Physio Edge podcast

We’re heading into the holiday season, when your patients will either keep progressing with their rehab program, or give their exercises a miss for a while and risk an increase in symptoms, skip appointments in the new year, and disappear off your list. How can you prepare & motivate your patients for the holiday period, or effectively hand over care of your patients to another therapist, so their pain and strength keep improving? In this live mentoring session, the Clinical Edge presentation team of Specialist and Titled Physiotherapists will reveal to you: How to keep your patients engaged and progressing over the holiday period. If you’re going away, how to effectively keep in contact with patients or hand patients over to other therapists, and avoid losing them over the Christmas period. How to help kids and young athletes stay active and manage load over the holidays, to stay strong and healthy and avoid overuse injuries early next year. Prepare your patients now, and set yourself up for a successful holiday season and new year with this free mentoring session.   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 Twitter - Paula Peralta Twitter - Simon Olivotto Twitter - David Toomey Twitter - Zoe Russell Let David know what you liked about this podcast on Twitter Follow and review the podcast on iTunes Infographics by Clinical Edge

How can you thoroughly assess your neck pain patients, and use the information from your assessment to guide your treatment? What treatments are effective in helping patients overcome their neck pain? In the first podcast with Specialist Musculoskeletal Physiotherapist, researcher and Emeritus Prof. Gwen Jull 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull, we discussed questions to ask during your subjective history that help guide your neck pain assessment and clinical reasoning. In this followup podcast, discover how to accurately assess and effectively treat neck pain with Emeritus Prof. Gwen Jull, including: Objective examination (OE) How to perform a thorough OE. What information a skilled manual assessment provides. What we can actually identify & diagnose. How to use your OE to guide your Rx. Whether posture is relevant to neck pain. When and how to assess posture. How to assess physical impairments, and identify if they’re relevant to a patients neck pain. Common impairments that exist in neck pain patients Which tests are valuable for: ROM Strength Endurance Treatment How to decide where to start with your treatment. Whether manual therapy (MT) is useful in the treatment of neck pain. How to decide whether to use MT. Postural changes. Strength exercises. Control exercises. Neurodynamic treatment. General strength and endurance training. Exercises for flexibility and range of motion. Graded activity. Motor control. Aerobic exercise for general fitness. How to use symptom modification to help decide on your treatment. How to target our treatment to what your patient needs and will get the most benefit from. Neck exercises and treatment progressions. How do you decide on the treatment progression to use. Whether there is evidence to include shoulder strength in neck pain patients. Craniocervical flexion test - when do you use this? Whether the biofeedback cuff is essential to use with neck pain patients. How craniocervical flexion exercises compare to cervical spine physiological flexion. When to have a strength focus in your treatment. How to incorporate strength training in treatment. How to improve the likelihood of successful neck pain treatment. 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: 121. Neck pain assessment, clinical reasoning & rehab. Physio Edge podcast with Prof Gwendolen Jull 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

When patients have a running injury, such as knee pain or Achilles tendinopathy, do we need to include strength training in their rehab? Discover when strength training is an important part of comprehensive running injury rehab in this podcast with Tom Goom (Running Physio), and explore: Whether strength is important in runners. Whether patients that are stronger are less likely to develop running injuries. Why recent research found higher levels of strength in recently injured runners compared to uninjured runners. When we need to improve patients' strength in running injury rehab. Can strength training reduce the risk of running injuries? How strength training fits into a comprehensive rehab program. When strength is relevant to pain and pathology. When rehab does NOT need to include strength training. How to know what to focus on during rehab. Which patients don’t require exercises or strength training. How to identify when strength goals are a barrier to recovery and return to running. Additional benefits of strength training, beyond improved strength. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs Your comprehensive guide to ITB assessment & treatment with Tom Goom If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB). What causes ITB syndrome? How can you assess, diagnose and successfully treat it? CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering: Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid. Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now. Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients. CLICK HERE to get immediate access to this free ITB video series with Tom Goom. Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs 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

Patients may develop stiffness following rotator cuff repair or other shoulder surgery, particularly with longer periods of immobilisation. On the other hand, some patients may fail rehab without sufficient immobilisation. How can you identify which patients are likely to develop stiffness and will benefit from early mobilisation? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover: Which patients are likely to benefit from rotator cuff or other surgical repair. How to plan post-op surgical rehab. Whether patients should have a period of immobilisation or not. How to predict patients that are likely to develop post-op shoulder stiffness. Metabolic, genetic, age-related and psychosocial factors that influence development of stiffness. Pre-operative and surgical factors that influence development of stiffness. How to reduce the likelihood of stiffness developing. Comparison between early post-op shoulder mobilisation and six weeks in a sling. Patients more likely to fail a RC repair, who may need more of a conservative approach to early mobilisation. How to explain mobilisation vs immobilisation to patients. Short and long term outcomes when patients develop stiffness. Frozen shoulder If and when corticosteroid injections are helpful. The role of P. acnes in development of frozen shoulder. 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: Accurately assess, diagnose & treat frozen shoulder, with this free videos series from Jo Gibson Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson Comprehensively assess and treat shoulder pain 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

