Physio Edge podcast

The rotator cuff and rotator cuff tendons are often involved in shoulder pain, and targeted with our treatment. Dr Chris Littlewood is a Physio and senior research fellow at the University of Sheffield, and spends a large portion of his time studying and treating shoulder pain, including rotator cuff tendinopathy. In this episode, Chris and I discuss how to identify rotator cuff tendinopathy and other types of shoulder pain, and how you can direct your treatment for rotator cuff tendinopathy. We also explore:

  • Other sources of shoulder pain
  • Clues that the cervical spine could be referring pain to the shoulder
  • Unstable shoulder
  • Red flags
  • When to image the shoulder
  • When bursal thickness or effusion is or isn’t a problem
  • Shoulder assessment
  • Stiff painful shoulders
  • Treatment for rotator cuff tendinopathy
  • Improving exercise adherence
  • When to perform special orthopaedic tests
  • Injections
  • Surgery
  • Is there really a rotator cuff exercise, compared to a scapular muscle exercise?
  • Do exercises isolate the rotator cuff?

Download your free handout “Rotator cuff tendinopathy”


Links of interest

Webinar with Dr Chris Littlewood

Download the handout from this podcast

Webinar with Tom Goom on Bone stress injuries

Cervical spine assessment & treatment online course

Clinical Edge

Clinical Edge free trial

David Pope on Twitter

David on Facebook Live video

Direct download: Physio_Edge_047_Rotator_cuff_tendinopathy_with_Dr_Chris_Littlewood.mp3
Category:general -- posted at: 12:19pm AEDT

Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active.

There are a number of structures that can contribute to pain in this area, and in this podcast, Tom Goom and David Pope discuss how to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions.

Tom recently released an article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management with Peter Malliaras, Mike Reiman and Craig Purdam. We explore this article, and the research around PHT, and cover in detail:

  • Subjective clues to guide you towards diagnosis
  • Aggravating factors and 24 hour pain patterns
  • Differential diagnosis
  • Lumbar spine pain
  • How the lumbar spine could contribute to development of PHT
  • Hip pain
  • SIJ pain
  • Sciatic nerve pain
  • Development of PHT
  • Central sensitisation
  • Diagnostic tests for PHT
  • Hamstring tests
  • Other assessment tests
  • Functional tests
  • The value of palpation
  • Tests for involvement of the rest of the kinetic chain
  • Running assessment/gait analysis
  • Testing load tolerance
  • Biopsychosocial aspects of tendon recovery
  • Other advice for patients
  • Whether stretching is helpful
  • When your patient can return to running
  • Cross training
  • Does manual therapy have a role in the treatment of PHT?
  • Starting treatment (Stage 1)
  • When and how to progress rehabilitation (Stage 2)
  • Further rehabilitation progressions (Stage 3)
  • Advanced exercise progressions for high load sports
  • Exercises you can incorporate during the various stages
  • How long recovery will take


Direct download: Physio_Edge_046_Proximal_Hamstring_Tendinopathy_with_Tom_Goom.mp3
Category:general -- posted at: 5:20pm AEDT

How can you treat your patient’s lateral elbow pain (lateral epicondylalgia (LE)/tennis elbow)? How and when should you progress your patient’s exercise program? Is pain during their exercise program ok?

In this episode, which is Part 2 of Lateral Elbow pain with Dr Leanne Bisset, we explore in detail how you can differentially diagnose LE from other causes of lateral elbow pain, and treat it successfully.


  • Diagnosis and differential diagnosis of LE
  • How to get the best outcomes for your patients when treating LE
  • Do isometrics work?
  • How can you commence strengthening?
  • Should your patient experience any pain during their exercise program?
  • When and how can you incorporate Mobilisation with Movement into your treatment program?
  • How to perform MWM’s for LE
  • How to progress your treatment
  • Identifying and treating radial nerve involvement
  • Incorporating strengthening for the upper limb
  • High level athletes and weightlifters with lateral elbow pain - is this likely to be LE or another condition?
  • Identifying nerve root irritation with pain over the lateral elbow
  • Taping methods to deload the lateral elbow when there is nerve involvement
  • Clinical reasoning of your treatment
  • Predictors of poor treatment prognosis
  • When to order imaging
  • Evidence for and against other treatment strategies including the Cyriax approach, massage, laser, ESWT, corticosteroids and PRP
  • Validated screening tools for LE, including the PRTEE

In this episode, Leanne answers a lot of your questions on LE, asked via Twitter and the Clinical Edge newsletter. 

Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia who has extensively researched and published on lateral elbow pain, and spends a large proportion of her clinical time treating the upper limb and lateral elbow.

This is a two part podcast, followup up Lateral Elbow Pain Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset.


