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Sports

Physio Edge podcast

Updated 5 days ago

Education
Health & Fitness
Medicine
Science
Sports
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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

83 Ratings
Average Ratings
74
3
2
1
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

83 Ratings
Average Ratings
74
3
2
1
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

Updated 5 days ago

Read more

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.

Rank #1: 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
1 hour 8 mins
Play

Rank #2: 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
1 hour 7 mins
Play

Rank #3: 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
1 hour 21 mins
Play

Rank #4: 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
1 hour 19 mins
Play

Rank #5: 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
1 hour 17 mins
Play

Rank #6: PE004 Hip Injuries and Labral tears

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PE004 Hip Injuries and Labral tears. An interview with Nichole Hamilton

Acetabular Labral tears in the hip are becoming more commonly diagnosed and operated on. In this episode, I chat to Nichole Hamilton, a Physio with a lot of experience treating hips, designing post-op arthroscopic hip protocols and lecturing about the hip. Some nice insights into hip injuries and diagnosing and treating labral tears.

This week we talk about all sorts of issues around the hip, including:

Diagnosing labral tears Labral tear symptoms What causes a labral tear? Activities that contribute to labral tears When is surgery required for labral tears When is conservative treatment a good option Kicking sports - what muscle control is required What is the role of psoas Dancers - what activities and positions load the labrum How can maximum hip range of movement be attained safely Posterior pelvic tilt or tuck - how does this relate to the hip Progressing exercises to incorporate functional positions

Links of interest

Subscribe to the Podcast in iTunes

Nichole Hamilton

Synergy Physio

Clinical Edge

Free videos with Nichole Hamilton

Thoracic Outlet Syndrome video for Clinical Edge members

Standing Posture Assessment video for Clinical Edge members

The Irritable Hip course with Nichole Hamilton

Shirley Sahrmann

APA Dance Course

Sep 23 2011
31 mins
Play

Rank #7: 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
1 hour 20 mins
Play

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
53 mins
Play

Rank #9: Physio Edge 055 Patellofemoral pain in runners with Brad Neal

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Physio Edge 055 Patellofemoral pain in runners with Brad Neal

Runners regularly present for treatment of anterior knee pain. Accurate diagnosis is vital in guiding your treatment, and helping your patients return to painfree running.

In episode 53 of the Physio Edge podcast Brad Neal and David Pope discuss the different patient presentations with anterior knee pain, along with the subjective clues and objective tests that will help guide successful treatment.

We also explore: • Sources of anterior knee pain - Patellofemoral pain - Acute synovitis - Fat pad irritation - Osteochondral defects • The role of imaging • How to perform an objective assessment in patients with anterior knee pain, including key special tests • Red flags • Saphenous nerve involvement • How to assess if the patient will benefit from an orthotic intervention • Treatment of patellofemoral pain, synovitis, and fat pad irritation • Taping techniques

Links of Interest

Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy

Articles related to this episode:

Related resources

Infographic - Running retraining with Dr Rich Willy

Mar 08 2017
1 hour 8 mins
Play

Rank #10: 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
59 mins
Play

Rank #11: PE #023 Lower Limb Tendinopathies with Dr Peter Malliaras

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Lower limb tendinopathies with Dr Peter Malliaras

Tendinopathies are a hot topic, and there are lots of new developments in research and treatment. Dr Peter Malliaras, a Physiotherapist with a PhD studying tendinopathy, has a special interest in the treatment of tendinopathy, and treats elite basketball and volleyball, EPL football, rugby, and cricket players, the Royal Ballet and track and field athletes. Peter has also published numerous studies on tendinopathy.

In this episode of the Physio Edge podcast, Peter and David Pope discuss

  • The latest research on tendinopathy
  • Different types of loading programs for tendinopathy
  • Outcomes for various types of loading
  • Tendinopathy on Doppler Ultrasound or other imaging, and what changes with a loading program
  • The tendon pathology continuum by Dr Jill Cook and Craig Purdham
  • Mid portion Achilles tendinopathy
  • Insertional Achilles treatment
  • Patellar tendinopathy treatment, and a loading program for this that may challenge your preconceptions!
  • Tenosynovitis
  • Biomechanics contributing to tendinopathy
  • Return to sport following tendinopathy
  • Injury reduction/prevention
  • Injections

Peter shared so much great info on tendinopathy, check it out now on episode 23 of the Physio Edge podcast

Show your love for the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.

