Physio Edge podcast (general)

How can you treat plantar fasciopathy? How can you return your plantar fasciopathy patients to activity and running? When can they run without aggravating their pain?

In episode 62 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can get great treatment outcomes with plantar fasciopathy.

You will discover:

  • How can you treat plantar fasciopathy (PF)?
  • How can you help reduce plantar fascia pain during the "pain-dominant" phase?
  • How can you improve load capacity during the "load-dominant" phase?
  • When do your patients need relative rest?
  • What cross training options are suitable for runners with PF?
  • When and how can you incorporate strengthening into your treatment?
  • What other impairments should you address in your treatment?
  • How do you adapt strengthening if your patients pain is irritable vs non-irritable
  • Is stretching helpful?
  • Should you include other treatment, eg taping, orthotics, gel heel cup
  • When can your patients return to running?
  • How long is the average recovery from PF?
  • A PF case study with exercise progressions and return to running.

Download Physio Edge podcast episode 62 now to find out all of this and more

This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom and Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom

Links of Interest

 

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.


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

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

You will discover:

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

Download Physio Edge podcast episode 61 now to find out all of this and more

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

Links of Interest

Research associated with this episode


Plantar fasciopathy is one of the most common causes of foot pain in runners and non-athletes alike. Our understanding of plantar fasciopathy (PF) pathology and treatment has progressed significantly over recent years. In episode 60 of the Physio Edge podcast, Tom Goom and David Pope explore PF, what we know about it, and how you can explain the condition, treatment and recovery process to your patients.

You will discover:

  • What we know about plantar fasciopathy
  • What pathology is present
  • What information imaging provides
  • Which forms of imaging are the most useful
  • What are the risk factors for developing PF
  • Which aspects of running may be related or contribute to developing PF?
  • How can you explain PF the condition, treatment and recovery process to your patients

Download this podcast now to find out all of this and more

Links of Interest

 

Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy

 

Research associated with this episode

Direct download: Physio_Edge_060_Plantar_fasciopathy_in_runners_with_Tom_Goom.mp3
Category:general -- posted at: 12:25pm AEST

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

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

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

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

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

Download this podcast now to find out all of this and more

Links of Interest

 

Tom Goom - Running Physio website - Tom on Twitter - Tom Goom's website & courses - Tom on Facebook Live

Greg Lehman - Greg Lehman's website - Twitter - Facebook

Dr Christian Barton - Twitter - LaTrobe Sport and Exercise Medicine Research Blog

 

Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy

 

Papers mentioned in this episode

Is there an economical running technique? A review of modifiable biomechanical factors affecting running economy

Influence of step length and landing pattern on patellofemoral joint kinetics during running

The training-injury prevention paradox: should athletes be training smarter and harder?

Optimizing strength training for running and cycling endurance performance: A review

A negative life event impairs psychosocial stress, recovery and running economy of runner

Running shoes and running injuries: mythbusting and a proposal for two new paradigms: preferred movement path and comfort filter

The effectiveness of exercise interventions to prevent sports injuries: a syatematic review and meta-analysis of randomized controlled trials

Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period

Frontal plane kinematics of the hip during running: Are they related to hip anatomy and strength?

High eccentric hip abduction strength reduces the risk of developing patellofemoral pain among novice runners initiating a self structured running program: a 1 year observational study

Direct download: Physio_Edge_059_Running_injuries_what_are_the_most_important_factors.mp3
Category:general -- posted at: 8:58pm AEST

Your athletes workload consists of the amount of running, training and matches performed. Their current workload can be compared to previous workload to identify periods where they may be at risk of injury or setting back their rehabilitation (Gabbett 2016). Balancing your athletes workload during rehabilitation and afterwards is vital to allow recovery from injury, improved performance while avoiding further injury.

What do you need to monitor, and how can you monitor workload in an easy and efficient manner? Find out in this episode of the Physio Edge podcast with Tom Goom and David Pope.