Download your free handout "Treatment of Lateral Elbow Pain 2"


Download the podcast here

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Download your free podcast handout

Links of Interest

Dr Leanne Bisset

Dr Leanne Bisset on ResearchGate

Dr Leanne Bisset on Twitter

Download the Patient-Rated Tennis Elbow Evaluation (PRTEE)

Download the free podcast handout

Lateral Elbow Pain Part 1 with Dr Leanne Bisset

Review the podcast in iTunes

David Pope

Clinical Edge

Get your free trial of Clinical Edge online education

Lateral elbow pain (lateral epicondylalgia/tennis elbow) affects , and can respond fantastically to Physiotherapy treatment, or in other patients with a similar presentation, not at all. 

Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at [Griffith University][GU] in Queensland, Australia that has extensively researched and published on lateral elbow pain, and spends the majority of her clinical time treating the upper limb and lateral elbow.

This is a two part podcast, and in Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset discuss:

  • Why is Lateral Epicondylalgia (LE) difficult to treat?
  • What tissue pathology exists in LE
  • Pain pattern for LE
  • Patient reports that will help your diagnosis of LE
  • Important aspects to communicate with your patients regarding their LE
  • Objective tests that you can perform
  • Patient advice
  • Should you rest your patients or provide exercises?
  • How is tendinopathy in the Upper Limb different to the Lower Limb?
  • Commencing treatment
  • How to incorporate manual therapy into your treatment
  • Exercises you can start your treatment with
  • Should you include isometric exercises for lateral elbow pain
  • How often should your patients perform their exercises
  • Exercise into pain, or avoid pain?

Download the podcast from iTunes

Subscribe free to the Physio Edge podcast in iTunes

Download the podcast from Stitcher

Download and listen to the podcast on Soundcloud


Download your free handout and Podcast Summary on Lateral Elbow Pain Part 1


Links of Interest

Dr Leanne Bisset

Dr Leanne Bisset on ResearchGate

Dr Leanne Bisset on Twitter

Download the free podcast handout

Review the podcast in iTunes

David Pope

Clinical Edge

Get your free trial of Clinical Edge online education


Direct download: Physio_Edge_044_Lateral_Elbow_Pain_Part_1_with_Dr_Leanne_Bisset.mp3
Category:general -- posted at: 10:53am AEDT

Shoulder pain and injury in overhead athletes is very common and has a high recurrence rate. In this podcast with Jo Gibson we discuss sporting shoulder injuries and rehabilitation, including:

  • The role of the Rotator Cuff
  • Train strength or efficiency in the Rotator Cuff?
  • Rotator Cuff muscle balance
  • When is (and when isn’t) surgery necessary for Rotator Cuff or SLAP tears
  • Assessment of shoulder stiffness
  • Bursal involvement
  • Imaging of the shoulder
  • How you can help improve Rotator Cuff activation
  • What role does manual therapy have in shoulder treatment?
  • The importance of the postero-superior cuff
  • What stretches can you perform for the postero-superior Rotator Cuff
  • Treating pain in loaded and overhead activities
  • Exercises you can use in shoulder treatment with your athletes
  • Incorporating the kinetic chain in shoulder rehabilitation
  • Managing shoulder load
  • Central sensitisation
  • Treating throwing athletes
  • The role of the thoracic spine in shoulder pain
  • Communication tips with your shoulder pain patients


Download the podcast from iTunes

Review the Physio Edge podcast in iTunes

Download the podcast from Stitcher

Download and listen to the podcast on Soundcloud

Links of Interest

Jo Gibson

Download the free podcast handout

Subscribe free to the podcast in iTunes

Jo Gibson’s courses

David Pope

Clinical Edge

Get your free trial of Clinical Edge online education

Jo Gibson’s video - Gym ball rollout

Jo Gibson’s video - Wall squat

Jo Gibson’s video - Step up with V

Physio Matters Podcast with Jo Gibson

Skills for Communicating with Patients Book

Key communication skills and how to acquire them - Article in BMJ by Peter Maguire, Carolyn Pitceathly


Direct download: Physio_Edge_043_Sporting_Shoulder_with_Jo_Gibson.mp3
Category:general -- posted at: 12:37am AEDT

Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill

Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill

Treatment of your patients’ Achilles Tendinopathy may be slowed by involvement of Plantaris.

In Episode 41 of the Physio Edge podcast, Dr Christoph Spang and I discussed how Plantaris may play a role in Achilles tendinopathy. In this episode of the Physio Edge podcast, I discuss with Seth O’Neill how you can identify Plantaris involvement in your patients, and adjust and progress your conservative treatment of Achilles pain and tendinopathy with Plantaris involvement. 

