Physio Edge podcast with David Pope

Marathon runners often come to us with pain, but also they need to build up their mileage in preparation for one of the most challenging events in endurance sport. They're trying to do more when their body may be telling them they need to be doing less. How do we manage their symptoms, and guide them up to the marathon itself? Find out in this podcast with Tom Goom (Running Physio). Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs   Free running injury assessment & treatment video series available now   Links associated with this episode: 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: 02:40 - Marathon training phases 09:08 - Training priority 11:41 - Manageable goals 12:27 - Discussing risks 13:59 - Short and simple rehab 15:23 - Hands-on treatment 17:17 - Case study

How can you settle symptoms and make progress with patients, when pain is a significant barrier to performing the rehab that will help them get back to the things they want to do? Discover the five step process in this podcast with Tom Goom (Running Physio) to settle patients symptoms, overcome this barrier of pain, and help patients make progress with their rehab. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs   Free running injury assessment & treatment video series available now   Links associated with this episode: 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 03:05 -  Screen for serious pathology 04:13 - Analgesic review  05:13 - Discuss the pain 06:09 - Identify and modify aggravating factors 07:58 - Reduce irritation 15:48 - Key takeaways

Untreated or poorly rehabilitated ankle sprains can develop into chronic ankle instability (CAI), osteoarthritis, or other lower limb injuries (Bestwick-Stevenson et al. 2021; Delco et al., 2017; Herzog et al., 2019; van Ochten et al., 2017). In this podcast Zoe Russell discusses ankle sprain assessment and treatment, and how to return your patients to sport. You’ll discover how to help your ankle sprain patients fully recover as quickly as possible, and avoid long term ankle issues. Zoe is a Specialist Sports Physiotherapist (FACP), APA Titled Musculoskeletal and Sports Physio, as well as a Clinical Edge Senior Educator and Presenter, and in this Physio Edge podcast hosted by David Pope, we discuss the latest evidence and practical treatment strategies for ankle sprains, including: Assessment Common issues therapists face when rehabilitating ankle sprain patients. Questions you need to ask your ankle sprain patients. How a previous history of ankle sprains impacts your assessment & treatment. Why patients with inversion injuries may have medial ankle pain. How to avoid stirring up patients pain during your assessment. Diagnosis Common mechanisms of injury, and how this guides your diagnosis. Structures that are likely to be injured with different ankle injuries. Treatment 10 key elements to include in your assessment & treatment. How to help reduce swelling quickly after an ankle sprain, and why this is important. Immediate sideline management for ankle sprains at sporting events. Whether manual therapy has a role in acute ankle injuries or persistent ankle pain and swelling. How to explain ankle sprains, recovery & rehab to your patient. What you’re looking to achieve with your early rehab. How to set rehab targets or goals with your patients. The role of taping in ankle rehab. Taping compared to bracing. Whether long term taping or bracing is a useful long term injury prevention strategy. The latest surgical procedures for patients with chronic ankle instability (CAI). Links Zoe Russell David Pope on Twitter Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module Comprehensive low back pain assessment & treatment training module David Pope at Clinical Edge References Click here to download the articles associated with this podcast Bestwick-Stevenson, T., Wyatt, L. A., Palmer, D., Ching, A., Kerslake, R., Coffey, F., Batt, M. E., & Scammell, B. E. (2021). Incidence and risk factors for poor ankle functional recovery, and the development and progression of posttraumatic ankle osteoarthritis after significant ankle ligament injury (SALI): the SALI cohort study protocol. BMC musculoskeletal disorders, 22(1), 362. https://doi.org/10.1186/s12891-021-04230-8 Delco ML, Kennedy JG, Bonassar LJ, Fortier LA. Post-traumatic osteoarthritis of the ankle: A distinct clinical entity requiring new research approaches. J Orthop Res. 2017 Mar;35(3):440-453. doi: 10.1002/jor.23462. Epub 2016 Nov 8. PMID: 27764893; PMCID: PMC5467729. Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. Epidemiology of Ankle Sprains and Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):603-610. doi: 10.4085/1062-6050-447-17. Epub 2019 May 28. PMID: 31135209; PMCID: PMC6602402. van Ochten, J. M., de Vries, A. D., van Putte, N., Oei, E., Bindels, P., Bierma-Zeinstra, S., & van Middelkoop, M. (2017). Association between Patient History and Physical Examination and Osteoarthritis after Ankle Sprain. International journal of sports medicine, 38(9), 717–724. https://doi.org/10.1055/s-0043-109554 Chapters: 03:47 - Untreated ankle sprains 05:27 - Latest evidence 07:04 - Subjective questions 09:45 - Common mechanisms of injury 11:47 - Plantarflexion/inversion injury with medial ankle pain 15:22 - Dorsiflexion eversion injuries 15:54 - Swelling 21:11 - Objective tests 26:32 - Irritability 26:47 - Figure of 8 taping technique 28:56 - Inferior and superior tib-fib joint assessment 32:14 - Treatment 42:41 - Change of direction 43:17 - Tape or brace? 50:06 - Mobilise or immobilise?

