Physio Edge podcast

Helping Physiotherapists, Physical Therapists and other health professionals improve their musculoskeletal and sports injury assessment, clinical reasoning and treatment. Join David Pope (APA Titled Musculoskeletal & Sports and Exercise Physiotherapist) as he shares insights from leading Physiotherapists, Physical Therapists, Sports Doctors and researchers on the most effective and up-to-date strategies to assess and treat your patients in clinical practice.

181. Tendinopathy: Is it weakness or inhibition? with Dr Patrick Vallance 10/08/2026

181. Tendinopathy: Is it weakness or inhibition? with Dr Patrick Vallance Your patellar tendinopathy patients are performing a solid, progressive loading program, but their quadriceps still test weaker, with lower maximal force output. Are their quads actually weak, or is muscle inhibition limiting the strength they can access? And how does this change your rehab? In this episode, Dr Patrick Vallance (Ph.D, Physiotherapist, Tendinopathy neuroscientist, Lecturer in Physiotherapy at Monash University) and David Pope explore why force output can be reduced in tendinopathy, and how understanding the mechanisms involved can help you tailor your treatment. You’ll also discover: Clinical clues that inhibition may be contributing to your patient’s reduced force output How inhibition at the brain and spinal cord differs, and why this matters for rehab The reticulospinal pathway and its role in producing strength and power How metronome-paced and self-paced exercises may target different neural pathways, and what this could mean for your exercise choices Why Achilles and patellar tendinopathy may need different treatment approaches, including when to target muscular endurance How assessing strength, power and endurance helps you identify what each patient’s rehab needs to address Why researchers are reconsidering TENS and ice as possible adjuncts to exercise for patellar tendinopathy Where isometrics fit when they don’t relieve pain, and how their role in tendon stiffness could influence your exercise prescription Throughout the episode, Patrick uses simple analogies and practical exercise examples to make the science easier to understand and apply. He explores what the research can currently tell us, which treatment ideas are still being tested, and how to use this understanding to tailor your rehab to your patients’ needs and goals. Chapters 0:00 - Introduction 2:28 - Tendinopathy, inhibition and force output 3:10 - Measuring inhibition 8:47 - Why look beyond the tendon? 10:24 - Corticospinal vs reticulospinal pathways 16:01 - Pain and spinal inhibition 22:09 - Power vs control 26:20 - Metronome-paced vs self-paced training 30:50 - What is self-paced training? 36:08 - How to reduce nociceptive drive 39:26 - How to target the reticulospinal pathway 41:16 - How to target the corticospinal pathway 43:19 - Achilles vs patellar tendinopathy 46:08 - Endurance targets 47:36 - Isometrics and tendon stiffness 50:05 - Where the research is heading Free resources : your key takeaways from the podcast, plus the full transcript, so you can remember it and apply it with your patients. : improve your assessment and treatment results, including the new taping video series with Zoe Russell (Specialist Sports Physiotherapist). : for the runners and running injuries you treat. Links associated with this episode /episode/index/show/physioedge/id/43218128

180. Patellofemoral pain 4 - How to get runners back on track (and trails, hills and anywhere else they run!) with Tom Goom 07/10/2026

