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Physio Edge podcast

Physio Edge podcast

By: David Pope
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clinical inspiration for Physiotherapists. Interviews with leading Physiotherapists, clinicians and researchers that will accelerate your clinical skills to a whole new levelClinical Edge 2011 Biological Sciences Hygiene & Healthy Living Physical Illness & Disease Science
Episodes
  • 172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson

    172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson
    Jul 16 2025
    Your patient presents with shoulder pain, and straight away you need to identify: Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely? Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely?Is the pain actually coming from the shoulder?Could it be the cervical spine?Is there a tear that needs urgent referral?Should you order imaging? Refer to a surgeon? Or confidently continue with rehab? In this podcast, Jo Gibson (Upper Limb Rehabilitation Specialist Physio) guides you through a simple, evidence-informed clinical reasoning framework to help you confidently assess and treat patients with shoulder pain. Drawing on decades of clinical experience and the latest research, Jo breaks down four essential questions you need to ask in every shoulder assessment—helping you identify red flags, tailor your treatment plan, and avoid common diagnostic pitfalls. In this episode, you’ll discover: How to distinguish shoulder pain from cervical spine referralKey subjective clues that guide your diagnosis and treatment decisionsWhether it’s “torn”—and how to know if a surgical referral is appropriateClinical signs that help differentiate frozen shoulder from other causes of stiffnessWhy pain irritability matters—and how it impacts your rehab approachWhen to use (and when to avoid) imagingHow to identify instability and assess the likelihood of recurrenceWhat assessment tests to perform in your objective examinationThe real value—and limitations—of special tests like the Hawkins-Kennedy, drop arm, Hornblower’s, and more.How to modify testing to better isolate rotator cuff contributionsWhy symptom modification tests are useful—and what they tell youHow to help your patient overcome fear, regain confidence, and move againWhat research says about exercise prescription, and how many exercises you should give patients Listen in to strengthen your clinical reasoning and give your shoulder assessments a clear structure that helps you feel more confident—and gets better outcomes for your patients. Chapters: 00:00 - Intro03:12 - Subjective clues that guide diagnosis04:33 - What to call shoulder pain? RCRSP or SAP?06:04 - 4 key questions to ask06:29 - Cervical spine driven shoulder pain10:03 - Is it torn and does it matter?11:29 - Traumatic dislocations12:37 - Special tests in the "Is it torn" group15:56 - Is it stiff?17:36 - Is it irritable?20:38 - Can I change it?23:05 - Summary 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. 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: Free video series - How to be a shoulder detective: Solving acute shoulder pain with Jo GibsonGet your access to the free video series “Frozen shoulder assessment & treatment” with Jo GibsonImprove your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo GibsonImprove your confidence and clinical reasoning with a free trial Clinical Edge membershipJoin Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunesDownload the podcast now using the best podcast app currently in existence - OvercastListen to the podcast on SpotifyJo Gibson on TwitterLet David know what you liked about this podcast on Twitter Review the podcast on iTunesInfographics by Clinical Edge
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    24 mins
  • 171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras

    171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras
    Jul 8 2025
    Your patient is running, playing sport, or jumping or lunging forward - an activity with fast eccentric or concentric activity in dorsiflexion,and suddenly they feel like they’ve been kicked in the back of the leg. They might hear a snap and have difficulty weightbearing, walking and pushing off. What’s your likely diagnosis? You picked it - an Achilles tendon (AT) rupture. AT ruptures are a devastating injury that can drastically impact a patient’s ability to walk, run, or return to sport. Despite their frequency, there’s a lot of uncertainty among clinicians, patients, and even surgeons around how to best assess, treat, and rehabilitate Achilles tendon ruptures. Patients are often fearful of doing the wrong thing and re-rupturing the tendon. Therapists often follow a non-surgical protocol of putting people in a boot, but are unsure how to progress, how fast to progress and what to do during and after they’re in the boot. An even bigger problem than AT re-rupture is the very common issue of an elongated tendon where patients have long-term difficulty with calf weakness and inefficiency, walking long distances, hopping, jumping, and returning to sport. In this podcast, David Pope (APA Titled Musculoskeletal and Sports & Exercise Physiotherapist) is joined by Prof. Peter Malliaras (Specialist Physiotherapist FACP, clinician and researcher with a PhD in tendinopathy) to explore the latest evidence, clinical insights, and rehab strategies for Achilles tendon ruptures. Peter draws on his extensive clinical experience, recent research, and the development of a specialist Achilles rupture service at OrthoSport Victoria to help guide your decision-making and treatment approach. In this podcast, you’ll discover: The mechanism of injury and clinical presentation of Achilles tendon ruptures.Key diagnostic tests and how to avoid missed or delayed diagnoses.Common pitfalls that lead to tendon elongation—and how to prevent them.When to recommend surgical vs non-surgical management.A new, innovative approach to strengthening the Achilles tendon while the patient is in the boot.How to safely begin loading the Achilles in the early phase of rehab.Strategies to protect against tendon elongation during and after boot use.Whether we should be stretching or trying to improve dorsiflexion.Objective strength criteria to guide progression through rehab stages.Return-to-walking and return-to-sport timeframes—and how to individualise them.What to do when patients present late or have already developed elongation.Complications to watch for post-injury or post-surgery.How to help patients navigate the psychological and motivational challenges of recovery. Listen to this episode to gain clarity on Achilles tendon rupture assessment and rehab, and develop a structured, evidence-based approach you can apply immediately in your clinical practice. Timeline 00:06:23 Problems Physios and patients face with AT ruptures? 00:09:29 Subjective - How to identify a likely AT 00:12:03 Who gets an AT rupture? 00:18:45 Why do AT's rupture? 00:20:06 Misdiagnosis 00:24:14 Surgical or non-surgical management? 00:30:25 Elongation - Improve dorsiflexion or make the AT stiffer? 00:36:53 Safe loading in the boot & progressions 00:42:49 When to start exercising in the boot 00:46:08 Elongation - why is it a problem? 00:54:00 Bent or straight knee calf exercises? 00:59:55 RTP - How long does it take? 01:03:32 Surgical vs non-surgical timeframes 01:04:25 Assessment and diagnosis of AT ruptures 01:08:40 Initial management of an AT rupture 01:11:26 Education - What to tell patients 01:12:54 Imaging 01:14:57 Delayed presentation - How to manage 01:16:10 Red flags & complications 01:19:10 Walking - How to guide patients as they come out of the boot 01:21:27 Exercise progressions after the boot 01:23:48 Key takehome messages 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 associated with this episode: Prof Peter Malliaras at OrthoSport VictoriaProf Peter MalliarasOnline courses with Prof Peter Malliaras Tendinopathy podcast with Prof Peter Malliaras Summary handout Adductor related groin pain rehab with Andrew Wallis FAI assessment and treatment with Dr Adam Weir Accelerated conservative management of medial knee injuries with Chris MorganImprove your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membershipClick here to register and receive immediate access to the Tricky tendons infographic seriesFree Achilles tendinopathy video series with Tom GoomDavid Pope at Clinical Edge Download and subscribe to the podcast on iTunesDownload the podcast in OvercastListen to the podcast on SpotifyDr Lachlan GilesDavid Pope on TwitterDavid Pope & why I started Clinical Edge Review the podcast on iTunesInfographics by Clinical Edge Research associated with this ...
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    1 hr and 27 mins
  • 170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles

    170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles
    Apr 8 2025
    Brazilian Jiu-Jitsu (BJJ) is a popular grappling-based martial art that uses joint locks and chokes to subdue or submit opponents. It’s an intense, physically demanding sport with complex movements and submission techniques that involve a risk of injury, particularly to the knees, shoulders, elbows, neck, and lower back. It’s important for Physiotherapists and health professionals who treat BJJ athletes to understand the different mechanisms of injury, movements and positions athletes need to be able to perform, so they can develop successful rehabilitation programs, and safely and successfully return athletes to training. In this podcast, David Pope (APA Titled Musculoskeletal and Sports and Exercise Physio) explores BJJ injuries with Dr. Lachlan Giles—a BJJ black belt and world-class BJJ competitor, including 1st Place IBJJF Pan-Pacific Championship 2016 & 2017, 3rd place ADCC 2019 Open weight division and many more accomplishments. Lachlan is also a BJJ coach to top level competitors, including Levi Jones-Leary, Craig Jones before he moved to DDS, and a Physiotherapist with a PhD in knee pain and rehab. Lachlan shares his extensive experience treating and managing BJJ injuries, drawing from the research, as well as his clinical knowledge and personal experience as an elite grappler and BJJ coach. In this podcast, we discuss: The challenges physiotherapists face when treating BJJ athletes and how to adapt rehab programs for them.Common areas injured in BJJ.What commonly causes knee injuries, including LCL and ACL sprains, in BJJ.Different positions athletes need to get into in BJJ, why it’s important to understand these positions, and how you can use this to guide your rehab and return to sport.Strength vs flexibility vs conditioning? Which factors are critical in injury recovery, prevention and performance?Practical strategies for modifying training and load to allow injured athletes to continue training safely.The role of neck strengthening in protecting against neck injuries from chokes and takedowns.How to structure a safe return-to-play progression for knee, back, and rib injuries.Key factors that impact athlete recovery. When athletes can continue training, when and how to modify training and when to recommend complete rest. The impact of training style, intensity, and mindset on injury risk and longevity in the sport. How older athletes can adjust their game to have fewer injuries while continuing to train and compete. Listen to this podcast now to have a better understanding of BJJ injuries, rehabilitation, and strategies to help athletes successfully get back to or continue training and competing in BJJ. 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 Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membershipClick here to register and receive immediate access to the Tricky tendons infographic seriesFree Achilles tendinopathy video series with Tom GoomDavid Pope at Clinical Edge Download and subscribe to the podcast on iTunesDownload the podcast in OvercastListen to the podcast on SpotifyDr Lachlan GilesDavid Pope on TwitterDavid Pope & why I started Clinical Edge Review the podcast on iTunesInfographics by Clinical Edge Chapters: 04:40 - Lachlan's PhD10:06 - Can VMO be targeted with rehab?14:06 -  What challenges do Physios face when treating BJJ athletes?17:03 - When to allow patients to continue training19:35 - Different types of training21:36 - Lachlan's training with an LCL injury26:53 - Common injuries in BJJ29:18 - Other areas injured in BJJ, and why low back pain occurs33:39 - How BJJ athletes can train to stay healthy and avoid injury37:05 - Getting back to training and rolling42:23 - Tests before patients "invert" with their legs over their head48:11 - Leg entanglement, 50/50 and leg locks52:09 - Positions to use when coming back from an injury53:08 - Rib and costochondral injuries59:44 - Forearm periostitis
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    1 hr and 12 mins
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