Physio Edge podcast with David Pope

Taping: does it really help patients with shoulder pain, or is it just a brightly coloured placebo? In this thought-provoking episode of the Physio Edge Shoulder Success Podcast, Jo Gibson, upper limb rehab specialist at Rehab for Performance, unpacks the complexities of taping in shoulder rehabilitation. Drawing from the latest evidence and her extensive experience with shoulder pain, Jo shares two compelling case studies and whether taping was useful in the treatment of: Volleyball player post-stabilisation surgery – Despite passing all return-to-play criteria, this patient struggled with fear of re-injury in specific positions. C/Sp referred shoulder pain – Severe neck and shoulder pain with difficulty sleeping left this patient guarding every movement. Learn whether taping played a role in this patient’s rehab. Jo examines the evidence behind taping, addressing key questions: Does tape improve biomechanics, or are the effects purely psychological? How do sensory input and contextual factors influence patient outcomes? Can taping be a useful temporary tool, or is it overrated? You’ll also gain insights into: The importance of clinical reasoning when choosing adjuncts like taping. How to manage patient beliefs and expectations around interventions. Practical applications of taping to improve confidence and support movement strategies. With a blend of evidence, clinical expertise, and practical examples, this episode offers a balanced view on the role of taping in physiotherapy. Whether you’re a seasoned clinician or early in your career, you’ll come away with fresh perspectives on using taping effectively in your practice. 🎧 Tune in now to discover when, why, and how to use taping to support your patients’ shoulder rehab success! Click on an image below to access these free resources from Jo Gibson and Clinical Edge The handout for this podcast consists of a transcript associated with this podcast. Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.  Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge   Chapters: 03:36 - Patient 1 - Taping for volleyball post shoulder stabilisation surgery 06:26 - Patient 2 - Neck driven shoulder pain  07:04 - What's the evidence for and against tape? 13:09 - Applying the evidence around taping 18:15 - Back to the case studies  21:47 - Question - Can tape stimulate mechanoreceptors to give somatosensory feedback to the brain?  

Join hosts David Pope and The Hip Physio - Mehmet Gem as they dive deep into the myths and misconceptions surrounding hip and groin pain. This podcast explores common myths about glutes and hip flexors, effective rehab exercises, and how to accurately assess and treat various hip conditions. Get free access to the "Tricky tendons" infographic series Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists. Links Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership LEAP Trial Click here to register and receive immediate access to the Tricky tendons infographic series Free Achilles tendinopathy video series with Tom Goom David Pope at Clinical Edge Download and subscribe to the podcast on iTunes Download the podcast in Overcast Listen to the podcast on Spotify Mehmet Gem David Pope on Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge Chapter markes: 00:00 Intro 00:27 Getting to know Mehmet 03:11 Glute myths and misconceptions - Can patients have "gluteal amnesia" or "switched off glutes"? 08:54 When and how to test & improve glute strength 12:58 Functional glute testing 14:49 Mehmet's favourite glute exercises 19:22 Greater trochanteric pain syndrome/gluteal tendinopathy 23:04 Stretches for lateral hip pain? 25:52 Should patients perform hip mobility exercises? 29:07 Improving hip range of movement 36:48 When to test hip range of movement 39:40 Differentiating hip osteoarthritis (OA) from GTPS 44:24 Hip objective assessment - OA vs GTPS 46:51 GTPS diagnosis 49:44 Return to running with hip dysplasia 52:37 Hip flexors - what are they responsible for? 53:42 Do hip flexors get tight from sitting? 54:39 Hip flexors - objective assessment 57:43 Hip rehab exercises  

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: Free shoulder assessment infographic series with Jo Gibson Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge

ACL injuries result in significant time away from sport and distress for patients. The variety of management options, from surgical intervention to non-surgical management and rehabilitation protocols, often makes us uncertain when educating and helping patients choose the most appropriate care for their needs and goals. Recently, a new non-operative ACL injury management pathway called the “Cross bracing protocol” has been pioneered and developed by Dr Tom Cross and Tom’s father (the late Orthopaedic surgeon) Dr Merv Cross. This protocol offers a promising alternative for patients with ACL injuries who are suitable for non-surgical intervention, where the ACL injury may heal or repair itself. Not all patients with an ACL injury are suitable for the Cross bracing protocol or non-surgical management, so how can you identify whether your patient is suitable, and which treatment options are best for each patient? In this insightful podcast episode, we discuss the complex challenge of ACL injury management and Cross bracing with Clare Walsh (Specialist Sports & Exercise Physiotherapist, FACP). Clare treats a lot of patients with ACL injuries with prehabilitation, post-op rehabilitation, or non-surgical management including Cross bracing. Clare works alongside Dr Tom Cross and other Sports Medicine Doctors, Orthopaedic surgeons (including the late Dr Merv Cross) and leading Sports Physiotherapists at Stadium Sports Physiotherapy and The Stadium Clinic. Clare teaches on the Cross bracing course conducted in Australia for Physiotherapists and health professionals, and is a Senior Educator & Presenter here at Clinical Edge. In this podcast we explore: Cross bracing What it is and how it developed. What research has been performed to date, and what it shows about the chances of ACL healing with the Cross bracing protocol. Assessment tests & specific imaging that are used to assess patient suitability. Why patients might opt for Cross bracing rather than surgery. Who isn’t suitable for Cross bracing. Potential negative outcomes of Cross bracing. Which patients are more likely to be suitable and successful with Cross bracing - eg. injury type, age, level of sport, goals, psychosocial factors. Medical factors that impact suitability. Psychosocial factors that impact whether a patient can undergo the protocol. Which leg (right or left) is better suited to bracing and why. Which type of braces are commonly used. How soon the protocol needs to commence after injury to be successful. Which concomitant injuries can still heal in a brace and which need surgery e.g. meniscus injuries, bucket handle tears of the meniscus, MCL tears. How long patients remain in a brace. Exercises and activities that can and should be performed throughout Cross bracing. How patients can move or walk around throughout the Cross bracing period. How Cross bracing has changed and evolved. Whether the ACL is at increased risk of re-rupture following the protocol. Essential medical management during the protocol. Whether therapists can put a patient in a brace, or manage the protocol independently. What to you do if you think a patient may be suitable for Cross bracing. How to refer patients for Cross bracing Followup imaging at the end of the protocol. Functional assessment tests used at the end of the protocol. Return to training (RTT) and return to play (RTP) following the protocol. Which patients require surgery instead of conservative management. Early surgery vs delayed surgery. Spontaneous ACL healing - what the research says. How to use patient-centred decision-making to guide patients into the most suitable recovery pathway - surgery, bracing or non-surgical management. Case studies and comparisons of patients that underwent either Cross bracing or ACL reconstruction. This podcast is packed full of great information on this emerging ACL injury treatment. You’ll finish this podcast with a deeper understanding of ACL injury management and Cross bracing plus practical knowledge, solutions and insights you can apply into your practice. Links Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Free Achilles tendinopathy video series with Tom Goom David Pope at Clinical Edge Download and subscribe to the podcast on iTunes Download the podcast in Overcast Listen to the podcast on Spotify Clare Walsh on Twitter David Pope on Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge