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Physio Edge podcast

Updated 3 days ago

Health & Fitness
Medicine
Science
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Inspiring interviews with leading Physiotherapists, discussing real life assessment and treatment, clinical issues and ways to give you an edge in your Physiotherapy clinical practice.

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Inspiring interviews with leading Physiotherapists, discussing real life assessment and treatment, clinical issues and ways to give you an edge in your Physiotherapy clinical practice.

iTunes Ratings

91 Ratings
Average Ratings
80
4
2
2
3

Great content

By isaiahplayer926 - May 01 2019
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He does a great job of asking very specific questions to make the information practical

Always helpful

By mountainridgept - Aug 07 2018
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These guests know their stuff. Thanks David!

iTunes Ratings

91 Ratings
Average Ratings
80
4
2
2
3

Great content

By isaiahplayer926 - May 01 2019
Read more
He does a great job of asking very specific questions to make the information practical

Always helpful

By mountainridgept - Aug 07 2018
Read more
These guests know their stuff. Thanks David!
Cover image of Physio Edge podcast

Physio Edge podcast

Latest release on Feb 14, 2020

The Best Episodes Ranked Using User Listens

Updated by OwlTail 3 days ago

Rank #1: PE #021 Shoulder pain, rotator cuff tendinopathy and frozen shoulder with Dr Jeremy Lewis

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Shoulder pain - what are the causes, and how can you treat it? Are your special tests around the shoulder really isolating and identifying pathology? How can the rotator cuff still function with small and large tears?

In Episode 22 of the Physio Edge podcast, Jeremy Lewis and David Pope discuss these questions and more including:

What is the value of special tests around the shoulder? What diagnosis can you provide your patients for their shoulder pain How can you identify if you need to focus your treatment on the scapula, glenohumeral joint, cervical spine or thorax? How can you identify a rotator cuff tendinopathy? What is the Rotator Cable, and how is it important in rotator cuff tears? Is the acromion really the cause of “impingement” or subacromial pain? If a patient has a biceps tendinopathy and a rotator cuff tendinopathy, which should be treated first? What contributes to biceps tendinopathy? Theraband - valuable? When imaging of the shoulder is valuable, and when it is a waste of time Frozen shoulder - what treatments work well

And much more.

Podcast links

Dr Jeremy Lewis

London Shoulder Clinic

Courses with Jeremy Lewis

Clinical Edge

Become a Clinical Edge member

Review the Physio Edge podcast on iTunes

Tags: Dr Jeremy Lewis, Shoulder, shoulder pain, subacromial pain syndrome, acromion, impingement, rotator cuff, tendinopathy, theraband, SSMP, pathology, frozen shoulder, muscle tear, rotator cable, physio, physio edge, podcast

Sep 12 2013

1hr 15mins

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Rank #2: Physio Edge 093 Manual therapy - evidence effects and expectations with Prof Chad Cook

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Manual therapy (MT) comes in all shapes and sizes - mobilisation, manipulation, mobilisation with movement, soft tissue massage, instrument assisted massage, muscle energy techniques, pointy elbows pressed into flesh and more. Patients (often) love it, and it's a popular treatment modality with therapists. Debate rages, and myths and misconceptions surround MT. Could the time we spend performing MT be better spent elsewhere? How does MT work? Is it worth using if treatment effects are short lived? Is it just used as revenue raising by therapists, while creating reliance on passive therapies?

Is MT evidence-based? Is it worth including in our treatment? Which patients may benefit from MT, and which patients you should steer away from MT?

In this podcast, clinical researcher, physical therapist and Professor at Duke University, Dr Chad Cook, we discuss the evidence around MT, myths and misconceptions, how MT works, and using your clinical reasoning to decide when and how to utilise MT.

You'll discover:

  • What are the arguments against manual therapy?
  • Do the arguments against MT have merit?
  • Does MT break up scar tissue or adhesions, correct alignment of joints, or put them back into place?
  • Do we have evidence that MT creates reliance on passive therapies?
  • Evidence for and against MT
  • How to use clinical reasoning with MT
  • How MT works - potential mechanisms
  • What MT is NOT doing
  • How to explain MT to your patients
  • Clinical reasoning
  • Identifying pain adaptive and non pain adaptive patients
  • How MT can help identify patients with a better or worse prognosis
  • How many sessions of MT should patients receive?
  • How to select MT techniques
  • Does MT cause harm and patient reliance?
  • How to identify patient treatment expectations
  • How to help change patient expectations
Links associated with this episode: Articles associated with this episode:

Bialosky et al. 2009. The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model.

Bialosky JE, Bishop MD, Penza CW. Placebo mechanisms of manual therapy: a sheep in wolf's clothing?. journal of orthopaedic & sports physical therapy. 2017 May;47(5):301-4.

Cook et al. 2014. Is there preliminary value to a within- and/or between-session change for determining short-term outcomes of manual therapy on mechanical neck pain?

Cook et al. 2013. Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial.

Cook et al. 2012. Can a within/between-session change in pain during reassessment predict outcome using a manual therapy intervention in patients with mechanical low back pain?

Cook. 2011. Immediate effects from manual therapy: much ado about nothing?

Deyle et al. 2005. Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program.

Goss et al. 2004. A Cochrane review of manipulation and mobilization for mechanical neck disorders.

Learmann et al. 2014. No Differences in Outcomes in People with Low Back Pain Who Met the Clinical Prediction Rule for Lumbar Spine Manipulation When a Pragmatic Non-thrust Manipulation Was Used as the Comparator.

Rubinstein et al. 2011. Spinal manipulation therapy for chronic low back pain.