180. Patellofemoral pain 4 - How to get runners back on track (and trails, hills and anywhere else they run!) with Tom Goom Patellofemoral pain (PFP) rehabilitation doesn’t end when your patient gets stronger. The real challenge is getting them back to running, training and racing without triggering another flare-up. In this final episode of the four-part series, Tom Goom (Running Physio) and David Pope explore the fourth pillar of successful PFP rehabilitation: a planned return to running. Continuing Alice’s journey from the previous episodes, a HYROX athlete preparing for competition, Tom and David break down exactly how to rebuild running volume, progress training safely, and help runners hit their goals, or return to racing or competition, with confidence while minimising the risk of recurrence. You’ll discover: How to structure a return-to-running program that steadily rebuilds running capacity without overloading the knee A simple progression strategy that makes increasing running volume practical and easy to implement Why recovery weeks are just as important as progression weeks, and how to use them effectively How to use a simple “traffic light” system to decide when to progress, maintain or reduce training When gait analysis and running retraining should (and shouldn’t) be introduced during rehabilitation Why sleep, recovery and anxiety can have a major influence on running injury recovery, and practical ways to address them How to manage the inevitable flare-ups that occur during rehabilitation without losing progress or confidence How the same four-pillar framework can be applied to virtually every running injury, from tendinopathy to bone stress injuries Throughout the episode, Tom shares the practical clinical reasoning behind every decision, from mapping out a patient’s weekly training schedule through to progressing running distance, introducing recovery weeks, and eventually returning to continuous long-distance running. Whether you’re treating recreational runners, competitive athletes or patients training for events like HYROX, you’ll come away with a clear framework you can immediately apply to help your patients return to running safely, confidently and with a much lower risk of recurrence. This is the fourth and final episode in Tom Goom’s four-part podcast series on patellofemoral pain. Together, the series provides a complete framework for assessing, educating, rehabilitating and returning runners with PFP back to the sport they love. Timeline: 0:00 - Introduction 3:07 - Introduction and case recap 6:03 - Weekly training structure 8:10 - Progress and recovery 11:03 - Gait analysis and the four pillars 12:13 - Recovery, sleep and anxiety 14:40 - Alice's progress and flare-ups 18:32 - Four pillars for all running injuries 20:52 - Free assessment form and webinar Free resources — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire. — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at . Links associated with this episode /episode/index/show/physioedge/id/42031765

179. Patellofemoral pain 3 - Effective rehab that won't flare their symptoms with Tom Goom 07/08/2026

179. Patellofemoral pain 3 - Effective rehab that won't flare their symptoms with Tom Goom Strengthening exercises are a key part of successful patellofemoral pain (PFP) rehabilitation. Squats, lunges and single leg squats are often painful early on and can aggravate your patients pain, but on the flip side, we want to build up their tolerance and confidence with these movements. If you introduce an exercise your patient isn’t ready for, progress too quickly, or overload the knee too early, you’ll often flare your patients pain and set their rehabilitation back. In this episode, Tom Goom (Running Physio) and David Pope explore the third pillar of successful PFP treatment: progressive rehab. Continuing the case of Alice from the previous two podcasts, a HYROX athlete preparing for competition, Tom and I walk through exactly how to choose, modify and progress exercises that build strength, restore confidence and prepare patients for the demands of running and sport, without flaring their symptoms. You’ll discover: How to decide when to prioritise load management before introducing strengthening exercises Why rehabilitation should be tailored to the individual rather than using a “cookie-cutter” exercise program The key strength deficits Tom commonly looks for in runners with PFP, and how to assess them How to select exercises that improve strength while minimising stress on the patellofemoral joint Practical ways to modify squats, lunges and other knee-loading exercises to reduce pain while rebuilding movement tolerance A simple four-stage progression from low-irritability exercises through to sport-specific strength and power training How to integrate rehabilitation into a patient’s existing training so they are more likely to stick with the program Throughout the episode, Tom shares the clinical reasoning behind each exercise choice, showing how to progress patients from simple strengthening exercises to the powerful, sport-specific movements required for running and HYROX competition, without provoking unnecessary flare-ups. This is part three of a four-part podcast series with Tom Goom on PFP. In the final episode, available later this week, Tom and David explore the fourth pillar of rehabilitation: how to safely progress running volume, speed and training so patients can confidently return to racing and competition while minimising the risk of recurrence. Timeline: 2:45 Introduction & Recap 5:20 When to Start Rehab 7:40 Assessment Findings 9:37 Squats to Rebuild Tolerance 12:03 Psychosocial Screening & Gait 13:11 Matching Rehab to HYROX 14:57 Stage 1: Low Knee-Stress Work 17:11 Stage 2: Loaded Knee Flexion 18:53 Review Frequency & Goals 21:49 Stage 3: Knee-Focused Loading 24:09 Stage 4: Power Work 27:43 Keys to Avoid Flare-Ups 28:58 Webinar & Resources Free resources — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire. — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at . , or Links associated with this episode /episode/index/show/physioedge/id/42005360

