Physio Edge podcast with David Pope

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

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! 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 Clinical Edge 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 incorporates motor control of this area. Is it really important? In episode 24 of the Physio Edge podcast, Dr 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™ 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" What is the Thoracic Ring Approach™ 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? Links of Interest Have an awesome holiday, and review the Physio Edge podcast on iTunes 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

Tendinopathies are a hot topic, and there are lots of new developments in research and treatment. Dr Peter Malliaras, a Physiotherapist with a PhD studying tendinopathy, has a special interest in the treatment of tendinopathy, and treats elite basketball and volleyball, EPL football, rugby, and cricket players, the Royal Ballet and track and field athletes. Peter has also published numerous studies on tendinopathy. In this episode of the Physio Edge podcast, Peter and David Pope discuss The latest research on tendinopathy Different types of loading programs for tendinopathy Outcomes for various types of loading Tendinopathy on Doppler Ultrasound or other imaging, and what changes with a loading program The tendon pathology continuum by Dr Jill Cook and Craig Purdham Mid portion Achilles tendinopathy Insertional Achilles treatment Patellar tendinopathy treatment, and a loading program for this that may challenge your preconceptions! Tenosynovitis Biomechanics contributing to tendinopathy Return to sport following tendinopathy Injury reduction/prevention Injections Links of Interest Be. Awesome. Write a review on iTunes Dr Peter Malliaras Studies with Dr Peter Malliaras as one of the authors Physio Edge podcast episode 5 with Dr Jill Cook Clinical Edge Subscribe to the Physio Edge podcast on iTunes

Dr Kieran O'Sullivan is back on the Physio Edge podcast after talking previously about hamstring injuries, this time discussing his other big area of interest and expertise – chronic low back pain (CLBP). In this episode, Kieran and David Pope discuss Recent research on chronic low back pain Central vs peripheral contributions to CLBP Sitting postures and behaviours, and the relationship of this to pain Is there an ideal sitting posture, and does changing sitting behaviour change CLBP? Manual therapy in CLBP Lumbar kyhposis/lordosis Physical and psychological interventions for CLBP The effect of exercise on CLBP Movement patterns and retraining in chronic pain states The challenges of talking to patients about chronic pain states Links of Interest Show your love of feeling great, and also the podcast by writing a review on iTunes Kieran O'Sullivan Kieran on Twitter Pain Education website with Peter O'Sullivan, Kieran O'Sullivan, Wim Dankaerts, Kjartan Vibe Fersum University of Limerick The role of muscle strength in hamstring injury. Kieran O Sullivan and Cian McGinley. 2010. Nova Publications Clinical Edge

Shoulder pain – what are the causes, and how can you treat it? Are your special tests around the shoulder really isolating and identifying pathology? How can the rotator cuff still function with small and large tears? In Episode 21 of the Physio Edge podcast, Jeremy Lewis and David Pope discuss these questions and more including: What is the value of special tests around the shoulder? What diagnosis can you provide your patients for their shoulder pain How can you identify if you need to focus your treatment on the scapula, glenohumeral joint, cervical spine or thorax? How can you identify a rotator cuff tendinopathy? What is the Rotator Cable, and how is it important in rotator cuff tears? Is the acromion really the cause of "impingement" or subacromial pain? If a patient has a biceps tendinopathy and a rotator cuff tendinopathy, which should be treated first? What contributes to biceps tendinopathy? Theraband – valuable? When imaging of the shoulder is valuable, and when it is a waste of time Frozen shoulder – what treatments work well and much more. Podcast links Dr Jeremy Lewis London Shoulder Clinic Courses with Jeremy Lewis Clinical Edge Review the Physio Edge podcast on iTunes

Is "peeing while you work out" in Crossfit or any other type of exercise ok? When does your patients pelvic floor need more muscle activation, and when does it need less work? Does Stress Urinary Incontinence (SUI) need addressing, and if so, how? In episode 20 of the Physio Edge podcast, I talk to Lori Forner, a Physiotherapist with a special interest in Women's Health in Brisbane, Queensland, about all of these topics, and more, including: The role of Physio's that specialise in Women's Health, and when it is a good idea to refer to one Common conditions seen clinically When real-time ultrasound can be used to assess pelvic floor function, and what you should see on US Pelvic floor overactivity and underactivity Treatment for SUI Antenatal and postnatal advice Advice on exercising during and after pregnancy and much more Links of interest Lori Forner Lori on Twitter Pelvic Mafia on Twitter Crossfit – "Do you pee during workouts" video The place to go to give the Physio Edge podcast a rave review on iTunes!

