One of the most popular blogposts of all time on Tom Goom's website running-physio.com is on how to manage calf tears in runners. Is this because it is a really common problem, or because Tom wrote such a great blogpost? It's a bit hard to tell, and most likely it's a bit of both, but it begs the question "Why is calf pain one of the issues so many runners face? "

In episode 64 of the Physio Edge podcast, David Pope and Tom Goom discuss the latest research around calf pain in runners and what is actually going on. We want to give you all the tools you need to assess runners that present with calf pain, so we have included this in the episode as well.

If you would like to up your game on calf pain, here are some of the highlights from the podcast:

• What is responsible for calf pain in runners?
• What are the common symptoms?
• What will imaging show (or not show)?
• What happened to chronic exertional compartment syndrome (CECS)? Does it still exist?
• What is biomechanical overload syndrome, and how is it different to CECS?
• Who are the most likely culprits to experience calf pain?
• How can you assess runners with calf pain?
• What tests should you perform?
• How can you perform a calf capacity test?

Free running injury assessment & treatment video series available now

Links of Interest

• Tom Goom on Twitter
• Let David Pope know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Infographics by Clinical Edge
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Related posts

• Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy imaging & education with Tom Goom
• Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
• Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom
• Physio Edge 062 How to treat plantar fasciopathy in runners with Tom Goom
• Infographic - How to treat plantar fasciopathy in runners with Tom Goom

Research associated with this episode

• Franklyn-Miller et al. 2012. Biomechanical overload syndrome: defining a new diagnosis
• Breen et al. 2015. Gait re-training to alleviate the symptoms of anterior exertional lower leg pain: A case series

Posterior hip pain can have a number of causes, with referral from the lumbar spine, SIJ and hip, along with local structures such as the hip joint, gluteals, glute tendons, proximal hamstring tendons. How can you identify the structures involved in your patient's posterior hip pain? What tests can you perform in your objective assessment to assist your treatment? What is the best way to treat the glutes if they are the involved in your patient's pain?

In episode 63 of the Physio Edge podcast, Benoy Mathew and David Pope explore how you can improve your diagnosis and results with posterior hip pain.

You will discover:

• What are some of the common causes of posterior hip pain?
• Gluteal tendinopathy (GT)
  • What area of symptoms will patients with GT report?
  • What are the pattern of symptoms for GT?
  • What tests can we perform to make GT more or less likely
  • How can we treat GT?
• Deep gluteal syndrome (DGS)
  • What is deep gluteal syndrome?
  • What muscles can be involved in DGS?
  • How can we differentiate it from Gluteal tendinopathy?
  • What tests can you perform to confirm or exclude DGS?
  • How does the treatment for DGS differ to GT?

Benoy is presenting a free webinar with Clinical Edge on "How to assess & diagnose posterior hip and gluteal pain", that complements this podcast, and takes you through the common sources of hip pain, how to identify hip and lumbar spine red flags, and demonstrates exactly how you can perform an assessment to test and differentially diagnose the structures involved in your patients pain.

CLICK HERE to enrol on this free webinar with Benoy Mathew

Ben also presented a webinar with Clinical Edge on how to rehabilitate adductor and psoas related groin pain. The webinar helps you discover:

• Rehabilitation of adductor and psoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics

CLICK HERE to watch the webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew with a free trial Clinical Edge membership

Links of Interest

• Download and subscribe to the podcast on iTunes
• Download your free podcast handout on how to assess and treat posterior hip and gluteal pain
• Physio Edge podcast 053 Hip and groin pain part 1 - diagnosis, pathology and red flags with Benoy Mathew
• Physio Edge 054 Hip and groin part 2 - assessment and treatment with Benoy Mathew
• Download the free podcast handout for Physio Edge 054 Hip & Groin pain Part 2
• Webinar on groin pain rehabilitation with Benoy
• Benoy Mathew on Twitter
• Benoy Mathew's website and courses
• Access to Ben's webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership
• David on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook

Articles related to this episode:

1. Franklyn-Miller et al (2009)- The Gluteal Triangle: a clinical patho-anatomical approach to the diagnosis of gluteal pain in athletes , BJSM. Open Access Link
2. Grimaldi & Fearon (2015)- Gluteal Tendinopathy: Integrating Pathomechanics and Clinical Features in Management, JOSPT. Open Access Link
3. Hernando et al (2016)- Evaluation and management of ischio-femoral impingement: a pathophysiologc, radiolgic and therapeutic approach to a complex diagnosis, Skeletal Radiol
4. Martin et al (2016)- Deep Gluteal Syndrome, JHPS, Open Access Link
5. Martin et al (2016)- Ishiofemoral Impingement and Hamstrings Syndrome, Distal Causes of Deep Gluteal Syndrome. Where do we go next? Clin Sports Med. Open Access Link
6. Michel et al (2013)- Piriformis muscle syndrome: Diagnostic criteria and treatment of a mono centricseries of 250 patients, Annals of Physical and Rehabilitation Medicine
7. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist
8. Physical Examination of the Hip by Dr. Hal D. Martin

How can you treat plantar fasciopathy? How can you return your plantar fasciopathy patients to activity and running? When can they run without aggravating their pain?

