107. Treatment of peripheral nerve sensitisation with Dr Toby Hall
Release Date: 10/23/2020
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_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?
CLICK HERE to get access to Sherlock Holmes and the sign of the four hypotheses with Nick Kendrick
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
- Low back pain treatment online course with Dr Toby Hall and Manual Concepts
- Manual Concepts
- Dr Annina Schmid
- Let David know what you liked about this podcast on Twitter
- Review the podcast on iTunes
- Join live Q&A podcasts on Facebook
- Infographics by Clinical Edge