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Bone strength and density are vital in your running and sporting patients who can experience bone stress injuries (BSIâs), and also as patients get older and more vulnerable to falls and fractures.
How can you improve bone strength in patients following a bone stress injury such as Medial Tibial Stress Syndrome or stress fractures, or in other patients that youâd like to improve bone density or strength?
Traditional approaches to strength and conditioning may not always address the needs of your patients recovering from bone stress injuries. Thatâs where bone loading programs come inâa targeted strategy to help prepare bones for impact, improve power, and support a return to sport.
In this episode, Tom Goom (Running Physio) dives into the research and how to use a bone loading program to stimulate bone adaptation.
In this podcast, youâll discover:
The theory and evidence behind bone loading programs and how bones respond to impact. How to identify the right stage of injury recovery for introducing impact training. Practical guidelines for implementing short, progressive bone loading exercises. Techniques for progressing exercises based on patient goals and symptoms. Strategies to improve bone strength in patients experiencing other musculoskeletal issues such as Achilles tendinopathy. Real-world applications and demonstrations of bone loading programs.Tom also shares insights on identifying readiness for impact exercises, managing patient expectations, and adjusting programs for individual needs. Youâll leave this episode equipped with actionable strategies to help patients safely and effectively return to sport while supporting their bone health.
If youâre a clinician or physiotherapist looking for practical solutions to manage bone stress injuries or improve bone density, this podcast is packed with valuable information you can apply in your practice right away.
đ Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information.
Free running injury assessment & treatment video series available nowImprove running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Get free access to the "Tricky tendons" infographic seriesUnlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Article associated with this episode: Turner CH, Robling AG. Mechanisms by which exercise improves bone strength. Journal of bone and mineral metabolism. 2005 Jan;23:16-22. Links associated with this episode: Free Achilles tendinopathy videos Discover the simple secrets to successfully treat tendon pain in this free three part video series with 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 Goomâs website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical EdgeChapters:
04:37 - Turner and Robling (2005) running longer doesn't make bones stronger 10:46 - Bone loading progressions 15:58 - Analysis of the evidence 17:05 - Whether loading technique matters 15:03 - Summary -
Taping: does it really help patients with shoulder pain, or is it just a brightly coloured placebo? In this thought-provoking episode of the Physio Edge Shoulder Success Podcast, Jo Gibson, upper limb rehab specialist at Rehab for Performance, unpacks the complexities of taping in shoulder rehabilitation. Drawing from the latest evidence and her extensive experience with shoulder pain, Jo shares two compelling case studies and whether taping was useful in the treatment of:
Volleyball player post-stabilisation surgery â Despite passing all return-to-play criteria, this patient struggled with fear of re-injury in specific positions. C/Sp referred shoulder pain â Severe neck and shoulder pain with difficulty sleeping left this patient guarding every movement. Learn whether taping played a role in this patientâs rehab.Jo examines the evidence behind taping, addressing key questions:
Does tape improve biomechanics, or are the effects purely psychological? How do sensory input and contextual factors influence patient outcomes? Can taping be a useful temporary tool, or is it overrated?Youâll also gain insights into:
The importance of clinical reasoning when choosing adjuncts like taping. How to manage patient beliefs and expectations around interventions. Practical applications of taping to improve confidence and support movement strategies.With a blend of evidence, clinical expertise, and practical examples, this episode offers a balanced view on the role of taping in physiotherapy. Whether youâre a seasoned clinician or early in your career, youâll come away with fresh perspectives on using taping effectively in your practice.
đ§ Tune in now to discover when, why, and how to use taping to support your patientsâ shoulder rehab success!
Click on an image below to access these free resources from Jo Gibson and Clinical EdgeThe handout for this podcast consists of a transcript associated with this podcast.
Click here for the free webinar with Jo Gibson âRotator cuff revealed! Rehab & reasoningâ.
