Physio Edge podcast

Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain? When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax? In this podcast, David Pope talks […]

CrossFit is a very popular method of improving strength and fitness, and CrossFit athletes have a variety of common injuries. Training errors and the athlete’s biomechanics often contribute to these injuries, and identifying incorrect biomechanics and other contributing elements in their training is often the key to helping your patients recover from injury, train pain free […]

CrossFit is a very popular form of improving strength and fitness, and CrossFit athletes have a variety of common injuries. Training errors and the athlete’s biomechanics often contribute to these injuries, and identifying incorrect biomechanics and other contributing elements in their training is often the key to helping your patients recover from injury, train pain free and importantly for your patients, ultimately get stronger and fitter. In episode 30 of the Physio Edge podcast, David Pope discusses CrossFit injuries, training, biomechanics and injury recovery with Antony Lo. Antony is a Musculoskeletal Physiotherapist with a number of clinics within CrossFit gyms across Sydney, and a large proportion of his patient population are CrossFit athletes. In this podcast Antony and David explore: The most common injuries in CrossFit Factors that contribute to injuries in the Shoulders, Neck, Back, Knees, and lower limb Specific exercises performed in CrossFit Squats Pullups/Chinups Pushups Overhead exercises Double unders Overhead squats Snatch Running Ideal biomechanics for each of these movement Common movement errors and ways to assess each movement Rest from training vs continue training Manual therapy on cross fit athletes Modifying training loads Rhabdomyolisis Urinary continence while training Advice for Physios treating CrossFit athletes Links of Interest Subscribe to the podcast in iTunes Review the podcast in iTunes Listen to the podcast on Soundcloud Antony Lo Antony’s Website - physiodetective.com Antony on Twitter CrossFit

Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain? When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax?  In this podcast, David Pope talks to Ann Cools, a Physiotherapist and Head of Education for Rehabilitation Sciences and Physiotherapy at Ghent University in Belgium, and is also the founding member and president (2010–2012) of EUSSER - European Society of Shoulder and Elbow Rehabilitation. We discuss in detail assessment of the scapula, the role of the scapula in shoulder pain and how to retrain unruly scapulae. Other topics covered in this podcast include: Research by Ann Cools What we currently know from the research about the role, movement and control of  the scapula Scapula dyskinesis - what is it Static vs dynamic assessment of the scapula Altering muscle balance and timing with specific exercises How altering scapula mechanics effects muscle balance around the shoulder Important parts of the subjective history Scapula vs glenohumeral joint How subjective will guide your objective assessment and treatment Red flags around the shoulder, nerve pathology and frozen shoulder Frozen shoulder imaging Nerve injuries - symptoms, objective examination and treatment Assessment of the scapula, Type 1 scapula dyskinesis Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula) Testing GHJ IR Clinical Edge and online education on the shoulder Stretching and shoulder joint mobilisation Palpation, stretching and manual therapy for pec minor Type 2 scapula dysfunction Handheld dynamometry - serratus Handheld dynamometry - middle and lower traps Pain when strength testing Type 3 scapula dysfunction Dynamic assessment of the scapula To retract and depress the scapula or not? Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis Special tests around the shoulder Laxity tests for the GH joint Posterior GHJ laxity Anterior GHJ laxity Explanations of scapula dysfunction to your patients Information on Ann Cools  EUSSER Timeline: 0:30 Research by Ann Cools 4:20 What we currently know from the research about the scapula 6:30 Scapula dyskinesis - what is it 8:30 Static vs dynamic assessment of the scapula 11:45 Altering muscle balance and timing with specific exercises 13:15 How altering scapula mechanics effects muscle balance around the shoulder 14:10 Important parts of the subjective history 16:20 Scapula vs glenohumeral joint 18:20 How subjective will guide your objective assessment and treatment 18:55 Red flags around the shoulder, nerve pathology and frozen shoulder 21:15 Frozen shoulder imaging 21:45 Nerve injuries - symptoms, objective examination and treatment 30:30 Assessment of the scapula, Type 1 scapula dyskinesis 35:00 Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula) 36:10 Testing GHJ IR 42:00 Clinical Edge 44:00 Stretching and shoulder joint mobilisation 51:45 Palpation, stretching and manual therapy for pec minor 55:40 Type 2 scapula dysfunction 59:20 Handheld dynamometry - serratus 1:00:51 Handheld dynamometry - middle and lower traps 1:03:54 Pain when strength testing 1:04:50 Type 3 scapula dysfunction 1:10:03 Dynamic assessment of the scapula 1:15:00 To retract and depress the scapula or not? 1:16:23 Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis 1:17:50 Special tests around the shoulder 1:20:35 Laxity tests for the GH joint 1:23:00 Posterior GHJ laxity 1:24:30 Anterior GHJ laxity 1:26:20 Explanations of scapula dysfunction to your patients 1:31:00 Information on Ann Cools  1:32:20 EUSSER 1:33:00 Wrap up Links of Interest Anne Cools on Linked In Ann Cools’ Research Ann Cools at Ghent University Ann on Twitter Clinical Edge Show your love for the Physio Edge podcast with a review on iTunes

