Physio Edge podcast with David Pope

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 Podcast handout Free video series “Frozen shoulder assessment & treatment” with Jo Gibson 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 Links associated with this episode: 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 Jo Gibson Download your free handout on the Sporting Shoulder 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 o 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

In Episode 41 of the Physio Edge podcast, Dr Christoph Spang and I discussed how Plantaris may play a role in Achilles tendinopathy. In this episode of the Physio Edge podcast, I discuss with Seth O’Neill how you can identify Plantaris involvement in your patients, and adjust and progress your conservative treatment of Achilles pain and tendinopathy with Plantaris involvement.  Seth O'Neill and I discuss:  What indicates Plantaris involvement and helps you differentiate from mid portion Achilles Tendinopathy Where do patients have pain with Plantaris tendinopathy What history do patients with Plantaris involvement or tendinopathy present with Objective tests and findings for Plantaris tendinopathy and involvement Biomechanics contributing to Plantaris tendinopathy Is treatment successful for Plantaris How to treat Plantaris tendinopathy and involvement in midportion Achilles How to perform a loading program Running adjustments aping Manual therapy Links of Interest Download your free handout on Treatment of Plantaris & Achilles Tendinopathy with Seth O'Neill Access to the Lower Limb Tendinopathy free videos, including Seth’s presentation on Achilles Tendinopathy Lower Limb Tendinopathy Virtual Conference with detailed, practical presentations: Dr Jill Cook will cover “Structure, function and pain in tendinopathy” Dr Sean Docking is then going to take us through “The role of imaging in the diagnosis and monitoring of tendinopathy”. Dr Peter Malliaras is presenting “Staged rehabilitation of Patellar Tendinopathy”. Craig Purdam takes you through “Staged rehabilitation of Hamstring Tendinopathy” Seth O’Neill will help you understand “Achilles Tendinopathy Exercise & rehab progressions. Risk factors and the importance of Soleus in Achilles tendinopathy” Dr Ebonie Rio will conclude the Virtual Conference with “Tendon pain and the brain – what do we know and can we change it?” CLICK HERE for more information on the Lower Limb Tendinopathy Virtual Conference Seth on Twitter Seth’s website on Achilles Tendon Research David on Twitter Subscribe to the podcast on iTunes Physio Edge podcast episode 41 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang  Hide

Plantaris tendinopathy and compression of Plantaris on the Achilles has been shown to play a role in some cases of Achilles Tendinopathy, slowing down their rate of rehabilitation progress. Dr Christoph Spang is a Biologist and Sports Scientist, and completed a PhD on “The plantaris tendon in relation to the Achilles tendon in midportion Achilles tendinopathy”. In this podcast we discuss the interaction of Plantaris in patients with midportion Achilles Tendinopathy, including: Why consider Plantaris in Achilles Tendinopathy patients? How can Plantaris cause or be involved in Achilles pain? Anatomy, function and role of Plantaris What interaction does Plantaris have with the Achilles and calf? Do patients with Plantaris involvement respond to a loading program? What is the clinical presentation of a patient with Plantaris involvement? How can Ultrasound or Ultrasound Tissue Characterisation (UTC) be utilised to identify Plantaris? The role of injection therapy Surgical treatment Links of Interest Get your free access to videos on Lower Limb Tendinopathy Dr Christoph Spang at UMU Dr Christoph Spang’s PhD Thesis Dr Christoph Spang on Research Gate David Pope on Twitter Out very soon…. Conservative management of Plantaris involvement in Achilles Tendinopathy with Seth O’Neill

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

Patellofemoral joint pain (PFJP) is very common in adolescents, and in the Physio Edge podcast episode 39, I discuss causes, assessment and treatment with the author of numerous studies on PFJP in Adolescents, Dr Michael Rathleff. You will explore:  Different types/groups of Adolescents that suffer with PFJP Common reasons for failure of Physiotherapy Diagnosis and DDx of PFJP Examination of the knee Treatment of PFJP How to tailor and progress your exercise programs The use of orthotics Taping The usefulness of stretching Prognosis & predictors of recovery Biomechanics and more. I have also created a free handout to supplement and help you get the most from this podcast, which you can download here Dr Michael Rathleff also provided great insights into Loading Programs for Plantar Fasciopathy on the Physio Edge podcast episode 38, also well worth a listen if you haven’t already.    Links of interest Download your free handout on Patellofemoral Pain in Adolescents to go along with this podcast Dr Michael Rathleff’s publications on PFJP in Adolescents Dr Michael Rathleff on Twitter Free Shoulder Assessment & Treatment videos with leading international presenters 2015 Patellofemoral research retreat David Pope on Twitter Other related Physio Edge podcasts: Plantar Fasciopathy with Dr Michael Rathleff Anterior Knee Pain with Kurt Lisle Download your free handout on Patellofemoral Pain in Adolescents

