Physio Edge podcast with David Pope – Détails, épisodes et analyse

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Physio Edge podcast with David Pope

David Pope

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Fréquence : 1 épisode/31j. Total Éps: 180

Helping Physiotherapists, Physical Therapists and other health professionals improve their musculoskeletal and sports injury assessment, clinical reasoning and treatment since 2010. Join David Pope (APA Titled Musculoskeletal & Sports and Exercise Physiotherapist) as he shares insights from leading Physiotherapists, Physical Therapists, Sports Doctors and researchers on the most effective and up-to-date strategies to assess and treat your patients in clinical practice.

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Données mises à jour le 08/10/2026

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https://www.clinicaledge.co/sign-up
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https://www.clinicaledge.co/shouldersuccess
107 partages
https://www.clinicaledge.co/blog
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https://itunes.apple.com/au/podcast/physioedge/id454714085?mt=2&uo=4&at=11lPIR
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https://itunes.apple.com/au/podcast/physioedge/id454714085
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http://itunes.apple.com/au/podcast/physioedge/id454714085
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https://twitter.com/davidkpope
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https://twitter.com/tomgoom
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https://twitter.com/ShoulderGeek1
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181. Tendinopathy: Is it weakness or inhibition? with Dr Patrick Vallance

Épisode 181

jeudi 8 octobre 2026 • Durée 53:44

Your patellar tendinopathy patients are performing a solid, progressive loading program, but their quadriceps still test weaker, with lower maximal force output. Are their quads actually weak, or is muscle inhibition limiting the strength they can access? And how does this change your rehab?

In this episode, Dr Patrick Vallance (Ph.D, Physiotherapist, Tendinopathy neuroscientist, Lecturer in Physiotherapy at Monash University) and David Pope explore why force output can be reduced in tendinopathy, and how understanding the mechanisms involved can help you tailor your treatment.

You'll also discover:

Clinical clues that inhibition may be contributing to your patient's reduced force output
How inhibition at the brain and spinal cord differs, and why this matters for rehab
The reticulospinal pathway and its role in producing strength and power
How metronome-paced and self-paced exercises may target different neural pathways, and what this could mean for your exercise choices
Why Achilles and patellar tendinopathy may need different treatment approaches, including when to target muscular endurance
How assessing strength, power and endurance helps you identify what each patient's rehab needs to address
Why researchers are reconsidering TENS and ice as possible adjuncts to exercise for patellar tendinopathy
Where isometrics fit when they don't relieve pain, and how their role in tendon stiffness could influence your exercise prescription

Throughout the episode, Patrick uses simple analogies and practical exercise examples to make the science easier to understand and apply. He explores what the research can currently tell us, which treatment ideas are still being tested, and how to use this understanding to tailor your rehab to your patients' needs and goals.

Chapters

0:00 - Introduction
2:28 - Tendinopathy, inhibition and force output
3:10 - Measuring inhibition
8:47 - Why look beyond the tendon?
10:24 - Corticospinal vs reticulospinal pathways
16:01 - Pain and spinal inhibition
22:09 - Power vs control
26:20 - Metronome-paced vs self-paced training
30:50 - What is self-paced training?
36:08 - How to reduce nociceptive drive
39:26 - How to target the reticulospinal pathway
41:16 - How to target the corticospinal pathway
43:19 - Achilles vs patellar tendinopathy
46:08 - Endurance targets
47:36 - Isometrics and tendon stiffness
50:05 - Where the research is heading

Free resources

Podcast handout: your key takeaways from the podcast, plus the full transcript, so you can remember it and apply it with your patients.
Clinical Edge membership: improve your assessment and treatment results, including the new taping video series with Zoe Russell (Specialist Sports Physiotherapist).
Free running injury resources: for the runners and running injuries you treat.

Links associated with this episode

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180. Patellofemoral pain 4 - How to get runners back on track (and trails, hills and anywhere else they run!) with Tom Goom

Épisode 180

vendredi 10 juillet 2026 • Durée 23:05

Patellofemoral pain (PFP) rehabilitation doesn't end when your patient gets stronger. The real challenge is getting them back to running, training and racing without triggering another flare-up.

In this final episode of the four-part series, Tom Goom (Running Physio) and David Pope explore the fourth pillar of successful PFP rehabilitation: a planned return to running.

Continuing Alice's journey from the previous episodes, a HYROX athlete preparing for competition, Tom and David break down exactly how to rebuild running volume, progress training safely, and help runners hit their goals, or return to racing or competition, with confidence while minimising the risk of recurrence.

