Physio Edge podcast with David Pope

Treatment of the cervical spine often involves some degree of manual therapy or manipulation, and VBI testing is generally encouraged or required prior to this. In this episode of the Physio Edge podcast, Roger Kerry, a Physiotherapist, Lecturer and Researcher from Nottingham University and David Pope discuss Cervical Arterial Dysfunction (CAD), the accuracy and limitations of VBI testing, and a lot of other good stuff, including: Cervical Arterial Dysfunction (CAD), and VBI Why is it important for clinicians to know about CAD The limitations of VBI testing Clues within the history to alert you to the possibility of CAD Symptoms of CAD 2 types/causes of dizziness and differentiation The 5 Ds and 3 N’s – what are the limitations of this approach Signs & Symptoms of Cerebral and retinal ischaemia Aetiology Upper cervical instability As clinicians, where should CAD and VBI testing lead our assessment, treatment and investigations? When can we conservatively treat someone with these symptoms Monitoring – during and post rx Contraindications to Rx Links of interest Clinical Edge Free membership to Clinical Edge! Roger Kerry on Twitter @rogerkerry1 Roger Kerry’s profile at Nottingham University – Physiotherapy Roger Kerry’s profile at Nottingham University – Philosophy Courses with Roger Kerry Contact David David on Twitter

David Pope and Russell Wright talk about everything to do with feet and ankles. Plantar Fascia and Achilles Tendinopathy are conditions that need good differential diagnosis and specific tailored treatment programs, especially in runners, and in this episode we chat about how you can get the best results with these patients. We cover: causes of plantar fasciosis strengthening of the plantar fascia what exercises work with plantar fasciosis, and which ones are a waste of time nerve entrapments that can be involved in plantar fasciosis, and how to identify these the role of taping and orthotics achilles tendinopathy eccentric programs and progressions keys to successful Achilles rehab ankle sprain rehab – keeping it functional (Warning: this podcast has occasional explicit language) Links of interest Give the Physio Edge podcast a review in iTunes Clinical Edge Free membership to Clinical Edge! Russell Wright Ocean View Physio Have you subscribed to the Podcast in iTunes yet? Acute Hamstring Tears – Online education for Physiotherapists for Clinical Edge members David on Twitter

Hamstrings are one of the more frequently injured muscles in sportspeople, and in this episode, Alison and I discuss hamstring tendinopathy, symptoms, assessment and treatment of this common condition. Some of the aspects we explore in this podcast are: Subjective clues that someone may have a Hamstring Tendinopathy Differentiating Hamstring Tendinopathy from pain of Lumbar origin Assessment of the hamstring Tests to confirm or rule out a Hamstring Tendinopathy Causes Advice for patients Rehabilitation Deep hip muscle activation Keys to a successful treatment program a whole lot more There is currently limited research around the area of hamstring tendinopathy, and Alison’s tips and insights are based on this evidence base as well as her clinical experience. I hope you enjoy it! Links of interest Get great legs by subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Clinical Edge Dr Alison Grimaldi Dr Alison Grimaldi’s Publications PhysioTec University of Queensland Have you subscribed to the Podcast in iTunes yet? Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members Become a Clinical Edge member Contact David Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, hamstring, posterior thigh pain, tendinopathy, runners, rugby, sprinters, lumbar spine, dr alison grimaldi, physiotec

Barefoot running has been sweeping the globe in the last few years, and as a Physio, which of your patients are best suited to this type of running technique. How does running technique relate to a runner’s pain and dysfunction, and really, what is the ideal running technique? In this podcast with Blaise Dubois – a Physiotherapist with a clinic, website and courses devoted to helping runners and Physiotherapists that treat runners, we chat about these topics, as well as: Running assessment Biomechanics of running Improving running technique and performance Which patients should change their running technique Barefoot running Heelstrike and landing Current evidence on running technique Injury prevention in runners Downhill running technique Footwear for running Improving running in patients with pathology eg Achilles Tendinopathy Blaise has also been kind enough to provide a PDF handout to go along with this podcast, which is available for free download. Links of interest Get more (or less) hair on your chest by subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Blaise Dubois PDF Handout to go with the podcast The Running Clinic Blaise Footwear Reviews Big bulky shoes to avoid Have you subscribed to the Podcast in iTunes yet? MBT Footwear Vibram 5 Fingers Become a Clinical Edge member  Hide