Shoulder: Steps to Success online course with Jo GibsonImprove 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
Free trial Clinical Edge membershipUse a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series âFrozen shoulder assessment & treatmentâ 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 EdgeChapters:
03:36 - Patient 1 - Taping for volleyball post shoulder stabilisation surgery 06:26 - Patient 2 - Neck driven shoulder pain 07:04 - What's the evidence for and against tape? 13:09 - Applying the evidence around taping 18:15 - Back to the case studies 21:47 - Question - Can tape stimulate mechanoreceptors to give somatosensory feedback to the brain? -
Puuttuva jakso?
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Get free access to the "Tricky tendons" infographic series
Join hosts David Pope and The Hip Physio - Mehmet Gem as they dive deep into the myths and misconceptions surrounding hip and groin pain. This podcast explores common myths about glutes and hip flexors, effective rehab exercises, and how to accurately assess and treat various hip conditions.Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Links Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership LEAP Trial Click here to register and receive immediate access to the Tricky tendons infographic series Free Achilles tendinopathy video series with Tom Goom David Pope at Clinical Edge Download and subscribe to the podcast on iTunes Download the podcast in Overcast Listen to the podcast on Spotify Mehmet Gem David Pope on Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge
Chapter markes:
00:00 Intro
00:27 Getting to know Mehmet
03:11 Glute myths and misconceptions - Can patients have "gluteal amnesia" or "switched off glutes"?
08:54 When and how to test & improve glute strength
12:58 Functional glute testing
14:49 Mehmet's favourite glute exercises
19:22 Greater trochanteric pain syndrome/gluteal tendinopathy
23:04 Stretches for lateral hip pain?
25:52 Should patients perform hip mobility exercises?
29:07 Improving hip range of movement
36:48 When to test hip range of movement
39:40 Differentiating hip osteoarthritis (OA) from GTPS
44:24 Hip objective assessment - OA vs GTPS
46:51 GTPS diagnosis
49:44 Return to running with hip dysplasia
52:37 Hip flexors - what are they responsible for?
53:42 Do hip flexors get tight from sitting?
54:39 Hip flexors - objective assessment
57:43 Hip rehab exercises
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Upper Limb Rehabilitation Specialist Jo Gibson explores an intriguing case of an 84-year-old man with a massive rotator cuff tear of the supraspinatus and partial subscapularis tear. Despite his long history of shoulder issues, heâs improving, but constant pain and intermittent numbness in his posterior arm and into his hand complicate the situation.
In this podcast, youâll explore:
What a massive rotator cuff tear (MRCT) is Common pain patterns with rotator cuff tears Why the Suprascapular nerve can be affected in MRCTâs How to set realistic expectations with patients about their recovery Common causes of pain into the posterior arm, wrist and hand How to differentially diagnose shoulder, arm and hand pain Assessment tests to identify and exclude cervical involvement When nerve conduction tests or EMG should be performed Rehabilitation ideas for this patientListen to this podcast now to improve your rehabilitation of shoulder & arm pain and rotator cuff tears.
Free shoulder assessment infographic seriesClick here to access the free shoulder infographic series and learn how to easily assess shoulder pain patients with this simple 6-step shoulder assessment from Jo Gibson
The handout for this podcast consists of a transcript and research articles referenced in this podcast.
Click here for the free webinar with Jo Gibson âRotator cuff revealed! Rehab & reasoningâ.
Free video series âFrozen shoulder assessment & treatmentâ with Jo GibsonImprove your frozen shoulder assessment and treatment now with Jo Gibsonâs free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo GibsonImprove 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
Free trial Clinical Edge membershipUse a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: Free shoulder assessment infographic series with Jo Gibson Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series âFrozen shoulder assessment & treatmentâ 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 -
ACL injuries result in significant time away from sport and distress for patients. The variety of management options, from surgical intervention to non-surgical management and rehabilitation protocols, often makes us uncertain when educating and helping patients choose the most appropriate care for their needs and goals.
Recently, a new non-operative ACL injury management pathway called the âCross bracing protocolâ has been pioneered and developed by Dr Tom Cross and Tomâs father (the late Orthopaedic surgeon) Dr Merv Cross. This protocol offers a promising alternative for patients with ACL injuries who are suitable for non-surgical intervention, where the ACL injury may heal or repair itself.
