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Physio Edge podcast with David Pope

Physio Edge podcast with David Pope

David Pope at Clinical Edge

Inspiring interviews with leading Physiotherapists, discussing real life assessment and treatment, clinical issues and ways to give you an edge in your Physiotherapy clinical practice.
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Top 10 Physio Edge podcast with David Pope Episodes

Goodpods has curated a list of the 10 best Physio Edge podcast with David Pope episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Physio Edge podcast with David Pope for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Physio Edge podcast with David Pope episode by adding your comments to the episode page.

How can you identify the source of your patients leg, shoulder or arm pain? Is it from neural tissue compression, sensitisation or irritation or nearby joints, tendons or muscles? What questions and objective tests will help you diagnose a neural tissue pain disorder (NTPD)?

In this podcast with Dr Toby Hall (Specialist Musculoskeletal Physiotherapist, FACP, PhD), you’ll discover:

  • Three types of neural tissue pain disorders, and how to identify each one
  • What is Peripheral nerve sensitisation (PNS)?
  • What clues in your subjective examination will help you identify PNS?
  • Why do nerves become inflamed or irritated?
  • How to identify & differentiate radiculopathy and radicular pain in patients with radiating limb pain.
  • Do all patients with NTPD have obvious neuro symptoms such as pins and needles, numbness or weakness?
  • Quick screening tests you can use in your assessment to identify PNS.
  • How to identify if your patients shoulder and arm pain is from neural tissue or from local shoulder structures.
  • How to diagnose a NTPD in patients with hip or leg pain.
  • How to perform passive neurodynamic tests such as the straight leg raise (SLR), upper limb neurodynamic test (ULNT), slump test and femoral nerve slump test.
  • What information does a positive or negative neurodynamic test provide?
  • Can we identify the location of a nerve lesion or irritation with our passive neurodynamic tests or palpation?
  • Initial PNS treatment options
  • Is exercise helpful or harmful in patients with PNS?
  • How can you palpate over neural tissue, and what information does this provide?
  • Do opioids provide pain relief, or prolong recovery in patients with NTPD?

This podcast is the first part in a two part series on neural tissue pain disorders with Dr Toby Hall. Part 1 (this podcast) guides you through the types of NTPD, and how to assess and diagnose NTPD. Part 2 (available soon) will take you through how to treat PNS.

I highly recommend listening to this episode (part 1) prior to part 2, to have a thorough understanding of when and how to treat PNS.

CLICK HERE to get access to Sherlock Holmes and the sign of the four hypotheses with Nick Kendrick

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Physio Edge podcast with David Pope - 080. How to assess ankle syndesmosis injuries with Chris Morgan
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07/05/18 • 66 min

Ankle syndesmosis injuries, also known as a high ankle sprain, commonly occur during high impact tackles or collisions that involve forced lateral rotation of the foot in ankle dorsiflexion. Syndesmosis injuries can be missed in the early stages as the degree of pain and swelling may not reflect the severity of the injury. Early diagnosis of syndesmosis injuries is key in preventing persistent pain, disability and limited ability to return to play or activity.

In Physio Edge podcast episode 80, English Premier League Physiotherapist Chris Morgan, and David Pope explore how to assess and diagnose ankle syndesmosis injuries (ASI), including:

  • Questions you need to ask when your patient has had an ankle injury
  • What is an ASI?
  • What symptoms will your patient report following ASI?
  • Ligaments and structures that are often involved in an ASI
  • What is a "peeling injury", and how does this influence the structures that are injured?
  • Common mechanism of injury
  • How to assess, diagnose, classify and grade ASI
  • How to differentiate between stable and unstable ASI
  • Which tests can you perform to accurately diagnose ASI?
  • Differential diagnosis
  • Which injuries are likely to require surgical intervention, and which injuries may be managed conservatively?
  • When imaging is useful
  • What type of imaging to perform
  • Identifying underlying chondral lesions
  • Early management strategies

Upcoming podcast - How to treat ankle syndesmosis injuries with Chris Morgan

A subsequent podcast with Chris Morgan will discuss in detail how to treat ankle syndesmosis injuries . Download this podcast now to improve your assessment and diagnosis of ankle syndesmosis injuries.

