Physio Edge podcast

Calcaneal bony stress injuries or fractures are often misdiagnosed and incorrectly treated as insertional Achilles tendinopathy or plantar heel pain, leading to worsening pain and poor recovery.

In this podcast with Tom Goom (Running Physio), hosted by Clinical Edge, discover how to accurately assess and effectively treat patients with calcaneal bony stress injuries or fractures.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Your comprehensive guide to ITB assessment & treatment with Tom Goom

If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).

What causes ITB syndrome? How can you assess, diagnose and successfully treat it?

CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:

  • Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.

  • Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.

  • Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.

CLICK HERE to get immediate access to this free ITB video series with Tom Goom.

Lateral hip pain assessment, diagnosis & treatment video series

To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.

Article associated with this episode:


Why do some rotator cuff (RC) repair patients progress really slowly post-operatively and experience high levels of pain and sleep disturbance for long periods?

Find out in this case study and exploration of the latest evidence in this podcast with Jo Gibson (Shoulder Rehabilitation Specialist) as she reveals:

Quick or slow recovery?

  • Which patients are likely to improve quickly, and which patients are likely to take longer to improve.
  • How soon after arthroscopic RC repair your patients will experience significant improvements in pain.
  • When patients sleep is likely to improve.

Objective assessment tests

  • How to identify post-op nerve injury, red flags and infection.
  • Objective tests you can safely perform without overstressing the rotator cuff.
  • How to identify patients developing post-op frozen shoulder.

Expectations, education & reassurance

  • How to help set patient expectations for recovery before and after surgery.
  • Questions to ask patients after surgery that will help guide your treatment.
  • How to reassure patients that are experiencing pain.
  • How to explain post-op recovery to patients that are unhappy with their progress, even when their recovery is on track.

Treatment & resources

  • Activities your patients may be performing that slow their post-op recovery.
  • Positions and postures you can show patients to improve their pain in the day, and sleep at night.
  • Resources to give your post-op patients.

The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.

 

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder 

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

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Articles associated with this episode:


We’re heading into the holiday season, when your patients will either keep progressing with their rehab program, or give their exercises a miss for a while and risk an increase in symptoms, skip appointments in the new year, and disappear off your list.

How can you prepare & motivate your patients for the holiday period, or effectively hand over care of your patients to another therapist, so their pain and strength keep improving?

In this live mentoring session, the Clinical Edge presentation team of Specialist and Titled Physiotherapists will reveal to you:

  1. How to keep your patients engaged and progressing over the holiday period.
  2. If you’re going away, how to effectively keep in contact with patients or hand patients over to other therapists, and avoid losing them over the Christmas period.
  3. How to help kids and young athletes stay active and manage load over the holidays, to stay strong and healthy and avoid overuse injuries early next year.

Prepare your patients now, and set yourself up for a successful holiday season and new year with this free mentoring session.

 


How can you thoroughly assess your neck pain patients, and use the information from your assessment to guide your treatment? What treatments are effective in helping patients overcome their neck pain?

In the first podcast with Specialist Musculoskeletal Physiotherapist, researcher and Emeritus Prof. Gwen Jull 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull, we discussed questions to ask during your subjective history that help guide your neck pain assessment and clinical reasoning.

In this followup podcast, discover how to accurately assess and effectively treat neck pain with Emeritus Prof. Gwen Jull, including:

Objective examination (OE)

  • How to perform a thorough OE.
  • What information a skilled manual assessment provides.
  • What we can actually identify & diagnose.
  • How to use your OE to guide your Rx.
  • Whether posture is relevant to neck pain.
  • When and how to assess posture.
  • How to assess physical impairments, and identify if they’re relevant to a patients neck pain.
  • Common impairments that exist in neck pain patients
  • Which tests are valuable for:
    • ROM
    • Strength
    • Endurance

Treatment

  • How to decide where to start with your treatment.
  • Whether manual therapy (MT) is useful in the treatment of neck pain.
  • How to decide whether to use
    • MT.
    • Postural changes.
    • Strength exercises.
    • Control exercises.
    • Neurodynamic treatment.
    • General strength and endurance training.
    • Exercises for flexibility and range of motion.
    • Graded activity.
    • Motor control.
    • Aerobic exercise for general fitness.
  • How to use symptom modification to help decide on your treatment.
  • How to target our treatment to what your patient needs and will get the most benefit from.
  • Neck exercises and treatment progressions.
  • How do you decide on the treatment progression to use.
  • Whether there is evidence to include shoulder strength in neck pain patients.
  • Craniocervical flexion test - when do you use this?
  • Whether the biofeedback cuff is essential to use with neck pain patients.
  • How craniocervical flexion exercises compare to cervical spine physiological flexion.
  • When to have a strength focus in your treatment.
  • How to incorporate strength training in treatment.
  • How to improve the likelihood of successful neck pain treatment.

