Physio Edge podcast with David Pope

Squeezing a stress ball and strengthening with 0.5kg dumbells will only get you so far with your treatment of hand and wrist injuries, and soon enough you'll hit a wall with treatment results. How are you going to smash through that wall, and help your patients keep working or playing, or get back to work and sport? If you've felt limited with your hand and wrist treatment and exercises, you'll love the treatment approach and strengthening exercises from the third and final podcast in this series with Ian Gatt. In the previous two podcasts with Ian we explored how you can take a great history, assess and diagnose wrist and hand injuries. You discovered types of grip strength and how to perform low and high tech grip strength assessment. In this new podcast with Ian Gatt you will discover how to use your assessment findings to develop a treatment plan, and how to develop your patients hand and wrist strength, plus: Strength exercises can you use in your rehab of hand and wrist injuries What pain level is acceptable during rehab exercises? How many sets and reps should your patients perform of each exercise? How can you reduce the pain your athlete experiences so they can perform their rehab exercises? What finger strengthening exercises can you use? Why is the proximal radio-ulnar joint (PRUJ) so important to treat with wrist and elbow injuries? How can you treat the PRUJ? How can you incorporate the kinetic chain into your hand and wrist rehab? How and why would you want to use vibration as part of rehab, even if you don't have a vibration plate? What manual therapy can you use with your hand patients? How can you maintain your athletes skill and performance while taking them through a rehab program? How should you adjust training volume or intensity with knuckle or Carpometacarpal joint (CMCJ) injuries? Can boxers with CMCJ injuries continue to hit the bag? What wrist positions and movements need to be limited during rehab and to prevent injury? Why is wrapping your boxers hands properly so important? How can you wrap your boxers hands? What gloves are recommended for boxers? Ian works with GB Boxing, which involves helping boxers recover from hand, wrist and other injuries. This podcast is therefore boxer-centric, however there are a lot of specifics, exercises & principles in this podcast that you can use with your hand & wrist patients that have never picked up a pair of boxing gloves or hit a bag. Dive into this podcast, and pick up a lot of great ideas for your hand & wrist injury treatment. Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using my favourite podcast app - Overcast Listen to the podcast on Spotify Improve your confidence and patient results with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Linked In - Ian Gatt Twitter - @IanGattPhysio Instagram - @IanGattman Sheffield Hallam University - Ian Gatt Courses - HE Seminars CLICK HERE for your spot on a free shoulder assessment webinar with Jo Gibson, available soon. Resources associated with this episode: Video - How to wrap a boxer's hands with Ian Gatt Loosemore et al. 2016. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad. Other Episodes of Interest: PE089 - Combating hand & wrist injuries part 2 - Objective assessment with Ian Gatt PE 088 - Combating hand and wrist injuries part 1 with Ian Gatt PE 043 - Sporting Shoulder with Jo Gibson PE 027 - Sports Injury Management with Dr Nathan Gibbs

Your knuckles getting crushed in an overenthusiastic handshake by hands the size of watermelons isn't a fun experience. Do these knuckle-crushers know they're squeezing that hard, or do they just regularly snap pencils while taking notes, and wonder why pens and pencils are so fragile nowadays? How much grip strength do you actually need, even if you're not planning on crushing any knuckles the next time you meet someone? How much grip strength do your patients need when recovering from a hand, wrist or upper limb injury? Testing and building grip strength is a really important part of helping your hand, wrist, elbow pain and injury patients get back to work and day to day life. Gripping also pre-activates the rotator cuff, so you can use gripping as part of your patients shoulder rehab exercises. Grip strength tests using handheld dynamometers (HHD)* test your "Power Grip", but this test doesn't assess thumb or pinch grip strength. There are two other grip strength tests that are pretty easy to perform, that are going to be better suited to some of your patients. What are they, and how can you test the different types of grip strength in your patients? In this podcast with Physiotherapist (English Institute of Sport Boxing Technical Lead Physio) Ian Gatt, we