Physio Edge podcast with David Pope

David Pope

Inspiring interviews with leading Physiotherapists, discussing real life assessment and treatment, clinical issues and ways to give you an edge in your Physiotherapy clinical practice.

Subscribe Listen in podnod RSS feed Show website

179 episodes
Updated July 10

Episodes179

Newest first

May 9, 2017 · 34 min
060. Plantar fasciopathy in runners with Tom Goom
Plantar fasciopathy is one of the most common causes of foot pain in runners and non-athletes alike. Our understanding of plantar fasciopathy (PF) pathology and treatment has progressed significantly over recent years. In episode 60 of the Physio Edge podcast, Tom Goom and David Pope explore PF, what we know about it, and how you can explain the condition, treatment and recovery process to your patients. You will discover: What we know about plantar fasciopathy What pathology is present When is imaging indicated, and what information does it provide Which forms of imaging are the most useful What are the risk factors for developing PF Which aspects of running may be related or contribute to developing PF? How can you explain PF the condition, treatment and recovery process to your patients Free running injury assessment & treatment video series available now Links of Interest Download and subscribe to the podcast on iTunes Tom Goom on Twitter Connect with David Pope on Twitter Review the podcast on iTunes Like the podcast on Facebook Get your free trial Clinical Edge membership Tom Goom's website & courses Tom on Facebook Live Research associated with this episode Sullivan et al. 2015. Musculoskeletal and Activity-Related Factors Associated With Plantar Heel Pain Nielsen et al. 2013. Predictors of Running-Related Injuries Among 930 Novice Runners van Leeuwen, et al. 2015. Higher body mass index is associated with plantar fasciopathy/'plantar fasciitis': systematic review and meta-analysis of various clinical and imaging risk factors Riel H, et al Is 'plantar heel pain' a more appropriate term than 'plantar fasciitis'? Time to move on
May 6, 2017 · 1 hr 41 min
059. Running Injuries - What are the most important factors? A group discussion with Tom Goom, Greg Lehman & Dr Christian Barton
How can you identify the most important factors involved in your patients running injuries? During your rehabilitation of runners, which is most important to address - load, gait pattern, strength, foot strike, pelvic position, footwear, range of movement or other factors? I wanted to discuss and debate these issues with a number of Physiotherapists that treat and research running injuries, so I have a very different format for you on this episode of the Physio Edge podcast - a group podcast. On this podcast, we have Tom Goom, Greg Lehman and Dr Christian Barton all in one virtual room discussing and debating the merits of the various approaches to running injuries. In this episode of the Physio Edge podcast David Pope and the group discuss: When is it ok for your runners to continue running, and when do they need to stop Common myths around running retraining When is it important to change your patients foot strike? Which patient presentations and pathologies will be assisted with running retraining? How can you identify a suitable running load during rehab How can you incorporate running retraining into your rehab Which areas are important to running assessment How can you manage training load strength and conditioning When are plyometrics appropriate during rehabilitation Other factors that impact injury prognosis and duration What advice can you give new runners Which footwear should runners wear? Free running injury assessment & treatment video series available now Links of Interest Download and subscribe to the podcast on iTunes Connect with David Pope on Twitter Review the podcast on iTunes Like the podcast on Facebook Get your free trial Clinical Edge membership Tom Goom Running Physio website Tom on Twitter Tom Goom's website & courses Tom on Facebook Live Greg Lehman Greg Lehman's website Twitter Facebook Dr Christian Barton Twitter LaTrobe Sport and Exercise Medicine Research Blog Papers mentioned in this episode Is there an economical running technique? A review of modifiable biomechanical factors affecting running economy Influence of step length and landing pattern on patellofemoral joint kinetics during running The training-injury prevention paradox: should athletes be training smarter and harder? Optimising strength training for running and cycling endurance performance: A review A negative life event impairs psychosocial stress, recovery and running economy of runner Running shoes and running injuries: mythbusting and a proposal for two new paradigms: preferred movement path and comfort filter The effectiveness of exercise interventions to prevent sports injuries: a syatematic review and meta-analysis of randomized controlled trials Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period Frontal plane kinematics of the hip during running: Are they related to hip anatomy and strength? High eccentric hip abduction strength reduces the risk of developing patellofemoral pain among novice runners initiating a self structured running program: a 1 year observational study
Apr 26, 2017 · 28 min
058. How to monitor your athletes workload with Tom Goom
