Physio Edge podcast

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:

  • Acute Ligament Injuries - Initial management

  • When to refer for Orthopaedic consult

  • Bracing/not bracing

  • Adolescent knee injuries - when to refer for XR to check for an avulsion injury

  • Swelling during and after treatment

  • ACL injury - when to trial conservative management and when to refer for surgery

  • Timeframes for surgery following ACL injury

  • Different types of ACL grafts - pros and cons

  • LARS

  • Hamstring vs ITB tendon vs Patella tendon

  • Open chain X’s eg leg extensions to restore quads and patellar tendon load capacity?

  • Important aspects of post op rehab

  • Return to training/change of direction criteria

  • RTP criteria

  • PLC

  • Details of PLC injuries

  • Mechanism

  • Structures normally injured

  • Symptoms

  • Testing for PLC injuries

  • Conservative vs surgical

  • Rehab guidelines

  • RTP timeframes

Links of Interest

Kurt Lisle

The Knee Joint Physiotherapy, Bokarina, QLD

Socceroos

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Review the Physio Edge podcast in iTunes

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Clinical Edge

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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

Direct download: PE_029_Acute_Knee_Injuries_with_Kurt_Lisle.mp3
Category:general -- posted at: 3:32pm AEST

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:

  • Which tests to use when screening for potential groin injuries
  • Prevention tactics
  • Acute groin injuries - initial management and exercise progressions
  • Rehabilitation of adductor related groin pain
  • Rehabilitation of hip flexor related groin pain
  • Rehabilitation of long standing groin pain
  • Conservative management of hip related groin pain and FAI
  • Pubic symphysis
  • Management of acute compared to long standing groin pain
  • Role of manual therapy in the treatment of groin pain
  • Stretching
  • Adductor tendinopathy
  • Load management for groin pain
  • and much more!

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

Case Study of Adductor tear rehabilitation

Dr Kristian Thorborg

Dr Kristian Thorborg on Twitter

HAGOS

Studies that Dr Kristian Thorborg has completed or been involved in

PE #025 Groin Assessment with Dr Kristian Thorborg

PE #016 Preventing hamstring injuries with Dr Kristian Thorborg

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Kristian Thorborg’s editorial on BJSM

Kristian Thorborg’s PhD Thesis

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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

 

http://traffic.libsyn.com/physioedge/PE_025_Groin_Assessment_with_Dr_Kristian_Thorborg.mp3

 

Direct download: PE_028_Groin_Injury_Rehabilitation_with_Dr_Kristian_Thorborg.mp3
Category:general -- posted at: 4:23pm AEST

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:

  • Ideal working relationships between Physiotherapists and Sports Physicians
  • The role of a Sports Physician
  • Hamstring injury - common factors involved, imaging and return to play
  • Injections - cortisone, PRP
  • Use of PRP in ligament injury, with chondroplasty and OA

Links of Interest

Dr Nathan Gibbs

Sydney Swans

South Sydney Rugby League Football club

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Direct download: PE_027_Sports_Injury_Management_with_Dr_Nathan_Gibbs.mp3
Category:general -- posted at: 2:16pm AEST

Gymnastics places some fairly unique demands on fairly young bodies. In episode 26 of the Physio Edge podcast, I discuss these demands with Kingsley Gibson, a Sports Titled Physiotherapist that has worked with Australian Diving, Synchronised Swimming, Shooting and Hockey teams at a number of Commonwealth and Olympic games, and works with elite gymnasts on a daily basis. For his services to gymnastics, in 2000 the Commonwealth awarded Kingsley with a Sports Services Medal. So Kingsley has a lot of experience to draw on, and we got into detail on a number of topics.

In this podcast we discuss:

* Common injury patterns in the various gymnastic disciplines

* Important factors to consider when returning gymnasts to training and competition

* Factors that can influence your gymnasts treatment outcome

* Communication with parents and coaches

* How to best implement load management strategies

* Various motor control patterns in gymnasts that contribute to injuries

* Screening gymnasts

* Designing specific upper limb rehab programs

* Lower limb and lumbar spine rehab programs

* Management of acute vs chronic injuries

* Stress reactions in the Lumbar spine

* Apophyseal injuries - hip flexors, hamstrings, calcaneus (Sever’s) and Osgood-Schlatter’s

* Management of apophyseal injuries compared to tendinopathy

* Motor control/“stability” patterns in gymnasts

* When to order imaging

* Growth plate injury management - particularly in the wrist

* The effect of other factors such as training surfaces and equipment on injury

Links of Interest

 

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Kingsley Gibson Sydney Sports Medicine Centre at Homebush

Sydney Wests Sports Medicine at Rooty Hill

Clinical Edge

Available online education with Clinical Edge

 

Direct download: PE026_Gymnastics_Injuries_with_Kingsley_Gibson.mp3
Category: -- posted at: 1:34pm AEST

PE #025 Groin Assessment with Dr Kristian Thorborg

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

Dr Kristian Thorborg

Dr Kristian Thorborg on Twitter

HAGOS

Studies that Dr Kristian Thorborg has completed or been involved in

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

Kristian Thorborg’s editorial on BJSM

Kristian Thorborg’s PhD Thesis

Direct download: PE_025_Groin_Assessment_with_Dr_Kristian_Thorborg.mp3
Category:general -- posted at: 9:25pm AEST

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

Have an awesome holiday, and review the Physio Edge podcast on iTunes

LJ Lee

The Sports Thorax course with LJ Lee

The Sports Pelvis course with LJ Lee

Videos on the Thoracic Ring Approach with LJ Lee via Clinical Edge

Physio Edge podcast episode 2 - “Analysing movement, and clinical expertise or research” with LJ

Physio Edge Podcast episode 6 - TA, “Core Stability”, Drivers and going beyond the pain experience" with LJ Lee

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

Direct download: PE_024_Thoracic_Ring_Approach_with_Dr_LJ_Lee.mp3
Category:general -- posted at: 5:16pm AEST

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

  • The latest research on tendinopathy
  • Different types of loading programs for tendinopathy
  • Outcomes for various types of loading
  • Tendinopathy on Doppler Ultrasound or other imaging, and what changes with a loading program
  • The tendon pathology continuum by Dr Jill Cook and Craig Purdham
  • Mid portion Achilles tendinopathy
  • Insertional Achilles treatment
  • Patellar tendinopathy treatment, and a loading program for this that may challenge your preconceptions!
  • Tenosynovitis
  • Biomechanics contributing to tendinopathy
  • Return to sport following tendinopathy
  • Injury reduction/prevention
  • Injections

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

Be. Awesome. Write a review on iTunes

Dr Peter Malliaras

Studies with Dr Peter Malliaras as one of the authors

Physio Edge podcast episode 5 with Dr Jill Cook

Clinical Edge

Subscribe to the Physio Edge podcast on iTunes

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

Shoulder pain - what are the causes, and how can you treat it? Are your special tests around the shoulder really isolating and identifying pathology? How can the rotator cuff still function with small and large tears?

In Episode 22 of the Physio Edge podcast, Jeremy Lewis and David Pope discuss these questions and more including:

What is the value of special tests around the shoulder? What diagnosis can you provide your patients for their shoulder pain How can you identify if you need to focus your treatment on the scapula, glenohumeral joint, cervical spine or thorax? How can you identify a rotator cuff tendinopathy? What is the Rotator Cable, and how is it important in rotator cuff tears? Is the acromion really the cause of “impingement” or subacromial pain? If a patient has a biceps tendinopathy and a rotator cuff tendinopathy, which should be treated first? What contributes to biceps tendinopathy? Theraband - valuable? When imaging of the shoulder is valuable, and when it is a waste of time Frozen shoulder - what treatments work well

And much more.

Podcast links

Dr Jeremy Lewis

London Shoulder Clinic

Courses with Jeremy Lewis

Clinical Edge

Become a Clinical Edge member

Review the Physio Edge podcast on iTunes

Tags: Dr Jeremy Lewis, Shoulder, shoulder pain, subacromial pain syndrome, acromion, impingement, rotator cuff, tendinopathy, theraband, SSMP, pathology, frozen shoulder, muscle tear, rotator cable, physio, physio edge, podcast

Direct download: PE_021_Shoulder_pain_with_Dr_Jeremy_Lewis.mp3
Category:general -- posted at: 2:40pm AEST

What are the best ways to avoid hamstring injuries? What are the main factors to consider in hamstring rehabilitation? How does muscle strength relate to hamstring injury? How can we screen for or predict hamstring injuries?

In episode 19 of the Physio Edge podcast, Kieran O’Sullivan, PhD of the University of Limerick, Physiotherapist and co-author of the book “The role of muscle strength in hamstring injury.” Kieran O Sullivan and Cian McGinley. 2010. Nova Publications and David Pope get stuck into hamstrings and the many facets of this important muscle group, including:

  • Injury reduction
  • Rehabilitation - early stages, and return to sport
  • Return to Sport
  • Flexibility
  • Eccentric training
  • Predicting hamstring injury
  • Assessing readiness of return to sport
  • Stretching - Static vs Dynamic vs PNF etc, and the clinical implications

Enjoy this episode, brought to you by 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

Love the podcast by writing a review on iTunes

Kieran O’Sullivan

Pain Education website with Peter O’Sullivan, Kieran O’Sullivan, Wim Dankaerts, Kjartan Vibe Fersum

University of Limerick

The role of muscle strength in hamstring injury. Kieran O Sullivan and Cian McGinley. 2010. Nova Publications

Clinical Edge

Tags: Physio, Hamstrings, Podcast, Flexibility, Strength, Injuries, Hamstring Injury, Rehabilitation, Physio Edge, Eccentric training, Return to sport, Clinical Edge 

Direct download: PE_019_Hamstring_Strength_Flexibility_and_Injury_Reduction.mp3
Category:general -- posted at: 10:58pm AEST

How can you reduce the chance of sporting injury? What are the most useful recovery aids from games and training? When are injections helpful in injury recovery?

In episode 17 of the Physio Edge podcast, Dr Peter Brukner, fresh from working with Liverpool Football Club in the EPL, co-author of Clinical Sports Medicine with Dr Karim Khan, and author of many other publications discusses with David Pope the management of sporting teams, injury reduction, prevention, recovery and a multitude of other topics, including:

  • ACL Injury Prevention
  • Hamstring Injury Prevention
  • Strength training vs Specific strengthening
  • Player load management
  • Recovery from tendinopathy
  • The role of injections, including PRP, Cortisone and Orthokine
  • Player screening
  • Player game recovery

and more. Enjoy this episode, brought to you by 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”.

Direct download: PE017Injury_Reduction_with_Dr_Peter_Brukner.mp3
Category:general -- posted at: 8:14pm AEST