Physio Edge podcast

clinical inspiration for Physiotherapists. Interviews with leading Physiotherapists, clinicians and researchers that will accelerate your clinical skills to a whole new level

167. Bones, them strong bones: How to use bone loading programs. Physio Edge Running repairs podcast with Tom Goom 11/29/2024

167. Bones, them strong bones: How to use bone loading programs. Physio Edge Running repairs podcast with Tom Goom 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 in—a targeted strategy to help prepare bones for impact, improve power, and support a return to sport. In this episode, Tom Goom (Running Physio) dives into the research and how to use a bone loading program to stimulate bone adaptation. In this podcast, you’ll discover: The theory and evidence behind bone loading programs and how bones respond to impact. How to identify the right stage of injury recovery for introducing impact training. Practical guidelines for implementing short, progressive bone loading exercises. Techniques for progressing exercises based on patient goals and symptoms. Strategies to improve bone strength in patients experiencing other musculoskeletal issues such as Achilles tendinopathy. Real-world applications and demonstrations of bone loading programs. Tom also shares insights on identifying readiness for impact exercises, managing patient expectations, and adjusting programs for individual needs. You’ll leave this episode equipped with actionable strategies to help patients safely and effectively return to sport while supporting their bone health. If you’re a clinician or physiotherapist looking for practical solutions to manage bone stress injuries or improve bone density, this podcast is packed with valuable information you can apply in your practice right away. 🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information. Free running injury assessment & treatment video series available now Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at . 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. Article associated with this episode: Links associated with this episode: Chapters: 04:37 - Turner and Robling (2005) running longer doesn't make bones stronger 10:46 - Bone loading progressions 15:58 - Analysis of the evidence 17:05 - Whether loading technique matters 15:03 - Summary /episode/index/show/physioedge/id/34200385

166. To tape or not to tape? Physio Edge Shoulder Success podcast with Jo Gibson 11/20/2024

166. To tape or not to tape? Physio Edge Shoulder Success podcast with Jo Gibson 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 with fear of re-injury in specific positions. C/Sp referred shoulder pain – Severe neck and shoulder pain with difficulty sleeping left this patient guarding every movement. Learn whether taping played a role in this patient’s rehab. Jo examines the evidence behind taping, addressing key questions: Does tape improve biomechanics, or are the effects purely psychological? How do sensory input and contextual factors influence patient outcomes? Can taping be a useful temporary tool, or is it overrated? You’ll also gain insights into: The importance of clinical reasoning when choosing adjuncts like taping. How to manage patient beliefs and expectations around interventions. Practical applications of taping to improve confidence and support movement strategies. With a blend of evidence, clinical expertise, and practical examples, this episode offers a balanced view on the role of taping in physiotherapy. Whether you’re a seasoned clinician or early in your career, you’ll come away with fresh perspectives on using taping effectively in your practice. 🎧 Tune in now to discover when, why, and how to use taping to support your patients’ shoulder rehab success! Click on an image below to access these free resources from Jo Gibson and Clinical Edge The handout for this podcast consists of a transcript associated with this podcast. Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at Links associated with this episode: Chapters: 03:36 - Patient 1 - Taping for volleyball post shoulder stabilisation surgery 06:26 - Patient 2 - Neck driven shoulder pain 07:04 - What's the evidence for and against tape? 13:09 - Applying the evidence around taping 18:15 - Back to the case studies 21:47 - Question - Can tape stimulate mechanoreceptors to give somatosensory feedback to the brain? /episode/index/show/physioedge/id/34055336

