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In this episode of the Physiotutors podcast, host Kai speaks with Edel Fanning, a lead upper limb physiotherapist from Ireland, about various shoulder pathologies in athletes and effective rehabilitation strategies. Edel discusses common shoulder injuries in different sports, such as dislocations in contact sports like rugby and rotator cuff issues in overhead sports like swimming and tennis. She emphasizes the importance of considering the kinetic chain in rehabilitation, focusing on both local shoulder control and the role of other body parts to optimize recovery and performance. Edel also highlights the significance of proper scapular function and offers insights into the nuances of treating shoulder injuries, including specific exercises and positions to support recovery.
Edel also delves into the challenges of returning athletes to sport post-injury, discussing the importance of objective testing, psychological readiness, and sport-specific considerations. She outlines the differences in rehabilitation approaches for contact vs. non-contact sports, noting the unique demands and injury mechanisms of each. The conversation touches on screening tests, injury prevention strategies, and the development of an online course on athletic shoulder rehabilitation. Edel's expertise and practical advice provide valuable insights for physiotherapists and sports professionals aiming to enhance shoulder health and performance in athletes.
Content
00:00 Intro
00:45 Which pathologies to consider
08:34 The scapula and stability & performance
15:36 Which muscles to consider in rehab
19:08 The importance of strength in the kinetic chain
21:43 How to reduce injury risk
25:03 Shoulder warm-up routines
27:29 Screening tests useful?
33:11 Exercise dilemmas
38:47 AC Joint Injuries
45:50 What is assessed?
51:35 RTP & RTS markers are different
01:00:09 Edel's closing thoughts
01:01:00 Contact Details
01:02:50 Outro
Bonus Material
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Summary
In this podcast episode, we talk with Jente Wachemans, a physiotherapist and researcher specializing in ankle sprains and chronic instability. We discuss the nature of lateral ankle sprains, differentiating them from other types of ankle injuries, and touch on chronic ankle instability, a condition that remains somewhat ambiguous and under-researched. Jente emphasizes that while ankle sprains are common, particularly in sports, the transition to chronic instability isn't always straightforward and requires more prospective data for a clearer understanding. We also explore the prevalence of ankle sprains across various sports and demographic groups, noting higher incidences in females and younger populations.
Jente shares his approach to managing ankle sprains, from the acute phase to return to sport, advocating for exercise-based rehabilitation and the importance of patient education. He highlights the Peace and Love principles for immediate post-injury care and emphasizes the role of neurocognitive tasks in rehabilitation. We also discuss the use of orthopedic tests, ultrasound, and the significance of understanding which ligaments are involved in the injury for effective treatment. Jente stresses the importance of not underestimating ankle sprains, ensuring proper rehabilitation to prevent recurrence, and the potential role of surgery in persistent cases.
Guest
Jente Wagemans is a physiotherapist and researcher at the University of Antwerp who is currently doing is PhD in collaboration with Ulster Universtity and Bern University of applied sciences. As part of his PhD he has published several papers about ankle sprains and chronic instability.
Timestamps
00:00 Intro
00:49 What is a lateral ankle sprain?
02:04 How is it different from other sprains?
03:12 At what point do we talk about chronic instability?
08:00 Prevalence
09:36 The typical patient
11:22 Risk factors
14:00 Ankle mobility & strength metrics
15:07 Chronic Instability risk factors
18:45 Red Flag Awareness
23:46 PEACE & LOVE
26:45 Orthopedic Testing
31:20 When is MRI valuable?
32:54 Functional Assessment
36:37 Management Approach
45:18 Taping & Braces
47:13 Recurrence & Prevention
49:00 When surgery is indicated
52:10 Return to Sport timeline
56:20 Jente's closing thoughts
57:53 Contact Info
59:40 Outro
Bonus Material
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Saknas det avsnitt?
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In this podcast, Dr. Claire Minshull shares her insights on teaching strength and conditioning to physiotherapists, emphasizing the practical application of academic knowledge. She discusses common mistakes in S&C practices, the importance of muscular strength in rehabilitation, and the significance of individualized exercise prescription for optimal outcomes. Claire also explores topics like measuring strength, rate of force development, and emerging technologies in strength training, underlining the need for patient-centered approaches and effective rehabilitation strategies.