You'll discover:
- How to structure a return-to-running program that steadily rebuilds running capacity without overloading the knee
- A simple progression strategy that makes increasing running volume practical and easy to implement
- Why recovery weeks are just as important as progression weeks, and how to use them effectively
- How to use a simple "traffic light" system to decide when to progress, maintain or reduce training
- When gait analysis and running retraining should (and shouldn't) be introduced during rehabilitation
- Why sleep, recovery and anxiety can have a major influence on running injury recovery, and practical ways to address them
- How to manage the inevitable flare-ups that occur during rehabilitation without losing progress or confidence
- How the same four-pillar framework can be applied to virtually every running injury, from tendinopathy to bone stress injuries
Throughout the episode, Tom shares the practical clinical reasoning behind every decision, from mapping out a patient's weekly training schedule through to progressing running distance, introducing recovery weeks, and eventually returning to continuous long-distance running.

Whether you're treating recreational runners, competitive athletes or patients training for events like HYROX, you'll come away with a clear framework you can immediately apply to help your patients return to running safely, confidently and with a much lower risk of recurrence.

This is the fourth and final episode in Tom Goom's four-part podcast series on patellofemoral pain. Together, the series provides a complete framework for assessing, educating, rehabilitating and returning runners with PFP back to the sport they love.
Free resources Links associated with this episode

179. Patellofemoral pain 3 - Effective rehab that won't flare their symptoms with Tom Goom

Épisode 179

mercredi 8 juillet 2026 • Durée 32:35

Strengthening exercises are a key part of successful patellofemoral pain (PFP) rehabilitation. Squats, lunges and single leg squats are often painful early on and can aggravate your patients pain, but on the flip side, we want to build up their tolerance and confidence with these movements.

If you introduce an exercise your patient isn't ready for, progress too quickly, or overload the knee too early, you'll often flare your patients pain and set their rehabilitation back.

In this episode, Tom Goom (Running Physio) and David Pope explore the third pillar of successful PFP treatment: progressive rehab.

Continuing the case of Alice from the previous two podcasts, a HYROX athlete preparing for competition, Tom and I walk through exactly how to choose, modify and progress exercises that build strength, restore confidence and prepare patients for the demands of running and sport, without flaring their symptoms.

You'll discover:

How to decide when to prioritise load management before introducing strengthening exercises
Why rehabilitation should be tailored to the individual rather than using a "cookie-cutter" exercise program
The key strength deficits Tom commonly looks for in runners with PFP, and how to assess them
How to select exercises that improve strength while minimising stress on the patellofemoral joint
Practical ways to modify squats, lunges and other knee-loading exercises to reduce pain while rebuilding movement tolerance
A simple four-stage progression from low-irritability exercises through to sport-specific strength and power training
How to integrate rehabilitation into a patient's existing training so they are more likely to stick with the program Throughout the episode, Tom shares the clinical reasoning behind each exercise choice, showing how to progress patients from simple strengthening exercises to the powerful, sport-specific movements required for running and HYROX competition, without provoking unnecessary flare-ups. This is part three of a four-part podcast series with Tom Goom on PFP. In the final episode, available later this week, Tom and David explore the fourth pillar of rehabilitation: how to safely progress running volume, speed and training so patients can confidently return to racing and competition while minimising the risk of recurrence.

Free resources Links associated with this episode

178. Patellofemoral pain 2 - What to do when runners won't reduce their training with Tom Goom

Épisode 178

vendredi 3 juillet 2026 • Durée 33:29

Many runners patellofemoral pain (PFP) is aggravated by the activity they love. They either stop running to let their pain settle, and then it returns as soon as they start back up again, or keep running despite the pain getting worse. They may know (and you may have told them) they should reduce their training….but what happens when they can't? Or won't?

In this episode, Tom Goom (Running Physio) and David Pope explore the second pillar of successful PFP rehab: education and empowerment. Using the real case of Alice, a HYROX athlete preparing for competition, you'll discover how and when to help runners continue training safely while building long-term confidence and self-management.

You'll discover:

Why simply telling runners to "stop running" often leads to poor outcomes
Practical communication strategies that improve patient buy-in and adherence
How to uncover the real reasons patients resist reducing their training
Ways to keep runners connected to the physical and social benefits of their sport during rehab
How to explain PFP without creating fear around "maltracking," arthritis, or joint damage
A simple framework that patients understand and can use to confidently self-manage flare-ups
How to educate patients about the balance between training stress and recovery to improve both performance and rehabilitation
Practical load management strategies for runners with symptoms so irritable they can't tolerate running yet

Throughout the episode, Tom demonstrates how education isn't simply about explaining a diagnosis. It's about helping patients understand their pain, make better decisions independently, and confidently adjust their training as symptoms change.