In episode 62 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can get great treatment outcomes with plantar fasciopathy.

You will discover:

• How can you treat plantar fasciopathy (PF)?
• How can you help reduce plantar fascia pain during the "pain-dominant" phase?
• How can you improve load capacity during the "load-dominant" phase?
• When do your patients need relative rest?
• What cross training options are suitable for runners with PF?
• When and how can you incorporate strengthening into your treatment?
• What other impairments should you address in your treatment?
• How do you adapt strengthening if your patients pain is irritable vs non-irritable
• Is stretching helpful?
• Should you include other treatment, eg taping, orthotics, gel heel cup
• When can your patients return to running?
• How long is the average recovery from PF?
• A PF case study with exercise progressions and return to running.

This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom and Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Infographics by Clinical Edge
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Related posts

• Infographic - How to treat plantar fasciopathy in runners with Tom Goom
• Physio Edge 060 Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy imaging & education with Tom Goom
• Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom
• Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom

Research associated with this episode

• Rathleff et al. 2014. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.

Assessment and diagnosis is vital in planning your plantar fasciopathy treatment program, and successfully returning your patients to activity and running. Structures in the vicinity of the plantar fascia insertion may contribute to plantar heel pain, but require a very different treatment approach. How can you identify other structures that are involved? What questions do you need to ask in the history? How can you perform an examination, and what tests should you perform on patients with plantar fasciopathy?

In episode 61 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can assess and differentially diagnose plantar fasciopathy.

You will discover:

• Plantar fasciopathy clinical presentation
• How to identify fat pad irritation
• Patterns of calcaneal and navicular bony stress injuries
• How you can identify nerve entrapment and radiculopathy
• Red flags such as spondyloarthropathy
• Questions to ask in your subjective that will guide your diagnosis and treatment
• How to perform an objective assessment
• Tests you need to perform
• Identifying impairments to address during rehabilitation
• When you should perform a running assessment

This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Infographics by Clinical Edge
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Research associated with this episode

• Rathleff et al. 2014. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.
• Riel H, et al Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on

Plantar fasciopathy is one of the most common causes of foot pain in runners and non-athletes alike. Our understanding of plantar fasciopathy (PF) pathology and treatment has progressed significantly over recent years. In episode 60 of the Physio Edge podcast, Tom Goom and David Pope explore PF, what we know about it, and how you can explain the condition, treatment and recovery process to your patients.

You will discover:

• What we know about plantar fasciopathy
• What pathology is present
• When is imaging indicated, and what information does it provide
• Which forms of imaging are the most useful
• What are the risk factors for developing PF
• Which aspects of running may be related or contribute to developing PF?
• How can you explain PF the condition, treatment and recovery process to your patients

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Research associated with this episode

• Sullivan et al. 2015. Musculoskeletal and Activity-Related Factors Associated With Plantar Heel Pain

• Nielsen et al. 2013. Predictors of Running-Related Injuries Among 930 Novice Runners

• van Leeuwen, et al. 2015. Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors

• Riel H, et al Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on

How can you identify the most important factors involved in your patients running injuries? During your rehabilitation of runners, which is most important to address - load, gait pattern, strength, foot strike, pelvic position, footwear, range of movement or other factors?

I wanted to discuss and debate these issues with a number of Physiotherapists that treat and research running injuries, so I have a very different format for you on this episode of the Physio Edge podcast - a group podcast.

On this podcast, we have Tom Goom, Greg Lehman and Dr Christian Barton all in one virtual room discussing and debating the merits of the various approaches to running injuries.

In this episode of the Physio Edge podcast David Pope and the group discuss:

• When is it ok for your runners to continue running, and when do they need to stop
• Common myths around running retraining
• When is it important to change your patients foot strike?
• Which patient presentations and pathologies will be assisted with running retraining?
• How can you identify a suitable running load during rehab
• How can you incorporate running retraining into your rehab
• Which areas are important to running assessment
• How can you manage training load strength and conditioning
• When are plyometrics appropriate during rehabilitation
• Other factors that impact injury prognosis and duration
• What advice can you give new runners
• Which footwear should runners wear?

