Fri, 23 January 2015
How to treat anterior knee pain with Kurt Lisle
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:
If you enjoy the Physio Edge podcast, we would love you to take a couple of minutes write us a review on iTunes. Please take a screenshot of your review before posting it, and email it to firstname.lastname@example.org so I can give you a shoutout in the next podcast
Links of Interest
Tags: anterior knee, pain, knee, knee injuries, socceroos, patellofemoral joint, fat pad, impingement, patellar tendon, knee joint, imaging, strengthening, examination, rehabilitation, return to play, graft, tendon, conservative, football, soccer, physio edge, physiotherapist, physio, edge, clinical edge, podcast, online education, kurt lisle, socceroos, the knee joint
Direct download: PE_033_How_to_treat_Anterior_Knee_Pain_with_Kurt_Lisle.mp3
Category:general -- posted at: 5:30pm AEST
Tue, 9 December 2014
ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than your patients had before they injured their ACL.
In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance.
Going deep on the details involved in ACL Rehabilitation, including:
01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like
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
Tags: ACL, knee, injury, anterior cruciate ligament, surgery, rehabilitation, soccer, football, strengthening, movement, non-contact, physiotherapy, physio edge, podcast, enda king, SSC, sports surgery clinic, david pope, clinical edge, webinar
Direct download: PE_032_How_to_rehabilite_ACL_injuries_with_Enda_King.mp3
Category:general -- posted at: 4:40pm AEST
Tue, 21 October 2014
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:
Links of Interest
Fri, 10 October 2014
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:
0:30 Research by Ann Cools
4:20 What we currently know from the research about the scapula
6:30 Scapula dyskinesis - what is it
8:30 Static vs dynamic assessment of the scapula
11:45 Altering muscle balance and timing with specific exercises
13:15 How altering scapula mechanics effects muscle balance around the shoulder
14:10 Important parts of the subjective history
16:20 Scapula vs glenohumeral joint
18:20 How subjective will guide your objective assessment and treatment
18:55 Red flags around the shoulder, nerve pathology and frozen shoulder
21:15 Frozen shoulder imaging
21:45 Nerve injuries - symptoms, objective examination and treatment
30:30 Assessment of the scapula, Type 1 scapula dyskinesis
35:00 Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)
36:10 Testing GHJ IR
42:00 Clinical Edge
44:00 Stretching and shoulder joint mobilisation
51:45 Palpation, stretching and manual therapy for pec minor
55:40 Type 2 scapula dysfunction
59:20 Handheld dynamometry - serratus
1:00:51 Handheld dynamometry - middle and lower traps
1:03:54 Pain when strength testing
1:04:50 Type 3 scapula dysfunction
1:10:03 Dynamic assessment of the scapula
1:15:00 To retract and depress the scapula or not?
1:16:23 Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis
1:17:50 Special tests around the shoulder
1:20:35 Laxity tests for the GH joint
1:23:00 Posterior GHJ laxity
1:24:30 Anterior GHJ laxity
1:26:20 Explanations of scapula dysfunction to your patients
1:31:00 Information on Ann Cools
1:33:00 Wrap up
Links of Interest
Tags: shoulder, scapula, Ann Cools, physio, physioedge, podcast, shoulder pain, scapula dysfunction, EUSSER, glenohumeral joint, dynamic assessment, static assessment, nerve, red flags, subjective, diagnosis, strength testing, objective examination
Direct download: PE_031_Scapula_Assessment_in_Shoulder_Pain_with_Ann_Cools.mp3
Category:general -- posted at: 12:12pm AEST
Wed, 9 July 2014
Acute Knee Injuries with Kurt Lisle
Topics - Acute Ligament injury, ACL injuries, Postero-lateral corner (PLC) Injuries, Knee Surgery and return to sport. 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:
Links of Interest
Tags: knee, knee injuries, socceroos, ACL, MCL, knee joint, posterolateral corner, PLC, surgery, rehabilitation, return to play, graft, tendon, conservative, football, soccer, physio edge, physiotherapist, physio, edge, clinical edge, podcast, online education
Thu, 19 June 2014
PE028 Groin Screening, Injury and Rehabilitation with Dr Kristian Thorborg
David Pope and Dr Kristian Thorborg (Physiotherapist, PhD) discuss screening and rehabilitation of groin injuries. Find out in this podcast:
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
Tags: groin, groin pain, groin assessment, kristian thorborg, dr kristian thorborg, HAGOS, strength testing, adductors, inguinal, hip flexor, hip joint, acetabular labrum, hip strength, function assessment, pubic symphysis, sports hernias, physio edge, physiotherapist, physio, edge, clinical edge, podcast, online education
Direct download: PE_028_Groin_Injury_Rehabilitation_with_Dr_Kristian_Thorborg.mp3
Category:general -- posted at: 4:23pm AEST
Tue, 27 May 2014
PE#027 Managing Sports Injuries with Dr Nathan Gibbs
In one of the most controversial Physio Edge podcasts to date, Dr Nathan Gibbs and I discuss managing sports injuries in a team setting. Dr Nathan Gibbs has worked with many professional sports teams, including the Sydney Swans for 15 years, 10 years with South Sydney Rugby League Football club and is one of the owners of South Sydney Sports Medicine, and in episode 27 of the Physio Edge podcast, we discuss:
Links of Interest
Direct download: PE_027_Sports_Injury_Management_with_Dr_Nathan_Gibbs.mp3
Category:general -- posted at: 2:16pm AEST
Tue, 4 March 2014
PE025 Groin assessment with Dr Kristian Thorborg
How can you identify the reason your patient has groin pain and the structures that may be causing it? Groin pain is one of the most common issues in a lot of sports, particularly the football codes, and in episode 25 of the Physio Edge podcast, David Pope talks to Dr Kristian Thorborg about assessment of the groin.