Free webinar - Medial knee injuries with Chris Morgan

Chris Morgan's Physiotherapy roles in English Premier League with Liverpool and Crystal Palace have provided him with a lot of experience treating acute injuries, including the ankle and knee. To help you take advantage of this experience, Chris is presenting a Clinical Edge webinar on medial knee injuries. In his webinar Chris will discuss:

  • Presentation of medial knee injuries
  • How imaging findings correlate with clinical findings
  • How to progress your rehabilitation and return players to performance
  • Incorporating change of direction and trunk control into rehabilitation

You can CLICK HERE to access this free webinar

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Injured athletes like to recover and return to play as quickly as possible, and we need to balance return to play against impaired strength, performance and risk of reinjury. Initial injury rehabilitation often commences with isometric exercises, progressing into concentric/eccentric style exercises when isometric tests are pain-free. Finally high load eccentric exercises such as the Nordic hamstring are introduced for their positive effects of increased strength, fascicle length and reduced injury risk.

High level and eccentric exercises are often avoided in the early stages of rehab, for fear of aggravating the injury. What if we could commence higher-level and eccentric exercises safely at an earlier stage? Would this impair or accelerate your patients' recovery?

In this podcast with Jack Hickey, currently completing a PhD with the QUT/ACU hamstring injury research group, we explore an accelerated hamstring injury rehabilitation program, and how this can be implemented with your patients. You will discover:

  • The limitations of traditional rehabilitation
  • What is the evidence for only using isometric exercises in the early stages of rehab
  • Why eccentric exercises are commonly thought of as too high a load for initial rehab
  • More modern rehabilitation programs for hamstring strain injuries, including the Askling (2013), Aspetar (2017) and Mendiguchia (2017) programs
  • An accelerated rehab program, introducing higher-level and eccentric exercises at an early stage
  • When you can start your patient's rehabilitation
  • Which exercises you can use with your hamstring injury patients
  • How to know when to progress your patient's exercises
  • How often high-level exercises need to be performed
  • When your patients can return to running
  • How to progress your patients through a return to running program
  • When your patients are suitable for return to sport

Links associated with this episode: Other episodes of interest: Articles associated with this episode:
Physio Edge podcast with David Pope - 032. How to rehabilitate ACL injuries with Enda King

032. How to rehabilitate ACL injuries with Enda King

Physio Edge podcast with David Pope

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12/09/14 • 68 min

ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than they had before they injured their ACL.

In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss 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.

Going deep on the details involved in ACL Rehabilitation, including:

  • 01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like
  • What does a fully rehabilitated athlete look like?
  • Incorporating performance goals into the rehab process
  • Can athletes achieve better performance post ACL rehab than they were pre-injury
  • Types of ACL grafts
  • Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery
  • Preoperative education
  • Restoring knee extension, balancing pain and improved range of movement, empowering your patient
  • Guidelines for pain, swelling when restoring range of movement
  • Restoring quadriceps activation, normalising gait patterns
  • Clinical Edge
  • Clinical Edge’s free webinar program
  • Preoperative length of time
  • Post-op - initial management
  • To use or not use co-contraction exercises of quads and hamstrings
  • Should you use squatting style exercises Week 1 post op
  • Activating quadriceps - internal quadriceps cues or external exercise focus
  • How much pain should a patient experience during or after an exercise
  • Week 2 post-op
  • When can heavy gym training commence
  • Changing movement patterns throughout the kinetic chain
  • Advice for patients in the early stages of rehab
  • Frequency of exercise
  • Week 2 onwards - exercises incorporating balance and proprioception
  • Open vs closed chain exercises
  • Advice for patients in weeks 2–6
  • Nutrition and dietary advice for patients
  • Gym based rehabilitation
  • Choosing and modifying exercises for middle stages of the rehabilitation process
  • Various types of squatting movement, and progressing the types of squats
  • Goblet squats
  • Retraining ideal squat patterns
  • Progressing squats, deadlifts and lunges
  • Front squats
  • Front squats and trap bar deadlifts vs back squats during rehabilitation
  • When can an athlete start cycling
  • Disadvantages of using cycling as the main part of a rehabilitation program
  • Hamstring rehabilitation after semitendinosis/gracilis graft
  • Strength and power development
  • Strength testing - mid thigh pull, leg press
  • Should we use open chain strength tests
  • When to perform strength tests
  • Strength vs power and rate of force development
  • Running - incorporating into the program. When can your patient start running?
  • Preparation for running
  • Running drills
  • Ideal movement patterns in running
  • Enda King and SSC, and working with ACL athletes