This is part two of a four-part podcast series with Tom Goom on PFP. In the next episode, Tom and David dive into the third pillar of rehabilitation: how to choose and progress strengthening exercises that build capacity without flaring symptoms, while avoiding the common rehab mistakes that slow recovery.

Timeline

Free resources Links associated with this episode

177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss with Tom Goom

Épisode 177

lundi 29 juin 2026 • Durée 37:49

Patellofemoral pain (PFP) is one of the most common running injuries, and the high recurrence rate can make it a frustrating injury for patients to experience and clinicians to treat.

In this episode, Tom Goom (Running Physio) and David Pope break down why PFP has such a high recurrence rate, and what most rehab plans miss. You'll also discover:

The "Four pillars" framework Tom uses to treat PFP and other running injuries
How and when to keep patients running or exercising when it is essential for their mental health and social life
How to find a manageable starting point when a patient has a highly irritable pain presentation
A step-by-step load management approach to find patients training and running "sweet spot"
How to keep athletes connected to their sport during rehab (and why it matters for mental health)
The "layering" approach to training and running that avoids pain flare-ups

So you can easily apply the podcast with your patients, Tom walks through the real case of a runner and HYROX athlete who presented with recurrent PFP that flared up with each of her 3-4 weekly training sessions.

This is part one in a four-part podcast series with Tom Goom on PFP. In the next episode, Tom and David continue this case study and dive into the second pillar in the framework that will help you tackle the problem of "What to do when your runners won't reduce their training?".

Timestamps:

03:41 - Why PFP is tricky and recurs
04:45 - Meet Alice: HYROX athlete with recurrent PFP
05:32 - HYROX explained and its knee-load demands
08:47 - Presentation, irritability and moving beyond "stop running" advice
11:15 - Alice's goals
12:41 - The four pillars framework
15:29 - Pillar 1: Load management
23:39 - Testing tolerance
27:21 - Building Alice's weekly routine

Free resources Links associated with this episode

176. Neck-driven shoulder pain - 5 common misunderstandings. Physio Edge Shoulder Success podcast with Jo Gibson

Épisode 176

mercredi 4 mars 2026 • Durée 11:46

When is your patient's shoulder pain from their neck? Are you missing a cervical spine component in your shoulder patients?

After a day in clinic reviewing patients with years of unresolved shoulder pain, Shoulder Specialist Physiotherapist Jo Gibson breaks down the five most common mistakes clinicians make when ruling in — or out — the neck.

In this podcast, Jo covers:

Why you don't need neck pain to have neck-driven shoulder pain (and which pain locations are most pathognomonic)
Why referred symptoms below the elbow don't automatically point to the cervical spine
Why active range of movement alone is not enough to clear the neck
What palpation findings are actually sufficient — and why you don't need to reproduce peripheral symptoms
Why using neck movements to modify shoulder symptoms can be misleading

Whether you're seeing patients with posterior-lateral shoulder pain, scapular pain, or symptoms that just aren't responding to local shoulder rehab, Jo shares a practical framework for refining your clinical reasoning and avoiding these common assessment pitfalls.

Key takeaway: Up to 40% of patients with shoulder problems lasting six months or longer have some degree of cervical spine involvement. The subjective examination is doing 80% of the work — Jo explains exactly what to listen for.

Free 7-day Shoulder assessment bootcamp

Join the free 7-day Shoulder assessment bootcamp with Jo Gibson and Clinical Edge

Click on an image below to access these free resources from Jo Gibson and Clinical Edge

Shoulder: Steps to Success online course with Jo Gibson Free trial Clinical Edge membership Links associated with this episode:

175. Tendinopathy treatment: Your guide to isometrics, isotonics & plyometrics with Dr Ebonie Rio

Épisode 175

mercredi 18 février 2026 • Durée 53:50

Should you prescribe isometric or isotonic exercises for your patient's lower limb tendinopathy?

When is it safe to add plyometric loading, and how do you progress running or jumping without flaring your patients tendon pain?

Why do some "tricky tendons" refuse to respond to your best loading programs?

Dr Ebonie Rio (Post-Doctoral Senior Research Fellow, La Trobe University) reveals the evidence-based answers as she guides you through the clinical reasoning and practical strategies for managing patellar, achilles, and other lower limb tendinopathies.

In this conversation, you'll follow clinical examples and unpack the latest research to help you feel confident with tendinopathy assessment and treatment.