Your athletes workload consists of the amount of running, training and matches performed. Their current workload can be compared to previous workload to identify periods where they may be at risk of injury or setting back their rehabilitation (Gabbett 2016). Balancing your athletes workload during rehabilitation and afterwards is vital to allow recovery from injury, improved performance while avoiding further injury. What do you need to monitor, and how can you monitor workload in an easy and efficient manner? Find out in this episode of the Physio Edge podcast with Tom Goom and David Pope. You will also discover: What is athlete monitoring? What is the aim? What do we want to monitor? What are external training loads? What are internal training loads? How might we monitor athletes? What do we do with the data we get? Free running injury assessment & treatment video series available now Links of Interest Download and subscribe to the podcast on iTunes Tom Goom on Twitter Connect with David Pope on Twitter Review the podcast on iTunes Like the podcast on Facebook Get your free trial Clinical Edge membership Tom Goom's website & courses Tom on Facebook Live Reference: Gabbett, TJ. The training—injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med 2016;50:273-280
Apr 21, 2017 · 30 min
057. Advanced Running Tests & Optimising Performance with Tom Goom
Helping our running patients recover and return to running following injury is our primary rehab priority, however we may also have the opportunity to help improve their running performance. Runners are often motivated by improving their speed, performance and times, and incorporating these goals into their rehab can increase motivation and exercise compliance. How then can we help our patients to improve their performance when returning from an injury? Find out in this episode of the Physio Edge podcast with Tom Goom You will also discover: Why consider performance? How might we assess performance in a more scientific way? What are the benefits of performance tests? How can we link it to other aspects e.g. gait analysis? How does performance influence training structure and progression? How do we optimise performance in injured athletes? Free running injury assessment & treatment video series available now Links of Interest Tom Goom on Twitter Connect with David Pope on Twitter Review the podcast on iTunes Like the podcast on Facebook Get your free trial Clinical Edge membership Tom Goom's website & courses Tom on Facebook Live
Apr 15, 2017 · 33 min
056. How to assess your patient's running capacity and performance with Tom Goom
Identifying how much running each of your patients can perform (their load capacity) during their rehabilitation is a skill. This podcast will help you develop your load management skills, and know how much running your individual patients should perform at each stage of their rehabilitation. In this podcast with Tom Goom, you will discover: What is load capacity? How do we identify your patient's running capacity? How are your patient's progressing in their rehabilitation, relative to where they want to be? How can you identify what your patients goals are, so that you can help tie this into a rehab program? What questions can you ask your patients to assess load capacity and identify the right amount of load? What objective tests can you use to help identify your patient's load capacity? How should you adapt your testing with different pathology? What tests can you perform to identify your patient's load capacity if your patient has an Achilles Tendinopathy? What measures can we use to identify your patient's running performance? This podcast is the first in a series of podcasts over the next few months with Tom Goom, where we will help to develop your assessment and treatment skills, while improving your results with runners. Free running injury assessment & treatment video series available now Links of Interest Download your free podcast handout on load capacity in runners Tom Goom on Twitter Connect with David Pope on Twitter Review the podcast on iTunes Like the podcast on Facebook Get your free trial Clinical Edge membership Tom Goom's website & courses Tom on Facebook Live Related articles Cook J, Docking S. "Rehabilitation will increase the 'capacity' of your …insert musculoskeletal tissue here…." Defining 'tissue capacity': a core concept for clinicians. BJSM 2015
Mar 8, 2017 · 1 hr 8 min
055. Patellofemoral pain in runners with Brad Neal
Runners regularly present for treatment of anterior knee pain. Accurate diagnosis is vital in guiding your treatment, and helping your patients return to painfree running. In episode 55 of the Physio Edge podcast Brad Neal and David Pope discuss the different patient presentations with anterior knee pain, along with the subjective clues and objective tests that will help guide successful treatment. We also explore: Sources of anterior knee pain Patellofemoral pain Acute synovitis Fat pad irritation Osteochondral defects The role of imaging How to perform an objective assessment in patients with anterior knee pain, including key special tests Red flags Saphenous nerve involvement How to assess if the patient will benefit from an orthotic intervention Treatment of patellofemoral pain, synovitis, and fat pad irritation Taping