Physio Edge podcast (general)

What is contributing to your patients low back pain? How do you know when to use manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP? In episode 14 of the Physio Edge podcast, Peter O’Sullivan and David Pope discuss chronic low back pain and Peter’s approach to getting past it. 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”
  • 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

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Peter O’Sullivan

Peter O’Sullivan at Curtin University

The essential role of the thorax in whole body function and the “Thoracic ring approach” with LJ Lee - Online education for Physiotherapists for Clinical Edge members

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Contact David

David on Twitter

Tags: physio, physio edge, physiotherapist, podcast, courses, evidence based practice, online education, peter o’sullivan, curtin university, bodylogic physiotherapy, low back pain, chronic low back pain, treatment, assessment, classification, clinical edge

Direct download: PE014_Chronic_Low_Back_Pain_with_Peter_OSullivan.mp3
Category:general -- posted at: 12:36pm AEDT

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 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

Listen to it now, and subscribe to the podcast in iTunes

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Roger Kerry on Twitter @rogerkerry1

Roger Kerry’s profile at Nottingham University - Physiotherapy

Roger Kerry’s profile at Nottingham University - Philosophy

Courses with Roger Kerry

IFOMPT Conference 2012

Hamstring Rehab for Elite Sprinters - Online education for Physiotherapists for Clinical Edge members

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David on Twitter

Tags: physio, physio edge, physiotherapist, podcast, courses, cervical spine, CAD, cervical arterial dysfunction, VBI, vertebrobasilar insufficiency, spine, artery, manipulation, IFOMPT, Nottingham University, evidence based practice, health education seminars, online education, verterbral artery, dizziness

Direct download: PE_013_Cervical_Spine_Artery_and_VBI_Testing.mp3
Category:general -- posted at: 8:35pm AEDT

PE #012 Plantar Fascia, Achilles and Nerve Entrapments with Russell Wright

David Pope and Russell Wright talk about everything to do with feet and ankles. Plantar Fascia and Achilles Tendinopathy are conditions that need good differential diagnosis and specific tailored treatment programs, especially in runners, and in this episode we chat about how you can get the best results with these patients. We cover:

  • causes of plantar fasciosis
  • strengthening of the plantar fascia
  • what exercises work with plantar fasciosis, and which ones are a waste of time
  • nerve entrapments that can be involved in plantar fasciosis, and how to identify * these
  • the role of taping and orthotics
  • achilles tendinopathy
  • eccentric programs and progressions
  • ankle sprain rehab - keeping it functional

Listen to it now, and subscribe to the podcast in iTunes

(Warning: this podcast has occasional explicit language)

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Russell Wright

Ocean View Physio

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Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members

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David on Twitter

Tags: physio, physio edge, physiotherapist, podcast, courses, achilles, plantar fascia, nerve entrapments, russell wright, ocean view physio, tendinopathy, treatment, eccentric, strengthening, fasciopathy, feet, ankle, runners, running, barefoot running, ankle sprain, rehabilitation


PE #011 Lateral Hip Pain with Dr Alison Grimaldi

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

Dr Alison Grimaldi’s Publications

PhysioTec

University of Queensland

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Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members

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Contact David

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

Direct download: PE_011_Hamstring_Tendinopathy_with_Dr_Alison_Grimaldi.mp3
Category:general -- posted at: 1:08pm AEDT

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 -

Download the PDF handout

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Blaise Dubois

PDF Handout to go with the podcast

The Running Clinic

Blaise Footwear Reviews

Big bulky shoes to avoid

Blaise’ course - New Trends in the Prevention of Running Injuries - Newcastle, March 2012

Blaise’ course - New Trends in the Prevention of Running Injuries - Melbourne, March 2012

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Online education for Physiotherapists for Clinical Edge members

MBT Footwear

Vibram 5 Fingers

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Next time on the Physio Edge Podcast: The Thorax and Biomechanics of the Thoracic Rings with LJ Lee

Contact David

Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, running, biomechanics, achilles, tendinopathy, blaise dubois, the running clinic, assessment, barefoot running, injuries, injury prevention, downhill, Vibram 5 fingers, MBT, big bulky shoes, footwear, evidence, heelstrike

Direct download: PE010_Biomechanics_of_Running_with_Blaise_Dubois.mp3
Category:general -- posted at: 2:07pm AEDT

PE #009 Lateral Hip Pain with Dr Alison Grimaldi

Lateral hip pain is a condition patients present with regularly to Physiotherapists, with pain walking or standing, sleeping on their side, stretching of the posterior hip, and sitting, amongst other symptoms, and can often mimic lumbar spine pathology. In this episode, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain - Glute Med Tendinopathy (GMT), that is often incorrectly diagnosed as “trochanteric bursitis”.

Some of the aspects we explore in this podcast are:

  • Subjective clues that someone may have a Glute Med Tendinopathy
  • “Trochanteric Bursitis”
  • Differentiating Glute Med Tendinopathy from pain of Lumbar origin
  • Assessment of the hip
  • Tests to confirm or rule out a Glute Med Tendinopathy
  • Causes of a Glute Med Tendinopathy
  • Advice for patients
  • Treatment of Glute Med Tendinopathy
  • Deep hip muscle activation
  • How to design a treatment program to make the difference between it working and failing
  • much more

I also want to take this moment to wish you and your family a very Happy New Year.

