Podcast Physio Edge podcast with David Pope by David Pope

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

Episode 174

jeudi 4 septembre 2025 • Duration 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

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:

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

Episode 173

mercredi 6 août 2025 • Duration 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

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.

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164. Case study: Rotator cuff tear + arm symptoms. Physio Edge Shoulder Success podcast with Jo Gibson

Episode 164

jeudi 18 juillet 2024 • Duration 14:51

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:

074. Hip pain and femoroacetabular impingement FAI with Dr Joanne Kemp

Episode 74

vendredi 24 novembre 2017 • Duration 59:26

Femoroacetabular impingement (FAI) may contribute to hip and groin pain, buttock pain, pelvic or low back pain and referred pain into the thigh. Is conservative management effective in patients with FAI, or is surgery required? If we can treat FAI conservatively, what is the best treatment, and how can you tailor your treatment to your individual patients?

In episode 74 of the Physio Edge podcast with Dr Joanne Kemp you will discover:

What is FAI, and how can you identify it?
Common clinical presentations
Key subjective questions to ask
Types of FAI morphology and how they are identified
Is FAI just a normal finding?
How you can perform an objective assessment in patients with FAI
Differential diagnosis
Components you need to include in your conservative treatment for FAI
Which objective markers to use when treating FAI
How to address common impairments in your rehabilitation, including strength, functional tasks, cardiovascular training and range of movement
When to refer for a surgical opinion
Outcomes of surgical treatment
Future risk of developing OA in presence of FAI

Sports Injuries virtual conference presentation

As mentioned in this episode Joanne will be part of the Sports Injury virtual conference. Her pre conference presentation will discuss FAI and the diagnostic process in more detail. Her subsequent conference presentation will be available on 9-10 December 2017, with access for up to 12 months following the conference, and will discuss:

Conservative management of FAI
Specific exercise progressions you can use
Return to sport for athletes

Enrol on the 2017 Sports Injuries virtual conference by CLICKING HERE

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Articles associated with this episode:

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073. Neck pain rehabilitation and strengthening with Kay Robinson

Episode 73

vendredi 10 novembre 2017 • Duration 49:34

Strengthening is not commonly used in neck pain treatment and rehabilitation, however athletes may place large demands on their neck during training and play that require a high level of strength or endurance.

When should you include strength training in your rehabilitation? What patients will benefit from strength training? How can you incorporate strengthening into your treatment?

In episode 73 of the Physio Edge podcast, we explore the role of neck strengthening with Kay Robinson, Physiotherapist working with Australian sailing, and previously with the British Olympic Skeleton team.

In the podcast you will discover:

Objective assessment of patients with neck pain
Range of movement and strength tests you can use with your neck pain patients
How to assess neck strength in your patients
Indications for strength training
Is strength training suitable in the early stages of neck pain rehabilitation?
Early-stage cervical spine rehabilitation exercises you can use
Exercise progressions to improve neck strength
Neck strengthening in concussion
Is neck strength training suitable for whiplash patients?
Aspects incorporated into a typical neck strengthening program

Kay Robinson will also be presenting at the 2017 Sports Injury virtual conference. Her conference presentation on neck strengthening will discuss:

How to incorporate neck training into rehabilitation post injury
Neck strengthening for injury prevention
How to make exercise patient or sport specific
Other consideration with neck training
Case studies

Links associated with this episode:

Articles associated with this episode:

Other episodes of interest:

072. Accelerated hamstring injury rehabilitation exercise selection and progressions with Jack Hickey

Episode 72

vendredi 3 novembre 2017 • Duration 01:16:50

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

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

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

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

Links associated with this episode:

Sliding discs to use in hamstring slider exercises in your clinic - available in Australia. Use the code "clinicaledge" to get 20% off your order (at the above link, not applicable on Amazon)
Amazon (outside Australia)- Sliding discs to use in hamstring slider exercises

Other episodes of interest:

Articles associated with this episode:

071. Hamstring strengthening, lengthening and injury prevention with Dr David Opar

vendredi 27 octobre 2017 • Duration 58:17

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

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

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

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

Related Links

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070. How to treat adductor related groin pain and complex cases with Dr Adam Weir

Episode 70

jeudi 19 octobre 2017 • Duration 01:04:27

Athletes with groin pain will commonly play with pain until the end of the season, and rest during the off-season in the hopes this will aid in their recovery. Unfortunately this offseason rest period rarely results in recovery, and athletes head into the preseason with long-standing groin pain and an extended recovery period.

In this episode of the Physio Edge podcast with Dr Adam Weir , you will discover how to treat adductor related groin pain (ARGP) and complex patient presentations with multiple areas of pathology or pain.

