anterior knee pain with Kurt Lisle

info@clinicaledge.com.au (Physio Edge) — Fri, 23 Jan 2015 06:30:44 +0000

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

032. How to rehabilitate ACL injuries with Enda King

info@clinicaledge.com.au (Physio Edge) — Tue, 09 Dec 2014 05:40:55 +0000

ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than they had before they injured their ACL.

In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance.

Going deep on the details involved in ACL Rehabilitation, including:

01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like
What does a fully rehabilitated athlete look like?
Incorporating performance goals into the rehab process
Can athletes achieve better performance post ACL rehab than they were pre-injury
Types of ACL grafts
Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery
Preoperative education
Restoring knee extension, balancing pain and improved range of movement, empowering your patient
Guidelines for pain, swelling when restoring range of movement
Restoring quadriceps activation, normalising gait patterns
Clinical Edge
Clinical Edge's free webinar program
Preoperative length of time
Post-op - initial management
To use or not use co-contraction exercises of quads and hamstrings
Should you use squatting style exercises Week 1 post op
Activating quadriceps - internal quadriceps cues or external exercise focus
How much pain should a patient experience during or after an exercise
Week 2 post-op
When can heavy gym training commence
Changing movement patterns throughout the kinetic chain
Advice for patients in the early stages of rehab
Frequency of exercise
Week 2 onwards - exercises incorporating balance and proprioception
Open vs closed chain exercises
Advice for patients in weeks 2–6
Nutrition and dietary advice for patients
Gym based rehabilitation
Choosing and modifying exercises for middle stages of the rehabilitation process
Various types of squatting movement, and progressing the types of squats
Goblet squats
Retraining ideal squat patterns
Progressing squats, deadlifts and lunges
Front squats
Front squats and trap bar deadlifts vs back squats during rehabilitation
When can an athlete start cycling
Disadvantages of using cycling as the main part of a rehabilitation program
Hamstring rehabilitation after semitendinosis/gracilis graft
Strength and power development
Strength testing - mid thigh pull, leg press
Should we use open chain strength tests
When to perform strength tests
Strength vs power and rate of force development
Running - incorporating into the program. When can your patient start running?
Preparation for running
Running drills
Ideal movement patterns in running
Enda King and SSC, and working with ACL athletes

Podcast timeline

3:35 What does a fully rehabilitated athlete look like?
5:40 Incorporating performance goals into the rehab process
6:50 Can athletes achieve better performance post ACL rehab than they were pre-injury
8:20 Types of ACL grafts
11:10 Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery - an opportunity to prepare your patients knee, ROM, strength and educate them on the rehabilitation process
14:20 Preoperative education
14:40 Restoring knee extension, balancing pain and improved range of movement, empowering your patient with
15:40 Guidelines for pain, swelling when restoring range of movement
16:15 Restoring quadriceps activation, normalising gait patterns
17:10 Clinical Edge
18:45 Clinical Edge's free webinar program
19:30 Preoperative length of time
20:35 Post-op - initial management
23:20 To use or not use co-contraction exercises of quads and hamstrings
24:50 Should you use squatting style exercises Week 1 post op
25:25 Activating quadriceps - internal quadriceps cues or external exercise focus
26:30 How much pain should a patient experience during or after an exercise
27:30 Week 2 post-op
28:30 When can heavy gym training commence
29:30 Changing movement patterns throughout the kinetic chain
31:00 Advice for patients in the early stages of rehab
32:10 Frequency of exercise
32:55 Week 2 onwards - exercises incorporating balance and proprioception
34:10 Open vs closed chain exercises
35:40 Advice for patients in weeks 2–6
37:15 Nutrition and dietary advice for patients
37:45 Gym based rehabilitation
38:50 Choosing and modifying exercises for middle stages of the rehabilitation process
41:00 Various types of squatting movement, and progressing the types of squats
41:45 Goblet squats
42:30 Retraining ideal squat patterns
43:25 Progressing squats, deadlifts and lunges
44:00 Front squats
46:00 Front squats and trap bar deadlifts vs back squats during rehabilitation
47:25 When can an athlete start cycling
48:00 Disadvantages of using cycling as the main part of a rehabilitation program
48:30 Hamstring rehabilitation after semitendinosis/gracilis graft
49:45 Strength and power development
51:00 Strength testing - mid thigh pull, leg press
53:15 Should we use open chain strength tests
54:20 When to perform strength tests
55:00 Strength vs power and rate of force development
55:50 Running - incorporating into the program. When can your patient start running?
57:30 Preparation for running
58:35 Running drills
1:00:30 Ideal movement patterns in running

Links:

030. CrossFit injuries with Antony Lo

info@clinicaledge.com.au (Physio Edge) — Mon, 20 Oct 2014 22:48:21 +0000

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

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

031. Scapula assessment in shoulder pain with Ann Cools

info@clinicaledge.com.au (Physio Edge) — Fri, 10 Oct 2014 01:12:11 +0000

Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain?

