107. Treatment of peripheral nerve sensitisation with Dr Toby Hall
Release Date: 10/23/2020
Physio 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 pioneering 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...
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info_outline 159. Rotator cuff tear arthropathy & subscapularis tears. Physio Edge Shoulder Success podcast with Jo GibsonPhysio Edge podcast
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...
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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 “frozen shoulder” with symptoms that don’t quite match a typical frozen shoulder. What’s the diagnosis of this patient’s stiff shoulder? You’ll also discover whether an X-ray or imaging is required when a patient presents with a stiff or frozen shoulder. The handout for this podcast is the transcript associated with this...
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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), you’ll 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 Tricky tendons - Your free video guide to tendinopathy...
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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 that’ll 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...
info_outlineWhen your patient has neck and arm pain, or low back and leg pain from neural tissue pain disorders (NTPD) such as peripheral nerve sensitisation (PNS), how will you treat them? Pain associated with PNS can occasionally be mild and non-irritable, but more often than not, it’s severe, highly irritable, and easy to stir up.
How can you provide treatment that settles their pain, without stirring them up? What advice, education, manual therapy and exercise will you provide to help improve symptoms and speed up recovery? What are the keys to success with PNS patients?
In Physio Edge podcast 104, Dr Toby Hall and I discussed PNS, common symptoms, causes, questions to ask, and how to assess and diagnose PNS in your patients. In this followup podcast, the second in our two-part series, Dr Toby Hall and I take you through the next phase - how to treat PNS. You’ll discover:
- The 7 keys to success with PNS
- How to successfully treat PNS in the neck and upper limb, AND the low back and lower limb.
- What education and advice should you provide to your patient about activities to avoid or reduce, and which activities should they increase?
- What are the most effective exercises for patients with PNS?
- Should exercise be painful or painless?
- When is neural mobilisation an effective treatment?
- When should you avoid using neural mobilisation as a treatment?
- Is manual therapy effective in PNS?
- Which manual therapy techniques can you use to improve symptoms and range of movement (ROM) immediately?
- How to perform effective manual therapy techniques that reduce pain without stirring up your patients.
- How can you combine neural mobilisation with manual therapy?
- If you use manual therapy to improve symptoms, what home exercises should patients perform after each treatment session?
Links associated with this episode:
- Physio Edge podcast 104 - Peripheral nerve sensitisation & neural tissue pain disorders with Dr Toby Hall
- Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership
- The new “Making sense of pain” module available with a free trial Clinical Edge membership
- 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
- Sherlock Holmes & the Sign of the Four Hypotheses case study with Nick Kendrick
- Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership
- Dr Toby Hall on Twitter
- Manual Concepts
- Dr Annina Schmid
- Let David know what you liked about this podcast on Twitter
- Review the podcast on iTunes
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- Infographics by Clinical Edge