You will also discover:

  • What is athlete monitoring?
  • What is the aim?
  • What do we want to monitor?
  • What are external training loads?
  • What are internal training loads?
  • How might we monitor athletes?
  • What do we do with the data we get?

Download this podcast now to find out all of this and more

Links of Interest

Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy

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

Direct download: Physio_Edge_058_How_to_monitor_your_athletes_workload_with_Tom_Goom.mp3
Category:general -- posted at: 3:28pm AEST

Helping our running patients recover and return to running following injury is our primary rehab priority, however we may also have the opportunity to help improve their running performance. Runners are often motivated by improving their speed, performance and times, and incorporating these goals into their rehab can increase motivation and exercise compliance. How then can we help our patients to improve their performance when returning from an injury? Find out in this episode of the Physio Edge podcast with Tom Goom.

You will also discover:

  • Why consider performance?
  • How might we assess performance in a more scientific way?
  • What are the benefits of performance tests?
  • How can we link it to other aspects e.g. gait analysis?
  • How does performance influence training structure and progression?
  • How do we optimise performance in injured athletes?

Links of Interest

Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy


Identifying how much running each of your patients can perform (their load capacity) during their rehabilitation is a skill. This podcast will help you develop your load management skills, and know how much running your individual patients should perform at each stage of their rehabilitation.

In this podcast with Tom Goom, you will discover:

  • What is load capacity?
  • How do we identify your patient’s running capacity?
  • How are your patient’s progressing in their rehabilitation, relative to where they want to be?
  • How can you identify what your patients goals are, so that you can help tie this into a rehab program?
  • What questions can you ask your patients to assess load capacity and identify the right amount of load?
  • What objective tests can you use to help identify your patient’s load capacity?
  • How should you adapt your testing with different pathology?
  • What tests can you perform to identify your patient’s load capacity if your patient has an Achilles Tendinopathy?
  • What measures can we use to identify your patient’s running performance?

This podcast is the first in a series of podcasts over the next few months with Tom Goom, where we will help to develop your assessment and treatment skills, while improving your results with runners.

 

Links of Interest

Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy

 

Related articles

Cook J, Docking S. “Rehabilitation will increase the ‘capacity’ of your …insert musculoskeletal tissue here….” Defining ‘tissue capacity’: a core concept for clinicians. BJSM 2015


Physio Edge 055 Patellofemoral pain in runners with Brad Neal

Runners regularly present for treatment of anterior knee pain. Accurate diagnosis is vital in guiding your treatment, and helping your patients return to painfree running.

In episode 53 of the Physio Edge podcast Brad Neal and David Pope discuss the different patient presentations with anterior knee pain, along with the subjective clues and objective tests that will help guide successful treatment.

We also explore:
• Sources of anterior knee pain
- Patellofemoral pain
- Acute synovitis
- Fat pad irritation
- Osteochondral defects
• The role of imaging
• How to perform an objective assessment in patients with anterior knee pain, including key special tests
• Red flags
• Saphenous nerve involvement
• How to assess if the patient will benefit from an orthotic intervention
• Treatment of patellofemoral pain, synovitis, and fat pad irritation
• Taping techniques

Links of Interest

Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy

Articles related to this episode:

Related resources

Infographic - Running retraining with Dr Rich Willy

Direct download: Physio_Edge_055_Patellofemoral_pain_in_runners_with_Brad_Neal.mp3
Category:general -- posted at: 11:21am AEST

Hip and groin pain part 1 - diagnosis, pathology and red flags with Benoy Mathew

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

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

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

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

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

Links of Interest

Articles related to this episode: 

Direct download: Physio_Edge_054_Hip_and_groin_assessment_and_treatment_with_Benoy_Mathew.mp3
Category:general -- posted at: 12:03pm AEST

Hip and groin pain part 1 - diagnosis, pathology and red flags with Benoy Mathew

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

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

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

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

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

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

Links of Interest

Articles related to this episode: