Physio Edge podcast

The thorax is often considered stiff and stable by Physiotherapists and manual therapists, and precious little of our undergrad or postgrad training incorporates motor control of this area. Is it really important?

In episode 24 of the Physio Edge podcast, Dr 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™ 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”
  • What is the Thoracic Ring Approach™  
  • 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?

Links of Interest

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

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

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

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

Links of Interest

Direct download: PE_023_Lower_Limb_Tendinopathies_with_Dr_Peter_Malliaras.mp3
Category:general -- posted at: 12:22pm AEST

Dr Kieran O’Sullivan is back on the Physio Edge podcast after talking previously about hamstring injuries, this time discussing his other big area of interest and expertise – chronic low back pain (CLBP).

In this episode, Kieran and David Pope discuss

  • Recent research on chronic low back pain
  • Central vs peripheral contributions to CLBP
  • Sitting postures and behaviours, and the relationship of this to pain
  • Is there an ideal sitting posture, and does changing sitting behaviour change CLBP?
  • Manual therapy in CLBP
  • Lumbar kyhposis/lordosis
  • Physical and psychological interventions for CLBP
  • The effect of exercise on CLBP
  • Movement patterns and retraining in chronic pain states
  • The challenges of talking to patients about chronic pain states

Links of Interest

Direct download: PE_022_Chronic_Low_Back_Pain_with_Dr_Kieran_OSullivan.mp3
Category:general -- posted at: 2:00am 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 21 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

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

Is “peeing while you work out” in Crossfit or any other type of exercise ok?

When does your patients pelvic floor need more muscle activation, and when does it need less work?

Does Stress Urinary Incontinence (SUI) need addressing, and if so, how?

In episode 20 of the Physio Edge podcast, I talk to Lori Forner, a Physiotherapist with a special interest in Women’s Health in Brisbane, Queensland, about all of these topics, and more, including:

  • The role of Physio’s that specialise in Women’s Health, and when it is a good idea to refer to one

  • Common conditions seen clinically

  • When real-time ultrasound can be used to assess pelvic floor function, and what you should see on US

  • Pelvic floor overactivity and underactivity

  • Treatment for SUI

  • Antenatal and postnatal advice

  • Advice on exercising during and after pregnancy and much more

Links of interest

Direct download: PE_020_Womens_Health_with_Lori_Forner.mp3
Category:general -- posted at: 3:40pm 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

Links of Interest

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

How can the pelvis contribute to pain and dysfunction? Is the SIJ the main pain producer around the pelvis, or what is? What is the state of current research around the pelvis? Is it possible to feel “unlocking” of the SIJ? Do Pelvic Upslips exist?

In episode 18 of the Physio Edge podcast Diane Lee of Diane Lee & Associates and David Pope discuss the pelvis and SIJ in detail, including:

  • palpation around the pelvis
  • how can you palpate for unlocking of the SIJ
  • what role the pelvis has in low back pain
  • how the pelvis can be affected by other areas of the body
  • does the current research support unlocking of the pelvis
  • how can the thorax affect the pelvis
  • when should you perform deep abdominal or multifidus training

And then we dive into Paediatric musculoskeletal development, including

  • footwear for kids
  • sporting activities for kids
  • should kids sit in chairs or on the floor
  • is a simple ankle sprain all that simple
  • advice for parents
  • children’s furniture and lots of other great info that will help you when treating or bringing up kids

Links of Interest

Direct download: PE_018_Exploring_the_Pelvis_with_Diane_Lee.mp3
Category:general -- posted at: 8:14pm AEST