Shoulder pain can result from irritation or overload of local structures, along with referral from the cervical and thoracic spine. Occasionally though, you will have shoulder pain patients with a different source and pattern of symptoms, and you have to hunt for another diagnosis. This case study will put you in the detective hotseat, like Sherlock Holmes, uncovering the mystery of a lesser known cause of shoulder pain. Will you solve the mystery and uncover the diagnosis?
Nick Kendrick, an APA Titled Musculoskeletal and Sports Physiotherapist, will help you explore subjective questioning with likely diagnoses, objective assessment and clinical reasoning, through to imaging and treatment pathways for a patient with an “irregular case of shoulder pain”, available on 21 July 2017.
Proximal hamstring tendinopathy is common in runners and athletes. This masterclass will provide you with a complete understanding of the anatomy, pathology and presentation of proximal hamstring pain and injuries. You will then be taken through how to assess, diagnose and treat these conditions, including pain management, education, exercises, rehabilitation progressions and movement retraining to allow the proximal hamstring tendon to recover.
Proximal hamstring tendon tears and avulsion injuries are common acute injuries, and you will explore ideal management of these injuries along with post-surgical rehabilitation.
Infographic - Treatment of calf pain in runners with Tom Goom
Infographic - Differential diagnosis of calf pain with Tom Goom
Infographic - Assessment of calf pain in runners with Tom Goom
Infographic - Calf pain in runners with Tom Goom
Infographic - Deep gluteal syndrome with Benoy Mathew
Infographic - Gluteal Tendinopathy with Benoy Mathew
Infographic - Hip and groin pain with Benoy Mathew
Infographic - How to treat plantar fasciopathy in runners with Tom Goom
Infographic - How to assess & diagnose plantar fasciopathy in runners with Tom Goom
We're VERY close to opening enrolment on our long-awaited Running Repairs online course with Tom Goom.
We have been working on this for almost a year, and we are finally going to wrap it up. We will be releasing it in late June 2017, but we NEED your help to make sure we have covered everything.
Please take a few minutes to answer this short survey....thanks!
The challenge of helping people to make sense and overcome pain can be one of the most daunting experiences for both clinicians and patients. People in pain are often frustrated after failed short-term interventions. Patient education forms a significant component of modern day healthcare, yet most clinicians have a limited teaching toolkit. To help people make sense of pain, we must first develop our teaching skills.
Infographic - Plantar fasciopathy imaging & education with Tom Goom
Infographic - Plantar fasciopathy in runners with Tom Goom
Infographic - Running injuries: What are the most important factors? With Tom Goom, Greg Lehman & Dr Christian Barton
Infographic - Athlete monitoring with Tom Goom
Infographic - Optimising performance in injured athletes with Tom Goom
Infographic - Running capacity & performance based on Physio Edge podcast 56 with Tom Goom
We have just released a new webinar series to help you improve your results with acute low back pain.
Research review - How can you reliably diagnose Medial Tibial Stress Syndrome? Find out in this week's Research Review with David Pope.
Winters, M., Bakker, E. W. P., Moen, M. H., Barten, C. C., Teeuwen, R., & Weir, A. (2017). Medial tibial stress syndrome can be diagnosed reliably using history and physical examination. Br J Sports Med, bjsports-2016.
I'm in the middle of creating a lot of podcasts, videos, webinars and online courses. I want to help you with your assessment and treatment so you can get great results and help even more people.
I need your help...
I want YOU to tell me what content to create. I want you to tell me exactly what you're struggling with, so I can go to work and help!
Please take 2 minutes to fill out the quick survey below
Muscle energy techniques are commonly used in the treatment of low back and pelvis pain. Are they helpful, or do they create more issues than they solve? Find out in this weeks 5 minute Physio tip.
Lateral hip pain - How can you diagnose gluteal tendinopathy? Find out the tests you need to use when diagnosing lateral hip pain, from the latest research in BJSM.
From Grimaldi, A., Mellor, R., Nicolson, P., Hodges, P., Bennell, K., & Vicenzino, B. (2016). Utility of clinical tests to diagnose MRI-confirmed gluteal tendinopathy in patients presenting with lateral hip pain. British Journal of Sports Medicine, bjsports-2016.
Patients often report a sensation of tightness and pain in muscles such as their upper trapezius. Should you reach straight for the massage cream or needles? Is there a better/longer term solution to help improve your patients "tight and sore" muscles?
Infographic - Running retraining with Dr Rich Willy
Lateral elbow pain, often called tennis elbow or lateral epicondylalgia (LE) is very common in athletes and office workers. What is the common presentation of LE? What are other diagnosis to keep in mind that will require different treatment?
In this week's 5 minute Physio tip, I present a case study of lateral elbow pain, discuss common LE presentations, and diagnoses that require very different treatment.