Acute Knee Ligament injury, ACL injuries, Postero-lateral corner (PLC) Injuries, Knee Surgery and return to sport. On Episode 29 of the Physio Edge podcast, David Pope is joined by the Australian Socceroos Physio Kurt Lisle, a Specialist Sports Physiotherapist to discuss assessment and management of Acute knee injuries. On this podcast, David and Kurt discuss: Acute […]

On episode 29 of the Physio Edge podcast, David Pope is joined by the Australian Socceroos Physio Kurt Lisle, a Specialist Sports Physiotherapist to discuss assessment and management of Acute knee injuries. On this podcast, David and Kurt discuss: Acute Ligament Injuries - Initial management When to refer for Orthopaedic consult Bracing/not bracing Adolescent knee injuries - when to refer for XR to check for an avulsion injury Swelling during and after treatment ACL injury - when to trial conservative management and when to refer for surgery Timeframes for surgery following ACL injury Different types of ACL grafts - pros and cons LARS Hamstring vs ITB tendon vs Patella tendon Open chain X’s eg leg extensions to restore quads and patellar tendon load capacity? Important aspects of post op rehab Return to training/change of direction criteria RTP criteria PLC Details of PLC injuries Mechanism Structures normally injured Symptoms Testing for PLC injuries Conservative vs surgical Rehab guidelines RTP timeframes Links of Interest Kurt Lisle The Knee Joint Physiotherapy, Bokarina, QLD Socceroos Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE

David Pope and Dr Kristian Thorborg (Physiotherapist, PhD) discuss screening and rehabilitation of groin injuries. Find out in this podcast: Which tests to use when screening for potential groin injuries Prevention tactics Acute groin injuries – initial management and exercise progressions Rehabilitation of adductor related groin pain Rehabilitation of hip flexor related groin pain Rehabilitation […]

David Pope and Dr Kristian Thorborg (Physiotherapist, PhD) discuss screening and rehabilitation of groin injuries. Find out in this podcast: Which tests to use when screening for potential groin injuries Prevention tactics Acute groin injuries - initial management and exercise progressions Rehabilitation of adductor related groin pain Rehabilitation of hip flexor related groin pain Rehabilitation of long standing groin pain Conservative management of hip related groin pain and FAI Pubic symphysis Management of acute compared to long standing groin pain Role of manual therapy in the treatment of groin pain Stretching Adductor tendinopathy Load management for groin pain and much more! This episode follows on from Episode 25 of the Physio Edge podcast on Groin Assessment with Dr Kristian Thororg. I hope you enjoy Kristian sharing his experience, research and knowledge of the evidence with us on the treatment of groin pain. Links of Interest Case Study of Adductor tear rehabilitation Dr Kristian Thorborg Dr Kristian Thorborg on Twitter HAGOS Studies that Dr Kristian Thorborg has completed or been involved in PE #025 Groin Assessment with Dr Kristian Thorborg PE #016 Preventing hamstring injuries with Dr Kristian Thorborg Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE Kristian Thorborg’s editorial on BJSM Kristian Thorborg’s PhD Thesis Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE  

In one of the most controversial Physio Edge podcasts to date, Dr Nathan Gibbs and I discuss managing sports injuries in a team setting. Dr Nathan Gibbs has worked with many professional sports teams, including the Sydney Swans for 15 years, 10 years with South Sydney Rugby League Football club and is one of the owners of South Sydney Sports Medicine, and in episode 27 of the Physio Edge podcast, we discuss: Ideal working relationships between Physiotherapists and Sports Physicians The role of a Sports Physician Hamstring injury - common factors involved, imaging and return to play Injections - cortisone, PRP Use of PRP in ligament injury, with chondroplasty and OA Links of Interest Dr Nathan Gibbs Sydney Swans South Sydney Rugby League Football club Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE  

In this controversial episode of the Physio Edge podcast, Dr Nathan Gibbs and I discuss managing sports injuries in a team setting. Dr Nathan Gibbs has worked with many professional sports teams, including the Sydney Swans for 15 years, 10 years with South Sydney Rugby League Football club and is one of the owners of […]