Guest
Dr. Claire Minshull is a sport scientist, researcher and visiting professor at Leeds Beckett University in the UK. She has published more than 30 papers mainly on strength and conditioning and runs an educational company called Get Back to Sport
Content
00:00 Intro
01:01 Claire's Journey in S&C
04:58 The issue with S&C in Physio
07:38 S&C Mistakes Physios make
13:36 Hypertrophy & Strength is important
18:43 How to gauge Strength
24:03 Compound vs. Isolation Exercises
27:19 How far to push Patients to Fatigue
33:26 Failure to adapt Exercise Prescription in Clinic
36:04 Rate of Force Development explained
42:47 Cross Education Effect explained
50:41 Tips to create Patient Buy-In to Exercise
55:06 Emerging Technology Highlights in S&C
01:01:56 Claire's closing thoughts
01:03:48 Contact Info
01:04:48 Outro
Bonus Material
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In this podcast episode, Dr. Kerstin Luedtkee discusses the topic of migraine headaches, providing insights into the definition, classification, and pathophysiological theories behind migraines. She explains the criteria for diagnosing migraine headaches, including the presence of associated symptoms such as nausea and sensitivity to light or sound. Dr. Luedtkee delves into the role of the hypothalamus as a key structure in triggering migraine attacks and highlights the importance of understanding the central nervous system changes that occur in individuals with migraines. Moreover, she emphasizes the need for a holistic approach in managing migraines, incorporating physiotherapy interventions alongside pharmacological treatments. Dr. Luedtkee suggests addressing musculoskeletal dysfunctions in the neck, providing education on migraine triggers and symptoms, promoting relaxation techniques, and encouraging aerobic exercise. She also mentions ongoing research areas focused on patient perspectives, the effectiveness of physiotherapy in migraine treatment, and the importance of incorporating patient feedback into future studies to enhance the overall management of migraines.
Content
00:00 Introduction
00:37 Definition of Migraine Headaches
01:40 Migraine with Aura
03:30 Pathophysiology
05:30 The role of the Hypothalamus
07:36 Risk Factors for Migraine
13:25 Prevalence
16:44 The typical patient
18:29 Migraine and Chronic Pain
21:30 Red Flags
23:13 Other Diagnostic Measures
29:00 MSK Dysfunctions in Headache
31:18 The role of Vestibular Assessment
33:25 Subtype Vestibular Migraine
34:34 Physical Therapy Effectiveness
40:11 Guideline Management Approach
45:15 Added benefit of moving more?
46:16 Hot topics in Migraine Research
48:30 The Importance of the Patient’s perspective
49:56 Contact Info
51:15 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In this podcast episode, Dr. Leanne Bisset, a musculoskeletal physiotherapist and associate professor at Griffith University, shares valuable insights on lateral epicondylalgia, also known as lateral elbow tendinopathy. She discusses the anatomy and function of the affected muscles, highlighting the importance of stability in wrist movements and the role of the extensor carpi radialis brevis. Dr. Bisset emphasizes the shift in terminology from epicondylitis to tendinopathy, debunking misconceptions around inflammation in the condition and providing a comprehensive overview of diagnostic considerations, risk factors, and red flags to look for during assessment.
Furthermore, Dr. Bisset delves into the management of lateral elbow tendinopathy, emphasizing the significance of tailored exercise programs focusing on isometric loading initially, progressing to incorporate global upper limb strengthening for comprehensive rehabilitation. She also addresses the limited efficacy of modalities like shockwave therapy and the potential benefits of orthoses in pain management. Dr. Bisset's evidence-based approach underscores the importance of patient education, individualized treatment plans, and monitoring pain responses to optimize outcomes in the management of lateral epicondylalgia.