Would you like to improve your assessment and treatment of runners? How can you perform a thorough and accurate assessment of your runners biomechanics to identify the key components contributing to their injury?
In this webinar with Dr Rich Willy, Physical Therapist and one of the leaders in research on running biomechanics, you will discover exactly how to perform a running assessment in your clinic. Differing running mechanics are associated with different injuries, and following this webinar you will know which aspects of your patients gait to address depending on their movement patterns and injury.
Infographic on Shoulder pain with Dr Jeremy Lewis
This infographic is based on Physio Edge podcast "Conservative or surgical management for ACL injuries with Enda King.
Enda is also presenting at the upcoming Sports injuries virtual conference, taking you through the essential components you need to include when conservatively managing ACL injuries.
Shoulder slings following dislocation infographic based on the free video on Shoulder dislocation management & shoulder slings with Adam Meakins available to you along with 4 other free sports injury assessment & treatment videos by CLICKING HERE
AC joint pain & injury infographic based on the free video on AC joint pain & injury by Dr Rod Whiteley, available to you along with 4 other free sports injury assessment & treatment videos by CLICKING HERE
What are you two top questions about sports injuries that we absolutely NEED to answer in our virtual conference?
Infographic - Recommendations for Running Assessment 2, based on Physio Edge podcast 049 with Dr Rich Willy
Would you like to improve your anatomy, understanding and assessment of the TMJ and temporomandibular dysfunction (TMD)?
Plantar fasciopathy (PF) is a common condition in runners and middle-aged females. Stretching of the feet, calves and plantar fascia is a common treatment for PF. Will stretching get your PF patients better? Find out in this 5 minute Physio tip
Infographic - Recommendations for Rotator Cuff Tendinopathy is based on Physio Edge podcast 047 with Dr Chris Littlewood
Infographic on Recommendations for Proximal Hamstring Tendinopathy
Infographic on Recommendations for Assessing Runners is based on Physio Edge 048 podcast "Running from injury" with Dr Rich Willy. Listen to this podcast here
Thanks and have an awesome day.
To inspire you and improve your clinical skills, we are adding a new education format for Clinical Edge members. We are trialling monthly Case studies with a live Q&A for the next three months, with a focus topic for the month.
Clinical Edge members can enrol on the next live webinar now by logging onto the website, and going to Online Courses/Case studies & Live Q&A
Are “functional” exercises important? Should we base our early stage rehabilitation on multijoint “functional” exercises, movements that replicate your patients sport or activity, or should these exercises be left to the later stages of rehabilitation?
Find out in this 5 minute Physio tip
Assessment & Management of the ‘Rotator Cuff’ – an evidence based approach
Shoulder pain is common in athletes and the general population, and in this free webinar presented by Dr Chris Littlewood and hosted by Clinical Edge, you will discover how to load and strengthen the rotator cuff to help patients recover from their shoulder pain.
Diagnostic or "special" tests performed in our physical examination often do not identify or isolate pathology in the tissues that they were designed to test. Do they serve any purpose, and should we even be performing diagnostic tests?
Find out in this 5 Minute Physio tip with David Pope
The first ten seconds after you meet your patient can often mean the difference between inspiring confidence in your patients with great treatment outcomes, and leaving your patient unsure of your abilities and wishing they were somewhere (or being treated by someone) else.
In this weeks 5 minute physio tips you will learn 3 simple strategies you can use when you first meet your patients to connect with them, inspire confidence and get the best treatment outcomes possible.
What is discogenic wry neck, and why do you need to treat it differently to acute wry neck? Find out in the weeks 5 minute physio tip
Acute wry neck diagnosis and treatment
How you can differentiate acute wry neck from discogenic wry neck, and why is it important to identify which type of wry neck your patient is presenting with? Find out in this week's 5 minute Physio tip
Bone stress injuries such as Medial Tibial Stress Syndrome (shin splints) are common in runners, basketball players and other athletes.
This webinar presented by Tom Goom, Physiotherapist and founder of Running Physio, will help you gain a lot of practical information on how you can help treat your patients with bone stress injuries.
What are the red flags and contraindications to cervical spine treatment? When should you avoid performing manual therapy on the cervical spine?
As evidence based practitioners, is manual therapy for the Cervical spine evidence based? Should we just be using exercise, or is manual therapy appropriate for the C/sp?
How can you identify if your patient has a cervicogenic headache (CGH) that may respond to your treatment of the C/Sp, or a Migraine or Tension-type headache (TTH) that is unlikely to respond to your treatment?
Patients often present with acute and subacute low back pain (LBP), and pain into flexion activities eg sitting and bending.
If the patient is painful into flexion, should we provide flexion based stretches and exercises eg knees to chest, piriformis, glute or hamstring stretches? When does it make sense to provide these exercises, and when should they be avoided in the early treatment stages?
When should you perform manual therapy with your patient, and when should you perform other treatments? How can you clinically reason through your assessment and treatment to identify whether your manual therapy is effective or not?
