Patients with atraumatic sternoclavicular joint (SCJ) instability may have pain during overhead activities, throwing or playing sport. How can you diagnose and successfully rehabilitate SCJ instability? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and explore:

Assessment & diagnosis
- Which bony surfaces, ligaments and muscles provide stability at the SCJ.
- Why do patients develop SCJ instability, and what are the risk factors?
- What the research reveals about SCJ instability.
- Common symptoms that help you identify SCJ instability.
- Questions you need to ask that help with diagnosis.
- Posterior instability - Common symptoms & anatomical structures that can be impacted.
- How to identify clavicular epiphyseal plate injuries in young athletes.
- When closing of the proximal clavicular epiphyseal plate occurs, and why this is important to know.

Rehab & recovery
- Rehab exercises you can use to develop muscular support for the SCJ.
- How and why you can add C/Sp exercises into SCJ rehab.
- How long recovery will take your patients.
- When patients are likely to start noticing improvements in symptoms.
- Will SCJ instability patients continue to experience instability and pain after rehab?
- Is this condition self-limiting?
- How can involvement of the SCJ disc be identified?
- What imaging can be helpful?
- When should you request SCJ imaging?
- When is SCJ surgery indicated?

Jo also answered these questions from FB Live listeners:
- Does hypermobility change with age?
- Can asymptomatic SCJ instability occur in weightlifters that do not have hypermobility, and do we need to treat it?
- Which SCJ patients benefit from injections?
- When should SCJ injections be avoided?
- What autoimmune inflammatory conditions may result in SCJ swelling?

Links associated with this episode:

* 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      
* Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson https://www.clinicaledge.co/shoulder        
* Improve your confidence and clinical reasoning with a free trial Clinical Edge membership https://www.clinicaledge.co/sign-up    
* Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday https://www.facebook.com/clinicaledge   
* Download and subscribe to the Physio Edge podcast on iTunes https://itunes.apple.com/au/podcast/physioedge/id454714085 
* Infographics by Clinical Edge https://www.clinicaledge.co/blog

118. Atraumatic SCJ instability diagnosis & rehab. Physio Edge Shoulder success podcast with..

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

118. Atraumatic SCJ instability diagnosis & rehab. Physio Edge Shoulder success podcast with..

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