Brazilian Jiu-Jitsu (BJJ) is a popular grappling-based martial art that uses joint locks and chokes to subdue or submit opponents. It’s an intense, physically demanding sport with complex movements and submission techniques that involve a risk of injury, particularly to the knees, shoulders, elbows, neck, and lower back. It’s important for Physiotherapists and health professionals who treat BJJ athletes to understand the different mechanisms of injury, movements and positions athletes need to be able to perform, so they can develop successful rehabilitation programs, and safely and successfully return athletes to training. In this podcast, David Pope (APA Titled Musculoskeletal and Sports and Exercise Physio) explores BJJ injuries with Dr. Lachlan Giles—a BJJ black belt and world-class BJJ competitor, including 1st Place IBJJF Pan-Pacific Championship 2016 & 2017, 3rd place ADCC 2019 Open weight division and many more accomplishments. Lachlan is also a BJJ coach to top level competitors, including Levi Jones-Leary, Craig Jones before he moved to DDS, and a Physiotherapist with a PhD in knee pain and rehab. Lachlan shares his extensive experience treating and managing BJJ injuries, drawing from the research, as well as his clinical knowledge and personal experience as an elite grappler and BJJ coach. In this podcast, we discuss: The challenges physiotherapists face when treating BJJ athletes and how to adapt rehab programs for them. Common areas injured in BJJ. What commonly causes knee injuries, including LCL and ACL sprains, in BJJ. Different positions athletes need to get into in BJJ, why it’s important to understand these positions, and how you can use this to guide your rehab and return to sport. Strength vs flexibility vs conditioning? Which factors are critical in injury recovery, prevention and performance? Practical strategies for modifying training and load to allow injured athletes to continue training safely. The role of neck strengthening in protecting against neck injuries from chokes and takedowns. How to structure a safe return-to-play progression for knee, back, and rib injuries. Key factors that impact athlete recovery. When athletes can continue training, when and how to modify training and when to recommend complete rest. The impact of training style, intensity, and mindset on injury risk and longevity in the sport. How older athletes can adjust their game to have fewer injuries while continuing to train and compete. Listen to this podcast now to have a better understanding of BJJ injuries, rehabilitation, and strategies to help athletes successfully get back to or continue training and competing in BJJ. Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists. Links Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Click here to register and receive immediate access to the Tricky tendons infographic series Free Achilles tendinopathy video series with Tom Goom David Pope at Clinical Edge Download and subscribe to the podcast on iTunes Download the podcast in Overcast Listen to the podcast on Spotify Dr Lachlan Giles David Pope on Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge

In this engaging discussion, Tom Goom, a UK-based physiotherapist specializing in running injuries, reveals why static stretching isn’t the answer for lasting flexibility. He shares insights on the importance of muscle fascicle length and introduces eccentric loading as a game changer for flexibility and injury prevention. The conversation covers effective exercises, such as the Nordic hamstring curl, and strategies to maintain flexibility gains over time. Health professionals will find plenty of practical, research-backed tips for enhancing athlete performance!

Jo Gibson, an expert in upper limb rehabilitation from Liverpool, shares insights on effectively communicating shoulder pain to patients. She discusses how medical terms can shape perceptions and expectations, often leading to fear or confusion. Through a compelling case study, Jo illustrates the struggles of patients with chronic pain and the need for supportive dialogue. Listeners will learn practical strategies to empower patients, foster confidence, and enhance understanding, ultimately improving treatment outcomes.

Tom Goom, a Running Physio and expert in treating running injuries, shares valuable insights on bone loading programs crucial for recovery from bone stress injuries. He details how these targeted strategies differ from traditional strength training to enhance bone density and strength. Goom emphasizes the importance of individualized exercise plans, the right timing for introducing impact training, and techniques for ensuring proper patient technique. His practical guidelines aim to support athletes in returning to their sport safely and effectively.

