Listen Now

Dr Seth O'Neill (University of Leicester) is back sharing his tips on diagnosing the source of calf pain in active people. What are the common diagnoses? The things you should not miss? The concerning diagnosis masquerading as calf pain? And much more.

Did you know that calf injuries are one of the most common soft tissue injuries in team sports? How comfortable do you feel assessing and managing calf pain, especially designing and progressing a program to help someone get back to their sport? Today, Dr Seth O'Neill from the University of Leicester, joins us to blend the latest science in calf injury with high-level clinical reasoning. You'll get something out of today's chat whether you're beginning in your clinical career or whether you're looking for suggestions for advanced clinical practice.

Dr Dustin Jones, from StrongerLife, talks about the important impact that preventing falls can have on an older adult's wellbeing. He explains how to assess falls risk and physical performance, and recommends his top measures and resources. Dr Jones addresses why it’s important to focus, not only on preventing falls, but on helping older people prepare for falls too, and reviews some drills he uses with his clients. ------------------------------ RESOURCES STEADI: https://www.cdc.gov/steadi/index.html Ability Lab: https://www.sralab.org/additional-resources Stronger Life: https://www.strongerlifehq.com/

A surfer walks into your clinic with neck pain…What do you do next? And why? Dr. Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma. ------------------------------ RESOURCES Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416 Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/01/C-spine-Rule-FAQs.pdf NEXUS Criteria for detecting clinically-important cervical spine injury following blunt trauma: https://www.nejm.org/doi/full/10.1056/NEJM200007133430203

Do you work with young people with ACL injury? Well, you're in the right place! Today, Drs Chris Kuenze and Adam Weaver walk through the story behind creating a brilliant, new normative dataset for function and strength outcomes. You'll learn how the project got started, and how you can use the information to help make even more informed clinical decisions. ------------------------------ RESOURCES Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At 5-7 months After ACL Reconstruction: IKDC, PEDI-IKDC, KOOS, ACL-RSI, Single-leg Hop, and Thigh Strength" on the JOSPT website: https://www.jospt.org/doi/abs/10.2519/jospt.2023.11389 To access the normative database: https://dataverse.lib.virginia.edu/dataset.xhtml?persistentId=doi:10.18130/V3/JNPHUB

Dr Casey Humbyrd—orthopaedic surgeon and Chief of foot & ankle orthopedics at the University of Pennsylvania—shares her expertise and insights on treating ankle sprains that are not responding to non-surgical treatment. Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes.

How do you approach managing low back pain with children and adolescents? Do you have a different approach than when working with adults? Diving into the 2022 JOSPT clinical commentary, “What Works When Treating Children and Adolescents with Low Back Pain?”, Dan and Chelsea chat with author Dr Tiê Yamato. They review the physical, psychological, pharmacological, interdisciplinary and family-centered, and communication interventions that are most effective for treating and managing low back pain in this important population. Read Dr Yamato's article here: https://www.jospt.org/doi/10.2519/jospt.2022.10768

Dr Cara Baxter takes Dan and Chelsea through the keys to designing top-quality rehabilitation programs for ski and snow athletes. Dr Baxter describes the wide variety of competitive events, the demands they place on the athlete, plus the common acute and chronic injuries that plague particular snow sport disciplines. We discuss the travel and schedule demands of the sport, the cognitive demands, the harsh and changing environment, and how you and the athlete can make an informed decision about when is the right time to return to snow.

