Tendinopathy patients may present for treatment with an ultrasound or MRI report in hand, unsure how you can help them, or how they can possibly recover when they have so much tendon pathology. To add insult to injury, they may even have a partial tendon tear on their imaging report thrown into the mix. How do imaging results impact your treatment and your patient's recovery? Are the imaging findings relevant to their pain?

In this Physio Edge podcast with Dr Sean Docking (Physiotherapist, PhD), you will explore what information imaging actually provides in your tendinopathy patients, how to explain imaging to your patients, and whether partial tendon tears identified on imaging will effect your treatment. You will also discover:

• Who develops tendon pathology
• If patients have tendon pathology on imaging, is this responsible for their symptoms, or will it cause future tendon pain
• Asymptomatic tendon pathology in sports people
• How tendon pathology can actually be linked to better performance
• Can we prevent tendon pathology
• The advantages and disadvantages of different imaging types, including
• MRI
• Ultrasound
• Ultrasound tissue characterisation (UTC)
• Why a thickened tendon may actually be helpful in recovery
• How can we actually diagnose tendinopathy
• When is imaging useful
• Differential diagnosis of Achilles pain, including - Achilles tendinopathy - Paratenonitis - Plantaris associated tendinopathy
• Partial tendon tears, the accuracy of identification, and how they impact your treatment

Links associated with this episode:

• Twitter - @SIDocking
• Sean Docking - La Trobe University website
• Sean Docking - Research gate
• David Pope on Twitter
• Clinical Edge on Facebook
• Have a free trial Clinical Edge membership

Articles associated with this episode:

Alfredson. 2011. Midportion achilles tendinosis and the plantaris tendon

Brown et al. 2011. The COL5A1 gene, ultra-marathon running performance and range of motion

Docking et al. 2016. Pathological tendons maintain sufficient aligned fibrillar structure on ultrasound tissue characterization (UTC).

Docking et al. 2015. Tendinopathy: Is imaging telling us the entire story?

Lieberthal et al. 2014. Asymptomatic achilles tendinopathy in male distance runners

McAuliffe et al. 2016. Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis

Simpson et al. 2016. At What Age Do Children and Adolescents Develop Lower Limb Tendon Pathology or Tendinopathy? A Systematic Review and Meta-analysis

Other episodes of interest:

PE 068 - Lower limb tendinopathy loading, running and rehab with Dr Pete Malliaris

PE 042 - Treatment of Plantaris and achilles tedninopathy with Seth O’Neil

PE 041 - Plantaris involvement in achilles tendinopathy with Dr Christoph Spang

Femoroacetabular impingement (FAI) may contribute to hip and groin pain, buttock pain, pelvic or low back pain and referred pain into the thigh. Is conservative management effective in patients with FAI, or is surgery required? If we can treat FAI conservatively, what is the best treatment, and how can you tailor your treatment to your individual patients?

In episode 74 of the Physio Edge podcast with Dr Joanne Kemp you will discover:

• What is FAI, and how can you identify it?
• Common clinical presentations
• Key subjective questions to ask
• Types of FAI morphology and how they are identified
• Is FAI just a normal finding?
• How you can perform an objective assessment in patients with FAI
• Differential diagnosis
• Components you need to include in your conservative treatment for FAI
• Which objective markers to use when treating FAI
• How to address common impairments in your rehabilitation, including strength, functional tasks, cardiovascular training and range of movement
• When to refer for a surgical opinion
• Outcomes of surgical treatment
• Future risk of developing OA in presence of FAI

Sports Injuries virtual conference presentation

As mentioned in this episode Joanne will be part of the Sports Injury virtual conference. Her pre conference presentation will discuss FAI and the diagnostic process in more detail. Her subsequent conference presentation will be available on 9-10 December 2017, with access for up to 12 months following the conference, and will discuss:

• Conservative management of FAI
• Specific exercise progressions you can use
• Return to sport for athletes

Enrol on the 2017 Sports Injuries virtual conference by CLICKING HERE

Links associated with this episode:

• Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino
• Enrol on the 2017 Sports Injuries virtual conference
• Twitter - @JoannaLKemp
• Joanna Kemp - Research gate
• David Pope on Twitter
• Clinical Edge on Facebook
• Have a free trial Clinical Edge membership
• LaTrobe Sports and Exercise Medicine Research Blog
• Twitter - @LaTrobeSEM
• GLA:D Australia
• Lake Health Group

Articles associated with this episode:

• Griffin et al. 2016. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement.

