Physio Edge podcast (general)

Are you looking to improve your assessment & treatment of runners? Would you like to know exactly what to look for in a running assessment? What are the most important factors to treat when your running patients have achilles tendinopathy? How is that different when they have patellofemoral joint pain (PFJP)? The research around running is evolving quickly, and with Dr Rich Willy we explore the latest evidence and how it will help you address the most important factors with different musculoskeletal issues.

You will also discover:

  • How to perform a running gait analysis
  • Key communication points with runners
  • How to explain your gait analysis & running injuries to your patients
  • Important questions to ask runners
  • Intensity runners should train at to avoid illness and injury
  • Technology you can incorporate in your running assessment and retraining
  • Important factors when treating runners with PFJP and achilles tendinopathy
  • Does pronation & foot mechanics matter?

I have an awesome freebie for you with this podcast!

You can download free the podcast handout that will take you through the 8 essential areas to analyse when performing a running assessment, communication tips, advice to give your running patients during their recovery and much more.

Links mentioned in this episode

Some papers of interest:

i. Patellofemoral Joint and Achilles Tendon Loads During Overground and Treadmill Running

ii. In-field gait retraining and mobile monitoring to address running biomechanics associated with tibial stress fracture: In-field gait retraining and monitoring

iii. Mirror gait retraining for the treatment of patellofemoral pain

Other Physio Edge podcasts related to running injuries

Direct download: Physio_Edge_048_Running_from_injury_part_1_with_Rich_Willy.mp3
Category:general -- posted at: 2:59pm AEDT

The rotator cuff and rotator cuff tendons are often involved in shoulder pain, and targeted with our treatment. Dr Chris Littlewood is a Physio and senior research fellow at the University of Sheffield, and spends a large portion of his time studying and treating shoulder pain, including rotator cuff tendinopathy. In this episode, Chris and I discuss how to identify rotator cuff tendinopathy and other types of shoulder pain, and how you can direct your treatment for rotator cuff tendinopathy. We also explore:

  • Other sources of shoulder pain
  • Clues that the cervical spine could be referring pain to the shoulder
  • Unstable shoulder
  • Red flags
  • When to image the shoulder
  • When bursal thickness or effusion is or isn’t a problem
  • Shoulder assessment
  • Stiff painful shoulders
  • Treatment for rotator cuff tendinopathy
  • Improving exercise adherence
  • When to perform special orthopaedic tests
  • Injections
  • Surgery
  • Is there really a rotator cuff exercise, compared to a scapular muscle exercise?
  • Do exercises isolate the rotator cuff?

Download your free handout “Rotator cuff tendinopathy”

 

Links of interest

Direct download: Physio_Edge_047_Rotator_cuff_tendinopathy_with_Dr_Chris_Littlewood.mp3
Category:general -- posted at: 12:19pm AEDT

Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active.

There are a number of structures that can contribute to pain in this area, and in this podcast, Tom Goom and David Pope discuss how to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions.

Tom recently released an article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management with Peter Malliaras, Mike Reiman and Craig Purdam. We explore this article, and the research around PHT, and cover in detail:

  • Subjective clues to guide you towards diagnosis
  • Aggravating factors and 24 hour pain patterns
  • Differential diagnosis
  • Lumbar spine pain
  • How the lumbar spine could contribute to development of PHT
  • Hip pain
  • SIJ pain
  • Sciatic nerve pain
  • Development of PHT
  • Central sensitisation
  • Diagnostic tests for PHT
  • Hamstring tests
  • Other assessment tests
  • Functional tests
  • The value of palpation
  • Tests for involvement of the rest of the kinetic chain
  • Running assessment/gait analysis
  • Testing load tolerance
  • Biopsychosocial aspects of tendon recovery
  • Other advice for patients
  • Whether stretching is helpful
  • When your patient can return to running
  • Cross training
  • Does manual therapy have a role in the treatment of PHT?
  • Starting treatment (Stage 1)
  • When and how to progress rehabilitation (Stage 2)
  • Further rehabilitation progressions (Stage 3)
  • Advanced exercise progressions for high load sports
  • Exercises you can incorporate during the various stages
  • How long recovery will take

Links

Direct download: Physio_Edge_046_Proximal_Hamstring_Tendinopathy_with_Tom_Goom.mp3
Category:general -- posted at: 5:20pm AEDT

How can you treat your patient’s lateral elbow pain (lateral epicondylalgia (LE)/tennis elbow)? How and when should you progress your patient’s exercise program? Is pain during their exercise program ok?

In this episode, which is Part 2 of Lateral Elbow pain with Dr Leanne Bisset, we explore in detail how you can differentially diagnose LE from other causes of lateral elbow pain, and treat it successfully.