178. Patellofemoral pain 2 - What to do when runners won't reduce their training with Tom Goom 07/03/2026

178. Patellofemoral pain 2 - What to do when runners won't reduce their training with Tom Goom Many runners patellofemoral pain (PFP) is aggravated by the activity they love. They either stop running to let their pain settle, and then it returns as soon as they start back up again, or keep running despite the pain getting worse. They may know (and you may have told them) they should reduce their training….but what happens when they can’t? Or won’t? In this episode, Tom Goom (Running Physio) and David Pope explore the second pillar of successful PFP rehab: education and empowerment. Using the real case of Alice, a HYROX athlete preparing for competition, you’ll discover how and when to help runners continue training safely while building long-term confidence and self-management. You’ll discover: Why simply telling runners to “stop running” often leads to poor outcomes Practical communication strategies that improve patient buy-in and adherence How to uncover the real reasons patients resist reducing their training Ways to keep runners connected to the physical and social benefits of their sport during rehab How to explain PFP without creating fear around “maltracking,” arthritis, or joint damage A simple framework that patients understand and can use to confidently self-manage flare-ups How to educate patients about the balance between training stress and recovery to improve both performance and rehabilitation Practical load management strategies for runners with symptoms so irritable they can’t tolerate running yet Throughout the episode, Tom demonstrates how education isn’t simply about explaining a diagnosis. It’s about helping patients understand their pain, make better decisions independently, and confidently adjust their training as symptoms change. This is part two of a four-part podcast series with Tom Goom on PFP. In the next episode, Tom and David dive into the third pillar of rehabilitation: how to choose and progress strengthening exercises that build capacity without flaring symptoms, while avoiding the common rehab mistakes that slow recovery. Timeline 00:00 - Introduction 02:42 - Case study: Recurrent PFP and HYROX load 09:22 - Subjective clues 11:57 - Barriers to recovery 13:48 - Offloading when the knee can't tolerate running 17:12 - Helping patients understand and self-manage 23:48 - Self-management approach 27:11 - Stress, recovery and progress 28:47 - Key takeaways & free resources Free resources — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire. — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at . Links associated with this episode /episode/index/show/physioedge/id/41955470

177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss with Tom Goom 06/29/2026

177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss with Tom Goom Patellofemoral pain (PFP) is one of the most common running injuries, and the high recurrence rate can make it a frustrating injury for patients to experience and clinicians to treat. In this episode, Tom Goom (Running Physio) and David Pope break down why PFP has such a high recurrence rate, and what most rehab plans miss. You’ll also discover: The "Four pillars" framework Tom uses to treat PFP and other running injuries How and when to keep patients running or exercising when it is essential for their mental health and social life How to find a manageable starting point when a patient has a highly irritable pain presentation A step-by-step load management approach to find patients training and running “sweet spot” How to keep athletes connected to their sport during rehab (and why it matters for mental health) The "layering" approach to training and running that avoids pain flare-ups So you can easily apply the podcast with your patients, Tom walks through the real case of a runner and HYROX athlete who presented with recurrent PFP that flared up with each of her 3-4 weekly training sessions. This is part one in a four-part podcast series with Tom Goom on PFP. In the next episode, Tom and David continue this case study and dive into the second pillar in the framework that will help you tackle the problem of “What to do when your runners won't reduce their training?”. Timestamps: 03:41 - Why PFP is tricky and recurs 04:45 - Meet Alice: HYROX athlete with recurrent PFP 05:32 - HYROX explained and its knee-load demands 08:47 - Presentation, irritability and moving beyond "stop running" advice 11:15 - Alice's goals 12:41 - The four pillars framework 15:29 - Pillar 1: Load management 23:39 - Testing tolerance 27:21 - Building Alice's weekly routine 30:06 - Key takeaways & free resources 34:10 - Free resources Free resources — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire. — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at . Links associated with this episode /episode/index/show/physioedge/id/41887595

176. Neck-driven shoulder pain - 5 common misunderstandings. Physio Edge Shoulder Success podcast with Jo Gibson 03/04/2026

