Runners regularly present for treatment of anterior knee pain. Accurate diagnosis is vital in guiding your treatment, and helping your patients return to painfree running.
In episode 53 of the Physio Edge podcast Brad Neal and David Pope discuss the different patient presentations with anterior knee pain, along with the subjective clues and objective tests that will help guide successful treatment.
In this second podcast on hip and groin pain with Physiotherapist and Extended Scope Practitioner Benoy Mathew, we explore:
- How you can assess the hip and groin
- How to assess the lumbar spine, SIJ and the lower limb for factors contributing to your patient’s groin pain
- Tests you can perform to identify the source of your patient’s hip and groin pain
- Identifying hip joint involvement
- How to start your patient’s hip and groin exercises
- When to incorporate exercises for local hip stabilising muscles
- When you need to utilise and progress hip strengthening exercises
- Exercise progressions you can use
- How to strengthen while you lengthen the hip flexors
- When and which plyometric exercises your patients can perform
- When speed and agility work can be incorporated
Acute and chronic groin pain is common in sports, however diagnosis can be challenging. A thorough understanding of pathology around the hip and groin and when pathology relates to symptoms, knowledge of potential red flags, along with patterns and symptoms associated with each diagnosis is vital in guiding your treatment of hip and groin pain.
Benoy is also presenting a webinar with Clinical Edge. The webinar will discuss:
• Rehabilitation of adductor and iliopsoas related groin pain
• Practical tips
• Common presentations
• Osteitis pubis, sports hernia, hip impingement
• Rehabilitation from initial stages to plyometrics
CLICK HERE to enrol on the free webinar “Rehab of adductor and iliopsoas related groin pain” with Benoy Mathew
Download the free podcast handout
ACL injuries commonly occur during pivoting and change of direction sports. What is the best way to manage these injuries? Are your patients suitable for conservative managment or will they require surgery?
In Physio Edge podcast 052, David Pope and Enda King discuss acute management of ACL injuries, and how you can help your patient decide whether to have conservative or surgical management.
You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here.
Get your free access to videos on sports injury assessment and treatment, including accelerated rehabilitation of LCL injuries with Matt Konopinski.
Lateral knee injuries are common in football with landing from a jump or header, or during tackles when the tibia is forced into external rotation. This mechanism of injury often affects the Lateral/Fibular collateral ligament (LCL), however LCL injury is not always obvious from the patient’s history, and can be misdiagnosed.
In this podcast with Liverpool FC Physiotherapist Matt Konopinski, we discuss LCL and lateral knee injuries, and how you can identify and treat these.
You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here.
Temporomandibular joint pain and dysfunction can significantly impact your patients life, limiting their ability to enjoy eating and talking. Temporomandibular dysfunction (TMD) has a lot of musculoskeletal contributors that physiotherapists are perfectly positioned to treat and help improve patient’s lives.
In episode 50 of the Physio Edge podcast, Dr Stephen Shaffer and David Pope discuss TMD, structures that can be affected, and how you can assess and get great results treating TMD patients.
Dr Stephen Shaffer is presenting a webinar on TMD, hosted by Clinical Edge, and you can enrol free on this webinar by CLICKING HERE
Download your podcast handout here
In Running from injury part 2, Dr Rich Willy will help you assess and retrain running in your patients with achilles tendinopathy, patellofemoral joint pain, ITB Syndrome and stress fractures. We explore the latest evidence and how it will help you address pain and injuries related to running.
You can download the handout to go along with this podcast here
Are you looking to improve your assessment & treatment of runners? Would you like to know exactly what to look for in a running assessment? What are the most important factors to treat when your running patients have achilles tendinopathy? How is that different when they have patellofemoral joint pain (PFJP)?
The research around running is evolving quickly, and in this podcast with Dr Rich Willy we explore the latest evidence and how it will help you address the most important factors with different musculoskeletal issues.
Download the podcast handout free that will take you through the 8 essential areas to analyse when performing a running assessment, communication tips, advice to give your running patients during their recovery and much more.
The rotator cuff and rotator cuff tendons are often involved in shoulder pain, and targeted with our treatment. Dr Chris Littlewood is a Physio and senior research fellow at the University of Sheffield, and spends a large portion of his time studying and treating shoulder pain, including rotator cuff tendinopathy. In this episode, Chris and I discuss how to identify rotator cuff tendinopathy and other types of shoulder pain, and how you can direct your treatment for rotator cuff tendinopathy.
Download your free handout “Rotator cuff tendinopathy”
Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active.
Listen to this podcast with Tom Goom now to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions.
How can you treat your patient’s lateral elbow pain (lateral epicondylalgia (LE)/tennis elbow)? How and when should you progress your patient’s exercise program? Is pain during their exercise program ok?