Discover:

  • Diagnosis and differential diagnosis of LE
  • How to get the best outcomes for your patients when treating LE
  • Do isometrics work?
  • How can you commence strengthening?
  • Should your patient experience any pain during their exercise program?
  • When and how can you incorporate Mobilisation with Movement into your treatment program?
  • How to perform MWM’s for LE
  • How to progress your treatment
  • Identifying and treating radial nerve involvement
  • Incorporating strengthening for the upper limb
  • High level athletes and weightlifters with lateral elbow pain - is this likely to be LE or another condition?
  • Identifying nerve root irritation with pain over the lateral elbow
  • Taping methods to deload the lateral elbow when there is nerve involvement
  • Clinical reasoning of your treatment
  • Predictors of poor treatment prognosis
  • When to order imaging
  • Evidence for and against other treatment strategies including the Cyriax approach, massage, laser, ESWT, corticosteroids and PRP
  • Validated screening tools for LE, including the PRTEE

In this episode, Leanne answers a lot of your questions on LE, asked via Twitter and the Clinical Edge newsletter. 

Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia who has extensively researched and published on lateral elbow pain, and spends a large proportion of her clinical time treating the upper limb and lateral elbow.

This is a two part podcast, followup up Lateral Elbow Pain Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset.

 

Download your free handout "Treatment of Lateral Elbow Pain 2"

 

Download the podcast here

Subscribe free to the Physio Edge podcast in iTunes

Download the podcast from Stitcher

Download and listen to the podcast on Soundcloud

Download your free podcast handout

Links of Interest

Dr Leanne Bisset

Dr Leanne Bisset on ResearchGate

Dr Leanne Bisset on Twitter

Download the Patient-Rated Tennis Elbow Evaluation (PRTEE)

Download the free podcast handout

Lateral Elbow Pain Part 1 with Dr Leanne Bisset

Review the podcast in iTunes

David Pope

Clinical Edge

Get your free trial of Clinical Edge online education


Lateral elbow pain (lateral epicondylalgia/tennis elbow) affects , and can respond fantastically to Physiotherapy treatment, or in other patients with a similar presentation, not at all. 

Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia that has extensively researched and published on lateral elbow pain, and spends the majority of her clinical time treating the upper limb and lateral elbow.

This is a two part podcast, and in Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset discuss:

  • Why is Lateral Epicondylalgia (LE) difficult to treat?
  • What tissue pathology exists in LE
  • Pain pattern for LE
  • Patient reports that will help your diagnosis of LE
  • Important aspects to communicate with your patients regarding their LE
  • Objective tests that you can perform
  • Patient advice
  • Should you rest your patients or provide exercises?
  • How is tendinopathy in the Upper Limb different to the Lower Limb?
  • Commencing treatment
  • How to incorporate manual therapy into your treatment
  • Exercises you can start your treatment with
  • Should you include isometric exercises for lateral elbow pain
  • How often should your patients perform their exercises
  • Exercise into pain, or avoid pain?

Download the podcast from iTunes

Links of Interest

Direct download: Physio_Edge_044_Lateral_Elbow_Pain_Part_1_with_Dr_Leanne_Bisset.mp3
Category:general -- posted at: 10:53am AEDT

Shoulder pain and injury in overhead athletes is very common and has a high recurrence rate. In this podcast with Jo Gibson we discuss sporting shoulder injuries and rehabilitation, including:

  • The role of the Rotator Cuff
  • Train strength or efficiency in the Rotator Cuff?
  • Rotator Cuff muscle balance
  • When is (and when isn’t) surgery necessary for Rotator Cuff or SLAP tears
  • Assessment of shoulder stiffness
  • Bursal involvement
  • Imaging of the shoulder
  • How you can help improve Rotator Cuff activation
  • What role does manual therapy have in shoulder treatment?
  • The importance of the postero-superior cuff
  • What stretches can you perform for the postero-superior Rotator Cuff
  • Treating pain in loaded and overhead activities
  • Exercises you can use in shoulder treatment with your athletes
  • Incorporating the kinetic chain in shoulder rehabilitation
  • Managing shoulder load
  • Central sensitisation
  • Treating throwing athletes
  • The role of the thoracic spine in shoulder pain
  • Communication tips with your shoulder pain patients

 

Download the podcast from iTunes

Review the Physio Edge podcast in iTunes

Download the podcast from Stitcher

Download and listen to the podcast on Soundcloud

Links of Interest

Jo Gibson

Download the free podcast handout

Subscribe free to the podcast in iTunes

Jo Gibson’s courses

David Pope

Clinical Edge

Get your free trial of Clinical Edge online education

Jo Gibson’s video - Gym ball rollout

Jo Gibson’s video - Wall squat

Jo Gibson’s video - Step up with V

Physio Matters Podcast with Jo Gibson

Skills for Communicating with Patients Book

Key communication skills and how to acquire them - Article in BMJ by Peter Maguire, Carolyn Pitceathly