Schneider et al. 2014. Derivation of a clinical decision guide in the diagnosis of cervical facet joint pain.

Traeger et al. 2018. Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain.

Aug 30 2019

1hr 29mins

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Rank #3: PE #033 How to treat anterior knee pain with Kurt Lisle

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How to treat anterior knee pain with Kurt Lisle

Anterior knee pain can occur in your elite sports patients right through to office workers and weekend warriors. In this podcast with Kurt Lisle, we discuss anterior knee pain, the causes, how to diagnose the source of the pain, and the best ways to treat and rehabilitate these patients.

Kurt Lisle is the Australian Socceroos Physio and co-owner of The Knee Joint Physio in Queensland. Kurt and I discussed acute knee injuries on the Physio Edge podcast in episode 29, and I really wanted to get Kurt back on the podcast to discuss the anterior knee.

In this fantastic, detailed episode of the Physio Edge podcast, Kurt and I explore:

  • Subjective clues that give you ideas about differential diagnosis
  • Fat pad - location of pain, activities that irritate
  • Patellofemoral joint - aggravating activities and DDx
  • Patellar tendon - subjective clues, location of pain
  • Objective examination of the anterior knee
  • Tests for PFJ
  • Functional tests first or examination on the treatment table?
  • Palpation of the anterior knee
  • Fat pad palpation and tests
  • Is the fat pad tender medial and laterally, or can it be tender only on one aspect
  • Neuromuscular patterning
  • Squat and one leg squat examination
  • What causes “catching” pain on movement
  • Chondral defects - identifying
  • Is there value in the grind test
  • When to refer for MRI and other imaging
  • Important factors that may contribute to AKP
  • Gait contributors to AKP
  • Treatment of PFJ pain
  • Modifying PFJ aggravating activities
  • Using EMG
  • Quadricep rehabilitation and strengthening
  • When to incorporate squats into your rehabilitation program
  • The role of taping for PFJ or fat pad irritation
  • Red flags causing knee pain

You can download this episode from iTunes or Soundcloud.

If you enjoy the Physio Edge podcast, we would love you to take a couple of minutes write us a review on iTunes. Please take a screenshot of your review before posting it, and email it to info@physioedge.com.au so I can give you a shoutout in the next podcast

Links of Interest

Kurt Lisle

The Knee Joint Physiotherapy, Bokarina, QLD

Socceroos

Review the Physio Edge podcast in iTunes

Download the Physio Edge podcast from iTunes

Clinical Edge

20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE

Review the Physio Edge podcast in iTunes

Download the Physio Edge podcast from iTunes

Clinical Edge

20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE

Tags: anterior knee, pain, knee, knee injuries, socceroos, patellofemoral joint, fat pad, impingement, patellar tendon, knee joint, imaging, strengthening, examination, rehabilitation, return to play, graft, tendon, conservative, football, soccer, physio edge, physiotherapist, physio, edge, clinical edge, podcast, online education, kurt lisle, socceroos, the knee joint

Jan 23 2015

1hr 16mins

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Rank #4: PE #032 How to rehabilitate ACL Injuries with Enda King

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ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than your patients had before they injured their ACL.

In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance.

Going deep on the details involved in ACL Rehabilitation, including:

01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like

  • What does a fully rehabilitated athlete look like?
  • Incorporating performance goals into the rehab process
  • Can athletes achieve better performance post ACL rehab than they were pre-injury
  • Types of ACL grafts
  • Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery
  • Preoperative education
  • Restoring knee extension, balancing pain and improved range of movement, empowering your patient
  • Guidelines for pain, swelling when restoring range of movement
  • Restoring quadriceps activation, normalising gait patterns
  • Clinical Edge
  • Clinical Edge’s free webinar program
  • Preoperative length of time
  • Post-op - initial management
  • To use or not use co-contraction exercises of quads and hamstrings
  • Should you use squatting style exercises Week 1 post op
  • Activating quadriceps - internal quadriceps cues or external exercise focus
  • How much pain should a patient experience during or after an exercise
  • Week 2 post-op
  • When can heavy gym training commence
  • Changing movement patterns throughout the kinetic chain
  • Advice for patients in the early stages of rehab
  • Frequency of exercise
  • Week 2 onwards - exercises incorporating balance and proprioception
  • Open vs closed chain exercises
  • Advice for patients in weeks 2–6
  • Nutrition and dietary advice for patients
  • Gym based rehabilitation
  • Choosing and modifying exercises for middle stages of the rehabilitation process
  • Various types of squatting movement, and progressing the types of squats
  • Goblet squats
  • Retraining ideal squat patterns
  • Progressing squats, deadlifts and lunges
  • Front squats
  • Front squats and trap bar deadlifts vs back squats during rehabilitation
  • When can an athlete start cycling
  • Disadvantages of using cycling as the main part of a rehabilitation program
  • Hamstring rehabilitation after semitendinosis/gracilis graft
  • Strength and power development
  • Strength testing - mid thigh pull, leg press
  • Should we use open chain strength tests
  • When to perform strength tests
  • Strength vs power and rate of force development
  • Running - incorporating into the program. When can your patient start running?
  • Preparation for running
  • Running drills
  • Ideal movement patterns in running
  • Enda King and SSC, and working with ACL athletes

Podcast timeline

3:35 What does a fully rehabilitated athlete look like?