Guest
Dr. Leanne Bisset is a musculoskeletal physiotherapist and an associate professor at Griffith University at the gold coast, Australia. She has published over 100 papers on a variety of topics and has done extensive research on lateral epicondylalgia.Chapters
00:00 Intro
00:44 Definition of lateral elbow tendinopathy
05:39 Why Inflammation is inaccurate
11:49 Risk factors
13:46 The typical patient
17:34 Red Flags
27:30 Diagnostic tests
29:49 Leanne's Diagnostic Approach
32:27 Treatment
38:15 Details on Isometric Loading
49:29 Other treatments
54:02 Treatment Progressions
58:45 How much pain to allow
01:01:28 Shockwave and Dry Needling
01:03:56 Elbow Braces
01:05:50 Contact Info
01:06:58 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In this episode of the Physiotutors podcast, Tom Goom, also known as the Running Physio, provides valuable insights into medial tibial stress syndrome (MTSS) and its management. He discusses the pathophysiology of MTSS, Risk factors, and emphasizes the importance of gradual training progression and proper footwear selection to prevent MTSS. Tom also shares his approach to assessing and treating MTSS, focusing on finding a pain-free level of loading, incorporating strength training, and carefully guiding patients through a structured return to running program.
It's a value-packed episode so tune in to master your approach to treating shin splints.
This episode is sponsored by Lindy.ai - your A.I. medical scribe. Try Lindy for free by going to lindy.ai/physiotutors and receive 1 week of unlimited patient notes.
Content
00:00 Intro
01:06 What is MTSS?
02:19 Risk Factors
03:34 Typical Patient
04:20 Specific Training Errors
05:40 Influence of Footwear
06:58 Forefoot Running
08:40 Red Flag Diagnoses
12:08 MTSS DIagnosis
13:06 Assessing the Patient
15:45 Muscle Testing
17:18 Sponsored Segment
18:55 Other Strength Parameters
21:05 Running Analysis/Technique
26:15 Treatment
29:29 Strengthening Exercises
31:58 What about Tibialis Anterior?
33:12 How to manage a flare-up?
35:25 Return to running
38:02 Different Mx for Different Sports
40:20 Duration of MTSS
41:35 Adjunct Treatments
43:30 Can MTSS become a Fracture?
44:25 Tom's closing remarks
46:25 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation.
The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications.
The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques.
Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care.
Chapters
00:00 Intro 00:46 Defining Dry Needling 01:49 The Physiology 07:26 Difficulty of human studies 08:15 Active vs. Latent Trigger Points 10:05 Reliability Issues of TP Therapy 12:00 Referred pain in Trigger Points 15:40 The local twitch response 17:50 In-situ vs. winding technique 18:36 Research vs. Clinical Practice 20:22 Dry Needling for Tendinopathy? 23:58 Evidence for MSK Complaints 28:01 Contraindications and Risks 30:45 Needles vs. Hands 32:16 Kai's Dry Needling Anecdote 33:06 Are we chasing short-term effects? 35:26 Top 3 Reasons to learn Dry Needling 40:01 Closing thoughts 41:06 OutroBonus Material
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In this episode, Dutch researcher Corinne Visscher discusses temporomandibular disorders (TMD) with a focus on prevalence, risk factors, diagnosis, and treatment. She provides insights on the research she is currently focused on, particularly in understanding the journey of patients with chronic complaints related to TMD. Corinne also emphasizes the importance of screening for TMD, providing counseling and advice on habits, and referring patients to oral facial physical therapists or dentists when necessary. She also highlights the link between TMD and secondary headaches, and offers ways to reach out to her for further information.
Content
00:00 Intro
00:35 What is TMD?
01:18 TMD Prevalence/Incidence
02:20 The typical TMD Patient
03:23 Risk Factors
06:38 Red Flag Screening
09:20 The Diagnostic Process
14:05 Special Tests
15:25 Questionnaires
17:47 TMD & Headaches
19:30 Am I clenching my teeth?
20:40 Is posture a factor for TMD?
22:50 The course of TMD
27:09 A place for Dry Needling?
28:29 Other Manual Therapies?
31:50 Current TMD Research
35:05 Top 3 Takeaways
40:20 Tension-Type or TMD Headache
42:28 How to get in touch
43:08 Outro
Bonus Material
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In this Physiotutors podcast episode, Canadian researcher Yannick Tousignant-Laflamme introduces the Pain and Disability Drivers Management Model, a groundbreaking approach to understanding and managing chronic musculoskeletal pain, particularly low back pain. This model identifies five key domains across three dimensions, going beyond biomechanics to reveal the root causes of pain and disability. It underscores the significance of interdisciplinary collaboration and effective communication among healthcare professionals.