What are the best ways to avoid hamstring injuries? What are the main factors to consider in hamstring rehabilitation? How does muscle strength relate to hamstring injury? How can we screen for or predict hamstring injuries? In episode 19 of the Physio Edge podcast, Kieran O'Sullivan, PhD of the University of Limerick, Physiotherapist and co-author of the book "The role of muscle strength in hamstring injury." Kieran O Sullivan and Cian McGinley. 2010. Nova Publications and David Pope get stuck into hamstrings and the many facets of this important muscle group, including: Injury reduction Rehabilitation – early stages, and return to sport Return to Sport Flexibility Eccentric training Predicting hamstring injury Assessing readiness of return to sport Stretching – Static vs Dynamic vs PNF etc, and the clinical implications Links of Interest Love the podcast by writing a review on iTunes Kieran O'Sullivan Pain Education website with Peter O'Sullivan, Kieran O'Sullivan, Wim Dankaerts, Kjartan Vibe Fersum University of Limerick The role of muscle strength in hamstring injury. Kieran O Sullivan and Cian McGinley. 2010. Nova Publications Clinical Edge

How can the pelvis contribute to pain and dysfunction? Is the SIJ the main pain producer around the pelvis, or what is? What is the state of current research around the pelvis? Is it possible to feel "unlocking" of the SIJ? Do Pelvic Upslips exist? In episode 18 of the Physio Edge podcast Diane Lee of Diane Lee & Associates and David Pope discuss the pelvis and SIJ in detail, including: palpation around the pelvis how can you palpate for unlocking of the SIJ what role the pelvis has in low back pain how the pelvis can be affected by other areas of the body does the current research support unlocking of the pelvis how can the thorax affect the pelvis when should you perform deep abdominal or multifidus training And then we dive into Paediatric musculoskeletal development, including footwear for kids sporting activities for kids should kids sit in chairs or on the floor is a simple ankle sprain all that simple advice for parents children's furniture and lots of other great info that will help you when treating or bringing up kids Links of Interest Love the show by writing a review on iTunes Diane Lee Diane Lee on Twitter The Pelvic Girdle, 4th Edition by Diane Lee Clinical Edge David on Twitter Physioedge on Facebook Clinical Edge on Facebook

How can you reduce the chance of sporting injury? What are the most useful recovery aids from games and training? When are injections helpful in injury recovery? In episode 17 of the Physio Edge podcast, Dr Peter Brukner, fresh from working with Liverpool Football Club in the EPL, co-author of Clinical Sports Medicine with Dr Karim Khan, and author of many other publications discusses with David Pope the management of sporting teams, injury reduction, prevention, recovery and a multitude of other topics, including: ACL Injury Prevention Hamstring Injury Prevention Strength training vs Specific strengthening Player load management Recovery from tendinopathy The role of injections, including PRP, Cortisone and Orthokine Player screening Player game recovery and more.

Hamstrings are one of the most common acute muscular injuries in athletics and team sports. In this episode of the Physio Edge podcast I discuss recent research with promising results preventing hamstring injuries with Dr Kristian Thorborg, a Specialist Sports Physiotherapist in Copenhagen, Denmark. This podcast is hosted by David Pope, an Australian Physiotherapist. Links of Interest Get incredible legs by subscribing to the podcast in iTunes Review the Physio Edge podcast in iTunes Clinical Edge Kristian Thorborg's editorial on BJSM Kristian Thorborg's PhD Thesis Carl Askling H-test Classification of hamstring injuries by Carl Askling on BJSM Carl Askling on BJSM podcast David on Twitter