Jo Gibson, an upper limb rehabilitation specialist at Rehab for Performance, dives into the controversial topic of taping in shoulder rehabilitation. She shares fascinating case studies, including a volleyball player's struggle with re-injury fear post-surgery and a patient with severe neck pain. Jo discusses whether taping offers genuine biomechanical benefits or if it's just a psychological boost. She highlights the importance of clinical reasoning, managing patient expectations, and how taping can temporarily enhance confidence during recovery.

In this engaging discussion, Mehmet Gem, a physiotherapist from Devon with a focus on hip and groin injuries, debunks prevalent myths about hip pain. He clarifies misconceptions regarding 'gluteal amnesia' and emphasizes the importance of accurate patient education. The conversation explores effective rehab exercises and personalized treatment plans for conditions like greater trochanteric pain syndrome. Listeners gain insights into how hip flexors function and the significance of tailored approaches for managing various hip-related issues.

Upper Limb Rehabilitation Specialist Jo Gibson explores an intriguing case of an 84-year-old man with a massive rotator cuff tear of the supraspinatus and partial subscapularis tear. Despite his long history of shoulder issues, he’s improving, but constant pain and intermittent numbness in his posterior arm and into his hand complicate the situation. In this podcast, you’ll explore: What a massive rotator cuff tear (MRCT) is Common pain patterns with rotator cuff tears Why the Suprascapular nerve can be affected in MRCT’s How to set realistic expectations with patients about their recovery Common causes of pain into the posterior arm, wrist and hand How to differentially diagnose shoulder, arm and hand pain  Assessment tests to identify and exclude cervical involvement When nerve conduction tests or EMG should be performed  Rehabilitation ideas for this patient Listen to this podcast now to improve your rehabilitation of shoulder & arm pain and rotator cuff tears. Free shoulder assessment infographic series Click here to access the free shoulder infographic series and learn how to easily assess shoulder pain patients with this simple 6-step shoulder assessment from Jo Gibson The handout for this podcast consists of a transcript and research articles referenced in this podcast. Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.  Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve 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 Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Free shoulder assessment infographic series with Jo Gibson Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson 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 Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge

Orthopedic specialist Clare Walsh discusses ACL injury management, focusing on the innovative Cross bracing protocol as a non-surgical alternative for suitable patients. The podcast explores MRI criteria, challenges of brace treatment, patient preferences for different brace options, and the effectiveness of conservative approaches in ACL treatment.

Tom Goom, a specialist in treating runners, discusses managing meniscal injuries in runners without surgery. Topics include pain and swelling management, restoring range of movement, rebuilding muscle strength, impact control, and gradual return to running. Emphasizes individualized treatment plans and collaboration with surgeons.

  Jo Gibson (Upper Limb Rehabilitation Specialist Physio) discusses the keys to successfully treat persistent anterior shoulder pain in two tennis players who had not recovered despite previous extensive rehab. In this podcast Jo explores what to include in your rehab of sportspeople who place large demands on their shoulders, elements commonly overlooked in shoulder rehab and how to address patients’ psychosocial factors, fears and beliefs to successfully treat persistent shoulder pain. Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.  The handout for this podcast consists of a transcript and research articles referenced in this podcast. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve 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 Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson 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 Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Lluch-Girbés E, Requejo-Salinas N, Fernández-Matías R, Revert E, Mejías MV, Camargo PR, Jaggi A, Sciascia A, Horsley I, Pontillo M, Gibson J. Kinetic chain revisited: Consensus expert opinion on terminology, clinical reasoning, examination and treatment in people with shoulder pain. Journal of shoulder and elbow surgery. 2023 Feb 15.t McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. Journal of athletic training. 2000 Jul;35(3):329.t Ellenbecker TS, Aoki R. Step by step guide to understanding the kinetic chain concept in the overhead athlete. Current reviews in musculoskeletal medicine. 2020 Apr;13:155-63.t     Podcast chapters:   02:30 - Case studies: 2 tennis players 03:14 - Kinetic chain definition  04:18 - When to consider the kinetic chain  07:07 - Screening tests  10:17 - Objective measures