Physio Edge podcast

Ankle syndesmosis injuries, also known as a high ankle sprain, commonly occur during high impact tackles or collisions that involve forced lateral rotation of the foot in ankle dorsiflexion. Syndesmosis injuries can be missed in the early stages as the degree of pain and swelling may not reflect the severity of the injury. Early diagnosis of syndesmosis injuries is key in preventing persistent pain, disability and limited ability to return to play or activity.

In Physio Edge podcast episode 80, English Premier League Physiotherapist Chris Morgan, and David Pope explore how to assess and diagnose ankle syndesmosis injuries (ASI), including:

  • Questions you need to ask when your patient has had an ankle injury
  • What is an ASI?
  • What symptoms will your patient report following ASI?
  • Ligaments and structures that are often involved in an ASI
  • What is a "peeling injury", and how does this influence the structures that are injured?
  • Common mechanism of injury
  • How to assess, diagnose, classify and grade ASI
  • How to differentiate between stable and unstable ASI
  • Which tests can you perform to accurately diagnose ASI?
  • Differential diagnosis
  • Which injuries are likely to require surgical intervention, and which injuries may be managed conservatively?
  • When imaging is useful
  • What type of imaging to perform
  • Identifying underlying chondral lesions
  • Early management strategies

CLICK HERE to download your podcast handout

Upcoming podcast - How to treat ankle syndesmosis injuries with Chris Morgan

A subsequent podcast with Chris Morgan will discuss in detail how to treat ankle syndesmosis injuries . Download this podcast now to improve your assessment and diagnosis of ankle syndesmosis injuries.

Free webinar - Medial knee injuries with Chris Morgan

Chris Morgan's Physiotherapy roles in English Premier League with Liverpool and Crystal Palace have provided him with a lot of experience treating acute injuries, including the ankle and knee. To help you take advantage of this experience, Chris is presenting a Clinical Edge webinar on medial knee injuries. In his webinar Chris will discuss:

• Presentation of medial knee injuries
• How imaging findings correlate with clinical findings
• How to progress your rehabilitation and return players to performance
• Incorporating change of direction and trunk control into rehabilitation

You can CLICK HERE to access this free webinar

Articles associated with this episode:

Morgan et al. 2014. Conservative management of syndesmosis injuries in elite football

Sikka RS, Fetzer GB, Sugarman E, Wright RW, Fritts H, Boyd JL, Fischer DA. Correlating MRI findings with disability in syndesmotic sprains of NFL players. Foot & ankle international. 2012 May;33(5):371-8.

Sman AD, Hiller CE, Rae K, Linklater J, Black DA, Nicholson LL, Burns J, Refshauge KM. Diagnostic accuracy of clinical tests for ankle syndesmosis injury. Br J Sports Med. 2015 Mar 1;49(5):323-9.

Other episodes of interest:

PE 017 - Injury reduction with Dr Peter Brukner

PE 027 - Sports injury management with Dr Nathan Gibbs

Following ACL injury, patients can have a smooth recovery with full return to sport and activity, or end up with ongoing knee symptoms and limited ability to perform the activities they love. How can you help your ACL injured patients have a great outcome?

In Physio Edge podcast episode 079, Dr Lee Herrington and David Pope explore how to make your ACL injury rehab successful, and provide you with a comprehensive guide to rehabilitate ACL injuries. You will understand how to take your patients from initial injury to return to sport, and develop the knowledge to help inform your patients decide with your patient whether surgical repair or conservative management is their best option.

You will discover:

  • Do ACL injuries require surgical management?
  • Which factors commonly affect whether people with ACL-deficient knees require surgery?
  • Common diagnostic errors in ACL injury patients
  • What are the key elements you need to include in your rehab of ACL injuries?
  • Conservative vs surgical management
  • Should your rehab focus on movement control, strength or skills?
  • How you should objectively assess your patients rehab progress?
  • What valid measurement tools can you use when assessing patient progress?
  • Are open-chain exercises safe, and should they be used in your rehab?
  • Most effective types of movement control and skill training
  • How to know when your patient should progress their exercises?
  • Which strength measures are important?
  • Which strength training exercises can you include?
  • When can running be commenced?
  • Running progressions you can use
  • What pain measures should you monitor throughout rehab?
  • Is pain during rehab ok?
  • How to return your patient to training and sport
  • What maintenance exercises should your patient continue after completing their rehab?