Patients regularly present for Physiotherapy with lateral hip pain. This is often aggravated by walking or standing, sidesleeping, performing hip stretches, and sitting, amongst other activities, and lateral hip pain can often mimic lumbar spine pathology. In this podcast, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain – Glute Med Tendinopathy (GMT), a condition which is often misdiagnosed as Trochanteric Bursitis. Some of the aspects we explore in this podcast are: Subjective clues that someone may have a Glute Med Tendinopathy “Trochanteric Bursitis” Differentiating Glute Med Tendinopathy from pain of Lumbar origin Assessment of the hip Tests to confirm or rule out a Glute Med Tendinopathy Causes of a Glute Med Tendinopathy Advice for patients Treatment of Glute Med Tendinopathy Deep hip muscle activation Essential elements for an effective treatment program much more Links of interest Subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Clinical Edge Dr Alison Grimaldi Dr Alison Grimaldi’s Publications PhysioTec University of Queensland Have you subscribed to the Podcast in iTunes yet? Contact David

All golfers want to hit as far as Tiger Woods, but without the injuries. How can you treat the injuries in your golfing patients, prevent further injury and improve their “coachability” and performance? Golfers regularly need Physio treatment for injuries like tendinopathy around the elbow, low back and neck pain, and plenty of other injuries. In episode 8 of the Physio Edge podcast, I chat with Matt Green of High Performance Golf about Common golf injuries How to assess and treat golfers Technique errors that contribute to injury Tendinopathy around the elbow Assessing the golf swing Strengthening and motor control Advice to give your golfers and plenty more. If you treat golfers, or would like to treat more golfers, get stuck into this episode free on iTunes, and brought to you by the podcast sponsor Clinical Edge. Links of interest Give the Physio Edge podcast a review in iTunes Clinical Edge High Performance Golf Ramsay McMaster Have you subscribed to the Podcast in iTunes yet? Contact David

Dry Needling has become incredibly popular in Physiotherapy recently. Is dry needling really the way forward for Physios? In this podcast I chat with Andrew Hutton of Integrated Dry Needling, presenter of the Sports Integrated Dry Needling Level 1 and Level 2 courses for Clinical Edge, and we discuss dry needling and whether it complements regular Physio treatment. Some of the topics we cover include What are the different styles of dry needling? How can dry needling be used in sporting populations? How to know immediately if your needling has been effective What is the evidence for dry needling Studies show decreased ROM with needling, is it possible to improve ROM with dry needling How does changing ROM actually relate to a patient’s pain? Some clinical scenarios where dry needling could be incorporated Links of interest Become better looking by subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Integrated Dryneedling Sports Integrated Dry Needling Level 1 and Level 2 courses with Clinical Edge Clinical Edge IMS Have you subscribed to the Podcast in iTunes yet? Contact David

When should Transversus (TA) be included in your patient rehab? When is TA retraining a waste of time? Are your patients running like a block of wood with legs? Is planking good for anything other than entertaining your mates? How can we go beyond just treating the pain experience to connect with your patient and improve their performance. In Episode 6 of the Physio Edge podcast, I chat with LJ Lee for the second time, this time covering TA, “Core Stability”, and more including: Retraining TA in your treatment Planks McGill’s Big 3 exercises Body “flow” and agility Vs stiffness and rigidity Specificity of exercise How can the Cervical Spine affect knee pain in a squat? The Discover Physio Series “Salsa in your ribcage” and breathing The impact of intra-thoracic pressure on the pelvic floor Links of interest Subscribe to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Linda-Joy Lee Clinical Edge Canadian Academy of Manual and Manipulative Therapy Diane Lee University of Queensland Prof Paul Hodges Sackett Stuart McGill “See What I’m Saying” by Rosenblum “Mindsight” by Dan Siegel Subscribe to the Podcast in iTunes Contact David

What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is treatment just about eccentric training? When should NSAID’s be used? This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. We also chatted about some other aspects of tendinopathy, including Factors that contribute to tendinopathy beyond biomechanics Eccentrics - what is the future of training to rebuild tendons Return to sport or running after tendinopathy Avoiding tendinopathy Treatment at each stage of tendinopathy Rehabing achilles tendinopathy Rehab for hamstring tendinopathy plus we related all of these to clinical scenarios. Enjoy! Links of interest Give the Physio Edge podcast a review in iTunes Jill Cook Craig Purdam Monash University “Achilles Tendinosis in Runners” online education for Clinical Edge members BJSM Podcast

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 your questions below, on www.physioedge.com.au and we would love you to give us a review on iTunes Links of interest Nichole Hamilton Synergy Physio Free videos with Nichole Hamilton The Irritable Hip course with Nichole Hamilton Shirley Sahrmann APA Dance Course