• Articola et al. 2014. A Cam Deformity Is Gradually Acquired During Skeletal Maturation in Adolescent and Young Male Soccer Players. A Prospective Study With Minimum 2-Year Follow-up.

Other episodes of interest:

• Physio Edge 054 - Hip and groin pain part 2 with Benoy Matthew
• Physio Edge 053 - Hip and groin pain part 1 with Benoy Matthew
• Physio Edge 009 - Lateral hip pain with Dr Alison Grimaldi
• Physio Edge 004 - Hip injuries and labral tears with Nicole Hamilton

Strengthening is not commonly used in neck pain treatment and rehabilitation, however athletes may place large demands on their neck during training and play that require a high level of strength or endurance.

When should you include strength training in your rehabilitation? What patients will benefit from strength training? How can you incorporate strengthening into your treatment?

In episode 73 of the Physio Edge podcast, we explore the role of neck strengthening with Kay Robinson, Physiotherapist working with Australian sailing, and previously with the British Olympic Skeleton team.

In the podcast you will discover:

• Objective assessment of patients with neck pain
• Range of movement and strength tests you can use with your neck pain patients
• How to assess neck strength in your patients
• Indications for strength training
• Is strength training suitable in the early stages of neck pain rehabilitation?
• Early-stage cervical spine rehabilitation exercises you can use
• Exercise progressions to improve neck strength
• Neck strengthening in concussion
• Is neck strength training suitable for whiplash patients?
• Aspects incorporated into a typical neck strengthening program

Kay Robinson will also be presenting at the 2017 Sports Injury virtual conference. Her conference presentation on neck strengthening will discuss:

• How to incorporate neck training into rehabilitation post injury
• Neck strengthening for injury prevention
• How to make exercise patient or sport specific
• Other consideration with neck training
• Case studies

Links associated with this episode:

• Kay Robinson on Twitter - @kaylourob
• Kay Robinson at Total Physiotherapy
• David Pope on Twitter
• Clinical Edge on Facebook
• Have a free trial Clinical Edge membership
• Book - Sports Injury Prevention and Rehabilitation: Integrating Medicine and Science for Performance Solutions
• High-Performance Training for Sports

Articles associated with this episode:

• Durall. 2012. Therapeutic Exercise for Athletes With Nonspecific Neck Pain: A Current Concepts Review.

• Falla et al. 2003. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion.

• Falla et al. 2007. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting.

• Jull et al. 2009. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain.

Other episodes of interest:

• PE 013 - Cervical Spine Artery and VBI Testing with Roger Kerry

• 5 Minute Physio tip - Manual therapy for the cervical spine - Is there any evidence?

• 5 Minute Physio tip - Contraindications and red flags to cervical spine manual therapy.

Injured athletes like to recover and return to play as quickly as possible, and we need to balance return to play against impaired strength, performance and risk of reinjury. Initial injury rehabilitation often commences with isometric exercises, progressing into concentric/eccentric style exercises when isometric tests are pain-free. Finally high load eccentric exercises such as the Nordic hamstring are introduced for their positive effects of increased strength, fascicle length and reduced injury risk.

High level and eccentric exercises are often avoided in the early stages of rehab, for fear of aggravating the injury. What if we could commence higher-level and eccentric exercises safely at an earlier stage? Would this impair or accelerate your patients' recovery?

In this podcast with Jack Hickey, currently completing a PhD with the QUT/ACU hamstring injury research group, we explore an accelerated hamstring injury rehabilitation program, and how this can be implemented with your patients. You will discover:

• The limitations of traditional rehabilitation
• What is the evidence for only using isometric exercises in the early stages of rehab
• Why eccentric exercises are commonly thought of as too high a load for initial rehab
• More modern rehabilitation programs for hamstring strain injuries, including the Askling (2013), Aspetar (2017) and Mendiguchia (2017) programs
• An accelerated rehab program, introducing higher-level and eccentric exercises at an early stage
• When you can start your patient's rehabilitation
• Which exercises you can use with your hamstring injury patients
• How to know when to progress your patient's exercises
• How often high-level exercises need to be performed
• When your patients can return to running
• How to progress your patients through a return to running program
• When your patients are suitable for return to sport

