Physio Edge podcast

Zoe Russell discusses ankle sprain assessment and treatment, and how to return your patients to sport. You’ll discover how to help your ankle sprain patients fully recover as quickly as possible, and avoid long term issues, such as chronic ankle instability, osteoarthritis or other lower limb injuries. 

Zoe is a Specialist Sports Physiotherapist (FACP), APA Titled Musculoskeletal and Sports Physio, as well as a Clinical Edge Senior Educator and Presenter, and in this Physio Edge podcast hosted by David Pope, we discuss the latest evidence and practical strategies for ankle sprains, including: 

 

Assessment 

  • Common issues therapists face when rehabilitating ankle sprain patients. 
  • Questions you need to ask your ankle sprain patients. 
  • How a previous history of ankle sprains impacts your assessment & treatment.
  • Why patients with inversion injuries may have medial ankle pain.
  • How to avoid stirring up patients pain during your assessment.

 

Diagnosis

  • Common mechanisms of injury, and how this guides your diagnosis. 
  • Structures that are likely to be injured with different ankle injuries.

 

Treatment 

  • 10 key elements to include in your assessment & treatment.
  • How to help reduce swelling quickly after an ankle sprain, and why this is important.
  • Immediate sideline management for ankle sprains at sporting events.
  • Whether manual therapy has a role in acute ankle injuries or persistent ankle pain and swelling. 
  • How to explain ankle sprains, recovery & rehab to your patient.
  • What you’re looking to achieve with your early rehab. 
  • How to set rehab targets or goals with your patients.
  • The role of taping in ankle rehab.
  • Taping compared to bracing.
  • Whether long term taping or bracing is a useful long term injury prevention strategy. 
  • The latest surgical procedures for patients with chronic ankle instability (CAI).

 

References

 
 

Chapters:

  • 03:47 - Untreated ankle sprains
  • 05:27 - Latest evidence
  • 07:04 - Subjective questions
  • 09:45 - Common mechanisms of injury
  • 11:47 - Plantarflexion/inversion injury with medial ankle pain
  • 15:22 - Dorsiflexion eversion injuries
  • 15:54 - Swelling
  • 21:11 - Objective tests
  • 26:32 - Irritability
  • 26:47 - Figure of 8 taping technique
  • 28:56 - Inferior and superior tib-fib joint assessment
  • 32:14 - Treatment
  • 42:41 - Change of direction
  • 43:17 - Tape or brace?
  • 50:06 - Mobilise or immobilise?



Direct download: 148.mp3
Category:general -- posted at: 12:02pm AEDT

Patients with knee osteoarthritis (OA) often have a sensitive and painful knee, and are reluctant to use or exercise it, feeling that it’ll just further “wear out” the joint.

In this podcast with Dr JP Caneiro (Specialist Sports Physiotherapist, PhD) you’ll discover how to assess and rehabilitate knee OA patients, including:

  • Subjective questions you need to ask knee OA patients.
  • How to use your subjective assessment to identify tests to perform in your objective assessment.
  • How to identify patient fears and negative beliefs that will interfere with rehab and limit progress.
  • Objective assessment tests you need to perform.
  • How to differentially diagnose knee OA from other causes of knee pain.
  • How to assess patients’ functional ability.
  • How to use palpation in your assessment of knee OA.
  • Where to start your treatment.
  • What to do if your patient is performing knee exercises and their pain is not improving, or getting worse.
  • How to break through negative patient beliefs so you can get your patient on the road to better knee health, movement and pain.

Enjoy this podcast with Dr JP Caneiro, hosted by David Pope and Clinical Edge now to improve your treatment of knee OA.

 

Chapters:

  • 09:04 - Knee OA myths & misconceptions
  • 14:07 - Subjective questions
  • 15:33 - Patient fears & beliefs
  • 24:07 - Subjective follow up questions
  • 30:44 - Objective assessment
  • 41:40 - Functional assessment
  • 42:09 - Palpation
  • 50:45 - Where to start treatment
Direct download: 147_with_Dr_JP_Caneiro.mp3
Category:general -- posted at: 5:10pm AEDT

Patients with knee osteoarthritis (OA) often believe their knee is “bone on bone”, exercises will wear out their knee more and they just need a knee replacement. This narrative can make it difficult to motivate your patients to perform knee rehab exercises that have the potential to improve their pain, function and quality of life.

How can you shift the narrative, educate your patients with knee OA so they “buy in” and perform an effective knee rehab program, and get better results with your treatment?

In this podcast with Dr JP Caneiro you’ll discover:

  • How to start your patient on a rehab program when they have fear avoidance, and don’t want to exercise.
  • How to help patients have a positive response to your treatment, experiencing better movement, function or pain with exercise and movement.
  • How to encourage your patient to share their narrative and perspective, so you can start addressing this with your treatment.
  • How to accurately describe OA to your patients and provide a positive narrative.
  • How to help patients recognise load and lifestyle factors that are influencing their pain and movement.
  • How to modify patients’ unhelpful behaviours and integrate new movement strategies into daily activities.
  • How to manage flareups and provide patients with self-management strategies.

Enjoy this podcast with Dr JP Caneiro and hosted by David Pope and Clinical Edge now to improve your treatment of knee OA.

Direct download: 146.mp3
Category:general -- posted at: 12:27pm AEDT

Exercise is a vital component in our rehabilitation of patients with musculoskeletal pain and injuries.

How can you, as a Physiotherapist, Physical therapist or health professional, choose exercises for your patients that improve their pain, strength, control, confidence and the ability to reach their goals, without stirring up their pain?

Find out in this podcast with David Pope (APA Titled Sports & Musculoskeletal Physio) and David Toomey (NZ Titled Musculoskeletal Physio & PhD Candidate) from the Clinical Edge education & presentation team.

Direct download: 145_How_to_choose_exercises_that_improve_patients_pain_with_David_Toomey.mp3
Category:general -- posted at: 10:21am AEDT

Do we need to target “proprioception” in shoulder rehab with flexible or vibratory, blade-like rehab tools or water-filled pipes? Does the evidence support the use of these proprioceptive tools to improve patients shoulder pain, or are there different exercises that provide better results?

Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio) and discover whether to include proprioceptive treatment tools in your patients shoulder rehabilitation programs.

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

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Free trial Clinical Edge membership

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Articles associated with this episode:

Direct download: 144_Proprioceptive_rehab_tools_for_shoulder_pain_with_Jo_Gibson.mp3
Category:general -- posted at: 10:52am AEDT

What strategies can you recommend to your patients that are recovering from injury or increasing their training to help improve physical recovery? Athletes often use various recovery strategies such as ice baths, compression stockings, massage and more to improve their recovery, but are they actually effective? What key strategies are evidence-based and useful?

Patients experiencing pain or a flareup may feel distressed or anxious. What mental recovery strategies can your patients use to help with these feelings of distress or anxiety?

Find out in this podcast with Tom Goom (Running Physio), as you discover the key recovery strategies for physical and mental health.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom.

Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.

Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.

Get your free access to this video series now.

CLICK HERE for your access to three free videos with Tom Goom

CLICK HERE for your access to three free videos with Tom Goom

Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom

Direct download: 143_Key_recovery_strategies_for_physical_and_mental_health_with_Tom_Goom.mp3
Category:general -- posted at: 10:46am AEDT

Traumatic superior labrum anterior to posterior (SLAP) tears can occur in contact athletes and other patients that land on their arm or shoulder, and in throwers and other athletes. Initial assessment and even MRI often miss or misdiagnose these injuries, leading to ongoing shoulder, long head of biceps tendon (LHBT) or ACJ pain.

In this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio) you’ll discover how to identify patients with SLAP tears. You’ll explore which assessment tests can be used to diagnose and differentiate SLAP tears from other causes of shoulder pain, and which imaging modalities will actually identify SLAP tears.

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

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Free trial Clinical Edge membership

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Article associated with this episode:


Patients with anterior knee pain may have pain with activities that load the patellofemoral joint (PFJ), such as squatting, going up or down stairs, and running. When is it important to offload patients PFJ during your rehab, to help settle their symptoms? How can you design a rehab program to improve your patients' knee pain?

Find out in this podcast with Tom Goom (Running Physio) as you discover how to effectively offload and treat patellofemoral joint pain, exercises to include in rehab, and activities and exercises to reduce during your initial phases of treatment.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom.

Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.

Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.

Get your free access to this video series now.

CLICK HERE for your access to three free videos with Tom Goom

CLICK HERE for your access to three free videos with Tom Goom

Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom

Article associated with this episode:

Direct download: 141_How_to_reduce_patellofemoral_pain_and_load_with_Tom_Goom.mp3
Category:general -- posted at: 2:39pm AEDT

When things don’t go well in a treatment session, what will help you identify the potential reasons and clues?

Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), and discover how to use non-verbal communication to improve the success of your treatment sessions.

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

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Free trial Clinical Edge membership

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Articles associated with this episode:


Can shockwave improve pain and function in Achilles tendinopathy patients that fail to improve with rehab?

Find out in this podcast as Tom Goom (Running Physio) reveals whether the latest research supports the use of shockwave in Achilles tendinopathy patients, and how to successfully return patients to running and rehab.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom.

Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge.

Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain.

Get your free access to this video series now.

CLICK HERE for your access to three free videos with Tom Goom

CLICK HERE for your access to three free videos with Tom Goom

Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom

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

Article associated with this episode:

Direct download: 139_Shockwave_for_Achilles_tendinopathy_with_Tom_Goom.mp3
Category:general -- posted at: 12:39pm AEDT

How can you treat patients with an achilles or patellar tendinopathy while they’re in the middle of a season or training for an event? Successful treatment often includes loading and strengthening the tendon, but how can you quickly identify the best exercises and load for each patient?

Find out in this Physio Edge podcast as David Pope and Daniel Silvan (Head Physiotherapist at Aspire Academy, Aspetar) discuss how to choose the most effective exercises for your patients to successfully treat lower limb tendinopathy.

Direct download: 138._How_to_treat_patellar__Achilles_tendinopathy_with_Daniel_Silvan.mp3
Category:general -- posted at: 12:15pm AEDT

Do your acute ACJ injury patients require surgery, or can they be managed conservatively with a rehab program? Find out in this podcast as Jo Gibson (Upper Limb Rehabilitation Specialist Physio) reveals how to grade patients’ acute ACJ injuries, help patients decide on surgery or conservative management, and rehab your patients effectively.

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Free trial Clinical Edge membership

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Direct download: 137._Acute_AC_joint_injury_imaging_rehab__recovery_with_Jo_Gibson.mp3
Category:general -- posted at: 12:18pm AEDT

Shoulder pain & frozen shoulder can be extremely debilitating for patients, impacting their ability to sleep, fulfill their normal work and family role or have fun. How can you as a therapist understand your patients pain experience, help them feel supported and meet your patients needs throughout their journey to recovery from shoulder pain or frozen shoulder?

Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), hosted by Clinical Edge, as you explore how the latest research can help improve your shoulder pain treatment.

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

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Free trial Clinical Edge membership

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Articles associated with this episode:


Calf strains are common in runners, footballers, dancers and other athletes. Discover how to assess, differentially diagnose and tailor your treatment of calf strains using the latest evidence in this podcast with Tom Goom (Running Physio).

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Your comprehensive guide to ITB assessment & treatment with Tom Goom

If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).

What causes ITB syndrome? How can you assess, diagnose and successfully treat it?

CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:

  • Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.

  • Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.

  • Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.

CLICK HERE to get immediate access to this free ITB video series with Tom Goom.

Lateral hip pain assessment, diagnosis & treatment video series

To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

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

Article associated with this episode:


When you’re treating patients that feel like their scapulae are asymmetrical, a rib is “out of place”, or they feel neck or thoracic stiffness without any restriction in movement, they may expect you to perform treatment that is unlikely to help, like joint mobilisation, manipulation or massage.

How can you use the latest pain science in your treatment to help patients overcome the experience of asymmetry, stiffness or something being out of place?

Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).

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

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Free trial Clinical Edge membership

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Articles associated with this episode:


Calcaneal bony stress injuries or fractures are often misdiagnosed and incorrectly treated as insertional Achilles tendinopathy or plantar heel pain, leading to worsening pain and poor recovery.

In this podcast with Tom Goom (Running Physio), hosted by Clinical Edge, discover how to accurately assess and effectively treat patients with calcaneal bony stress injuries or fractures.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Your comprehensive guide to ITB assessment & treatment with Tom Goom

If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).

What causes ITB syndrome? How can you assess, diagnose and successfully treat it?

CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:

  • Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.

  • Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.

  • Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.

CLICK HERE to get immediate access to this free ITB video series with Tom Goom.

Lateral hip pain assessment, diagnosis & treatment video series

To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

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

Article associated with this episode:


Why do some rotator cuff (RC) repair patients progress really slowly post-operatively and experience high levels of pain and sleep disturbance for long periods?

Find out in this case study and exploration of the latest evidence in this podcast with Jo Gibson (Shoulder Rehabilitation Specialist) as she reveals:

Quick or slow recovery?

  • Which patients are likely to improve quickly, and which patients are likely to take longer to improve.
  • How soon after arthroscopic RC repair your patients will experience significant improvements in pain.
  • When patients sleep is likely to improve.

Objective assessment tests

  • How to identify post-op nerve injury, red flags and infection.
  • Objective tests you can safely perform without overstressing the rotator cuff.
  • How to identify patients developing post-op frozen shoulder.

Expectations, education & reassurance

  • How to help set patient expectations for recovery before and after surgery.
  • Questions to ask patients after surgery that will help guide your treatment.
  • How to reassure patients that are experiencing pain.
  • How to explain post-op recovery to patients that are unhappy with their progress, even when their recovery is on track.

Treatment & resources

  • Activities your patients may be performing that slow their post-op recovery.
  • Positions and postures you can show patients to improve their pain in the day, and sleep at night.
  • Resources to give your post-op patients.

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

 

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder 

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Articles associated with this episode:


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