EUSSER

Direct download: Physio_Edge_043_Sporting_Shoulder_with_Jo_Gibson.mp3
Category:general -- posted at: 12:37am AEDT

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 AEDT

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 AEDT

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 AEDT

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 AEDT

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 AEDT

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 clinicaledge.com.au

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

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 clinicaledge.com.au

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

Facebook

David on Twitter

 

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

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 AEDT

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 info@physioedge.com.au 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 AEDT

ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than your patients had before they injured their ACL.

In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance.

Going deep on the details involved in ACL Rehabilitation, including:

01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like

  • What does a fully rehabilitated athlete look like?
  • Incorporating performance goals into the rehab process
  • Can athletes achieve better performance post ACL rehab than they were pre-injury
  • Types of ACL grafts
  • Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery
  • Preoperative education
  • Restoring knee extension, balancing pain and improved range of movement, empowering your patient
  • Guidelines for pain, swelling when restoring range of movement
  • Restoring quadriceps activation, normalising gait patterns
  • Clinical Edge
  • Clinical Edge’s free webinar program
  • Preoperative length of time
  • Post-op - initial management
  • To use or not use co-contraction exercises of quads and hamstrings
  • Should you use squatting style exercises Week 1 post op
  • Activating quadriceps - internal quadriceps cues or external exercise focus
  • How much pain should a patient experience during or after an exercise
  • Week 2 post-op
  • When can heavy gym training commence
  • Changing movement patterns throughout the kinetic chain
  • Advice for patients in the early stages of rehab
  • Frequency of exercise
  • Week 2 onwards - exercises incorporating balance and proprioception
  • Open vs closed chain exercises
  • Advice for patients in weeks 2–6
  • Nutrition and dietary advice for patients
  • Gym based rehabilitation
  • Choosing and modifying exercises for middle stages of the rehabilitation process
  • Various types of squatting movement, and progressing the types of squats
  • Goblet squats
  • Retraining ideal squat patterns
  • Progressing squats, deadlifts and lunges
  • Front squats
  • Front squats and trap bar deadlifts vs back squats during rehabilitation
  • When can an athlete start cycling
  • Disadvantages of using cycling as the main part of a rehabilitation program
  • Hamstring rehabilitation after semitendinosis/gracilis graft
  • Strength and power development
  • Strength testing - mid thigh pull, leg press
  • Should we use open chain strength tests
  • When to perform strength tests
  • Strength vs power and rate of force development
  • Running - incorporating into the program. When can your patient start running?
  • Preparation for running
  • Running drills
  • Ideal movement patterns in running
  • Enda King and SSC, and working with ACL athletes

Podcast timeline

3:35 What does a fully rehabilitated athlete look like?

5:40 Incorporating performance goals into the rehab process

6:50 Can athletes achieve better performance post ACL rehab than they were pre-injury

8:20 Types of ACL grafts

11:10 Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery - an opportunity to prepare your patients knee, ROM, strength and educate them on the rehabilitation process

14:20 Preoperative education

14:40 Restoring knee extension, balancing pain and improved range of movement, empowering your patient with

15:40 Guidelines for pain, swelling when restoring range of movement

16:15 Restoring quadriceps activation, normalising gait patterns

17:10 Clinical Edge

18:45 Clinical Edge’s free webinar program

19:30 Preoperative length of time

20:35 Post-op - initial management

23:20 To use or not use co-contraction exercises of quads and hamstrings

24:50 Should you use squatting style exercises Week 1 post op

25:25 Activating quadriceps - internal quadriceps cues or external exercise focus

26:30 How much pain should a patient experience during or after an exercise

27:30 Week 2 post-op

28:30 When can heavy gym training commence

29:30 Changing movement patterns throughout the kinetic chain

31:00 Advice for patients in the early stages of rehab

32:10 Frequency of exercise

32:55 Week 2 onwards - exercises incorporating balance and proprioception

34:10 Open vs closed chain exercises

35:40 Advice for patients in weeks 2–6

37:15 Nutrition and dietary advice for patients

37:45 Gym based rehabilitation

38:50 Choosing and modifying exercises for middle stages of the rehabilitation process

41:00 Various types of squatting movement, and progressing the types of squats

41:45 Goblet squats

42:30 Retraining ideal squat patterns

43:25 Progressing squats, deadlifts and lunges

44:00 Front squats

46:00 Front squats and trap bar deadlifts vs back squats during rehabilitation

47:25 When can an athlete start cycling

48:00 Disadvantages of using cycling as the main part of a rehabilitation program

48:30 Hamstring rehabilitation after semitendinosis/gracilis graft

49:45 Strength and power development

51:00 Strength testing - mid thigh pull, leg press

53:15 Should we use open chain strength tests

54:20 When to perform strength tests

55:00 Strength vs power and rate of force development

55:50 Running - incorporating into the program. When can your patient start running?

