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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

Matthieu Sailly - Apophyseal injury in children and adolescents

How can the pelvis contribute to pain and dysfunction? Is the SIJ the main pain producer around the pelvis, or what is? What is the state of current research around the pelvis? Is it possible to feel “unlocking” of the SIJ? Do Pelvic Upslips exist?

In episode 18 of the Physio Edge podcast Diane Lee of Diane Lee & Associates and David Pope discuss the pelvis and SIJ in detail, including:

palpation around the pelvis
how can you palpate for unlocking of the SIJ
what role the pelvis has in low back pain
how the pelvis can be affected by other areas of the body
does the current research support unlocking of the pelvis
how can the thorax affect the pelvis
when should you perform deep abdominal or multifidus training
And then we dive into Paediatric musculoskeletal development, including

footwear for kids
sporting activities for kids
should kids sit in chairs or on the floor
is a simple ankle sprain all that simple
advice for parents
children’s furniture
and lots of other great info that will help you when treating or bringing up kids
Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.

PE #018 Exploring The Pelvis With Diane Lee

What are the best ways to avoid hamstring injuries? What are the main factors to consider in hamstring rehabilitation? How does muscle strength relate to hamstring injury? How can we screen for or predict hamstring injuries?

In episode 19 of the Physio Edge podcast, Kieran O’Sullivan, PhD of the University of Limerick, Physiotherapist and co-author of the book “The role of muscle strength in hamstring injury.” Kieran O Sullivan and Cian McGinley. 2010. Nova Publications and David Pope get stuck into hamstrings and the many facets of this important muscle group, including:

Injury reduction
Rehabilitation – early stages, and return to sport
Return to Sport
Flexibility
Eccentric training
Predicting hamstring injury
Assessing readiness of return to sport
Stretching – Static vs Dynamic vs PNF etc, and the clinical implications
Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.

PE019 Hamstring Strength, Flexibility And Injury Reduction

Shoulder pain – what are the causes, and how can you treat it? Are your special tests around the shoulder really isolating and identifying pathology? How can the rotator cuff still function with small and large tears?

In Episode 21 of the Physio Edge podcast, Jeremy Lewis and David Pope discuss these questions and more including:

What is the value of special tests around the shoulder?
What diagnosis can you provide your patients for their shoulder pain
How can you identify if you need to focus your treatment on the scapula, glenohumeral joint, cervical spine or thorax?
How can you identify a rotator cuff tendinopathy?
What is the Rotator Cable, and how is it important in rotator cuff tears?
Is the acromion really the cause of “impingement” or subacromial pain?
If a patient has a biceps tendinopathy and a rotator cuff tendinopathy, which should be treated first?
What contributes to biceps tendinopathy?
Theraband – valuable?
When imaging of the shoulder is valuable, and when it is a waste of time
Frozen shoulder – what treatments work well
And much more.

PE #021 Shoulder Pain With Dr Jeremy Lewis

Lower limb tendinopathies with Dr Peter Malliaras

Tendinopathies are a hot topic, and there are lots of new developments in research and treatment. Dr Peter Malliaras, a Physiotherapist with a PhD studying tendinopathy, has a special interest in the treatment of tendinopathy, and treats elite basketball and volleyball, EPL football, rugby, and cricket players, the Royal Ballet and track and field athletes. Peter has also published numerous studies on tendinopathy.

In this episode of the Physio Edge podcast, Peter and David Pope discuss

The latest research on tendinopathy
Different types of loading programs for tendinopathy
Outcomes for various types of loading
Tendinopathy on Doppler Ultrasound or other imaging, and what changes with a loading program
The tendon pathology continuum by Dr Jill Cook and Craig Purdham
Mid portion Achilles tendinopathy
Insertional Achilles treatment
Patellar tendinopathy treatment, and a loading program for this that may challenge your preconceptions!
Tenosynovitis
Biomechanics contributing to tendinopathy
Return to sport following tendinopathy
Injury reduction/prevention
Injections
Peter shared so much great info on tendinopathy, check it out now on episode 23 of the Physio Edge podcast

Show your love for the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.

PE #023 Lower Limb Tendinopathies With Dr Peter Malliaras

The thorax is often considered stiff and stable by Physiotherapists and manual therapists, and precious little of our undergrad or postgrad training incorporates motor control of this area. Is it really important?

In episode 24 of the Physio Edge podcast, LJ Lee and David Pope explore the function of the thorax, the impact the thorax can have, not only on thoracic pain, but also on other parts of the body. We discuss the Thoracic Ring Approach (TRA) created by LJ, which incorporates manual techniques to assess and treat the thoracic rings, and integrates motor control training for this area. In this podcast you will learn:

What bones and joints make up a “Thoracic ring”
What is the Thoracic Ring Approach?
Is the thorax inherently stiff?
What is ideal motor control of the thorax?
How can listeners identify non-optimal control of the thorax in their patients
How can motor control of the thorax be trained?
Identifying articular/joint restriction vs neuromuscular factors interfering with normal thorax movement
How can the thorax impact on other areas of the body eg the hip
When is manipulation of the thorax ideal?
What are some guidelines for manipulation of the thorax?

PE #018 Exploring The Pelvis With Diane Lee

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