Physio Edge podcast
PE 038 Plantar Fasciopathy loading programs with Michael Rathleff
Direct download: PE038_Plantarfasciopathy_with_Michael_Rathleff.mp3
Category:general -- posted at: 10:03am AEST

PE #037 Pilates for shoulder and knee pain with Lana Johnson

Pilates is commonly known and used for rehabilitation of persistent low back pain, however Pilates principles and equipment can also be used for assessment and treatment of pain beyond the pelvis and lumbar spine.

In episode 37 of the Physio Edge podcast, Lana Johnson, a Physiotherapist and former dancer, from BPS Tensegrity in Sydney and I discuss how you can use Pilates for knee and shoulder pain, as well as:

  • Common misconceptions about Pilates
  • Functional vs non-functional exercises
  • Common errors made in Pilates training and rehabilitation
  • Pilates for hip and knee pain
  • Case studies using Pilates with shoulder and knee pain patients
  • Patient progression
  • Cues you can use with your patients for hip and shoulder retraining
  • Exercise progressions
  • Exercises to stay away from

Links of Interest

 

Tags: Lana Johnson, Pilates, BPS, BPS Tensegrity, Low back pain, shoulder pain, knee pain, rehabilitation, strengthening, retraining, Clinical Edge, online education, Physio Edge, podcast, case studies, exercise progression, functional exercise, hip

 

Direct download: PE_037_Pilates_beyond_low_back_pain_with_Lana_Johnson.mp3
Category:general -- posted at: 4:56pm AEST

PE #036 How to help patients with persistent pain - part 2 with Mike Stewart

Mike Stewart and further explore persistent pain, helpful language you can use with your persistent pain patients, how you can use group sessions, as well as:

  • How the bio fits into biopsychosocial
  • How you can develop an educational toolkit
  • Case study of a patient with persistent peripheral pain
  • Language & communication recommendations.
  • Misconceptions about persistent pain education
  • And much more.

Links of Interest

Physio Edge podcast episode 35 - Know Pain part 1 with Mike Stewart

Mike Stewart

Know Pain

Courses with Mike Stewart

Mike Stewart on Twitter

Virtual conferences with Physio Edge and Clinical Edge

Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info at clinicaledge.com.au

Clinical Edge online education

Free Sports Medicine articles in the Aspetar Journal

Headspace

“Living in the moment” by Anna Black

“Rainy brain, Sunny brain” by Elaine Fox

Free video on Metatarsal head padding with Nick Torrance

Free video on soft metatarsal domes for acute metatarsalgia

Free video on firmer metatarsal domes for metatarsalgia

Facebook

David on Twitter

Tags: Pain, persistent pain, chronic pain, complex pain, know pain, mike stewart, physiotherapy, physio, podcast, physio edge, clinical edge, courses, virtual conference, conference, understanding, biopsychosocial, communication

Direct download: PE_036_Know_Pain_with_Mike_Stewart.mp3
Category:general -- posted at: 10:50pm AEST

PE #035 Know Pain with Mike Stewart

PE035 - Know Pain with Mike Stewart Part 1

Persistent pain can be a challenge, but also enjoyable to treat. In this episode of the Physio Edge podcast, Mike Stewart and I focus on specific examples and case studies of patients with complex or persistent pain, how you may approach persistent pain patients, explain their pain, use metaphors and explanations so they understand it, and help guide them through the recovery process. 

Mike and I get into the details on:

  • Why Physios need a deep understanding of pain science
  • How does the “bio” part come into bio-pscyho-social
  • How can we identify if the patient needs pain education, further investigations, a biological approach eg specific exercise
  • How can you incorporate pain science into the treatment of patients with acute pain
  • Mike’s top tips when working with persistent pain
  • Specific case studies of patients with persistent and complex back pain, and how Mike has worked with these patients, including their presentation, beliefs, Mike’s language used in their session, activity modification and results achieved with these patients
  • How to develop our teaching skills to achieve the best results with our patients

Links of Interest

Mike Stewart

Know Pain

Courses with Mike Stewart

Mike Stewart on Twitter

Virtual conferences with Physio Edge and Clinical Edge

Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info at clinicaledge.com.au

Clinical Edge online education

Free video on Metatarsal head padding with Nick Torrance

Free video on soft metatarsal domes for acute metatarsalgia

Free video on firmer metatarsal domes for metatarsalgia

Facebook

David on Twitter

 

Direct download: PE035_Know_Pain_with_Mike_Stewart_2.mp3
Category:general -- posted at: 1:39pm AEST

PE035 Know Pain with Mike Stewart

PE035 - Know Pain with Mike Stewart Part 1

Persistent pain can be a challenge, but also enjoyable to treat. In this episode of the Physio Edge podcast, Mike Stewart and I focus on specific examples and case studies of patients with complex or persistent pain, how you may approach persistent pain patients, explain their pain, use metaphors and explanations so they understand it, and help guide them through the recovery process. 