Podcast timeline

  • 3:35 What does a fully rehabilitated athlete look like?
  • 5:40 Incorporating performance goals into the rehab process
  • 6:50 Can athletes achieve better performance post ACL rehab than they were pre-injury
  • 8:20 Types of ACL grafts
  • 11:10 Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery - an opportunity to prepare your patients knee, ROM, strength and educate them on the rehabilitation process
  • 14:20 Preoperative education
  • 14:40 Restoring knee extension, balancing pain and improved range of movement, empowering your patient with
  • 15:40 Guidelines for pain, swelling when restoring range of movement
  • 16:15 Restoring quadriceps activation, normalising gait patterns
  • 17:10 Clinical Edge
  • 18:45 Clinical Edge’s free webinar program
  • 19:30 Preoperative length of time
  • 20:35 Post-op - initial management
  • 23:20 To use or not use co-contraction exercises of quads and hamstrings
  • 24:50 Should you use squatting style exercises Week 1 post op
  • 25:25 Activating quadriceps - internal quadriceps cues or external exercise focus
  • 26:30 How much pai...
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When paediatric or skeletally immature patients have shoulder pain, what diagnoses should be kept in mind? What are the potential diagnoses following trauma, in overuse injuries or “little leaguers shoulder”? What assessment and imaging is required in these patients?

Find out in this podcast/video with Jo Gibson (Clinical Physiotherapy Specialist), and explore:

  • What growth plate injuries may occur in skeletally immature athletes?
  • The case study of a young athlete with misdiagnosed pain over the acromioclavicular joint (ACJ)
  • A recap of acromial apophylysis and distal clavicular osteolysis.
  • What are the common mechanisms of injury for ACJ?
  • How are ACJ injuries classified?
  • What are the limitations of ACJ injury classifications?
  • Why are there often differences in ACJ injury classification between X-ray and MRI?
  • How can ACJ imaging lead to incorrect return to play timeframes in mature athletes?
  • In paediatric patients, what differential diagnosis do you need to keep in mind with an apparent ACJ injury?
  • How does imaging help guide prognosis and treatment in younger athletes with ACJ injuries?
  • How can growth plate injuries be identified?
  • Can patients have a slipped humeral epiphysis?
  • What are the most common humeral fractures
  • What are humeral Salter-Harris fractures?
  • Which fractures may impact future growth in the humerus?
  • When is imaging absolutely required in paediatric shoulder injuries?
  • What is “little leaguers shoulder” and why is it important to identify this early?
  • When is glenohumeral internal rotation deficit (GIRD) relevant in lateral humeral pain?
  • What are the risk factors for shoulder pain in young athletes?
  • What causes GIRD in paediatric and skeletally mature athletes?
  • What tests help with diagnosis in stiff shoulders?
  • When is GIRD relevant?
  • Why should the term “shoulder impingement” be avoided?
  • How can you describe shoulder pain to patients?
  • Can osteolysis of the whole scapula occur?
Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

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

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Physio Edge podcast with David Pope - 099. Upper traps - are they really a bad guy with Jo Gibson
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03/13/20 • 19 min

Patients with shoulder pain, rotator cuff tears and nerve injuries can often be seen shrugging their shoulder while they lift their arm, appearing to overuse their upper fibres of trapezius. Surface EMG research has shown increased activity in UFT in shoulder pain and whiplash patients. To add to this, patients get sore upper traps, and can be adamant that they need regular massage of their upper fibres of trapezius (UFT).

