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
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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:
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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:
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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
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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
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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
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169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom
03/29/2025
169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom
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 over time If you’re a physiotherapist or health professional looking for research-backed flexibility strategies, this episode is packed with practical insights! 🔗 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:
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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:
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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
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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?
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165. Busting hip pain myths with Mehmet Gem
11/05/2024
165. Busting hip pain myths with Mehmet Gem
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 misconceptions - Can patients have "gluteal amnesia" or "switched off glutes"? 08:54 When and how to test & improve glute strength 12:58 Functional glute testing 14:49 Mehmet's favourite glute exercises 19:22 Greater trochanteric pain syndrome/gluteal tendinopathy 23:04 Stretches for lateral hip pain? 25:52 Should patients perform hip mobility exercises? 29:07 Improving hip range of movement 36:48 When to test hip range of movement 39:40 Differentiating hip osteoarthritis (OA) from GTPS 44:24 Hip objective assessment - OA vs GTPS 46:51 GTPS diagnosis 49:44 Return to running with hip dysplasia 52:37 Hip flexors - what are they responsible for? 53:42 Do hip flexors get tight from sitting? 54:39 Hip flexors - objective assessment 57:43 Hip rehab exercises
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164. Case study: Rotator cuff tear + arm symptoms. Physio Edge Shoulder Success podcast with Jo Gibson
07/18/2024
164. Case study: Rotator cuff tear + arm symptoms. Physio Edge Shoulder Success podcast with Jo Gibson
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 recovery Common causes of pain into the posterior arm, wrist and hand How to differentially diagnose shoulder, arm and hand pain Assessment tests to identify and exclude cervical involvement When nerve conduction tests or EMG should be performed Rehabilitation ideas for this patient Listen to this podcast now to improve your rehabilitation of shoulder & arm pain and rotator cuff tears. Free shoulder assessment infographic series The handout for this podcast consists of a transcript and research articles referenced in this podcast. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at 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:
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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
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162. Three top tips for treating runners with a meniscal injury. Physio Edge Track record: Running repairs podcast with Tom Goom
04/05/2024
162. Three top tips for treating runners with a meniscal injury. Physio Edge Track record: Running repairs podcast with Tom Goom
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 rebuilding strength in key muscle groups. Approaches to improve impact control and tolerance, preparing runners for a gradual return to their sport. When to manage these patients non-surgically, and when to refer for a surgical opinion. Tom explores the physical aspects of recovery, along with the impact of general health, weight management, and gait retraining on knee health. With a realistic timeline for recovery and a focus on individualised treatment plans, this podcast is a must-listen for therapists who treat runners. 🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the links below 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 . Links associated with this episode: Chapters: 03:36 - Recent research 05:17 - Management 09:26 - Restore ROM 10:42 - Rebuild muscle strength 12:07 - Return to sport 17:03 - Surgical & non-surgical management
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161. Overcoming persistent shoulder pain in tennis players with Jo Gibson
03/14/2024
161. Overcoming persistent shoulder pain in tennis players with Jo Gibson
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 in this podcast. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at 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: Articles associated with this episode: Podcast chapters: 02:30 - Case studies: 2 tennis players 03:14 - Kinetic chain definition 04:18 - When to consider the kinetic chain 07:07 - Screening tests 10:17 - Objective measures
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160. ACL injuries with Zoe Russell
02/08/2024
160. ACL injuries with Zoe Russell
Join David Pope (APA Titled Musculoskeletal and Sports & Exercise Physio) and Zoe Russell (Specialist Sports Physiotherapist, FACP; APA Titled Musculoskeletal Physio) in the Physio Edge podcast as they explore how to assess, treat, and manage patients suffering from ACL injuries or suspected ACL injuries. You'll discover how to assess a patient with a suspected ACL injury, and criteria you can use to identify whether a patient may be suited to non-surgical management or is likely to require surgery. You'll also understand when immediate or delayed surgery is the best option, and how to guide patients through the decision-making process and different phases of rehab. Listen in to provide your ACL injury patients with the best treatment options. Links associated with this podcast