Links of Interest

Be. Awesome. Write a review on iTunes

Dr Peter Malliaras

Studies with Dr Peter Malliaras as one of the authors

Physio Edge podcast episode 5 with Dr Jill Cook

Clinical Edge

Subscribe to the Physio Edge podcast on iTunes

Tags: tendinopathy, tendinitis, tendinosis, malliaras, dr peter malliaras, tendon pathology, continuum, dr jill cook, craig purdham, physiotherapy, movement, research, podcast, injuries, rehabilitation, physio edge, clinical edge

Sep 19 2013
1 hour 34 mins
Play

Rank #12: 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
1 hour 49 mins
Play

Rank #13: 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
1 hour 15 mins
Play

Rank #14: Physio Edge 063 How to assess and treat posterior hip and gluteal pain with Benoy Mathew

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Posterior hip pain can have a number of causes, with referral from the lumbar spine, SIJ and hip, along with local structures such as the hip joint, gluteals, glute tendons, proximal hamstring tendons. How can you identify the structures involved in your patient's posterior hip pain? What tests can you perform in your objective assessment to assist your treatment? What is the best way to treat the glutes if they are the involved in your patient's pain?

In episode 63 of the Physio Edge podcast, Benoy Mathew and David Pope explore how you can improve your diagnosis and results with posterior hip pain.

You will discover:

  • What are some of the common causes of posterior hip pain?

  • Gluteal tendinopathy (GT)

    • What area of symptoms will patients with GT report?
    • What are the pattern of symptoms for GT?
    • What tests can we perform to make GT more or less likely
    • How can we treat GT?
  • Deep gluteal syndrome (DGS)

    • What is deep gluteal syndrome?
    • What muscles can be involved in DGS?
    • How can we differentiate it from Gluteal tendinopathy?
    • What tests can you perform to confirm or exclude DGS?
    • How does the treatment for DGS differ to GT?

Benoy is presenting a free webinar with Clinical Edge on "How to assess & diagnose posterior hip and gluteal pain, that complements this podcast, and takes you through the common sources of hip pain, how to identify hip and lumbar spine red flags, and demonstrates exactly how you can perform an assessment to test and differentially diagnose the structures involved in your patients pain.

CLICK HERE to enrol on this free webinar with Benoy Mathew

Ben also presented a webinar with Clinical Edge on how to rehabilitate adductor and psoas related groin pain. The webinar helps you discover:

  • Rehabilitation of adductor and psoas related groin pain
  • Practical tips
  • Common presentations
  • Osteitis pubis, sports hernia, hip impingement
  • Rehabilitation from initial stages to plyometrics

CLICK HERE to watch the webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew with a free trial Clinical Edge membership

Links of Interest

Articles related to this episode:

  1. Franklyn-Miller et al (2009)- The Gluteal Triangle: a clinical patho-anatomical approach to the diagnosis of gluteal pain in athletes , BJSM. Open Access Link
  2. Grimaldi & Fearon (2015)- Gluteal Tendinopathy: Integrating Pathomechanics and Clinical Features in Management, JOSPT. Open Access Link
  3. Hernando et al (2016)- Evaluation and management of ischio-femoral impingement: a pathophysiologc, radiolgic and therapeutic approach to a complex diagnosis, Skeletal Radiol
  4. Martin et al (2016)- Deep Gluteal Syndrome, JHPS, Open Access Link
  5. Martin et al (2016)- Ishiofemoral Impingement and Hamstrings Syndrome, Distal Causes of Deep Gluteal Syndrome. Where do we go next? Clin Sports Med. Open Access Link
  6. Michel et al (2013)- Piriformis muscle syndrome: Diagnostic criteria and treatment of a mono centricseries of 250 patients, Annals of Physical and Rehabilitation Medicine
  7. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist
  8. Physical Examination of the Hip by Dr. Hal D. Martin
May 31 2017
46 mins
Play

Rank #15: PE #011 Hamstring Tendinopathy with Dr Alison Grimaldi

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PE #011 Lateral Hip Pain with Dr Alison Grimaldi

Hamstrings are one of the more frequently injured muscles in sportspeople, and in this episode, Alison and I discuss hamstring tendinopathy, symptoms, assessment and treatment of this common condition.