We seem to have plenty of evidence that we need to decrease UFT muscle activity, and help this by providing exercises to target the middle and lower traps.

Is this really the case? Are the upper traps really a bad guy, or a victim caught in the spotlight? Do we need to decrease upper traps muscle activity to help our patients shoulder or neck pain? Or perhaps counter-intuitively, do we need to strengthen upper traps and help them to work together with the surrounding muscles?

In this podcast, Jo Gibson (Clinical Specialist Physio) explores the evidence around the upper fibres of trapezius, and implications on your clinical practice. You’ll discover:

  • What are the myths around upper traps?
  • Are upper fibres of trapezius a bad guy or a victim?
  • Why do upper traps sometimes seem to be overactive?
  • Should we aim to increase the activity in middle and lower traps?
  • What information does surface EMG really provide?
  • Can taping of the scapula change recruitment of the trapezius?
  • Should we strengthen UFT?
  • Why is initial activation of the UFT important in shoulder elevation movements?
  • Why should patients with rotator cuff tears or stiff & painful shoulders use upper traps more with their movements?
  • How can we incorporate UFT strengthening into our shoulder strengthening?
  • What exercises can we use to strengthen UFT without increasing activity in levator scapulae?
  • Why is UFT strengthening important in ACJ injury rehab?
  • In gym goers, what scapula setting errors are commonly used?
  • How do nerve injuries that affect the upper traps impact movement?
  • Do trigger points or soreness indicate that our patients need massage or exercises to decrease UFT activity?

Download this episode now to improve your treatment of shoulder and neck pain.

Podcast handout

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

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Patients with anterior knee pain may have pain with activities that load the patellofemoral joint (PFJ), such as squatting, going up or down stairs, and running. When is it important to offload patients PFJ during your rehab, to help settle their symptoms? How can you design a rehab program to improve your patients' knee pain?

Find out in this podcast with Tom Goom (Running Physio) as you discover how to effectively offload and treat patellofemoral joint pain, exercises to include in rehab, and activities and exercises to reduce during your initial phases of treatment.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Free running injury assessment & treatment video series available now

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Physio Edge podcast with David Pope - 071. Hamstring strengthening, lengthening and injury prevention with Dr David Opar
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10/27/17 • 58 min

Hamstring injuries are the most common injury in football and AFL, and we can help our patients strengthen their hamstrings while significantly reducing their risk of injury with the right exercise program. What are the best exercises to use to strengthen and lengthen the hamstrings, and to prevent hamstring injury?

In this Physio Edge podcast with Dr David Opar, we discuss hamstring injury prevention, which athletes will benefit, which exercises to use, the most important aspects of each exercise and how to incorporate these with your athletes. You will discover:

  • What does the latest research around hamstring exercises and injury reveal?
  • Which players are most at risk of hamstring injury?
  • How can we prevent hamstring injuries?
  • How does hamstring muscle architecture adapt to training, and how does this relate to your exercise selection or prescription?
  • How can we increase hamstring muscle fascicle length?
  • How can we tailor our patients hamstring program based on whether they are preseason, in-season, uninjured or previously injured?
  • Which exercises are important in hamstring rehabilitation and prehabilitation?
  • How can you start and progress a hamstring injury prevention program?
  • How quickly do patients lose their hamstring gains, and how much maintenance do they need to perform?
  • What happens to hamstring muscle strength and flexibility following injury?
  • What neuromuscular inhibition happens following hamstring injuries, and how can we address this in our rehab?

