106. Cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, and strength testing with Paula Peralta, Simon Olivotto, Nick Kendrick & David Toomey
Release Date: 09/17/2020
Physio Edge podcast
Brazilian Jiu-Jitsu (BJJ) is a popular grappling-based martial art that uses joint locks and chokes to subdue or submit opponents. It’s an intense, physically demanding sport with complex movements and submission techniques that involve a risk of injury, particularly to the knees, shoulders, elbows, neck, and lower back. It’s important for Physiotherapists and health professionals who treat BJJ athletes to understand the different mechanisms of injury, movements and positions athletes need to be able to perform, so they can develop successful rehabilitation programs, and safely and...
info_outlinePhysio Edge podcast
Static stretching has long been used to improve flexibility, but research shows its effects are often short-lived. So how can you help patients achieve lasting improvements? In this episode, Tom Goom (Running Physio) explores exercises you can provide to patients to increase muscle fascicle length, improve flexibility, and reduce injury risk. You’ll discover: Why static stretching alone may not create long-term flexibility gains Exercises to improve muscle length and function Key training parameters for effective flexibility training Strategies to maintain flexibility improvements...
info_outlinePhysio Edge podcast
How do the terms we use influence a patient’s understanding of their shoulder pain, their recovery expectations, and even their treatment choices? In this episode of the Physio Edge Shoulder Success Podcast, Jo Gibson (Upper Limb Rehabilitation Specialist Physio), explores the power of language in physiotherapy and how our explanations can either support or hinder a patient’s progress. Drawing on research and real-world clinical experience, Jo discusses a compelling case study: Persistent shoulder pain after multiple treatments – A patient with years of ongoing pain, failed...
info_outlinePhysio Edge podcast
Bone strength and density are vital in your running and sporting patients who can experience bone stress injuries (BSI’s), 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 you’d 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. That’s where bone loading programs come...
info_outlinePhysio Edge podcast
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 – Despite passing all return-to-play criteria, this patient struggled...
info_outlinePhysio Edge podcast
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. Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists. Links Chapter markes: 00:00 Intro 00:27 Getting to know Mehmet 03:11 Glute myths and...
info_outlinePhysio Edge podcast
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, he’s improving, but constant pain and intermittent numbness in his posterior arm and into his hand complicate the situation. In this podcast, you’ll explore: What a massive rotator cuff tear (MRCT) is Common pain patterns with rotator cuff tears Why the Suprascapular nerve can be affected in MRCT’s How to set realistic expectations with patients about their...
info_outlinePhysio Edge podcast
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 “Cross bracing protocol” has been pioneered and developed by Dr Tom Cross and Tom’s father (the late Orthopaedic surgeon) Dr Merv Cross. This protocol offers a promising alternative for patients with...
info_outlinePhysio Edge podcast
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, you’ll explore meniscal injuries in runners, recent research on runners with meniscal tears, and how to provide effective non-surgical management. You’ll discover: Initial steps for managing pain and swelling in affected runners. Techniques to restore and maintain range of movement. Strategies for...
info_outlinePhysio Edge podcast
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 patients’ psychosocial factors, fears and beliefs to successfully treat persistent shoulder pain. The handout for this podcast consists of a transcript and research articles referenced...
info_outlineExplore cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, & strength tests for athletes with Simon Olivotto, Dave Toomey, Paula Peralta & Nick Kendrick.
The Clinical Edge Senior Physio Education & Presentation team and I sat down to answer Clinical Edge member questions, and we wanted to share this one with you, so you can benefit from it too. In this Q&A, we discussed:
Cervical radiculopathy patients with an irritable presentation
- Do imaging findings such as modic changes, alter our management
- How can you approach treatment of cervical radiculopathy?
- Are medications indicated?
- Red flags you need to rule out
- Are sliders and gliders a useful treatment?
Sensitivity to cold or ice
- How can you use tests to identify sensitivity to cold or ice to guide your treatment?
- Does ice sensitivity indicate central sensitisation?
- How does this impact management?
- If your whiplash patients have sensitivity to cold or ice, how does this impact treatment & prognosis?
- Which research articles cover this topic?
Calf & achilles strengthening
- When is it best to perform calf raises into dorsiflexion (DF)?
- When should you avoid strengthening the calf into end of range (EOR) DF?
- What ankle issues may lead you to avoid strengthening or stretching into EOR DF?
Hip joint pain and the acetabular labrum
- Can we identify when the labrum is responsible for hip or groin pain?
- What tests are important to perform in patients with hip or groin pain?
- If deep structures such as the hip joint are painful or injured, does this mean more superficial structures such as the acetabular labrum are also pain generators?
Strength assessment & screening of athletes
- What strength screening tests can you perform in athletes with large demands such as motorcross?
- Which areas do you need to assess?
- What are simple and more complex ways to assess strength in different regions of the body?
- What are important considerations when designing a S&C program for a motocross athlete?
- Making sense of pain
How can you make sense of pain? How can you describe pain to your patients in a way that makes sense, and doesn’t tell them “it’s all in your head”? Find out how to improve your confidence with acute and persistent pain in the upcoming “Making sense of pain” module.
Warning: Contains swearing.
Links associated with this episode:
- 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
- Improve your clinical reasoning, assessment and treatment effectiveness, efficiency and results with a free trial Clinical Edge membership
- Clinical reasoning module - simplify complex patients, clarify your assessment and get great results with clinically reasoned treatment
- “Making sense of pain” module
- Let David know what you liked about this podcast on Twitter
- Review the podcast on iTunes
- Like the podcast on Facebook
- Infographics by Clinical Edge
- Clinical Edge Education & presentation team
- Simon Olivotto
- Paula Peralta
- David Toomey
- Nick Kendrick