Some of the aspects we explore in this podcast are:

  • Subjective clues that someone may have a Hamstring Tendinopathy
  • Differentiating Hamstring Tendinopathy from pain of Lumbar origin
  • Assessment of the hamstring
  • Tests to confirm or rule out a Hamstring Tendinopathy
  • Causes
  • Advice for patients
  • Rehabilitation
  • Deep hip muscle activation
  • Keys to a successful treatment program
  • a whole lot more

There is currently limited research around the area of hamstring tendinopathy, and Alison’s tips and insights are based on this evidence base as well as her clinical experience.

I hope you enjoy it!

Links of interest

Get great legs 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?

Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members

Become a Clinical Edge member

Contact David

Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, hamstring, posterior thigh pain, tendinopathy, runners, rugby, sprinters, lumbar spine, dr alison grimaldi, physiotec

Feb 20 2012
51 mins
Play

Rank #16: PE #029 Acute Knee Injuries with Kurt Lisle

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Acute Knee Injuries with Kurt Lisle

Topics - Acute Ligament injury, ACL injuries, Postero-lateral corner (PLC) Injuries, Knee Surgery and return to sport. On Episode 29 of the Physio Edge podcast, David Pope is joined by the Australian Socceroos Physio Kurt Lisle, a Specialist Sports Physiotherapist to discuss assessment and management of Acute knee injuries. On this podcast, David and Kurt discuss:

  • Acute Ligament Injuries - Initial management

  • When to refer for Orthopaedic consult

  • Bracing/not bracing

  • Adolescent knee injuries - when to refer for XR to check for an avulsion injury

  • Swelling during and after treatment

  • ACL injury - when to trial conservative management and when to refer for surgery

  • Timeframes for surgery following ACL injury

  • Different types of ACL grafts - pros and cons

  • LARS

  • Hamstring vs ITB tendon vs Patella tendon

  • Open chain X’s eg leg extensions to restore quads and patellar tendon load capacity?

  • Important aspects of post op rehab

  • Return to training/change of direction criteria

  • RTP criteria

  • PLC

  • Details of PLC injuries

  • Mechanism

  • Structures normally injured

  • Symptoms

  • Testing for PLC injuries

  • Conservative vs surgical

  • Rehab guidelines

  • RTP timeframes

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: knee, knee injuries, socceroos, ACL, MCL, knee joint, posterolateral corner, PLC, surgery, rehabilitation, return to play, graft, tendon, conservative, football, soccer, physio edge, physiotherapist, physio, edge, clinical edge, podcast, online education

Jul 09 2014
1 hour 26 mins
Play

Rank #17: Physio Edge 059 Running Injuries - What are the most important factors? A group discussion with Tom Goom, Greg Lehman & Dr Christian Barton

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How can you identify the most important factors involved in your patients running injuries? During your rehabilitation of runners, which is most important to address - load, gait pattern, strength, foot strike, pelvic position, footwear, range of movement or other factors?

I wanted to discuss and debate these issues with a number of Physiotherapists that treat and research running injuries, so I have a very different format for you on this episode of the Physio Edge podcast - a group podcast.

On this podcast, we have Tom Goom, Greg Lehman and Dr Christian Barton all in one virtual room discussing and debating the merits of the various approaches to running injuries.

In this episode of the Physio Edge podcast David Pope and the group discuss:

  • When is it ok for your runners to continue running, and when do they need to stop
  • Common myths around running retraining
  • When is it important to change your patients foot strike?
  • Which patient presentations and pathologies will be assisted with running retraining?
  • How can you identify a suitable running load during rehab
  • How can you incorporate running retraining into your rehab
  • Which areas are important to running assessment
  • How can you manage training load strength and conditioning
  • When are plyometrics appropriate during rehabilitation
  • Other factors that impact injury prognosis and duration
  • What advice can you give new runners
  • Which footwear should runners wear?