In this 5 minute Physio tips video, I discuss clinical reasoning around manual therapy to help you get the most out of your manual therapy.
BJSM published a blogpost I wrote on "Shoulder Pain: Hidden causes and 6 top tips for assessment and treatment"
Here are a few reasons why you will love the Shoulder Pain Virtual Conference.
– The Art & Science of Shoulder Diagnosis- Clinical decision making and likelihood ratios
– Clinical examination of the patient with shoulder instability
– When is a GIRD (Glenohumeral Internal Rotation Deficit) not a GIRD?
– Scapular assessment and it’s place in clinical reasoning in patients with shoulder pain
– Rotator Cuff Tendinopathy: The dilemma of diagnosis, and Shoulder Symptom Modification Procedure (SSMP)
– Special considerations for the throwing athlete’s shoulder
– Enhanced Rehabilitation following Shoulder Stabilisation surgery
Plantar Fasciopathy Anatomy and Identification video
Plantar fasciopathy is one of the most common foot conditions, and Rob Standen, a Physiotherapist who worked with the Penrith Panthers for more than 17 years, works at Penrith Physiotherapy and Sports Centre, and has a special interest in the foot and ankle, has seen his fair share of them.
In this entertaining and informative video, Rob takes us through the anatomy and identification of plantar fasciopathy.
Positive programming in our explanations to patients can help to dethreaten and reduce their pain. How can you use positive programming with your patients?
Do you love being a Physio? What makes you get out of bed for work in the morning? Are you going to work because you want to pay the rent and save for a new surfboard or holiday?Quite possibly. But there has to be more, doesn’t there?
Filemaker Pro for clinical software review
Physio clinic software, particularly for the iPad and the Mac is not exactly what I would call great at the moment, and I started this trial of Filemaker Pro with high expectations. So far, this trial has been a mixed bag of success and a fair dose of limitations.
APA endorses "supportive" football boots to "prevent Sever's"
What is an endorsement for football boots? Does it mean it actually does what the manufacturer says it does, or that the company has paid money for an endorsement?
Case study - Pelvic driven knee pain in a netballer
An approach to treating patello-femoral joint pain in a netballer
Dry needling is becoming a very popular adjunct to Physiotherapy practice, and something I use in my clinical practice every day to speed up my patients’ treatment results. Here are 5 tips for using dry needling in your practice
ACL Rehabilitation videos with Enda King
Short video highlights from my Physio Edge podcast with Enda King on ACL Rehabilitation.
Achilles Tendinopathy initial management
How can you start rehabilitation of your patients Achilles tendinopathy? Achilles tendinopathy is one of the most common musculoskeletal issues your running patients will present with, and a structured loading program alongside improving biomechanics are the cornerstones of a successful rehabilitation program. How can you start your patients loading program, and settle your patients achilles pain immediately? How should you vary the program if your patient has an insertional tendinopathy instead of a mid-portion tendinopathy?
Forefoot pain: Acute Metatarsalgia causes and treatment
Forefoot pain - how to fit metatarsal domes part 1
Metatarsal domes can be an important part of reducing your patient's metatarsal pain. Acutely you will often achieve maximal pain reduction with softer metatarsal domes, and the key to the whole process is correct placement of your "Met domes".In this short video, Nick Torrance takes your through the process of using and fitting metatarsal domes for your patients with acute metatarsalgia.
Soft metatarsal domes can be used to settle down your patient's acute forefoot pain, (covered in “How to fit metatarsal domes for foot pain”). The next phase is to fit these to the inner soles of your patients shoes.
Yergason's test has been proposed to test for Type II SLAP lesions, long head biceps tendinopathy and subluxing/dislocating of the long head of biceps tendinopathy. How does it test these structures?
Physio Edge and Clinical Edge would like to make great education even more accessible for you, by creating for you online virtual conferences with world class presenters. Help shape the topics and content to create the conference you want to attend.
10 patient communication tips. Make communication your strongest link
Communication is the key to improvements in your patient's pain and movement - great manual therapy or exercise skills will only get very average results without good communication. I wanted to share 10 tips to help improve your patient communication, interaction and results:
A good subjective examination at your patient's initial examination will guide your physical assessment, diagnosis, treatment plan and ultimately the results you achieve with your patient.
Free webinar - Hip impingement and labral tears with Nichole Hamilton
Hip impingement and labral tears are one of the major causes of hip and groin pain in athletes and the general population.
Lateral knee pain
What tests can you perform to identify if the distal ITB is the source of your patient’s lateral knee pain? What other tests do you need to perform to exclude other differential diagnoses?
Functional hip assessment video
Lateral knee pain when running or walking may have contributing hip strength or control issues, and identifying this can help focus your treatment time and patients efforts where it is needed. How can you assess the hip in standing and functional activities?