176. Neck-driven shoulder pain - 5 common misunderstandings. Physio Edge Shoulder Success podcast with Jo Gibson When is your patient's shoulder pain from their neck? Are you missing a cervical spine component in your shoulder patients? After a day in clinic reviewing patients with years of unresolved shoulder pain, Shoulder Specialist Physiotherapist Jo Gibson breaks down the five most common mistakes clinicians make when ruling in — or out — the neck. In this podcast, Jo covers: Why you don't need neck pain to have neck-driven shoulder pain (and which pain locations are most pathognomonic) Why referred symptoms below the elbow don't automatically point to the cervical spine Why active range of movement alone is not enough to clear the neck What palpation findings are actually sufficient — and why you don't need to reproduce peripheral symptoms Why using neck movements to modify shoulder symptoms can be misleading Whether you're seeing patients with posterior-lateral shoulder pain, scapular pain, or symptoms that just aren't responding to local shoulder rehab, Jo shares a practical framework for refining your clinical reasoning and avoiding these common assessment pitfalls. Key takeaway: Up to 40% of patients with shoulder problems lasting six months or longer have some degree of cervical spine involvement. The subjective examination is doing 80% of the work — Jo explains exactly what to listen for. Free 7-day Shoulder assessment bootcamp 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: /episode/index/show/physioedge/id/40315070

175. Tendinopathy treatment: Your guide to isometrics, isotonics & plyometrics with Dr Ebonie Rio 02/18/2026

175. Tendinopathy treatment: Your guide to isometrics, isotonics & plyometrics with Dr Ebonie Rio Should you prescribe isometric or isotonic exercises for your patient's lower limb tendinopathy? When is it safe to add plyometric loading, and how do you progress running or jumping without flaring your patients tendon pain? Why do some "tricky tendons" refuse to respond to your best loading programs? Dr Ebonie Rio (Post-Doctoral Senior Research Fellow, La Trobe University) reveals the evidence-based answers as she guides you through the clinical reasoning and practical strategies for managing patellar, achilles, and other lower limb tendinopathies. In this conversation, you'll follow clinical examples and unpack the latest research to help you feel confident with tendinopathy assessment and treatment. Inside this podcast you'll explore: Tendon pathology explained: What’s happening inside tendinopathic tendons, how to explain tendinopathy and ultrasound scan results to patients The role of isometrics: Whether isometrics actually change tendon structure, when to use isometrics to improve pain, optimal dosage, and whether isometrics are all your tendinopathy patients need Safe loading from day one: When are both isometrics AND isotonics safe to start immediately, and how to choose isometric positions and loads. The 24-hour emoji rule: How to teach patients to monitor their response after running or loading using the emoji system What NOT to do: Exercises, manual therapy and supplements that won’t help tendon pain and may stir it up Differential diagnosis mastery: How to distinguish patellar tendinopathy from patellofemoral pain, mid-portion achilles tendinopathy from peritendinitis, and when you've got the diagnosis wrong Stairs as a progression exercise: The quasi-isometric stair protocol that works for everyone from sedentary patients to elite sprinters—and how to use tempo to control tendon load Criteria-based progressions: Moving beyond time-based rehab to functional milestones When loading programs fail: What to do when your patient is worse with your exercises You'll walk away with: Clear clinical reasoning to differentiate true tendinopathy from other conditions Practical loading frameworks that progress your isometrics, isotonics and plyometrics based on patient response Patient education scripts that use imaging findings to build confidence rather than fear Simple monitoring tools (the emoji system) to empower patients to self-manage their load progression Dr Ebonie Rio is a post doc researcher at La Trobe University and has completed her PhD in tendon pain, Masters Sports Phys, B. Phys (Hons) and B. App Sci. Her clinical career has included the Australian Institute of Sport, Australian Ballet Company, Australian Ballet School, Melbourne Heart Football Club, Alphington Sports Medicine Centre, Victorian Institute of Sport, 2006 Commonwealth Games, 2010 Vancouver Winter Olympics, 2010 Singapore Youth Olympics, 2012 London Paralympics, 18 months travelling with Disney's The Lion King stage show (Melbourne and Shanghai tour). 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 Chapters: 00:02:57 - How isometrics emerged as a tendinopathy treatment 00:07:00 - How loading helps a tendon 00:07:38 - Tendon structure & how to describe tendinopathy to patients 00:12:27 - When and why tendinopathy develops 00:15:17 - Tendon imaging 00:17:38 - Differential diagnosis - Achilles peritendinitis vs mid-portion tendinopathy 00:19:35 - Does treatment change tendon structure? 00:21:27 - Can we load disorganised areas of tendon? 00:22:46 - Do supplements help? 00:24:44 - Avoid these in your tendinopathy treatment 00:26:47 - Finding the right level of running or load 00:28:40 - What causes tendinopathy to develop 00:31:52 - When and how to include isometrics in treatment 00:36:42 - When isometrics are likely to help or not help 00:38:51 - Choosing the starting position for isometrics 00:39:38 - How to describe isometrics to patients 00:40:23 - How to choose the load for isometrics 00:42:53 - When to include isotonics in treatment 00:44:03 - Plyometric & Stair loading 00:46:49 - How long should isometric holds be? 00:47:26 - Patient advice & discussion /episode/index/show/physioedge/id/40149535