Links associated with this episode:

• Sliding discs to use in hamstring slider exercises in your clinic - available in Australia. Use the code "clinicaledge" to get 20% off your order (at the above link, not applicable on Amazon)
• Amazon (outside Australia)- Sliding discs to use in hamstring slider exercises

Other episodes of interest:

• PE 071 - Hamstring strengthening, lengthening and injury prevention with Dr David Opar
• PE 019 - Hamstring strength, flexibility and injury reduction with Dr Kieran O’Sullivan
• PE016 - Preventing hamstring injuries with Dr Kristian Thorborg

Articles associated with this episode:

• • Askling et al. 2013. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols
  • Aspetar Hamstring Protocol
  • Hickey et al. 2016. Criteria for Progressing Rehabilitation and Determining Return-to-Play Clearance Following Hamstring Strain Injury: A Systematic Review
  • Jacobsen et al. 2016. A combination of initial and follow-up physiotherapist examination predicts physician-determined time to return to play after hamstring injury, with no added value of MRI.
  • Järvinen et al. 2007. Muscle injuries: optimising recovery.
  • Mendiguchia et al. 2017. Hamstring rehab for football players.
  • Silder et al. 2013. Clinical and Morphological Changes Following 2 Rehabilitation Programs for Acute Hamstring Strain Injuries: A Randomized Clinical Trial

Hamstring injuries are the most common injury in football and AFL, and we can help our patients strengthen their hamstrings while significantly reducing their risk of injury with the right exercise program. What are the best exercises to use to strengthen and lengthen the hamstrings, and to prevent hamstring injury?

In this Physio Edge podcast with Dr David Opar, we discuss hamstring injury prevention, which athletes will benefit, which exercises to use, the most important aspects of each exercise and how to incorporate these with your athletes. You will discover:

• What does the latest research around hamstring exercises and injury reveal?
• Which players are most at risk of hamstring injury?
• How can we prevent hamstring injuries?
• How does hamstring muscle architecture adapt to training, and how does this relate to your exercise selection or prescription?
• How can we increase hamstring muscle fascicle length?
• How can we tailor our patients hamstring program based on whether they are preseason, in-season, uninjured or previously injured?
• Which exercises are important in hamstring rehabilitation and prehabilitation?
• How can you start and progress a hamstring injury prevention program?
• How quickly do patients lose their hamstring gains, and how much maintenance do they need to perform?
• What happens to hamstring muscle strength and flexibility following injury?
• What neuromuscular inhibition happens following hamstring injuries, and how can we address this in our rehab?

There has been a lot of great research performed recently on hamstring injuries, and to share this and help you with your hamstring injury patients, we have invited Dr David Opar to present at the upcoming Sports Injuries virtual conference in December 2017. You can access six free preconference sports injury presentations by CLICKING HERE.

Related Links

• David Pope on Twitter
• Clinical Edge on Facebook
• Have a free trial Clinical Edge membership
• ACU open access hamstring journal repository

Articles associated with this episode:

• Bourne et al. 2017. Impact of exercise selection on hamstring muscle activation.
• Opar et al. 2015. Eccentric hamstring strength and hamstring injury risk in Australian footballers.
• Petersen et al. 2011. Preventive Effect of Eccentric Training on Acute Hamstring Injuries in Men’s Soccer.
• Timmins et al. 2015. Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study.
• Timmins et al. 2016. Architectural Changes of the Biceps Femoris Long Head after Concentric or Eccentric Training.
• van Dyk et al. 2016. Hamstring and Quadriceps Isokinetic Strength Deficits Are Weak Risk Factors for Hamstring Strain Injuries: A 4-Year Cohort Study.

Adductor related groin pain is the most common diagnosis for athletes with groin pain. In this episode of the Physio Edge podcast you will discover how to assess and diagnose adductor related groin pain, identify or exclude differential diagnosis including stress fractures, hip joint involvement, inguinal related groin pain and nerve entrapment.

