Can you solve this case of a badminton player with a five year history of posterior shoulder pain and shoulder fatigue with overhead movements? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover the diagnosis and why the patient hasn’t improved with rehabilitation, as Jo reveals the case study and: Subjective clues to help diagnose this condition. Questions to ask in the subjective history. Differential diagnoses to keep in mind. How to identify and rule out red flags. Clinical tests to use to rule this condition in and out. What medical tests and MRI reveal. Common causes of this condition. Conservative, medical and surgical management and results. Ideal treatment pathways for this condition. Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio) Frozen and stiff shoulder assessment & treatment with Jo Gibson Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder 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: Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder 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

When your patient with Achilles tendon pain isn’t progressing as well as you hoped, could Plantaris be implicated in their pain? Find out in this latest Physio Edge Track record: Running repairs podcast with Tom Goom, where you’ll discover: Plantaris anatomy and relationship to the Achilles tendon. Common symptoms when Plantaris is causing Achilles tendon pain. How to differentiate Achilles tendinopathy from Plantaris involvement. Why patients with Plantaris involvement may not progress with a tendon loading program. How to adjust treatment when you suspect Plantaris involvement. When Plantaris patients can return to running and hill running. Additional medical and surgical management when Plantaris conservative treatment doesn’t resolve symptoms. Enjoy this new podcast with Tom Goom now to improve your treatment of Achilles tendon pain. 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

Jo Gibson, a leading physiotherapy expert focused on shoulder rehabilitation, shares her insights on cross-education (CE) for maintaining shoulder strength during immobilization. She explains how training the uninjured arm can help mitigate atrophy and accelerate recovery. The conversation covers the neural mechanisms behind CE, its psychological impacts, and the best exercise techniques to optimize rehabilitation. Listeners will learn how to effectively incorporate CE in post-op recovery for improved strength and proprioception.

What do foam rolling and stretching do to the ITB? Are they effective in the treatment of ITB syndrome? Find out in this podcast with Tom Goom (Running Physio). The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available.   Free running injury assessment & treatment video series available now Links associated with this episode: Successfully treat ITB pain with this free three part video series with Tom Goom. Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by 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 Article associated with this episode: Download the podcast handout to receive the articles associated with this podcast. Pepper TM, Brismée JM, Sizer Jr PS, Kapila J, Seeber GH, Huggins CA, Hooper TL. The Immediate Effects of Foam Rolling and Stretching on Iliotibial Band Stiffness: A Randomized Controlled Trial. International journal of sports physical therapy. 2021;16(3):651.

Is subscapularis the forgotten part of the rotator cuff? Do we ever need to target it individually? If we do what are the best options for exercises? Find out which patients with torn or painful shoulders benefit from targeted subscapularis rehab in this episode of the Physio Edge Shoulder success podcast with Jo Gibson. You’ll discover: Rotator cuff & subscapularis anatomy & function. Role and function of subscapularis with shoulder movement. How subscapularis works with the posterior cuff and larger shoulder muscles. Subscapularis pain & injury Subscapularis tears - mechanism of injury. Whether subscapularis is implicated in swimmers’ shoulder pain. Objective assessment Objective tests to assess subscapularis strength. The role of special tests to identify subscap tears. Targeted subscapularis rehabilitation Which shoulder pain patients require targeted subscapularis rehab. When to target subscap in post-op rehab. Why and how to start subscap rehab in patients with massive rotator cuff tears Exercises to target subscap. How incorporating the kinetic chain can help your subscap rehab. How to improve subscap recruitment with altered speed of exercise. Plyometrics for subscapularis. Subscapularis rehab in other patients Stiff shoulders - using eccentric subscap exercises to improve range of movement. Whether subscap should be targeted post long head of biceps (LHB) rupture. Improve your rehab of painful and torn shoulders now with this podcast. Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio) Frozen and stiff shoulder assessment & treatment with Jo Gibson Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder 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: Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder 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