Mike and I get into the details on:

  • Why Physios need a deep understanding of pain science
  • How does the “bio” part come into bio-pscyho-social
  • How can we identify if the patient needs pain education, further investigations, a biological approach eg specific exercise
  • How can you incorporate pain science into the treatment of patients with acute pain
  • Mike’s top tips when working with persistent pain
  • Specific case studies of patients with persistent and complex back pain, and how Mike has worked with these patients, including their presentation, beliefs, Mike’s language used in their session, activity modification and results achieved with these patients
  • How to develop our teaching skills to achieve the best results with our patients

Links of Interest

Mike Stewart

Know Pain

Courses with Mike Stewart

Mike Stewart on Twitter

Virtual conferences with Physio Edge and Clinical Edge

Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info at clinicaledge.com.au

Clinical Edge online education

Free video on Metatarsal head padding with Nick Torrance

Free video on soft metatarsal domes for acute metatarsalgia

Free video on firmer metatarsal domes for metatarsalgia

Facebook

David on Twitter

 

Tags: Pain, persistent pain, chronic pain, complex pain, know pain, mike stewart, physiotherapy, physio, podcast, physio edge, clinical edge, courses, virtual conference, conference, understanding, biopsychosocial, communication

Direct download: PE035_Know_Pain_with_Mike_Stewart.mp3
Category:general -- posted at: 11:38am AEST

PE034 Advanced ACL Rehab with Enda King

The advanced stages of ACL rehabilitation are enjoyable to progress your patients through, and at the same time challenging to find the right exercises, and optimise the rate of progression through to return to training (RTT) and return to play (RTP). In this episode, Enda King from the Sports Surgery Clinic Dublin and David Pope discuss these later stages of rehabilitating your patients following an ACL Reconstruction.

We discussed the prehabilitation and early stage ACL Rehab in the Physio Edge podcast episode 32, and episode 34 Enda and I cover in detail:

• Return to straight line running and change of direction

• Advanced Exercise Programming

• What exercises to choose

• Proprioception and motor control training

• Strength and power programming

• Periodisation

• Sports specific conditioning

• Plyometrics - readiness, what to use and timing of these in the training schedule

• Multi-directional performance

• Strength testing - what Enda uses, indicators of strength

• Decisions on return to training

• Return to contact

• Decision making on Return to play

• Bridging the gap between the gym and the field

• Advice for Physios rehabilitating athletes recovering from an ACL reconstruction

• When to discharge an ACL athlete

• And much more

Links of interest

Physio Edge podcast episode 32 - How to rehabilitate ACL Injuries with Enda King

Enda King

Enda on Twitter @enda_king

Sports Surgery Clinic, Dublin

SSC Research Foundation

David Pope on Twitter

Clinical Edge Webinar program - register your interest

Clinical Edge

Review the podcast in iTunes

David Pope

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, advanced, strengthening, proprioception

Direct download: PE034_Advanced_ACL_Rehab_with_Enda_King.mp3
Category:general -- posted at: 11:36am AEST

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:

  • Subjective clues that give you ideas about differential diagnosis
  • Fat pad - location of pain, activities that irritate
  • Patellofemoral joint - aggravating activities and DDx
  • Patellar tendon - subjective clues, location of pain
  • Objective examination of the anterior knee
  • Tests for PFJ
  • Functional tests first or examination on the treatment table?
  • Palpation of the anterior knee
  • Fat pad palpation and tests
  • Is the fat pad tender medial and laterally, or can it be tender only on one aspect
  • Neuromuscular patterning
  • Squat and one leg squat examination
  • What causes “catching” pain on movement
  • Chondral defects - identifying
  • Is there value in the grind test
  • When to refer for MRI and other imaging
  • Important factors that may contribute to AKP
  • Gait contributors to AKP
  • Treatment of PFJ pain
  • Modifying PFJ aggravating activities
  • Using EMG
  • Quadricep rehabilitation and strengthening
  • When to incorporate squats into your rehabilitation program
  • The role of taping for PFJ or fat pad irritation
  • Red flags causing knee pain

You can download this episode from iTunes or Soundcloud.