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159. Rotator cuff tear arthropathy & subscapularis tears. Physio Edge Shoulder Success podcast with Jo Gibson
08/24/2023
159. Rotator cuff tear arthropathy & subscapularis tears. Physio Edge Shoulder Success podcast with Jo Gibson
Rotator cuff tear arthropathy (RCTA) is a pattern of glenohumeral joint degenerative changes following rotator cuff tears, causing shoulder pain and stiffness. Subscapularis tears can also be involved in RCTA, or a significant cause of shoulder pain and disability. How can you identify RCTA and subscap tears in your shoulder pain patients? How can they be treated, and do these patients respond well to non-surgical management? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio). The handout for this podcast consists of a transcript and research articles referenced in this podcast. 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: Articles associated with this episode: Download the handout above to receive the following articles Chapters: 03:25 - What is cuff arthropathy? 05:35 - Contributing factors 07:33 - Patient history 08:37 - Subscapularis tendon tears 12:29 - Common mechanisms of injury 13:46 - Assessment tests 16:51 - Rotator cuff related shoulder pain
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158. Hip dysplasia treatment. Physio Edge Track record: Running repairs podcast with Tom Goom
08/21/2023
158. Hip dysplasia treatment. Physio Edge Track record: Running repairs podcast with Tom Goom
How can you successfully treat hip pain and instability associated with your patients’ hip dysplasia? Find out the eight critical steps to excellent results with hip dysplasia in this podcast, which is part 3 in this three-part podcast series with Tom Goom (Running Physio). Free running injury assessment & treatment video series available now Links associated with this episode: Articles associated with this episode: Chapters: 05:36 - Step 1: Assessment 07:10 - Step 2: Investigations 08:35 - Step 3: Patient education 10:07 - Step 4: Settling symptoms 16:25 - Step 5: Strength 18:15 - Step 6: Control and proprioception 20:08 - Step 7: Co-existing pathology 21:09 - Step 8: General health 22:32 - Key points
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157. Case study: Frozen shoulder or misdiagnosis? Physio Edge Shoulder Success podcast with Jo Gibson
08/17/2023
157. Case study: Frozen shoulder or misdiagnosis? Physio Edge Shoulder Success podcast with Jo Gibson
When a patient presents with a potential frozen shoulder, what other differential diagnoses must be considered? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), exploring the case study of a patient diagnosed with “frozen shoulder” with symptoms that don’t quite match a typical frozen shoulder. What’s the diagnosis of this patient’s stiff shoulder? You’ll also discover whether an X-ray or imaging is required when a patient presents with a stiff or frozen shoulder. The handout for this podcast is the transcript associated with this podcast. 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: 04:03 - Case study 07:23 - Frozen shoulder or misdiagnosis? 10:21 - Screening tests 10:58 - Risk factors 17:14 - Key points
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156. 3 types of hip dysplasia and how to identify them. Physio Edge Track record: Running repairs podcast with Tom Goom
06/12/2023
156. 3 types of hip dysplasia and how to identify them. Physio Edge Track record: Running repairs podcast with Tom Goom
Hip dysplasia is a commonly missed cause of hip and groin pain. In this podcast, which is part 2 in the 3 part series with Tom Goom (Running Physio), you’ll discover three types of hip dysplasia that will cause different symptoms and need different treatment (based on Wilkins et al. 2017), how to identify each type, and common exercises and a treatment approach that may be stirring up your patients hip and groin pain. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at Free running injury assessment & treatment video series available now Links associated with this episode: Article associated with this episode: Chapters: 03:12 - Signs & symptoms 06:05 - Assessment 08:05 - 3 types of hip dysplasia 08:28 - Anterior instability 09:58 - Posterior instability 11:42 - Lateral/global instability 13:29 - Key takeaways
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155. Stingers, burners & shoulder instability in sport. Physio Edge Shoulder Success podcast with Jo Gibson
06/02/2023
155. Stingers, burners & shoulder instability in sport. Physio Edge Shoulder Success podcast with Jo Gibson
Stingers or burners are a burning or stinging pain, often with some paraesthesia and occasionally weakness, often occurring in impact sports such as rugby or American football. When your patients present with neck and arm symptoms, how can you differentiate a stinger or burner from a C/sp fracture, discogenic symptoms or nerve root compression, which all require very different treatment? How should you manage patients with one-off or repeated stingers or burners? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio). The handout for this podcast consists of a transcript, summary and articles referenced in the podcast. 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: Articles associated with this episode: Download the podcast handout to receive the articles associated with this podcast. Chapters: 03:56 - What are stingers or burners? 08:13 - 3 key mechanisms 14:36 - Signs & symptoms 15:36 - Management guidelines 18:46 - Shoulder instability treatment
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154. Hip dysplasia key signs and symptoms. Physio Edge Track record: Running repairs podcast with Tom Goom
05/19/2023
154. Hip dysplasia key signs and symptoms. Physio Edge Track record: Running repairs podcast with Tom Goom