How can you recognise when the cervical spine is involved in a patients headache? How can you treat headaches caused by cervical dysfunction? What role does manual therapy play in their treatment? When and how should you treat their cervical motor control? In this podcast, Ken Niere and David Pope discuss cervicogenic headaches, effective physio treatment, and how to recognise the difference between cervicogenic headaches, tension type headaches and migraine. Ken Niere is a Specialist Musculoskeletal Physiotherapist with over 25 years' clinical experience in the assessment and treatment of spinal disorders. He is a senior lecturer in the School of Physiotherapy at La Trobe University, where he has taught spinal musculoskeletal physiotherapy at undergraduate and postgraduate levels since 1989. Ken is an examiner for the Australian College of Physiotherapists and he recently contributed to and co-edited a book on headache, orofacial pain and bruxism. His special interests include the diagnosis and management of headaches and neck disorders, and he has lectured on these topics in Australia and overseas. Links of Interest Review the Physio Edge podcast in iTunes Clinical Edge Free membership to Clinical Edge! Ken Niere Ken Niere at La Trobe University Contact David David on Twitter

What is contributing to your patients low back pain? How do you know when manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP will be helpful? In episode 14 of the Physio Edge podcast, Peter O'Sullivan and David Pope discuss chronic low back pain, Peter's research into this area, and the approach of Peter and his team to getting over chronic low back pain. Some of the topics we dug into include: Causes, classification and treatment of chronic low back pain (CLBP) Common treatment errors Identifying mechanical contributors When manual therapy is helpful Myths around "core stability" for CLBP What is the current evidence base for CLBP classification and treatment Tips for treatment of CLBP A lot of other great treatment advice for CLBP…. Listen to it now, and subscribe free to the podcast in iTunes Links of interest Give the Physio Edge podcast a review in iTunes Clinical Edge Free membership to Clinical Edge! Peter O'Sullivan Peter O'Sullivan at Curtin University (image of Peter O'Sullivan courtesy of Curtin University) Contact David David on Twitter

Treatment of the cervical spine often involves some degree of manual therapy or manipulation, and VBI testing is generally encouraged or required prior to this. In this episode of the Physio Edge podcast, Roger Kerry, a Physiotherapist, Lecturer and Researcher from Nottingham University and David Pope discuss Cervical Arterial Dysfunction (CAD), the accuracy and limitations of VBI testing, and a lot of other good stuff, including: Cervical Arterial Dysfunction (CAD), and VBI Why is it important for clinicians to know about CAD The limitations of VBI testing Clues within the history to alert you to the possibility of CAD Symptoms of CAD 2 types/causes of dizziness and differentiation The 5 Ds and 3 N's – what are the limitations of this approach Signs & Symptoms of Cerebral and retinal ischaemia Aetiology Upper cervical instability As clinicians, where should CAD and VBI testing lead our assessment, treatment and investigations? When can we conservatively treat someone with these symptoms Monitoring – during and post rx Contraindications to Rx Links of interest Clinical Edge Free membership to Clinical Edge! Roger Kerry on Twitter @rogerkerry1 Roger Kerry's profile at Nottingham University – Physiotherapy Roger Kerry's profile at Nottingham University – Philosophy Courses with Roger Kerry Contact David David on Twitter

Hamstrings are one of the more frequently injured muscles in sportspeople, and in this episode, Alison and I discuss hamstring tendinopathy, symptoms, assessment and treatment of this common condition. Some of the aspects we explore in this podcast are: Subjective clues that someone may have a Hamstring Tendinopathy Differentiating Hamstring Tendinopathy from pain of Lumbar origin Assessment of the hamstring Tests to confirm or rule out a Hamstring Tendinopathy Causes Advice for patients Rehabilitation Deep hip muscle activation Keys to a successful treatment program a whole lot more There is currently limited research around the area of hamstring tendinopathy, and Alison's tips and insights are based on this evidence base as well as her clinical experience. I hope you enjoy it! Links of interest Get great legs by subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Clinical Edge Dr Alison Grimaldi Dr Alison Grimaldi's Publications PhysioTec University of Queensland Have you subscribed to the Podcast in iTunes yet? Acute Hamstring Tears - Online education for Physiotherapists for Clinical Edge members Become a Clinical Edge member Contact David Tags: physiotherapist, Clinical Edge, physio edge, physio edge podcast, courses, physio courses, hamstring, posterior thigh pain, tendinopathy, runners, rugby, sprinters, lumbar spine, dr alison grimaldi, physiotec