By integrating classification systems and prognostic tools, this model optimizes its effectiveness. Classification systems pinpoint patient subgroups, while prognostic tools screen for psychological factors affecting pain outcomes. Clinicians are encouraged to utilize these tools for screening, delving deeper for medium or high-risk patients. The incorporation of questionnaires and patient-reported outcome measures informs evidence-based decision-making. The ultimate aim? Personalized, evidence-based care for musculoskeletal conditions, addressing both physical and psychosocial factors.
Curious to learn more about this innovative approach? Tune in to the full episode for a comprehensive exploration.
Guest
Canadian researcher Yannick Tousignant-Laflamme is a professor at the School of Rehabilitation at the University of Sherbrooke. His research activities target the management of chronic pain associated with musculoskeletal disorders, particularly low back pain.
Content
00:00 Intro
00:40 What is the PDDM?
03:19 The 5 Drivers of Pain & Disability
07:56 The struggle with interdisciplinary care
11:15 Lifestyle within the PDDM
13:28 Why is PDDM more than a classification system?
17:23 Patient History within the PDDM
30:57 Why so many PROMs?
32:45 NSLBP - is it a helpful diagnosis?
39:37 Can Physiotherapists cover all 5 domains?
43:18 Is it all talking?
45:42 What has changed since 2017
49:28 How can we apply the PDDM? 3 Tips
51:26 Yannicks closing thoughts
53:15 OutroBonus Material
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In this podcast, we explore scapular dyskinesis, the abnormal movement of the shoulder blade. We discuss related terms like scapular misalignment and sick scapula, questioning the practicality of assessing it through visual observation. We highlight that identifying it as normal or abnormal may not guide treatment decisions or pinpoint the cause of shoulder pain. We also address its prevalence in athletes and non-athletes and suggest using various tests to assess scapular dyskinesis. Intriguingly, we'll reveal a surprising connection between scapular dyskinesis and an unexpected aspect of training, which might change the way you think about shoulder issues. So, join us for the full episode to uncover this fascinating insight.
Guest
Filip Struyf is a sportsphysiotherapist and professor at the Department of Rehabilitation Sciences and Physiotherapy at the University of Antwerp, Belgium. According to Expertscape, he is the #1 shoulder researcher world-wide. He teaches shoulder courses nationally and internationally and has created an online course together with us called “Rotator Cuff Related Shoulder Pain: Separating Facts from Fiction”.
Content
00:00 Intro
01:15 The "correct" definition
04:05 What is "normal"
12:05 Prevalence
14:21 Is it a functional adaptation?
16:46 Scapula Dyskinesia as a risk factor?
26:09 How do we assess it?
28:51 How reliable or valid is assessment?
32:39 Can we improve scapula movement?
39:09 What's up with focussing on the lower trapezius?
42:26 What about Rhomboid Pain?
46:21 Is there a place for scapula mobilization techniques?
49:42 Filip's closing thoughts
52:15 Outro
Bonus Material
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In this podcast episode, sports physiotherapist and lifestyle expert Jaap Wonders discusses the several aspects of successful lifestyle interventions as part of the treatment plans in physiotherapy practice. He outlines the guidelines on proper sleep hygiene, diet and other important factors to take into account when prescribing a healthy lifestyle. We discuss the challenges of adopting healthy habits and what we can do about this.
Content
00:00 intro
00:45 Why the interest in Lifestyle?
02:50 How to deal with unhealthy lifestyles
05:52 Failing to meet movement goals
10:43 Movement snacks
12:28 10K Steps a Day. What's the deal?
17:55 Recommendations on Nutrition
20:55 Healthy vs unhealthy Protein
24:55 The importance of sleep
31:16 How we address stress
36:09 Positive Stress
38:15 Mindfullness
39:05 Cold Showers
42:10 What doesn't kill you makes you stronger?
47:22 Lifestyle interventions in chronic conditions
58:00 3 steps to a healthier lifestyle
01:03:20 Closing thoughts
01:05:08 OutroBonus Material
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In this podcast episode, physiotherapist Sarah Michiels discusses somatic tinnitus, a type of tinnitus that is often caused by dysfunctions in the upper cervical spine and jaw. She highlights the prevalence of somatic tinnitus and the importance of a comprehensive diagnosis to rule out other causes. The talk provides insights into her evaluation and treatment approach, emphasizes the role of physiotherapy in improving muscle function and coordination to manage this debilitating condition.