174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson 09/04/2025

174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson 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 exercises, symptom modification and treatment strategies to help patients break through their plateau and regain their confidence and range. Chapters: 00:00 - Intro 02:59 - Case study: Patient with shoulder pain 03:29 - Recent research around the ACJ 06:37 - Psychosocial or biomedical factors influencing the ACJ and shoulder pain 06:53 - Role of the ACJ 07:06 - Pain and movement patterns indicating ACJ involvement 08:34 - Protective movement strategies that may affect the ACJ 09:18 - Symptom modification tests 10:08 - Exercises for the ACJ 12:43 - Manual therapy for a stiff ACJ? 15:40 - Summary: When to look at the ACJ 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: /episode/index/show/physioedge/id/38089170

173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom 08/06/2025

173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom 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 that protect the tendon from aggravation The role of the adductors, trunk, and synergistic muscles in successful rehab Common myths and misconceptions around hip flexors How to progress rehab to sport‑specific drills and return to running If you’re a physiotherapist or health professional treating runners, this episode gives you research‑backed, clinically reasoned strategies to assess and manage hip flexor pain with confidence. Timestamps: 00:00 - Intro 03:35 - Hip flexor function 06:56 - Tip 1 - Is it a hip flexor tendinopathy? 09:48 - Tip 2 - Rehab of hip flexors 11:35 - Tip 3 - Other muscle groups to include in rehab 13:08 - Common misconceptions 13:37 - 1. Pronation 14:49 - 2. Firing order 16:13 - 3. Weak transversus abdominis 17:12 - 4. Rib alignment and breathing patterns 🔗 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: /episode/index/show/physioedge/id/37703340