Are vaccinations associated with shoulder pain? Shoulder injury related to vaccine administration (SIRVA) has received a lot of attention on social media as vaccination levels have increased. If your patient has shoulder pain after a vaccine, what does this mean for treatment? Also in this podcast, how can you identify non-musculoskeletal causes of shoulder pain related to NSAID use or viscera? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Podcast handout The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio) Frozen and stiff shoulder assessment & treatment with Jo Gibson Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder 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: Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder 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: Download the podcast handout to receive the articles associated with this podcast. Bancsi A, Houle SK, Grindrod KA. Getting it in the right spot: Shoulder injury related to vaccine administration (SIRVA) and other injection site events. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada. 2018 Sep;151(5):295-9. Batra S, Page B. Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. Workplace Health & Safety. 2021 Feb;69(2):68-72. Cross GB, Moghaddas J, Buttery J, Ayoub S, Korman TM. Don't aim too high: avoiding shoulder injury related to vaccine administration. Australian family physician. 2016 May;45(5):303-6. Gonzalez AI, Kortlever JT, Moore MG, Ring DC. Influenza Vaccination Is Not Associated with Increased Number of Visits for Shoulder Pain. Clinical Orthopaedics and Related Research®. 2020 Oct 1;478(10):2343-8. Hesse EM, Atanasoff S, Hibbs BF, Adegoke OJ, Ng C, Marquez P, Osborn M, Su JR, Moro PL, Shimabukuro T, Nair N. Shoulder injury related to vaccine administration (SIRVA): petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016. Vaccine. 2020 Jan 29;38(5):1076-83. Hibbs BF, Ng CS, Museru O, Moro PL, Marquez P, Woo EJ, Cano MV, Shimabukuro TT. Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010–2017. Vaccine. 2020 Jan 29;38(5):1137-43. Martin Arias L, Fadrique RS, Gil MS, Salgueiro-Vazquez ME. Risk of bursitis and other injuries and dysfunctions of the shoulder following vaccinations. Vaccine. 2017 Sep 5;35(37):4870-6. Shahbaz M, Blanc PD, Domeracki SJ, Guntur S. Shoulder injury related to vaccine administration (SIRVA): an occupational case report. Workplace Health & Safety. 2019 Oct;67(10):501-5. Sohn DH. CORR Insights®: Influenza Vaccination Is Not Associated with Increased Number of Visits for Shoulder Pain. Clinical Orthopaedics and Related Research. 2020 Oct;478(10).

How can you accurately assess neck pain patients and choose the most effective treatment to help resolve their pain and prevent recurrence? Find out in part 1 of this two part podcast series with Emeritus Professor Gwendolen Jull, and explore: How to accurately assess patients movements, muscular control, strength, posture, and palpate the cervical spine to identify the source of neck symptoms and contributing factors. Which questions and assessment tests will help you choose treatment that resolves symptoms, fully rehabilitates patients and helps to prevents future episodes of neck pain? How to use clinical reasoning to target your rehab, and decide if your treatment should include neck strengthening, manual therapy, sensory motor control, postural or work position changes? Download this podcast now to improve your assessment and treatment of neck pain. The next podcast with Prof Gwen Jull, available soon, will build on the knowledge you gain from part 1, and provide you with additional neck pain treatment strategies. CLICK HERE to get access to Cervical spine assessment & treatment for neck pain & upper limb symptoms CLICK HERE to get access to Cervical radiculopathy assessment & treatment case study Links associated with this episode: iTunes - Download and follow the podcast Overcast - Download the podcast in Overcast Spotify - Listen to the podcast on Spotify Download the infographic handout for this podcast Cervical spine assessment & treatment for neck pain & upper limb symptoms - available with a free trial membership Cervical radiculopathy assessment & treatment case study available with a free trial membership Comprehensive, practical training to improve your skills, clinical reasoning, treatment results & confidence with a free trial Clinical Edge membership Prof Gwen Jull Management of Neck Pain Disorders: a research informed approach 1st Edition, by Gwendolen Jull, Deborah Falla, Julia Treleaven, Shaun O'Leary, and foreword by Jeremy S Lewis Let David know what you liked about this podcast on Twitter Follow and review the podcast on iTunes Infographics by Clinical Edge

Pec minor cops the blame for shoulder pain, scapular dyskinesia and all sorts of upper limb pain and “dysfunction”. Is pec minor shortness or “tightness” really responsible for shoulder pain? In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you’ll discover whether the latest evidence supports pec minor as a major cause of shoulder pain, or whether pec minor is an innocent victim. You’ll also explore: Is pec minor responsible for shoulder pain? Does pec minor truly become “shortened”? Is there a link between a shortened pec minor, scapular dyskinesia and risk of developing shoulder pain? Should the Pectoralis minor be stretched in patients with shoulder pain? Review of pec minor attachments & anatomy Measurement of pec minor length has been shown in the literature to be reliable, but do we need to measure it? What is the most effective way of increasing length in pec minor? Stretching, self release, taping or strengthening the rotator cuff? Does pec minor stretching help to improve shoulder function, mechanics or prevent injury in overhead athletes? How long do ROM improvements following pec minor stretching last? If patients have a clear history of trauma, is pec minor shortness relevant? Is pec minor shortness relevant in thoracic outlet syndrome (TOS)? Can weightlifters develop pec minor tendinopathy? Is it worth assessing pec minor length in shoulder pain patients? Does the evidence support treating PM shortness in shoulder pain patients? Podcast handout The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio) Frozen and stiff shoulder assessment & treatment with Jo Gibson Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder 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: Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder Physio Edge 096 Thoracic outlet syndrome with Jo Gibson Physio Edge 099 Upper traps - are they really a bad guy? 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 Article associated with this episode: Download the podcast handout to receive the article associated with this podcast. Illig KA, Donahue D, Duncan A, Freischlag J, Gelabert H, Johansen K, Jordan S, Sanders R, Thompson R. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. Journal of vascular surgery. 2016 Sep 1;64(3):e23-35.