57:30 Preparation for running

58:35 Running drills

1:00:30 Ideal movement patterns in running

Links:

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

 

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, webinar

Direct download: PE_032_How_to_rehabilite_ACL_injuries_with_Enda_King.mp3
Category:general -- posted at: 4:40pm AEDT

030. CrossFit injuries with Antony Lo

CrossFit is a very popular form of improving strength and fitness, and CrossFit athletes have a variety of common injuries. Training errors and the athlete’s biomechanics often contribute to these injuries, and identifying incorrect biomechanics and other contributing elements in their training is often the key to helping your patients recover from injury, train pain free and importantly for your patients, ultimately get stronger and fitter.

In episode 30 of the Physio Edge podcast, David Pope discusses CrossFit injuries, training, biomechanics and injury recovery with Antony Lo. Antony is a Musculoskeletal Physiotherapist with a number of clinics within CrossFit gyms across Sydney, and a large proportion of his patient population are CrossFit athletes.

In this podcast Antony and David explore:

  • The most common injuries in CrossFit
  • Factors that contribute to injuries in the Shoulders, Neck, Back, Knees, and lower limb
  • Specific exercises performed in CrossFit
    • Squats
    • Pullups/Chinups
    • Pushups
    • Overhead exercises
    • Double unders
    • Overhead squats
    • Snatch
    • Running
  • Ideal biomechanics for each of these movement
  • Common movement errors and ways to assess each movement
  • Rest from training vs continue training
  • Manual therapy on cross fit athletes
  • Modifying training loads
  • Rhabdomyolisis
  • Urinary continence while training
  • Advice for Physios treating CrossFit athletes

Links of Interest

Direct download: PE030_Cross_Fit_Injuries_with_Antony_Lo.mp3
Category:general -- posted at: 9:48am AEDT

Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain? When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax? 

In this podcast, David Pope talks to Ann Cools, a Physiotherapist and Head of Education for Rehabilitation Sciences and Physiotherapy at Ghent University in Belgium, and is also the founding member and president (2010–2012) of EUSSER - European Society of Shoulder and Elbow Rehabilitation. We discuss in detail assessment of the scapula, the role of the scapula in shoulder pain and how to retrain unruly scapulae.

Other topics covered in this podcast include:

  • Research by Ann Cools

  • What we currently know from the research about the role, movement and control of 

  • the scapula

  • Scapula dyskinesis - what is it

  • Static vs dynamic assessment of the scapula

  • Altering muscle balance and timing with specific exercises

  • How altering scapula mechanics effects muscle balance around the shoulder

  • Important parts of the subjective history

  • Scapula vs glenohumeral joint

  • How subjective will guide your objective assessment and treatment

  • Red flags around the shoulder, nerve pathology and frozen shoulder

  • Frozen shoulder imaging

  • Nerve injuries - symptoms, objective examination and treatment

  • Assessment of the scapula, Type 1 scapula dyskinesis

  • Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)

  • Testing GHJ IR

  • Clinical Edge and online education on the shoulder

  • Stretching and shoulder joint mobilisation

  • Palpation, stretching and manual therapy for pec minor

  • Type 2 scapula dysfunction

  • Handheld dynamometry - serratus

  • Handheld dynamometry - middle and lower traps

  • Pain when strength testing

  • Type 3 scapula dysfunction

  • Dynamic assessment of the scapula

  • To retract and depress the scapula or not?

  • Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis

  • Special tests around the shoulder

  • Laxity tests for the GH joint

  • Posterior GHJ laxity

  • Anterior GHJ laxity

  • Explanations of scapula dysfunction to your patients

  • Information on Ann Cools 

  • EUSSER

Timeline:

0:30 Research by Ann Cools

4:20 What we currently know from the research about the scapula

6:30 Scapula dyskinesis - what is it

8:30 Static vs dynamic assessment of the scapula

11:45 Altering muscle balance and timing with specific exercises

13:15 How altering scapula mechanics effects muscle balance around the shoulder

14:10 Important parts of the subjective history

16:20 Scapula vs glenohumeral joint

18:20 How subjective will guide your objective assessment and treatment

18:55 Red flags around the shoulder, nerve pathology and frozen shoulder

21:15 Frozen shoulder imaging

21:45 Nerve injuries - symptoms, objective examination and treatment

30:30 Assessment of the scapula, Type 1 scapula dyskinesis

35:00 Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)

36:10 Testing GHJ IR

42:00 Clinical Edge

44:00 Stretching and shoulder joint mobilisation

51:45 Palpation, stretching and manual therapy for pec minor

55:40 Type 2 scapula dysfunction

59:20 Handheld dynamometry - serratus

1:00:51 Handheld dynamometry - middle and lower traps

1:03:54 Pain when strength testing

1:04:50 Type 3 scapula dysfunction

1:10:03 Dynamic assessment of the scapula

1:15:00 To retract and depress the scapula or not?

