Patients may develop stiffness following rotator cuff repair or other shoulder surgery, particularly with longer periods of immobilisation. On the other hand, some patients may fail rehab without sufficient immobilisation. How can you identify which patients are likely to develop stiffness and will benefit from early mobilisation? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover:

- Which patients are likely to benefit from rotator cuff or other surgical repair.
- How to plan post-op surgical rehab.
- Whether patients should have a period of immobilisation or not.
- How to predict patients that are likely to develop post-op shoulder stiffness.
- Metabolic, genetic, age-related and psychosocial factors that influence development of stiffness.
- Pre-operative and surgical factors that influence development of stiffness.
- How to reduce the likelihood of stiffness developing.
- Comparison between early post-op shoulder mobilisation and six weeks in a sling.
- Patients more likely to fail a RC repair, who may need more of a conservative approach to early mobilisation.
- How to explain mobilisation vs immobilisation to patients.
- Short and long term outcomes when patients develop stiffness. 
- Frozen shoulder 
a. If and when corticosteroid injections are helpful.
b. The role of P. acnes in development of frozen shoulder.


Links associated with this podcast:

* Accurately assess, diagnose & treat frozen shoulder, with this free videos series from Jo Gibson https://www.clinicaledge.co/shoulder     
* Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson https://www.clinicaledge.co/shoulder       
* Comprehensively assess and treat shoulder pain with the Shoulder: Steps to Success online course at clinicaledge.co/shouldersuccess
* Improve assessment & treatment for all other musculoskeletal and sports injuries with a free trial Clinical Edge membership https://www.clinicaledge.co/sign-up   
* Infographics by Clinical Edge https://www.clinicaledge.co/blog

Physio Edge podcast

128. Postoperative shoulders - can we predict who gets stiff? 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

128. Postoperative shoulders - can we predict who gets stiff? Physio Edge Shoulder success podcast..

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