Not all patients with an ACL injury are suitable for the Cross bracing protocol or non-surgical management, so how can you identify whether your patient is suitable, and which treatment options are best for each patient?
In this insightful podcast episode, we discuss the complex challenge of ACL injury management and Cross bracing with Clare Walsh (Specialist Sports & Exercise Physiotherapist, FACP).
Clare treats a lot of patients with ACL injuries with prehabilitation, post-op rehabilitation, or non-surgical management including Cross bracing. Clare works alongside Dr Tom Cross and other Sports Medicine Doctors, Orthopaedic surgeons (including the late Dr Merv Cross) and leading Sports Physiotherapists at Stadium Sports Physiotherapy and The Stadium Clinic.
Clare teaches on the Cross bracing course conducted in Australia for Physiotherapists and health professionals, and is a Senior Educator & Presenter here at Clinical Edge.
In this podcast we explore:
Cross bracing What it is and how it developed. What research has been performed to date, and what it shows about the chances of ACL healing with the Cross bracing protocol. Assessment tests & specific imaging that are used to assess patient suitability. Why patients might opt for Cross bracing rather than surgery. Who isnât suitable for Cross bracing. Potential negative outcomes of Cross bracing. Which patients are more likely to be suitable and successful with Cross bracing - eg. injury type, age, level of sport, goals, psychosocial factors. Medical factors that impact suitability. Psychosocial factors that impact whether a patient can undergo the protocol. Which leg (right or left) is better suited to bracing and why. Which type of braces are commonly used. How soon the protocol needs to commence after injury to be successful. Which concomitant injuries can still heal in a brace and which need surgery e.g. meniscus injuries, bucket handle tears of the meniscus, MCL tears. How long patients remain in a brace. Exercises and activities that can and should be performed throughout Cross bracing. How patients can move or walk around throughout the Cross bracing period. How Cross bracing has changed and evolved. Whether the ACL is at increased risk of re-rupture following the protocol. Essential medical management during the protocol. Whether therapists can put a patient in a brace, or manage the protocol independently. What to you do if you think a patient may be suitable for Cross bracing. How to refer patients for Cross bracing Followup imaging at the end of the protocol. Functional assessment tests used at the end of the protocol. Return to training (RTT) and return to play (RTP) following the protocol. Which patients require surgery instead of conservative management. Early surgery vs delayed surgery. Spontaneous ACL healing - what the research says. How to use patient-centred decision-making to guide patients into the most suitable recovery pathway - surgery, bracing or non-surgical management. Case studies and comparisons of patients that underwent either Cross bracing or ACL reconstruction.This podcast is packed full of great information on this emerging ACL injury treatment. Youâll finish this podcast with a deeper understanding of ACL injury management and Cross bracing plus practical knowledge, solutions and insights you can apply into your practice.
Links Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Free Achilles tendinopathy video series with Tom Goom David Pope at Clinical Edge Download and subscribe to the podcast on iTunes Download the podcast in Overcast Listen to the podcast on Spotify Clare Walsh on Twitter David Pope on Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge -
How can you treat patients who experience knee pain and swelling during and after running? If you suspect their symptoms are caused by a meniscal injury, how can you rehab and return these patients to running without surgery?
In this Physio Edge: Running repairs podcast with Tom Goom, youâll explore meniscal injuries in runners, recent research on runners with meniscal tears, and how to provide effective non-surgical management. Youâll discover:
Initial steps for managing pain and swelling in affected runners. Techniques to restore and maintain range of movement. Strategies for rebuilding strength in key muscle groups. Approaches to improve impact control and tolerance, preparing runners for a gradual return to their sport. When to manage these patients non-surgically, and when to refer for a surgical opinion.Tom explores the physical aspects of recovery, along with the impact of general health, weight management, and gait retraining on knee health. With a realistic timeline for recovery and a focus on individualised treatment plans, this podcast is a must-listen for therapists who treat runners.