1:16:23 Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis

1:17:50 Special tests around the shoulder

1:20:35 Laxity tests for the GH joint

1:23:00 Posterior GHJ laxity

1:24:30 Anterior GHJ laxity

1:26:20 Explanations of scapula dysfunction to your patients

1:31:00 Information on Ann Cools 

1:32:20 EUSSER

1:33:00 Wrap up

Links of Interest

Direct download: PE_031_Scapula_Assessment_in_Shoulder_Pain_with_Ann_Cools.mp3
Category:general -- posted at: 12:12pm AEDT

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

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

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

 

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

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

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

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

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

025. 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

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

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?

Download this podcast free from iTunes

Links of Interest

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

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

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

Dr Kieran O’Sullivan is back on the Physio Edge podcast after talking 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 CLBP
  • 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

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

 

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

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

Podcast links

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

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

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

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 AEDT

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 Discover Physio 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

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 show by writing a review on iTunes

Diane Lee

Diane Lee on Twitter

The Pelvic Girdle, 4th Edition by Diane Lee

Discover Physio

Linda-Joy Lee

Discover the Sports Pelvis with LJ Lee

Clinical Edge

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

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 AEDT

Hamstrings are one of the most common acute muscular injuries in athletics and team sports. In this episode of the Physio Edge podcast I discuss recent research with promising results preventing hamstring injuries with Dr Kristian Thorborg, a Specialist Sports Physiotherapist in Copenhagen, Denmark.

Links of Interest

Direct download: PE_016_Preventing_Hamstring_Injuries_with_Kristian_Thorborg.mp3
Category:general -- posted at: 12:31pm AEDT

How can you recognise when the cervical spine is involved in a patients headache? How can you treat headaches caused by cervical dysfunction? What role does manual therapy play in their treatment? When and how should you treat their cervical motor control?

In this podcast, Ken Niere and David Pope discuss cervicogenic headaches, effective physio treatment, and how to recognise the difference between cervicogenic headaches, tension type headaches and migraine.

Ken Niere is a Specialist Musculoskeletal Physiotherapist with over 25 years’ clinical experience in the assessment and treatment of spinal disorders. He is a senior lecturer in the School of Physiotherapy at La Trobe University, where he has taught spinal musculoskeletal physiotherapy at undergraduate and postgraduate levels since 1989.

Ken is an examiner for the Australian College of Physiotherapists and he recently contributed to and co-edited a book on headache, orofacial pain and bruxism. His special interests include the diagnosis and management of headaches and neck disorders, and he has lectured on these topics in Australia and overseas.

Tags: Cervicogenic headache, cervical spine, headache, tension type headaches, migraine, physiotherapy, ken niere, physio, differential diagnosis, la trobe university, australian college of physiotherapists, david pope, physioedge, podcast, assessment, treatment

Links of Interest

Get your spine into awesome shape by subscribing to the podcast in iTunes

Review the Physio Edge podcast in iTunes

Clinical Edge

Free membership to Clinical Edge!

Ken Niere

Ken Niere at La Trobe University

The essential role of the thorax in whole body function and the “Thoracic ring approach” with LJ Lee - Online education for Physiotherapists for Clinical Edge members

20% off your first months Clinical Edge membership with the code “physioedge”

Contact David

David on Twitter

Direct download: PE_015_Cervicogenic_Headaches_with_Ken_Niere.mp3
Category:general -- posted at: 8:04pm AEDT

What is contributing to your patients low back pain? How do you know when to use manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP? In episode 14 of the Physio Edge podcast, Peter O’Sullivan and David Pope discuss chronic low back pain and Peter’s approach to getting past it. Some of the topics we dug into include:

  • Causes, classification and treatment of chronic low back pain (CLBP)
  • Common treatment errors
  • Identifying mechanical contributors
  • When manual therapy is helpful
  • Myths around “core stability”
  • What is the current evidence base for CLBP classification and treatment
  • Tips for treatment of CLBP
  • A lot of other great treatment advice for CLBP….