Download this podcast now to find out all of this and more

Links of Interest

Tom Goom - Running Physio website - Tom on Twitter - Tom Goom's website & courses - Tom on Facebook Live

Greg Lehman - Greg Lehman's website - Twitter - Facebook

Dr Christian Barton - Twitter - LaTrobe Sport and Exercise Medicine Research Blog

Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy

Papers mentioned in this episode

Is there an economical running technique? A review of modifiable biomechanical factors affecting running economy

Influence of step length and landing pattern on patellofemoral joint kinetics during running

The training-injury prevention paradox: should athletes be training smarter and harder?

Optimizing strength training for running and cycling endurance performance: A review

A negative life event impairs psychosocial stress, recovery and running economy of runner

Running shoes and running injuries: mythbusting and a proposal for two new paradigms: preferred movement path and comfort filter

The effectiveness of exercise interventions to prevent sports injuries: a syatematic review and meta-analysis of randomized controlled trials

Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period

Frontal plane kinematics of the hip during running: Are they related to hip anatomy and strength?

High eccentric hip abduction strength reduces the risk of developing patellofemoral pain among novice runners initiating a self structured running program: a 1 year observational study

May 06 2017
1 hour 41 mins
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Rank #18: 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
1 hour 10 mins
Play

Rank #19: PE #025 Groin Assessment with Dr Kristian Thorborg

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PE025 Groin assessment with Dr Kristian Thorborg

How can you identify the reason your patient has groin pain and the structures that may be causing it? Groin pain is one of the most common issues in a lot of sports, particularly the football codes, and in episode 25 of the Physio Edge podcast, David Pope talks to Dr Kristian Thorborg about assessment of the groin.

Some of the topics we discuss on this podcast include:

Types of groin injuries Identifying and diagnosing groin pain and injury Groin vs hip pain Tests you can perform to identify the irritated or painful structures The relevance of diagnostic imaging, and when to refer for this Hip and Groin Outcome Score (HAGOS) Using the HAGOS in your clinic Adductor related groin pain Hip flexor related groin pain Abdominal related groin pain The hip joint Pubic symphysis Sports Hernias Testing hip strength Assessment of function And much more!

I had Kristian on the Physio Edge podcast for episode 21 discussing hamstring injury prevention, and wanted to get him back to discuss his other area of special interest - the groin. I am sure you will get as much out of this episode with Kristian as I did, and you will be all over diagnosis of groin pain by the end of the episode. Enjoy!

Links of interest

Dr Kristian Thorborg

Dr Kristian Thorborg on Twitter

HAGOS

Studies that Dr Kristian Thorborg has completed or been involved in

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

Kristian Thorborg’s editorial on BJSM

Kristian Thorborg’s PhD Thesis

Mar 04 2014
1 hour
Play

Rank #20: Physio Edge 062 How to treat plantar fasciopathy in runners with Tom Goom

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How can you treat plantar fasciopathy? How can you return your plantar fasciopathy patients to activity and running? When can they run without aggravating their pain?

In episode 62 of the Physio Edge podcast, Tom Goom and David Pope help you discover exactly how you can get great treatment outcomes with plantar fasciopathy.

You will discover:

  • How can you treat plantar fasciopathy (PF)?
  • How can you help reduce plantar fascia pain during the "pain-dominant" phase?
  • How can you improve load capacity during the "load-dominant" phase?
  • When do your patients need relative rest?
  • What cross training options are suitable for runners with PF?
  • When and how can you incorporate strengthening into your treatment?
  • What other impairments should you address in your treatment?
  • How do you adapt strengthening if your patients pain is irritable vs non-irritable
  • Is stretching helpful?
  • Should you include other treatment, eg taping, orthotics, gel heel cup
  • When can your patients return to running?
  • How long is the average recovery from PF?
  • A PF case study with exercise progressions and return to running.

Download Physio Edge podcast episode 62 now to find out all of this and more

This podcast follows on from Physio Edge 060 Plantar fasciopathy in runners with Tom Goom and Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom

Links of Interest

Related posts

Research associated with this episode

Rathleff et al. 2014. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.

May 24 2017
41 mins
Play

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