Physio Edge podcast

Physio Edge podcast

David Pope

21 minutes 36 seconds

167. Bones, them strong bones: How to use bone loading programs. Physio Edge Running repairs podcast with Tom Goom
Bone strength and density are vital in your running and sporting patients who can experience bone stress injuries (BSI’s), and also as patients get older and more vulnerable to falls and fractures.

How can you improve bone strength in patients following a bone stress injury such as Medial Tibial Stress Syndrome or stress fractures, or in other patients that you’d like to improve bone density or strength?

Traditional approaches to strength and conditioning may not always address the needs of your patients recovering from bone stress injuries. That’s where bone loading programs come in—a targeted strategy to help prepare bones for impact, improve power, and support a return to sport.

In this episode, Tom Goom (Running Physio) dives into the research and how to use a bone loading program to stimulate bone adaptation.

In this podcast, you’ll discover:
- The theory and evidence behind bone loading programs and how bones respond to impact.
- How to identify the right stage of injury recovery for introducing impact training.
- Practical guidelines for implementing short, progressive bone loading exercises.
- Techniques for progressing exercises based on patient goals and symptoms.
- Strategies to improve bone strength in patients experiencing other musculoskeletal issues such as Achilles tendinopathy.
- Real-world applications and demonstrations of bone loading programs.
Tom also shares insights on identifying readiness for impact exercises, managing patient expectations, and adjusting programs for individual needs. You’ll leave this episode equipped with actionable strategies to help patients safely and effectively return to sport while supporting their bone health.

If you’re a clinician or physiotherapist looking for practical solutions to manage bone stress injuries or improve bone density, this podcast is packed with valuable information you can apply in your practice right away.

🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information.
Free running injury assessment & treatment video series available now

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

Get free access to the "Tricky tendons" infographic series
Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.

Article associated with this episode:
- Turner CH, Robling AG. Mechanisms by which exercise improves bone strength. Journal of bone and mineral metabolism. 2005 Jan;23:16-22.
Links associated with this episode:
Chapters:
- 04:37 - Turner and Robling (2005) running longer doesn't make bones stronger
- 10:46 - Bone loading progressions
- 15:58 - Analysis of the evidence
- 17:05 - Whether loading technique matters
- 15:03 - Summary
29 November 2024, 11:41 am
24 minutes 32 seconds

166. To tape or not to tape? Physio Edge Shoulder Success podcast with Jo Gibson
Taping: does it really help patients with shoulder pain, or is it just a brightly coloured placebo? In this thought-provoking episode of the Physio Edge Shoulder Success Podcast, Jo Gibson, upper limb rehab specialist at Rehab for Performance, unpacks the complexities of taping in shoulder rehabilitation. Drawing from the latest evidence and her extensive experience with shoulder pain, Jo shares two compelling case studies and whether taping was useful in the treatment of:
1. Volleyball player post-stabilisation surgery – Despite passing all return-to-play criteria, this patient struggled with fear of re-injury in specific positions.
2. C/Sp referred shoulder pain – Severe neck and shoulder pain with difficulty sleeping left this patient guarding every movement. Learn whether taping played a role in this patient’s rehab.
Jo examines the evidence behind taping, addressing key questions:
- Does tape improve biomechanics, or are the effects purely psychological?
- How do sensory input and contextual factors influence patient outcomes?
- Can taping be a useful temporary tool, or is it overrated?
You’ll also gain insights into:
- The importance of clinical reasoning when choosing adjuncts like taping.
- How to manage patient beliefs and expectations around interventions.
- Practical applications of taping to improve confidence and support movement strategies.
With a blend of evidence, clinical expertise, and practical examples, this episode offers a balanced view on the role of taping in physiotherapy. Whether you’re a seasoned clinician or early in your career, you’ll come away with fresh perspectives on using taping effectively in your practice.

🎧 Tune in now to discover when, why, and how to use taping to support your patients’ shoulder rehab success!
Click on an image below to access these free resources from Jo Gibson and Clinical Edge

The handout for this podcast consists of a transcript associated with this podcast.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.
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

Free trial Clinical Edge membership
Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode:
Chapters:
- 03:36 - Patient 1 - Taping for volleyball post shoulder stabilisation surgery
- 06:26 - Patient 2 - Neck driven shoulder pain
- 07:04 - What's the evidence for and against tape?
- 13:09 - Applying the evidence around taping
- 18:15 - Back to the case studies
- 21:47 - Question - Can tape stimulate mechanoreceptors to give somatosensory feedback to the brain?
20 November 2024, 11:31 pm
1 hour 8 minutes

165. Busting hip pain myths with Mehmet Gem
Join hosts David Pope and The Hip Physio - Mehmet Gem as they dive deep into the myths and misconceptions surrounding hip and groin pain. This podcast explores common myths about glutes and hip flexors, effective rehab exercises, and how to accurately assess and treat various hip conditions.