discuss assessing and building grip strength, assessing hand and wrist injuries and more, including: 3 different types of grip strength you need to measure in your hand and wrist patients How grip strength measures help guide your assessment and prognosis What is the "Power grip" and how is it useful? How can you test thumb strength? Low-tech, simple grip strength tests you can use in your clinic The high-tech approach to grip strength testing How strong should wrist flexors and extensors be? How can you assess weight bearing tolerance of the hand and wrist? Why your patient can have a painfree grip and still be painful with weightbearing on the hand What exercises, weights and reps should you use following upper limb injury? How can you accurately measure wrist range of movement? How are the proximal radio-ulnar joint (PRUJ) and radio-humeral joint (RHJ) involved in hand and wrist injuries, and how can you assess these? Like the tests demonstrated in the Clinical Edge online courses on Assessment & treatment of the elbow Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using my favourite podcast app - Overcast Listen to the podcast on Spotify Improve your confidence and patient results with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge LinkedIn - Ian Gatt Twitter - @IanGattPhysio Instagram - @IanGattman Sheffield Hallam University - Ian Gatt Courses - HE Seminars CLICK HERE for your spot on a free shoulder assessment webinar with Jo Gibson, available soon. Resources associated with this episode: Video - How to wrap a boxer's hands with Ian Gatt Loosemore et al. 2016. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad. Other Episodes of Interest: PE 088 - Combating hand and wrist injuries part 1 with Ian Gatt PE 043 - Sporting Shoulder with Jo Gibson PE 027 - Sports Injury Management with Dr Nathan Gibbs

Hand and wrist assessment and treatment can be overwhelming. There are a lot of tendons, ligaments and bones crammed into a small area, you need to worry about ligament and cartilage tears, rehabing fine and gross motor control, strengthening, and then there are a bunch of fancy-looking splints. How would you like to get a better grip on hand and wrist injuries? In this podcast with Physiotherapist (English Institute of Sport Boxing Technical Lead Physio) Ian Gatt, we discuss hand and wrist injuries in general, and dive into details on contact-related injuries encountered in boxing. If you treat patients that fall onto their hands and wrists, cop a blow to their fingers in ball sports, are boxers or martial artists, or just occasionally get involved in confrontations with walls or other immovable objects, you will enjoy this episode. You will explore: How to take a comprehensive subjective history for hand and wrist pain patients Questions you need to ask your hand and wrist patients Identify likely diagnoses for your patients injuries based on their pattern of symptoms When imaging is useful Figure out if your patient is likely to have a quick or slow recovery What is most important - pathology &structural diagnosis, biomechanics or function? Common boxing or contact-related hand and wrist injuries How to establish the severity of an injury Carpometacarpal (CMC) joint injury management Knuckle (Sagittal band) injuries Bone stress injuries of the hand and wrist Triangular fibrocartilage complex (TFCC) injuries, and why these are not as common now in contact sports In the next two podcasts with Ian, we will explore how you can assess and treat these injuries. Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using my favourite podcast app - Overcast Listen to the podcast on Spotify Improve your confidence and patient results with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge LinkedIn - Ian Gatt Twitter - @IanGattPhysio Instagram - @IanGattman Sheffield Hallam University - Ian Gatt Courses - HE Seminars Resources associated with this episode: Video - How to wrap a boxer's hands with Ian Gatt Loosemore et al. 2016. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad. CLICK HERE for your spot on a free shoulder assessment webinar with Jo Gibson, available soon. Other Episodes of Interest: PE 043 - Sporting Shoulder with Jo Gibson PE 027 - Sports Injury Management with Dr Nathan Gibbs

