Bone strength and density are vital in your running and sporting patients who can experience bone stress injuries (BSI’s), and also as patients get older and more vulnerable to falls and fractures. How can you improve bone strength in patients following a bone stress injury such as Medial Tibial Stress Syndrome or stress fractures, or in other patients that you’d like to improve bone density or strength? Traditional approaches to strength and conditioning may not always address the needs of your patients recovering from bone stress injuries. That’s where bone loading programs come in—a targeted strategy to help prepare bones for impact, improve power, and support a return to sport. In this episode, Tom Goom (Running Physio) dives into the research and how to use a bone loading program to stimulate bone adaptation. In this podcast, you’ll discover: The theory and evidence behind bone loading programs and how bones respond to impact. How to identify the right stage of injury recovery for introducing impact training. Practical guidelines for implementing short, progressive bone loading exercises. Techniques for progressing exercises based on patient goals and symptoms. Strategies to improve bone strength in patients experiencing other musculoskeletal issues such as Achilles tendinopathy. Real-world applications and demonstrations of bone loading programs. Tom also shares insights on identifying readiness for impact exercises, managing patient expectations, and adjusting programs for individual needs. You’ll leave this episode equipped with actionable strategies to help patients safely and effectively return to sport while supporting their bone health. If you’re a clinician or physiotherapist looking for practical solutions to manage bone stress injuries or improve bone density, this podcast is packed with valuable information you can apply in your practice right away. 🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information. Free running injury assessment & treatment video series available now         Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs. 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. Article associated with this episode: Turner CH, Robling AG. Mechanisms by which exercise improves bone strength. Journal of bone and mineral metabolism. 2005 Jan;23:16-22. Links associated with this episode: Free Achilles tendinopathy videos Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Tom live on Facebook & ask your shoulder related questions every Friday 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 Tom Goom on Twitter Tom Goom’s website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge Chapters: 04:37 - Turner and Robling (2005) running longer doesn't make bones stronger 10:46 - Bone loading progressions 15:58 - Analysis of the evidence 17:05 - Whether loading technique matters 15:03 - Summary

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

Join David Pope (APA Titled Musculoskeletal and Sports & Exercise Physio) and Zoe Russell (Specialist Sports Physiotherapist, FACP; APA Titled Musculoskeletal Physio) in the Physio Edge podcast as they explore how to assess, treat, and manage patients suffering from ACL injuries or suspected ACL injuries. You'll discover how to assess a patient with a suspected ACL injury, and criteria you can use to identify whether a patient may be suited to non-surgical management or is likely to require surgery. You'll also understand when immediate or delayed surgery is the best option, and how to guide patients through the decision-making process and different phases of rehab. Listen in to provide your ACL injury patients with the best treatment options. Links associated with this podcast Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership 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 Zoe Russell on Twitter David Pope on Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge Click here or on the image below for podcast 163. ACL treatment options & Cross bracing with Clare Walsh

Rotator cuff tear arthropathy (RCTA) is a pattern of glenohumeral joint degenerative changes following rotator cuff tears, causing shoulder pain and stiffness. Subscapularis tears can also be involved in RCTA, or a significant cause of shoulder pain and disability. How can you identify RCTA and subscap tears in your shoulder pain patients? How can they be treated, and do these patients respond well to non-surgical management? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio). The handout for this podcast consists of a transcript and research articles referenced in this podcast.   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: 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: Download the handout above to receive the following articles Conaire EÓ, Delaney R, Lädermann A, Schwank A, Struyf F. Massive Irreparable Rotator Cuff Tears: Which Patients Will Benefit from Physiotherapy Exercise Programs? A Narrative Review. International Journal of Environmental Research and Public Health. 2023 Mar 23;20(7):5242. Fahy K, Galvin R, Lewis J, Mc Creesh K. Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears: A systematic review & meta-analysis. Musculoskeletal Science and Practice. 2022 Jun 10:102597. Chapters: 03:25 - What is cuff arthropathy? 05:35 - Contributing factors 07:33 - Patient history 08:37 - Subscapularis tendon tears 12:29 - Common mechanisms of injury 13:46 - Assessment tests 16:51 - Rotator cuff related shoulder pain  

Running Physio, Tom Goom, discusses successful treatment for hip dysplasia including understanding hip joint anatomy, thorough assessments, investigations, psychosocial factors, patient goals, muscle strength, and reducing loading. Different treatment methods are explored, emphasizing joint position sense, control, and overall health improvement.