Physio Edge podcast with David Pope 118. Atraumatic SCJ instability diagnosis & rehab. Physio Edge Shoulder success podcast with Jo Gibson
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?
The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.
Free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo GibsonRegister now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)
Frozen and stiff shoulder assessment & treatment with Jo Gibson Shoulder: Steps to Success online course with Jo GibsonImprove your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Links associated with this episode:- Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson's online course at clinicaledge.co/frozenshoulder
- Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
- The Hypermobility Syndromes Association (HMSA)
- Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
- Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
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