đ Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the links below for more information.
Free running injury assessment & treatment video series available nowImprove running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.
Links associated with this episode: Free Achilles tendinopathy videos Discover the simple secrets to successfully treat tendon pain in this free three part video series with 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 Goomâs website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical EdgeChapters:
03:36 - Recent research 05:17 - Management 09:26 - Restore ROM 10:42 - Rebuild muscle strength 12:07 - Return to sport 17:03 - Surgical & non-surgical management -
Jo Gibson (Upper Limb Rehabilitation Specialist Physio) discusses the keys to successfully treat persistent anterior shoulder pain in two tennis players who had not recovered despite previous extensive rehab. In this podcast Jo explores what to include in your rehab of sportspeople who place large demands on their shoulders, elements commonly overlooked in shoulder rehab and how to address patientsâ psychosocial factors, fears and beliefs to successfully treat persistent shoulder pain.
Click here for the free webinar with Jo Gibson âRotator cuff revealed! Rehab & reasoningâ.
The handout for this podcast consists of a transcript and research articles referenced in this podcast.
Free video series âFrozen shoulder assessment & treatmentâ with Jo GibsonImprove your frozen shoulder assessment and treatment now with Jo Gibsonâs free video series at clinicaledge.co/shoulder
Shoulder: Steps to Success online course with Jo GibsonImprove 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
Free trial Clinical Edge membershipUse a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series âFrozen shoulder assessment & treatmentâ 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 Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Lluch-GirbĂ©s E, Requejo-Salinas N, FernĂĄndez-MatĂas R, Revert E, MejĂas MV, Camargo PR, Jaggi A, Sciascia A, Horsley I, Pontillo M, Gibson J. Kinetic chain revisited: Consensus expert opinion on terminology, clinical reasoning, examination and treatment in people with shoulder pain. Journal of shoulder and elbow surgery. 2023 Feb 15.t McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. Journal of athletic training. 2000 Jul;35(3):329.t Ellenbecker TS, Aoki R. Step by step guide to understanding the kinetic chain concept in the overhead athlete. Current reviews in musculoskeletal medicine. 2020 Apr;13:155-63.tPodcast chapters:
02:30 - Case studies: 2 tennis players 03:14 - Kinetic chain definition 04:18 - When to consider the kinetic chain 07:07 - Screening tests 10:17 - Objective measures -
Join David Pope (APA Titled Musculoskeletal and Sports & Exercise Physio) and Zoe Russell (Specialist Sports Physiotherapist, FACP; APA Titled Musculoskeletal Physio) in the Physio Edge podcast as they explore how to assess, treat, and manage patients suffering from ACL injuries or suspected ACL injuries.
You'll discover how to assess a patient with a suspected ACL injury, and criteria you can use to identify whether a patient may be suited to non-surgical management or is likely to require surgery. You'll also understand when immediate or delayed surgery is the best option, and how to guide patients through the decision-making process and different phases of rehab.
Listen in to provide your ACL injury patients with the best treatment options.
Links associated with this podcast Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Free Achilles tendinopathy video series with Tom Goom David Pope at Clinical Edge Download and subscribe to the podcast on iTunes Download the podcast in Overcast Listen to the podcast on Spotify Zoe Russell on Twitter David Pope on Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical EdgeClick here or on the image below for podcast 163. ACL treatment options & Cross bracing with Clare Walsh
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Rotator cuff tear arthropathy (RCTA) is a pattern of glenohumeral joint degenerative changes following rotator cuff tears, causing shoulder pain and stiffness. Subscapularis tears can also be involved in RCTA, or a significant cause of shoulder pain and disability.
How can you identify RCTA and subscap tears in your shoulder pain patients? How can they be treated, and do these patients respond well to non-surgical management?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).
The handout for this podcast consists of a transcript and research articles referenced in this podcast.
Free trial Clinical Edge membershipUse a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: 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 handout above to receive the following articles
Conaire EĂ, Delaney R, LĂ€dermann A, Schwank A, Struyf F. Massive Irreparable Rotator Cuff Tears: Which Patients Will Benefit from Physiotherapy Exercise Programs? A Narrative Review. International Journal of Environmental Research and Public Health. 2023 Mar 23;20(7):5242.
Fahy K, Galvin R, Lewis J, Mc Creesh K. Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears: A systematic review & meta-analysis. Musculoskeletal Science and Practice. 2022 Jun 10:102597.
Chapters:
03:25 - What is cuff arthropathy? 05:35 - Contributing factors 07:33 - Patient history 08:37 - Subscapularis tendon tears 12:29 - Common mechanisms of injury 13:46 - Assessment tests 16:51 - Rotator cuff related shoulder pain -
How can you successfully treat hip pain and instability associated with your patientsâ hip dysplasia? Find out the eight critical steps to excellent results with hip dysplasia in this podcast, which is part 3 in this three-part podcast series with Tom Goom (Running Physio).
Free running injury assessment & treatment video series available now Links associated with this episode: Physio Edge podcast 154 - Part 1 of 3 - Hip dysplasia key signs & symptoms with Tom Goom Physio Edge podcast 156 - Part 2 of 3 - 3 Types of hip dysplasia and how to identify them Improve your clinical skills, reasoning & results with a free trial Clinical Edge membership Download and subscribe to the podcast on iTunes Download the podcast in Overcast Listen to the podcast on Spotify Tom Goom on Twitter Tom Goomâs website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: Download the following article associated with this podcast Wilkin GP, Ibrahim MM, Smit KM, BeaulĂ© PE. A contemporary definition of hip dysplasia and structural instability: toward a comprehensive classification for acetabular dysplasia. The Journal of arthroplasty. 2017 Sep 1;32(9):S20-7.Chapters:
05:36 - Step 1: Assessment 07:10 - Step 2: Investigations 08:35 - Step 3: Patient education 10:07 - Step 4: Settling symptoms 16:25 - Step 5: Strength 18:15 - Step 6: Control and proprioception 20:08 - Step 7: Co-existing pathology 21:09 - Step 8: General health 22:32 - Key points -
When a patient presents with a potential frozen shoulder, what other differential diagnoses must be considered? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), exploring the case study of a patient diagnosed with âfrozen shoulderâ with symptoms that donât quite match a typical frozen shoulder. Whatâs the diagnosis of this patientâs stiff shoulder?
Youâll also discover whether an X-ray or imaging is required when a patient presents with a stiff or frozen shoulder.
Click here for the free webinar with Jo Gibson âRotator cuff revealed! Rehab & reasoningâ.
The handout for this podcast is the transcript associated with this podcast.
Free trial Clinical Edge membershipUse a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: Get your access to the free webinar with Jo Gibson âRotator cuff revealed! Rehab & reasoningâ. 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 EdgeChapters:
04:03 - Case study 07:23 - Frozen shoulder or misdiagnosis? 10:21 - Screening tests 10:58 - Risk factors 17:14 - Key points -
Hip dysplasia is a commonly missed cause of hip and groin pain. In this podcast, which is part 2 in the 3 part series with Tom Goom (Running Physio), youâll discover three types of hip dysplasia that will cause different symptoms and need different treatment (based on Wilkins et al. 2017), how to identify each type, and common exercises and a treatment approach that may be stirring up your patients hip and groin 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: Physio Edge podcast 154 - Part 1 of 3 - Hip dysplasia key signs & symptoms with 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 Goomâs 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 article associated with this podcast. Wilkin GP, Ibrahim MM, Smit KM, BeaulĂ© PE. A contemporary definition of hip dysplasia and structural instability: toward a comprehensive classification for acetabular dysplasia. The Journal of arthroplasty. 2017 Sep 1;32(9):S20-7.Chapters:
03:12 - Signs & symptoms 06:05 - Assessment 08:05 - 3 types of hip dysplasia 08:28 - Anterior instability 09:58 - Posterior instability 11:42 - Lateral/global instability 13:29 - Key takeaways -
Stingers or burners are a burning or stinging pain, often with some paraesthesia and occasionally weakness, often occurring in impact sports such as rugby or American football.
