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Professor Lorimer Moseley holds the Inaugural Chair in Physiotherapy at the University of South Australia as well as being a Professor of Neurosciences. He completed his PhD in 2002 and has both learned and shared wisdom at the Universities of Queensland, Sydney and Oxford before settling in Adelaide. He leads the Body in Mind Research Group and coauthored the best-selling ‘Explain Pain’.

In this podcast he answers questions from Ebonie Rio, Department of Physiotherapy, Monash University, covering the important difference between pain and nociception, and sharing thoughts on how pain science can help clinicians working in sports medicine. 

You’ll hear him share the best, and worst, ways to explain pain to patients. He predicts how low back pain management will look in 100 years’ time. As always with Lorimer Moseley. expect thoughtful reflections shared with big dob of humour and humility. 

See also:

TEDx talk ‘Why things hurt’: http://www.youtube.com/watch?v=gwd-wLdIHjs

Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: a randomised cross-over experiment http://goo.gl/zaNX8s

Are children who play a sport or a musical instrument better at motor imagery than children who do not? http://goo.gl/Xv9Qum

Exercise is medicine, for the body and the brain: http://bjsm.bmj.com/content/48/12/943.full

Chronic traumatic encephalopathy in sport: a systematic review: http://bjsm.bmj.com/content/48/2/84.full

Professor Lorimer Moseley on the brain and mind in chronic pain

Who are the biggest names in the back pain world? Correct – Peter O’Sullivan is one of them. 

He's provocative, clinically-relevant, and vastly experienced. He’s desperate to help patients, that’s obvious! But not everyone has to agree. Listen to his take on management of both chronic, and acute, back pains – does it make sense to you? 

Peter O’Sullivan is Professor of Musculoskeletal Physiotherapy at Curtin University, Perth, (http://goo.gl/Dk6beV)and a Specialist Musculoskeletal Physiotherapist who consults at bodylogicphysiotherapy.com. 

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See also:

It’s time for change with the management of non-specific chronic low back pain (2012) http://bit.ly/1nY6YxK

Professor O’Sullivan discusses the risk of clinicians ‘overservicing’ or ‘overdiagnosing’ various conditions in another BJSM podcast: http://goo.gl/7HYDiX

Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/

‘Overdiagnosis’ / ‘overtreating’– relevant in sportsphysio/medicine? Professor Peter O’Sullivan: https://soundcloud.com/bmjpodcasts/overdiagnosis-overtreating-relevant-in-sportsphysiomedicine-peter-osullivan

Professor Peter O’Sullivan (Curtin) walks you through two cases of low back pain

Did you listen to Ray Moynihan’s podcast on ‘’Overdiagnosis in sports medicine”? That’s a ‘gold’ podcast (>5000 listens) and Peter O’Sullivan now extends those ideas into the realm of sports physiotherapy. 

“We can massively create health problems” warns Prof O’Sullivan speaking about the way clinicians may explain pathology to patients. If not explained appropriately, MRI and other imaging can have a negative effect on a patient’s perception of injury. 

Pete refers to this free paper in RADIOLOGY: McCullough et al. Lumbar MR imaging and reporting epidemiology: do epidemiologic data in reports affect clinical management? Radiology. 2012 Mar;262(3):941-6. doi: 10.1148/radiol.11110618. 

If you missed Ray Moynihan’s podcast, here’s the link: http://bit.ly/1oA45UC

See also:

Listen to Prof O'Sullivan discussing low back pain: http://goo.gl/WgseGQ

It's time for change with the management of non-specific chronic low back pain: http://bjsm.bmj.com/content/46/4/224.full

Successful antibiotic treatment in a subset of people with chronic low back pain:  http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/

Professor Peter O’Sullivan (Curtin) walks you through two cases of low back pain: https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-curtin-walks-you-through-two-cases-of-low-back-pain

‘Overdiagnosis’ in sports medicine? FAI for example? The great Ray Moynihan (‘Selling sickness’: https://soundcloud.com/bmjpodcasts/overdiagnosis-in-sports-medicine-fai-for-example-the-great-ray-moynihan-selling-sickness

‘Overdiagnosis’ / ‘overtreating’– relevant in sportsphysio/medicine? Professor Peter O’Sullivan

Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain? When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax?

In this podcast, David Pope talks to Ann Cools, a Physiotherapist and Head of Education for Rehabilitation Sciences and Physiotherapy at Ghent University in Belgium, and is also the founding member and president (2010–2012) of EUSSER - European Society of Shoulder and Elbow Rehabilitation. We discuss in detail assessment of the scapula, the role of the scapula in shoulder pain and how to retrain unruly scapulae.