Listen or download the podcast here to find out.
Download your free podcast handout
Lateral elbow pain (lateral epicondylalgia/tennis elbow) affects , and can respond fantastically to Physiotherapy treatment, or in other patients with a similar presentation, not at all.
This is a two part podcast, and in Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset discuss the Assessment and Treatment of Tennis Elbow/Lateral Elbow pain.
Download the Physio Edge podcast from iTunes
Download your free handout and Podcast Summary on Lateral Elbow Pain Part 1
Shoulder pain and injury in overhead athletes is very common and has a high recurrence rate. In this podcast with Jo Gibson we discuss sporting shoulder injuries and rehabilitation.
Download your free handout on the Sporting Shoulder
Physio Edge 041 The role of Plantaris in mid portion Achilles Tendinopathy with Dr Christoph Spang
Get your free access to videos on Lower Limb Tendinopathy
How complex does your shoulder assessment need to be? How can you can simplify your shoulder assessment and treatment? Find out in episode 40 of the Physio Edge podcast with Adam Meakins.
Download your free handout on the Shoulder Simplified
Patellofemoral joint pain (PFJP) is very common in adolescents, and in the Physio Edge podcast episode 39, I discuss the causes, assessment and treatment of PFJP with the author of numerous studies on PFJP in Adolescents, Dr Michael Rathleff.
Download your free handout on Patellofemoral Pain in Adolescents to go along with this podcast
Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff
- Common mistakes in the treatment of plantar fasciopathy (PF)
- How we can improve our treatment of PF
- Why call it plantar fasciopathy instead of plantar fasciitis?
- Research on PF
- Loading programs for PF
- Patient advice
- Activity modification
- Running load modification
- Short and long term results from loading the plantar fascia
- Considerations when treating PF
- Who is not suitable for a loading program
- Who respond the best to this program, and who responds the least
- How to modify the loading program
- Development of PF
- Running technique
- Treatment or strengthening of other areas
- Plantar fascia tears
Physio Edge 037 Pilates Beyond Low Back Pain With Lana Johnson
- Common misconceptions about Pilates
- Functional vs non-functional exercises
- Common errors made in Pilates training and rehabilitation
- Pilates for hip and knee pain
- Case studies using Pilates with shoulder and knee pain patients
- Patient progression
- Cues you can use with your patients for hip and shoulder retraining
- Exercise progressions
- Exercises to stay away from
Physio Edge 036 How to help patients with persistent pain with Mike Stewart Part 02
- How the bio fits into biopsychosocial
- How you can develop an educational toolkit
- Case study of a patient with persistent peripheral pain
- Language & communication recommendations
- Misconceptions about persistent pain education and much more
Physio Edge 035 Know Pain With Mike Stewart Part 01
- Why Physios need a deep understanding of pain science
- How does the “bio” part come into bio-pscyho-social
- How can we identify if the patient needs pain education, further investigations, a biological approach eg specific exercise
- How can you incorporate pain science into the treatment of patients with acute pain
- Mike’s top tips when working with persistent pain
- Specific case studies of patients with persistent and complex back pain, and how Mike has worked with these patients, including their presentation, beliefs, Mike’s language used in their session, activity modification and results achieved with these patients
- How to develop our teaching skills to achieve the best results with our patients
Physio Edge 034 Advanced ACL Rehab With Enda King
Return to straight line running and change of direction
Advanced Exercise Programming
What exercises to choose
Proprioception and motor control training
Strength and power programming
Sports specific conditioning
Plyometrics – readiness, what to use and timing of these in the training schedule
Strength testing – what Enda uses, indicators of strength
Decisions on return to training
Return to contact
Decision making on Return to play
Bridging the gap between the gym and the field
Advice for Physios rehabilitating athletes recovering from an ACL reconstruction
When to discharge an ACL athlete and much more
Physio Edge 033 How to treat anterior knee pain with Kurt Lisle
- Subjective clues that give you ideas about differential diagnosis
- Fat pad - location of pain, activities that irritate
- Patellofemoral joint - aggravating activities and DDx
- Patellar tendon - subjective clues, location of pain
- Objective examination of the anterior knee
- Tests for PFJ
- Functional tests first or examination on the treatment table?
- Palpation of the anterior knee
- Fat pad palpation and tests
- Is the fat pad tender medial and laterally, or can it be tender only on one aspect
- Neuromuscular patterning
- Squat and one leg squat examination
- What causes “catching” pain on movement
- Chondral defects - identifying
- Is there value in the grind test
- When to refer for MRI and other imaging
- Important factors that may contribute to AKP
- Gait contributors to AKP
- Treatment of PFJ pain
- Modifying PFJ aggravating activities
- Using EMG
- Quadricep rehabilitation and strengthening
- When to incorporate squats into your rehabilitation program
- The role of taping for PFJ or fat pad irritation
- Red flags causing knee pain
Physio Edge #032 How To Rehabilite ACL Injuries With Enda King
ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance.