Stress fractures and bone stress injuries in running patients need to be identified early, to allow recovery before the injury worsens and requires extensive time away from running. When should you suspect a stress fracture or a bone stress injury (BSI) in your running patients? Find out in the podcast with Tom Goom (Running Physio), and explore: How to identify stress fractures & BSI’s in your patients. Which patients are at greater risk of developing BSI or stress fractures? Features in your patient history, including past & medical history, onset & aggravating factors that increase your suspicion of a stress fracture. Which BSI’s are “high risk”? Common training errors that lead to a stress fracture. What tests can be performed in your objective assessment to help diagnose stress fractures? How to differentiate tendon pain from bone stress injuries Will bruising or swelling appear with bone stress fractures? How palpation can help your diagnosis Why common assessment tests are often painfree in bone stress injuries. When imaging is important. Which imaging modalities to request when you suspect a stress fracture or BSI. Improve your identification and assessment of stress fractures and bone stress injuries now with this podcast. Free running injury assessment & treatment video series available now Links associated with this episode: Successfully treat ITB pain with this free three part video series with Tom Goom. Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Tom live on Facebook & ask your running 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

Patients with atraumatic sternoclavicular joint (SCJ) instability may have pain during overhead activities, throwing or playing sport. How can you diagnose and successfully rehabilitate SCJ instability? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and explore: Assessment & diagnosis Which bony surfaces, ligaments and muscles provide stability at the SCJ. Why do patients develop SCJ instability, and what are the risk factors? What the research reveals about SCJ instability. Common symptoms that help you identify SCJ instability. Questions you need to ask that help with diagnosis. Posterior instability - Common symptoms & anatomical structures that can be impacted. How to identify clavicular epiphyseal plate injuries in young athletes. When closing of the proximal clavicular epiphyseal plate occurs, and why this is important to know. Rehab & recovery Rehab exercises you can use to develop muscular support for the SCJ. How and why you can add C/Sp exercises into SCJ rehab. How long recovery will take your patients. When patients are likely to start noticing improvements in symptoms. Will SCJ instability patients continue to experience instability and pain after rehab? Is this condition self-limiting? How can involvement of the SCJ disc be identified? What imaging can be helpful? When should you request SCJ imaging? When is SCJ surgery indicated? Jo also answered these questions from FB Live listeners: Does hypermobility change with age? Can asymptomatic SCJ instability occur in weightlifters that do not have hypermobility, and do we need to treat it? Which SCJ patients benefit from injections? When should SCJ injections be avoided? What autoimmune inflammatory conditions may result in SCJ swelling? Podcast handout The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio) Frozen and stiff shoulder assessment & treatment with Jo Gibson Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder 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: Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson The Hypermobility Syndromes Association (HMSA) 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 to receive the articles associated with this podcast. Castori M, Tinkle B, Levy H, Grahame R, Malfait F, Hakim A. A framework for the classification of joint hypermobility and related conditions. InAmerican Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017 Mar (Vol. 175, No. 1, pp. 148-157). Malfait F, Francomano C, Byers P, Belmont J, Berglund B, Black J, Bloom L, Bowen JM, Brady AF, Burrows NP, Castori M. The 2017 international classification of the Ehlers–Danlos syndromes. In American Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017 Mar (Vol. 175, No. 1, pp. 8-26). Martetschläger F, Warth RJ, Millett PJ. Instability and degenerative arthritis of the sternoclavicular joint: a current concepts review. The American journal of sports medicine. 2014 Apr;42(4):999-1007. Sewell MD, Al-Hadithy N, Le Leu A, Lambert SM. Instability of the sternoclavicular joint: current concepts in classification, treatment and outcomes. The bone & joint journal. 2013 Jun;95(6):721-31.