Other topics covered in this podcast include:

Research by Ann Cools
What we currently know from the research about the role, movement and control of
the scapula
Scapula dyskinesis - what is it
Static vs dynamic assessment of the scapula
Altering muscle balance and timing with specific exercises
How altering scapula mechanics effects muscle balance around the shoulder
Important parts of the subjective history
Scapula vs glenohumeral joint
How subjective will guide your objective assessment and treatment
Red flags around the shoulder, nerve pathology and frozen shoulder
Frozen shoulder imaging
Nerve injuries - symptoms, objective examination and treatment
Assessment of the scapula, Type 1 scapula dyskinesis
Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)
Testing GHJ IR
Clinical Edge and online education on the shoulder
Stretching and shoulder joint mobilisation
Palpation, stretching and manual therapy for pec minor
Type 2 scapula dysfunction
Handheld dynamometry - serratus
Handheld dynamometry - middle and lower traps
Pain when strength testing
Type 3 scapula dysfunction
Dynamic assessment of the scapula
To retract and depress the scapula or not?
Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis
Special tests around the shoulder
Laxity tests for the GH joint
Posterior GHJ laxity
Anterior GHJ laxity
Explanations of scapula dysfunction to your patients
Information on Ann Cools
EUSSER

PE #031 Unruly Scapula Assessment and Retraining With Ann Cools

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

Analyse movement using your manual skills and palpation, plus insights into what clinical expertise and “Evidence Based Practice” really means – an interview with LJ Lee.

This podcast is brought to you by Physio Edge, your host David Pope, and the podcast sponsor, Clinical Edge.

PE #002: LJ Lee – “Analysing movement, and clinical expertise or research

Acetabular Labral tears in the hip are becoming more commonly diagnosed and operated on. In this episode, I chat to Nichole Hamilton, a Physio with a lot of experience treating hips, designing post-op arthroscopic hip protocols and lecturing about the hip. Some nice insights into hip injuries and diagnosing and treating labral tears.

This week we talk about all sorts of issues around the hip, including:

Diagnosing labral tears
Labral tear symptoms
What causes a labral tear?
Activities that contribute to labral tears
When is surgery required for labral tears
When is conservative treatment a good option
Kicking sports – what muscle control is required
What is the role of psoas
Dancers – what activities and positions load the labrum
How can maximum hip range of movement be attained safely
Posterior pelvic tilt or tuck – how does this relate to the hip
Progressing exercises to incorporate functional positions
I hope you enjoy this episode, please post our questions below, on www.physioedge.com.au and we would love you to give us a review on iTunes

PE #004  Hip Injuries And Labral Tears. An Interview With Nichole Hamilton

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

Dr Kieran O’Sullivan is back on the Physio Edge podcast after talking previously about hamstring injuries, this time discussing his other big area of interest and expertise – chronic low back pain (CLBP). In this episode, Kieran and David Pope discuss

Recent research on chronic low back pain
Central vs peripheral contributions to CLBP
Sitting postures and behaviours, and the relationship of this to pain
Is there an ideal sitting posture, and does changing sitting behaviour change CLBP?
Manual therapy in CLBP
Lumbar kyhposis/lordosis
Physical and psychological interventions for CLBP
The effect of exercise on CLBP
Movement patterns and retraining in chronic pain states
The challenges of talking to patients about chronic pain states
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 #022 Chronic Low Back Pain With Dr Kieran O'Sullivan

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

Physical rehab (physiotherapy), behavioural rehab and combinations of these have been mainstays of back pain treatment.  Dr Kieran O’Sullivan shares his expertise on what to do and what not to do – lessons from 15 years of providing specialised clinical care and engaging in top level research. 

Specifically, what is the role of patient advice, targeted exercises, and novel therapies including injections? 

You can link to Dr O’Sullivan’s home page at the University of Limerick here: http://www.ul.ie/clinicaltherapies/node/443

Interested in back pain? Related resources: 

Editorial: Common misconceptions about back pain in sport: Tiger Woods’ case brings five fundamental questions into sharp focus
http://bjsm.bmj.com/content/early/2015/02/08/bjsports-2014-094542.extract

Podcast:  Professor Peter O’Sullivan on Tiger Woods’ back and ‘core strength’
https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength?in=bmjpodcasts/sets/bjsm-1

Effective treatments for back pain: Kieran O'Sullivan’s practical tips within a guiding framework

Plantar Fasciopathy (Plantar heel pain) can be a stubborn condition to treat, or you can learn to love treating it like Dr Michael Rathleff, incorporate the right loading program and activity modification and get some great results.
In episode 38 of the Physio Edge podcast, I talk to Dr Michael Rathleff, author of the RCT “High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up: HL strength training and plantar fasciitis”. We discuss:
	•	Common mistakes in the treatment of plantar fasciopathy (PF)
	•	How we can improve our treatment of PF
	•	Why call it plantar fasciopathy instead of plantar fasciitis?
	•	Research on PF
	•	Loading programs for PF
	•	Patient advice
	•	Activity modification
	•	Running load modification
	•	Short and long term results from loading the plantar fascia
	•	Considerations when treating PF
	•	Who is not suitable for a loading program
	•	Who respond the best to this program, and who responds the least
	•	How to modify the loading program
	•	Development of PF
	•	Running technique
	•	Treatment or strengthening of other areas
	•	Stretching
	•	Orthotics
	•	Cortisone
	•	Plantar fascia tears
Download my five top tips from this podcast with Dr Michael Rathleff.
Links of interest
	•	Dr Michael Rathleff on ResearchGate
	•	Dr Michael Rathleff on Twitter
	•	“High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up: HL strength training and plantar fasciitis”
	•	Clinical Edge Online Education
	•	Virtual conferences with Physio Edge and Clinical Edge
	•	Physioedge on Facebook
	•	David on Twitter