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Get your free trial Clinical Edge membership

Tom Goom

• Running Physio website 
• Tom on Twitter 
• Tom Goom's website & courses 
• Tom on Facebook Live

Greg Lehman 

• Greg Lehman's website 
• Twitter
• Facebook

Dr Christian Barton 

• Twitter
• LaTrobe Sport and Exercise Medicine Research Blog

Papers mentioned in this episode

• Is there an economical running technique? A review of modifiable biomechanical factors affecting running economy

• Influence of step length and landing pattern on patellofemoral joint kinetics during running

• The training-injury prevention paradox: should athletes be training smarter and harder?

• Optimising strength training for running and cycling endurance performance: A review

• A negative life event impairs psychosocial stress, recovery and running economy of runner

• Running shoes and running injuries: mythbusting and a proposal for two new paradigms: preferred movement path and comfort filter

• The effectiveness of exercise interventions to prevent sports injuries: a syatematic review and meta-analysis of randomized controlled trials

• Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period

• Frontal plane kinematics of the hip during running: Are they related to hip anatomy and strength?

• High eccentric hip abduction strength reduces the risk of developing patellofemoral pain among novice runners initiating a self structured running program: a 1 year observational study

Your athletes workload consists of the amount of running, training and matches performed. Their current workload can be compared to previous workload to identify periods where they may be at risk of injury or setting back their rehabilitation (Gabbett 2016). Balancing your athletes workload during rehabilitation and afterwards is vital to allow recovery from injury, improved performance while avoiding further injury.

What do you need to monitor, and how can you monitor workload in an easy and efficient manner? Find out in this episode of the Physio Edge podcast with Tom Goom and David Pope.

You will also discover:

• What is athlete monitoring?
• What is the aim?
• What do we want to monitor?
• What are external training loads?
• What are internal training loads?
• How might we monitor athletes?
• What do we do with the data we get?

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Reference: Gabbett, TJ. The training—injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med 2016;50:273-280

Helping our running patients recover and return to running following injury is our primary rehab priority, however we may also have the opportunity to help improve their running performance. Runners are often motivated by improving their speed, performance and times, and incorporating these goals into their rehab can increase motivation and exercise compliance. How then can we help our patients to improve their performance when returning from an injury? Find out in this episode of the Physio Edge podcast with Tom Goom

You will also discover:

• Why consider performance?
• How might we assess performance in a more scientific way?
• What are the benefits of performance tests?
• How can we link it to other aspects e.g. gait analysis?
• How does performance influence training structure and progression?
• How do we optimise performance in injured athletes?

Free running injury assessment & treatment video series available now

Links of Interest

• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Get your free trial Clinical Edge membership
• Tom Goom's website & courses
• Tom on Facebook Live

Identifying how much running each of your patients can perform (their load capacity) during their rehabilitation is a skill. This podcast will help you develop your load management skills, and know how much running your individual patients should perform at each stage of their rehabilitation.

In this podcast with Tom Goom, you will discover:

• What is load capacity?
• How do we identify your patient’s running capacity?
• How are your patient’s progressing in their rehabilitation, relative to where they want to be?
• How can you identify what your patients goals are, so that you can help tie this into a rehab program?
• What questions can you ask your patients to assess load capacity and identify the right amount of load?
• What objective tests can you use to help identify your patient’s load capacity?
• How should you adapt your testing with different pathology?
• What tests can you perform to identify your patient’s load capacity if your patient has an Achilles Tendinopathy?
• What measures can we use to identify your patient’s running performance?

This podcast is the first in a series of podcasts over the next few months with Tom Goom, where we will help to develop your assessment and treatment skills, while improving your results with runners.

Free running injury assessment & treatment video series available now

Links of Interest

• Download your free podcast handout on load capacity in runners
• Tom Goom on Twitter
• Connect with David Pope on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Get your free trial Clinical Edge membership
• Tom Goom’s website & courses
• Tom on Facebook Live

Related articles

Cook J, Docking S. “Rehabilitation will increase the ‘capacity’ of your …insert musculoskeletal tissue here….” Defining ‘tissue capacity’: a core concept for clinicians. BJSM 2015

Runners regularly present for treatment of anterior knee pain. Accurate diagnosis is vital in guiding your treatment, and helping your patients return to painfree running.

In episode 55 of the Physio Edge podcast Brad Neal and David Pope discuss the different patient presentations with anterior knee pain, along with the subjective clues and objective tests that will help guide successful treatment.