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 Links of interest Subscribe to the Physio Edge podcast in iTunes 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” BJSM Blogpost by Michael Rathleff on Plantar Fasciopathy Clinical Edge Online Education Virtual conferences with Physio Edge and Clinical Edge Physioedge on Facebook David on Twitter

Pilates is commonly known and used for rehabilitation of persistent low back pain, however Pilates principles and equipment can also be used for assessment and treatment of pain beyond the pelvis and lumbar spine. In episode 37 of the Physio Edge podcast, Lana Johnson, a former dancer and a Physiotherapist from BPS Tensegrity in Sydney and I discuss how you can use Pilates for knee and shoulder pain, as well as: Common misconceptions about Pilates Functional vs non-functional exercises Common errors made in Pilates training and rehabilitation Pilates for hip and knee pain Case studies using Pilates with shoulder and knee pain patients Patient progression Cues you can use with your patients for hip and shoulder retraining Exercise progressions Exercises to stay away from Links of Interest Lana Johnson BPS Tensegrity Clinical Edge Virtual conferences with Physio Edge and Clinical Edge Physioedge on Facebook David on Twitter

Mike Stewart and further explore persistent pain, helpful language you can use with your persistent pain patients, how you can use group sessions, as well as: How the bio fits into biopsychosocial How you can develop an educational toolkit Case study of a patient with persistent peripheral pain Language & communication recommendations Misconceptions about persistent pain education and much more Links of Interest Physio Edge podcast episode 35 – Know Pain part 1 with Mike Stewart Mike Stewart Know Pain Courses with Mike Stewart Mike Stewart on Twitter Clinical Edge online education Free Sports Medicine articles in the Aspetar Journal Headspace “Living in the moment” by Anna Black “Rainy brain, Sunny brain” by Elaine Fox Facebook David on Twitter Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info@clinicaledge.co

Persistent pain can be a challenge, but also enjoyable to treat. In this episode of the Physio Edge podcast, Mike Stewart and I focus on specific examples and case studies of patients with complex or persistent pain, how you may approach persistent pain patients, explain their pain, use metaphors and explanations so they understand it, and help guide them through the recovery process. Mike and I get into the details on: Why Physios need a deep understanding of pain science How does the “bio” part come into bio-pscyho-social How can we identify if the patient needs pain education, further investigations, a biological approach eg specific exercise How can you incorporate pain science into the treatment of patients with acute pain Mike’s top tips when working with persistent pain Specific case studies of patients with persistent and complex back pain, and how Mike has worked with these patients, including their presentation, beliefs, Mike’s language used in their session, activity modification and results achieved with these patients How to develop our teaching skills to achieve the best results with our patients Links of Interest Mike Stewart Know Pain Courses with Mike Stewart Mike Stewart on Twitter Facebook David on Twitter Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info@clinicaledge.co

The advanced stages of ACL rehabilitation are enjoyable to progress your patients through, and at the same time challenging to find the right exercises, and optimise the rate of progression through to return to training (RTT) and return to play (RTP). In this episode, Enda King from the Sports Surgery Clinic Dublin and David Pope discuss these later stages of rehabilitating your patients following an ACL Reconstruction. We discussed the prehabilitation and early stage ACL Rehab in the Physio Edge podcast episode 32, and episode 34 Enda and I cover in detail: Return to straight line running and change of direction Advanced Exercise Programming What exercises to choose Proprioception and motor control training Strength and power programming Periodisation Sports specific conditioning Plyometrics – readiness, what to use and timing of these in the training schedule Multi-directional performance Strength testing – what Enda uses, indicators of strength Decisions on return to training Return to contact Decision making on Return to play Bridging the gap between the gym and the field Advice for Physios rehabilitating athletes recovering from an ACL reconstruction When to discharge an ACL athlete and much more Links of interest Physio Edge podcast episode 32 – How to rehabilitate ACL Injuries with Enda King Enda King Enda on Twitter @enda_king Sports Surgery Clinic, Dublin SSC Research Foundation David Pope on Twitter Clinical Edge Review the podcast in iTunes