Related online courses

Advanced ACL rehab with Andrew Ryan

Other episodes of interest:


Click here to download the podcast handout

Articles associated with this episode:

Direct download: Physio_Edge_079_How_to_rehabilitate_ACL_injuries_with_Dr_Lee_Herrington.mp3
Category:general -- posted at: 6:29pm AEST

How can you incorporate high performance elements into your sports injury rehab, to help your injured players and athletes become strong, fit, powerful and fast? How can you rehab a player to perform at a high level when they return to sport following injury?

In Physio Edge podcast episode 78, David Joyce shares how you can improve the performance aspects of your rehabilitation. You will discover some of the key elements when managing high performance athletes and sporting teams. If you work with injured athletes at an elite, recreational or junior level, or would like to work with a sports team, you will love this podcast.

In this podcast, David Joyce and David Pope discuss:

  • How to help athletes move from being a junior player to performing at an elite level
  • How to help players build tolerance and resilience to cope with high level sport
  • How to create "elite level people", not just "elite level players"
  • What makes a player likely to succeed?
  • Schedules and weekly programs you can use to prepare junior players
  • What load should a junior player perform during preseason relative to a senior player?
  • When players need to be exposed to higher loads
  • How to schedule training and running to prevent bony and soft tissue injuries
  • How many running sessions per week should players perform?
  • "Earning the right" to run at full speed
  • How to structure strength sessions do players perform
  • Incorporating plyometrics
  • What load measures are actually important
  • Important screening questions to ask your players
  • How to return injured players to high level sport
  • How many weeks of full training do ACL injured players require before return to play
  • Key tests to perform for your players
  • Tips when objectively testing athletes

CLICK HERE to download your podcast handout

Get your access to Sports Injury Assessment and Treatment FREE videos

Other episodes of interest:

Direct download: Physio_Edge_078_High_performance_athlete_management_with_David_Joyce.mp3
Category:general -- posted at: 4:10pm AEST

The long head of biceps tendon and superior labrum can get a hard time in throwing athletes and patients that fall on their arm or shoulder. This can result in long head of biceps tendon pathology or SLAP tears, and cause ongoing shoulder pain.

A lot of our shoulder tests are non-specific, and are unable to identify particular structures that are irritated or painful in the shoulder. In the case of the long head of biceps (LHB) tendon and slap tears, there are a few useful tests that in combination with a good history can help you identify when the structures are involved in your patient's shoulder pain.

In episode 77 of the Physio Edge podcast, Jo Gibson, Shoulder Specialist Physio and David Pope discuss anterior shoulder pain, LHB pathology and SLAP tears. You will discover:

  • Anatomy of the long head of biceps tendon and superior labrum
  • Why the anatomy is important, and may be different to what you learnt at university around the biceps tendon and bicipital groove
  • The clinical presentation and relevant history of patients with SLAP lesions and LHB tendon pathology
  • Which patients are more likely to get SLAP tears following trauma
  • Special tests that may help you identify LHB pathology and SLAP tears
  • What information imaging gives us
  • When to request imaging for your shoulder pain patients
  • Different groups of patients that develop LHB pathology
  • Rehabilitation of LHB tendon pathology and SLAP tears
  • When to specifically target the LHB tendon, and when to target the surrounding structures for best results
  • Other areas to consider in your rehab beyond the shoulder
  • How the kinetic chain can impact shoulder pain
  • How someone's hop distance can influence their shoulder pain
  • How to start treatment of someone with an irritable LHB tendon
  • Important education components to include in your treatment
  • Time frames - How long do these injuries take to recover?
  • Which patients are suitable for surgical management?
  • Different types of surgery for LHB tendon pathology
  • Which SLAP tear patients should have conservative treatment?
  • How suprascapular nerve involvement can present following traumatic shoulder injury, and how to identify patients with suprascapular nerve compression

Articles associated with this episode:

Exercise videos

Other episodes of interest:

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

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

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

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

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

To complement this podcast and improve your treatment of runners, Tom Goom and I have created three awesome free Achilles tendinopathy rehab videos. This is a series of three evidence-based videos to help you master Achilles treatment. CLICK HERE to get your free access to these videos

Related posts

Research associated with this episode

Direct download: Physio_Edge_076_Footwear_advice_for_running_injuries_with_Tom_Goom.mp3
Category:general -- posted at: 8:13pm AEST