172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson 07/16/2025

172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson 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, evidence-informed clinical reasoning framework to help you confidently assess and treat patients with shoulder pain. Drawing on decades of clinical experience and the latest research, Jo breaks down four essential questions you need to ask in every shoulder assessment—helping you identify red flags, tailor your treatment plan, and avoid common diagnostic pitfalls. In this episode, you’ll discover: How to distinguish shoulder pain from cervical spine referral Key subjective clues that guide your diagnosis and treatment decisions Whether it’s “torn”—and how to know if a surgical referral is appropriate Clinical signs that help differentiate frozen shoulder from other causes of stiffness Why pain irritability matters—and how it impacts your rehab approach When to use (and when to avoid) imaging How to identify instability and assess the likelihood of recurrence What assessment tests to perform in your objective examination The real value—and limitations—of special tests like the Hawkins-Kennedy, drop arm, Hornblower’s, and more. How to modify testing to better isolate rotator cuff contributions Why symptom modification tests are useful—and what they tell you How to help your patient overcome fear, regain confidence, and move again What research says about exercise prescription, and how many exercises you should give patients Listen in to strengthen your clinical reasoning and give your shoulder assessments a clear structure that helps you feel more confident—and gets better outcomes for your patients. Chapters: 00:00 - Intro 03:12 - Subjective clues that guide diagnosis 04:33 - What to call shoulder pain? RCRSP or SAP? 06:04 - 4 key questions to ask 06:29 - Cervical spine driven shoulder pain 10:03 - Is it torn and does it matter? 11:29 - Traumatic dislocations 12:37 - Special tests in the "Is it torn" group 15:56 - Is it stiff? 17:36 - Is it irritable? 20:38 - Can I change it? 23:05 - Summary 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: 00:00:00 - Intro 00:03:12 - Subjective clues that guide diagnosis 00:04:33 - What to call shoulder pain? RCRSP or SAP? 00:06:04 - 4 key questions to ask 00:06:29 - Cervical spine driven shoulder pain 00:10:03 - Is it torn and does it matter? 00:11:29 - Traumatic dislocations 00:12:37 - Special tests in the "Is it torn" group 00:15:56 - Is it stiff? 00:17:36 - Is it irritable? 00:20:38 - Can I change it? 00:23:05 - Summary /episode/index/show/physioedge/id/37427480

171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras 07/08/2025

171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras 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 surgeons around how to best assess, treat, and rehabilitate Achilles tendon ruptures. Patients are often fearful of doing the wrong thing and re-rupturing the tendon. Therapists often follow a non-surgical protocol of putting people in a boot, but are unsure how to progress, how fast to progress and what to do during and after they’re in the boot. An even bigger problem than AT re-rupture is the very common issue of an elongated tendon where patients have long-term difficulty with calf weakness and inefficiency, walking long distances, hopping, jumping, and returning to sport. In this podcast, David Pope (APA Titled Musculoskeletal and Sports & Exercise Physiotherapist) is joined by Prof. Peter Malliaras (Specialist Physiotherapist FACP, clinician and researcher with a PhD in tendinopathy) to explore the latest evidence, clinical insights, and rehab strategies for Achilles tendon ruptures. Peter draws on his extensive clinical experience, recent research, and the development of a specialist Achilles rupture service at OrthoSport Victoria to help guide your decision-making and treatment approach. In this podcast, you’ll discover: The mechanism of injury and clinical presentation of Achilles tendon ruptures. Key diagnostic tests and how to avoid missed or delayed diagnoses. Common pitfalls that lead to tendon elongation—and how to prevent them. When to recommend surgical vs non-surgical management. A new, innovative approach to strengthening the Achilles tendon while the patient is in the boot. How to safely begin loading the Achilles in the early phase of rehab. Strategies to protect against tendon elongation during and after boot use. Whether we should be stretching or trying to improve dorsiflexion. Objective strength criteria to guide progression through rehab stages. Return-to-walking and return-to-sport timeframes—and how to individualise them. What to do when patients present late or have already developed elongation. Complications to watch for post-injury or post-surgery. How to help patients navigate the psychological and motivational challenges of recovery. Listen to this episode to gain clarity on Achilles tendon rupture assessment and rehab, and develop a structured, evidence-based approach you can apply immediately in your clinical practice. Timeline 00:06:23 Problems Physios and patients face with AT ruptures? 00:09:29 Subjective - How to identify a likely AT 00:12:03 Who gets an AT rupture? 00:18:45 Why do AT's rupture? 00:20:06 Misdiagnosis 00:24:14 Surgical or non-surgical management? 00:30:25 Elongation - Improve dorsiflexion or make the AT stiffer? 00:36:53 Safe loading in the boot & progressions 00:42:49 When to start exercising in the boot 00:46:08 Elongation - why is it a problem? 00:54:00 Bent or straight knee calf exercises? 00:59:55 RTP - How long does it take? 01:03:32 Surgical vs non-surgical timeframes 01:04:25 Assessment and diagnosis of AT ruptures 01:08:40 Initial management of an AT rupture 01:11:26 Education - What to tell patients 01:12:54 Imaging 01:14:57 Delayed presentation - How to manage 01:16:10 Red flags & complications 01:19:10 Walking - How to guide patients as they come out of the boot 01:21:27 Exercise progressions after the boot 01:23:48 Key takehome messages 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 associated with this episode: Research associated with this podcast /episode/index/show/physioedge/id/37331365

