How can you accurately assess neck pain patients and choose the most effective treatment to help resolve their pain and prevent recurrence? Find out in part 1 of this two part podcast series with Emeritus Professor Gwendolen Jull, and explore:

- How to accurately assess patients movements, muscular control, strength, posture, and palpate the cervical spine to identify the source of neck symptoms and contributing factors.

- Which questions and assessment tests will help you choose treatment that resolves symptoms, fully rehabilitates patients and helps to prevents future episodes of neck pain?

- How to use clinical reasoning to target your rehab, and decide if your treatment should include neck strengthening, manual therapy, sensory motor control, postural or work position changes?

Download this podcast now to improve your assessment and treatment of neck pain.

The next podcast with Prof Gwen Jull, available soon, will build on the knowledge you gain from part 1, and provide you with additional neck pain treatment strategies.

121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull

Shoulder pain & frozen shoulder can be extremely debilitating for patients, impacting their ability to sleep, fulfill their normal work and family role or have fun. How can you as a therapist understand your patients pain experience, help them feel supported and meet your patients needs throughout their journey to recovery from shoulder pain or frozen shoulder?

Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), hosted by Clinical Edge, as you explore how the latest research can help improve your shoulder pain treatment.

136. Frozen shoulder patients journey to recovery. Physio Edge Shoulder Success..

How can you treat patients with an achilles or patellar tendinopathy while they’re in the middle of a season or training for an event? Successful treatment often includes loading and strengthening the tendon, but how can you quickly identify the best exercises and load for each patient? 

Find out in this Physio Edge podcast as David Pope and Daniel Silvan (Head Physiotherapist at Aspire Academy, Aspetar) discuss how to choose the most effective exercises for your patients to successfully treat lower limb tendinopathy.

138. How to treat patellar & achilles tendinopathy with Daniel Silvan

Patients with anterior knee pain may have pain with activities that load the patellofemoral joint (PFJ), such as squatting, going up or down stairs, and running. When is it important to offload patients PFJ during your rehab, to help settle their symptoms? How can you design a rehab program to improve your patients' knee pain?

Find out in this podcast with Tom Goom (Running Physio) as you discover how to effectively offload and treat patellofemoral joint pain, exercises to include in rehab, and activities and exercises to reduce during your initial phases of treatment.

141. How to reduce patellofemoral pain & load. Physio Edge Track record..

Patients with knee osteoarthritis (OA) often believe their knee is “bone on bone”, exercises will wear out their knee more and they just need a knee replacement. This narrative can make it difficult to motivate your patients to perform knee rehab exercises that have the potential to improve their pain, function and quality of life. 

How can you shift the narrative, educate your patients with knee OA so they “buy in” and perform an effective knee rehab program, and get better results with your treatment?

In this podcast with Dr JP Caneiro you’ll discover:

- How to start your patient on a rehab program when they have fear avoidance, and don’t want to exercise.
- How to help patients have a positive response to your treatment, experiencing better movement, function or pain with exercise and movement.
- How to encourage your patient to share their narrative and perspective, so you can start addressing this with your treatment.
- How to accurately describe OA to your patients and provide a positive narrative. 
- How to help patients recognise load and lifestyle factors that are influencing their pain and movement.
- How to modify patients’ unhelpful behaviours and integrate new movement strategies into daily activities.
- How to manage flareups and provide patients with self-management strategies.

Enjoy this podcast with Dr JP Caneiro and hosted by David Pope and Clinical Edge now to improve your treatment of knee OA.

146. Knee osteoarthritis (OA) rehab. Shifting patient beliefs & narratives with Dr JP Caneiro

Zoe Russell discusses ankle sprain assessment and treatment, and how to return your patients to sport. You’ll discover how to help your ankle sprain patients fully recover as quickly as possible, and avoid long term issues, such as chronic ankle instability, osteoarthritis or other lower limb injuries. 

Zoe is a Specialist Sports Physiotherapist (FACP), APA Titled Musculoskeletal and Sports Physio, as well as a Clinical Edge Senior Educator and Presenter, and in this Physio Edge podcast hosted by David Pope, we discuss the latest evidence and practical strategies for ankle sprains.

148. How to assess ankle sprains & start rehab with Zoe Russell

Marathon runners often come to us with pain, but also they need to build up their mileage in preparation for one of the most challenging events in endurance sport. They're trying to do more when their body may be telling them they need to be doing less. 

How do we manage their symptoms, and guide them up to the marathon itself?

Find out in this podcast with Tom Goom (Running Physio).

150. Top tips for treating marathon runners. Physio Edge Track record: Running repairs podcast..

How can you treat patients who experience knee pain and swelling during and after running? If you suspect their symptoms are caused by a meniscal injury, how can you rehab and return these patients to running without surgery?

In this Physio Edge: Running repairs podcast with Tom Goom, you’ll explore meniscal injuries in runners, recent research on runners with meniscal tears, and how to provide effective non-surgical management. You’ll discover:

- Initial steps for managing pain and swelling in affected runners.
- Techniques to restore and maintain range of movement.
- Strategies for rebuilding strength in key muscle groups.
- Approaches to improve impact control and tolerance, preparing runners for a gradual return to their sport.
- When to manage these patients non-surgically, and when to refer for a surgical opinion.


Tom explores the physical aspects of recovery, along with the impact of general health, weight management, and gait retraining on knee health. With a realistic timeline for recovery and a focus on individualised treatment plans, this podcast is a must-listen for therapists who treat runners.

162. Three top tips for treating runners with a meniscal injury with Tom Goom

ACL injuries result in significant time away from sport and distress for patients. The variety of management options, from surgical intervention to non-surgical management and rehabilitation protocols, often makes us uncertain when educating and helping patients choose the most appropriate care for their needs and goals.

Recently, a pioneering non-operative ACL injury management pathway called the “Cross bracing protocol” has been pioneered and developed by Dr Tom Cross and Tom’s father (the late Orthopaedic surgeon) Dr Merv Cross. This protocol offers a promising alternative for patients with ACL injuries who are suitable for non-surgical intervention, where the ACL injury may heal or repair itself.

Not all patients with an ACL injury are suitable for the Cross bracing protocol or non-surgical management, so how can you identify whether your patient is suitable, and which treatment options are best for each patient?

In this insightful podcast episode, we discuss the complex challenge of ACL injury management and Cross bracing with Clare Walsh (Specialist Sports & Exercise Physiotherapist, FACP).

Clare treats a lot of patients with ACL injuries with prehabilitation, post-op rehabilitation, or non-surgical management including Cross bracing. Clare works alongside Dr Tom Cross and other Sports Medicine Doctors, Orthopaedic surgeons (including the late Dr Merv Cross) and leading Sports Physiotherapists at Stadium Sports Physiotherapy and The Stadium Clinic.

Clare teaches on the Cross bracing course conducted in Australia for Physiotherapists and health professionals, and is a Senior Educator & Presenter here at Clinical Edge.

This podcast is packed full of great information on this emerging ACL injury treatment. You’ll finish this podcast with a deeper understanding of ACL injury management and Cross bracing plus practical knowledge, solutions and insights you can apply into your practice.

163. ACL treatment options and cross-bracing with Clare Walsh

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 they 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

Physio Edge #032 How To Rehabilite ACL Injuries With Enda King

Patients regularly present for Physiotherapy with lateral hip pain. This is often aggravated by walking or standing, sidesleeping, performing hip stretches, and sitting, amongst other activities, and lateral hip pain can often mimic lumbar spine pathology. In this podcast, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain – Glute Med Tendinopathy (GMT), a condition which is often misdiagnosed 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
Essential elements for an effective treatment program
much more
I also want to take this moment to wish you and your family a very Happy New Year.

PE #009 Lateral Hip Pain With Dr Alison Grimaldi

Upper Limb Rehabilitation Specialist Jo Gibson explores an intriguing case of an 84-year-old man with a massive rotator cuff tear of the supraspinatus and partial subscapularis tear. Despite his long history of shoulder issues, he’s improving, but constant pain and intermittent numbness in his posterior arm and into his hand complicate the situation.


164. Case study: Rotator cuff tear + arm symptoms with Jo Gibson

Join hosts David Pope and The Hip Physio - Mehmet Gem as they dive deep into the myths and misconceptions surrounding hip and groin pain. This podcast explores common myths about glutes and hip flexors, effective rehab exercises, and how to accurately assess and treat various hip conditions.     Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.  Links

165. Busting hip pain myths with Mehmet Gem

Taping: does it really help patients with shoulder pain, or is it just a brightly coloured placebo? In this thought-provoking episode of the Physio Edge Shoulder Success Podcast, Jo Gibson, upper limb rehab specialist at Rehab for Performance, unpacks the complexities of taping in shoulder rehabilitation. Drawing from the latest evidence and her extensive experience with shoulder pain, Jo shares two compelling case studies and whether taping was useful in the treatment of:

1. Volleyball player post-stabilisation surgery – Despite passing all return-to-play criteria, this patient struggled with fear of re-injury in specific positions.
2. C/Sp referred shoulder pain – Severe neck and shoulder pain with difficulty sleeping left this patient guarding every movement. Learn whether taping played a role in this patient’s rehab.