Get free access to the "Tricky tendons" infographic series
Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.
Links
Chapter markes:
- 00:00 Intro
- 00:27 Getting to know Mehmet
- 03:11 Glute myths and misconceptions - Can patients have "gluteal amnesia" or "switched off glutes"?
- 08:54 When and how to test & improve glute strength
- 12:58 Functional glute testing
- 14:49 Mehmet's favourite glute exercises
- 19:22 Greater trochanteric pain syndrome/gluteal tendinopathy
- 23:04 Stretches for lateral hip pain?
- 25:52 Should patients perform hip mobility exercises?
- 29:07 Improving hip range of movement
- 36:48 When to test hip range of movement
- 39:40 Differentiating hip osteoarthritis (OA) from GTPS
- 44:24 Hip objective assessment - OA vs GTPS
- 46:51 GTPS diagnosis
- 49:44 Return to running with hip dysplasia
- 52:37 Hip flexors - what are they responsible for?
- 53:42 Do hip flexors get tight from sitting?
- 54:39 Hip flexors - objective assessment
- 57:43 Hip rehab exercises
5 November 2024, 2:58 pm
14 minutes 51 seconds

164. Case study: Rotator cuff tear + arm symptoms. Physio Edge Shoulder Success podcast with Jo Gibson
Upper Limb Rehabilitation Specialist Jo Gibson explores an intriguing case of an 84-year-old man with a massive rotator cuff tear of the supraspinatus and partial subscapularis tear. Despite his long history of shoulder issues, he’s improving, but constant pain and intermittent numbness in his posterior arm and into his hand complicate the situation.

In this podcast, you’ll explore:
- What a massive rotator cuff tear (MRCT) is
- Common pain patterns with rotator cuff tears
- Why the Suprascapular nerve can be affected in MRCT’s
- How to set realistic expectations with patients about their recovery
- Common causes of pain into the posterior arm, wrist and hand
- How to differentially diagnose shoulder, arm and hand pain
- Assessment tests to identify and exclude cervical involvement
- When nerve conduction tests or EMG should be performed
- Rehabilitation ideas for this patient
Listen to this podcast now to improve your rehabilitation of shoulder & arm pain and rotator cuff tears.
Free shoulder assessment infographic series
Click here to access the free shoulder infographic series and learn how to easily assess shoulder pain patients with this simple 6-step shoulder assessment from Jo Gibson

The handout for this podcast consists of a transcript and research articles referenced in this podcast.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.
Free video series “Frozen shoulder assessment & treatment” with Jo Gibson
Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

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

Free trial Clinical Edge membership
Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode:
18 July 2024, 12:12 pm
1 hour 7 minutes

163. ACL treatment options and cross-bracing with Clare Walsh
ACL injuries result in significant time away from sport and distress for patients. The variety of management options, from surgical intervention to non-surgical management and rehabilitation protocols, often makes us uncertain when educating and helping patients choose the most appropriate care for their needs and goals.

Recently, a new non-operative ACL injury management pathway called the “Cross bracing protocol” has been pioneered and developed by Dr Tom Cross and Tom’s father (the late Orthopaedic surgeon) Dr Merv Cross. This protocol offers a promising alternative for patients with ACL injuries who are suitable for non-surgical intervention, where the ACL injury may heal or repair itself.

Not all patients with an ACL injury are suitable for the Cross bracing protocol or non-surgical management, so how can you identify whether your patient is suitable, and which treatment options are best for each patient?

In this insightful podcast episode, we discuss the complex challenge of ACL injury management and Cross bracing with Clare Walsh (Specialist Sports & Exercise Physiotherapist, FACP).

Clare treats a lot of patients with ACL injuries with prehabilitation, post-op rehabilitation, or non-surgical management including Cross bracing. Clare works alongside Dr Tom Cross and other Sports Medicine Doctors, Orthopaedic surgeons (including the late Dr Merv Cross) and leading Sports Physiotherapists at Stadium Sports Physiotherapy and The Stadium Clinic.

