physio

BJSM

Fysiopodcasts

Karim Khan calls mechanotherapy “the most important fundamental concept that underpins rehabilitation exercises”. 

Listen to Karim explain that all exercise-based rehabilitation relies on the cells of the injured tissue sensing the exercise stimulus, converting that signal to protein synthesis, and repairing tissue. He explains why ‘rest doesn’t work’ and argues that mechanotherapy has substantial evidence in its favour. The process applies to all body tissues – to injuries / pathology in bone, muscle, tendon and cartilage. 

Read the review article, which has had over 32,000 full-page views since 2009:

Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair -  http://bjsm.bmj.com/content/43/4/247.full


“Mechanotherapy” and why it’s important for clinicians with Karim Khan

Bjsm - Podcast - Tom - Best - Hamstring - Injuries (1)

Here’s the podcast that over 12,000 listeners have been demanding – physiotherapist Adam Meakins (@TheSportsPhysio)on a number of controversial topics, including:
Is diagnostic palpation accurate?
Can the sacroiliac joint really be ‘unstable’?
How does ‘touch’ in physiotherapy have its therapeutic effect? 

Adam provides great value on Twitter and on his blog – here you can listen to him in your favourite podcast setting. 

Adam shares his way of explaining neural pain to patients and that alone is worth the price. 

He also discusses his popular blogs on ‘5 Least Favourite Shoulder Rehab Exercises’ as well as ‘Top 5 Shoulder Rehab Exercises’. 

He argues that the key to managing some knee conditions is to manage load and he refers to Scott Dye’s classic ‘envelope of function’ concept. 

And we close by discussing a couple of  figures that have gained great traction in the Twittersphere. You might find them useful in your clinical practice. But it’s a risk on radio – I get that! Enjoy and comment via @BJSM_BMJ or on Facebook.

See also:

Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain: http://bjsm.bmj.com/content/47/17/1095.full

Effectiveness of soft tissue massage and exercise for the treatment of non-specific shoulder pain: a systematic review with meta-analysis: http://bjsm.bmj.com/content/48/16/1216.full

Rehabilitation for shoulder instability: http://bjsm.bmj.com/content/44/5/333.full

Biomechanics laboratory-based prediction algorithm to identify female athletes with high knee loads that increase risk of ACL injury: http://bjsm.bmj.com/content/45/4/245.full

Adam Meakins' practical physio tips – explaining neural pain, shoulder rehab and managing knee load

An Interview with David Butler

Physio Edge Podcast #1 -
Fascinating insights into pain, painful experiences, and neurodynamics from one of the world’s leading neuroscience and pain experts. Learn why we (and our patients) experience pain, the latest research in pain and pain management. Learn how to talk to your patients to reduce their pain experience, when pain is more from joints or the periphery, and how to use neural glides.

Brought to you by Physio Edge and you podcast host, David Pope

This show is supported and sponsored by Clinical Edge – providers of fantastic online and face-to-face education for Physiotherapists.

PE #001 Physio Edge Podcast 001 - David Butler Painful paradigms and sensitive systems

Gymnastics places some fairly unique demands on fairly young bodies. In episode 26 of the Physio Edge podcast, I discuss these demands with Kingsley Gibson, a Sports Titled Physiotherapist that has worked with Australian Diving, Synchronised Swimming, Shooting and Hockey teams at a number of Commonwealth and Olympic games, and works with elite gymnasts on a daily basis. For his services to gymnastics, in 2000 the Commonwealth awarded Kingsley with a Sports Services Medal. So Kingsley has a lot of experience to draw on, and we got into detail on a number of topics.

In this podcast we discuss:

* Common injury patterns in the various gymnastic disciplines
* Important factors to consider when returning gymnasts to training and competition
* Factors that can influence your gymnasts treatment outcome
* Communication with parents and coaches
* How to best implement load management strategies
* Various motor control patterns in gymnasts that contribute to injuries
* Screening gymnasts
* Designing specific upper limb rehab programs
* Lower limb and lumbar spine rehab programs
* Management of acute vs chronic injuries
* Stress reactions in the Lumbar spine
* Apophyseal injuries – hip flexors, hamstrings, calcaneus (Sever’s) and Osgood-Schlatter’s
* Management of apophyseal injuries compared to tendinopathy
* Motor control/“stability” patterns in gymnasts
* When to order imaging
* Growth plate injury management – particularly in the wrist
* The effect of other factors such as training surfaces and equipment on injury

PE026 Gymnastics Injuries With Kingsley Gibson

Barefoot running has been sweeping the globe in the last few years, and as a Physio, which of your patients are best suited to this type of running technique. How does running technique relate to a runner’s pain and dysfunction, and really, what is the ideal running technique?