When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax?

In this podcast, David Pope talks to Ann Cools, a Physiotherapist and Head of Education for Rehabilitation Sciences and Physiotherapy at Ghent University in Belgium, and is also the founding member and president (2010–2012) of EUSSER - European Society of Shoulder and Elbow Rehabilitation. We discuss in detail assessment of the scapula, the role of the scapula in shoulder pain and how to retrain unruly scapulae.

Other topics covered in this podcast include:

Research by Ann Cools
What we currently know from the research about the role, movement and control of
the scapula
Scapula dyskinesis - what is it
Static vs dynamic assessment of the scapula
Altering muscle balance and timing with specific exercises
How altering scapula mechanics effects muscle balance around the shoulder
Important parts of the subjective history
Scapula vs glenohumeral joint
How subjective will guide your objective assessment and treatment
Red flags around the shoulder, nerve pathology and frozen shoulder
Frozen shoulder imaging
Nerve injuries - symptoms, objective examination and treatment
Assessment of the scapula, Type 1 scapula dyskinesis
Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)
Testing GHJ IR
Clinical Edge and online education on the shoulder
Stretching and shoulder joint mobilisation
Palpation, stretching and manual therapy for pec minor
Type 2 scapula dysfunction
Handheld dynamometry - serratus
Handheld dynamometry - middle and lower traps
Pain when strength testing
Type 3 scapula dysfunction
Dynamic assessment of the scapula
To retract and depress the scapula or not?
Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis
Special tests around the shoulder
Laxity tests for the GH joint
Posterior GHJ laxity
Anterior GHJ laxity
Explanations of scapula dysfunction to your patients

Links of Interest

029. Acute knee injuries with Kurt Lisle

info@clinicaledge.com.au (Physio Edge) — Wed, 09 Jul 2014 05:32:41 +0000

On Episode 29 of the Physio Edge podcast, David Pope is joined by the Australian Socceroos Physio Kurt Lisle, a Specialist Sports Physiotherapist to discuss assessment and management of Acute knee injuries.

On this podcast, David and Kurt discuss:

Acute Ligament Injuries - Initial management
When to refer for Orthopaedic consult
Bracing/not bracing
Adolescent knee injuries - when to refer for XR to check for an avulsion injury
Swelling during and after treatment
ACL injury - when to trial conservative management and when to refer for surgery
Timeframes for surgery following ACL injury
Different types of ACL grafts - pros and cons
LARS
Hamstring vs ITB tendon vs Patella tendon
Open chain X's eg leg extensions to restore quads and patellar tendon load capacity?
Important aspects of post op rehab
Return to training/change of direction criteria
RTP criteria
PLC
Details of PLC injuries
Mechanism
Structures normally injured
Symptoms
Testing for PLC injuries
Conservative vs surgical
Rehab guidelines
RTP timeframes

Links of Interest

028. Groin injuries, screening and rehabilitation with Dr Kristian Thorborg

info@clinicaledge.com.au (Physio Edge) — Thu, 19 Jun 2014 06:23:28 +0000

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

027. Managing sports injuries with Dr Nathan Gibbs

info@clinicaledge.com.au (Physio Edge) — Tue, 27 May 2014 04:16:17 +0000

In this week's podcast, Dr Nathan Gibbs and I discuss managing sports injuries in a team setting. Dr Nathan Gibbs has worked with many professional sports teams, including the Sydney Swans for 15 years, 10 years with South Sydney Rugby League Football club and is one of the owners of South Sydney Sports Medicine, and in episode 27 of the Physio Edge podcast, we discuss:

Ideal working relationships between Physiotherapists and Sports Physicians
The role of a Sports Physician
Hamstring injury - common factors involved, imaging and return to play
Injections - cortisone, PRP
Use of PRP in ligament injury, with chondroplasty and OA