Hip dysplasia is a commonly missed cause of hip and groin pain, catching, clicking, locking or popping, resulting from lack of coverage of the femoral head by the acetabulum. How can you identify hip dysplasia in your hip or groin pain patients, and avoid misdiagnosing it as iliopsoas or adductor related groin pain? What signs and symptoms will your patients reveal in their subjective history that’ll help you identify this condition? Find out the key signs and symptoms of hip dysplasia in this podcast with Tom Goom (Running Physio). Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at Free running injury assessment & treatment video series available now Links associated with this episode: Articles associated with this episode: Chapters: 03:43 - Who develops hip dysplasia? 06:35 - Objective tests 09:11 - Hip dysplasia vs gluteal tendinopathy 10:45 - Hip dysplasia vs femoral neck stress structure 14:13 - Key takeaways
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153. Posterior shoulder instability assessment, surgery & rehab. Physio Edge Shoulder Success podcast with Jo Gibson
04/20/2023
153. Posterior shoulder instability assessment, surgery & rehab. Physio Edge Shoulder Success podcast with Jo Gibson
Posterior shoulder instability can occur after a fall onto an outstretched arm, or diving and hitting the ground with your arm (like diving to score a try in rugby), injuring the posterior labrum and/or the glenohumeral joint. Unlike anterior shoulder instability, patients with posterior shoulder instability may not have a feeling of instability, but may just experience pain, fatigue and weakness. How can you identify posterior shoulder instability in your shoulder pain patients? What does your rehab for posterior shoulder instability need to include? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio). The handout for this podcast consists of a transcript, a summary and articles referenced in the podcast. 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: Articles associated with this episode: Download the podcast handout to receive the articles associated with this podcast. Chapters: 03:17 - Case study 06:57 - Assessment tests 13:17 - Rehab 15:32 - Other treatment options 16:10 - Recovery 17:43 - Scapular dyskinesis 21:59 - Barriers to recovery
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152. When should patients permanently stop running? Physio Edge Track record: Running repairs podcast with Tom Goom
03/13/2023
152. When should patients permanently stop running? Physio Edge Track record: Running repairs podcast with Tom Goom
After injury or surgery, a lot of runners are told to stop running for different reasons. How can you answer patients that ask if they need to give up running for good? When should patients consider permanently stopping running? Find out in this podcast with Tom Goom (Running Physio). Free running injury assessment & treatment video series available now Links associated with this episode: Chapters: 03:25 - Stop running permanently 8:15 - Safe to continue running? 10:05 - Post ACL surgery 11:22 - Knee OA 13:27 - Running rehab plan 16:44 - Key takeaways
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151. Does strength training reduce running injury risk? Physio Edge Track record: Running repairs podcast with Tom Goom
03/03/2023
151. Does strength training reduce running injury risk? Physio Edge Track record: Running repairs podcast with Tom Goom
Will strength training help your patients reduce their risk of running injury and improve their running performance? Find out what the latest research reveals in this Physio Edge Track record: Running repairs podcast with Tom Goom (Running Physio), as you discover: The latest research on whether strength training reduces running injury risk. Which runners are more likely to develop a running injury, and which runners more successfully avoid running injury. How to get runners to “buy in” and perform a strength program, when they’re short on time and motivation. 3 key exercises your runners can do to improve their performance and reduce their running injury risk. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at Free running injury assessment & treatment video series available now Links associated with this episode: Article associated with this episode: Download the podcast handout to receive the article associated with this podcast. Chapters: 02:22 - Research study 04:39 - Results 07:47 - Training program
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150. Top tips for treating marathon runners. Physio Edge Track record: Running repairs podcast with Tom Goom
02/24/2023
150. Top tips for treating marathon runners. Physio Edge Track record: Running repairs podcast with Tom Goom
Marathon runners often come to us with pain, but also they need to build up their mileage in preparation for one of the most challenging events in endurance sport. They're trying to do more when their body may be telling them they need to be doing less. How do we manage their symptoms, and guide them up to the marathon itself? Find out in this podcast with Tom Goom (Running Physio). Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at Free running injury assessment & treatment video series available now Links associated with this episode: Chapters: 02:40 - Marathon training phases 09:08 - Training priority 11:41 - Manageable goals 12:27 - Discussing risks 13:59 - Short and simple rehab 15:23 - Hands-on treatment 17:17 - Case study
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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
149. How to settle symptoms and make progress when pain is a barrier. Physio Edge Track record: Running repairs podcast with Tom Goom
How can you settle symptoms and make progress with patients, when pain is a significant barrier to performing the rehab that will help them get back to the things they want to do? Discover the five step process in this podcast with Tom Goom (Running Physio) to settle patients symptoms, overcome this barrier of pain, and help patients make progress with their rehab. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at Free running injury assessment & treatment video series available now Links associated with this episode: Chapters 03:05 - Screen for serious pathology 04:13 - Analgesic review 05:13 - Discuss the pain 06:09 - Identify and modify aggravating factors 07:58 - Reduce irritation 15:48 - Key takeaways
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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?
