We’re heading into the holiday season, when your patients will either keep progressing with their rehab program, or give their exercises a miss for a while and risk an increase in symptoms, skip appointments in the new year, and disappear off your list.

How can you prepare & motivate your patients for the holiday period, or effectively hand over care of your patients to another therapist, so their pain and strength keep improving?

In this live mentoring session, the Clinical Edge presentation team of Specialist and Titled Physiotherapists will reveal to you:

1. How to keep your patients engaged and progressing over the holiday period.
2. If you’re going away, how to effectively keep in contact with patients or hand patients over to other therapists, and avoid losing them over the Christmas period.
3. How to help kids and young athletes stay active and manage load over the holidays, to stay strong and healthy and avoid overuse injuries early next year.

Prepare your patients now, and set yourself up for a successful holiday season and new year with this free mentoring session.

Links associated with this episode:

• CLICK HERE to download your podcast handout
• Holiday season exclusive handout & infographic
• iTunes - Download and follow the podcast
• Overcast - Download the podcast in Overcast
• Spotify - Listen to the podcast on Spotify
• Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership
• Twitter - Paula Peralta
• Twitter - Simon Olivotto
• Twitter - David Toomey
• Twitter - Zoe Russell
• Let David know what you liked about this podcast on Twitter
• Follow and review the podcast on iTunes
• Infographics by Clinical Edge

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

Links associated with this episode:

• 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull
• iTunes - Download and follow the podcast
• Overcast - Download the podcast in Overcast
• Spotify - Listen to the podcast on Spotify
• Download the infographic handout for this podcast
• Cervical spine assessment & treatment for neck pain & upper limb symptoms - available with a free trial membership
• Cervical radiculopathy assessment & treatment case study available with a free trial membership
• Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership
• Prof Gwen Jull
• Management of Neck Pain Disorders: a research informed approach 1st Edition, by Gwendolen Jull, Deborah Falla, Julia Treleaven, Shaun O'Leary, and foreword by Jeremy S Lewis
• Let David know what you liked about this podcast on Twitter
• Follow and review the podcast on iTunes
• Infographics by Clinical Edge

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

Links associated with this episode:

• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Tom live on Facebook & ask your shoulder related questions every Friday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Tom Goom on Twitter
• Tom Goom’s website
• David Pope - Twitter
• David Pope & why I started Clinical Edge
• Review the podcast on iTunes
• Infographics by Clinical Edge

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Comprehensively assess and treat shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

When your patient with Achilles tendon pain isn’t progressing as well as you hoped, could Plantaris be implicated in their pain? Find out in this latest Physio Edge Track record: Running repairs podcast with Tom Goom, where you’ll discover:

• Plantaris anatomy and relationship to the Achilles tendon.
• Common symptoms when Plantaris is causing Achilles tendon pain.
• How to differentiate Achilles tendinopathy from Plantaris involvement.
• Why patients with Plantaris involvement may not progress with a tendon loading program.
• How to adjust treatment when you suspect Plantaris involvement.
• When Plantaris patients can return to running and hill running.
• Additional medical and surgical management when Plantaris conservative treatment doesn’t resolve symptoms.

Enjoy this new podcast with Tom Goom now to improve your treatment of Achilles tendon pain.

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

Links associated with this episode:

• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Tom live on Facebook & ask your shoulder related questions every Friday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Tom Goom on Twitter
• Tom Goom’s website
• David Pope - Twitter
• David Pope & why I started Clinical Edge
• Review the podcast on iTunes
• Infographics by Clinical Edge

Immobilisation following a humeral fracture or shoulder surgery quickly results in muscle atrophy and decreased shoulder strength and proprioception. How can you limit strength deficits that develop while patients are in a sling?

During this period of immobilisation, cross education (CE) can help retain shoulder strength. This improved shoulder strength and proprioception after the immobilisation period concludes may enable a faster return to work, high load activities or sport. What is CE, and how can you use it in your treatment? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

• What is cross education (CE)?
• What the latest research reveals about the effectiveness of CE?
• Which patients benefit most from CE.
• Common strength and proprioceptive deficits after shoulder stabilisation surgery.
• How CE improves strength and proprioception.
• Recommendations for CE exercise intensity and dosage.
• Whether to use eccentric, concentric or isometric exercises.
• How to amplify the strength and cortical effects of CE.
• How to target the rotator cuff with CE.
• How to incorporate proprioception into CE.
• How to use CE in rehab for instability, movement apprehension & kinesiophobia.
• When to include CE in MRCT post-op rehab.