Content
00:00 Intro
00:46 Definition of Somatic Tinnitus
01:35 Tinnitus and the Cervical Spine
04:47 Prevalence of Tinnitus
06:22 Epidemiology of Tinnitus
08:15 Physiotherapy Diagnosis Possible?
10:30 ENT Diagnosis of Somatosensory Tinnitus
14:27 Special Testing for Tinnitus
16:00 Cervical Spine Assessments
17:35 Tinnitus and the Jaw
18:51 Red Flags
20:53 Physiotherapy Effectiveness for Somatosensory Tinnitus
22:00 Typical Treatment Course
23:20 What causes Improvements in Symptoms?
25:18 Tinnitus Relapse
27:10 Prognostic Factors
29:30 Sarah's Treatment Approach
31:48 Why Patients get worse
34:15 How to learn more about Tinnitus
35:10 Is MT knowledge required?
36:20 Sarah's Closing Thoughts
37:30 Could Van Gogh have been saved?
38:10 OutroBonus Material
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Welcome to Physiotutors podcast episode 56 with Thomas Mitchell. Thomas is a wrist and hand specialist physiotherapist, and working toward his PhD at Sheffield Hallam. He is a physiotherapist of 25 years standing in primary care, private practice and sports. He is a First-contact Practitioner clinical supervisor and member of the British Association of Hand Therapists. He is also a Member of the Mulligan Concept Teachers Association, so the perfect person to talk to about the Mobilizations with Movement abbreviated as MWM.
He is also an instructor for our online courses and has developed the complete upper limb focus together with Andrew Cuff.
Content
00:00 Introduction
00:48 Definition of mobilizations with movement
02:42 Discussion on Mulligan's positional fault concept
04:14 Importance of symptom modification
06:39 Principles of mobilizations with movement
08:20 The concept of "Pill" in mobilizations with movement
10:36 The "Crocks" principle in mobilizations with movement
12:17 Empowering patients through functional positions
13:41 Personal adjustments in practice based on Mulligan's concept
15:33 Importance of Self-Treatment and Patient Expectations
17:03 Discussion on Plausible Fallacies and Patient Beliefs
18:40 Understanding Mulligan Concept and Pragmatic Approach
19:24 Explaining Treatment to Patients
20:40 Thomas Online Course
21:18 Differentiating MWM from Other Manual Therapy Techniques
23:16 Patient Control and Bottom-Up Approach in MWM
27:51 Evidence and Systematic Reviews on MWM
33:23 Importance of self-treatment and clinical expertise
35:57 Application of MWMS in chronic pain patients
37:40 Challenges with musculoskeletal rehab in the UK
40:13 Effectiveness of MWMS for lateral epicondylalgia and De Quervain's disease
44:34 Benefits of mobilizations with movement
47:36 Learning resources for Mulligan concept and MWMs
49:17 Thomas closing thoughts
51:08 OutroBonus Material
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This episode of the Physiotutors podcast features Julia Treleaven, a researcher and physiotherapist, who discusses cervicogenic dizziness and its diagnosis. We delve into the condition's pathophysiology and prevalence in patients with chronic neck pain. We also discuss red flags to watch for during patient history taking and differentiating cervicogenic dizziness from other forms of dizziness. The episode covers functional tests used to assess balance and motor control and treatment options, including sensory-motor exercises, manual therapy, and posture correction. The discussion emphasizes the importance of focusing on the neck's role in such cases rather than just diagnosing the condition.