Jo examines the evidence behind taping, addressing key questions:
- Does tape improve biomechanics, or are the effects purely psychological?
- How do sensory input and contextual factors influence patient outcomes?
- Can taping be a useful temporary tool, or is it overrated?

You’ll also gain insights into:
- The importance of clinical reasoning when choosing adjuncts like taping.
- How to manage patient beliefs and expectations around interventions.
- Practical applications of taping to improve confidence and support movement strategies.

With a blend of evidence, clinical expertise, and practical examples, this episode offers a balanced view on the role of taping in physiotherapy. Whether you’re a seasoned clinician or early in your career, you’ll come away with fresh perspectives on using taping effectively in your practice.

🎧 Tune in now to discover when, why, and how to use taping to support your patients’ shoulder rehab success!

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

Bone strength and density are vital in your running and sporting patients who can experience bone stress injuries (BSI’s), and also as patients get older and more vulnerable to falls and fractures.

How can you improve bone strength in patients following a bone stress injury such as Medial Tibial Stress Syndrome or stress fractures, or in other patients that you’d like to improve bone density or strength?

Traditional approaches to strength and conditioning may not always address the needs of your patients recovering from bone stress injuries. That’s where bone loading programs come in—a targeted strategy to help prepare bones for impact, improve power, and support a return to sport.

In this episode, Tom Goom (Running Physio) dives into the research and how to use a bone loading program to stimulate bone adaptation.

167. Bones, them strong bones: How to use bone loading programs with Tom Goom

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

168. How to explain shoulder pain to patients with Jo Gibson

Static stretching has long been used to improve flexibility, but research shows its effects are often short-lived. So how can you help patients achieve lasting improvements?

In this episode, Tom Goom (Running Physio) explores exercises you can provide to patients to increase muscle fascicle length, improve flexibility, and reduce injury risk.

You’ll discover:
- Why static stretching alone may not create long-term flexibility gains
-  Exercises to improve muscle length and function
- Key training parameters for effective flexibility training
-  Strategies to maintain flexibility improvements over time

If you’re a physiotherapist or health professional looking for research-backed flexibility strategies, this episode is packed with practical insights!

169. Beyond stretching: How to create lasting flexibility with Tom Goom

170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles

17. LBP Big rocks 2 with David Toomey

18. Manual therapy for low back pain part 1 with Simon Olivotto

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

Physio Edge 043 Sporting Shoulder With Jo Gibson

Lateral elbow pain (lateral epicondylalgia/tennis elbow) affects , and can respond fantastically to Physiotherapy treatment, or in other patients with a similar presentation, not at all.

Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at [Griffith University][GU] in Queensland, Australia that has extensively researched and published on lateral elbow pain, and spends the majority of her clinical time treating the upper limb and lateral elbow.

This is a two part podcast, and in Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset discuss:

Why is Lateral Epicondylalgia (LE) difficult to treat?
What tissue pathology exists in LE
Pain pattern for LE
Patient reports that will help your diagnosis of LE
Important aspects to communicate with your patients regarding their LE
Objective tests that you can perform
Patient advice
Should you rest your patients or provide exercises?
How is tendinopathy in the Upper Limb different to the Lower Limb?
Commencing treatment
How to incorporate manual therapy into your treatment
Exercises you can start your treatment with
Should you include isometric exercises for lateral elbow pain
How often should your patients perform their exercises
Exercise into pain, or avoid pain?