There has been a lot of great research performed recently on hamstring injuries, and to share this and help you with your hamstring injury patients, we have invited Dr David Opar to present at the upcoming Sports Injuries virtual conference in December 2017. You can access six free preconference sports injury presentations by CLICKING HERE.

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The long head of biceps tendon and superior labrum can get a hard time in throwing athletes and patients that fall on their arm or shoulder. This can result in long head of biceps tendon pathology or SLAP tears, and cause ongoing shoulder pain.

A lot of our shoulder tests are non-specific, and are unable to identify particular structures that are irritated or painful in the shoulder. In the case of the long head of biceps (LHB) tendon and slap tears, there are a few useful tests that in combination with a good history can help you identify when the structures are involved in your patient's shoulder pain.

In episode 77 of the Physio Edge podcast, Jo Gibson, Shoulder Specialist Physio and David Pope discuss anterior shoulder pain, LHB pathology and SLAP tears. You will discover:

  • Anatomy of the long head of biceps tendon and superior labrum
  • Why the anatomy is important, and may be different to what you learnt at university around the biceps tendon and bicipital groove
  • The clinical presentation and relevant history of patients with SLAP lesions and LHB tendon pathology
  • Which patients are more likely to get SLAP tears following trauma
  • Special tests that may help you identify LHB pathology and SLAP tears
  • What information imaging gives us
  • When to request imaging for your shoulder pain patients
  • Different groups of patients that develop LHB pathology
  • Rehabilitation of LHB tendon pathology and SLAP tears
  • When to specifically target the LHB tendon, and when to target the surrounding structures for best results
  • Other areas to consider in your rehab beyond the shoulder
  • How the kinetic chain can impact shoulder pain
  • How someone's hop distance can influence their shoulder pain
  • How to start treatment of someone with an irritable LHB tendon
  • Important education components to include in your treatment
  • Time frames - How long do these injuries take to recover?
  • Which patients are suitable for surgical management?
  • Different types of surgery for LHB tendon pathology
  • Which SLAP tear patients should have conservative treatment?
  • How suprascapular nerve involvement can present following traumatic shoulder injury, and how to identify patients with suprascapular nerve compression
Podcast handout

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: Articles associated with this episode:
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Physio Edge podcast with David Pope - 033. How to treat anterior knee pain with Kurt Lisle

033. How to treat anterior knee pain with Kurt Lisle

Physio Edge podcast with David Pope

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01/23/15 • 76 min

Anterior knee pain can occur in your elite sports patients right through to office workers and weekend warriors. In this podcast with Kurt Lisle, we discuss anterior knee pain, the causes, how to diagnose the source of the pain, and the best ways to treat and rehabilitate these patients.

Kurt Lisle is the Australian Socceroos Physio and co-owner of The Knee Joint Physio in Queensland. Kurt and I discussed acute knee injuries on the Physio Edge podcast in episode 29, and I really wanted to get Kurt back on the podcast to discuss the anterior knee.

In this fantastic, detailed episode of the Physio Edge podcast, Kurt and I explore:

  • 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

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FAQ

How many episodes does Physio Edge podcast with David Pope have?

Physio Edge podcast with David Pope currently has 167 episodes available.

What topics does Physio Edge podcast with David Pope cover?

The podcast is about Life Sciences, Health & Fitness, Medical, Medicine, Podcasts, Education, Physio and Science.

What is the most popular episode on Physio Edge podcast with David Pope?

The episode title '105. Scapular dyskinesis - Does it really matter? with Jo Gibson' is the most popular.

What is the average episode length on Physio Edge podcast with David Pope?

The average episode length on Physio Edge podcast with David Pope is 51 minutes.

How often are episodes of Physio Edge podcast with David Pope released?

Episodes of Physio Edge podcast with David Pope are typically released every 18 days.

When was the first episode of Physio Edge podcast with David Pope?

The first episode of Physio Edge podcast with David Pope was released on Aug 3, 2011.

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