Physio Edge podcast

When assessing and treating neck pain patients, there are a lot of tests and treatments to choose from. If you choose treatments that aren’t suitable for your patient's presentation, your patient won’t progress, or worse, you’ll aggravate their symptoms. How can you thoroughly assess your neck pain patients, and use the information from your assessment to choose treatments that help improve their pain?

In the first podcast with Specialist Musculoskeletal Physiotherapist, researcher and Emeritus Prof. Gwen Jull 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull, we discussed questions to ask during your subjective history that help guide your neck pain assessment and clinical reasoning.

In this followup podcast, discover how to accurately assess and effectively treat neck pain with Emeritus Prof. Gwen Jull, including:

Objective examination (OE)

  • How to perform a thorough OE to identify why your patient has pain, and the best treatment for each patient.
  • How to perform a skilled manual assessment.
  • What we can actually identify & diagnose in neck pain patients.
  • Whether posture is relevant to neck pain.
  • When and how to assess posture.
  • How to assess physical impairments, and identify if they’re relevant to a patient's neck pain.
  • Which tests you should use to assess:
    • ROM
    • Strength
    • Endurance
    • Control

Successful treatment

  • How to decide where treatment should start in your initial session.
  • Whether manual therapy (MT) is useful in the treatment of neck pain.
  • How to tailor and progress your treatment to successfully rehab each patient, and choose between:
    • MT
    • Postural changes
    • Strength exercises
    • Control exercises
    • Craniocervical flexion and extension exercises
    • Neurodynamic treatment
    • General strength and endurance training
    • Exercises for flexibility and range of motion
    • Graded activity
    • Motor control
    • Shoulder girdle strengthening
    • Aerobic exercise for general fitness

CLICK HERE to get access to Cervical spine assessment & treatment for neck pain & upper limb symptoms

CLICK HERE to get access to Cervical radiculopathy assessment & treatment case study


When patients have a running injury, such as knee pain or Achilles tendinopathy, do we need to include strength training in their rehab? Discover when strength training is an important part of comprehensive running injury rehab in this podcast with Tom Goom (Running Physio), and explore:

  • Whether strength is important in runners.
  • Whether patients that are stronger are less likely to develop running injuries.
  • Why recent research found higher levels of strength in recently injured runners compared to uninjured runners.
  • When we need to improve patients' strength in running injury rehab.
  • Can strength training reduce the risk of running injuries?
  • How strength training fits into a comprehensive rehab program.
  • When strength is relevant to pain and pathology.
  • When rehab does NOT need to include strength training.
  • How to know what to focus on during rehab.
  • Which patients don’t require exercises or strength training.
  • How to identify when strength goals are a barrier to recovery and return to running.
  • Additional benefits of strength training, beyond improved strength.

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

Free running injury assessment & treatment video series available now

 


Patients may develop stiffness following rotator cuff repair or other shoulder surgery, particularly with longer periods of immobilisation. On the other hand, some patients may fail rehab without sufficient immobilisation. How can you identify which patients are likely to develop stiffness and will benefit from early mobilisation? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

  • Which patients are likely to benefit from rotator cuff or other surgical repair.
  • How to plan post-op surgical rehab.
  • Whether patients should have a period of immobilisation or not.
  • How to predict patients that are likely to develop post-op shoulder stiffness.
  • Metabolic, genetic, age-related and psychosocial factors that influence development of stiffness.
  • Pre-operative and surgical factors that influence development of stiffness.
  • How to reduce the likelihood of stiffness developing.
  • Comparison between early post-op shoulder mobilisation and six weeks in a sling.
  • Patients more likely to fail a RC repair, who may need more of a conservative approach to early mobilisation.
  • How to explain mobilisation vs immobilisation to patients.
  • Short and long term outcomes when patients develop stiffness.
  • Frozen shoulder
    • If and when corticosteroid injections are helpful.
    • The role of P. acnes in development of frozen shoulder.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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


Can you solve this case of a badminton player with a five year history of posterior shoulder pain and shoulder fatigue with overhead movements? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover the diagnosis and why the patient hasn’t improved with rehabilitation, as Jo reveals the case study and:

  • Subjective clues to help diagnose this condition.
  • Questions to ask in the subjective history.
  • Differential diagnoses to keep in mind.
  • How to identify and rule out red flags.
  • Clinical tests to use to rule this condition in and out.
  • What medical tests and MRI reveal.
  • Common causes of this condition.
  • Conservative, medical and surgical management and results.
  • Ideal treatment pathways for this condition.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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


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