How can you rehab patients with an acromioclavicular joint (ACJ) injury, or end of range elevation shoulder pain, long term shoulder pain, clavicular osteolysis, or osteoarthritis? What exercises and manual therapy can you use in your rehab program? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover: 

- Common ACJ mechanisms of injury
- A recap of ACJ injury classification and treatment pathways for different grades of injury.
- How useful is X-ray in ACJ injuries, and what is the best imaging for this injury?
- What imaging should ACJ injury patients have? 
- What are the long term risks for ACJ patients?
- What factors correlate with worsening ACJ pain?
- Can atraumatic instability occur at the ACJ?
- What movements should be assessed in ACJ injury patients?
- Why is symptom modification helpful in shoulder pain and ACJ patients?
- What compensatory movement patterns do patients adapt that may contribute to ongoing pain?
- How can we help to break the cycle of ACJ pain?
- What tests can be performed to identify the best treatment for individual ACJ patients? 
- What muscles help to improve stability around the ACJ, and how can these be targeted in ACJ injury patients?
- What exercises can be used in initial ACJ rehab?
- How can ACJ rehab be progressed? 
- How can end range pain (ERP) be improved in ACJ patients?
- How to identify when scapular mechanics affect the ACJ.
- Exercises that improve scapular mechanics in ACJ patients?
- When is manual therapy useful in ACJ patients?
- What combination of manual therapy or mobilisation with movement and exercises can be used in ACJ patients?
- What role can the ACJ play in shoulder pain? 
- Does the ACJ need to be symptomatic to cause shoulder pain? 
- What common symptoms make you suspect the ACJ is involved in shoulder pain?

Answers to live listener questions:
What humeral fractures or bone stress injuries occur in throwing athletes?
Who develops humeral spiral fractures or stress fractures?
Are recreational or high level athletes more likely to develop humeral fractures?
Are players more or less likely to have a fracture after having a 6 week break from training?
How can players prevent humeral stress fractures?

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

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117. ACJ rehab. Physio Edge Shoulder success podcast with Jo Gibson

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

117. ACJ rehab. Physio Edge Shoulder success podcast with Jo Gibson

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