When your patients present with neck and arm symptoms, how can you differentiate a stinger or burner from a C/sp fracture, discogenic symptoms or nerve root compression, which all require very different treatment?
How should you manage patients with one-off or repeated stingers or burners?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).
The handout for this podcast consists of a transcript, summary and articles referenced in the podcast.
Click here for the free webinar with Jo Gibson âRotator cuff revealed! Rehab & reasoningâ.
Free trial Clinical Edge membershipUse a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: Free webinar - Rotator cuff revealed: Rehab & reasoning 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. Bowles DR, Canseco JA, Alexander TD, Schroeder GD, Hecht AC, Vaccaro AR. The prevalence and management of stingers in college and professional collision athletes. Current reviews in musculoskeletal medicine. 2020 Dec;13:651-62. Sobue S, Kawasaki T, Hasegawa Y, Shiota Y, Ota C, Yoneda T, Tahara S, Maki N, Matsuura T, Sekiguchi M, Itoigawa Y. Tacklerâs head position relative to the ball carrier is highly correlated with head and neck injuries in rugby. British journal of sports medicine. 2018 Mar 1;52(6):353-8. Swiatek PR, Nandurkar TS, Maroon JC, Cantu RC, Feuer H, Bailes JE, Hsu WK. Return to play guidelines after cervical spine injuries in American football athletes: a literature-based review. Spine. 2021 Jul 1;46(13):886-92.Chapters:
03:56 - What are stingers or burners? 08:13 - 3 key mechanisms 14:36 - Signs & symptoms 15:36 - Management guidelines 18:46 - Shoulder instability treatment -
Hip dysplasia is a commonly missed cause of hip and groin pain, catching, clicking, locking or popping, resulting from lack of coverage of the femoral head by the acetabulum.
How can you identify hip dysplasia in your hip or groin pain patients, and avoid misdiagnosing it as iliopsoas or adductor related groin pain? What signs and symptoms will your patients reveal in their subjective history thatâll help you identify this condition?
Find out the key signs and symptoms of hip dysplasia in this podcast with Tom Goom (Running Physio).
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 Goomâs website David Pope - Twitter David Pope & why I started Clinical Edge 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. Jacobsen JS, SĂžballe K, Thorborg K, Bolvig L, Storgaard Jakobsen S, Hölmich P, Mechlenburg I. Patient-reported outcome and muscleâtendon pain after periacetabular osteotomy are related: 1-year follow-up in 82 patients with hip dysplasia. Acta orthopaedica. 2019 Jan 2;90(1):40-5. Nunley RM, Prather H, Hunt D, Schoenecker PL, Clohisy JC. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. JBJS. 2011 May 4;93(Supplement_2):17-21. O'Brien MJ, Jacobsen JS, Semciw AI, Mechlenburg I, TĂžnning LU, Stewart CJ, Heerey J, Kemp JL. Physical impairments in Adults with Developmental Dysplasia of the Hip (DDH) undergoing Periacetabular osteotomy (PAO): A Systematic Review and Meta-Analysis. International Journal of Sports Physical Therapy. 2022 Oct 1;17(6):988-1001. Reiman MP, DĂ©cary S, Mathew B, Reiman CK. Accuracy of clinical and imaging tests for the diagnosis of hip dysplasia and instability: a systematic review. journal of orthopaedic & sports physical therapy. 2019 Feb;49(2):87-97.Chapters:
03:43 - Who develops hip dysplasia? 06:35 - Objective tests 09:11 - Hip dysplasia vs gluteal tendinopathy 10:45 - Hip dysplasia vs femoral neck stress structure 14:13 - Key takeaways -
Posterior shoulder instability can occur after a fall onto an outstretched arm, or diving and hitting the ground with your arm (like diving to score a try in rugby), injuring the posterior labrum and/or the glenohumeral joint. Unlike anterior shoulder instability, patients with posterior shoulder instability may not have a feeling of instability, but may just experience pain, fatigue and weakness.