Listen to it now, and subscribe free to the podcast in iTunes

Links of interest

Look your best this weekend by subscribing to the podcast in iTunes

Give the Physio Edge podcast a review in iTunes

Clinical Edge

Free membership to Clinical Edge!

Peter O’Sullivan

Peter O’Sullivan at Curtin University

The essential role of the thorax in whole body function and the “Thoracic ring approach” with LJ Lee - Online education for Physiotherapists for Clinical Edge members

20% off your first months Clinical Edge membership with the code “physioedge”

Contact David

David on Twitter

Tags: physio, physio edge, physiotherapist, podcast, courses, evidence based practice, online education, peter o’sullivan, curtin university, bodylogic physiotherapy, low back pain, chronic low back pain, treatment, assessment, classification, clinical edge

Direct download: PE014_Chronic_Low_Back_Pain_with_Peter_OSullivan.mp3
Category:general -- posted at: 12:36pm AEDT

Treatment of the cervical spine often involves some degree of manual therapy or manipulation, and VBI testing is generally encouraged or required prior to this. In this episode of the Physio Edge podcast, Roger Kerry and David Pope discuss Cervical Arterial Dysfunction (CAD), the accuracy and limitations of VBI testing, and a lot of other good stuff, including:

  • Cervical Arterial Dysfunction (CAD), and VBI
  • Why is it important for clinicians to know about CAD
  • The limitations of VBI testing
  • Clues within the history to alert you to the possibility of CAD
  • Symptoms of CAD
  • 2 types/causes of dizziness and differentiation
  • The 5 Ds and 3 N’s - what are the limitations of this approach
  • Signs & Symptoms of Cerebral and retinal ischaemia
  • Aetiology
  • Upper cervical instability
  • As clinicians, where should CAD and VBI testing lead our assessment, treatment and investigations?
  • When can we conservatively treat someone with these symptoms
  • Monitoring - during and post rx
  • Contraindications to Rx

Listen to it now, and subscribe to the podcast in iTunes

Links of interest

 

Direct download: PE_013_Cervical_Spine_Artery_and_VBI_Testing.mp3
Category:general -- posted at: 8:35pm AEDT

David Pope and Russell Wright talk about everything to do with feet and ankles. Plantar Fascia and Achilles Tendinopathy are conditions that need good differential diagnosis and specific tailored treatment programs, especially in runners, and in this episode we chat about how you can get the best results with these patients. We cover:

  • causes of plantar fasciosis
  • strengthening of the plantar fascia
  • what exercises work with plantar fasciosis, and which ones are a waste of time
  • nerve entrapments that can be involved in plantar fasciosis, and how to identify * these
  • the role of taping and orthotics
  • achilles tendinopathy
  • eccentric programs and progressions
  • ankle sprain rehab - keeping it functional

Listen to it now, and subscribe to the podcast in iTunes

(Warning: this podcast has occasional explicit language)

Links of interest

Get sexy feet by subscribing to the podcast in iTunes

Give the Physio Edge podcast a review in iTunes

Clinical Edge

Free membership to Clinical Edge!

Russell Wright

Ocean View Physio

Have you subscribed to the Podcast in iTunes yet?

Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members

20% off your first months Clinical Edge membership with the code “physioedge”

Contact David

David on Twitter

Tags: physio, physio edge, physiotherapist, podcast, courses, achilles, plantar fascia, nerve entrapments, russell wright, ocean view physio, tendinopathy, treatment, eccentric, strengthening, fasciopathy, feet, ankle, runners, running, barefoot running, ankle sprain, rehabilitation


Hamstrings are one of the more frequently injured muscles in sportspeople, and in this episode, Alison and I discuss hamstring tendinopathy, symptoms, assessment and treatment of this common condition.

Some of the aspects we explore in this podcast are:

  • Subjective clues that someone may have a Hamstring Tendinopathy
  • Differentiating Hamstring Tendinopathy from pain of Lumbar origin
  • Assessment of the hamstring
  • Tests to confirm or rule out a Hamstring Tendinopathy
  • Causes
  • Advice for patients
  • Rehabilitation
  • Deep hip muscle activation
  • Keys to a successful treatment program
  • a whole lot more

There is currently limited research around the area of hamstring tendinopathy, and Alison’s tips and insights are based on this evidence base as well as her clinical experience.

I hope you enjoy it!

Links of interest

Get great legs by subscribing to the podcast in iTunes

Give the Physio Edge podcast a review in iTunes

Clinical Edge

Dr Alison Grimaldi

Dr Alison Grimaldi’s Publications

PhysioTec

University of Queensland

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Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members

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Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, hamstring, posterior thigh pain, tendinopathy, runners, rugby, sprinters, lumbar spine, dr alison grimaldi, physiotec

Direct download: PE_011_Hamstring_Tendinopathy_with_Dr_Alison_Grimaldi.mp3
Category:general -- posted at: 1:08pm AEDT

Barefoot running has been sweeping the globe in the last few years, and as a Physio, which of your patients are best suited to this type of running technique. How does running technique relate to a runner’s pain and dysfunction, and really, what is the ideal running technique?