We also explore:

• Sources of anterior knee pain
• Patellofemoral pain
• Acute synovitis
• Fat pad irritation
• Osteochondral defects
• The role of imaging
• How to perform an objective assessment in patients with anterior knee pain, including key special tests
• Red flags
• Saphenous nerve involvement
• How to assess if the patient will benefit from an orthotic intervention
• Treatment of patellofemoral pain, synovitis, and fat pad irritation
• Taping techniques

Links of Interest

• Download and subscribe to the podcast on iTunes
• Download your free podcast handout on patellofemoral pain in runners with Brad Neal
• Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy
• Brad Neal on Twitter
• Connect with David Pope on Twitter
• Brad Neal on ResearchGate
• Brad Neal on Google Scholar
• Pure Sports Medicine
• Team PFP
• TREK – Translation of research education and knowledge
• Review the podcast on iTunes
• Like the podcast on Facebook
• Free sports injury videos

Articles related to this episode:

• Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anaesthesia
• Runners with patellofemoral pain have altered biomechanics which targeted interventions can modify: a systematic review and meta-analysis

Related resources

• Infographic - Running retraining with Dr Rich Willy
• Webinar 2 - Treatment of runners & running retraining with Dr Rich Willy
• Webinar 3 - Footwear & strengthening for runners with Dr Rich Willy
• Webinar 4 - Bone stress injuries in runners with Tom Goom
• Infographic Recommendations for assessing runners part 1
• Physio Edge podcast 049 Running from injury part 2 with Dr Rich Willy
• Click here to download or subscribe to the podcast on iTunes
• Physio Edge podcast 048 Running from injury part 1 with Dr Rich Willy
• Dr Rich Willy on Twitter
• Dr Rich Willy on ResearchGate
• RunCadence app for iOS and Android
• Achilles tendinopathy in runners online course
• Free trial of Clinical Edge membership
• David Pope on Twitter

Physio Edge podcasts related to running injuries

• Physio Edge 049 Running from injury part 2 with Dr Rich Willy
• Physio Edge 048 Running from injury part 2 with Dr Rich Willy
• Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom
• Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill
• Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff
• Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff
• Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras
• Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright
• Physio Edge 010 Biomechanics Of Running With Blaise Dubois
• Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook

In this second podcast on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore:

• How you can assess the hip and groin
• How to assess the lumbar spine, SIJ and the lower limb for factors contributing to your patient’s groin pain
• Tests you can perform to identify the source of your patient’s hip and groin pain
• Identifying hip joint involvement
• How to start your patient’s hip and groin exercises
• When to incorporate exercises for local hip stabilising muscles
• When you need to utilise and progress hip strengthening exercises
• Exercise progressions you can use
• How to strengthen while you lengthen the hip flexors
• When and which plyometric exercises your patients can perform
• When speed and agility work can be incorporated

In the first podcast with Ben Mathew “Hip and groin pain part 1 - diagnosis, pathology and red flags” with Benoy Mathew", we explored pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain.

As mentioned in this episode Benoy presented a webinar with Clinical Edge. The webinar helps you discover:
• Rehabilitation of adductor and iliopsoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics

CLICK HERE to watch the webinar “Rehab of adductor and iliopsoas related groin pain” with Benoy Mathew with a free trial Clinical Edge membership

Links of Interest

• Download the free podcast handout for Physio Edge 054 Hip & Groin pain Part 2
• Webinar on groin pain rehabilitation with Benoy
• Webinar on How to perform a running assessment with Dr Rich Willy
• Benoy Mathew on Twitter
• Benoy Mathew’s website and courses
• Access to Ben’s webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership
• David on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Free sports injury videos

Articles related to this episode:

• Hip Joint Pathology as a Leading Cause of Groin Pain in the Sporting Population
• The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment
• Rehabilitation following Hip Arthroscopy: An evolving process
• Iliopsoas: Pathology, Diagnosis and Treatment
• The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist
• How much arthritis is too much for hip arthroscopy: a systematic review
• Video – Hip special tests

Acute and chronic groin pain is common in sports, however diagnosis can be challenging. A thorough understanding of pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain.

In the first of two podcasts on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore:

• How you can use the patient history to help your diagnosis and treatment
• Important questions you NEED to ask all of your hip and groin pain patients
• Sources of hip and groin pain - intra and extra-articular
• How you can identify referred pain from the lumbar spine and SIJ
• How you can identify important red flags around the hip and groin
• When you should refer your patients for further investigations, medical assessment and surgical opinion
• How you can identify osteoarthritis in younger patients
• Differentiating hip impingement, labral pathology and hip dysplasia
• When to request X-ray or MRI
• Identifying and understanding iliopsoas pain and pathology

This is a vital podcast for anyone that treats hip and groin pain, and is highly recommended listening before Hip & groin pain part 2 - Assessment & Treatment with Benoy Mathew coming soon.

As mentioned in this episode Benoy is presenting a webinar with Clinical Edge. The webinar will discuss:
• Rehabilitation of adductor and iliopsoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics

CLICK HERE to enrol on the free webinar “Rehab of adductor and iliopsoas related groin pain” with Benoy Mathew

Links of Interest

• Download the free podcast handout
• Benoy Mathew on Twitter
• Benoy Mathew’s website and courses
• Free webinar on groin pain rehabilitation with Benoy Mathew
• Access to Ben’s webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership
• David on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Free sports injury videos

Articles related to this episode:

• Hip Joint Pathology as a Leading Cause of Groin Pain in the Sporting Population
• The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment
• Rehabilitation following Hip Arthroscopy: An evolving process
• Iliopsoas: Pathology, Diagnosis and Treatment
• The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist
• How much arthritis is too much for hip arthroscopy: a systematic review
• Video – Hip special tests

ACL injuries commonly occur during pivoting and change of direction sports. What is the best way to manage these injuries? Are your patients suitable for conservative managment or will they require surgery?

In Physio Edge podcast 052, David Pope and Enda King discuss acute management of ACL injuries, and how you can help your patient decide whether to have conservative or surgical management.

We also explore:

• What is the latest research around ACL injury
• What leads to an ACL injury, and how is this important in your rehab?
• What are the outcomes following ACL injury
• How can you make clear decisions on when your patient is ready for return to training and return to sport
• What biomechanics lead to ACL injury
• What role does trunk control have in ACL injury
• A patient example with an ACL injury
• Conservative vs surgical management
• Post injury management
• Timeframe for surgery
• Who is suitable for conservative management
• How to prepare your patient for the extended rehab process following ACL injury
• Strength and power training in ACL rehab
• Youth and adolescent ACL injury management
• How to manage concomitant chondral and meniscal injury
• When can your patient return to running

You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here

Enda King will also be presenting at the Sports Injury Virtual Conference hosted by Clinical Edge along with the world leaders in sports injury management.

How can you manage ACL injuries conservatively? What are the important components of ACL rehab to help your players return to sport? Enda’s presentation will take you through ACL rehab to address common strength and biomechanical issues found in athletes with ACL injuries. Discover exactly how to progress your conservative management of ACL injuries, and when your players can return to running and sport.

Get your free access to videos on sports injury assessment and treatment.

Links mentioned in this episode

Enda King

Free sports injury assessment and treatment videos

Sports Injuries virtual conference

Free podcast handout on ACL and lateral knee injuries

Download or subscribe to the podcast on iTunes

Enda King on Twitter @enda_king

Sports Surgery Clinic Dublin

Free trial of clinical edge membership

David Pope on Twitter

Lateral knee injuries are common in football with landing from a jump or header, or during tackles when the tibia is forced into external rotation. This mechanism of injury often affects the Lateral/Fibular collateral ligament (LCL), however LCL injury is not always obvious from the patient’s history, and can be misdiagnosed.

In this podcast with Liverpool FC Physiotherapist Matt Konopinski, we discuss LCL and lateral knee injuries, and how you can identify and treat these. LCL injuries can often respond extremely well to an accelerated rehabilitation approach, and in this podcast you will discover:

• Sources of lateral knee pain
    - Lateral meniscus
    - Osteochondral defects
    - Lateral/Fibular collateral ligament
    - ACL
    - Postero lateral corner

• Mechanism of injury

• What your patients will report with LCL injury

• Questions you need to ask your patients with lateral knee pain

• Red flags

• Objective assessment

• Assessment tests you can use with lateral knee pain

• When imaging is useful and when it should be avoided

• Risk factors for injury

• Management of LCL injury

• When to commence strengthening

• How to maintain strength and cardiovascular fitness during rehabilitation

• How to explain the injury and rehabilitation to your patients

You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here

Links mentioned in this episode

Matt Konopinski

Free sports injury assessment and treatment videos

Free podcast handout on LCL and lateral knee injuries

Matt Konopinski on Twitter @Matt_Kono

LFC Liverpool football club

Article Impact of exercise selection on hamstring muscle activation

Free trial of clinical edge membership

David Pope on Twitter

Get your free access to videos on sports injury assessment and treatment.

Temporomandibular joint pain and dysfunction can significantly impact your patients life, limiting their ability to enjoy eating and talking. Temporomandibular dysfunction (TMD) has a lot of musculoskeletal contributors that physiotherapists are perfectly positioned to treat and help improve patient’s lives.

In episode 50 of the Physio Edge podcast, Dr Stephen Shaffer and David Pope discuss TMD, structures that can be affected, and how you can assess and get great results treating TMD patients. We also explore:

• Structures involved in TMD
• Involvement of the cervical spine
• Common presentations of TMD
• Questions to ask in your subjective assessment
• Red flags
• How to perform an objective assessment
• Normal TMJ movement
• How you can treat TMD
• Manual therapy
• Education
• Exercise therapy
• Are the Rocabado 6x6 the best exercises to provide your patients

Dr Stephen Shaffer is presenting a webinar on TMD, hosted by Clinical Edge, and you can enrol free on this webinar by CLICKING HERE

Links mentioned in this episode

• Enrol free on the TMD webinar with Dr Stephen Shaffer by CLICKING HERE
• Download your podcast handout here
• Dr Stephen Shaffer on ResearchGate
• Cervical spine assessment and treatment online course with David Pope
• Free trial of Clinical Edge membership
• David Pope on Twitter

In Running from Injury part 2, Dr Rich Willy will help you assess and retrain running in your patients with achilles tendinopathy, patellofemoral joint pain, ITB Syndrome and stress fractures. We explore the latest evidence and how it will help you address pain and injuries related to running.

You will discover:

• Treadmill or overground running assessments?
• Gait retraining for particular musculoskeletal conditions
• How to provide your patients with the individual running cue they need
• What cadence should we be aiming at for runners (hint: it may not be what you expect!)
• Is heel strike important to assess
• Running assessment from the side
• Important factors when treating runners with PFJP
• Running assessment & retraining for achilles tendinopathy
• Factors involved in ITB Syndrome
• When are orthotics useful

You can download the handout to go along with this podcast to help you perform a running assessment, retrain runners and address achilles tendinopathy, knee pain and tibial stress injuries. 

Links mentioned in this episode

• Physio Edge podcast 048 Running from injury part 2 with Dr Rich Willy
• Dr Rich Willy on Twitter
• Dr Rich Willy on ResearchGate
• RunCadence app for iOS and Android
• Bone stress injuries in runners webinar with Tom Goom
• Achilles tendinopathy in runners online course
• Free trial of Clinical Edge membership
• David Pope on Twitter

Other Physio Edge podcasts related to running injuries

• Physio Edge 048 Running from injury part 2 with Dr Rich Willy
• Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom
• Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill
• Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff
• Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff
• Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras
• Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright
• Physio Edge 010 Biomechanics Of Running With Blaise Dubois
• Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook

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 in this podcast 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

Dr Rich Willy on Twitter

Dr Rich Willy at East Carolina University

Dr Rich Willy on ResearchGate

University of Delaware

Irene Davis - Harvard

Garmin 620

RunCadence app for iOS and Android

Run Scribe

Purchase a RunScribe

Article on polarised training approach

Bone stress injuries in runners webinar with Tom Goom

Achilles tendinopathy in runners online course

Free trial of Clinical Edge membership

David Pope on Twitter

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

Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom

Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill

Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff

Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff

Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras

Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright

Physio Edge 010 Biomechanics Of Running With Blaise Dubois

Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook

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?

Links of interest

Enrol on the free webinar with Dr Chris Littlewood

Download the handout from this podcast

Subscribe to the podcast free on iTunes

Dr Chris Littlewood on Twitter

Dr Chris Littlewood

Webinar with Tom Goom on Bone stress injuries

Cervical spine assessment & treatment online course

Clinical Edge

Clinical Edge free trial

David Pope on Twitter

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

Free running injury assessment & treatment video series available now

Links

• Download the free handout summary of this podcast
• Tom’s website - Running Physio
• Tom on Twitter
• Running Repairs courses with Tom
• Article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management
• JOSPT
• Peter Malliaras
• Mike Reiman
• Craig Purdam
• VISA-H
• Become a Clinical Edge member to access Tom’s webinar and other great online education

Tags: running, hamstring, tendinopathy, tom goom, podcast, proximal, peter malliaras, craig purdam, mike reiman, treatment, assessment

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.

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 a lot of athletes, manual workers and office workers, 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?

Links of Interest

Dr Leanne Bisset

Dr Leanne Bisset on ResearchGate

Dr Leanne Bisset on Twitter

Review the podcast in iTunes

David Pope

Clinical Edge

Get your free trial of Clinical Edge online education

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

Podcast handout

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

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

Links associated with this episode:

• Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Jo Gibson
• Download your free handout on the Sporting Shoulder
• 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
• o 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

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

Get your free access to videos on Lower Limb Tendinopathy

Dr Christoph Spang at UMU

Dr Christoph Spang’s PhD Thesis

Dr Christoph Spang on Research Gate

David Pope on Twitter

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

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 Adolescents, Dr 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. 

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

• Subscribe to the Physio Edge podcast in iTunes
• Dr Michael Rathleff on ResearchGate
• Dr Michael Rathleff on Twitter
• “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”
• BJSM Blogpost by Michael Rathleff on Plantar Fasciopathy
• Clinical Edge Online Education
• Virtual conferences with Physio Edge and Clinical Edge
• Physioedge on Facebook
• David on Twitter

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
• Facebook
• David on Twitter

Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info@clinicaledge.co

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
• Review the podcast in iTunes

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

Links of Interest

• Kurt Lisle
• The Knee Joint Physiotherapy, Bokarina, QLD
• Socceroos
• Review the Physio Edge podcast in iTunes
• Clinical Edge

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 they 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
• Review the podcast in iTunes

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

Links of Interest

• Anne Cools on Linked In

• Ann Cools’ Research

• Ann Cools at Ghent University

• Ann on Twitter

• Clinical Edge

• Show your love for the Physio Edge podcast with a review on iTunes

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

• Kurt Lisle – Australian Socceroos Physio
• The Knee Joint Physiotherapy, Bokarina, QLD
• Socceroos
• Review the Physio Edge podcast in iTunes
• Download the Physio Edge podcast from iTunes
• Clinical Edge

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

• Case Study of Adductor tear rehabilitation
• Dr Kristian Thorborg
• Dr Kristian Thorborg on Twitter
• HAGOS
• Studies that Dr Kristian Thorborg has completed or been involved in
• PE #025 Groin Assessment with Dr Kristian Thorborg
• PE #016 Preventing hamstring injuries with Dr Kristian Thorborg
• Kristian Thorborg’s editorial on BJSM
• Kristian Thorborg’s PhD Thesis
• Review the Physio Edge podcast in iTunes
• Clinical Edge

In this week's podcast,  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

• Dr Nathan Gibbs
• Sydney Swans
• South Sydney Rugby League Football club
• Review the Physio Edge podcast in iTunes
• Download the Physio Edge podcast from iTunes
• Clinical Edge

Tendinopathies are a hot topic, and there are lots of new developments in research and treatment. Dr Peter Malliaras, a Physiotherapist with a PhD studying tendinopathy, has a special interest in the treatment of tendinopathy, and treats elite basketball and volleyball, EPL football, rugby, and cricket players, the Royal Ballet and track and field athletes. Peter has also published numerous studies on tendinopathy.

In this episode of the Physio Edge podcast, Peter and David Pope discuss

• The latest research on tendinopathy
• Different types of loading programs for tendinopathy
• Outcomes for various types of loading
• Tendinopathy on Doppler Ultrasound or other imaging, and what changes with a loading program
• The tendon pathology continuum by Dr Jill Cook and Craig Purdham
• Mid portion Achilles tendinopathy
• Insertional Achilles treatment
• Patellar tendinopathy treatment, and a loading program for this that may challenge your preconceptions!
• Tenosynovitis
• Biomechanics contributing to tendinopathy
• Return to sport following tendinopathy
• Injury reduction/prevention
• Injections

Links of Interest

• Be. Awesome. Write a review on iTunes
• Dr Peter Malliaras
• Studies with Dr Peter Malliaras as one of the authors
• Physio Edge podcast episode 5 with Dr Jill Cook
• Clinical Edge
• Subscribe to the Physio Edge podcast on iTunes

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

In this episode, Kieran and David Pope discuss

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

Links of Interest

• Show your love of feeling great, and also the podcast by writing a review on iTunes
• Kieran O’Sullivan
• Kieran on Twitter
• 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

Shoulder pain – what are the causes, and how can you treat it?

Are your special tests around the shoulder really isolating and identifying pathology?

How can the rotator cuff still function with small and large tears?

In Episode 21 of the Physio Edge podcast, Jeremy Lewis and David Pope discuss these questions and more including:

• What is the value of special tests around the shoulder?
• What diagnosis can you provide your patients for their shoulder pain
• How can you identify if you need to focus your treatment on the scapula, glenohumeral joint, cervical spine or thorax?
• How can you identify a rotator cuff tendinopathy?
• What is the Rotator Cable, and how is it important in rotator cuff tears?
• Is the acromion really the cause of “impingement” or subacromial pain?
• If a patient has a biceps tendinopathy and a rotator cuff tendinopathy, which should be treated first?
• What contributes to biceps tendinopathy?
• Theraband – valuable?
• When imaging of the shoulder is valuable, and when it is a waste of time
• Frozen shoulder – what treatments work well and much more.

Podcast links

• Dr Jeremy Lewis
• London Shoulder Clinic
• Courses with Jeremy Lewis
• Clinical Edge
• Review the Physio Edge podcast on iTunes

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

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

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

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

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

• Common conditions seen clinically

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

• Pelvic floor overactivity and underactivity

• Treatment for SUI

• Antenatal and postnatal advice

• Advice on exercising during and after pregnancy and much more

Links of interest

• Lori Forner
• Lori on Twitter
• Pelvic Mafia on Twitter
• Crossfit – “Do you pee during workouts” video
• The place to go to give the Physio Edge podcast a rave review on iTunes!