Improve your rehab of post-op, post-fracture and immobilised patients now with this podcast.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

What do foam rolling and stretching do to the ITB? Are they effective in the treatment of ITB syndrome?

Find out in this podcast with Tom Goom (Running Physio).

The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.

Free running injury assessment & treatment video series available now

Links associated with this episode:

• Successfully treat ITB pain with this free three part video series with Tom Goom.
• Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Tom live on Facebook & ask your shoulder related questions every Friday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Tom Goom on Twitter
• Tom Goom’s website
• David Pope - Twitter
• David Pope & why I started Clinical Edge
• Review the podcast on iTunes
• Infographics by Clinical Edge

Article associated with this episode:

• Download the podcast handout to receive the articles associated with this podcast.

• Pepper TM, Brismée JM, Sizer Jr PS, Kapila J, Seeber GH, Huggins CA, Hooper TL. The Immediate Effects of Foam Rolling and Stretching on Iliotibial Band Stiffness: A Randomized Controlled Trial. International journal of sports physical therapy. 2021;16(3):651.

Is subscapularis the forgotten part of the rotator cuff? Do we ever need to target it individually? If we do what are the best options for exercises?

Find out which patients with torn or painful shoulders benefit from targeted subscapularis rehab in this episode of the Physio Edge Shoulder success podcast with Jo Gibson. You’ll discover:

Rotator cuff & subscapularis anatomy & function.

• Role and function of subscapularis with shoulder movement.
• How subscapularis works with the posterior cuff and larger shoulder muscles.

Subscapularis pain & injury

• Subscapularis tears - mechanism of injury.
• Whether subscapularis is implicated in swimmers’ shoulder pain.

Objective assessment

• Objective tests to assess subscapularis strength.
• The role of special tests to identify subscap tears.

Targeted subscapularis rehabilitation

• Which shoulder pain patients require targeted subscapularis rehab.
• When to target subscap in post-op rehab.
• Why and how to start subscap rehab in patients with massive rotator cuff tears
• Exercises to target subscap.
• How incorporating the kinetic chain can help your subscap rehab.
• How to improve subscap recruitment with altered speed of exercise.
• Plyometrics for subscapularis.

Subscapularis rehab in other patients

• Stiff shoulders - using eccentric subscap exercises to improve range of movement.
• Whether subscap should be targeted post long head of biceps (LHB) rupture.

Improve your rehab of painful and torn shoulders now with this podcast.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Are vaccinations associated with shoulder pain? Shoulder injury related to vaccine administration (SIRVA) has received a lot of attention on social media as vaccination levels have increased. If your patient has shoulder pain after a vaccine, what does this mean for treatment?

Also in this podcast, how can you identify non-musculoskeletal causes of shoulder pain related to NSAID use or viscera?

Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist).

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Articles associated with this episode:

• Download the podcast handout to receive the articles associated with this podcast.

• Bancsi A, Houle SK, Grindrod KA. Getting it in the right spot: Shoulder injury related to vaccine administration (SIRVA) and other injection site events. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada. 2018 Sep;151(5):295-9.

• Batra S, Page B. Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. Workplace Health & Safety. 2021 Feb;69(2):68-72.

• Cross GB, Moghaddas J, Buttery J, Ayoub S, Korman TM. Don't aim too high: avoiding shoulder injury related to vaccine administration. Australian family physician. 2016 May;45(5):303-6.

• Gonzalez AI, Kortlever JT, Moore MG, Ring DC. Influenza Vaccination Is Not Associated with Increased Number of Visits for Shoulder Pain. Clinical Orthopaedics and Related Research®. 2020 Oct 1;478(10):2343-8.

• Hesse EM, Atanasoff S, Hibbs BF, Adegoke OJ, Ng C, Marquez P, Osborn M, Su JR, Moro PL, Shimabukuro T, Nair N. Shoulder injury related to vaccine administration (SIRVA): petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016. Vaccine. 2020 Jan 29;38(5):1076-83.