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 info@physioedge.com.au so I can give you a shoutout in the next podcast

Links of Interest

Kurt Lisle

The Knee Joint Physiotherapy, Bokarina, QLD

Socceroos

Review the Physio Edge podcast in iTunes

Download the Physio Edge podcast from iTunes

Clinical Edge

20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE

Review the Physio Edge podcast in iTunes

Download the Physio Edge podcast from iTunes

Clinical Edge

20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE

 

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

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

  • What does a fully rehabilitated athlete look like?
  • Incorporating performance goals into the rehab process
  • Can athletes achieve better performance post ACL rehab than they were pre-injury
  • Types of ACL grafts
  • Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery
  • Preoperative education
  • Restoring knee extension, balancing pain and improved range of movement, empowering your patient
  • Guidelines for pain, swelling when restoring range of movement
  • Restoring quadriceps activation, normalising gait patterns
  • Clinical Edge
  • Clinical Edge’s free webinar program
  • Preoperative length of time
  • Post-op - initial management
  • To use or not use co-contraction exercises of quads and hamstrings
  • Should you use squatting style exercises Week 1 post op
  • Activating quadriceps - internal quadriceps cues or external exercise focus
  • How much pain should a patient experience during or after an exercise
  • Week 2 post-op
  • When can heavy gym training commence
  • Changing movement patterns throughout the kinetic chain
  • Advice for patients in the early stages of rehab
  • Frequency of exercise
  • Week 2 onwards - exercises incorporating balance and proprioception
  • Open vs closed chain exercises
  • Advice for patients in weeks 2–6
  • Nutrition and dietary advice for patients
  • Gym based rehabilitation
  • Choosing and modifying exercises for middle stages of the rehabilitation process
  • Various types of squatting movement, and progressing the types of squats
  • Goblet squats
  • Retraining ideal squat patterns
  • Progressing squats, deadlifts and lunges
  • Front squats
  • Front squats and trap bar deadlifts vs back squats during rehabilitation
  • When can an athlete start cycling
  • Disadvantages of using cycling as the main part of a rehabilitation program
  • Hamstring rehabilitation after semitendinosis/gracilis graft
  • Strength and power development
  • Strength testing - mid thigh pull, leg press
  • Should we use open chain strength tests
  • When to perform strength tests
  • Strength vs power and rate of force development
  • Running - incorporating into the program. When can your patient start running?
  • Preparation for running
  • Running drills
  • Ideal movement patterns in running
  • Enda King and SSC, and working with ACL athletes

Podcast timeline

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

Links:

Enda King

Enda on Twitter @enda_king

Sports Surgery Clinic, Dublin

SSC Research Foundation

David Pope on Twitter

Clinical Edge Webinar program - register your interest

Clinical Edge

Review the podcast in iTunes

 

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

PE #030 CrossFit Injuries with Antony Lo

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:

  • The most common injuries in CrossFit
  • Factors that contribute to injuries in the Shoulders, Neck, Back, Knees, and lower limb
  • Specific exercises performed in CrossFit
    • Squats
    • Pullups/Chinups
    • Pushups
    • Overhead exercises
    • Double unders
    • Overhead squats
    • Snatch
    • Running
  • Ideal biomechanics for each of these movement
  • Common movement errors and ways to assess each movement
  • Rest from training vs continue training
  • Manual therapy on cross fit athletes
  • Modifying training loads
  • Rhabdomyolisis
  • Urinary continence while training
  • Advice for Physios treating CrossFit athletes

Links of Interest

Subscribe to the podcast in iTunes

Review the podcast in iTunes

Listen to the podcast on Soundcloud

Antony Lo

Antony’s Website - physiodetective.com

Antony on Twitter

 

CrossFit

 

Direct download: PE030_Cross_Fit_Injuries_with_Antony_Lo.mp3
Category:general -- posted at: 9:48am AEST

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:

  • Research by Ann Cools

  • What we currently know from the research about the role, movement and control of 

  • the scapula

  • Scapula dyskinesis - what is it

  • Static vs dynamic assessment of the scapula

  • Altering muscle balance and timing with specific exercises

  • How altering scapula mechanics effects muscle balance around the shoulder

  • Important parts of the subjective history

  • Scapula vs glenohumeral joint

  • How subjective will guide your objective assessment and treatment

  • Red flags around the shoulder, nerve pathology and frozen shoulder

  • Frozen shoulder imaging

  • Nerve injuries - symptoms, objective examination and treatment

  • Assessment of the scapula, Type 1 scapula dyskinesis

  • Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)

  • Testing GHJ IR

  • Clinical Edge and online education on the shoulder

  • Stretching and shoulder joint mobilisation

  • Palpation, stretching and manual therapy for pec minor

  • Type 2 scapula dysfunction

  • Handheld dynamometry - serratus

  • Handheld dynamometry - middle and lower traps

  • Pain when strength testing

  • Type 3 scapula dysfunction

  • Dynamic assessment of the scapula

  • To retract and depress the scapula or not?

  • Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis

  • Special tests around the shoulder

  • Laxity tests for the GH joint

  • Posterior GHJ laxity

  • Anterior GHJ laxity

  • Explanations of scapula dysfunction to your patients

  • Information on Ann Cools 

  • EUSSER

Timeline:

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 

1:32:20 EUSSER

1:33:00 Wrap up

Links of Interest

Anne Cools on Linked In

Ann Cools’ Research

Ann Cools at Ghent University

Ann on Twitter

Clinical Edge

Show your love for the Physio Edge podcast with a review on iTunes

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