Patients with knee osteoarthritis (OA) often have a sensitive and painful knee, and are reluctant to use or exercise it, feeling that it’ll just further “wear out” the joint. In this podcast with Dr JP Caneiro (Specialist Sports Physiotherapist, PhD) you’ll discover how to assess and rehabilitate knee OA patients, including: Subjective questions you need to ask knee OA patients. How to use your subjective assessment to identify tests to perform in your objective assessment. How to identify patient fears and negative beliefs that will interfere with rehab and limit progress. Objective assessment tests you need to perform. How to differentially diagnose knee OA from other causes of knee pain. How to assess patients’ functional ability. How to use palpation in your assessment of knee OA. Where to start your treatment. What to do if your patient is performing knee exercises and their pain is not improving, or getting worse. How to break through negative patient beliefs so you can get your patient on the road to better knee health, movement and pain. Enjoy this podcast with Dr JP Caneiro, hosted by David Pope and Clinical Edge now to improve your treatment of knee OA. Links Dr JP Caneiro on Twitter David Pope on Twitter Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module Comprehensive low back pain assessment & treatment training module David Pope at Clinical Edge Dr JP Caneiro at Body Logic Dr JP Caneiro on ResearchGate Related podcasts How to choose exercises that improve patients pain with David Toomey Cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, and strength testing with Paula Peralta, Simon Olivotto, Nick Kendrick & David Toomey Strength training & treating knee osteoarthritis with Dr Claire Minshull "Sore but not stuffed" - understanding and explaining your patients pain with Dr Tim Mitchell and Dr Darren Beales Chapters: 09:04 - Knee OA myths & misconceptions 14:07 - Subjective questions 15:33 - Patient fears & beliefs 24:07 - Subjective follow up questions 30:44 - Objective assessment 41:40 - Functional assessment 42:09 - Palpation 50:45 - Where to start treatment

Patients with knee osteoarthritis (OA) often believe their knee is “bone on bone”, exercises will wear out their knee more and they just need a knee replacement. This narrative can make it difficult to motivate your patients to perform knee rehab exercises that have the potential to improve their pain, function and quality of life. How can you shift the narrative, educate your patients with knee OA so they “buy in” and perform an effective knee rehab program, and get better results with your treatment? In this podcast with Dr JP Caneiro you’ll discover: How to start your patient on a rehab program when they have fear avoidance, and don’t want to exercise. How to help patients have a positive response to your treatment, experiencing better movement, function or pain with exercise and movement. How to encourage your patient to share their narrative and perspective, so you can start addressing this with your treatment. How to accurately describe OA to your patients and provide a positive narrative. How to help patients recognise load and lifestyle factors that are influencing their pain and movement. How to modify patients’ unhelpful behaviours and integrate new movement strategies into daily activities. How to manage flareups and provide patients with self-management strategies. Enjoy this podcast with Dr JP Caneiro and hosted by David Pope and Clinical Edge now to improve your treatment of knee OA. Links Dr JP Caneiro on Twitter David Pope on Twitter Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module Comprehensive low back pain assessment & treatment training module David Pope at Clinical Edge Dr JP Caneiro at Body Logic Dr JP Caneiro on ResearchGate Related podcasts How to choose exercises that improve patients pain with David Toomey Cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, and strength testing with Paula Peralta, Simon Olivotto, Nick Kendrick & David Toomey Strength training & treating knee osteoarthritis with Dr Claire Minshull "Sore but not stuffed" - understanding and explaining your patients pain with Dr Tim Mitchell and Dr Darren Beales