Gymnastics places some fairly unique demands on fairly young bodies. In episode 26 of the Physio Edge podcast, I discuss these demands with Kingsley Gibson, a Sports Titled Physiotherapist that has worked with Australian Diving, Synchronised Swimming, Shooting and Hockey teams at a number of Commonwealth and Olympic games, and works with elite gymnasts on a daily basis. For his services to gymnastics, in 2000 the Commonwealth awarded Kingsley with a Sports Services Medal. So Kingsley has a lot of experience to draw on, and we got into detail on a number of topics. In this podcast we discuss: Common injury patterns in the various gymnastic disciplines Important factors to consider when returning gymnasts to training and competition Factors that can influence your gymnasts treatment outcome Communication with parents and coaches How to best implement load management strategies Various motor control patterns in gymnasts that contribute to injuries Screening gymnasts Designing specific upper limb rehab programs Lower limb and lumbar spine rehab programs Management of acute vs chronic injuries Stress reactions in the Lumbar spine Apophyseal injuries - hip flexors, hamstrings, calcaneus (Sever’s) and Osgood-Schlatter’s Management of apophyseal injuries compared to tendinopathy Motor control/“stability” patterns in gymnasts When to order imaging Growth plate injury management - particularly in the wrist The effect of other factors such as training surfaces and equipment on injury Links of Interest Become incredibly flexible by subscribing to the Physio Edge podcast or giving it a review on iTunes Kingsley Gibson Sydney Sports Medicine Centre at Homebush Sydney Wests Sports Medicine at Rooty Hill Clinical Edge Available online education with Clinical Edge

Gymnastics places some fairly unique demands on fairly young bodies. In episode 26 of the Physio Edge podcast, I discuss these demands with Kingsley Gibson, a Sports Titled Physiotherapist that has worked with Australian Diving, Synchronised Swimming, Shooting and Hockey teams at a number of Commonwealth and Olympic games, and works with elite gymnasts on […]

How can you identify the reason your patient has groin pain and the structures that may be causing it? Groin pain is one of the most common issues in a lot of sports, particularly the football codes, and in episode 25 of the Physio Edge podcast, David Pope talks to Dr Kristian Thorborg about assessment […]

How can you identify the reason your patient has groin pain and the structures that may be causing it? Groin pain is one of the most common issues in a lot of sports, particularly the football codes, and in episode 25 of the Physio Edge podcast, David Pope talks to Dr Kristian Thorborg about assessment of the groin. Some of the topics we discuss on this podcast include: Types of groin injuries Identifying and diagnosing groin pain and injury Groin vs hip pain Tests you can perform to identify the irritated or painful structures The relevance of diagnostic imaging, and when to refer for this Hip and Groin Outcome Score (HAGOS) Using the HAGOS in your clinic Adductor related groin pain Hip flexor related groin pain Abdominal related groin pain The hip joint Pubic symphysis Sports Hernias Testing hip strength Assessment of function And much more! I had Kristian on the Physio Edge podcast for episode 21 discussing hamstring injury prevention, and wanted to get him back to discuss his other area of special interest - the groin. I am sure you will get as much out of this episode with Kristian as I did, and you will be all over diagnosis of groin pain by the end of the episode. Enjoy! Links of interest Dr Kristian Thorborg Dr Kristian Thorborg on Twitter HAGOS Studies that Dr Kristian Thorborg has completed or been involved in Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE Kristian Thorborg’s editorial on BJSM Kristian Thorborg’s PhD Thesis

The thorax is often considered stiff and stable by Physiotherapists and manual therapists, and precious little of our undergrad or postgrad training incorporating or seeing the need for motor control of this area. In episode 24 of the Physio Edge podcast, LJ Lee and David Pope explore the function of the thorax, the impact the thorax can have, not only on thoracic pain, but also on other parts of the body. We discuss the Thoracic Ring Approach (TRA) created by LJ, which incorporates manual techniques to assess and treat the thoracic rings, and integrates motor control training for this area. In this podcast you will learn: What bones and joints make up a “Thoracic ring” Is the thorax inherently stiff? What is ideal motor control of the thorax? How can listeners identify non-optimal control of the thorax in their patients How can motor control of the thorax be trained? Identifying articular/joint restriction vs neuromuscular factors interfering with normal thorax movement How can the thorax impact on other areas of the body eg the hip When is manipulation of the thorax ideal? What are some guidelines for manipulation of the thorax? Download this podcast free from iTunes Links of Interest Have an awesome holiday, and review the Physio Edge podcast on iTunes LJ Lee The Sports Thorax course with LJ Lee The Sports Pelvis course with LJ Lee Videos on the Thoracic Ring Approach with LJ Lee via Clinical Edge Physio Edge podcast episode 2 - “Analysing movement, and clinical expertise or research” with LJ Physio Edge Podcast episode 6 - TA, “Core Stability”, Drivers and going beyond the pain experience" with LJ Lee