Links of interest

Become incredibly sexy by subscribing to the podcast in iTunes

Give the Physio Edge podcast a review in iTunes

Clinical Edge

Dr Alison Grimaldi

Dr Alison Grimaldi’s Publications

PhysioTec

University of Queensland

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Online education for Physiotherapists for Clinical Edge members

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Next time on the Physio Edge Podcast: The Biomechanics of Running

Contact David

Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, hip, lateral hip pain, tendinopathy, glute med tendinopathy, lumbar spine, dr alison grimaldi, physiotec,

Direct download: PE_009_Glute_Med_Tendinopathy_with_Dr_Alison_Grimaldi.mp3
Category:general -- posted at: 10:46pm AEDT

All golfers want to hit as far as Tiger Woods, but without the injuries. How can you treat the injuries in your golfing patients, prevent further injury and improve their “coachability” and performance?

Golfers regularly need Physio treatment for injuries like tendinopathy around the elbow, low back and neck pain, and plenty of other injuries. In episode 8 of the Physio Edge podcast, I chat with Matt Green of High Performance Golf about

  • Common golf injuries
  • How to assess and treat golfers
  • Technique errors that contribute to injury
  • Tendinopathy around the elbow
  • Assessing the golf swing
  • Strengthening and motor control
  • Advice to give your golfers and
  • plenty more.

If you treat golfers, or would like to treat more golfers, get stuck into this episode free on iTunes, and brought to you by the podcast sponsor Clinical Edge.

Links of interest

Become incredibly sexy by subscribing to the podcast in iTunes

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High Performance Golf

Ramsay McMaster

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Online education for Physiotherapists for Clinical Edge members

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Next time on the Physio Edge Podcast: Glute Med Tendinopathy

Contact David

Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, golf, golf injuries, golf performance, high performance golf, matt green, ramsay mcmaster,

Direct download: PE008_Golf_Injuries_and_Performance.mp3
Category:general -- posted at: 10:28am AEDT

PE007 Dry Needling with Andrew Hutton

Dry Needling has become incredibly popular in Physiotherapy recently. Is dry needling really the way forward for Physios?

In this podcast I chat with Andrew Hutton of Dry Needling Plus, presenter of the Dry Needling Plus courses for Clinical Edge, and we discuss dry needling and whether it complements regular Physio treatment. Some of the topics we cover include

  • What are the different styles of dry needling?
  • How can dry needling be used in sporting populations?
  • How to know immediately if your needling has been effective
  • What is the evidence for dry needling
  • Studies show decreased ROM with needling, is it possible to improve ROM with dry needling
  • How does changing ROM actually relate to a patient’s pain?
  • Some clinical scenarios where dry needling could be incorporated

Links of interest

Become better looking by subscribing to the podcast in iTunes

Give the Physio Edge podcast a review in iTunes

Dry Needling Plus"

Dry Needling Plus courses with Clinical Edge

Clinical Edge

IMS

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“Treatment of Acute Lateral Ankle Sprains” with Russell Wright for Clinical Edge members

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Next time on the Physio Edge Podcast: Golf Injuries and Performance

Contact David

Direct download: PE_007_-_Dry_Needling_with_Andrew_Hutton.mp3
Category:general -- posted at: 10:39am AEDT

Podcast 6 - LJ Lee - TA, “Core Stability”, Drivers and going beyond the pain experience

When should Transversus (TA) be included in your patient rehab? When is TA retraining a waste of time? Is planking good for anything other than entertaining your mates? How can we go beyond just treating the pain experience to connect with your patient and improve their performance.

In Episode 6 of the Physio Edge podcast, I chat again with LJ Lee, this time covering TA, “Core Stability”, and more including:

  • Retraining TA in your treatment
  • Planks
  • Running like a block of wood with legs
  • McGill’s Big 3 exercises
  • Body “flow” and agility Vs stiffness and rigidity
  • Specificity of exercise
  • How can the Cervical Spine affect knee pain in a squat?
  • The Discover Physio Series
  • “Salsa in your ribcage” and breathing
  • The impact of intra-thoracic pressure on the pelvic floor

Links of interest

Subscribe to the podcast in iTunes

Give the Physio Edge podcast a review in iTunes

Linda-Joy Lee

Clinical Edge

Discover the Sports Thorax

Discover the Sports Pelvis

Discover Physio Series

Canadian Academy of Manual and Manipulative Therapy

Diane Lee

Discover Physio

University of Queensland

Prof Paul Hodges

Sackett

Stuart McGill

“See What I’m Saying” by Rosenblum

“Mindsight” by Dan Siegel

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“Assessment of the Pelvis” online education for Clinical Edge members

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Contact David

Direct download: PE_006_-_Core_stability_TA_and_Drivers.mp3
Category:general -- posted at: 1:25pm AEDT

PE #005: Tendons and tendinopathy with Jill Cook

What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is it just about eccentric training for tendinopathy? When should NSAID’s be used?

This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. We also chatted about some other aspects of tendinopathy, including

  • Factors that contribute to tendinopathy beyond biomechanics
  • Eccentrics - what is the future of training to rebuild tendons
  • Return to sport or running after tendinopathy
  • Avoiding tendinopathy
  • Treatment at each stage of tendinopathy
  • Rehabing achilles tendinopathy
  • Rehab for hamstring tendinopathy

plus we related all of these to clinical scenarios. Enjoy!

Links of interest

Subscribe to the podcast in iTunes

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Jill Cook

Craig Purdam

Monash University

“Achilles Tendinosis in Runners” online education for Clinical Edge members

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BJSM Podcast

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Direct download: PE_005_-_Tendons_and_Tendinopathy.mp3
Category:general -- posted at: 4:17pm AEDT