techniques Links of Interest Download and subscribe to the podcast on iTunes Download your free podcast handout on patellofemoral pain in runners with Brad Neal Enrol on the free webinar "How to perform a running assessment" with Dr Rich Willy Brad Neal on Twitter Connect with David Pope on Twitter Brad Neal on ResearchGate Brad Neal on Google Scholar Pure Sports Medicine Team PFP TREK – Translation of research education and knowledge Review the podcast on iTunes Like the podcast on Facebook Free sports injury videos Articles related to this episode: Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anaesthesia Runners with patellofemoral pain have altered biomechanics which targeted interventions can modify: a systematic review and meta-analysis Related resources Infographic - Running retraining with Dr Rich Willy Webinar 2 - Treatment of runners & running retraining with Dr Rich Willy Webinar 3 - Footwear & strengthening for runners with Dr Rich Willy Webinar 4 - Bone stress injuries in runners with Tom Goom Infographic Recommendations for assessing runners part 1 Physio Edge podcast 049 Running from injury part 2 with Dr Rich Willy Click here to download or subscribe to the podcast on iTunes Physio Edge podcast 048 Running from injury part 1 with Dr Rich Willy Dr Rich Willy on Twitter Dr Rich Willy on ResearchGate RunCadence app for iOS and Android Achilles tendinopathy in runners online course Free trial of Clinical Edge membership David Pope on Twitter Physio Edge podcasts related to running injuries Physio Edge 049 Running from injury part 2 with Dr Rich Willy Physio Edge 048 Running from injury part 2 with Dr Rich Willy Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright Physio Edge 010 Biomechanics Of Running With Blaise Dubois Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook
Feb 2, 2017 · 55 min
054. Hip and groin part 2 - assessment and treatment with Benoy Mathew
In this second podcast on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore: How you can assess the hip and groin How to assess the lumbar spine, SIJ and the lower limb for factors contributing to your patient's groin pain Tests you can perform to identify the source of your patient's hip and groin pain Identifying hip joint involvement How to start your patient's hip and groin exercises When to incorporate exercises for local hip stabilising muscles When you need to utilise and progress hip strengthening exercises Exercise progressions you can use How to strengthen while you lengthen the hip flexors When and which plyometric exercises your patients can perform When speed and agility work can be incorporated In the first podcast with Ben Mathew "Hip and groin pain part 1 - diagnosis, pathology and red flags" with Benoy Mathew", we explored pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain. As mentioned in this episode Benoy presented a webinar with Clinical Edge. The webinar helps you discover: • Rehabilitation of adductor and iliopsoas related groin pain • Practical tips • Common presentations • Osteitis pubis, sports hernia, hip impingement • Rehabilitation from initial stages to plyometrics CLICK HERE to watch the webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew with a free trial Clinical Edge membership Links of Interest Download the free podcast handout for Physio Edge 054 Hip & Groin pain Part 2 Webinar on groin pain rehabilitation with Benoy Webinar on How to perform a running assessment with Dr Rich Willy Benoy Mathew on Twitter Benoy Mathew's website and courses Access to Ben's webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership David on Twitter Review the podcast on iTunes Like the podcast on Facebook Free sports injury videos Articles related to this episode: Hip Joint Pathology as a Leading Cause of Groin Pain in the Sporting Population The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment Rehabilitation following Hip Arthroscopy: An evolving process Iliopsoas: Pathology, Diagnosis and Treatment The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist How much arthritis is too much for hip arthroscopy: a systematic review Video – Hip special tests
Nov 25, 2016 · 55 min
053. Hip & groin pain - diagnosis, pathology and red flags with Benoy Mathew
Acute and chronic groin pain is common in sports, however diagnosis can be challenging. A thorough understanding of pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain. In the first of two podcasts on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore: How you can use the patient history to help your diagnosis and treatment Important questions you NEED to ask all of your hip and groin pain patients Sources of hip and groin pain - intra and extra-articular How you can identify referred pain from the lumbar spine and SIJ How you can identify important red flags around the hip and groin When you should refer your patients for further investigations, medical assessment and surgical opinion How you can identify osteoarthritis in younger patients Differentiating hip impingement, labral pathology and hip dysplasia When to request X-ray or MRI Identifying and understanding iliopsoas pain and pathology This is a vital podcast for anyone that treats hip and groin pain, and is highly recommended listening before Hip & groin pain part 2 - Assessment & Treatment with