A crunching tackle, flying headfirst off the bike onto your shoulder, or falling onto an elbow will often be enough to injure an acromio-clavicular joint (ACJ). When your patient walks in supporting their arm, or wearing a collar-and-cuff to offload their ACJ, how will you accurately assess and grade their injury? What will you include in your ACJ patient rehab to help them get back to full shoulder function and return to sport? In Physio Edge podcast episode 87 with Dr Ian Horsley, Physio with English Rugby, English Institute of Sport and Olympic Team GB, we explore ACJ and clavicular injuries, including: ACJ anatomy, and which ligaments are commonly injured How to grade an ACJ injury When to request imaging Clavicular osteolysis How to identify SLAP lesions that occur with ACJ injuries How to assess patients with ACJ injury Objective assessment tests to help your diagnosis The role of the scapula in ACJ rehab Common exercises you can use in rehab Progressing ACJ rehab to prepare for return to sport How to include return to contact in your rehab eg for rugby players How much pain is ok during rehabilitation Return to play timeframes with common What do do when rehab is not progressing to plan Clavicular fractures - conservative or surgical management Ways to stimulate osteoblastic activity post fracture Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using my favourite podcast app - Overcast Listen to the podcast on Spotify Improve your confidence and patient results with a free trial Clinical Edge membership Online course - Shoulder rehabilitation for contact sports and the rugby shoulder with Dr Ian Horsley Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Dr Ian Horsley on Twitter - @Back_in_action Back in Action Physiotherapy You Tube - Back in Action Facebook - Back in Action Research Gate - Dr Ian Horsley Resources associated with this episode: Jacob et al. 2017. Classifications in Brief: Rockwood Classification of Acromioclavicular Joint Separations. Robertson et al. 2016. Return to sport following clavicle factors: a systemic review. Other Episodes of Interest: PE 077 - Anterior shoulder pain, long head of biceps tendon pathology and SLAP tears with Jo Gibson PE 067 - Shoulder special tests and the rotator cuff with Dr Chris Littlewood PE 043 - Sporting Shoulder with Jo Gibson PE 040 - Shoulder Simplified With Adam Meakins PE 021 - Shoulder Pain With Dr Jeremy Lewis

How do you answer your patient when they ask why they still have back or neck pain more than 12 months after an injury? Shouldn't their body have healed by now? Why does their knee pain get worse every time they do their exercises, put tape on it, go for a walk or just climb the stairs? What is going on? Why do they still have pain? How are you going to explain it, and how can you help them? In this podcast with Dr Tim Mitchell and Dr Darren Beales, you'll discover: 4 types of pain, and how they change your assessment and treatment Why some patients become sensitised following an injury Questions you need to ask in your subjective How to identify red flags Is night pain and disturbed sleep a red flag? When your patient is sensitised to pain, can you differentiate between central and peripheral sensitisation? Important aspects to include in your objective assessment Assessing movement and function How hyperalgesia and allodynia affect your treatment Why it can backfire if you tell your patient they have central sensitisation and pain is in their brain How to challenge a patient's beliefs about their pain, like they "just need a massage" or their "pelvis is out" so that it won't backfire and make their faulty belief even stronger When should your patients return to work or have adjusted duties? How to use the Musculoskeletal clinical translation framework and apply it in your clinical practice Links associated with this episode: Increase your confidence and results with patients with a free trial Clinical Edge membership Discover a quick simple shoulder assessment in three free videos with Jo Gibson Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Musculoskeletal Clinical Translation Framework Dr Tim Mitchell Dr Darren Beales Twitter: @PeteOSullivanPT TWITTER: @hels_slater Curtin University - Master of Clinical Physiotherapy Resources associated with this episode: BJSM Podcast - Lorimer Moseley Pain Options - Pain Resources Pain Health - Pain Self-checks Örebro Musculoskeletal Pain Questionnaire Örebro Musculoskeletal Pain Questionnaire Short Form Agency for Clinical Innovation - Best practice care for people with acute low back pain Pain-Ed Other Episodes of Interest: PE 035 - Know pain with Mike Stewart Part 1 PE 036 - Know pain with Mike Stewart Part 2

Have you had patients that developed groin pain after getting a bit carried away with situps or abdominal exercises in the gym? Or have your patients developed lower abdominal pain after running or training that is causing them pain into hip extension? In this podcast with Andrew Wallis, Sports Physiotherapist with the St Kilda AFL team, we explore how you can treat patients that were a little too exuberant with their abdominal training or running, including: The Doha Agreement on groin pain terminology Inguinal related groin pain Anatomy of the abdominal region and groin Rectus abdominus tendon overload Whether pelvic tilt contributes to abdominal overload How you can identify the cause of pain in this suprapubic region How to objectively assess patients, and key tests to perform How you can treat patients with an acute overload history Progressive abdominal loading, including exercises you can use How to progress running, interval training and hill running Adding in cutting, agility training and kicking How to help set your patient's expectations about recovery timeframes and progress Links associated with this episode: Access now the webinar on how to rehab adductor-related groin pain with Andrew Wallis Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Andrew Wallis on Twitter @Andrewwallis15 Facebook - The Hip and Groin Clinic The Hip and Groin Clinic website Resources associated with this episode: Cook and Purdam. 2009. Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy King et al. 2018. Clinical and biomechanical outcomes of rehabilitation targeting intersegmental control in athletic groin pain: prospective cohort of 205 patients Weir et al. 2015. Doha agreement meeting on terminology and definitions in groin pain in athletes Other Episodes of Interest: Physio Edge 070 How to treat adductor related groin pain and complex cases with Dr Adam Weir Physio Edge 069 Adductor related groin pain, stress fractures and nerve entrapment assessment and diagnosis with Dr Adam Weir Physio Edge 054 Hip and groin part 2: Assessment and treatment with Benoy Mathew Physio Edge 053 Hip and groin part 1: Diagnosis, pathology and red flags with Benoy Mathew Physio Edge 028 Groin Injury Screening and Rehabilitation With Dr Kristian Thorborg Physio Edge 025 Groin Assessment With Dr Kristian Thorborg CLICK HERE to watch this online course with a free trial membership

How can you manage lower limb tendinopathy in your patients that like to run? Can runners with medial tibial stress syndrome (MTSS) continue to run? Can patients with high BMI or following total hip replacement run? Physiotherapists Tom Goom and David Pope answer your questions on how to assess and treat patients with running-related injuries in this Q&A conducted live, including: How can you manage post-run morning stiffness? What are the important aspects when managing load? How can you treat Achilles tendinopathy patients with decreasing tolerance to running and walking, and increasing pain? Differential diagnosis for Achilles pain Proximal hamstring tendinopathy What exercises can be used? Is a feeling of tightness normal, and how can this be addressed? Are stretches helpful? When can deadlifts and Romanian deadlifts (RDL's) be used? Patellar tendinopathy - how can you manage a runner that is not willing to decrease running volume even temporarily? Peroneal tendinopathy Running vs rest in female distance runners with chronic hamstring origin injuries Patellar tendinopathy Medial tibial stress syndrome (MTSS)/Shin splints treatment Working at marathons or running events - How can you help your runners with ITBS or PFP finish a race? Can runners return to running following total hip replacement? Is running harmful for patients with high body mass index (BMI) when they want to reduce weight?   Free running injury assessment & treatment video series available now Links associated with this episode: Submit questions for the Physio Edge podcast Twitter - @tomgoom Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Other episodes of interest: Physio Edge 083 Running gait retraining, strengthening, glutes & ITB syndrome. Q&A with Tom Goom Physio Edge 082 Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill Physio Edge 076 Footwear advice for running injuries with Tom Goom Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang

What are the key components when assessing and treating runners? Should your treatment of running injuries focus on glutes? How can your runners schedule their training to improve recovery? Physiotherapists Tom Goom and David Pope answer your questions on how to assess and treat patients with running-related injuries, including: The key concepts when assessing and treating running injuries Gait retraining programs The best ways to change running technique Does gait retraining cause fatigue? Is gait retraining suitable in painfree runners? What are the most important elements to prevent injury in runners? Scheduling to improve recovery from injury. When should your runner run, and when should they rest? Can we increase leg stiffness when running? Does increasing leg stiffness reduce injury risk? Strengthening for runners Do glutes become underactive or "not fire properly"? Does improving glute strength improve running mechanics? Calf tears - how can you treat these? What tests can you perform for your runners calves? Do runners have "stiff hips", and does it matter? Can you help runners with meniscal tears? How can you treat ITB syndrome? Is barefoot running helpful or harmful? Should we run in only 1 shoe if we want to win a race?   