Some of the topics we discuss on this podcast include:
Types of groin injuries Identifying and diagnosing groin pain and injury Groin vs hip pain Tests you can perform to identify the irritated or painful structures The relevance of diagnostic imaging, and when to refer for this Hip and Groin Outcome Score (HAGOS) Using the HAGOS in your clinic Adductor related groin pain Hip flexor related groin pain Abdominal related groin pain The hip joint Pubic symphysis Sports Hernias Testing hip strength Assessment of function And much more!
I had Kristian on the Physio Edge podcast for episode 21 discussing hamstring injury prevention, and wanted to get him back to discuss his other area of special interest - the groin. I am sure you will get as much out of this episode with Kristian as I did, and you will be all over diagnosis of groin pain by the end of the episode. Enjoy!
Links of interest
Direct download: PE_025_Groin_Assessment_with_Dr_Kristian_Thorborg.mp3
Category:general -- posted at: 9:25pm AEST
Thu, 19 December 2013
PE 024 Thoracic Ring Approach with Dr Linda-Joy (LJ) Lee
The thorax is often considered stiff and stable by Physiotherapists and manual therapists, and precious little of our undergrad or postgrad training incorporating or seeing the need for motor control of this area.
In episode 24 of the Physio Edge podcast, LJ Lee and David Pope explore the function of the thorax, the impact the thorax can have, not only on thoracic pain, but also on other parts of the body. We discuss the Thoracic Ring Approach (TRA) created by LJ, which incorporates manual techniques to assess and treat the thoracic rings, and integrates motor control training for this area. In this podcast you will learn:
What bones and joints make up a “Thoracic ring”
Is the thorax inherently stiff?
What is ideal motor control of the thorax?
How can listeners identify non-optimal control of the thorax in their patients
How can motor control of the thorax be trained?
Identifying articular/joint restriction vs neuromuscular factors interfering with normal thorax movement
How can the thorax impact on other areas of the body eg the hip
When is manipulation of the thorax ideal?
What are some guidelines for manipulation of the thorax?
and much more. Download this podcast free from iTunes, or listen on the link below
Links of Interest
Tags: Thorax, Thoracic ring, Thoracic Ring Approach, ribs, thoracic spine, Integrated Systems Model, stiffness, motor control, mobilisation, manipulation, driver, articular, joint, neuromuscular, stability, bones, joint, hip, vertebrae, LJ, Linda-Joy Lee, ISM, Integrated Systems Model, Physio Edge, podcast, physiotherapy, physiotherapist, clinical practice
Thu, 19 September 2013
Lower limb tendinopathies with Dr Peter Malliaras
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
Peter shared so much great info on tendinopathy, check it out now on episode 23 of the Physio Edge podcast
Show your love for the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.
Links of Interest
Tags: tendinopathy, tendinitis, tendinosis, malliaras, dr peter malliaras, tendon pathology, continuum, dr jill cook, craig purdham, physiotherapy, movement, research, podcast, injuries, rehabilitation, physio edge, clinical edge
Direct download: PE_023_Lower_Limb_Tendinopathies_with_Dr_Peter_Malliaras.mp3
Category:general -- posted at: 12:22pm AEST