Dr Adam Weir is a Sports Physician with a PhD on groin pain, the lead author for the Doha agreement meeting on terminology and definitions in groin pain in athletes, who currently shares his time between the Aspetar sports groin pain centre and the Erasmus University Hospital Academic Centre for Groin Injuries in Holland. Adam will take you through exactly how to perform an assessment around the hip and groin, how to interpret your findings and how to explain your diagnosis to your patients. You will explore:

• The common presentation and symptoms of someone with adductor related groin pain
• Structures that are commonly involved
• Aggravating and easing activities
• Area of pain, and new research highlighting unexpected pain referral areas from the adductor tendons
• Differential diagnosis
• Bone stress injuries around the hip and pubic bone
• Genitofemoral nerve entrapments - symptoms, diagnosis and treatment
• Red flags
• Acute versus chronic presentations
• Adductor related versus pubic related groin pain
• How to perform an assessment, including screening tests
• Tests you need to incorporate into your assessment
• Identifying and diagnosing all the structures contributing to a patient's symptoms
• What is the value of imaging and when should it be performed?

Links associated with this episode:

• Download your free podcast handout
• Dr Adam Weir on Twitter - @adamweirsports
• Aspetar – Sports groin pain centre
• Erasmus University Hospital Academic Centre for Groin Injuries
• Get your free trial Clinical Edge membership
• David Pope on Twitter
• Clinical Edge on Facebook

Articles associated with this episode:

• Branci et al. 2014. MRI findings in soccer players with long-standing adductor-related groin pain and asymptomatic controls.

• Drew et al. 2017. Experimental pain in the groin may refer into the lower abdomen: implications to clinical assessment.

• Drew. 2017. PhD Thesis - Beyond the pathoanatomical explanation of long-standing groin pain in athletes

• Mosler et al. 2015. Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis.

• Weir et al. 2015. Doha agreement meeting on terminology and definitions in groin pain in athletes.

• Whittaker et al. 2015. Risk factors for groin injury in sport: an updated systematic review.

There are a range of tendinopathy presentations, from easily diagnosed with a local area of pain and clear pain response to tissue overload; through to patients with trickier presentations and multiple contributors to pain e.g. long term proximal hamstring or gluteal tendinopathy with a lumbar spine radiculopathy.

How can you diagnose and treat patients with complex tendinopathy presentations? How does the latest research around tendinopathy help us? I explore these issues and more with Dr Peter Malliaras in episode 68 of the Physio Edge podcast. We also explore:

• Do tendinopathy patients always present with a small area of pain, or can they have pain in larger, more diffuse areas?
• How will you identify tendinopathy or other structures that may be contributing to your patients symptoms?
• Clues in your patients' history to help you identify and differentiate tendinopathies, lumbar and SIJ referral
• Symptoms and how your treatment will differ in patients with paratenon and fat pad involvement
• How can you measure your patients load tolerance?
• What categories of tendinopathy patients can you use to help differentiate your treatment?
• How can you rehabilitate patients with tendinopathy?
• What role does biomechanics have?
• What advice can you provide to your patients about load management, symptoms and flareups?
• When is it ok for your patients to continue or return to running?
• What strength tests should your patients be able to complete before returning to running?
• If your patients are not tolerating running, which aspects should you modify first - frequency, intensity, type or duration?
• When are isometrics useful in your treatment?
• When can you start isotonic and plyometric exercises?
• How can you incorporate tendon neuroplastic training (TNT)?

Links associated with this episode

• Download your podcast handout
• Dr Peter Malliaras on Twitter
• Tendinopathy rehab blog with Dr Peter Malliaras
• Get your free trial Clinical Edge membership
• David Pope on Twitter
• Clinical Edge on Facebook

Other episodes of interest:

• PE 046 - Proximal hamstring tendinopathy with Tom Goom
• PE 042 – Treatment of plantaris and Achilles tendinopaty with Seth O’Neil
• PE 023 – Lower limb tendinopathies with Dr Pete Malliaras

Articles associated with this episode:

• Coombes et at. 2016. Isometric exercise above but not below an individuals pain threshold influences pain perception in people with lateral epicondylalgia

• Rio et al. 2015. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy

• Silbernagel et al. 2007a. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled trial.

• Silbernagel et al. 2007. Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy.

Shoulder pain can involve the rotator cuff, scapula, cervical spine, thorax, and other structures in this area. Recent research has also explored the role of patient beliefs and expectations on the outcomes of Physiotherapy for shoulder pain. Which factors are important in your shoulder pain patients? Can we identify the contributing factors to your patients shoulder pain? What information will you get from orthopaedic special tests during a shoulder examination? How can you improve your treatment results with your patient education?