Barefoot running has been sweeping the globe in the last few years, and as a Physio, which of your patients are best suited to this type of running technique. How does running technique relate to a runner's pain and dysfunction, and really, what is the ideal running technique? In this podcast with Blaise Dubois – a Physiotherapist with a clinic, website and courses devoted to helping runners and Physiotherapists that treat runners, we chat about these topics, as well as: Running assessment Biomechanics of running Improving running technique and performance Which patients should change their running technique Barefoot running Heelstrike and landing Current evidence on running technique Injury prevention in runners Downhill running technique Footwear for running Improving running in patients with pathology eg Achilles Tendinopathy Blaise has also been kind enough to provide a PDF handout to go along with this podcast, which is available for free download. Links of interest Get more (or less) hair on your chest by subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Blaise Dubois PDF Handout to go with the podcast The Running Clinic Blaise Footwear Reviews Big bulky shoes to avoid Have you subscribed to the Podcast in iTunes yet? MBT Footwear Vibram 5 Fingers Become a Clinical Edge member Hide

Patients regularly present for Physiotherapy with lateral hip pain. This is often aggravated by walking or standing, sidesleeping, performing hip stretches, and sitting, amongst other activities, and lateral hip pain can often mimic lumbar spine pathology. In this podcast, Alison and I discuss symptoms, assessment and treatment of an extremely common cause of lateral hip pain – Glute Med Tendinopathy (GMT), a condition which is often misdiagnosed as Trochanteric Bursitis. Some of the aspects we explore in this podcast are: Subjective clues that someone may have a Glute Med Tendinopathy "Trochanteric Bursitis" Differentiating Glute Med Tendinopathy from pain of Lumbar origin Assessment of the hip Tests to confirm or rule out a Glute Med Tendinopathy Causes of a Glute Med Tendinopathy Advice for patients Treatment of Glute Med Tendinopathy Deep hip muscle activation Essential elements for an effective treatment program much more Links of interest Subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Clinical Edge Dr Alison Grimaldi Dr Alison Grimaldi's Publications PhysioTec University of Queensland Have you subscribed to the Podcast in iTunes yet? Contact David

All golfers want to hit as far as Tiger Woods, but without the injuries. How can you treat the injuries in your golfing patients, prevent further injury and improve their "coachability" and performance? Golfers regularly need Physio treatment for injuries like tendinopathy around the elbow, low back and neck pain, and plenty of other injuries. In episode 8 of the Physio Edge podcast, I chat with Matt Green of High Performance Golf about Common golf injuries How to assess and treat golfers Technique errors that contribute to injury Tendinopathy around the elbow Assessing the golf swing Strengthening and motor control Advice to give your golfers and plenty more. If you treat golfers, or would like to treat more golfers, get stuck into this episode free on iTunes, and brought to you by the podcast sponsor Clinical Edge. Links of interest Give the Physio Edge podcast a review in iTunes Clinical Edge High Performance Golf Ramsay McMaster Have you subscribed to the Podcast in iTunes yet? Contact David

Dry Needling has become incredibly popular in Physiotherapy recently. Is dry needling really the way forward for Physios? In this podcast I chat with Andrew Hutton of Integrated Dry Needling, presenter of the Sports Integrated Dry Needling Level 1 and Level 2 courses for Clinical Edge, and we discuss dry needling and whether it complements regular Physio treatment. Some of the topics we cover include What are the different styles of dry needling? How can dry needling be used in sporting populations? How to know immediately if your needling has been effective What is the evidence for dry needling Studies show decreased ROM with needling, is it possible to improve ROM with dry needling How does changing ROM actually relate to a patient's pain? Some clinical scenarios where dry needling could be incorporated Links of interest Become better looking by subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Integrated Dryneedling Sports Integrated Dry Needling Level 1 and Level 2 courses with Clinical Edge Clinical Edge IMS Have you subscribed to the Podcast in iTunes yet? Contact David