In this podcast with Blaise Dubois - a Physiotherapist with a clinic, website and courses devoted to helping runners and Physiotherapists that treat runners, we chat about these topics, as well as:

  • Running assessment
  • Biomechanics of running
  • Improving running technique and performance
  • Which patients should change their running technique
  • Barefoot running
  • Heelstrike and landing
  • Current evidence on running technique
  • Injury prevention in runners
  • Downhill running technique
  • Footwear for running
  • Improving running in patients with pathology eg Achilles Tendinopathy

Blaise has also been kind enough to provide a PDF handout to go along with this podcast, which is available for free download -

Download the PDF handout

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Clinical Edge

Blaise Dubois

PDF Handout to go with the podcast

The Running Clinic

Blaise Footwear Reviews

Big bulky shoes to avoid

Blaise’ course - New Trends in the Prevention of Running Injuries - Newcastle, March 2012

Blaise’ course - New Trends in the Prevention of Running Injuries - Melbourne, March 2012

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Online education for Physiotherapists for Clinical Edge members

MBT Footwear

Vibram 5 Fingers

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Next time on the Physio Edge Podcast: The Thorax and Biomechanics of the Thoracic Rings with LJ Lee

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Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, running, biomechanics, achilles, tendinopathy, blaise dubois, the running clinic, assessment, barefoot running, injuries, injury prevention, downhill, Vibram 5 fingers, MBT, big bulky shoes, footwear, evidence, heelstrike

Direct download: PE010_Biomechanics_of_Running_with_Blaise_Dubois.mp3
Category:general -- posted at: 2:07pm AEDT

Lateral hip pain is a condition patients present with regularly to Physiotherapists, with pain walking or standing, sleeping on their side, stretching of the posterior hip, and sitting, amongst other symptoms, and can often mimic lumbar spine pathology. In this episode, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain - Glute Med Tendinopathy (GMT), that is often incorrectly diagnosed as “trochanteric bursitis”.

Some of the aspects we explore in this podcast are:

  • Subjective clues that someone may have a Glute Med Tendinopathy
  • “Trochanteric Bursitis”
  • Differentiating Glute Med Tendinopathy from pain of Lumbar origin
  • Assessment of the hip
  • Tests to confirm or rule out a Glute Med Tendinopathy
  • Causes of a Glute Med Tendinopathy
  • Advice for patients
  • Treatment of Glute Med Tendinopathy
  • Deep hip muscle activation
  • How to design a treatment program to make the difference between it working and failing
  • much more

I also want to take this moment to wish you and your family a very Happy New Year.

Links of interest

Next time on the Physio Edge Podcast: The Biomechanics of Running

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Direct download: PE_009_Glute_Med_Tendinopathy_with_Dr_Alison_Grimaldi.mp3
Category:general -- posted at: 10:46pm AEDT

All golfers want to hit as far as Tiger Woods, but without the injuries. How can you treat the injuries in your golfing patients, prevent further injury and improve their “coachability” and performance?

Golfers regularly need Physio treatment for injuries like tendinopathy around the elbow, low back and neck pain, and plenty of other injuries. In episode 8 of the Physio Edge podcast, I chat with Matt Green of High Performance Golf about

  • Common golf injuries
  • How to assess and treat golfers
  • Technique errors that contribute to injury
  • Tendinopathy around the elbow
  • Assessing the golf swing
  • Strengthening and motor control
  • Advice to give your golfers and
  • plenty more.

If you treat golfers, or would like to treat more golfers, get stuck into this episode free on iTunes, and brought to you by the podcast sponsor Clinical Edge.

Links of interest

Next time on the Physio Edge Podcast: Glute Med Tendinopathy

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Direct download: PE008_Golf_Injuries_and_Performance.mp3
Category:general -- posted at: 10:28am AEDT

Dry Needling has become incredibly popular in Physiotherapy recently. Is dry needling really the way forward for Physios?