Clare teaches on the Cross bracing course conducted in Australia for Physiotherapists and health professionals, and is a Senior Educator & Presenter here at Clinical Edge.

In this podcast we explore:
- Cross bracing
  - What it is and how it developed.
  - What research has been performed to date, and what it shows about the chances of ACL healing with the Cross bracing protocol.
  - Assessment tests & specific imaging that are used to assess patient suitability.
  - Why patients might opt for Cross bracing rather than surgery.
  - Who isn’t suitable for Cross bracing.
  - Potential negative outcomes of Cross bracing.
  - Which patients are more likely to be suitable and successful with Cross bracing - eg. injury type, age, level of sport, goals, psychosocial factors.
  - Medical factors that impact suitability.
  - Psychosocial factors that impact whether a patient can undergo the protocol.
  - Which leg (right or left) is better suited to bracing and why.
  - Which type of braces are commonly used.
  - How soon the protocol needs to commence after injury to be successful.
  - Which concomitant injuries can still heal in a brace and which need surgery e.g. meniscus injuries, bucket handle tears of the meniscus, MCL tears.
  - How long patients remain in a brace.
  - Exercises and activities that can and should be performed throughout Cross bracing.
  - How patients can move or walk around throughout the Cross bracing period.
  - How Cross bracing has changed and evolved.
  - Whether the ACL is at increased risk of re-rupture following the protocol.
  - Essential medical management during the protocol.
  - Whether therapists can put a patient in a brace, or manage the protocol independently.
  - What to you do if you think a patient may be suitable for Cross bracing.
  - How to refer patients for Cross bracing
  - Followup imaging at the end of the protocol.
  - Functional assessment tests used at the end of the protocol.
  - Return to training (RTT) and return to play (RTP) following the protocol.
- Which patients require surgery instead of conservative management.
- Early surgery vs delayed surgery.
- Spontaneous ACL healing - what the research says.
- How to use patient-centred decision-making to guide patients into the most suitable recovery pathway - surgery, bracing or non-surgical management.
- Case studies and comparisons of patients that underwent either Cross bracing or ACL reconstruction.
This podcast is packed full of great information on this emerging ACL injury treatment. You’ll finish this podcast with a deeper understanding of ACL injury management and Cross bracing plus practical knowledge, solutions and insights you can apply into your practice.

Links
17 April 2024, 9:33 pm
19 minutes 59 seconds

162. Three top tips for treating runners with a meniscal injury. Physio Edge Track record: Running repairs podcast with Tom Goom
How can you treat patients who experience knee pain and swelling during and after running? If you suspect their symptoms are caused by a meniscal injury, how can you rehab and return these patients to running without surgery?

In this Physio Edge: Running repairs podcast with Tom Goom, you’ll explore meniscal injuries in runners, recent research on runners with meniscal tears, and how to provide effective non-surgical management. You’ll discover:
- Initial steps for managing pain and swelling in affected runners.
- Techniques to restore and maintain range of movement.
- Strategies for rebuilding strength in key muscle groups.
- Approaches to improve impact control and tolerance, preparing runners for a gradual return to their sport.
- When to manage these patients non-surgically, and when to refer for a surgical opinion.
Tom explores the physical aspects of recovery, along with the impact of general health, weight management, and gait retraining on knee health. With a realistic timeline for recovery and a focus on individualised treatment plans, this podcast is a must-listen for therapists who treat runners.

🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the links below for more information.
Free running injury assessment & treatment video series available now

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

Links associated with this episode:
Chapters:
- 03:36 - Recent research
- 05:17 - Management
- 09:26 - Restore ROM
- 10:42 - Rebuild muscle strength
- 12:07 - Return to sport
- 17:03 - Surgical & non-surgical management
5 April 2024, 3:31 pm
18 minutes 27 seconds

161. Overcoming persistent shoulder pain in tennis players with Jo Gibson
Jo Gibson (Upper Limb Rehabilitation Specialist Physio) discusses the keys to successfully treat persistent anterior shoulder pain in two tennis players who had not recovered despite previous extensive rehab. In this podcast Jo explores what to include in your rehab of sportspeople who place large demands on their shoulders, elements commonly overlooked in shoulder rehab and how to address patients’ psychosocial factors, fears and beliefs to successfully treat persistent shoulder pain.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.

The handout for this podcast consists of a transcript and research articles referenced in this podcast.