5:40 Incorporating performance goals into the rehab process

6:50 Can athletes achieve better performance post ACL rehab than they were pre-injury

8:20 Types of ACL grafts

11:10 Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery - an opportunity to prepare your patients knee, ROM, strength and educate them on the rehabilitation process

14:20 Preoperative education

14:40 Restoring knee extension, balancing pain and improved range of movement, empowering your patient with

15:40 Guidelines for pain, swelling when restoring range of movement

16:15 Restoring quadriceps activation, normalising gait patterns

17:10 Clinical Edge

18:45 Clinical Edge’s free webinar program

19:30 Preoperative length of time

20:35 Post-op - initial management

23:20 To use or not use co-contraction exercises of quads and hamstrings

24:50 Should you use squatting style exercises Week 1 post op

25:25 Activating quadriceps - internal quadriceps cues or external exercise focus

26:30 How much pain should a patient experience during or after an exercise

27:30 Week 2 post-op

28:30 When can heavy gym training commence

29:30 Changing movement patterns throughout the kinetic chain

31:00 Advice for patients in the early stages of rehab

32:10 Frequency of exercise

32:55 Week 2 onwards - exercises incorporating balance and proprioception

34:10 Open vs closed chain exercises

35:40 Advice for patients in weeks 2–6

37:15 Nutrition and dietary advice for patients

37:45 Gym based rehabilitation

38:50 Choosing and modifying exercises for middle stages of the rehabilitation process

41:00 Various types of squatting movement, and progressing the types of squats

41:45 Goblet squats

42:30 Retraining ideal squat patterns

43:25 Progressing squats, deadlifts and lunges

44:00 Front squats

46:00 Front squats and trap bar deadlifts vs back squats during rehabilitation

47:25 When can an athlete start cycling

48:00 Disadvantages of using cycling as the main part of a rehabilitation program

48:30 Hamstring rehabilitation after semitendinosis/gracilis graft

49:45 Strength and power development

51:00 Strength testing - mid thigh pull, leg press

53:15 Should we use open chain strength tests

54:20 When to perform strength tests

55:00 Strength vs power and rate of force development

55:50 Running - incorporating into the program. When can your patient start running?

57:30 Preparation for running

58:35 Running drills

1:00:30 Ideal movement patterns in running

Links:

Enda King

Enda on Twitter @enda_king

Sports Surgery Clinic, Dublin

SSC Research Foundation

David Pope on Twitter

Clinical Edge Webinar program - register your interest

Clinical Edge

Review the podcast in iTunes

Tags: ACL, knee, injury, anterior cruciate ligament, surgery, rehabilitation, soccer, football, strengthening, movement, non-contact, physiotherapy, physio edge, podcast, enda king, SSC, sports surgery clinic, david pope, clinical edge, webinar

Dec 09 2014

1hr 8mins

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Rank #5: PE #015 Cervicogenic headaches with Ken Niere

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How can you recognise when the cervical spine is involved in a patients headache? How can you treat headaches caused by cervical dysfunction? What role does manual therapy play in their treatment? When and how should you treat their cervical motor control?

In this podcast, Ken Niere and David Pope discuss cervicogenic headaches, effective physio treatment, and how to recognise the difference between cervicogenic headaches, tension type headaches and migraine.

Ken Niere is a Specialist Musculoskeletal Physiotherapist with over 25 years’ clinical experience in the assessment and treatment of spinal disorders. He is a senior lecturer in the School of Physiotherapy at La Trobe University, where he has taught spinal musculoskeletal physiotherapy at undergraduate and postgraduate levels since 1989.

Ken is an examiner for the Australian College of Physiotherapists and he recently contributed to and co-edited a book on headache, orofacial pain and bruxism. His special interests include the diagnosis and management of headaches and neck disorders, and he has lectured on these topics in Australia and overseas.

Tags: Cervicogenic headache, cervical spine, headache, tension type headaches, migraine, physiotherapy, ken niere, physio, differential diagnosis, la trobe university, australian college of physiotherapists, david pope, physioedge, podcast, assessment, treatment

Links of Interest

Get your spine into awesome shape by subscribing to the podcast in iTunes

Review the Physio Edge podcast in iTunes

Clinical Edge

Free membership to Clinical Edge!

Ken Niere

Ken Niere at La Trobe University

The essential role of the thorax in whole body function and the “Thoracic ring approach” with LJ Lee - Online education for Physiotherapists for Clinical Edge members

20% off your first months Clinical Edge membership with the code “physioedge”

Contact David

David on Twitter

Aug 01 2012

1hr 7mins

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Rank #6: Physio Edge 077 Anterior shoulder pain, long head of biceps tendon pathology and SLAP tears with Jo Gibson

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The long head of biceps tendon and superior labrum can get a hard time in throwing athletes and patients that fall on their arm or shoulder. This can result in long head of biceps tendon pathology or SLAP tears, and cause ongoing shoulder pain.

A lot of our shoulder tests are non-specific, and are unable to identify particular structures that are irritated or painful in the shoulder. In the case of the long head of biceps (LHB) tendon and slap tears, there are a few useful tests that in combination with a good history can help you identify when the structures are involved in your patient's shoulder pain.