In this podcast with Blaise Dubois – a Physiotherapist with a clinic, website and courses devoted to helping runners and Physiotherapists that treat runners, we chat about these topics, as well as:

Running assessment
Biomechanics of running
Improving running technique and performance
Which patients should change their running technique
Barefoot running
Heelstrike and landing
Current evidence on running technique
Injury prevention in runners
Downhill running technique
Footwear for running
Improving running in patients with pathology eg Achilles Tendinopathy
Blaise has also been kind enough to provide a PDF handout to go along with this podcast, which is available for free download –

PE #010 Biomechanics Of Running With Blaise Dubois

Hamstrings are one of the more frequently injured muscles in sportspeople, and in this episode, Alison and I discuss hamstring tendinopathy, symptoms, assessment and treatment of this common condition.

Some of the aspects we explore in this podcast are:

Subjective clues that someone may have a Hamstring Tendinopathy
Differentiating Hamstring Tendinopathy from pain of Lumbar origin
Assessment of the hamstring
Tests to confirm or rule out a Hamstring Tendinopathy
Causes
Advice for patients
Rehabilitation
Deep hip muscle activation
Keys to a successful treatment program
a whole lot more
There is currently limited research around the area of hamstring tendinopathy, and Alison’s tips and insights are based on this evidence base as well as her clinical experience.

I hope you enjoy it!

PE #011 Hamstring Tendinopathy With Dr Alison Grimaldi

David Pope and Russell Wright talk about everything to do with feet and ankles. Plantar Fascia and Achilles Tendinopathy are conditions that need good differential diagnosis and specific tailored treatment programs, especially in runners, and in this episode we chat about how you can get the best results with these patients. We cover:

causes of plantar fasciosis
strengthening of the plantar fascia
what exercises work with plantar fasciosis, and which ones are a waste of time
nerve entrapments that can be involved in plantar fasciosis, and how to identify these
the role of taping and orthotics
achilles tendinopathy
eccentric programs and progressions
keys to successful Achilles rehab
ankle sprain rehab – keeping it functional
Listen to it now, and subscribe to the podcast in iTunes

(Warning: this podcast has occasional explicit language)

New!  Free Online Education featuring Russell Wright on Plantar Fasciosis, and Acetabular Labral Tears with Nichole Hamilton at www.clinicaledge.com.au 

PE #012 Plantar Fascia, Achilles Tendinopathy And Nerve Entrapments With Russell Wright

What is contributing to your patients low back pain? How do you know when manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP will be helpful? In episode 14 of the Physio Edge podcast, Peter O’Sullivan and David Pope discuss chronic low back pain, Peter’s research into this area, and the approach of Peter and his team to getting over chronic low back pain. Some of the topics we dug into include:

Causes, classification and treatment of chronic low back pain (CLBP)
Common treatment errors
Identifying mechanical contributors
When manual therapy is helpful
Myths around “core stability” for CLBP
What is the current evidence base for CLBP classification and treatment
Tips for treatment of CLBP
A lot of other great treatment advice for CLBP….
What are your thoughts? Let us know below – I will be reading out the best comments on the next podcast..
Listen to it now, and subscribe free to the podcast in iTunes

PE #014 Chronic Low Back Pain With Peter O Sullivan 1

How to treat anterior knee pain with Kurt Lisle

Anterior knee pain can occur in your elite sports patients right through to office workers and weekend warriors. In this podcast with Kurt Lisle, we discuss anterior knee pain, the causes, how to diagnose the source of the pain, and the best ways to treat and rehabilitate these patients.

Kurt Lisle is the Australian Socceroos Physio and co-owner of The Knee Joint Physio in Queensland. Kurt and I discussed acute knee injuries on the Physio Edge podcast in episode 29, and I really wanted to get Kurt back on the podcast to discuss the anterior knee.