In this podcast I chat with Andrew Hutton of Dry Needling Plus, presenter of the Dry Needling Plus courses for Clinical Edge, and we discuss dry needling and whether it complements regular Physio treatment. Some of the topics we cover include

  • What are the different styles of dry needling?
  • How can dry needling be used in sporting populations?
  • How to know immediately if your needling has been effective
  • What is the evidence for dry needling
  • Studies show decreased ROM with needling, is it possible to improve ROM with dry needling
  • How does changing ROM actually relate to a patient’s pain?
  • Some clinical scenarios where dry needling could be incorporated

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Dry Needling Plus"

Dry Needling Plus courses with Clinical Edge

Clinical Edge

IMS

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“Treatment of Acute Lateral Ankle Sprains” with Russell Wright for Clinical Edge members

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Next time on the Physio Edge Podcast: Golf Injuries and Performance

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Direct download: PE_007_-_Dry_Needling_with_Andrew_Hutton.mp3
Category:general -- posted at: 10:39am AEDT

When should Transversus (TA) be included in your patient rehab? When is TA retraining a waste of time? Is planking good for anything other than entertaining your mates? How can we go beyond just treating the pain experience to connect with your patient and improve their performance.

In Episode 6 of the Physio Edge podcast, I chat again with LJ Lee, this time covering TA, “Core Stability”, and more including:

  • Retraining TA in your treatment
  • Planks
  • Running like a block of wood with legs
  • McGill’s Big 3 exercises
  • Body “flow” and agility Vs stiffness and rigidity
  • Specificity of exercise
  • How can the Cervical Spine affect knee pain in a squat?
  • The Discover Physio Series
  • “Salsa in your ribcage” and breathing
  • The impact of intra-thoracic pressure on the pelvic floor

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Linda-Joy Lee

Clinical Edge

Discover the Sports Thorax

Discover the Sports Pelvis

Discover Physio Series

Canadian Academy of Manual and Manipulative Therapy

Diane Lee

Discover Physio

University of Queensland

Prof Paul Hodges

Sackett

Stuart McGill

“See What I’m Saying” by Rosenblum

“Mindsight” by Dan Siegel

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“Assessment of the Pelvis” online education for Clinical Edge members

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Direct download: PE_006_-_Core_stability_TA_and_Drivers.mp3
Category:general -- posted at: 1:25pm AEDT

What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is it just about eccentric training for tendinopathy? When should NSAID’s be used?

This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. We also chatted about some other aspects of tendinopathy, including

  • Factors that contribute to tendinopathy beyond biomechanics
  • Eccentrics - what is the future of training to rebuild tendons
  • Return to sport or running after tendinopathy
  • Avoiding tendinopathy
  • Treatment at each stage of tendinopathy
  • Rehabing achilles tendinopathy
  • Rehab for hamstring tendinopathy

plus we related all of these to clinical scenarios. Enjoy!

Links of interest

Subscribe to the podcast in iTunes

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Jill Cook

Craig Purdam

Monash University

“Achilles Tendinosis in Runners” online education for Clinical Edge members

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BJSM Podcast

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Direct download: PE_005_-_Tendons_and_Tendinopathy.mp3
Category:general -- posted at: 4:17pm AEDT

Acetabular Labral tears in the hip are becoming more commonly diagnosed and operated on. In this episode, I chat to Nichole Hamilton, a Physio with a lot of experience treating hips, designing post-op arthroscopic hip protocols and lecturing about the hip. Some nice insights into hip injuries and diagnosing and treating labral tears.

This week we talk about all sorts of issues around the hip, including:

  • Diagnosing labral tears Labral tear symptoms What causes a labral tear?
  • Activities that contribute to labral tears When is surgery required for labral tears
  • When is conservative treatment a good option
  • Kicking sports - what muscle control is required What is the role of psoas
  • Dancers - what activities and positions load the labrum How can maximum hip range of movement be attained safely
  • Posterior pelvic tilt or tuck - how does this relate to the hip
  • Progressing exercises to incorporate functional positions

Links of interest


Andrew Ryan is a Sports Physio with the Australian Qantas Wallabies, and in this weeks episode Andrew and I chat about acute injury management, player screening, on-season treatment, corks, and adductors. Some great insights into elite sports management.

Links of interest


Analyse movement using your manual skills and palpation, plus insights into what clinical expertise and “Evidence Based Practice” really means - an interview with LJ Lee.

This podcast is brought to you by Physio Edge, your host David Pope, and the podcast sponsor, Clinical Edge.

Links of Interest

Direct download: Physio_Edge_Podcast_2_LJ_Lee.mp3
Category:general -- posted at: 2:25pm AEDT

Fascinating insights into pain, painful experiences, and neurodynamics from one of the world's leading neuroscience and pain experts. Learn why we (and out patients) experience pain, the latest research in pain and pain management. Learn how to talk to your patients to reduce their pain experience, when pain is more from joints or the periphery, and how to use neural glides.

Brought to you by Physio Edge - www.physioedge.com.au and your host, David Pope

Direct download: Physio_Edge_Podcast_001.mp3
Category:general -- posted at: 4:43pm AEDT