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?
Physio Edge 030 CrossFit Injuries With Antony Lo
- 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
- Overhead exercises
- Double unders
- Overhead squats
- 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
- Urinary continence while training
- Advice for Physios treating CrossFit athletes
Physio Edge 029 Acute Knee Injuries With Kurt Lisle
- cute 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
- 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
- Details of PLC injuries
- Structures normally injured
- Testing for PLC injuries
- Conservative vs surgical
- Rehab guidelines
- RTP timeframes
Physio Edge 028 Groin Injury Screening and Rehabilitation With Dr Kristian Thorborg
- 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
- Adductor tendinopathy
- Load management for groin pain and much more!
Physio Edge 027 Sports Injury Management With Dr Nathan Gibbs
- 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
Physio Edge 026 Gymnastics Injuries With Kingsley Gibson
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
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
Physio Edge 025 Groin Assessment With Dr Kristian Thorborg
- 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!
Physio Edge 024 Thoracic Ring Approach With Dr Linda - Joy (LJ) Lee
- What bones and joints make up a “Thoracic ring”
- What is theThoracic 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?
Physio Edge 023 Lower Limb Tendinopathies With Dr Peter Malliaras
- 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!
- Biomechanics contributing to tendinopathy
- Return to sport following tendinopathy
- Injury reduction/prevention
Physio Edge 022 Chronic Low Back Pain With Dr Kieran O'Sullivan
- 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 stat
Physio Edge 021 Shoulder Pain With Dr Jeremy Lewis
- 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.
Physio Edge 020 Womens Health With Lori Forner
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
Physio Edge 019 Hamstring Strength, Flexibility And Injury Reduction
- Injury reduction
- Rehabilitation – early stages, and return to sport
- Return to Sport
- Eccentric training
- Predicting hamstring injury
- Assessing readiness of return to sport
- Stretching – Static vs Dynamic vs PNF etc, and the clinical implications
Physio Edge 018 Exploring The Pelvis With Diane Lee
- 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
- 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
Physio Edge 017 Injury Reduction With Dr Peter Brukner
- 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.
Physio Edge 016 Preventing Hamstring Injuries With Dr Kristian Thorborg
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.
Physio Edge 015 Cervicogenic Headaches With Ken Niere
Physio Edge 014 Chronic Low Back Pain With Peter O Sullivan 1
- 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….
Physio Edge 013 Cervical Spine Artery And VBI Testing With Roger KerryCervical 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
- 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
causes of plantar fasciosis
strengthening of the plantar fascia
what exercises work with plantar fasciosis, and which ones are a waste of time
nerve entrapments that can be involved in plantar fasciosis, and how to identify these
the role of taping and orthotics
eccentric programs and progressions
keys to successful Achilles rehab
ankle sprain rehab – keeping it functional
Physio Edge 011 Hamstring Tendinopathy With Dr Alison Grimaldi (1)
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
- Advice for patients
- Deep hip muscle activation
- Keys to a successful treatment program a whole lot more
Physio Edge 010 Biomechanics Of Running With Blaise Dubois
- 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
Physio Edge 009 Lateral Hip Pain With Dr Alison Grimaldi
Subjective clues that someone may have a Glute Med Tendinopathy
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
Physio Edge 008 Golf Injuries And Performance Improvement. An Interview With Matt Green
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.
Physio Edge 007 Dry Needling With Andrew Hutton
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
Physio Edge 006 TA, Core Stability , Drivers And Going Beyond The Pain Experience With LJ Lee
Physio Edge 005 Tendons And Tendinopathy
Factors that contribute to tendinopathy beyond biomechanics
Eccentrics - what is the future of training to rebuild tendons
Return to sport or running after tendinopathy
Treatment at each stage of tendinopathy
Rehabing achilles tendinopathy
Rehab for hamstring tendinopathy
Physio Edge 004: Hip Injuries & Labral Tears with Nichole Hamilton
Acetabular Labral tears in the hip are 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.
Physio Edge 003: Rugby, Rehab And Return To Sport with the Australian Wallabies Physio Andrew Ryan
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.
Physio Edge 002: Analysing movement, clinical expertise and research
Analyse movement using your manual skills and palpation, plus insights into what clinical expertise and “Evidence Based Practice” really means – an interview with Dr Linda-Joy (LJ) Lee.
Physio Edge 001 Painful paradigms and sensitive system
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.