How can you identify posterior shoulder instability in your shoulder pain patients? What does your rehab for posterior shoulder instability need to include?
Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).
The handout for this podcast consists of a transcript, a summary and articles referenced in the podcast.
Click here for the free webinar with Jo Gibson âRotator cuff revealed! Rehab & reasoningâ.
Free trial Clinical Edge membershipUse a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode: Free webinar - Rotator cuff revealed: Rehab & reasoning 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.
Brelin A, Dickens JF. Posterior shoulder instability. Sports Medicine and Arthroscopy Review. 2017 Sep 1;25(3):136-43.
Gutkowska O, Martynkiewicz J, Urban M, Gosk J. Brachial plexus injury after shoulder dislocation: a literature review. Neurosurgical review. 2020 Apr;43:407-23.
Longo UG, Ciuffreda M, Locher J, Casciaro C, Mannering N, Maffulli N, Denaro V. Posterior shoulder instability: a systematic review. British Medical Bulletin. 2020 Jul 9.
Sadi J, Torchia E, Faber KJ, MacDermid J, Lalonde C, Watson L, Weber M, Wu N. Posterior shoulder instability classification, assessment, and management: an international Delphi study. Journal of Orthopaedic & Sports Physical Therapy. 2020 Jul;50(7):373-80.
Chapters:
03:17 - Case study 06:57 - Assessment tests 13:17 - Rehab 15:32 - Other treatment options 16:10 - Recovery 17:43 - Scapular dyskinesis 21:59 - Barriers to recovery -
After injury or surgery, a lot of runners are told to stop running for different reasons. How can you answer patients that ask if they need to give up running for good? When should patients consider permanently stopping running? Find out in this podcast with Tom Goom (Running Physio).
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 Goomâs website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical EdgeChapters:
03:25 - Stop running permanently 8:15 - Safe to continue running? 10:05 - Post ACL surgery 11:22 - Knee OA 13:27 - Running rehab plan 16:44 - Key takeaways -
Will strength training help your patients reduce their risk of running injury and improve their running performance? Find out what the latest research reveals in this Physio Edge Track record: Running repairs podcast with Tom Goom (Running Physio), as you discover:
The latest research on whether strength training reduces running injury risk. Which runners are more likely to develop a running injury, and which runners more successfully avoid running injury. How to get runners to âbuy inâ and perform a strength program, when theyâre short on time and motivation. 3 key exercises your runners can do to improve their performance and reduce their running injury risk.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 Goomâs 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 article associated with this podcast.
Desai P, Jungmalm J, Börjesson M, Karlsson J, Grau S. Effectiveness of an 18-week general strength and foam-rolling intervention on running-related injuries in recreational runners. Scandinavian Journal of Medicine & Science in Sports. 2023 Jan 11
Chapters:
02:22 - Research study 04:39 - Results 07:47 - Training program -
Marathon runners often come to us with pain, but also they need to build up their mileage in preparation for one of the most challenging events in endurance sport. They're trying to do more when their body may be telling them they need to be doing less.
How do we manage their symptoms, and guide them up to the marathon itself?
Find out in this podcast with Tom Goom (Running Physio).
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 Goomâs website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical EdgeChapters:
02:40 - Marathon training phases 09:08 - Training priority 11:41 - Manageable goals 12:27 - Discussing risks 13:59 - Short and simple rehab 15:23 - Hands-on treatment 17:17 - Case study -
How can you settle symptoms and make progress with patients, when pain is a significant barrier to performing the rehab that will help them get back to the things they want to do?
Discover the five step process in this podcast with Tom Goom (Running Physio) to settle patients symptoms, overcome this barrier of pain, and help patients make progress with their rehab.
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 Goomâs website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge Chapters 03:05 - Screen for serious pathology 04:13 - Analgesic review 05:13 - Discuss the pain 06:09 - Identify and modify aggravating factors 07:58 - Reduce irritation 15:48 - Key takeaways -
Untreated or poorly rehabilitated ankle sprains can develop into chronic ankle instability (CAI), osteoarthritis, or other lower limb injuries (Bestwick-Stevenson et al. 2021; Delco et al., 2017; Herzog et al., 2019; van Ochten et al., 2017).
