130. Neck pain objective assessment & treatment part 2 with Prof. Gwendolen Jull
Release Date: 08/26/2021
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 assessing and treating neck pain patients, there are a lot of tests and treatments to choose from. If you choose treatments that aren’t suitable for your patient's presentation, your patient won’t progress, or worse, you’ll aggravate their symptoms. How can you thoroughly assess your neck pain patients, and use the information from your assessment to choose treatments that help improve their pain?
In the first podcast with Specialist Musculoskeletal Physiotherapist, researcher and Emeritus Prof. Gwen Jull 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull, we discussed questions to ask during your subjective history that help guide your neck pain assessment and clinical reasoning.
In this followup podcast, discover how to accurately assess and effectively treat neck pain with Emeritus Prof. Gwen Jull, including:
Objective examination (OE)
- How to perform a thorough OE to identify why your patient has pain, and the best treatment for each patient.
- How to perform a skilled manual assessment.
- What we can actually identify & diagnose in neck pain patients.
- Whether posture is relevant to neck pain.
- When and how to assess posture.
- How to assess physical impairments, and identify if they’re relevant to a patient's neck pain.
- Which tests you should use to assess:
- ROM
- Strength
- Endurance
- Control
Successful treatment
- How to decide where treatment should start in your initial session.
- Whether manual therapy (MT) is useful in the treatment of neck pain.
- How to tailor and progress your treatment to successfully rehab each patient, and choose between:
- MT
- Postural changes
- Strength exercises
- Control exercises
- Craniocervical flexion and extension exercises
- Neurodynamic treatment
- General strength and endurance training
- Exercises for flexibility and range of motion
- Graded activity
- Motor control
- Shoulder girdle strengthening
- Aerobic exercise for general fitness
CLICK HERE to get access to Cervical radiculopathy assessment & treatment case study
Links associated with this episode:
- 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull
- iTunes - Download and follow the podcast
- Overcast - Download the podcast in Overcast
- Spotify - Listen to the podcast on Spotify
- Download the infographic handout for this podcast
- Cervical spine assessment & treatment for neck pain & upper limb symptoms - available with a free trial membership
- Cervical radiculopathy assessment & treatment case study available with a free trial membership
- Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership
- Prof Gwen Jull
- Management of Neck Pain Disorders: a research informed approach 1st Edition, by Gwendolen Jull, Deborah Falla, Julia Treleaven, Shaun O'Leary, and foreword by Jeremy S Lewis
- Let David know what you liked about this podcast on Twitter
- Follow and review the podcast on iTunes
- Infographics by Clinical Edge