170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles 04/08/2025

170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles 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 successfully return athletes to training. In this podcast, David Pope (APA Titled Musculoskeletal and Sports and Exercise Physio) explores BJJ injuries with Dr. Lachlan Giles—a BJJ black belt and world-class BJJ competitor, including 1st Place IBJJF Pan-Pacific Championship 2016 & 2017, 3rd place ADCC 2019 Open weight division and many more accomplishments. Lachlan is also a BJJ coach to top level competitors, including Levi Jones-Leary, Craig Jones before he moved to DDS, and a Physiotherapist with a PhD in knee pain and rehab. Lachlan shares his extensive experience treating and managing BJJ injuries, drawing from the research, as well as his clinical knowledge and personal experience as an elite grappler and BJJ coach. In this podcast, we discuss: The challenges physiotherapists face when treating BJJ athletes and how to adapt rehab programs for them. Common areas injured in BJJ. What commonly causes knee injuries, including LCL and ACL sprains, in BJJ. Different positions athletes need to get into in BJJ, why it’s important to understand these positions, and how you can use this to guide your rehab and return to sport. Strength vs flexibility vs conditioning? Which factors are critical in injury recovery, prevention and performance? Practical strategies for modifying training and load to allow injured athletes to continue training safely. The role of neck strengthening in protecting against neck injuries from chokes and takedowns. How to structure a safe return-to-play progression for knee, back, and rib injuries. Key factors that impact athlete recovery. When athletes can continue training, when and how to modify training and when to recommend complete rest. The impact of training style, intensity, and mindset on injury risk and longevity in the sport. How older athletes can adjust their game to have fewer injuries while continuing to train and compete. Listen to this podcast now to have a better understanding of BJJ injuries, rehabilitation, and strategies to help athletes successfully get back to or continue training and competing in BJJ. 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 Chapters: 04:40 - Lachlan's PhD 10:06 - Can VMO be targeted with rehab? 14:06 - What challenges do Physios face when treating BJJ athletes? 17:03 - When to allow patients to continue training 19:35 - Different types of training 21:36 - Lachlan's training with an LCL injury 26:53 - Common injuries in BJJ 29:18 - Other areas injured in BJJ, and why low back pain occurs 33:39 - How BJJ athletes can train to stay healthy and avoid injury 37:05 - Getting back to training and rolling 42:23 - Tests before patients "invert" with their legs over their head 48:11 - Leg entanglement, 50/50 and leg locks 52:09 - Positions to use when coming back from an injury 53:08 - Rib and costochondral injuries 59:44 - Forearm periostitis /episode/index/show/physioedge/id/36056225

169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom 03/29/2025

168. How to explain shoulder pain to patients. Physio Edge Shoulder Success podcast with Jo Gibson 02/20/2025

168. How to explain shoulder pain to patients. Physio Edge Shoulder Success podcast with Jo Gibson 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 surgeries, and various diagnoses struggles to make sense of their condition. Despite normal imaging, they avoid activity and seek repeated treatments, caught in a cycle of fear and uncertainty. Jo unpacks key questions around patient communication: How do diagnostic labels like "impingement" or "rotator cuff tear" shape patient beliefs? Why do patients often focus on the most negative aspects of their diagnosis? How can we explain shoulder pain in a way that reassures rather than reinforces fear? You’ll also gain practical strategies to: Explore what patients understand about their diagnosis and how it influences their behavior. Use language that encourages confidence and movement rather than avoidance. Identify non-verbal cues that indicate uncertainty or distress in your patients. With evidence-based insights and actionable communication tips, this episode will help you refine your patient interactions and improve rehabilitation outcomes. Listen now to discover how small changes in your language can make a big impact on your patients’ recovery. 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: /episode/index/show/physioedge/id/35362070

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