CLICK HERE to get access to Cervical spine assessment & treatment for neck pain & upper limb symptoms

CLICK HERE to get access to Cervical radiculopathy assessment & treatment case study


When patients have a running injury, such as knee pain or Achilles tendinopathy, do we need to include strength training in their rehab? Discover when strength training is an important part of comprehensive running injury rehab in this podcast with Tom Goom (Running Physio), and explore:

  • Whether strength is important in runners.
  • Whether patients that are stronger are less likely to develop running injuries.
  • Why recent research found higher levels of strength in recently injured runners compared to uninjured runners.
  • When we need to improve patients' strength in running injury rehab.
  • Can strength training reduce the risk of running injuries?
  • How strength training fits into a comprehensive rehab program.
  • When strength is relevant to pain and pathology.
  • When rehab does NOT need to include strength training.
  • How to know what to focus on during rehab.
  • Which patients don’t require exercises or strength training.
  • How to identify when strength goals are a barrier to recovery and return to running.
  • Additional benefits of strength training, beyond improved strength.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Your comprehensive guide to ITB assessment & treatment with Tom Goom

If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).

What causes ITB syndrome? How can you assess, diagnose and successfully treat it?

CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:

  • Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.

  • Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.

  • Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.

CLICK HERE to get immediate access to this free ITB video series with Tom Goom.

Lateral hip pain assessment, diagnosis & treatment video series

To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs


Patients may develop stiffness following rotator cuff repair or other shoulder surgery, particularly with longer periods of immobilisation. On the other hand, some patients may fail rehab without sufficient immobilisation. How can you identify which patients are likely to develop stiffness and will benefit from early mobilisation? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

  • Which patients are likely to benefit from rotator cuff or other surgical repair.
  • How to plan post-op surgical rehab.
  • Whether patients should have a period of immobilisation or not.
  • How to predict patients that are likely to develop post-op shoulder stiffness.
  • Metabolic, genetic, age-related and psychosocial factors that influence development of stiffness.
  • Pre-operative and surgical factors that influence development of stiffness.
  • How to reduce the likelihood of stiffness developing.
  • Comparison between early post-op shoulder mobilisation and six weeks in a sling.
  • Patients more likely to fail a RC repair, who may need more of a conservative approach to early mobilisation.
  • How to explain mobilisation vs immobilisation to patients.
  • Short and long term outcomes when patients develop stiffness.
  • Frozen shoulder
    • If and when corticosteroid injections are helpful.
    • The role of P. acnes in development of frozen shoulder.

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


Can you solve this case of a badminton player with a five year history of posterior shoulder pain and shoulder fatigue with overhead movements? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover the diagnosis and why the patient hasn’t improved with rehabilitation, as Jo reveals the case study and:

  • Subjective clues to help diagnose this condition.
  • Questions to ask in the subjective history.
  • Differential diagnoses to keep in mind.
  • How to identify and rule out red flags.
  • Clinical tests to use to rule this condition in and out.
  • What medical tests and MRI reveal.
  • Common causes of this condition.
  • Conservative, medical and surgical management and results.
  • Ideal treatment pathways for this condition.

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


When your patient with Achilles tendon pain isn’t progressing as well as you hoped, could Plantaris be implicated in their pain? Find out in this latest Physio Edge Track record: Running repairs podcast with Tom Goom, where you’ll discover:

  • Plantaris anatomy and relationship to the Achilles tendon.
  • Common symptoms when Plantaris is causing Achilles tendon pain.
  • How to differentiate Achilles tendinopathy from Plantaris involvement.
  • Why patients with Plantaris involvement may not progress with a tendon loading program.
  • How to adjust treatment when you suspect Plantaris involvement.
  • When Plantaris patients can return to running and hill running.
  • Additional medical and surgical management when Plantaris conservative treatment doesn’t resolve symptoms.

Enjoy this new podcast with Tom Goom now to improve your treatment of Achilles tendon pain.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Your comprehensive guide to ITB assessment & treatment with Tom Goom

If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).

What causes ITB syndrome? How can you assess, diagnose and successfully treat it?

CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:

  • Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.

  • Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.

  • Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.

CLICK HERE to get immediate access to this free ITB video series with Tom Goom.

Lateral hip pain assessment, diagnosis & treatment video series

To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs


Immobilisation following a humeral fracture or shoulder surgery quickly results in muscle atrophy and decreased shoulder strength and proprioception. How can you limit strength deficits that develop while patients are in a sling?

During this period of immobilisation, cross education (CE) can help retain shoulder strength. This improved shoulder strength and proprioception after the immobilisation period concludes may enable a faster return to work, high load activities or sport. What is CE, and how can you use it in your treatment? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

  • What is cross education (CE)?
  • What the latest research reveals about the effectiveness of CE?
  • Which patients benefit most from CE.
  • Common strength and proprioceptive deficits after shoulder stabilisation surgery.
  • How CE improves strength and proprioception.
  • Recommendations for CE exercise intensity and dosage.
  • Whether to use eccentric, concentric or isometric exercises.
  • How to amplify the strength and cortical effects of CE.
  • How to target the rotator cuff with CE.
  • How to incorporate proprioception into CE.
  • How to use CE in rehab for instability, movement apprehension & kinesiophobia.
  • When to include CE in MRCT post-op rehab.

Get free access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/shoulder

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

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


What do foam rolling and stretching do to the ITB? Are they effective in the treatment of ITB syndrome? Find out in this podcast with Tom Goom (Running Physio).

 

Your comprehensive guide to ITB assessment & treatment with Tom Goom

If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).

What causes ITB syndrome? How can you assess, diagnose and successfully treat it?

CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:

  • Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.

  • Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.

  • Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.

CLICK HERE to get immediate access to this free ITB video series with Tom Goom.

Lateral hip pain assessment, diagnosis & treatment video series

To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom