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