Content
00:00 Introduction
01:20 Definition
06:36 Characteristics of Cervicogenic Dizziness
12:08 Physical and Orthopedic Tests for Cervicogenic Dizziness
15:03 Functional Assessment for Cervicogenic Dizziness
18:25 Treatment for Cervicogenic Dizziness
26:10 Progressing Sensory Motor Control Exercises for Cervicogenic Dizziness
29:46 Role of the neck in dizziness
32:08 Research endeavors in neck-related dizziness
34:58 Determining the role of the neck in dizziness and the controversy of cervicogenic dizziness
Bonus Material
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Nicol van Dyk is a physiotherapist and clinical researcher currently occupying the role of Injury Surveillance and Medical Research Officer with the Irish Rugby Football Union in Dublin, Ireland. In 2018 Nicol completed his PhD in Health Sciences at Ghent University, Belgium titled “Risk factors for hamstring injuries in professional football players.” During this time Nicol was a physiotherapist at the Aspetar Orthopaedic and Sports Medicine Hospital.
In this episode we are joined by Nicol van Dyk. We discuss injury prediction and screening tests, individual risk factors for athletes at risk of injury, the importance of clinical reasoning and individualized approaches as well as why it rains so much in the Netherlands....
This was a great episode to record and we hope you enjoy it.
Content
00:00:00 Introduction
00:01:00 Screening tests and injury prediction
00:05:10 Importance of screening tests in injury prevention and building athlete trust
00:13:14 Importance of Previous Injuries
00:17:47 Role of Technology and Social Support in Rehab
00:21:35 The Significance of Sleep in Injury Prevention
00:26:41 Understanding individual athlete risk factors
00:30:10 Importance of clinical reasoning and individualized treatment
00:38:08 Using mixed methods approach for injury prediction
00:41:09 Injury prediction vs risk estimation
00:44:32 Focus on performance and robustness
00:46:24 Importance of communication and empathy in physiotherapy
Bonus Material
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Welcome to episode 53!
In this episode we are joined by Adam Dobson who is working as a specialist triage & treat spinal physiotherapist for South Tees Hospitals NHS Foundation Trust. He is the author of "Lumbar Radicular Syndromes - At a Glance" and actively shares his knowledge around radicular syndromes on his Twitter (@adamdobson123) and as guest on various podcasts. We are very happy to have him on the microphone for this episode. Enjoy!
Content
00:00 Intro
00:40 Definition of Lumbar Radicular Syndrome
02:57 Signs & Symptoms of Sciatica
06:12 Red Flags
14:14 Cauda Equina Pathway
19:20 Facet Joint Stenosis Differentiation
21:54 K.I.S.S.
22:30 Motor Control Exercises
24:45 Opinion on Piriformis Syndrome
30:20 Minor Neurogenic Dysfunctions
35:17 Treatment for LRS
38:55 Advice. Anything Else?
44:16 Clinical Decisionmaking
45:52 Adam's closing thoughts
50:47 Encore - Stenosis
53:05 OutroBonus Material
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Andrew is a consultant physiotherapist from the UK with a special interest in the upper limb and particularly the shoulder, which is also the reason he has created a course on the stiff shoulder, the elbow and wrist for Physiotutors together with Thomas Mitchell. He is in the process of finishing his PhD this year on imaging for musculoskeletal conditions in primary care at Keele University, so he’s the perfect person to talk to about imaging!
Content
00:00 Intro
01:25 How far are we from ideal?
05:56 Scale of MSK Imaging
09:40 Why don't we stick to guidelines?
15:50 When imaging makes sense
21:35 Do Patients Expect Imaging?
23:49 Sponsor
24:59 The goal of Imaging
27:52 Risks of Imaging
30:27 Imaging Techniques 101
35:10 Should Physios use Ultrasound
37:56 Scan interpretation as a skill?
43:10 How to explain imaging findings
48:15 Andrew's closing thoughts
49:49 OutroSponsor
This episode is sponsored by the CSP student conference 2023. For more information and to sign up visit: https://www.csp.org.uk/studentconference23
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Hi and welcome to Physiotutors podcast episode 51 with Henrik Riel.
Henrik is a physiotherapist from Denmark and has obtained his PhD in the management of plantar heel pain. He is doing a post-doc fellowship at the university of Aalborg and he is an assistant professor at the physio department of the university of northern Denmark.
In this episode we will talk about plantar heel pain etiology, the risk factors associated with it, Henrik's approach to examination, imaging, and treatment. We will answer the question if there are prognostic factors for the condition, what mode of strength training is recommended and discuss the efficacy of adjunct treatment modalities for plantar fasciopathy. So make sure to listen to the entire episode.