• Hibbs BF, Ng CS, Museru O, Moro PL, Marquez P, Woo EJ, Cano MV, Shimabukuro TT. Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010–2017. Vaccine. 2020 Jan 29;38(5):1137-43.

• Martin Arias L, Fadrique RS, Gil MS, Salgueiro-Vazquez ME. Risk of bursitis and other injuries and dysfunctions of the shoulder following vaccinations. Vaccine. 2017 Sep 5;35(37):4870-6.

• Shahbaz M, Blanc PD, Domeracki SJ, Guntur S. Shoulder injury related to vaccine administration (SIRVA): an occupational case report. Workplace Health & Safety. 2019 Oct;67(10):501-5.

• Sohn DH. CORR Insights®: Influenza Vaccination Is Not Associated with Increased Number of Visits for Shoulder Pain. Clinical Orthopaedics and Related Research. 2020 Oct;478(10).

How can you accurately assess neck pain patients and choose the most effective treatment to help resolve their pain and prevent recurrence? Find out in part 1 of this two part podcast series with Emeritus Professor Gwendolen Jull, and explore:

• How to accurately assess patients movements, muscular control, strength, posture, and palpate the cervical spine to identify the source of neck symptoms and contributing factors.
• Which questions and assessment tests will help you choose treatment that resolves symptoms, fully rehabilitates patients and helps to prevents future episodes of neck pain?
• How to use clinical reasoning to target your rehab, and decide if your treatment should include neck strengthening, manual therapy, sensory motor control, postural or work position changes?

Download this podcast now to improve your assessment and treatment of neck pain.

The next podcast with Prof Gwen Jull, available soon, will build on the knowledge you gain from part 1, and provide you with additional neck pain treatment strategies.

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

Links associated with this episode:

• iTunes - Download and follow the podcast
• Overcast - Download the podcast in Overcast
• Spotify - Listen to the podcast on Spotify
• Download the infographic handout for this podcast
• Cervical spine assessment & treatment for neck pain & upper limb symptoms - available with a free trial membership
• Cervical radiculopathy assessment & treatment case study available with a free trial membership
• Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership
• Prof Gwen Jull
• Management of Neck Pain Disorders: a research informed approach 1st Edition, by Gwendolen Jull, Deborah Falla, Julia Treleaven, Shaun O'Leary, and foreword by Jeremy S Lewis
• Let David know what you liked about this podcast on Twitter
• Follow and review the podcast on iTunes
• Infographics by Clinical Edge

Pec minor cops the blame for shoulder pain, scapular dyskinesia and all sorts of upper limb pain and “dysfunction”. Is pec minor shortness or “tightness” really responsible for shoulder pain?

In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you’ll discover whether the latest evidence supports pec minor as a major cause of shoulder pain, or whether pec minor is an innocent victim. You’ll also explore:

• Is pec minor responsible for shoulder pain?
• Does pec minor truly become “shortened”?
• Is there a link between a shortened pec minor, scapular dyskinesia and risk of developing shoulder pain?
• Should the Pectoralis minor be stretched in patients with shoulder pain?
• Review of pec minor attachments & anatomy
• Measurement of pec minor length has been shown in the literature to be reliable, but do we need to measure it?
• What is the most effective way of increasing length in pec minor? Stretching, self release, taping or strengthening the rotator cuff?
• Does pec minor stretching help to improve shoulder function, mechanics or prevent injury in overhead athletes?
• How long do ROM improvements following pec minor stretching last?
• If patients have a clear history of trauma, is pec minor shortness relevant?
• Is pec minor shortness relevant in thoracic outlet syndrome (TOS)?
• Can weightlifters develop pec minor tendinopathy?
• Is it worth assessing pec minor length in shoulder pain patients?
• Does the evidence support treating PM shortness in shoulder pain patients?

Podcast handout

The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Physio Edge 096 Thoracic outlet syndrome with Jo Gibson
• Physio Edge 099 Upper traps - are they really a bad guy? with Jo Gibson
• 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
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Article associated with this episode:

• Download the podcast handout to receive the article associated with this podcast.

• Illig KA, Donahue D, Duncan A, Freischlag J, Gelabert H, Johansen K, Jordan S, Sanders R, Thompson R. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. Journal of vascular surgery. 2016 Sep 1;64(3):e23-35.

