148. How to assess ankle sprains & start rehab with Zoe Russell
Release Date: 11/18/2022
174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson
Physio Edge podcast
Have any of your shoulder patients improved and then plateaued, unable to regain their full range of movement, or get rid of their painful arc? Sometimes it’s not the cuff, capsule, nerves or neck—it’s the acromioclavicular joint (ACJ) holding things back. In this episode, Jo Gibson sheds light on this often-overlooked contributor to persistent shoulder pain. From real patient case studies to the latest research and simple clinic-ready symptom modification tests, Jo shares practical strategies you can use immediately. Learn how to identify ACJ involvement, and use targeted rehab...
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173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom
Physio Edge podcast
Anterior hip pain is often blamed on the hip flexors, but in runners, that’s rarely the diagnosis. So how can you identify the real cause and guide patients to a safe, effective recovery? In this episode, Tom Goom (Running Physio) explores the function of the hip flexors in running, key differentials for anterior hip or groin pain, and practical rehab strategies you can use right away. You’ll discover: Why true hip flexor tendinopathy is uncommon in endurance runners Red flags and key tests to identify bone stress fractures and intra‑articular pathology Early‑stage loading strategies...
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172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson
Physio Edge podcast
Your patient presents with shoulder pain, and straight away you need to identify: Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely? Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely? Is the pain actually coming from the shoulder? Could it be the cervical spine? Is there a tear that needs urgent referral? Should you order imaging? Refer to a surgeon? Or confidently continue with rehab? In this podcast, Jo Gibson (Upper Limb Rehabilitation Specialist Physio) guides you through a simple,...
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171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras
Physio Edge podcast
Your patient is running, playing sport, or jumping or lunging forward - an activity with fast eccentric or concentric activity in dorsiflexion,and suddenly they feel like they’ve been kicked in the back of the leg. They might hear a snap and have difficulty weightbearing, walking and pushing off. What’s your likely diagnosis? You picked it - an Achilles tendon (AT) rupture. AT ruptures are a devastating injury that can drastically impact a patient’s ability to walk, run, or return to sport. Despite their frequency, there’s a lot of uncertainty among clinicians, patients, and even...
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170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles
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...
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169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom
Physio 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...
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168. How to explain shoulder pain to patients. Physio Edge Shoulder Success podcast with Jo Gibson
Physio 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...
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167. Bones, them strong bones: How to use bone loading programs. Physio Edge Running repairs podcast with Tom Goom
Physio 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...
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166. To tape or not to tape? Physio Edge Shoulder Success podcast with Jo Gibson
Physio 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...
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165. Busting hip pain myths with Mehmet Gem
Physio 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...
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Untreated or poorly rehabilitated ankle sprains can develop into chronic ankle instability (CAI), osteoarthritis, or other lower limb injuries (Bestwick-Stevenson et al. 2021; Delco et al., 2017; Herzog et al., 2019; van Ochten et al., 2017).
In this podcast Zoe Russell discusses ankle sprain assessment and treatment, and how to return your patients to sport. You’ll discover how to help your ankle sprain patients fully recover as quickly as possible, and avoid long term ankle issues.
Zoe is a Specialist Sports Physiotherapist (FACP), APA Titled Musculoskeletal and Sports Physio, as well as a Clinical Edge Senior Educator and Presenter, and in this Physio Edge podcast hosted by David Pope, we discuss the latest evidence and practical treatment strategies for ankle sprains, including:
Assessment
- Common issues therapists face when rehabilitating ankle sprain patients.
- Questions you need to ask your ankle sprain patients.
- How a previous history of ankle sprains impacts your assessment & treatment.
- Why patients with inversion injuries may have medial ankle pain.
- How to avoid stirring up patients pain during your assessment.
Diagnosis
- Common mechanisms of injury, and how this guides your diagnosis.
- Structures that are likely to be injured with different ankle injuries.
Treatment
- 10 key elements to include in your assessment & treatment.
- How to help reduce swelling quickly after an ankle sprain, and why this is important.
- Immediate sideline management for ankle sprains at sporting events.
- Whether manual therapy has a role in acute ankle injuries or persistent ankle pain and swelling.
- How to explain ankle sprains, recovery & rehab to your patient.
- What you’re looking to achieve with your early rehab.
- How to set rehab targets or goals with your patients.
- The role of taping in ankle rehab.
- Taping compared to bracing.
- Whether long term taping or bracing is a useful long term injury prevention strategy.
- The latest surgical procedures for patients with chronic ankle instability (CAI).
Links
- Zoe Russell
- David Pope on Twitter
- Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership
- Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module
- Comprehensive low back pain assessment & treatment training module
- David Pope at Clinical Edge
References
Chapters:
- 03:47 - Untreated ankle sprains
- 05:27 - Latest evidence
- 07:04 - Subjective questions
- 09:45 - Common mechanisms of injury
- 11:47 - Plantarflexion/inversion injury with medial ankle pain
- 15:22 - Dorsiflexion eversion injuries
- 15:54 - Swelling
- 21:11 - Objective tests
- 26:32 - Irritability
- 26:47 - Figure of 8 taping technique
- 28:56 - Inferior and superior tib-fib joint assessment
- 32:14 - Treatment
- 42:41 - Change of direction
- 43:17 - Tape or brace?
- 50:06 - Mobilise or immobilise?