In episode 77 of the Physio Edge podcast, Jo Gibson, Shoulder Specialist Physio and David Pope discuss anterior shoulder pain, LHB pathology and SLAP tears. You will discover:

  • Anatomy of the long head of biceps tendon and superior labrum
  • Why the anatomy is important, and may be different to what you learnt at university around the biceps tendon and bicipital groove
  • The clinical presentation and relevant history of patients with SLAP lesions and LHB tendon pathology
  • Which patients are more likely to get SLAP tears following trauma
  • Special tests that may help you identify LHB pathology and SLAP tears
  • What information imaging gives us
  • When to request imaging for your shoulder pain patients
  • Different groups of patients that develop LHB pathology
  • Rehabilitation of LHB tendon pathology and SLAP tears
  • When to specifically target the LHB tendon, and when to target the surrounding structures for best results
  • Other areas to consider in your rehab beyond the shoulder
  • How the kinetic chain can impact shoulder pain
  • How someone's hop distance can influence their shoulder pain
  • How to start treatment of someone with an irritable LHB tendon
  • Important education components to include in your treatment
  • Time frames - How long do these injuries take to recover?
  • Which patients are suitable for surgical management?
  • Different types of surgery for LHB tendon pathology
  • Which SLAP tear patients should have conservative treatment?
  • How suprascapular nerve involvement can present following traumatic shoulder injury, and how to identify patients with suprascapular nerve compression
Links of Interest Articles associated with this episode: Exercise videos Other episodes of interest:

Feb 09 2018

1hr 21mins

Play

Rank #7: Physio Edge 047 Rotator cuff tendinopathy with Dr Chris Littlewood

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The rotator cuff and rotator cuff tendons are often involved in shoulder pain, and targeted with our treatment. Dr Chris Littlewood is a Physio and senior research fellow at the University of Sheffield, and spends a large portion of his time studying and treating shoulder pain, including rotator cuff tendinopathy. In this episode, Chris and I discuss how to identify rotator cuff tendinopathy and other types of shoulder pain, and how you can direct your treatment for rotator cuff tendinopathy. We also explore:

  • Other sources of shoulder pain
  • Clues that the cervical spine could be referring pain to the shoulder
  • Unstable shoulder
  • Red flags
  • When to image the shoulder
  • When bursal thickness or effusion is or isn’t a problem
  • Shoulder assessment
  • Stiff painful shoulders
  • Treatment for rotator cuff tendinopathy
  • Improving exercise adherence
  • When to perform special orthopaedic tests
  • Injections
  • Surgery
  • Is there really a rotator cuff exercise, compared to a scapular muscle exercise?
  • Do exercises isolate the rotator cuff?

Download your free handout “Rotator cuff tendinopathy”

Links of interest

Webinar with Dr Chris Littlewood

Download the handout from this podcast

Webinar with Tom Goom on Bone stress injuries

Cervical spine assessment & treatment online course

Clinical Edge

Clinical Edge free trial

David Pope on Twitter

David on Facebook Live video

Jun 23 2016

1hr 17mins

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Rank #8: PE #009 Lateral Hip Pain

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PE #009 Lateral Hip Pain with Dr Alison Grimaldi

Lateral hip pain is a condition patients present with regularly to Physiotherapists, with pain walking or standing, sleeping on their side, stretching of the posterior hip, and sitting, amongst other symptoms, and can often mimic lumbar spine pathology. In this episode, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain - Glute Med Tendinopathy (GMT), that is often incorrectly diagnosed as “trochanteric bursitis”.

Some of the aspects we explore in this podcast are:

  • Subjective clues that someone may have a Glute Med Tendinopathy
  • “Trochanteric Bursitis”
  • Differentiating Glute Med Tendinopathy from pain of Lumbar origin
  • Assessment of the hip
  • Tests to confirm or rule out a Glute Med Tendinopathy
  • Causes of a Glute Med Tendinopathy
  • Advice for patients
  • Treatment of Glute Med Tendinopathy
  • Deep hip muscle activation
  • How to design a treatment program to make the difference between it working and failing
  • much more

I also want to take this moment to wish you and your family a very Happy New Year.

Links of interest

Become incredibly sexy by subscribing to the podcast in iTunes

Give the Physio Edge podcast a review in iTunes

Clinical Edge

Dr Alison Grimaldi

Dr Alison Grimaldi’s Publications

PhysioTec

University of Queensland

Have you subscribed to the Podcast in iTunes yet?

Online education for Physiotherapists for Clinical Edge members

Become a Clinical Edge member

Next time on the Physio Edge Podcast: The Biomechanics of Running

Contact David

Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, hip, lateral hip pain, tendinopathy, glute med tendinopathy, lumbar spine, dr alison grimaldi, physiotec,

Jan 02 2012

53mins

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Rank #9: PE #014 Chronic Low Back Pain with Peter O'Sullivan

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What is contributing to your patients low back pain? How do you know when to use manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP? In episode 14 of the Physio Edge podcast, Peter O’Sullivan and David Pope discuss chronic low back pain and Peter’s approach to getting past it. Some of the topics we dug into include:

  • Causes, classification and treatment of chronic low back pain (CLBP)
  • Common treatment errors
  • Identifying mechanical contributors
  • When manual therapy is helpful
  • Myths around “core stability”
  • What is the current evidence base for CLBP classification and treatment
  • Tips for treatment of CLBP
  • A lot of other great treatment advice for CLBP….

Listen to it now, and subscribe free to the podcast in iTunes

Links of interest

Look your best this weekend by subscribing to the podcast in iTunes

Give the Physio Edge podcast a review in iTunes

Clinical Edge

Free membership to Clinical Edge!

Peter O’Sullivan

Peter O’Sullivan at Curtin University

The essential role of the thorax in whole body function and the “Thoracic ring approach” with LJ Lee - Online education for Physiotherapists for Clinical Edge members

20% off your first months Clinical Edge membership with the code “physioedge”

Contact David

David on Twitter

Tags: physio, physio edge, physiotherapist, podcast, courses, evidence based practice, online education, peter o’sullivan, curtin university, bodylogic physiotherapy, low back pain, chronic low back pain, treatment, assessment, classification, clinical edge

Jun 26 2012

1hr 19mins

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Rank #10: Physio Edge 082 Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill

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Achilles tendinopathy treatment - what is the latest research, and how can it help your treatment? What is the best way to treat Achilles tendinopathy (AT)?