Stress fractures and bone stress injuries in running patients need to be identified early, to allow recovery before the injury worsens and requires extensive time away from running. When should you suspect a stress fracture or a bone stress injury (BSI) in your running patients? Find out in the podcast with Tom Goom (Running Physio), and explore:

• How to identify stress fractures & BSI’s in your patients.
• Which patients are at greater risk of developing BSI or stress fractures?
• Features in your patient history, including past & medical history, onset & aggravating factors that increase your suspicion of a stress fracture.
• Which BSI’s are “high risk”?
• Common training errors that lead to a stress fracture.
• What tests can be performed in your objective assessment to help diagnose stress fractures?
• How to differentiate tendon pain from bone stress injuries
• Will bruising or swelling appear with bone stress fractures?
• How palpation can help your diagnosis
• Why common assessment tests are often painfree in bone stress injuries.
• When imaging is important.
• Which imaging modalities to request when you suspect a stress fracture or BSI.

Improve your identification and assessment of stress fractures and bone stress injuries now with this podcast.

Free running injury assessment & treatment video series available now

Links associated with this episode:

• Successfully treat ITB pain with this free three part video series with Tom Goom.
• Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Tom live on Facebook & ask your running related questions every Friday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Tom Goom on Twitter
• Tom Goom’s website
• David Pope - Twitter
• David Pope & why I started Clinical Edge
• Review the podcast on iTunes
• Infographics by Clinical Edge

Patients with atraumatic sternoclavicular joint (SCJ) instability may have pain during overhead activities, throwing or playing sport. How can you diagnose and successfully rehabilitate SCJ instability? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and explore:

Assessment & diagnosis

• Which bony surfaces, ligaments and muscles provide stability at the SCJ.
• Why do patients develop SCJ instability, and what are the risk factors?
• What the research reveals about SCJ instability.
• Common symptoms that help you identify SCJ instability.
• Questions you need to ask that help with diagnosis.
• Posterior instability - Common symptoms & anatomical structures that can be impacted.
• How to identify clavicular epiphyseal plate injuries in young athletes.
• When closing of the proximal clavicular epiphyseal plate occurs, and why this is important to know.

Rehab & recovery

• Rehab exercises you can use to develop muscular support for the SCJ.
• How and why you can add C/Sp exercises into SCJ rehab.
• How long recovery will take your patients.
• When patients are likely to start noticing improvements in symptoms.
• Will SCJ instability patients continue to experience instability and pain after rehab?
• Is this condition self-limiting?
• How can involvement of the SCJ disc be identified?
• What imaging can be helpful?
• When should you request SCJ imaging?
• When is SCJ surgery indicated?

Jo also answered these questions from FB Live listeners:

• Does hypermobility change with age?
• Can asymptomatic SCJ instability occur in weightlifters that do not have hypermobility, and do we need to treat it?
• Which SCJ patients benefit from injections?
• When should SCJ injections be avoided?
• What autoimmune inflammatory conditions may result in SCJ swelling?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• The Hypermobility Syndromes Association (HMSA)
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Articles associated with this episode:

• Download the podcast handout to receive the articles associated with this podcast.

• Castori M, Tinkle B, Levy H, Grahame R, Malfait F, Hakim A. A framework for the classification of joint hypermobility and related conditions. InAmerican Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017 Mar (Vol. 175, No. 1, pp. 148-157).

• Malfait F, Francomano C, Byers P, Belmont J, Berglund B, Black J, Bloom L, Bowen JM, Brady AF, Burrows NP, Castori M. The 2017 international classification of the Ehlers–Danlos syndromes. In American Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017 Mar (Vol. 175, No. 1, pp. 8-26).

• Martetschläger F, Warth RJ, Millett PJ. Instability and degenerative arthritis of the sternoclavicular joint: a current concepts review. The American journal of sports medicine. 2014 Apr;42(4):999-1007.

• Sewell MD, Al-Hadithy N, Le Leu A, Lambert SM. Instability of the sternoclavicular joint: current concepts in classification, treatment and outcomes. The bone & joint journal. 2013 Jun;95(6):721-31.