In this podcast Zoe Russell discusses ankle sprain assessment and treatment, and how to return your patients to sport. Youâll discover how to help your ankle sprain patients fully recover as quickly as possible, and avoid long term ankle issues.
Zoe is a Specialist Sports Physiotherapist (FACP), APA Titled Musculoskeletal and Sports Physio, as well as a Clinical Edge Senior Educator and Presenter, and in this Physio Edge podcast hosted by David Pope, we discuss the latest evidence and practical treatment strategies for ankle sprains, including:
Assessment Common issues therapists face when rehabilitating ankle sprain patients. Questions you need to ask your ankle sprain patients. How a previous history of ankle sprains impacts your assessment & treatment. Why patients with inversion injuries may have medial ankle pain. How to avoid stirring up patients pain during your assessment. Diagnosis Common mechanisms of injury, and how this guides your diagnosis. Structures that are likely to be injured with different ankle injuries. Treatment 10 key elements to include in your assessment & treatment. How to help reduce swelling quickly after an ankle sprain, and why this is important. Immediate sideline management for ankle sprains at sporting events. Whether manual therapy has a role in acute ankle injuries or persistent ankle pain and swelling. How to explain ankle sprains, recovery & rehab to your patient. What youâre looking to achieve with your early rehab. How to set rehab targets or goals with your patients. The role of taping in ankle rehab. Taping compared to bracing. Whether long term taping or bracing is a useful long term injury prevention strategy. The latest surgical procedures for patients with chronic ankle instability (CAI). Links Zoe Russell David Pope on Twitter Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Explain acute and persistent pain to your patients, without giving them the message âItâs all in your headâ with the Making sense of pain training module Comprehensive low back pain assessment & treatment training module David Pope at Clinical Edge ReferencesClick here to download the articles associated with this podcast
Bestwick-Stevenson, T., Wyatt, L. A., Palmer, D., Ching, A., Kerslake, R., Coffey, F., Batt, M. E., & Scammell, B. E. (2021). Incidence and risk factors for poor ankle functional recovery, and the development and progression of posttraumatic ankle osteoarthritis after significant ankle ligament injury (SALI): the SALI cohort study protocol. BMC musculoskeletal disorders, 22(1), 362. https://doi.org/10.1186/s12891-021-04230-8
Delco ML, Kennedy JG, Bonassar LJ, Fortier LA. Post-traumatic osteoarthritis of the ankle: A distinct clinical entity requiring new research approaches. J Orthop Res. 2017 Mar;35(3):440-453. doi: 10.1002/jor.23462. Epub 2016 Nov 8. PMID: 27764893; PMCID: PMC5467729.
Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. Epidemiology of Ankle Sprains and Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):603-610. doi: 10.4085/1062-6050-447-17. Epub 2019 May 28. PMID: 31135209; PMCID: PMC6602402.
van Ochten, J. M., de Vries, A. D., van Putte, N., Oei, E., Bindels, P., Bierma-Zeinstra, S., & van Middelkoop, M. (2017). Association between Patient History and Physical Examination and Osteoarthritis after Ankle Sprain. International journal of sports medicine, 38(9), 717â724. https://doi.org/10.1055/s-0043-109554
Chapters:
03:47 - Untreated ankle sprains 05:27 - Latest evidence 07:04 - Subjective questions 09:45 - Common mechanisms of injury 11:47 - Plantarflexion/inversion injury with medial ankle pain 15:22 - Dorsiflexion eversion injuries 15:54 - Swelling 21:11 - Objective tests 26:32 - Irritability 26:47 - Figure of 8 taping technique 28:56 - Inferior and superior tib-fib joint assessment 32:14 - Treatment 42:41 - Change of direction 43:17 - Tape or brace? 50:06 - Mobilise or immobilise?
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