Physio Edge podcast
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 AEST

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

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



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 AEST

Patellofemoral joint pain (PFJP) is very common in adolescents, and in the Physio Edge podcast episode 39, I discuss causes, assessment and treatment with the author of numerous studies on PFJP in AdolescentsDr Michael Rathleff.

You will explore: 

  • Different types/groups of Adolescents that suffer with PFJP
  • Common reasons for failure of Physiotherapy
  • Diagnosis and DDx of PFJP
  • Examination of the knee
  • Treatment of PFJP
  • How to tailor and progress your exercise programs
  • The use of orthotics
  • Taping
  • The usefulness of stretching
  • Prognosis & predictors of recovery
  • Biomechanics
  • and more.

I have also created a free handout to supplement and help you get the most from this podcast, which you can download here 


Dr Michael Rathleff also provided great insights into Loading Programs for Plantar Fasciopathy on the Physio Edge podcast episode 38, also well worth a listen if you haven’t already. 

Links of interest

Download your free handout on patellofemoral pain in adolescents

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

038. Plantar fasciopathy loading programs with Michael Rathleff

Plantar Fasciopathy (Plantar heel pain) can be a stubborn condition to treat, or you can learn to love treating it like Dr Michael Rathleff, incorporate the right loading program and activity modification and get some great results.

In episode 38 of the Physio Edge podcast, I talk to Dr Michael Rathleff, author of the RCT “High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up: HL strength training and plantar fasciitis”.

We discuss:

  • Common mistakes in the treatment of plantar fasciopathy (PF)
  • How we can improve our treatment of PF
  • Why call it plantar fasciopathy instead of plantar fasciitis?
  • Research on PF
  • Loading programs for PF
  • Patient advice
  • Activity modification
  • Running load modification
  • Short and long term results from loading the plantar fascia
  • Considerations when treating PF
  • Who is not suitable for a loading program
  • Who respond the best to this program, and who responds the least
  • How to modify the loading program
  • Development of PF
  • Running technique
  • Treatment or strengthening of other areas
  • Stretching
  • Orthotics
  • Cortisone
  • Plantar fascia tears


Links of interest

Direct download: PE038_Plantarfasciopathy_with_Michael_Rathleff.mp3
Category:general -- posted at: 10:03am AEST

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

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

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

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

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

035. Know Pain with Mike Stewart

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

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


David on Twitter


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

034. 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

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 so I can give you a shoutout in the next podcast

Links of Interest


Direct download: PE_033_How_to_treat_Anterior_Knee_Pain_with_Kurt_Lisle.mp3
Category:general -- posted at: 5:30pm AEST