How can you rehab patients with an acromioclavicular joint (ACJ) injury, or end of range elevation shoulder pain, long term shoulder pain, clavicular osteolysis, or osteoarthritis? What exercises and manual therapy can you use in your rehab program? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

• Common ACJ mechanisms of injury
• A recap of ACJ injury classification and treatment pathways for different grades of injury.
• How useful is X-ray in ACJ injuries, and what is the best imaging for this injury?
• What imaging should ACJ injury patients have?
• What are the long term risks for ACJ patients?
• What factors correlate with worsening ACJ pain?
• Can atraumatic instability occur at the ACJ?
• What movements should be assessed in ACJ injury patients?
• Why is symptom modification helpful in shoulder pain and ACJ patients?
• What compensatory movement patterns do patients adapt that may contribute to ongoing pain?
• How can we help to break the cycle of ACJ pain?
• What tests can be performed to identify the best treatment for individual ACJ patients?
• What muscles help to improve stability around the ACJ, and how can these be targeted in ACJ injury patients?
• What exercises can be used in initial ACJ rehab?
• How can ACJ rehab be progressed?
• How can end range pain (ERP) be improved in ACJ patients?
• How to identify when scapular mechanics affect the ACJ.
• Exercises that improve scapular mechanics in ACJ patients?
• When is manual therapy useful in ACJ patients?
• What combination of manual therapy or mobilisation with movement and exercises can be used in ACJ patients?
• What role can the ACJ play in shoulder pain?
• Does the ACJ need to be symptomatic to cause shoulder pain?
• What common symptoms make you suspect the ACJ is involved in shoulder pain?

Answers to live listener questions:

• What humeral fractures or bone stress injuries occur in throwing athletes?
• Who develops humeral spiral fractures or stress fractures?
• Are recreational or high level athletes more likely to develop humeral fractures?
• Are players more or less likely to have a fracture after having a 6 week break from training?
• How can players prevent humeral stress fractures?

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

How can you diagnose posterior shoulder, neck and supraclavicular pain in your weightlifting patients and throwing athletes? Could a bone stress injury be responsible for your patients pain?

Explore how to assess, diagnose and rehab shoulder pain from bone stress injuries in weightlifters or throwing athletes in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover:

• Bone stress injuries in the upper limb and ribcage that cause shoulder pain.
• What causes first rib stress fractures?
• Which patients develop first rib bone stress injuries - common populations and activities.
• Common areas of pain with first rib stress fractures.
• How to assess & diagnose first rib bone stress injuries.
• Common painful and restricted movements that help with diagnosis.
• How to differentiate between a rotator cuff injury and first rib bone stress injuries.
• Cervical spine & shoulder strength and control assessment tests that help identify where to target your rehab.
• Do biomechanics in weightlifting matter?
• How to assess and address weightlifting biomechanics to allow healing and return to sport.
• Imaging
  • Why imaging is vital in patients with this injury.
  • Common imaging that misses 1st rib bone stress fracture, and what imaging to request that actually identifies it.
• Why non-healing with the formation of pseudoarthrosis may lead to better outcomes than bony callous formation.
• Whether patients can return to sport if rib stress fractures don’t heal.
• How can you rehab patients with 1st rib stress fracture?
• How to progress rehab exercises.
• Treatment when 1st rib callus formation is causing thoracic outlet syndrome.

Podcast handout

The handout for this podcast consists of an article referenced in the podcast. There is no additional transcript or handout available.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Article associated with this episode:

• Download the podcast handout to receive the article associated with this podcast.

• Miller A, Dodson CC, Ilyas AM. Thrower's fracture of the humerus. The Orthopedic Clinics of North America. 2014 Aug 3;45(4):565-9.

Time for some detective work - can you diagnose the cause of this man’s shoulder pain? Listen out for the clues in this interesting case study.

When your shoulder pain patient has bilateral shoulder pain after starting a gym program, difficulty lifting their arms overhead due to weakness, significant bilateral scapular winging and muscle atrophy, what are your potential diagnoses?

Find out in this case study with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

• When patients have uncommon shoulder pain presentations, what potential diagnoses can you keep in mind?
• How does it impact your diagnosis if your patient has difficulty smiling, whistling and drinking through a straw?
• What’s this patients’ diagnosis?
• What tests can be performed to confirm the diagnosis?
• Which muscles are commonly affected?
• How much muscle weakness commonly occurs?
• What is the long term prognosis for this condition?
• What treatment is supported by the evidence?
• Are braces helpful?
• Which medical specialists are important to include in diagnosis & management?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• The Facioscapulohumeral Muscular Dystrophy (FSHD) Society
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Articles associated with this episode:

• Download the podcast handout to receive the articles associated with this podcast.