Links of Interest

026. Gymnastics injuries with Kingsley Gibson

info@clinicaledge.com.au (Physio Edge) — Fri, 09 May 2014 03:34:00 +0000

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

025. Groin assessment with Dr Kristian Thorborg

info@clinicaledge.com.au (Physio Edge) — Tue, 04 Mar 2014 10:25:30 +0000

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

024. Thoracic ring approach with Dr Linda-Joy (LJ) Lee

info@clinicaledge.com.au (Physio Edge) — Thu, 19 Dec 2013 06:16:00 +0000

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

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

023. Lower limb tendinopathies with Dr Peter Malliaras

info@clinicaledge.com.au (Physio Edge) — Thu, 19 Sep 2013 02:22:00 +0000

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

022. Chronic low back pain with Dr Kieran O'Sullivan

info@clinicaledge.com.au (Physio Edge) — Fri, 13 Sep 2013 16:00:00 +0000

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

021. Shoulder pain, rotator cuff tendinopathy and frozen shoulder with Dr Jeremy Lewis

info@clinicaledge.com.au (Physio Edge) — Thu, 12 Sep 2013 04:40:00 +0000

Shoulder pain – what are the causes, and how can you treat it?

Are your special tests around the shoulder really isolating and identifying pathology?

How can the rotator cuff still function with small and large tears?

In Episode 21 of the Physio Edge podcast, Jeremy Lewis and David Pope discuss these questions and more including:

What is the value of special tests around the shoulder?
What diagnosis can you provide your patients for their shoulder pain
How can you identify if you need to focus your treatment on the scapula, glenohumeral joint, cervical spine or thorax?
How can you identify a rotator cuff tendinopathy?
What is the Rotator Cable, and how is it important in rotator cuff tears?
Is the acromion really the cause of "impingement" or subacromial pain?
If a patient has a biceps tendinopathy and a rotator cuff tendinopathy, which should be treated first?
What contributes to biceps tendinopathy?
Theraband – valuable?
When imaging of the shoulder is valuable, and when it is a waste of time
Frozen shoulder – what treatments work well and much more.

Podcast links

020. Womens health with Lori Forner

info@clinicaledge.com.au (Physio Edge) — Fri, 16 Aug 2013 05:40:00 +0000

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

019. Hamstring strength, flexibility and injuries with Kieran O'Sullivan

info@clinicaledge.com.au (Physio Edge) — Sat, 29 Jun 2013 12:58:01 +0000

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

018. Exploring the pelvis with Diane Lee

info@clinicaledge.com.au (Physio Edge) — Tue, 30 Apr 2013 10:14:00 +0000

How can the pelvis contribute to pain and dysfunction? Is the SIJ the main pain producer around the pelvis, or what is? What is the state of current research around the pelvis? Is it possible to feel "unlocking" of the SIJ? Do Pelvic Upslips exist?

In episode 18 of the Physio Edge podcast Diane Lee of Diane Lee & Associates and David Pope discuss the pelvis and SIJ in detail, including:

palpation around the pelvis
how can you palpate for unlocking of the SIJ
what role the pelvis has in low back pain
how the pelvis can be affected by other areas of the body
does the current research support unlocking of the pelvis
how can the thorax affect the pelvis
when should you perform deep abdominal or multifidus training

And then we dive into Paediatric musculoskeletal development, including

footwear for kids
sporting activities for kids
should kids sit in chairs or on the floor
is a simple ankle sprain all that simple
advice for parents
children's furniture and lots of other great info that will help you when treating or bringing up kids

Links of Interest

017. Injury reduction with Dr Peter Brukner

info@clinicaledge.com.au (Physio Edge) — Mon, 24 Dec 2012 09:14:12 +0000

How can you reduce the chance of sporting injury? What are the most useful recovery aids from games and training? When are injections helpful in injury recovery?

In episode 17 of the Physio Edge podcast, Dr Peter Brukner, fresh from working with Liverpool Football Club in the EPL, co-author of Clinical Sports Medicine with Dr Karim Khan, and author of many other publications discusses with David Pope the management of sporting teams, injury reduction, prevention, recovery and a multitude of other topics, including:

ACL Injury Prevention
Hamstring Injury Prevention
Strength training vs Specific strengthening
Player load management
Recovery from tendinopathy
The role of injections, including PRP, Cortisone and Orthokine
Player screening
Player game recovery and more.