PE038 Plantar fasciopathy loading programs with Michael Rathleff

PE040 Shoulder simplified with Adam Meakins
How complex does your shoulder assessment need to be? How can you can simplify your shoulder assessment and treatment?
Find out in episode 40 of the Physio Edge podcast with Adam Meakins, where Adam and I discuss:
	•	Common mistakes Physio’s make in assessment and treatment of the shoulder
	•	Adam’s classification of shoulder pain
	•	Subjective clues to guide your objective and treatment
	•	How to identify weak and painful shoulders
	•	Red flags with shoulder pain
	•	Frozen shoulders
	•	Objective assessment
	•	Subacromial impingement
	•	GIRD (Glenohumeral Internal Rotation Deficit)
	•	The use of US in shoulder pain
	•	Surgical treatment for shoulder pain
	•	Treatment for weak and painful shoulders
	•	Loading the rotator cuff for pain relief and strength
	•	Gym junkie shoulder pain and how to adapt their weight training programs

Links of Interest
Download your free handout on The Shoulder Simplified
Follow Adam Meakins on Twitter
Adam’s website
Adam’s Shoulder courses
Adam’s presentation on “When is a GIRD not a GIRD”
Shoulder Pain Virtual Conference
Follow David on Twitter
Access practical Online Courses for Physiotherapists with a Free Membership Trial of Clinical Edge
Download your free handout on the Shoulder Simplified


Physio Edge 040 Shoulder Simplified With Adam Meakins

Q&A about enrolment on the Shoulder Pain Virtual Conference  

Shoulder Pain Virtual Conference Q & A

Shoulder pain and injury in overhead athletes is very common and has a high recurrence rate. In this podcast with Jo Gibson we discuss sporting shoulder injuries and rehabilitation, including:

The role of the Rotator Cuff
Train strength or efficiency in the Rotator Cuff?
Rotator Cuff muscle balance
When is (and when isn’t) surgery necessary for Rotator Cuff or SLAP tears
Assessment of shoulder stiffness
Bursal involvement
Imaging of the shoulder
How you can help improve Rotator Cuff activation
What role does manual therapy have in shoulder treatment?
The importance of the postero-superior cuff
What stretches can you perform for the postero-superior Rotator Cuff
Treating pain in loaded and overhead activities
Exercises you can use in shoulder treatment with your athletes
Incorporating the kinetic chain in shoulder rehabilitation
Managing shoulder load
Central sensitisation
Treating throwing athletes
The role of the thoracic spine in shoulder pain
Communication tips with your shoulder pain patients

Download the podcast from iTunes

Review the Physio Edge podcast in iTunes

Download the podcast from Stitcher

Download and listen to the podcast on Soundcloud

Links of Interest

Jo Gibson

Download the free podcast handout

Subscribe free to the podcast in iTunes

Jo Gibson’s courses

David Pope

Clinical Edge

Get your free trial of Clinical Edge online education

Jo Gibson’s video - Gym ball rollout

Jo Gibson’s video - Wall squat

Jo Gibson’s video - Step up with V

Physio Matters Podcast with Jo Gibson

Skills for Communicating with Patients Book

Key communication skills and how to acquire them - Article in BMJ by Peter Maguire, Carolyn Pitceathly

EUSSER

Physio Edge 043 Sporting Shoulder With Jo Gibson

Lateral knee injuries are common in football with landing from a jump or header, or during tackles when the tibia is forced into external rotation. This mechanism of injury often affects the Lateral/Fibular collateral ligament (LCL), however LCL injury is not always obvious from the patient’s history, and can be misdiagnosed.
In this podcast with Liverpool FC Physiotherapist Matt Konopinski, we discuss LCL and lateral knee injuries, and how you can identify and treat these. LCL injuries can often respond extremely well to an accelerated rehabilitation approach, and in this podcast you will discover:
Sources of lateral knee pain
- Lateral meniscus
- Osteochondral defects
- Lateral/Fibular collateral ligament
- ACL
- Postero lateral corner
Mechanism of injury
What your patients will report with LCL injury
Questions you need to ask your patients with lateral knee pain
Red flags
Objective assessment
Assessment tests you can use with lateral knee pain
When imaging is useful and when it should be avoided
Risk factors for injury
Management of LCL injury
When to commence strengthening
How to maintain strength and cardiovascular fitness during rehabilitation
How to explain the injury and rehabilitation to your patients
You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here.
Get your free access to videos on sports injury assessment and treatment, including accelerated rehabilitation of LCL injuries with Matt Konopinski at clinicaledge.co/matt

Links mentioned in this episode
Matt Konopinski
Free sports injury assessment and treatment videos
Free podcast handout on LCL and lateral knee injuries
Matt Konopinski on Twitter @Matt_Kono
LFC Liverpool football club
Article Impact of exercise selection on hamstring muscle activation
Free trial of clinical edge membership
David Pope on Twitter