Benoy Mathew coming soon. As mentioned in this episode Benoy is presenting a webinar with Clinical Edge. The webinar will discuss: • Rehabilitation of adductor and iliopsoas related groin pain • Practical tips • Common presentations • Osteitis pubis, sports hernia, hip impingement • Rehabilitation from initial stages to plyometrics CLICK HERE to enrol on the free webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew Links of Interest Download the free podcast handout Benoy Mathew on Twitter Benoy Mathew's website and courses Free webinar on groin pain rehabilitation with Benoy Mathew Access to Ben's webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership David on Twitter Review the podcast on iTunes Like the podcast on Facebook Free sports injury videos Articles related to this episode: Hip Joint Pathology as a Leading Cause of Groin Pain in the Sporting Population The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment Rehabilitation following Hip Arthroscopy: An evolving process Iliopsoas: Pathology, Diagnosis and Treatment The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist How much arthritis is too much for hip arthroscopy: a systematic review Video – Hip special tests
Oct 23, 2016 · 1 hr 4 min
052. Conservative or surgical management for ACL injuries with Enda King
ACL injuries commonly occur during pivoting and change of direction sports. What is the best way to manage these injuries? Are your patients suitable for conservative managment or will they require surgery? In Physio Edge podcast 052, David Pope and Enda King discuss acute management of ACL injuries, and how you can help your patient decide whether to have conservative or surgical management. We also explore: What is the latest research around ACL injury What leads to an ACL injury, and how is this important in your rehab? What are the outcomes following ACL injury How can you make clear decisions on when your patient is ready for return to training and return to sport What biomechanics lead to ACL injury What role does trunk control have in ACL injury A patient example with an ACL injury Conservative vs surgical management Post injury management Timeframe for surgery Who is suitable for conservative management How to prepare your patient for the extended rehab process following ACL injury Strength and power training in ACL rehab Youth and adolescent ACL injury management How to manage concomitant chondral and meniscal injury When can your patient return to running You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here Enda King will also be presenting at the Sports Injury Virtual Conference hosted by Clinical Edge along with the world leaders in sports injury management. How can you manage ACL injuries conservatively? What are the important components of ACL rehab to help your players return to sport? Enda's presentation will take you through ACL rehab to address common strength and biomechanical issues found in athletes with ACL injuries. Discover exactly how to progress your conservative management of ACL injuries, and when your players can return to running and sport. Get your free access to videos on sports injury assessment and treatment. Links mentioned in this episode Enda King Free sports injury assessment and treatment videos Sports Injuries virtual conference Free podcast handout on ACL and lateral knee injuries Download or subscribe to the podcast on iTunes Enda King on Twitter @enda_king Sports Surgery Clinic Dublin Free trial of clinical edge membership David Pope on Twitter
Oct 10, 2016 · 1 hr 9 min
051. Lateral knee and LCL injuries with Matt Konopinski
Lateral knee injuries are common in football with landing from a jump or header, or during tackles when the tibia is forced into external rotation. This mechanism of injury often affects the Lateral/Fibular collateral ligament (LCL), however LCL injury is not always obvious from the patient's history, and can be misdiagnosed. In this podcast with Liverpool FC Physiotherapist Matt Konopinski, we discuss LCL and lateral knee injuries, and how you can identify and treat these. LCL injuries can often respond extremely well to an accelerated rehabilitation approach, and in this podcast you will discover: Sources of lateral knee pain - Lateral meniscus - Osteochondral defects - Lateral/Fibular collateral ligament - ACL - Postero lateral corner Mechanism of injury What your patients will report with LCL injury Questions you need to ask your patients with lateral knee pain Red flags Objective assessment Assessment tests you can use with lateral knee pain When imaging is useful and when it should be avoided Risk factors for injury Management of LCL injury When to commence strengthening How to maintain strength and cardiovascular fitness during rehabilitation How to explain the injury and rehabilitation to your patients You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here Links mentioned in this episode Matt Konopinski Free sports injury assessment and treatment videos Free podcast handout on LCL and lateral knee injuries Matt Konopinski on Twitter @Matt_Kono LFC Liverpool football club Article Impact of exercise selection on hamstring muscle activation Free trial of clinical edge membership David Pope on Twitter Get your free access to videos on sports injury assessment and treatment.