• Hamel J, Tawil R. Case Studies on the Genetic and Clinical Diagnosis of Facioscapulohumeral Muscular Dystrophy. Neurologic Clinics. 2020 Aug 1;38(3):529-40.

• Mul K, Lassche S, Voermans NC, Padberg GW, Horlings CG, van Engelen BG. What's in a name? The clinical features of facioscapulohumeral muscular dystrophy. Practical neurology. 2016 Jun 1;16(3):201-7.

When paediatric or skeletally immature patients have shoulder pain, what diagnoses should be kept in mind? What are the potential diagnoses following trauma, in overuse injuries or “little leaguers shoulder”? What assessment and imaging is required in these patients?

Find out in this podcast/video with Jo Gibson (Clinical Physiotherapy Specialist), and explore:

• What growth plate injuries may occur in skeletally immature athletes?
• The case study of a young athlete with misdiagnosed pain over the acromioclavicular joint (ACJ)
• A recap of acromial apophylysis and distal clavicular osteolysis.
• What are the common mechanisms of injury for ACJ?
• How are ACJ injuries classified?
• What are the limitations of ACJ injury classifications?
• Why are there often differences in ACJ injury classification between X-ray and MRI?
• How can ACJ imaging lead to incorrect return to play timeframes in mature athletes?
• In paediatric patients, what differential diagnosis do you need to keep in mind with an apparent ACJ injury?
• How does imaging help guide prognosis and treatment in younger athletes with ACJ injuries?
• How can growth plate injuries be identified?
• Can patients have a slipped humeral epiphysis?
• What are the most common humeral fractures
• What are humeral Salter-Harris fractures?
• Which fractures may impact future growth in the humerus?
• When is imaging absolutely required in paediatric shoulder injuries?
• What is “little leaguers shoulder” and why is it important to identify this early?
• When is glenohumeral internal rotation deficit (GIRD) relevant in lateral humeral pain?
• What are the risk factors for shoulder pain in young athletes?
• What causes GIRD in paediatric and skeletally mature athletes?
• What tests help with diagnosis in stiff shoulders?
• When is GIRD relevant?
• Why should the term “shoulder impingement” be avoided?
• How can you describe shoulder pain to patients?
• Can osteolysis of the whole scapula occur?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Articles associated with this episode:

• Download the podcast handout to receive the articles associated with this podcast.

• Hall K, Borstad JD. Posterior shoulder tightness: to treat or not to treat?. journal of orthopaedic & sports physical therapy. 2018 Mar;48(3):133-6.

• Zajac JM, Tokish JM. Glenohumeral Internal Rotation Deficit: Prime Suspect or Innocent Bystander?. Current reviews in musculoskeletal medicine. 2020 Feb 12:1-0.

What are the best rehab options for patients with an irreparable rotator cuff tear? Can we predict which patients will do well and how long rehab will take?

Find out in this video/podcast with Jo Gibson (Clinical Physiotherapy Specialist), discussing rehab options, a patient case study and the latest evidence for massive rotator cuff tear (MRCT) rehab. Discover:

• When patients are unable to have surgery, what rehab options are available to rehab MRCT?
• What is classified as a MRCT?
• What common issues do patients with MRCT face?
• What proprioceptive deficits exist in MRCT patients functionally and on fMRI?
• Is the “Anterior deltoid program” really the best rehab program for MRCT patients?
• What MRCT rehab exercises & programs are supported by the latest research?
• Which MRCT patients are likely to respond to rehab?
• Is scapular dyskinesis important to target in MRCT rehab?
• When patients are unable to lie supine, and are therefore unable to complete the anterior deltoid program, what options are available for rehab?
• How do rotator cuff imaging results help guide treatment?
• Which rotator cuff tendons need to be intact for successful rehab?
• Specific exercise ideas and progressions that can be used in rehab.
• How long is recovery likely to take?
• What key messages are important to convey to patients?
• What is the evidence for injections in MRCT, including prolotherapy, PRP?
• How can rehab programs target subscapularis strength?
• Is humeral head depression an important component in rehab?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Articles associated with this episode:

• Download the podcast handout to receive the articles associated with this podcast.