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 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 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 Your comprehensive guide to ITB assessment & treatment with Tom Goom If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB). What causes ITB syndrome? How can you assess, diagnose and successfully treat it? CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering: Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid. Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now. Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients. CLICK HERE to get immediate access to this free ITB video series with Tom Goom. Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs 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

Immobilisation following a humeral fracture or shoulder surgery quickly results in muscle atrophy and decreased shoulder strength and proprioception. How can you limit strength deficits that develop while patients are in a sling? During this period of immobilisation, cross education (CE) can help retain shoulder strength. This improved shoulder strength and proprioception after the immobilisation period concludes may enable a faster return to work, high load activities or sport. What is CE, and how can you use it in your treatment? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover: What is cross education (CE)? What the latest research reveals about the effectiveness of CE? Which patients benefit most from CE. Common strength and proprioceptive deficits after shoulder stabilisation surgery. How CE improves strength and proprioception. Recommendations for CE exercise intensity and dosage. Whether to use eccentric, concentric or isometric exercises. How to amplify the strength and cortical effects of CE. How to target the rotator cuff with CE. How to incorporate proprioception into CE. How to use CE in rehab for instability, movement apprehension & kinesiophobia. When to include CE in MRCT post-op rehab. Get free access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/shoulder 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 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 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

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).   Your comprehensive guide to ITB assessment & treatment with Tom Goom If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB). What causes ITB syndrome? How can you assess, diagnose and successfully treat it? CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering: Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid. Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now. Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients. CLICK HERE to get immediate access to this free ITB video series with Tom Goom. Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom 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

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. Get free access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/frozenshoulder 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 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). The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/frozenshoulder Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson at clinicaledge.co/shoulder Links associated with this episode: 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 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: CLICK HERE to download 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. 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.

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? The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Links associated with this episode: Physio Edge 096 Thoracic outlet syndrome with Jo Gibson Physio Edge 099 Upper traps - are they really a bad guy? with Jo Gibson Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from 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: CLICK HERE to download 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.   Your comprehensive guide to ITB assessment & treatment with Tom Goom If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB). What causes ITB syndrome? How can you assess, diagnose and successfully treat it? CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering: Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid. Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now. Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients. CLICK HERE to get immediate access to this free ITB video series with Tom Goom.   Lateral hip pain assessment, diagnosis & treatment video series To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom 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

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? The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from 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: CLICK HERE to download 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.

How can you rehab patients with an acromioclavicular joint (ACJ) injury, or end of range elevation shoulder pain, long term shoulder pain, clavicular osteolysis, or osteoarthritis? What exercises and manual therapy can you use in your rehab program? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover: Common ACJ mechanisms of injury A recap of ACJ injury classification and treatment pathways for different grades of injury. How useful is X-ray in ACJ injuries, and what is the best imaging for this injury? What imaging should ACJ injury patients have? What are the long term risks for ACJ patients? What factors correlate with worsening ACJ pain? Can atraumatic instability occur at the ACJ? What movements should be assessed in ACJ injury patients? Why is symptom modification helpful in shoulder pain and ACJ patients? What compensatory movement patterns do patients adapt that may contribute to ongoing pain? How can we help to break the cycle of ACJ pain? What tests can be performed to identify the best treatment for individual ACJ patients? What muscles help to improve stability around the ACJ, and how can these be targeted in ACJ injury patients? What exercises can be used in initial ACJ rehab? How can ACJ rehab be progressed? How can end range pain (ERP) be improved in ACJ patients? How to identify when scapular mechanics affect the ACJ. Exercises that improve scapular mechanics in ACJ patients? When is manual therapy useful in ACJ patients? What combination of manual therapy or mobilisation with movement and exercises can be used in ACJ patients? What role can the ACJ play in shoulder pain? Does the ACJ need to be symptomatic to cause shoulder pain? What common symptoms make you suspect the ACJ is involved in shoulder pain? Answers to live listener questions: What humeral fractures or bone stress injuries occur in throwing athletes? Who develops humeral spiral fractures or stress fractures? Are recreational or high level athletes more likely to develop humeral fractures? Are players more or less likely to have a fracture after having a 6 week break from training? How can players prevent humeral stress fractures? Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from 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