Sep 20, 2016 · 1 hr 8 min
050. Treating the TMJ and jaw pain with Dr Stephen Shaffer
Temporomandibular joint pain and dysfunction can significantly impact your patients life, limiting their ability to enjoy eating and talking. Temporomandibular dysfunction (TMD) has a lot of musculoskeletal contributors that physiotherapists are perfectly positioned to treat and help improve patient's lives. In episode 50 of the Physio Edge podcast, Dr Stephen Shaffer and David Pope discuss TMD, structures that can be affected, and how you can assess and get great results treating TMD patients. We also explore: Structures involved in TMD Involvement of the cervical spine Common presentations of TMD Questions to ask in your subjective assessment Red flags How to perform an objective assessment Normal TMJ movement How you can treat TMD Manual therapy Education Exercise therapy Are the Rocabado 6x6 the best exercises to provide your patients Dr Stephen Shaffer is presenting a webinar on TMD, hosted by Clinical Edge, and you can enrol free on this webinar by CLICKING HERE Links mentioned in this episode Enrol free on the TMD webinar with Dr Stephen Shaffer by CLICKING HERE Download your podcast handout here Dr Stephen Shaffer on ResearchGate Cervical spine assessment and treatment online course with David Pope Free trial of Clinical Edge membership David Pope on Twitter
Sep 9, 2016 · 52 min
049. Running from injury part 2 with Dr Rich Willy
In Running from Injury part 2, Dr Rich Willy will help you assess and retrain running in your patients with achilles tendinopathy, patellofemoral joint pain, ITB Syndrome and stress fractures. We explore the latest evidence and how it will help you address pain and injuries related to running. You will discover: Treadmill or overground running assessments? Gait retraining for particular musculoskeletal conditions How to provide your patients with the individual running cue they need What cadence should we be aiming at for runners (hint: it may not be what you expect!) Is heel strike important to assess Running assessment from the side Important factors when treating runners with PFJP Running assessment & retraining for achilles tendinopathy Factors involved in ITB Syndrome When are orthotics useful You can download the handout to go along with this podcast to help you perform a running assessment, retrain runners and address achilles tendinopathy, knee pain and tibial stress injuries. Links mentioned in this episode Physio Edge podcast 048 Running from injury part 2 with Dr Rich Willy Dr Rich Willy on Twitter Dr Rich Willy on ResearchGate RunCadence app for iOS and Android Bone stress injuries in runners webinar with Tom Goom Achilles tendinopathy in runners online course Free trial of Clinical Edge membership David Pope on Twitter Other Physio Edge podcasts related to running injuries Physio Edge 048 Running from injury part 2 with Dr Rich Willy Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright Physio Edge 010 Biomechanics Of Running With Blaise Dubois Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook
Aug 3, 2016 · 56 min
048. Running from injury part 1 with Dr Rich Willy
Are you looking to improve your assessment & treatment of runners? Would you like to know exactly what to look for in a running assessment? What are the most important factors to treat when your running patients have achilles tendinopathy? How is that different when they have patellofemoral joint pain (PFJP)? The research around running is evolving quickly, and in this podcast with Dr Rich Willy we explore the latest evidence and how it will help you address the most important factors with different musculoskeletal issues. You will also discover: How to perform a running gait analysis Key communication points with runners How to explain your gait analysis & running injuries to your patients Important questions to ask runners Intensity runners should train at to avoid illness and injury Technology you can incorporate in your running assessment and retraining Important factors when treating runners with PFJP and achilles tendinopathy Does pronation & foot mechanics matter? I have an awesome freebie for you with this podcast! You can download free the podcast handout that will take you through the 8 essential areas to analyse when performing a running assessment, communication tips, advice to give your running patients during their recovery and much more. Links mentioned in this episode Dr Rich Willy on Twitter Dr Rich Willy at East Carolina University Dr Rich Willy on