016. Preventing hamstring injuries with Dr Kristian Thorborg

info@clinicaledge.com.au (Physio Edge) — Mon, 10 Sep 2012 02:31:49 +0000

Hamstrings are one of the most common acute muscular injuries in athletics and team sports. In this episode of the Physio Edge podcast I discuss recent research with promising results preventing hamstring injuries with Dr Kristian Thorborg, a Specialist Sports Physiotherapist in Copenhagen, Denmark.

This podcast is hosted by David Pope, an Australian Physiotherapist.

Links of Interest

015. Cervicogenic headaches with Ken Niere

info@clinicaledge.com.au (Physio Edge) — Wed, 01 Aug 2012 10:04:14 +0000

How can you recognise when the cervical spine is involved in a patients headache? How can you treat headaches caused by cervical dysfunction? What role does manual therapy play in their treatment? When and how should you treat their cervical motor control?

In this podcast, Ken Niere and David Pope discuss cervicogenic headaches, effective physio treatment, and how to recognise the difference between cervicogenic headaches, tension type headaches and migraine.

Ken Niere is a Specialist Musculoskeletal Physiotherapist with over 25 years' clinical experience in the assessment and treatment of spinal disorders. He is a senior lecturer in the School of Physiotherapy at La Trobe University, where he has taught spinal musculoskeletal physiotherapy at undergraduate and postgraduate levels since 1989.

Ken is an examiner for the Australian College of Physiotherapists and he recently contributed to and co-edited a book on headache, orofacial pain and bruxism. His special interests include the diagnosis and management of headaches and neck disorders, and he has lectured on these topics in Australia and overseas.

Links of Interest

014. Chronic low back pain with Peter O'Sullivan

info@clinicaledge.com.au (Physio Edge) — Tue, 26 Jun 2012 02:36:28 +0000

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

Give the Physio Edge podcast a review in iTunes
Clinical Edge
Free membership to Clinical Edge!
Peter O'Sullivan
Peter O'Sullivan at Curtin University (image of Peter O'Sullivan courtesy of Curtin University)
Contact David
David on Twitter

013. Cervical arteries and VBI testing with Roger Kerry

info@clinicaledge.com.au (Physio Edge) — Tue, 24 Apr 2012 10:35:00 +0000

Treatment of the cervical spine often involves some degree of manual therapy or manipulation, and VBI testing is generally encouraged or required prior to this. In this episode of the Physio Edge podcast, Roger Kerry, a Physiotherapist, Lecturer and Researcher from Nottingham University and David Pope discuss Cervical Arterial Dysfunction (CAD), the accuracy and limitations of VBI testing, and a lot of other good stuff, including:

Cervical Arterial Dysfunction (CAD), and VBI
Why is it important for clinicians to know about CAD
The limitations of VBI testing
Clues within the history to alert you to the possibility of CAD
Symptoms of CAD
2 types/causes of dizziness and differentiation
The 5 Ds and 3 N's – what are the limitations of this approach
Signs & Symptoms of Cerebral and retinal ischaemia
Aetiology
Upper cervical instability
As clinicians, where should CAD and VBI testing lead our assessment, treatment and investigations?
When can we conservatively treat someone with these symptoms
Monitoring – during and post rx
Contraindications to Rx

Links of interest

011. Hamstring tendinopathy with Dr Alison Grimaldi

info@clinicaledge.com.au (Physio Edge) — Mon, 20 Feb 2012 02:08:00 +0000

Hamstrings are one of the more frequently injured muscles in sportspeople, and in this episode, Alison and I discuss hamstring tendinopathy, symptoms, assessment and treatment of this common condition.

Some of the aspects we explore in this podcast are:

Subjective clues that someone may have a Hamstring Tendinopathy
Differentiating Hamstring Tendinopathy from pain of Lumbar origin
Assessment of the hamstring
Tests to confirm or rule out a Hamstring Tendinopathy
Causes
Advice for patients
Rehabilitation
Deep hip muscle activation
Keys to a successful treatment program
a whole lot more

There is currently limited research around the area of hamstring tendinopathy, and Alison's tips and insights are based on this evidence base as well as her clinical experience.

I hope you enjoy it!

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Dr Alison Grimaldi's Publications

Dr Alison Grimaldi

PhysioTec

University of Queensland

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Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, hamstring, posterior thigh pain, tendinopathy, runners, rugby, sprinters, lumbar spine, dr alison grimaldi, physiotec

010. Biomechanics of running with Blaise Dubois

info@clinicaledge.com.au (Physio Edge) — Sun, 15 Jan 2012 03:07:00 +0000

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