Over the years our treatment of tendinopathy has evolved significantly. You may remember rubbing tendons with ultrasound or our thumbs in years gone past, and stretching the painful area or muscle-tendon complex. If you did, you may also remember the number of people that didn't really improve or develop the load tolerance to return to activity with this approach, supported by research demonstrating the lack of effectiveness of this approach.

We progressed to the golden era of loading, initially using eccentric training. Additional research emerged on the benefits of heavy slow resistance in tendinopathy treatment, closely followed by the importance of load management demonstrated in research on soft tissue injuries. In 2015 and 2016 Rio et al. released promising preliminary research utilising isometric holds in patellar tendinopathy patients, and we have extrapolated and used isometric holds with many different types of tendinopathy.

In Physio Edge podcast episode 82 with Dr Seth O'Neill, you will discover:

  • Are isometric holds effective with Achilles tendinopathy patients?
  • What is the most effective treatment for AT?
  • What does the latest research on the treatment of AT reveal?
  • Is relief of pain with isometric holds necessary to make a diagnosis of tendinopathy?
  • What assessment tests can you perform to diagnose AT?
  • How can you assess patient calf strength?
  • How can you differentially diagnose other conditions including Plantaris involvement, insertional AT, talocrural impingement or neural irritation?
  • How can you explain AT to your patients?
  • What exercises can you include in your treatment?
  • Exercise progressions you can use
  • When are eccentrics a useful addition to a treatment program?
  • When can patients start, continue or progress a walking or running program?
  • How can you incorporate the biopsychosocial model into your treatment?
  • Is dorsiflexion range of movement important?
  • Is stretching an effective treatment for tendinopathy?
  • Are ice, massage or ESWT useful?
  • When is imaging useful?
  • How can you treat insertional Achilles tendinopathy?

Download this podcast now to improve your results with Achilles tendinopathy

Dr Seth O'Neill completed a MSc in Musculoskeletal Physiotherapy, followed by a PhD focused on Achilles tendon disorders. Seth is a lecturer in Physiotherapy at the Universities of Leicester and Coventry, and has a Physio private practice in Nottingham, UK.

Click here to download your FREE podcast handout

Click here to register for this FREE webinar "Anterior knee pain and the impact of load" with Lee Herrington

Click here to register for this FREE webinar "Accelerated conservative management of medial knee injuries" with Chris Morgan

Links associated with this episode: Articles associated with this episode: Other episodes of interest:

Aug 03 2018

1hr 49mins

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Rank #11: PE #024 Thoracic Ring Approach with Dr Linda-Joy (LJ) Lee

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PE 024 Thoracic Ring Approach with Dr Linda-Joy (LJ) Lee

The thorax is often considered stiff and stable by Physiotherapists and manual therapists, and precious little of our undergrad or postgrad training incorporating or seeing the need for motor control of this area.

In episode 24 of the Physio Edge podcast, LJ Lee and David Pope explore the function of the thorax, the impact the thorax can have, not only on thoracic pain, but also on other parts of the body. We discuss the Thoracic Ring Approach (TRA) created by LJ, which incorporates manual techniques to assess and treat the thoracic rings, and integrates motor control training for this area. In this podcast you will learn:

What bones and joints make up a “Thoracic ring”

Is the thorax inherently stiff?

What is ideal motor control of the thorax?

How can listeners identify non-optimal control of the thorax in their patients

How can motor control of the thorax be trained?

Identifying articular/joint restriction vs neuromuscular factors interfering with normal thorax movement

How can the thorax impact on other areas of the body eg the hip

When is manipulation of the thorax ideal?

What are some guidelines for manipulation of the thorax?

and much more. Download this podcast free from iTunes, or listen on the link below

Links of Interest

Have an awesome holiday, and review the Physio Edge podcast on iTunes

LJ Lee

The Sports Thorax course with LJ Lee

The Sports Pelvis course with LJ Lee

Videos on the Thoracic Ring Approach with LJ Lee via Clinical Edge

Physio Edge podcast episode 2 - “Analysing movement, and clinical expertise or research” with LJ

Physio Edge Podcast episode 6 - TA, “Core Stability”, Drivers and going beyond the pain experience" with LJ Lee

Tags: Thorax, Thoracic ring, Thoracic Ring Approach, ribs, thoracic spine, Integrated Systems Model, stiffness, motor control, mobilisation, manipulation, driver, articular, joint, neuromuscular, stability, bones, joint, hip, vertebrae, LJ, Linda-Joy Lee, ISM, Integrated Systems Model, Physio Edge, podcast, physiotherapy, physiotherapist, clinical practice

Dec 19 2013

1hr 20mins

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Rank #12: Physio Edge 091 Return to running - a guide for therapists with Tom Goom

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When you love running or any other sport or activity, having to take time off with an injury is really frustrating. Your patients with an injury limiting their running will feel frustrated and be keen to keep running or get back to running as quickly as possible. We can make a huge difference in helping them return to running, but how do we do it?

It would be pretty simple if we could hand all of our running injury patients a standard return to running table with a list of set running distances, and send them on their way to just follow the program. The trouble is, it doesn’t work that way in real life.

Each of your patients will have different goals, and respond differently to rehab and increases in running, depending on their injury, irritability of their symptoms, their load tolerance, and a lot of factors. Since recipe-based approaches won’t work for a lot of patients, how can you tailor your rehab and guide your running injury patients through their return to running?