ResearchGate University of Delaware Irene Davis - Harvard Garmin 620 RunCadence app for iOS and Android Run Scribe Purchase a RunScribe Article on polarised training approach Bone stress injuries in runners webinar with Tom Goom Achilles tendinopathy in runners online course Free trial of Clinical Edge membership David Pope on Twitter Some papers of interest: i. Patellofemoral Joint and Achilles Tendon Loads During Overground and Treadmill Running ii. In-field gait retraining and mobile monitoring to address running biomechanics associated with tibial stress fracture: In-field gait retraining and monitoring iii. Mirror gait retraining for the treatment of patellofemoral pain Other Physio Edge podcasts related to running injuries Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright Physio Edge 010 Biomechanics Of Running With Blaise Dubois Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook
Jun 23, 2016 · 1 hr 17 min
047. Rotator cuff tendinopathy with Dr Chris Littlewood
The rotator cuff and rotator cuff tendons are often involved in shoulder pain, and targeted with our treatment. Dr Chris Littlewood is a Physio and senior research fellow at the University of Sheffield, and spends a large portion of his time studying and treating shoulder pain, including rotator cuff tendinopathy. In this episode, Chris and I discuss how to identify rotator cuff tendinopathy and other types of shoulder pain, and how you can direct your treatment for rotator cuff tendinopathy. We also explore: Other sources of shoulder pain Clues that the cervical spine could be referring pain to the shoulder Unstable shoulder Red flags When to image the shoulder When bursal thickness or effusion is or isn't a problem Shoulder assessment Stiff painful shoulders Treatment for rotator cuff tendinopathy Improving exercise adherence When to perform special orthopaedic tests Injections Surgery Is there really a rotator cuff exercise, compared to a scapular muscle exercise? Do exercises isolate the rotator cuff? Links of interest Enrol on the free webinar with Dr Chris Littlewood Download the handout from this podcast Subscribe to the podcast free on iTunes Dr Chris Littlewood on Twitter Dr Chris Littlewood Webinar with Tom Goom on Bone stress injuries Cervical spine assessment & treatment online course Clinical Edge Clinical Edge free trial David Pope on Twitter
May 4, 2016 · 1 hr 33 min
046. Proximal hamstring tendinopathy with Tom Goom
Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active. There are a number of structures that can contribute to pain in this area, and in this podcast, Tom Goom and David Pope discuss how to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions. Tom recently released an article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management with Peter Malliaras, Mike Reiman and Craig Purdam. We explore this article, and the research around PHT, and cover in detail: Subjective clues to guide you towards diagnosis Aggravating factors and 24 hour pain patterns Differential diagnosis Lumbar spine pain How the lumbar spine could contribute to development of PHT Hip pain SIJ pain Sciatic nerve pain Development of PHT Central sensitisation Diagnostic tests for PHT Hamstring tests Other assessment tests Functional tests The value of palpation Tests for involvement of the rest of the kinetic chain Running assessment/gait analysis Testing load tolerance Biopsychosocial aspects of tendon recovery Other advice for patients Whether stretching is helpful When your patient can return to running Cross training Does manual therapy have a role in the treatment of PHT? Starting treatment (Stage 1) When and how to progress rehabilitation (Stage 2) Further rehabilitation progressions (Stage 3) Advanced exercise progressions for high load sports Exercises you can incorporate during the various stages How long recovery will take Free running injury assessment & treatment video series available now Links Download the free handout summary of this podcast Tom's website - Running Physio Tom on Twitter Running Repairs courses with Tom Article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management JOSPT Peter Malliaras Mike Reiman Craig Purdam VISA-H Become a Clinical Edge member to access Tom's webinar and other great online education Tags: running, hamstring, tendinopathy, tom goom, podcast, proximal, peter malliaras, craig purdam, mike reiman, treatment, assessment
Apr 14, 2016 · 1 hr 13 min
045. Treatment of Lateral Elbow Pain Part 2 With Dr Leanne Bisset