Inside this podcast you'll explore:

Tendon pathology explained: What's happening inside tendinopathic tendons, how to explain tendinopathy and ultrasound scan results to patients
The role of isometrics: Whether isometrics actually change tendon structure, when to use isometrics to improve pain, optimal dosage, and whether isometrics are all your tendinopathy patients need
Safe loading from day one: When are both isometrics AND isotonics safe to start immediately, and how to choose isometric positions and loads.
The 24-hour emoji rule: How to teach patients to monitor their response after running or loading using the emoji system
What NOT to do: Exercises, manual therapy and supplements that won't help tendon pain and may stir it up
Differential diagnosis mastery: How to distinguish patellar tendinopathy from patellofemoral pain, mid-portion achilles tendinopathy from peritendinitis, and when you've got the diagnosis wrong
Stairs as a progression exercise: The quasi-isometric stair protocol that works for everyone from sedentary patients to elite sprinters—and how to use tempo to control tendon load

Get free access to the "Tricky tendons" infographic series Links Chapters:

174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson

Épisode 174

jeudi 4 septembre 2025 • Durée 17:14

Have any of your shoulder patients improved and then plateaued, unable to regain their full range of movement, or get rid of their painful arc?

Sometimes it's not the cuff, capsule, nerves or neck—it's the acromioclavicular joint (ACJ) holding things back.

In this episode, Jo Gibson sheds light on this often-overlooked contributor to persistent shoulder pain.

From real patient case studies to the latest research and simple clinic-ready symptom modification tests, Jo shares practical strategies you can use immediately.

Learn how to identify ACJ involvement, and use targeted rehab exercises, symptom modification and treatment strategies to help patients break through their plateau and regain their confidence and range.

Chapters:

00:00 - Intro
02:59 - Case study: Patient with shoulder pain
03:29 - Recent research around the ACJ
06:37 - Psychosocial or biomedical factors influencing the ACJ and shoulder pain
06:53 - Role of the ACJ
07:06 - Pain and movement patterns indicating ACJ involvement
08:34 - Protective movement strategies that may affect the ACJ
09:18 - Symptom modification tests
10:08 - Exercises for the ACJ
12:43 - Manual therapy for a stiff ACJ?
15:40 - Summary: When to look at the ACJ

Join the free 7-day Shoulder assessment bootcamp with Jo Gibson and Clinical Edge

Click on an image below to access these free resources from Jo Gibson and Clinical Edge Shoulder: Steps to Success online course with Jo Gibson Free trial Clinical Edge membership Links associated with this episode:

173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom

Épisode 173

mercredi 6 août 2025 • Durée 19:46

Anterior hip pain is often blamed on the hip flexors, but in runners, that's rarely the diagnosis. So how can you identify the real cause and guide patients to a safe, effective recovery?

In this episode, Tom Goom (Running Physio) explores the function of the hip flexors in running, key differentials for anterior hip or groin pain, and practical rehab strategies you can use right away.

You'll discover:

Why true hip flexor tendinopathy is uncommon in endurance runners
Red flags and key tests to identify bone stress fractures and intra‑articular pathology
Early‑stage loading strategies that protect the tendon from aggravation
The role of the adductors, trunk, and synergistic muscles in successful rehab
Common myths and misconceptions around hip flexors
How to progress rehab to sport‑specific drills and return to running

If you're a physiotherapist or health professional treating runners, this episode gives you research‑backed, clinically reasoned strategies to assess and manage hip flexor pain with confidence.

Timestamps:

00:00 - Intro
03:35 - Hip flexor function
06:56 - Tip 1 - Is it a hip flexor tendinopathy?
09:48 - Tip 2 - Rehab of hip flexors
11:35 - Tip 3 - Other muscle groups to include in rehab
13:08 - Common misconceptions
13:37 - 1. Pronation
14:49 - 2. Firing order
16:13 - 3. Weak transversus abdominis
17:12 - 4. Rib alignment and breathing patterns

🔗 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

Get free access to the "Tricky tendons" infographic series Article associated with this episode: Links associated with this episode:

172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson

Épisode 172

mercredi 16 juillet 2025 • Durée 24:13

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 referral
Key subjective clues that guide your diagnosis and treatment decisions
Whether it's "torn"—and how to know if a surgical referral is appropriate
Clinical signs that help differentiate frozen shoulder from other causes of stiffness
Why pain irritability matters—and how it impacts your rehab approach
When to use (and when to avoid) imaging
How to identify instability and assess the likelihood of recurrence
What assessment tests to perform in your objective examination
The 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 contributions
Why symptom modification tests are useful—and what they tell you
How to help your patient overcome fear, regain confidence, and move again

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Physio Edge podcast with David Pope – Détails, épisodes et analyse

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