In this podcast with Tom Goom, we’re going to help you return your patients to running as quickly as possible, know which factors you need to address in your rehab, and how to tailor your rehab to each of your patients. You will explore how to:

  • Test whether your patient is ready to run
  • Find your patients ‘run tolerance’
  • Incorporate your athlete’s goals into their rehab
  • Use their pathology to guide return to running eg stress fractures or plantar fasciopathy
  • Use irritability to guide your load progression
  • Vary your treatment depending on the stage of their competitive season
  • Address strength, range of movement, control, muscle mass, power and plyometric impairments in their rehab program
  • Choose the number of exercises you use
  • Balance risk and reward to meet patients goals
  • Four key steps to return your patient to running
  • Use impact tests when assessing whether your patient is ready to run
  • Plan training structure and progression
  • Monitor return to running
  • Identify acceptable pain levels while increasing running

We will take you through four real patient case study examples so you can apply the podcast in your clinical practice, including:

  • Achilles tendon pain
  • Medial tibial stress syndrome (MTSS)/Shin splints
  • Calf pain
  • High risk tibial stress fracture

CLICK HERE to download your podcast handout

 

Links associated with this episode: Other episodes of interest:

Jun 14 2019

1hr 25mins

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Rank #13: Physio Edge 092 Plantar heel pain - The latest research how to apply it with Henrik Riel

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When your patient has heel pain with their first few steps in the morning, after sitting for a while or at the start of a run, a diagnosis of plantar heel pain (PHP) or plantar fasciopathy might jump straight to the top of your list. How will you treat your patients with PHP? How long will it take? How can you explain PHP, the rehab and recovery to your patients?

In this podcast with Henrik Riel (Physiotherapist, researcher and PhD candidate at Aalborg University) we take a deep dive into PHP, and how you can treat it, including:

  • How to describe plantar heel pain to your patients
  • How to explain to your patient why they developed PHP, recovery timeframes and rehab
  • Plantar fasciitis, plantar fasciopathy, plantar heel pain? What's the most appropriate terminology?
  • Differential diagnosis for PHP including
    • Neuropathic pain
    • Fat pad irritation, contusion or atrophy
    • Calcaneal stress fracture
    • Other diagnoses
  • How to systematically perform an objective assessment and diagnose PHP
  • Assessment tests to identify factors contributing to your patients pain
  • Whether your patients require imaging
  • How long PHP takes to recover
  • What factors affect your patients prognosis and recovery times
  • How to differentiate your treatment for active or sedentary patients
  • Whether your patients can continue to run with PHP
  • Factors that may hinder the recovery of your sedentary patients, and how to address these
  • Whether your patients should include stretching in their rehab
  • Types of strengthening to include in your rehab - isometric, isotonic or otherwise
  • How many sets and reps should your patients perform of their strengthening exercises
  • Whether orthotics are useful
  • Corticosteroid injections - do they help or increase the risk of plantar fascia rupture?
Links associated with this episode: Articles associated with this episode:

Alshami et al. 2008. A review of plantar heel pain of neural origin: differential diagnosis and management.

Chimutengwende-Gordon et al. 2010. Magnetic resonance imaging in plantar heel pain.

Dakin et al. 2018. Chronic inflammation is a feature of Achilles tendinopathy and rupture.

David et al. 2017. Injected corticosteroids for treating plantar heel pain in adults.

Digiovanni et al. 2006. Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up.

Hansen et al. 2018. Long-Term Prognosis of Plantar Fasciitis: A 5- to 15-Year Follow-up Study of 174 Patients With Ultrasound Examination.

Lemont et al. 2003. Plantar fasciitis: a degenerative process (fasciosis) without inflammation.

Rathleff et al. 2015. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.

Riel et al. 2017. Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on.

Riel et al. 2018. The effect of isometric exercise on pain in individuals with plantar fasciopathy: A randomized crossover trial.

Riel et al. 2019. Self-dosed and pre-determined progressive heavy-slow resistance training have similar effects in people with plantar fasciopathy: a randomised trial.

Other Episodes of Interest:

PE 062 - How to treat plantar fasciopathy in runners with Tom Goom

PE 061 - How to assess and diagnose plantar fasciopathy in runners with Tom Goom

PE 060 - Plantar fasciopathy in runners with Tom Goom

PE 038 - Plantar fasciopathy loading programs with Michael Rathleff

PE 012 - Plantar Fascia, Achilles Tendinopathy And Nerve Entrapments With Russell Wright

Aug 06 2019

1hr 11mins

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Rank #14: Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom

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Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active.

There are a number of structures that can contribute to pain in this area, and in this podcast, Tom Goom and David Pope discuss how to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions.

Tom recently released an article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management with Peter Malliaras, Mike Reiman and Craig Purdam. We explore this article, and the research around PHT, and cover in detail:

  • Subjective clues to guide you towards diagnosis
  • Aggravating factors and 24 hour pain patterns
  • Differential diagnosis
  • Lumbar spine pain
  • How the lumbar spine could contribute to development of PHT
  • Hip pain
  • SIJ pain
  • Sciatic nerve pain
  • Development of PHT
  • Central sensitisation
  • Diagnostic tests for PHT
  • Hamstring tests
  • Other assessment tests
  • Functional tests
  • The value of palpation
  • Tests for involvement of the rest of the kinetic chain
  • Running assessment/gait analysis
  • Testing load tolerance
  • Biopsychosocial aspects of tendon recovery
  • Other advice for patients
  • Whether stretching is helpful
  • When your patient can return to running
  • Cross training
  • Does manual therapy have a role in the treatment of PHT?
  • Starting treatment (Stage 1)
  • When and how to progress rehabilitation (Stage 2)
  • Further rehabilitation progressions (Stage 3)
  • Advanced exercise progressions for high load sports
  • Exercises you can incorporate during the various stages
  • How long recovery will take

Links

May 04 2016

1hr 33mins

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Rank #15: Physio Edge 067 Shoulder special tests and the rotator cuff with Dr Chris Littlewood

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Shoulder pain can involve the rotator cuff, scapula, cervical spine, thorax, and other structures in this area. Recent research has also explored the role of patient beliefs and expectations on the outcomes of Physiotherapy for shoulder pain. Which factors are important in your shoulder pain patients? Can we identify the contributing factors to your patients shoulder pain? What information will you get from orthopaedic special tests during a shoulder examination? How can you improve your treatment results with your patient education?