Content
00:00 Intro
00:45 Plantar fasciitis, Plantar Fasciotpathy or Plantar heel pain?
02:41 Is it a tendinopathy?
03:33 The typical patient
04:40 Risk factors
07:13 Signs & Symptoms
09:05 Differential Diagnoses
10:10 Examination/Imaging & Testing
13:00 What about Heel spurs?
14:10 Prognosis
19:28 Isometrics for Plantar Heel Pain
22:04 Treatment Options
26:35 Load Management
28:15 Plyometrics/SSC Exercises
30:54 Henrik's Closing Thoughts
32:00 OutroBonus Material
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In this episode we will talk about all things shoulder instability. You will learn more about the Stanmore classification and structural damage after dislocations. We will discuss the typical patient with shoulder instability and how an examination process looks like. We will touch on muscle activation patterns, surgery and how physiotherapeutic management of a patient with shoulder instability could possibly look like.
So make sure to listen to the whole episode!Our guest is Anju Jaggi. She is a physio consultant shoulder specialist at the royal national orthopedic hospital in stanmore, UK. She’s a past president of the European Society of Shoulder & Elbow Rehabilitation (EUSSER) and a published researcher with a particular interest in shoulder instability.
Content
0:00:00 - 0:01:08 Introduction
0:01:08 - 0:02:32 What is Shoulder Instability?
0:02:32 - 0:05:50 What causes the shoulder pain?
0:05:50 - 0:13:44 TUBS/AMBRI/Neuromuscular
0:13:45 - 0:18:13 What gets damaged in the shoulder?
0:18:13 - 0:22:22 The typical patient fenotype
0:22:22 - 0:28:55 Examination Process
0:28:55 - 0:30:05 Special testing
0:30:55 - 0:34:29 How to test the cuff
0:34:29 - 0:37:16 When is the cuff weak?
0:37:16 - 0:40:05 Muscle activation patterns
0:40:05 - 0:43:30 Risk factors
0:43:30 - 0:46:14 Risk of Developing OA
0:46:14 - 0:47:58 Relocating a shoulder as physio
0:47:58 - 0:55:02 Shoulder Instability Rehab
0:55:02 - 1:00:21 Surgery vs. Physio
1:00:21 - 1:01:38 Anju's closing thoughts
1:01:38 - 1:03:10 OutroBonus Material
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Welcome to episode 49!
Today's guest is Mike Reiman who is a physiotherapist, active clinical researcher, educator and mentor with a special interest in the hip. He is also an associate professor at Duke University and an adjunct professor at Wichita State University.
In this episode we will talk about femoroacetabular impingement abbreviated as FAI. You will learn more about FAI morphology and the development of FAI. Mike will elaborate on the epidemiolgy of FAI, what can trigger symptoms and the prognosis in regards to the development of hip osteoarthritis. Of course we will talk about diagnosis and physiotherapeutic treatment and finish of with a discussion about surgery for FAI.
So make sure to listen to the whole episode! Enjoy!Content
0:00:00 - 0:01:04 Introduction
0:01:00 - 0:02:50 What is FAI?
0:02:50 - 0:04:35 How FAI develops
0:04:35 - 0:08:10 Epidemiology of FAI
0:08:10 - 0:09:52 Asymptomatic FAI
0:09:52 - 0:13:13 Triggers for symptomatic FAI
0:13:13 - 0:18:13 Prognosis: Do patients develop hip OA?
0:18:13 - 0:21:34 Screening
0:21:34 - 0:25:35 History & Examination
0:25:35 - 0:28:13 Confirming the Diagnosis
0:28:13 - 0:29:45 Imaging necessary?
0:29:45 - 0:31:54 Muscle Strength Testing
0:31:54 - 0:45:10 FAI Rehab Start to Finish
0:45:10 - 0:48:45 How good is Physio for FAI?
0:48:45 - 0:53:40 How good is Surgery for FAI?
0:53:40 - 0:58:30 How to choose: Surgery or FAI
0:58:30 - 0:59:50 Mike's Closing Thoughts
0:59:50 - 1:00:29 OutroBonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All bonus content can be found here
Follow our Podcast on:
Spotify | Apple Podcasts
- Visa fler