In this episode of the Physio Edge podcast, Dr Chris Littlewood and David Pope discuss shoulder pain, including:

• Classification of shoulder pathology
• How to identify painful vs stiff vs unstable shoulder pain vs cervical spine referred pain
• Questions to ask in your subjective assessment
• Does subacromial impingement exist, and how does a diagnosis of subacromial impingement effect outcomes
• Patient expectations of treatment outcomes
• How to perform an objective assessment
• What information special tests provide
• Is scapular dyskinesis pathological or normal movement variation
• Are painful or non-painful exercises most helipful in chronic shoulder pain
• What role does imaging have in shoulder pain

This podcast adds to Physio Edge podcast 47 - Rotator cuff tendinopathy with Dr Chris Littlewood .

Links of interest

• Webinar - "Exercise for rotator cuff tendinopathy: Does it work as we think it should, and can we do better? with Dr Chris Littlewood

• Download the handout from this podcast

• Cervical spine assessment & treatment online course

• Get your free trial Clinical Edge membership

• David Pope on Twitter

• Clinical Edge on Facebook

• Dr Chris Littlewood at Keele University

• Dr Chris Littlewood on Twitter

• Dr Chris Littlewood on ResearchGate

Experiencing increasing calf pain with running can be an incredibly frustrating experience for your running patients, especially when it is severely limiting or stopping them from being able to run. You can have a lot of success in helping your runners overcome running related calf pain, and in episode 66 of the Physio Edge podcast, we give you practical strategies and exercises you can use in your treatment.

Tom Goom and David Pope helped you explain the causes of calf pain to your running patients, differential diagnosis and red flags, and what you need to assess in episode 64 and episode 65, and in Episode 66 you will explore:

• How to strengthen the calf complex
• Strengthening for local ankle and foot muscles
• Benefits and how to incorporate strengthening for the kinetic chain
• Incorporating neural mobility into your treatment
• Adjusting and progressing training loads
• The role of gait retraining in the treatment of calf pain

Free running injury assessment & treatment video series available now

Links of Interest

• Download and subscribe to the podcast on iTunes
• Download your free podcast handout on treatment of calf pain in runners
• 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 065 - Differential diagnosis of calf pain in runners with Tom Goom
• Physio Edge 064 What is causing calf pain in runners and how can you assess it 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
• 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 060 Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy imaging & education with Tom Goom

Research associated with this episode

• Breen et al. 2015. Gait re-training to alleviate the symptoms of anterior exertional lower leg pain: A case series
• Franklyn-Miller et al. 2012. Biomechanical overload syndrome: defining a new diagnosis
• Kerry et al. (2005). Mechanical calf pain in a 23-year-old male due to dynamic functional entrapment of the popliteal artery
• Scarvelis and Wells. (2006). Diagnosis and treatment of deep vein thrombosis

When your patients present with calf pain, do you have a clear understanding of the likely causes and potential differential diagnosis? Do they have any red flags that require urgent medical attention? What other issues besides a calf tear could be causing their calf pain?

It's time to brush off those diagnostic skills, to understand the types of calf pain you can treat, and which patients you need to refer on immediately.

In this podcast with Tom Goom and David Pope, we are going to break it down for you, so you are confident in assessing and diagnosing the different types of calf pain. You will understand:

• How to identify calf muscle pathology or tears
• When symptoms are due to neural irritation or pathology
• Different types of vascular pathology, including popliteal artery entrapment
• Red flags such as deep vein thrombosis (DVT)
• What information imaging can provide

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 064 What is causing calf pain in runners and how can you assess it 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
• 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 060 Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy in runners with Tom Goom
• Infographic - Plantar fasciopathy imaging & education with Tom Goom

Research associated with this episode

• Breen et al. 2015. Gait re-training to alleviate the symptoms of anterior exertional lower leg pain: A case series
• Franklyn-Miller et al. 2012. Biomechanical overload syndrome: defining a new diagnosis
• Kerry et al. (2005). Mechanical calf pain in a 23-year-old male due to dynamic functional entrapment of the popliteal artery
• Scarvelis and Wells. (2006). Diagnosis and treatment of deep vein thrombosis

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