In this episode of the Physio Edge podcast, Dr Chris Littlewood and David Pope discuss shoulder pain, including:

  • Classification of shoulder pathology
  • How to identify painful vs stiff vs unstable shoulder pain vs cervical spine referred pain
  • Questions to ask in your subjective assessment
  • Does subacromial impingement exist, and how does a diagnosis of subacromial impingement effect outcomes
  • Patient expectations of treatment outcomes
  • How to perform an objective assessment
  • What information special tests provide
  • Is scapular dyskinesis pathological or normal movement variation
  • Are painful or non-painful exercises most helipful in chronic shoulder pain
  • What role does imaging have in shoulder pain

This podcast adds to Physio Edge podcast 47 - Rotator cuff tendinopathy with Dr Chris Littlewood .

Links of interest

Webinar - "Exercise for rotator cuff tendinopathy: Does it work as we think it should, and can we do better? with Dr Chris Littlewood

Download the handout from this podcast

Cervical spine assessment & treatment online course

Get your free trial Clinical Edge membership

David Pope on Twitter

Clinical Edge on Facebook

Dr Chris Littlewood at Keele University

Dr Chris Littlewood on Twitter

Dr Chris Littlewood on ResearchGate

Aug 18 2017

1hr 10mins

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Rank #16: Physio Edge 074 Hip pain and femoroacetabular impingement FAI with Dr Joanne Kemp

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Femoroacetabular impingement (FAI) may contribute to hip and groin pain, buttock pain, pelvic or low back pain and referred pain into the thigh. Is conservative management effective in patients with FAI, or is surgery required? If we can treat FAI conservatively, what is the best treatment, and how can you tailor your treatment to your individual patients?

In episode 74 of the Physio Edge podcast with Dr Joanne Kemp you will discover:

  • What is FAI, and how can you identify it?
  • Common clinical presentations
  • Key subjective questions to ask
  • Types of FAI morphology and how they are identified
  • Is FAI just a normal finding?
  • How you can perform an objective assessment in patients with FAI
  • Differential diagnosis
  • Components you need to include in your conservative treatment for FAI
  • Which objective markers to use when treating FAI
  • How to address common impairments in your rehabilitation, including strength, functional tasks, cardiovascular training and range of movement
  • When to refer for a surgical opinion
  • Outcomes of surgical treatment
  • Future risk of developing OA in presence of FAI

Sports Injuries virtual conference presentation

As mentioned in this episode Joanne will be part of the Sports Injury virtual conference. Her pre conference presentation will discuss FAI and the diagnostic process in more detail. Her subsequent conference presentation will be available on 9-10 December 2017, with access for up to 12 months following the conference, and will discuss:

• Conservative management of FAI • Specific exercise progressions you can use • Return to sport for athletes

Enrol on the 2017 Sports Injuries virtual conference by CLICKING HERE

Download this podcast and subscribe on iTunes

Links associated with this episode: Articles associated with this episode:

Griffin et al. 2016. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement.

Articola et al. 2014. A Cam Deformity Is Gradually Acquired During Skeletal Maturation in Adolescent and Young Male Soccer Players. A Prospective Study With Minimum 2-Year Follow-up.

Other episodes of interest:

Nov 24 2017

59mins

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Rank #17: Physio Edge 079 How to rehabilitate ACL injuries with Dr Lee Herrington

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Following ACL injury, patients can have a smooth recovery with full return to sport and activity, or end up with ongoing knee symptoms and limited ability to perform the activities they love. How can you help your ACL injured patients have a great outcome?

In Physio Edge podcast episode 079, Dr Lee Herrington and David Pope explore how to make your ACL injury rehab successful, and provide you with a comprehensive guide to rehabilitate ACL injuries. You will understand how to take your patients from initial injury to return to sport, and develop the knowledge to help inform your patients decide with your patient whether surgical repair or conservative management is their best option.

You will discover:

  • Do ACL injuries require surgical management?
  • Which factors commonly affect whether people with ACL-deficient knees require surgery?
  • Common diagnostic errors in ACL injury patients
  • What are the key elements you need to include in your rehab of ACL injuries?
  • Conservative vs surgical management
  • Should your rehab focus on movement control, strength or skills?
  • How you should objectively assess your patients rehab progress?
  • What valid measurement tools can you use when assessing patient progress?
  • Are open-chain exercises safe, and should they be used in your rehab?
  • Most effective types of movement control and skill training
  • How to know when your patient should progress their exercises?
  • Which strength measures are important?
  • Which strength training exercises can you include?
  • When can running be commenced?
  • Running progressions you can use
  • What pain measures should you monitor throughout rehab?
  • Is pain during rehab ok?
  • How to return your patient to training and sport
  • What maintenance exercises should your patient continue after completing their rehab?