When should Transversus (TA) be included in your patient rehab? When is TA retraining a waste of time? Are your patients running like a block of wood with legs? Is planking good for anything other than entertaining your mates? How can we go beyond just treating the pain experience to connect with your patient and improve their performance. In Episode 6 of the Physio Edge podcast, I chat with LJ Lee for the second time, this time covering TA, "Core Stability", and more including: Retraining TA in your treatment Planks McGill's Big 3 exercises Body "flow" and agility Vs stiffness and rigidity Specificity of exercise How can the Cervical Spine affect knee pain in a squat? The Discover Physio Series "Salsa in your ribcage" and breathing The impact of intra-thoracic pressure on the pelvic floor Links of interest Subscribe to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Linda-Joy Lee Clinical Edge Canadian Academy of Manual and Manipulative Therapy Diane Lee University of Queensland Prof Paul Hodges Sackett Stuart McGill "See What I'm Saying" by Rosenblum "Mindsight" by Dan Siegel Subscribe to the Podcast in iTunes Contact David

What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is treatment just about eccentric training? When should NSAID's be used? This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. We also chatted about some other aspects of tendinopathy, including Factors that contribute to tendinopathy beyond biomechanics Eccentrics - what is the future of training to rebuild tendons Return to sport or running after tendinopathy Avoiding tendinopathy Treatment at each stage of tendinopathy Rehabing achilles tendinopathy Rehab for hamstring tendinopathy plus we related all of these to clinical scenarios. Enjoy! Links of interest Give the Physio Edge podcast a review in iTunes Jill Cook Craig Purdam Monash University "Achilles Tendinosis in Runners" online education for Clinical Edge members BJSM Podcast

Acetabular Labral tears in the hip are becoming more commonly diagnosed and operated on. In this episode, I chat to Nichole Hamilton, a Physio with a lot of experience treating hips, designing post-op arthroscopic hip protocols and lecturing about the hip. Some nice insights into hip injuries and diagnosing and treating labral tears. This week we talk about all sorts of issues around the hip, including: Diagnosing labral tears Labral tear symptoms What causes a labral tear? Activities that contribute to labral tears When is surgery required for labral tears When is conservative treatment a good option Kicking sports - what muscle control is required What is the role of psoas Dancers - what activities and positions load the labrum How can maximum hip range of movement be attained safely Posterior pelvic tilt or tuck - how does this relate to the hip Progressing exercises to incorporate functional positions I hope you enjoy this episode, please post your questions below, on www.physioedge.com.au and we would love you to give us a review on iTunes Links of interest Nichole Hamilton Synergy Physio Free videos with Nichole Hamilton The Irritable Hip course with Nichole Hamilton Shirley Sahrmann APA Dance Course

Andrew Ryan is a Sports Physio with the Australian Qantas Wallabies, and in this weeks episode Andrew and I chat about acute injury management, player screening, on-season treatment, corks, adductors. Some great insights into elite sports management. This podcast is brought to you by Physio Edge, hosted by David Pope, and sponsored by Clinical Edge. Links of interest Andrew Ryan Australian Qantas Wallabies Adductors (I would provide a link, but if you don't know what these are you should probably be reading a textbook about now) "Impact Injuries to the Shoulder" video for Clinical Edge members James Sutherland James Sutherland's interview on The Sports Physiotherapist podcast

Analyse movement using your manual skills and palpation, plus insights into what clinical expertise and "Evidence Based Practice" really means - an interview with LJ Lee. This podcast is brought to you by Physio Edge, your host David Pope, and the podcast sponsor, Clinical Edge. Links of Interest Linda-Joy Lee Florence Kendall IFOMPT Canadian Academy of Manual and Manipulative Therapy Diane Lee University of Queensland Prof Paul Hodges Physio First Sackett David Sackett on YouTube "See What I'm Saying" by Rosenblum "Mindsight" by Dan Siegel

Fascinating insights into pain, painful experiences, and neurodynamics from one of the world's leading neuroscience and pain experts. Learn why we (and our patients) experience pain, the latest research in pain and pain management. Learn how to talk to your patients to reduce their pain experience, when pain is more from joints or the periphery, and how to use neural glides. Brought to you by Physio Edge and you podcast host, David Pope This show is supported and sponsored by Clinical Edge - providers of fantastic online and face-to-face education for Physiotherapists. Links of Interest NOI Group Explain Pain by David Butler and Lorimer Moseley Sensitive Nervous System by David Butler Neurodynamics Techniques DVD