• Agout C, Berhouet J, Spiry C, Bonnevialle N, Joudet T, Favard L, Society FA. Functional outcomes after non-operative treatment of irreparable massive rotator cuff tears: Prospective multicenter study in 68 patients. Orthopaedics & Traumatology: Surgery & Research. 2018 Dec 1;104(8):S189-92.

• Cavalier M, Jullion S, Kany J, Grimberg J, Lefebvre Y, Oudet D, Grosclaude S, Charousset C, Boileau P, Joudet T, Bonnevialle N. Management of massive rotator cuff tears: prospective study in 218 patients. Orthopaedics & Traumatology: Surgery & Research. 2018 Dec 1;104(8):S193-7.

• Cools AM, Van Tongel A, Berckmans K, Spanhove V, Plaetevoet T, Rosseel J, Soen J, Levy O, Maenhout A. Electromyographic analysis of selected shoulder muscles during a series of exercises commonly used in patients with symptomatic degenerative rotator cuff tears. Journal of Shoulder and Elbow Surgery. 2020 Oct 1;29(10):e361-73.

• Levy O, Mullett H, Roberts S, Copeland S. The role of anterior deltoid reeducation in patients with massive irreparable degenerative rotator cuff tears. Journal of shoulder and elbow surgery. 2008 Nov 1;17(6):863-70.

When swimmers and overhead athletes have superior & anterior shoulder pain, what are your likely diagnoses? How can you successfully treat shoulder pain that improves with rest from sport, then comes back each time they return to training or sport? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), where you’ll discover:

• What are your likely diagnoses?
• Distal clavicular osteolysis (DCO) - what is it?
• How to differentially diagnose acromial apophysitis/apophylysis (AA) in young overhead athletes.
• What are common areas of pain and aggravating movements in DCO patients?
• Common training errors and weight training exercises that can cause or aggravate symptoms.
• Which athletes are likely to develop DCO, and common mechanisms of injury.
• Imaging you need to order.
• What Xray and other imaging reveals in DCO.
• What are potential long term issues following DCO, and how can this be avoided?
• The MOST important treatment for patients with DCO and AA.
• How can DCO be successfully managed?
• How to modify work activities in DCO patients.
• How long recovery takes.
• Why asymptomatic stress tests and palpation doesn’t mean your patient is safe to return to sport.
• How to work with coaches when your patients are experiencing DCO.
• How to successfully return DCO patients to sport.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

When your female patient has shoulder pain, how can you identify if the cause is musculoskeletal, or related to women’s health issues? Find out in this video/podcast with Jo Gibson (Clinical Physiotherapy Specialist). You’ll explore two separate case studies of female shoulder pain patients with different diagnoses, that’ll help you discover:

• Which female reproductive issues can cause shoulder pain?
• How can you differentiate musculoskeletal and non-musculoskeletal causes of shoulder pain?
• Is pain at different stages of the menstrual cycle really just “hormones”?
• What questions can you ask your patients to help guide your diagnosis?
• What is the typical history of patients with shoulder pain related to women’s health?
• If patients wake with acute shoulder pain, what are the potential musculoskeletal and non-musculoskeletal diagnoses?

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Are eccentric exercises useful in subacromial shoulder pain rehab? When shoulder pain rehab has stalled, and patients aren’t improving, will eccentric exercises help? Are eccentric exercises the missing component in successful rehab programs for recalcitrant shoulder pain?

Find out in this discussion with Jo Gibson (Clinical Physiotherapy Specialist). Also discover:

• Should eccentric exercises be included in shoulder rehab programs?
• What does the research reveal about eccentric shoulder exercises?
• How can the research be applied and adapted clinically with shoulder pain patients?
• If eccentric exercises are helpful, which exercises should patients use?
• When and how often should eccentric exercises be performed?
• Are eccentric exercises helpful in acute shoulder pain?
• How long does shoulder pain normally take to recover from?
• How can gym programs be adapted to allow shoulder pain to recover while patients continue training or exercising?
• How many exercises should be included in shoulder pain rehab programs?

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

An unusual cause of shoulder pain - what's the diagnosis? Solve this patient case study with Jo Gibson (Clinical Physiotherapy Specialist) and discover musculoskeletal and non-musculoskeletal causes of shoulder pain that are important to keep in mind when features don't fit.

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

Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge