Time for some detective work - can you diagnose the cause of this man’s shoulder pain? Listen out for the clues in this interesting case study.

When your shoulder pain patient has bilateral shoulder pain after starting a gym program, difficulty lifting their arms overhead due to weakness, significant bilateral scapular winging and muscle atrophy, what are your potential diagnoses?

Find out in this case study with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

- When patients have uncommon shoulder pain presentations, what potential diagnoses can you keep in mind? 
- How does it impact your diagnosis if your patient has difficulty smiling, whistling and drinking through a straw?
- What’s this patients’ diagnosis?
- What tests can be performed to confirm the diagnosis?
- Which muscles are commonly affected?
- How much muscle weakness commonly occurs?
- What is the long term prognosis for this condition?
- What treatment is supported by the evidence? 
- Are braces helpful?
- Which medical specialists are important to include in diagnosis & management?

Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder

115. Shoulder pain & weakness - diagnosis and detective work. Physio Edge Shoulder success podcast..

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..

Apophyseal injury in children and adolescents are common and usually respond to simple unloading interventions. But what is the underlying pathology and why do some children succumb and others not? And why do some apophyses become painful and others fail completely with a complete avulsion? Despite these questions it is an area that is under-researched and few people have a specific interest in this area. 

Listen to the insights of Dr Matthieu Sailly, who is a French sports physician who has expertise and research interest in injuries in young athlete. He was the head of the Aspire Academy medical centre where he worked extensively with highly trained adolescent athletes and developed experience on growth related injuries and long term development strategies for immature athletes in various sports.

See also:

Physeal injuries in children’s and youth sports: reasons for concern?: http://bjsm.bmj.com/content/40/9/749.full

Sports-related acute and chronic avulsion injuries in children and adolescents with special emphasis on tennis: http://bjsm.bmj.com/content/41/11/827.full

“Goalkeeper’s hip”: acute haematogenous osteomyelitis secondary to apophyseal fractures: http://bjsm.bmj.com/content/40/9/808.full

115. Shoulder pain & weakness - diagnosis and detective work. Physio Edge Shoulder success podcast..

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