How can you treat your patient's lateral elbow pain (lateral epicondylalgia (LE)/tennis elbow)? How and when should you progress your patient's exercise program? Is pain during their exercise program ok? In this episode, which is Part 2 of Lateral Elbow pain with Dr Leanne Bisset, we explore in detail how you can differentially diagnose LE from other causes of lateral elbow pain, and treat it successfully. Discover: Diagnosis and differential diagnosis of LE How to get the best outcomes for your patients when treating LE Do isometrics work? How can you commence strengthening? Should your patient experience any pain during their exercise program? When and how can you incorporate Mobilisation with Movement into your treatment program? How to perform MWM's for LE How to progress your treatment Identifying and treating radial nerve involvement Incorporating strengthening for the upper limb High level athletes and weightlifters with lateral elbow pain - is this likely to be LE or another condition? Identifying nerve root irritation with pain over the lateral elbow Taping methods to deload the lateral elbow when there is nerve involvement Clinical reasoning of your treatment Predictors of poor treatment prognosis When to order imaging Evidence for and against other treatment strategies including the Cyriax approach, massage, laser, ESWT, corticosteroids and PRP Validated screening tools for LE, including the PRTEE In this episode, Leanne answers a lot of your questions on LE, asked via Twitter and the Clinical Edge newsletter. Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia who has extensively researched and published on lateral elbow pain, and spends a large proportion of her clinical time treating the upper limb and lateral elbow. This is a two part podcast, followup up Lateral Elbow Pain Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset. Links of Interest Dr Leanne Bisset Dr Leanne Bisset on ResearchGate Dr Leanne Bisset on Twitter Download the Patient-Rated Tennis Elbow Evaluation (PRTEE) Download the free podcast handout Lateral Elbow Pain Part 1 with Dr Leanne Bisset Review the podcast in iTunes David Pope Clinical Edge Get your free trial of Clinical Edge online education
Mar 7, 2016 · 42 min
044. Lateral Elbow Pain Part 1 with Dr Leanne Bisset
Lateral elbow pain (lateral epicondylalgia/tennis elbow) affects a lot of athletes, manual workers and office workers, and can respond fantastically to Physiotherapy treatment, or in other patients with a similar presentation, not at all. Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia that has extensively researched and published on lateral elbow pain, and spends the majority of her clinical time treating the upper limb and lateral elbow. This is a two part podcast, and in Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset discuss: Why is Lateral Epicondylalgia (LE) difficult to treat? What tissue pathology exists in LE Pain pattern for LE Patient reports that will help your diagnosis of LE Important aspects to communicate with your patients regarding their LE Objective tests that you can perform Patient advice Should you rest your patients or provide exercises? How is tendinopathy in the Upper Limb different to the Lower Limb? Commencing treatment How to incorporate manual therapy into your treatment Exercises you can start your treatment with Should you include isometric exercises for lateral elbow pain How often should your patients perform their exercises Exercise into pain, or avoid pain? Links of Interest Dr Leanne Bisset Dr Leanne Bisset on ResearchGate Dr Leanne Bisset on Twitter Review the podcast in iTunes David Pope Clinical Edge Get your free trial of Clinical Edge online education
Feb 15, 2016 · 1 hr 29 min
043. Sporting Shoulder with Jo Gibson
Shoulder pain and injury in overhead athletes is very common and has a high recurrence rate. In this podcast with Jo Gibson we discuss sporting shoulder injuries and rehabilitation, including: The role of the Rotator Cuff Train strength or efficiency in the Rotator Cuff? Rotator Cuff muscle balance When is (and when isn't) surgery necessary for Rotator Cuff or SLAP tears Assessment of shoulder stiffness Bursal involvement Imaging of the shoulder How you can help improve Rotator Cuff activation What role does manual therapy have in shoulder treatment? The importance of the postero-superior cuff What stretches can you perform for the postero-superior Rotator Cuff Treating pain in loaded and overhead activities Exercises you can use in shoulder treatment with your athletes