This podcast follows on from the Physio Edge podcast episode 69, where Dr Adam Weir and I discussed in detail how to assess and diagnose adductor related groin pain, identify or exclude differential diagnosis including stress fractures, hip joint involvement, inguinal related groin pain and nerve entrapment.

You will explore:

Treatment of acute adductor strains
Long term adductor related groin pain (ARGP)
Is rest during the off season helpful or harmful for groin pain
What pain level is ok during rehab exercises
How can you describe ARGP to decrease patient fear
Is ARGP a tendinopathy or different pathology?
How to answer your patients when they ask how long until they can return to training (RTT) or return to play (RTP)?
What is and how can you incorporate the Copenhagen Adductor exercise?
Is there a role for passive treatment?
Is hand held dynamometry useful during recovery?
Treatment for adductor related groin pain (ARGP)
Starting treatment
Exercise progressions
What criteria can you utilise for treatment progressions?
What criteria can you use prior to allowing your patients to return to running, change of direction and RTP
How to progress running and change of direction training
Adductor to abductor strength ratios your athletes can achieve prior to RTP

Complex presentations

How can you make a diagnosis and tailor your rehab when a patient has multiple areas of pain and positive tests eg ARGP plus Psoas related groin pain or Inguinal related groin pain?
How your treatment program may evolve as your patient progresses through their rehab

Dr Adam Weir will be presenting at the upcoming Sports Injuries virtual conference on the assessment and treatment of Inguinal related groin pain. You can access his free preconference presentation, along with other free sports injury assessment and treatment videos AT THIS LINK

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Articles associated with this episode:

069. Adductor related groin pain stress fractures and nerve entrapment assessment diagnosis with Dr Adam Weir

Episode 69

vendredi 13 octobre 2017 • Duration 01:09:31

Adductor related groin pain is the most common diagnosis for athletes with groin pain. In this episode of the Physio Edge podcast you will discover how to assess and diagnose adductor related groin pain, identify or exclude differential diagnosis including stress fractures, hip joint involvement, inguinal related groin pain and nerve entrapment.

Dr Adam Weir is a Sports Physician with a PhD on groin pain, the lead author for the Doha agreement meeting on terminology and definitions in groin pain in athletes, who currently shares his time between the Aspetar sports groin pain centre and the Erasmus University Hospital Academic Centre for Groin Injuries in Holland. Adam will take you through exactly how to perform an assessment around the hip and groin, how to interpret your findings and how to explain your diagnosis to your patients. You will explore:

The common presentation and symptoms of someone with adductor related groin pain
Structures that are commonly involved
Aggravating and easing activities
Area of pain, and new research highlighting unexpected pain referral areas from the adductor tendons
Differential diagnosis
Bone stress injuries around the hip and pubic bone
Genitofemoral nerve entrapments - symptoms, diagnosis and treatment
Red flags
Acute versus chronic presentations
Adductor related versus pubic related groin pain
How to perform an assessment, including screening tests
Tests you need to incorporate into your assessment
Identifying and diagnosing all the structures contributing to a patient's symptoms
What is the value of imaging and when should it be performed?

Links associated with this episode:

Download your free podcast handout
Dr Adam Weir on Twitter - @adamweirsports
Aspetar – Sports groin pain centre
Erasmus University Hospital Academic Centre for Groin Injuries
Get your free trial Clinical Edge membership
David Pope on Twitter
Clinical Edge on Facebook

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068. Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras

Episode 68

vendredi 6 octobre 2017 • Duration 01:23:42

There are a range of tendinopathy presentations, from easily diagnosed with a local area of pain and clear pain response to tissue overload; through to patients with trickier presentations and multiple contributors to pain e.g. long term proximal hamstring or gluteal tendinopathy with a lumbar spine radiculopathy.

How can you diagnose and treat patients with complex tendinopathy presentations? How does the latest research around tendinopathy help us? I explore these issues and more with Dr Peter Malliaras in episode 68 of the Physio Edge podcast. We also explore:

Do tendinopathy patients always present with a small area of pain, or can they have pain in larger, more diffuse areas?
How will you identify tendinopathy or other structures that may be contributing to your patients symptoms?
Clues in your patients' history to help you identify and differentiate tendinopathies, lumbar and SIJ referral
Symptoms and how your treatment will differ in patients with paratenon and fat pad involvement
How can you measure your patients load tolerance?
What categories of tendinopathy patients can you use to help differentiate your treatment?
How can you rehabilitate patients with tendinopathy?
What role does biomechanics have?
What advice can you provide to your patients about load management, symptoms and flareups?
When is it ok for your patients to continue or return to running?
What strength tests should your patients be able to complete before returning to running?
If your patients are not tolerating running, which aspects should you modify first - frequency, intensity, type or duration?
When are isometrics useful in your treatment?
When can you start isotonic and plyometric exercises?
How can you incorporate tendon neuroplastic training (TNT)?