Free running injury assessment & treatment video series available now Links associated with this episode: Submit your running-injury related questions for the Physio Edge podcast Twitter - @tomgoom Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Other episodes of interest: Physio Edge 082 Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill Physio Edge 076 Footwear advice for running injuries with Tom Goom Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang

Achilles tendinopathy treatment - what is the latest research, and how can it help your treatment? What is the best way to treat Achilles tendinopathy (AT)? Over the years our treatment of tendinopathy has evolved significantly. You may remember rubbing tendons with ultrasound or our thumbs in years gone past, and stretching the painful area or muscle-tendon complex. If you did, you may also remember the number of people that didn't really improve or develop the load tolerance to return to activity with this approach, supported by research demonstrating the lack of effectiveness of this approach. We progressed to the golden era of loading, initially using eccentric training. Additional research emerged on the benefits of heavy slow resistance in tendinopathy treatment, closely followed by the importance of load management demonstrated in research on soft tissue injuries. In 2015 and 2016 Rio et al. released promising preliminary research utilising isometric holds in patellar tendinopathy patients, and we have extrapolated and used isometric holds with many different types of tendinopathy. In Physio Edge podcast episode 82 with Dr Seth O'Neill, you will discover: Are isometric holds effective with Achilles tendinopathy patients? What is the most effective treatment for AT? What does the latest research on the treatment of AT reveal? Is relief of pain with isometric holds necessary to make a diagnosis of tendinopathy? What assessment tests can you perform to diagnose AT? How can you assess patient calf strength? How can you differentially diagnose other conditions including Plantaris involvement, insertional AT, talocrural impingement or neural irritation? How can you explain AT to your patients? What exercises can you include in your treatment? Exercise progressions you can use When are eccentrics a useful addition to a treatment program? When can patients start, continue or progress a walking or running program? How can you incorporate the biopsychosocial model into your treatment? Is dorsiflexion range of movement important? Is stretching an effective treatment for tendinopathy? Are ice, massage or ESWT useful? When is imaging useful? How can you treat insertional Achilles tendinopathy? Dr Seth O'Neill completed a MSc in Musculoskeletal Physiotherapy, followed by a PhD focused on Achilles tendon disorders. Seth is a lecturer in Physiotherapy at the Universities of Leicester and Coventry, and has a Physio private practice in Nottingham, UK. Links associated with this episode: Twitter - @Seth0Neill Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Articles associated with this episode: Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy slow resistance versus eccentric training as treatment for Achilles tendinopathy: a randomized controlled trial. The American journal of sports medicine. 2015 Jul;43(7):1704-11. O’Neill S, Radia J, Bird K, Rathleff MS, Bandholm T, Jorgensen M, Thorborg K. Acute sensory and motor response to 45-s heavy isometric holds for the plantar flexors in patients with Achilles tendinopathy. Knee Surgery, Sports Traumatology, Arthroscopy. 2018:1-9. Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med. 2015 May 15:bjsports-2014. Other episodes of interest: Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang

Ankle syndesmosis injuries following forced ankle dorsiflexion and lateral rotation of the foot require very specific management and rehabilitation to achieve great treatment outcomes. If you approach management of ankle syndesmosis injuries in the same manner as a lateral ankle ligament injury it will likely result in long term pain and dysfunction for your patients. In the previous episode of the Physio Edge podcast - How to assess ankle syndesmosis injuries, Chris Morgan and David Pope explored how to assess and diagnose ankle syndesmosis injuries (ASI). In this new Physio Edge podcast - "How to treat ankle syndesmosis injuries with Chris Morgan (Arsenal 1st Team Physiotherapist in the English Premier League), you will discover how to manage different grades of ASI, including: Grade 1 syndesmosis injury management Initial injury management How long should you immobilise a Grade 1 injury for? What weight bearing should be allowed in the initial stages? Taping techniques that can be utilised during return to running, training and play Rehab - initial exercises and progressions How much pain is acceptable during return to training? Return to sport timeframes & how you and your athlete can decide when RTP is appropriate When can contact be initiated? Grade 2 syndesmosis injuries Grade 2 injury management and immobilisation Which players are likely to require arthroscopy to confirm instability, and subsequent stabilisation surgery? Why rehabilitation of stable grade 2 injuries is different from grade 1 injuries Which movements you need to restrict How to maintain lower limb musculature and minimise muscle atrophy should be performed Additional general conditioning your patient should perform during the early phase of rehab How to incorporate an Alter G treadmill into rehab Occlusion training for lower limb conditioning How to modify rehab if you do not have access to an Alter G Timeframes and criteria to assess when your patient can remove their immobilisation boot Tests to perform at each stage of rehab When and how should dorsiflexion range be improved? Timeframes and criteria to meet prior to return to running Exercise progressions and variations Return to play markers and tests you can use What to do when a player still reports a ‘nipping’ at the front of the ankle after 6 weeks and is having difficultly achieving full dorsiflexion Unstable injuries - Grades 2b, 3 and 4 Management of unstable injuries Post-surgical immobilisation and management Common return to play timeframes To accurately grade your patients ASI and prescribe the most appropriate rehab I strongly recommend listening to Physio Edge podcast episode 80 – How to assess ankle syndesmosis injuries with Chris Morgan prior to this podcast. Free webinar - Medial knee injuries with Chris Morgan Medial knee injuries often occur in snow sports, or other sports when landing or being tackled. Different areas of the medial knee can be injured, including the deep, superficial, proximal or distal fibres of the MCL and medial knee. Depending on the injured structures, patients will either cope with a more aggressive treatment approach and early return to sport, or require a more conservative approach. How can you know the rehab approach your individual patient requires? In this free webinar with Chris Morgan (1st Team Physiotherapist with Arsenal FC), you will explore: Applied anatomy of the medial knee Mechanism of injury, presentation and diagnosis of medial knee injuries How you can differentiate between deep, superficial, proximal, distal and Grade 1, 2 and 3 clinical injuries How imaging findings correlate with your clinical findings MRI grading (radiological versus clinical) How you can perform an objective assessment How function, pain and instability impact your treatment Accelerated vs more conservative treatment - how can you choose the ideal approach for your patient? Are PRP injections appropriate? Rehabilitation principles you can use with your medial knee injury patients Ligament loading Which bracing and weight bearing regime should you utilise? What should you do when your patient has joint laxity? Is pain during rehab acceptable? Should you overload OR "under load to overcome"? You can CLICK HERE to access this free webinar  Links associated with this episode: Twitter - @ChrisMorgan10 Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Articles associated with this episode: Calder et al. 2016. Stable Versus Unstable Grade II High Ankle Sprains: A Prospective Study Predicting the Need for Surgical Stabilization and Time to Return to Sports Latham et al. 2017. Ankle syndesmosis repair and rehabilitation in professional rugby league players: a case series report Morgan et al. 2014. Conservative management of syndesmosis injuries in elite football Sikka RS, Fetzer GB, Sugarman E, Wright RW, Fritts H, Boyd JL, Fischer DA. Correlating MRI findings with disability in syndesmotic sprains of NFL players. Foot & ankle international. 2012 May;33(5):371-8. Sman AD, Hiller CE, Rae K, Linklater J, Black DA, Nicholson LL, Burns J, Refshauge KM. Diagnostic accuracy of clinical tests for ankle syndesmosis injury. Br J Sports Med. 2015 Mar 1;49(5):323-9. Other episodes of interest: PE 051 - Lateral knee and LCL injuries with Matt Konopinski PE 052 - Conservative or surgical management of ACL injuries with Enda King