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147. Knee osteoarthritis (OA) assessment, rehab & overcoming patient fears with Dr JP Caneiro
10/12/2022
147. Knee osteoarthritis (OA) assessment, rehab & overcoming patient fears with Dr JP Caneiro
Patients with knee osteoarthritis (OA) often have a sensitive and painful knee, and are reluctant to use or exercise it, feeling that it’ll just further “wear out” the joint. In this podcast with Dr JP Caneiro (Specialist Sports Physiotherapist, PhD) you’ll discover how to assess and rehabilitate knee OA patients, including: Subjective questions you need to ask knee OA patients. How to use your subjective assessment to identify tests to perform in your objective assessment. How to identify patient fears and negative beliefs that will interfere with rehab and limit progress. Objective assessment tests you need to perform. How to differentially diagnose knee OA from other causes of knee pain. How to assess patients’ functional ability. How to use palpation in your assessment of knee OA. Where to start your treatment. What to do if your patient is performing knee exercises and their pain is not improving, or getting worse. How to break through negative patient beliefs so you can get your patient on the road to better knee health, movement and pain. Enjoy this podcast with Dr JP Caneiro, hosted by David Pope and Clinical Edge now to improve your treatment of knee OA. Links Related podcasts Chapters: 09:04 - Knee OA myths & misconceptions 14:07 - Subjective questions 15:33 - Patient fears & beliefs 24:07 - Subjective follow up questions 30:44 - Objective assessment 41:40 - Functional assessment 42:09 - Palpation 50:45 - Where to start treatment
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146. Knee osteoarthritis (OA) rehab. Shifting patient beliefs & narratives with Dr JP Caneiro
07/15/2022
146. Knee osteoarthritis (OA) rehab. Shifting patient beliefs & narratives with Dr JP Caneiro
Patients with knee osteoarthritis (OA) often believe their knee is “bone on bone”, exercises will wear out their knee more and they just need a knee replacement. This narrative can make it difficult to motivate your patients to perform knee rehab exercises that have the potential to improve their pain, function and quality of life. How can you shift the narrative, educate your patients with knee OA so they “buy in” and perform an effective knee rehab program, and get better results with your treatment? In this podcast with you’ll discover: How to start your patient on a rehab program when they have fear avoidance, and don’t want to exercise. How to help patients have a positive response to your treatment, experiencing better movement, function or pain with exercise and movement. How to encourage your patient to share their narrative and perspective, so you can start addressing this with your treatment. How to accurately describe OA to your patients and provide a positive narrative. How to help patients recognise load and lifestyle factors that are influencing their pain and movement. How to modify patients’ unhelpful behaviours and integrate new movement strategies into daily activities. How to manage flareups and provide patients with self-management strategies. Enjoy this podcast with Dr JP Caneiro and hosted by David Pope and Clinical Edge now to improve your treatment of knee OA. Links Related podcasts
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145. How to choose exercises that improve patients pain with David Toomey
04/22/2022
145. How to choose exercises that improve patients pain with David Toomey
Exercise is a vital component in our rehabilitation of patients with musculoskeletal pain and injuries. How can you, as a Physiotherapist, Physical therapist or health professional, choose exercises for your patients that improve their pain, strength, control, confidence and the ability to reach their goals, without stirring up their pain? Find out in this podcast with David Pope (APA Titled Sports & Musculoskeletal Physio) and David Toomey (NZ Titled Musculoskeletal Physio & PhD Candidate) from the Clinical Edge education & presentation team. Links associated with this episode:
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