What are the best ways to avoid hamstring injuries? What are the main factors to consider in hamstring rehabilitation? How does muscle strength relate to hamstring injury? How can we screen for or predict hamstring injuries?

In episode 19 of the Physio Edge podcast, Kieran O’Sullivan, PhD of the University of Limerick, Physiotherapist and co-author of the book “The role of muscle strength in hamstring injury.” Kieran O Sullivan and Cian McGinley. 2010. Nova Publications and David Pope get stuck into hamstrings and the many facets of this important muscle group, including:

• Injury reduction
• Rehabilitation – early stages, and return to sport
• Return to Sport
• Flexibility
• Eccentric training
• Predicting hamstring injury
• Assessing readiness of return to sport
• Stretching – Static vs Dynamic vs PNF etc, and the clinical implications

Links of Interest

• 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

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

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

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

And then we dive into Paediatric musculoskeletal development, including

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

Links of Interest

• Love the show by writing a review on iTunes
• Diane Lee
• Diane Lee on Twitter
• The Pelvic Girdle, 4th Edition by Diane Lee
• Clinical Edge
• David on Twitter
• Physioedge on Facebook
• Clinical Edge on Facebook

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.

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.

This podcast is hosted by David Pope, an Australian Physiotherapist.

Links of Interest

• Get incredible legs by subscribing to the podcast in iTunes
• Review the Physio Edge podcast in iTunes
• Clinical Edge
• Kristian Thorborg’s editorial on BJSM
• Kristian Thorborg’s PhD Thesis
• Carl Askling
• H-test
• Classification of hamstring injuries by Carl Askling on BJSM
• Carl Askling on BJSM podcast
• David on Twitter

What is contributing to your patients low back pain? How do you know when manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP will be helpful? In episode 14 of the Physio Edge podcast, Peter O’Sullivan and David Pope discuss chronic low back pain, Peter’s research into this area, and the approach of Peter and his team to getting over chronic low back pain. 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” for CLBP
• 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

• 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 (image of Peter O’Sullivan courtesy of Curtin University)
• Contact David
• David on Twitter

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, a Physiotherapist, Lecturer and Researcher from Nottingham University 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

Links of interest

• Clinical Edge
• Free membership to Clinical Edge!
• Roger Kerry on Twitter @rogerkerry1
• Roger Kerry’s profile at Nottingham University – Physiotherapy
• Roger Kerry’s profile at Nottingham University – Philosophy
• Courses with Roger Kerry
• Contact David
• David on Twitter

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

• keys to successful Achilles rehab

• ankle sprain rehab – keeping it functional

(Warning: this podcast has occasional explicit language)

Links of interest

• 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
• David on Twitter

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

Have you subscribed to the Podcast in iTunes yet?

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

Become a Clinical Edge member

Contact David

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

Patients regularly present for Physiotherapy with lateral hip pain. This is often aggravated by walking or standing, sidesleeping, performing hip stretches, and sitting, amongst other activities, and lateral hip pain can often mimic lumbar spine pathology. In this podcast, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain – Glute Med Tendinopathy (GMT), a condition which is often misdiagnosed 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

• Essential elements for an effective treatment program much more

Links of interest

• 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
• Have you subscribed to the Podcast in iTunes yet?
• Contact David

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 Integrated Dry Needling, presenter of the Sports Integrated Dry Needling Level 1 and Level 2 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

Links of interest

• Become better looking by subscribing to the podcast in iTunes
• Give the Physio Edge podcast a review in iTunes
• Integrated Dryneedling
• Sports Integrated Dry Needling Level 1 and Level 2 courses with Clinical Edge
• Clinical Edge
• IMS
• Have you subscribed to the Podcast in iTunes yet?
• Contact David

What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is treatment just about eccentric training? 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

• Give the Physio Edge podcast a review in iTunes
• Jill Cook
• Craig Purdam
• Monash University
• “Achilles Tendinosis in Runners” online education for Clinical Edge members
• BJSM Podcast

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

I hope you enjoy this episode, please post your questions below, on www.physioedge.com.au and we would love you to give us a review on iTunes

Links of interest

• Nichole Hamilton
• Synergy Physio
• Free videos with Nichole Hamilton
• The Irritable Hip course with Nichole Hamilton
• Shirley Sahrmann
• APA Dance Course

Fascinating insights into pain, painful experiences, and neurodynamics from one of the world’s leading neuroscience and pain experts. Learn why we (and our 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 and you podcast host, David Pope

This show is supported and sponsored by Clinical Edge - providers of fantastic online and face-to-face education for Physiotherapists.

Links of Interest

NOI Group

Explain Pain by David Butler and Lorimer Moseley

Sensitive Nervous System by David Butler

Neurodynamics Techniques DVD