How can you diagnose posterior shoulder, neck and supraclavicular pain in your weightlifting patients and throwing athletes? Could a bone stress injury be responsible for your patients pain?

Explore how to assess, diagnose and rehab shoulder pain from bone stress injuries in weightlifters or throwing athletes in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover:

• Bone stress injuries in the upper limb and ribcage that cause shoulder pain.
• What causes first rib stress fractures?
• Which patients develop first rib bone stress injuries - common populations and activities.
• Common areas of pain with first rib stress fractures.
• How to assess & diagnose first rib bone stress injuries.
• Common painful and restricted movements that help with diagnosis.
• How to differentiate between a rotator cuff injury and first rib bone stress injuries.
• Cervical spine & shoulder strength and control assessment tests that help identify where to target your rehab.
• Do biomechanics in weightlifting matter?
• How to assess and address weightlifting biomechanics to allow healing and return to sport.
• Imaging
  • Why imaging is vital in patients with this injury.
  • Common imaging that misses 1st rib bone stress fracture, and what imaging to request that actually identifies it.
• Why non-healing with the formation of pseudoarthrosis may lead to better outcomes than bony callous formation.
• Whether patients can return to sport if rib stress fractures don’t heal.
• How can you rehab patients with 1st rib stress fracture?
• How to progress rehab exercises.
• Treatment when 1st rib callus formation is causing thoracic outlet syndrome.

Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder

Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson clinicaledge.co/shoulder

Improve clinical skills, confidence and reasoning for all other areas of the body with a free trial Clinical Edge membership clinicaledge.co/freetrial

The handout for this podcast consists of an article referenced in the podcast. There is no additional transcript or handout available.

Links associated with this episode:

• Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist)
• Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Article associated with this episode:

• CLICK HERE to download the article associated with this podcast

• Miller A, Dodson CC, Ilyas AM. Thrower's fracture of the humerus. The Orthopedic Clinics of North America. 2014 Aug 3;45(4):565-9.

Time for some detective work - can you diagnose the cause of this man’s shoulder pain? Listen out for the clues in this interesting case study.

When your shoulder pain patient has bilateral shoulder pain after starting a gym program, difficulty lifting their arms overhead due to weakness, significant bilateral scapular winging and muscle atrophy, what are your potential diagnoses?

Find out in this case study with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

• When patients have uncommon shoulder pain presentations, what potential diagnoses can you keep in mind?
• How does it impact your diagnosis if your patient has difficulty smiling, whistling and drinking through a straw?
• What’s this patients’ diagnosis?
• What tests can be performed to confirm the diagnosis?
• Which muscles are commonly affected?
• How much muscle weakness commonly occurs?
• What is the long term prognosis for this condition?
• What treatment is supported by the evidence?
• Are braces helpful?
• Which medical specialists are important to include in diagnosis & management?

Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

Links associated with this episode:

• Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist)
• Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson
• The Facioscapulohumeral Muscular Dystrophy (FSHD) Society
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Articles associated with this episode:

• CLICK HERE to download the articles associated with this podcast

• Hamel J, Tawil R. Case Studies on the Genetic and Clinical Diagnosis of Facioscapulohumeral Muscular Dystrophy. Neurologic Clinics. 2020 Aug 1;38(3):529-40.

• Mul K, Lassche S, Voermans NC, Padberg GW, Horlings CG, van Engelen BG. What's in a name? The clinical features of facioscapulohumeral muscular dystrophy. Practical neurology. 2016 Jun 1;16(3):201-7.