165. Busting hip pain myths with Mehmet Gem 11/05/2024

164. Case study: Rotator cuff tear + arm symptoms. Physio Edge Shoulder Success podcast with Jo Gibson 07/18/2024

163. ACL treatment options and cross-bracing with Clare Walsh 04/17/2024

163. ACL treatment options and cross-bracing with Clare Walsh 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 ACL injuries who are suitable for non-surgical intervention, where the ACL injury may heal or repair itself. Not all patients with an ACL injury are suitable for the Cross bracing protocol or non-surgical management, so how can you identify whether your patient is suitable, and which treatment options are best for each patient? In this insightful podcast episode, we discuss the complex challenge of ACL injury management and Cross bracing with Clare Walsh (Specialist Sports & Exercise Physiotherapist, FACP). Clare treats a lot of patients with ACL injuries with prehabilitation, post-op rehabilitation, or non-surgical management including Cross bracing. Clare works alongside Dr Tom Cross and other Sports Medicine Doctors, Orthopaedic surgeons (including the late Dr Merv Cross) and leading Sports Physiotherapists at and . Clare teaches on the Cross bracing course conducted in Australia for Physiotherapists and health professionals, and is a Senior Educator & Presenter here at Clinical Edge. In this podcast we explore: Cross bracing What it is and how it developed. What research has been performed to date, and what it shows about the chances of ACL healing with the Cross bracing protocol. Assessment tests & specific imaging that are used to assess patient suitability. Why patients might opt for Cross bracing rather than surgery. Who isn’t suitable for Cross bracing. Potential negative outcomes of Cross bracing. Which patients are more likely to be suitable and successful with Cross bracing - eg. injury type, age, level of sport, goals, psychosocial factors. Medical factors that impact suitability. Psychosocial factors that impact whether a patient can undergo the protocol. Which leg (right or left) is better suited to bracing and why. Which type of braces are commonly used. How soon the protocol needs to commence after injury to be successful. Which concomitant injuries can still heal in a brace and which need surgery e.g. meniscus injuries, bucket handle tears of the meniscus, MCL tears. How long patients remain in a brace. Exercises and activities that can and should be performed throughout Cross bracing. How patients can move or walk around throughout the Cross bracing period. How Cross bracing has changed and evolved. Whether the ACL is at increased risk of re-rupture following the protocol. Essential medical management during the protocol. Whether therapists can put a patient in a brace, or manage the protocol independently. What to you do if you think a patient may be suitable for Cross bracing. How to refer patients for Cross bracing Followup imaging at the end of the protocol. Functional assessment tests used at the end of the protocol. Return to training (RTT) and return to play (RTP) following the protocol. Which patients require surgery instead of conservative management. Early surgery vs delayed surgery. Spontaneous ACL healing - what the research says. How to use patient-centred decision-making to guide patients into the most suitable recovery pathway - surgery, bracing or non-surgical management. Case studies and comparisons of patients that underwent either Cross bracing or ACL reconstruction. This podcast is packed full of great information on this emerging ACL injury treatment. You’ll finish this podcast with a deeper understanding of ACL injury management and Cross bracing plus practical knowledge, solutions and insights you can apply into your practice. Links /episode/index/show/physioedge/id/30875623

162. Three top tips for treating runners with a meniscal injury. Physio Edge Track record: Running repairs podcast with Tom Goom 04/05/2024

161. Overcoming persistent shoulder pain in tennis players with Jo Gibson 03/14/2024

160. ACL injuries with Zoe Russell 02/08/2024

159. Rotator cuff tear arthropathy & subscapularis tears. Physio Edge Shoulder Success podcast with Jo Gibson 08/24/2023

158. Hip dysplasia treatment. Physio Edge Track record: Running repairs podcast with Tom Goom 08/21/2023

157. Case study: Frozen shoulder or misdiagnosis? Physio Edge Shoulder Success podcast with Jo Gibson 08/17/2023

156. 3 types of hip dysplasia and how to identify them. Physio Edge Track record: Running repairs podcast with Tom Goom 06/12/2023

155. Stingers, burners & shoulder instability in sport. Physio Edge Shoulder Success podcast with Jo Gibson 06/02/2023

154. Hip dysplasia key signs and symptoms. Physio Edge Track record: Running repairs podcast with Tom Goom 05/19/2023

153. Posterior shoulder instability assessment, surgery & rehab. Physio Edge Shoulder Success podcast with Jo Gibson 04/20/2023

152. When should patients permanently stop running? Physio Edge Track record: Running repairs podcast with Tom Goom 03/13/2023

151. Does strength training reduce running injury risk? Physio Edge Track record: Running repairs podcast with Tom Goom 03/03/2023

150. Top tips for treating marathon runners. Physio Edge Track record: Running repairs podcast with Tom Goom 02/24/2023

149. How to settle symptoms and make progress when pain is a barrier. Physio Edge Track record: Running repairs podcast with Tom Goom 02/03/2023

148. How to assess ankle sprains & start rehab with Zoe Russell 11/18/2022

148. How to assess ankle sprains & start rehab with Zoe Russell 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 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? /episode/index/show/physioedge/id/25057149