Incorporating the kinetic chain in shoulder rehabilitation Managing shoulder load Central sensitisation Treating throwing athletes The role of the thoracic spine in shoulder pain Communication tips with your shoulder pain patients Podcast handout Free video series "Frozen shoulder assessment & treatment" with Jo Gibson 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: 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 Jo Gibson Download your free handout on the Sporting Shoulder Jo Gibson's courses David Pope Clinical Edge Get your free trial of Clinical Edge online education Jo Gibson's video - Gym ball rollout Jo Gibson's video - Wall squat o Gibson's video - Step up with V Physio Matters Podcast with Jo Gibson Skills for Communicating with Patients Book Key communication skills and how to acquire them - Article in BMJ by Peter Maguire, Carolyn Pitceathly EUSSER
Nov 23, 2015 · 28 min
042. Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill
In Episode 41 of the Physio Edge podcast, Dr Christoph Spang and I discussed how Plantaris may play a role in Achilles tendinopathy. In this episode of the Physio Edge podcast, I discuss with Seth O'Neill how you can identify Plantaris involvement in your patients, and adjust and progress your conservative treatment of Achilles pain and tendinopathy with Plantaris involvement. Seth O'Neill and I discuss: What indicates Plantaris involvement and helps you differentiate from mid portion Achilles Tendinopathy Where do patients have pain with Plantaris tendinopathy What history do patients with Plantaris involvement or tendinopathy present with Objective tests and findings for Plantaris tendinopathy and involvement Biomechanics contributing to Plantaris tendinopathy Is treatment successful for Plantaris How to treat Plantaris tendinopathy and involvement in midportion Achilles How to perform a loading program Running adjustments aping Manual therapy Links of Interest Download your free handout on Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill Access to the Lower Limb Tendinopathy free videos, including Seth's presentation on Achilles Tendinopathy Lower Limb Tendinopathy Virtual Conference with detailed, practical presentations: Dr Jill Cook will cover "Structure, function and pain in tendinopathy" Dr Sean Docking is then going to take us through "The role of imaging in the diagnosis and monitoring of tendinopathy". Dr Peter Malliaras is presenting "Staged rehabilitation of Patellar Tendinopathy". Craig Purdam takes you through "Staged rehabilitation of Hamstring Tendinopathy" Seth O'Neill will help you understand "Achilles Tendinopathy Exercise & rehab progressions. Risk factors and the importance of Soleus in Achilles tendinopathy" Dr Ebonie Rio will conclude the Virtual Conference with "Tendon pain and the brain – what do we know and can we change it?" CLICK HERE for more information on the Lower Limb Tendinopathy Virtual Conference Seth on Twitter Seth's website on Achilles Tendon Research David on Twitter Subscribe to the podcast on iTunes Physio Edge podcast episode 41 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang Hide
Nov 20, 2015 · 32 min
041. The role of Plantaris in mid portion Achilles Tendinopathy with Dr Christoph Spang
Plantaris tendinopathy and compression of Plantaris on the Achilles has been shown to play a role in some cases of Achilles Tendinopathy, slowing down their rate of rehabilitation progress. Dr Christoph Spang is a Biologist and Sports Scientist, and completed a PhD on "The plantaris tendon in relation to the Achilles tendon in midportion Achilles tendinopathy". In this podcast we discuss the interaction of Plantaris in patients with midportion Achilles Tendinopathy, including: Why consider Plantaris in Achilles Tendinopathy patients? How can Plantaris cause or be involved in Achilles pain? Anatomy, function and role of Plantaris What interaction does Plantaris have with the Achilles and calf? Do patients with Plantaris involvement respond to a loading program? What is the clinical presentation of a patient with Plantaris involvement? How can Ultrasound or Ultrasound Tissue Characterisation (UTC) be utilised to identify Plantaris? The role of injection therapy Surgical treatment Links of Interest Get your free access to videos on Lower Limb Tendinopathy Dr Christoph Spang at UMU Dr Christoph Spang's PhD Thesis Dr Christoph Spang on Research Gate David Pope on Twitter Out very soon…. Conservative management of Plantaris involvement in Achilles Tendinopathy with Seth O'Neill