Download the podcast here

Subscribe free to the Physio Edge podcast in iTunes

Download the podcast from Stitcher

Download and listen to the podcast on Soundcloud

Links of Interest

Dr Leanne Bisset

Dr Leanne Bisset on ResearchGate

Dr Leanne Bisset on Twitter

Download the free podcast handout

Review the podcast in iTunes

Get your free trial of Clinical Edge online education

PE044 LE With Leanne Bisset Levelled

How can you treat your patient’s lateral elbow pain (lateral epicondylalgia (LE)/tennis elbow)? How and when should you progress your patient’s exercise program? Is pain during their exercise program ok?
In this episode, which is Part 2 of Lateral Elbow pain with Dr Leanne Bisset, we explore in detail how you can differentially diagnose LE from other causes of lateral elbow pain, and treat it successfully.
Discover:
	•	Diagnosis and differential diagnosis of LE
	•	How to get the best outcomes for your patients when treating LE
	•	Do isometrics work?
	•	How can you commence strengthening?
	•	Should your patient experience any pain during their exercise program?
	•	When and how can you incorporate Mobilisation with Movement into your treatment program?
	•	How to perform MWM’s for LE
	•	How to progress your treatment
	•	Identifying and treating radial nerve involvement
	•	Incorporating strengthening for the upper limb
	•	High level athletes and weightlifters with lateral elbow pain - is this likely to be LE or another condition?
	•	Identifying nerve root irritation with pain over the lateral elbow
	•	Taping methods to deload the lateral elbow when there is nerve involvement
	•	Clinical reasoning of your treatment
	•	Predictors of poor treatment prognosis
	•	When to order imaging
	•	Evidence for and against other treatment strategies including the Cyriax approach, massage, laser, ESWT, corticosteroids and PRP
	•	Validated screening tools for LE, including the PRTEE
In this episode, Leanne answers a lot of your questions on LE, asked via Twitter and the Clinical Edge newsletter.
Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia who has extensively researched and published on lateral elbow pain, and spends a large proportion of her clinical time treating the upper limb and lateral elbow.

This is a two part podcast, followup up Lateral Elbow Pain Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset.

Download your free podcast handout at clinicaledge.co


Physio Edge 045 Treatment Of Lateral Elbow Pain Part 2 With Dr Leanne Bisset

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
	•	Free webinar with Tom Goom
	•	Download the free handout summary of this podcast
	•	Tom’s website - Running Physio
	•	Tom on Twitter
	•	Running Repairs courses with Tom
	•	Article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management
	•	JOSPT
	•	Peter Malliaras
	•	Mike Reiman
	•	Craig Purdam
	•	VISA-H
	•	Become a Clinical Edge member to access Tom’s webinar and other great online education
Tags: running, hamstring, tendinopathy, tom goom, podcast, proximal, peter malliaras, craig purdam, mike reiman, treatment, assessment


Physio Edge 046 Proximal Hamstring Tendinopathy With Tom Goom

Physio Edge 047 Rotator Cuff Tendinopathy With Dr Chris Littlewood

Temporomandibular joint pain and dysfunction can significantly impact your patients life, limiting their ability to enjoy eating and talking. Temporomandibular dysfunction (TMD) has a lot of musculoskeletal contributors that physiotherapists are perfectly positioned to treat and help improve patient’s lives.

In episode 50 of the Physio Edge podcast, Dr Stephen Shaffer and David Pope discuss TMD, structures that can be affected, and how you can assess and get great results treating TMD patients. We also explore:

Structures involved in TMD
Involvement of the cervical spine
Common presentations of TMD
Questions to ask in your subjective assessment
Red flags
How to perform an objective assessment
Normal TMJ movement
How you can treat TMD
Manual therapy
Education
Exercise therapy
Are the Rocabado 6x6 the best exercises to provide your patients
Dr Stephen Shaffer is presenting a webinar on TMD, hosted by Clinical Edge, and you can enrol free on this webinar by CLICKING HERE

Links mentioned in this episode

Enrol free on the TMD webinar with Dr Stephen Shaffer by CLICKING HERE

Download your podcast handout here

Dr Stephen Shaffer on ResearchGate

Cervical spine assessment and treatment online course with David Pope

Free trial of Clinical Edge membership

David Pope on Twitter

Physio Edge podcast

Physio Edge 050 Treating the TMJ and jaw pain with Dr Stephen Shaffer

Acute and chronic groin pain is common in sports, however diagnosis can be challenging. A thorough understanding of pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain.

In the first of two podcasts on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore:

How you can use the patient history to help your diagnosis and treatment
Important questions you NEED to ask all of your hip and groin pain patients
Sources of hip and groin pain - intra and extra-articular
How you can identify referred pain from the lumbar spine and SIJ
How you can identify important red flags around the hip and groin
When you should refer your patients for further investigations, medical assessment and surgical opinion
How you can identify osteoarthritis in younger patients
Differentiating hip impingement, labral pathology and hip dysplasia
When to request X-ray or MRI
Identifying and understanding iliopsoas pain and pathology
This is a vital podcast for anyone that treats hip and groin pain, and is highly recommended listening before Hip & groin pain part 2 - Assessment & Treatment with Benoy Mathew coming soon.

As mentioned in this episode Benoy is presenting a webinar with Clinical Edge. The webinar will discuss:
• Rehabilitation of adductor and iliopsoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics

Enrol on this free webinar at clinicaledge.co

Physio Edge Podcast

Physio Edge 053 Hip and groin pain part 1 - diagnosis, pathology and red flags with Benoy Mathew

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.  

Articles associated with this episode:   
Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy slow resistance versus eccentric training as treatment for Achilles tendinopathy: a randomized controlled trial. The American journal of sports medicine. 2015 Jul;43(7):1704-11.   