We discuss: 

  • What indicates Plantaris involvement and helps you differentiate from mid portion Achilles Tendinopathy
  • Where do patients have pain with Plantaris tendinopathy
  • What history do patients with Plantaris involvement or tendinopathy present with
  • Objective tests and findings for Plantaris tendinopathy and involvement
  • Biomechanics contributing to Plantaris tendinopathy
  • Is treatment successful for Plantaris
  • How to treat Plantaris tendinopathy and involvement in midportion Achilles
  • How to perform a loading program
  • Running adjustments
  • Taping
  • Manual therapy

Links of Interest

Download your podcast handout by CLICKING HERE

Access to the Lower Limb Tendinopathy free videos, including Seth’s presentation on Achilles Tendinopathy

Lower Limb Tendinopathy Virtual Conference with detailed, practical presentations:

  • Dr Jill Cook will cover “Structure, function and pain in tendinopathy”
  • Dr Sean Docking is then going to take us through “The role of imaging in the diagnosis and monitoring of tendinopathy”.
  • Dr Peter Malliaras is presenting “Staged rehabilitation of Patellar Tendinopathy”.
  • Craig Purdam takes you through “Staged rehabilitation of Hamstring Tendinopathy”
  • Seth O’Neill will help you understand “Achilles Tendinopathy Exercise & rehab progressions. Risk factors and the importance of Soleus in Achilles tendinopathy”
  • Dr Ebonie Rio will conclude the Virtual Conference with “Tendon pain and the brain – what do we know and can we change it?”

CLICK HERE for more information on the Lower Limb Tendinopathy Virtual Conference

Seth on Twitter

Seth’s website on Achilles Tendon Research

David on Twitter

Subscribe to the podcast on iTunes

Physio Edge podcast episode 41 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang


Direct download: Physio_Edge_042_Achilles_Tendinopathy_and_Plantaris_with_Seth_ONeill.mp3
Category:general -- posted at: 9:49am AEDT

PE041 The role of Plantaris in mid portion Achilles Tendinopathy

Plantaris tendinopathy and compression of Plantaris on the Achilles has been shown to play a role in some cases of Achilles Tendinopathy, slowing down their rate of rehabilitation progress.

Dr Christoph Spang is a Biologist and Sports Scientist, and completed a PhD on “The plantaris tendon in relation to the Achilles tendon in midportion Achilles tendinopathy”. In this podcast we discuss the interaction of Plantaris in patients with midportion Achilles Tendinopathy, including:

Why consider Plantaris in Achilles Tendinopathy patients?

How can Plantaris cause or be involved in Achilles pain?

Anatomy, function and role of Plantaris

What interaction does Plantaris have with the Achilles and calf?

Do patients with Plantaris involvement respond to a loading program?

What is the clinical presentation of a patient with Plantaris involvement?

How can Ultrasound or Ultrasound Tissue Characterisation (UTC) be utilised to identify Plantaris?

The role of injection therapy

Surgical treatment

Links of Interest

Free videos on Lower Limb Tendinopathy

Dr Christoph Spang at UMU

Dr Christoph Spang’s PhD Thesis

Dr Christoph Spang on Research Gate

David Pope on Twitter

Out very soon…. Conservative management of Plantaris involvement in Achilles Tendinopathy with Seth O’Neill

achilles, plantaris, tendinopathy, christoph, spang, utc, physioedge, physio, clinical edge


PE040 Shoulder simplified with Adam Meakins

How complex does your shoulder assessment need to be? How can you can simplify your shoulder assessment and treatment?

Find out in episode 40 of the Physio Edge podcast with Adam Meakins, where Adam and I discuss:

  • Common mistakes Physio’s make in assessment and treatment of the shoulder
  • Adam’s classification of shoulder pain
  • Subjective clues to guide your objective and treatment
  • How to identify weak and painful shoulders
  • Red flags with shoulder pain
  • Frozen shoulders
  • Objective assessment
  • Subacromial impingement
  • GIRD (Glenohumeral Internal Rotation Deficit)
  • The use of US in shoulder pain
  • Surgical treatment for shoulder pain
  • Treatment for weak and painful shoulders
  • Loading the rotator cuff for pain relief and strength
  • Gym junkie shoulder pain and how to adapt their weight training programs

Links of Interest

Download your free handout on The Shoulder Simplified

Follow Adam Meakins on Twitter

Adam’s website

Adam’s Shoulder courses

Adam’s presentation on “When is a GIRD not a GIRD”

Shoulder Pain Virtual Conference

Follow David on Twitter

Access practical Online Courses for Physiotherapists with a Free Membership Trial of Clinical Edge

Download your free handout on the Shoulder Simplified




Direct download: PE040_Shoulder_Simplified_with_Adam_Meakins.mp3
Category:general -- posted at: 8:28pm AEDT

Direct download: PE039_Adolescent_Patellofemoral_Pain_with_Michael_Rathleff.mp3
Category:general -- posted at: 12:19am AEDT

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