In this fantastic, detailed episode of the Physio Edge podcast, Kurt and I explore:

Subjective clues that give you ideas about differential diagnosis
Fat pad - location of pain, activities that irritate
Patellofemoral joint - aggravating activities and DDx
Patellar tendon - subjective clues, location of pain
Objective examination of the anterior knee
Tests for PFJ
Functional tests first or examination on the treatment table?
Palpation of the anterior knee
Fat pad palpation and tests
Is the fat pad tender medial and laterally, or can it be tender only on one aspect
Neuromuscular patterning
Squat and one leg squat examination
What causes “catching” pain on movement
Chondral defects - identifying
Is there value in the grind test
When to refer for MRI and other imaging
Important factors that may contribute to AKP
Gait contributors to AKP
Treatment of PFJ pain
Modifying PFJ aggravating activities
Using EMG
Quadricep rehabilitation and strengthening
When to incorporate squats into your rehabilitation program
The role of taping for PFJ or fat pad irritation
Red flags causing knee pain
You can download this episode from iTunes or Soundcloud.

If you enjoy the Physio Edge podcast, we would love you to take a couple of minutes write us a review on iTunes. Please take a screenshot of your review before posting it, and email it to info@physioedge.com.au so I can give you a shoutout in the next podcast

Links of Interest

Kurt Lisle

The Knee Joint Physiotherapy, Bokarina, QLD

Socceroos

Review the Physio Edge podcast in iTunes

Download the Physio Edge podcast from iTunes

Clinical Edge

20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE

Review the Physio Edge podcast in iTunes

Download the Physio Edge podcast from iTunes

Clinical Edge

20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE

Tags: anterior knee, pain, knee, knee injuries, socceroos, patellofemoral joint, fat pad, impingement, patellar tendon, knee joint, imaging, strengthening, examination, rehabilitation, return to play, graft, tendon, conservative, football, soccer, physio edge, physiotherapist, physio, edge, clinical edge, podcast, online education, kurt lisle, socceroos, the knee joint


PE #033 How to treat anterior knee pain with Kurt Lisle

PE035 - Know Pain with Mike Stewart Part 1
Persistent pain can be a challenge, but also enjoyable to treat. In this episode of the Physio Edge podcast, Mike Stewart and I focus on specific examples and case studies of patients with complex or persistent pain, how you may approach persistent pain patients, explain their pain, use metaphors and explanations so they understand it, and help guide them through the recovery process. 
Mike and I get into the details on:
	•	Why Physios need a deep understanding of pain science
	•	How does the “bio” part come into bio-pscyho-social
	•	How can we identify if the patient needs pain education, further investigations, a biological approach eg specific exercise
	•	How can you incorporate pain science into the treatment of patients with acute pain
	•	Mike’s top tips when working with persistent pain
	•	Specific case studies of patients with persistent and complex back pain, and how Mike has worked with these patients, including their presentation, beliefs, Mike’s language used in their session, activity modification and results achieved with these patients
	•	How to develop our teaching skills to achieve the best results with our patients
Links of Interest
Mike Stewart
Know Pain
Courses with Mike Stewart
Mike Stewart on Twitter
Virtual conferences with Physio Edge and Clinical Edge
Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info at clinicaledge.com.au
Clinical Edge online education
Free video on Metatarsal head padding with Nick Torrance
Free video on soft metatarsal domes for acute metatarsalgia
Free video on firmer metatarsal domes for metatarsalgia
Facebook
David on Twitter
Tags: Pain, persistent pain, chronic pain, complex pain, know pain, mike stewart, physiotherapy, physio, podcast, physio edge, clinical edge, courses, virtual conference, conference, understanding, biopsychosocial, communication


PE #035 Know Pain With Mike Stewart

Mike Stewart and further explore persistent pain, helpful language you can use with your persistent pain patients, how you can use group sessions, as well as:

How the bio fits into biopsychosocial
How you can develop an educational toolkit
Case study of a patient with persistent peripheral pain
Language & communication recommendations.
Misconceptions about persistent pain education
And much more.
Links of Interest

Physio Edge podcast episode 35 - Know Pain part 1 with Mike Stewart

Mike Stewart

Know Pain

Courses with Mike Stewart

Mike Stewart on Twitter

Virtual conferences with Physio Edge and Clinical Edge

Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info at clinicaledge.com.au

Clinical Edge online education

Free Sports Medicine articles in the Aspetar Journal

Headspace

“Living in the moment” by Anna Black

“Rainy brain, Sunny brain” by Elaine Fox

Free video on Metatarsal head padding with Nick Torrance

Free video on soft metatarsal domes for acute metatarsalgia

Free video on firmer metatarsal domes for metatarsalgia

Facebook

David on Twitter

Tags: Pain, persistent pain, chronic pain, complex pain, know pain, mike stewart, physiotherapy, physio, podcast, physio edge, clinical edge, courses, virtual conference, conference, understanding, biopsychosocial, communication