O’Neill S, Radia J, Bird K, Rathleff MS, Bandholm T, Jorgensen M, Thorborg K. Acute sensory and motor response to 45-s heavy isometric holds for the plantar flexors in patients with Achilles tendinopathy. Knee Surgery, Sports Traumatology, Arthroscopy. 2018:1-9.   

Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med. 2015 May 15:bjsports-2014.

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

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

Physio Edge 093 Manual therapy - evidence, effects and expectations with Prof Chad Cook

The sternoclavicular joint (SCJ) can cause pain locally, or refer into the neck and shoulder. With a relatively high incidence of serious and potentially life-threatening pathology at the SCJ, it’s important to diagnose the source of SCJ pain. In this (Facebook live/video/podcast) with Jo Gibson (Clinical Specialist Physiotherapist), you’ll discover:

- How to identify and diagnose the SCJ as the source of pain.
- Where does the SCJ commonly refer pain to?
- What pathologies cause SCJ pain
- What activities & movements commonly reproduce pain in the SCJ?
- Who develops SCJ pain?
- Which differential diagnosis (DDx) are important to identify, including:
*localised osteoarthritis (OA)
*rheumatoid arthritis
*septic arthritis
*atraumatic subluxation
*seronegative spondyloarthropathies
*gout, pseudogout
*SC hyperostosis
*condensing osteitis
*Friedrich’s disease/avascular necrosis
*condensing arthritis
*Friedrich’s disease and
*‘SAPHO’ (Synovitis Acne Pustulosis Hyperostosis Osteitis) syndrome
- How does DDx impact prognosis?
- What role does imaging have with the SCJ?
- SCJ Imaging - MRI vs CT vs Xray.
- If pain refers down to the anterior chest, what other structures may be involved?
- Tietze syndrome at the costochondral junction.
- Costochondritis - who develops it, is there a mechanism of injury?
- Red flags you need to be aware of around the SCJ
- Case study of an SCJ patient where a potentially life-threatening illness was identified.
- Other red flags - infection, HIV, septic arthritis, diabetes, ankylosing spondylitis, gout.
- What investigations are important for SCJ pain patients?
- What are realistic expectations for prognosis and resolution of SCJ symptoms?
- How can you rehab patients with SCJ pain?
- Costochondral joint pain.
- Rehab following clavicular ORIF
- When is arthroscopic release suitable in frozen shoulder patients.

Physio Edge 095 Sternoclavicular joint pain diagnosis, imaging & red flags with Jo Gibson

Patients with thoracic outlet syndrome (TOS) may have undiagnosed pain and symptoms into their shoulder, arm, hand, scapula, head, face, upper back, axilla, chest and anterior clavicle.

With a number of potential sources of pain in these areas, TOS patients commonly have a delayed or incorrect diagnosis, followed by unnecessary and unsuccessful surgery. Further complicating matters, imaging and nerve conduction studies are often clear or inconclusive. Studies show that on average, patients with TOS have an average of 5 years of symptoms and see 6 doctors before receiving an accurate diagnosis.

What tests and questionnaires will help guide your diagnosis and intervention? When are patients suitable for Physiotherapy and conservative management? When should you refer on for a surgical opinion?

In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you will discover:

- What is Thoracic outlet syndrome (TOS)?
- Commonly reported symptoms of TOS
- Three different types of TOS
- The most common type of TOS with around 80% of all TOS patients
- Why imaging and investigations are often clear, and don’t match up with symptoms
- 3 key causes of TOS
- The relationship between TOS and hypermobility syndrome
- Criteria for diagnosis in the latest TOS diagnostic consensus statement
- Differential diagnosis (DDx) - Cervical NR compression, and peripheral nerve entrapment
- Common subjective findings that guide you towards a diagnosis of TOS
- A questionnaire you can use to assist cervicobrachial diagnosis
- What information is gained from imaging, including MRI and MR Neurography & nerve conduction studies
- What are the limitations of imaging?
- What is the difference between small nerve fibre and large nerve fibres, and how this impacts diagnosis
- QST - Quantitative sensory testing - Pin prick (Neurotip) and Thermal testing - warm and cold
- Simple QST test using a coin
- Objective testing
*What tests do you need to perform in patients with suspected TOS?
*What is the elevated stress test (EST)?
*What information does an upper limb tension test (ULTT) provide?
*Does a negative ULTT test exclude TOS?
- How are nerve blocks used?
- What is the best way to perform a nerve block?
- How effective are nerve blocks in assisting diagnosis?
- Who should we refer on for early medical or surgical management?
- When should you get an early surgical opinion?
- Which patients are likely to benefit from conservative management?

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