Exercise is a vital component in our rehabilitation of patients with musculoskeletal pain and injuries. How can you, as a Physiotherapist, Physical therapist or health professional, choose exercises for your patients that improve their pain, strength, control, confidence and the ability to reach their goals, without stirring up their pain? Find out in this podcast with David Pope (APA Titled Sports & Musculoskeletal Physio) and David Toomey (NZ Titled Musculoskeletal Physio & PhD Candidate) from the Clinical Edge education & presentation team. Links associated with this episode: iTunes - Download and follow the podcast Overcast - Download the podcast in Overcast Spotify - Listen to the podcast on Spotify Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership David Toomey Let David know what you liked about this podcast on Twitter Follow and review the podcast on iTunes Infographics by Clinical Edge

Do we need to target “proprioception” in shoulder rehab with flexible or vibratory, blade-like rehab tools or water-filled pipes? Does the evidence support the use of these proprioceptive tools to improve patients shoulder pain, or are there different exercises that provide better results? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio) and discover whether to include proprioceptive treatment tools in your patients shoulder rehabilitation programs. The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.  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 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 podcast handout above to receive the articles associated with this podcast. Ager AL, Borms D, Bernaert M, Brusselle V, Claessens M, Roy JS, Cools A. Can a conservative rehabilitation strategy improve shoulder proprioception? A systematic review. Journal of Sport Rehabilitation. 2020 Jul 31;30(1):136-51. Ager AL, Borms D, Deschepper L, Dhooghe R, Dijkhuis J, Roy JS, Cools A. Proprioception: How is it affected by shoulder pain? A systematic review. Journal of hand therapy. 2020 Oct 1;33(4):507-16. Ager AL, Roy JS, Roos M, Belley AF, Cools A, Hébert LJ. Shoulder proprioception: how is it measured and is it reliable? A systematic review. Journal of Hand Therapy. 2017 Apr 1;30(2):221-31.

What strategies can you recommend to your patients that are recovering from injury or increasing their training to help improve physical recovery? Athletes often use various recovery strategies such as ice baths, compression stockings, massage and more to improve their recovery, but are they actually effective? What key strategies are evidence-based and useful? Patients experiencing pain or a flareup may feel distressed or anxious. What mental recovery strategies can your patients use to help with these feelings of distress or anxiety? Find out in this podcast with Tom Goom (Running Physio), as you discover the key recovery strategies for physical and mental health. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs Free running injury assessment & treatment video series available now   Links associated with this episode: 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

Traumatic superior labrum anterior to posterior (SLAP) tears can occur in contact athletes and other patients that land on their arm or shoulder, and in throwers and other athletes. Initial assessment and even MRI often miss or misdiagnose these injuries, leading to ongoing shoulder, long head of biceps tendon (LHBT) or ACJ pain. In this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio) you’ll discover how to identify patients with SLAP tears. You’ll explore which assessment tests can be used to diagnose and differentiate SLAP tears from other causes of shoulder pain, and which imaging modalities will actually identify SLAP tears. The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.  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 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 Article associated with this episode: Download the podcast handout to receive the articles associated with this podcast. Michener LA, Abrams JS, Bliven KC, Falsone S, Laudner KG, McFarland EG, Tibone JE, Thigpen CA, Uhl TL. National Athletic Trainers' Association position statement: evaluation, management, and outcomes of and return-to-play criteria for overhead athletes with superior labral anterior-posterior injuries. Journal of athletic training. 2018 Mar;53(3):209-29.

Patients with anterior knee pain may have pain with activities that load the patellofemoral joint (PFJ), such as squatting, going up or down stairs, and running. When is it important to offload patients PFJ during your rehab, to help settle their symptoms? How can you design a rehab program to improve your patients' knee pain? Find out in this podcast with Tom Goom (Running Physio) as you discover how to effectively offload and treat patellofemoral joint pain, exercises to include in rehab, and activities and exercises to reduce during your initial phases of treatment. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs Free running injury assessment & treatment video series available now   Links associated with this episode: 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 Article associated with this episode: Hart HF, Patterson BE, Crossley KM, Culvenor AG, Khan MC, King MG, Sritharan P. May the force be with you: understanding how patellofemoral joint reaction force compares across different activities and physical interventions—a systematic review and meta-analysis. British Journal of Sports Medicine. 2022 Feb 3.