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson
Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

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

Free trial Clinical Edge membership
Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode:
Articles associated with this episode:
Podcast chapters:
- 02:30 - Case studies: 2 tennis players
- 03:14 - Kinetic chain definition
- 04:18 - When to consider the kinetic chain
- 07:07 - Screening tests
- 10:17 - Objective measures
14 March 2024, 8:38 pm
53 minutes 3 seconds

160. ACL injuries with Zoe Russell
Join David Pope (APA Titled Musculoskeletal and Sports & Exercise Physio) and Zoe Russell (Specialist Sports Physiotherapist, FACP; APA Titled Musculoskeletal Physio) in the Physio Edge podcast as they explore how to assess, treat, and manage patients suffering from ACL injuries or suspected ACL injuries.

You'll discover how to assess a patient with a suspected ACL injury, and criteria you can use to identify whether a patient may be suited to non-surgical management or is likely to require surgery. You'll also understand when immediate or delayed surgery is the best option, and how to guide patients through the decision-making process and different phases of rehab.

Listen in to provide your ACL injury patients with the best treatment options.

Links associated with this podcast
Click here or on the image below for podcast 163. ACL treatment options & Cross bracing with Clare Walsh
8 February 2024, 9:36 pm
20 minutes 23 seconds

159. Rotator cuff tear arthropathy & subscapularis tears. Physio Edge Shoulder Success podcast with Jo Gibson
Rotator cuff tear arthropathy (RCTA) is a pattern of glenohumeral joint degenerative changes following rotator cuff tears, causing shoulder pain and stiffness. Subscapularis tears can also be involved in RCTA, or a significant cause of shoulder pain and disability.

How can you identify RCTA and subscap tears in your shoulder pain patients? How can they be treated, and do these patients respond well to non-surgical management?

Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).

The handout for this podcast consists of a transcript and research articles referenced in this podcast.

Free trial Clinical Edge membership
Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode:
Articles associated with this episode:
Chapters:
- 03:25 - What is cuff arthropathy?
- 05:35 - Contributing factors
- 07:33 - Patient history
- 08:37 - Subscapularis tendon tears
- 12:29 - Common mechanisms of injury
- 13:46 - Assessment tests
- 16:51 - Rotator cuff related shoulder pain
24 August 2023, 4:06 am
24 minutes 12 seconds

158. Hip dysplasia treatment. Physio Edge Track record: Running repairs podcast with Tom Goom
How can you successfully treat hip pain and instability associated with your patients’ hip dysplasia? Find out the eight critical steps to excellent results with hip dysplasia in this podcast, which is part 3 in this three-part podcast series with Tom Goom (Running Physio).

Free running injury assessment & treatment video series available now

Links associated with this episode:
Articles associated with this episode:
- - Download the following article associated with this podcast
  - Wilkin GP, Ibrahim MM, Smit KM, Beaulé PE. A contemporary definition of hip dysplasia and structural instability: toward a comprehensive classification for acetabular dysplasia. The Journal of arthroplasty. 2017 Sep 1;32(9):S20-7.
Chapters:
- 05:36 - Step 1: Assessment
- 07:10 - Step 2: Investigations
- 08:35 - Step 3: Patient education
- 10:07 - Step 4: Settling symptoms
- 16:25 - Step 5: Strength
- 18:15 - Step 6: Control and proprioception
- 20:08 - Step 7: Co-existing pathology
- 21:09 - Step 8: General health
- 22:32 - Key points
21 August 2023, 4:58 am
19 minutes 44 seconds

157. Case study: Frozen shoulder or misdiagnosis? Physio Edge Shoulder Success podcast with Jo Gibson
When a patient presents with a potential frozen shoulder, what other differential diagnoses must be considered? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), exploring the case study of a patient diagnosed with “frozen shoulder” with symptoms that don’t quite match a typical frozen shoulder. What’s the diagnosis of this patient’s stiff shoulder?

You’ll also discover whether an X-ray or imaging is required when a patient presents with a stiff or frozen shoulder.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.

The handout for this podcast is the transcript associated with this podcast.

Free trial Clinical Edge membership
Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial
Links associated with this episode:
Chapters:
- 04:03 - Case study
- 07:23 - Frozen shoulder or misdiagnosis?
- 10:21 - Screening tests
- 10:58 - Risk factors
- 17:14 - Key points
17 August 2023, 6:17 am
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