Related online courses

Advanced ACL rehab with Andrew Ryan

Other episodes of interest:

Click here to download the podcast handout

Links associated with this episode: Articles associated with this episode:

Jun 08 2018

1hr 30mins

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Rank #18: PE #030 CrossFit Injuries with Antony Lo

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CrossFit is a very popular form of improving strength and fitness, and CrossFit athletes have a variety of common injuries. Training errors and the athlete’s biomechanics often contribute to these injuries, and identifying incorrect biomechanics and other contributing elements in their training is often the key to helping your patients recover from injury, train pain free and importantly for your patients, ultimately get stronger and fitter.

In episode 30 of the Physio Edge podcast, David Pope discusses CrossFit injuries, training, biomechanics and injury recovery with Antony Lo. Antony is a Musculoskeletal Physiotherapist with a number of clinics within CrossFit gyms across Sydney, and a large proportion of his patient population are CrossFit athletes.

In this podcast Antony and David explore:

  • The most common injuries in CrossFit
  • Factors that contribute to injuries in the Shoulders, Neck, Back, Knees, and lower limb
  • Specific exercises performed in CrossFit
    • Squats
    • Pullups/Chinups
    • Pushups
    • Overhead exercises
    • Double unders
    • Overhead squats
    • Snatch
    • Running
  • Ideal biomechanics for each of these movement
  • Common movement errors and ways to assess each movement
  • Rest from training vs continue training
  • Manual therapy on cross fit athletes
  • Modifying training loads
  • Rhabdomyolisis
  • Urinary continence while training
  • Advice for Physios treating CrossFit athletes

Links of Interest

Subscribe to the podcast in iTunes

Review the podcast in iTunes

Listen to the podcast on Soundcloud

Antony Lo

Antony’s Website - physiodetective.com

Antony on Twitter

CrossFit

Oct 20 2014

1hr 15mins

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Rank #19: Physio Edge 073 Neck pain rehabilitation and strengthening with Kay Robinson

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Strengthening is not commonly used in neck pain treatment and rehabilitation, however athletes may place large demands on their neck during training and play that require a high level of strength or endurance.

When should you include strength training in your rehabilitation? What patients will benefit from strength training? How can you incorporate strengthening into your treatment?

In episode 73 of the Physio Edge podcast, we explore the role of neck strengthening with Kay Robinson, Physiotherapist working with Australian sailing, and previously with the British Olympic Skeleton team.

In the podcast you will discover:

  • Objective assessment of patients with neck pain
  • Range of movement and strength tests you can use with your neck pain patients
  • How to assess neck strength in your patients
  • Indications for strength training
  • Is strength training suitable in the early stages of neck pain rehabilitation?
  • Early-stage cervical spine rehabilitation exercises you can use
  • Exercise progressions to improve neck strength
  • Neck strengthening in concussion
  • Is neck strength training suitable for whiplash patients?
  • Aspects incorporated into a typical neck strengthening program

Kay Robinson will also be presenting at the 2017 Sports Injury virtual conference. Her conference presentation on neck strengthening will discuss:

  • How to incorporate neck training into rehabilitation post injury
  • Neck strengthening for injury prevention
  • How to make exercise patient or sport specific
  • Other consideration with neck training
  • Case studies

Download this podcast and subscribe on iTunes

 

Links associated with this episode: Articles associated with this episode:

Durall. 2012. Therapeutic Exercise for Athletes With Nonspecific Neck Pain: A Current Concepts Review.

Falla et al. 2003. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion.

Falla et al. 2007. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting.

Jull et al. 2009. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain.

Other episodes of interest:

PE 013 - Cervical Spine Artery and VBI Testing with Roger Kerry

5 Minute Physio tip - Manual therapy for the cervical spine - Is there any evidence?

5 Minute Physio tip - Contraindications and red flags to cervical spine manual therapy.

Nov 10 2017

49mins

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Rank #20: Physio Edge 043 Sporting Shoulder with Jo Gibson

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Shoulder pain and injury in overhead athletes is very common and has a high recurrence rate. In this podcast with Jo Gibson we discuss sporting shoulder injuries and rehabilitation, including:

  • The role of the Rotator Cuff
  • Train strength or efficiency in the Rotator Cuff?
  • Rotator Cuff muscle balance
  • When is (and when isn’t) surgery necessary for Rotator Cuff or SLAP tears
  • Assessment of shoulder stiffness
  • Bursal involvement
  • Imaging of the shoulder
  • How you can help improve Rotator Cuff activation
  • What role does manual therapy have in shoulder treatment?
  • The importance of the postero-superior cuff
  • What stretches can you perform for the postero-superior Rotator Cuff
  • Treating pain in loaded and overhead activities
  • Exercises you can use in shoulder treatment with your athletes
  • Incorporating the kinetic chain in shoulder rehabilitation
  • Managing shoulder load
  • Central sensitisation
  • Treating throwing athletes
  • The role of the thoracic spine in shoulder pain
  • Communication tips with your shoulder pain patients

Download the podcast from iTunes

Review the Physio Edge podcast in iTunes

Download the podcast from Stitcher

Download and listen to the podcast on Soundcloud

Links of Interest

Jo Gibson

Download the free podcast handout

Subscribe free to the podcast in iTunes

Jo Gibson’s courses

David Pope

Clinical Edge

Get your free trial of Clinical Edge online education

Jo Gibson’s video - Gym ball rollout

Jo Gibson’s video - Wall squat

Jo Gibson’s video - Step up with V

Physio Matters Podcast with Jo Gibson

Skills for Communicating with Patients Book

Key communication skills and how to acquire them - Article in BMJ by Peter Maguire, Carolyn Pitceathly

EUSSER

Feb 15 2016

1hr 29mins

Play