Frozen shoulder is an enigma characterized by uncertainty, pain, stiffness and disability. It is difficult for patients and clinicians to know how best to manage the symptoms, and what is the likely prognosis. In today’s episode, you’ll hear ideas from Professor Jeremy Lewis about how you might approach assessing a painful and stiff shoulder, and how you might talk with patients to make a decision together about the best way forward. Find Part 2 of the chat with Jeremy—all about treating frozen shoulder—here: https://podcasts.apple.com/us/podcast/ep-68-frozen-shoulder-and-how-to-treat-it-with-prof/id1522929437?i=1000550291168 or https://open.spotify.com/episode/2mDypUMV2BNEypGe52wsIs. ------------------------------ RESOURCES Framework for assessing and managing frozen shoulder: https://pubmed.ncbi.nlm.nih.gov/25107826/ Effectiveness of non-surgical interventions: https://pubmed.ncbi.nlm.nih.gov/31233183/ UK FROST trial: https://pubmed.ncbi.nlm.nih.gov/33010843/ Prof Lewis’ book, The Shoulder: Theory & Practice, is available from https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/

Clinical physiotherapy specialist, Jo Gibson, is making assessing and diagnosing shoulder problems simple. What are the keys to communicating well with athletes, and the tests you need in your clinical arsenal to best support injured athletes? Part 2 of our chat with Jo (find it here: https://podcasts.apple.com/us/podcast/ep-99-solving-stubborn-shoulders-part-2-with-jo-gibson/id1522929437?i=1000578394772) was all about supporting the athlete to return to sport: key considerations and best tests. ------------------------------ RESOURCES The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

When helping someone to manage their femoroacetabular impingement syndrome, knowing how and when to refer to a surgeon can feel like an uncertain decision. In today's episode, Dr Travis Maak shares the orthopaedic surgeon's perspective on hip pain in athletes. Dr Maak is a strong advocate for multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together. We cover when to refer to an orthopaedic surgeon, what to do when hip treatments aren’t going to plan, and how different surgical techniques have implications for the decisions clinicians make about rehabilitation.

"Help! I've tried everything - nothing has worked!" When the exasperated patient in front of you tells you she's tried all the treatments for Achilles tendionpathy - where do you go? Where do you start? What are the goals of treatment? Specialist sports physiotherapist and clinical researcher, Dr Ebonie Rio brings her trademark brand of pragmatism to JOSPT Insights today, as she shares top clinical tips for diagnosing and managing tricky tendons. ------------------------------ RESOURCES More on tissue capacity: https://pubmed.ncbi.nlm.nih.gov/26255142/ Revisit the continuum model of tendon pathology: https://pubmed.ncbi.nlm.nih.gov/27127294/

In the final episode of JOSPT Insights for 2022, we're wrapping and putting a bow on a big year of content. Drs Chelsea Cooman and Dan Chapman join Dr Clare Ardern to share their big take-aways from a year of listening to and learning from all the wonderful experts who have contributed their wisdom on JOSPT Insights in 2022. 02:15: Prof Nicola Philips on optimal loading (https://tinyurl.com/3j4j7vpy) 04:05: Dr Ebonie Rio on loading tendons (https://tinyurl.com/rtvh6sfj) 06:35: Dr Tasha Stanton on managing osteoarthritis symptoms (https://tinyurl.com/yc8djs75) 07:45: Drs Matt Klein and Nathan Brown on running injuries (https://tinyurl.com/9t7jprjh) 09:25: Dr Kevin Wernli on moving better with pain (https://tinyurl.com/44ukf339) 11:30: Dr Amy Arundale on authentic connections with athletes (https://tinyurl.com/4tc8dewr) 13:50: Dr Matt Whalen shares injury prevention resources (https://tinyurl.com/23j2cxuj) 15:00: Dr Mike Rosenthal shares the American College of Radiology Appropriateness Criteria (https://tinyurl.com/5dwac4mt) 16:40: Dr Marie Boo on injuries in women's football (soccer) (https://tinyurl.com/bdfchmss)

Today we're diving into hip osteoarthritis, especially the link between hip joint loading in younger years and the risk of developing hip osteoarthritis later in life. What causes hip osteoarthritis in athletes? How can clinicians and athletes work together for healthy, happy hips? Dr Josh Heerey—physiotherapist and Research Fellow at La Trobe University's Sport and Exercise Medicine Research Centre—has thought deeply about the answers to these questions through his clinical and research career, and he joins us to explain more. ------------------------------ RESOURCES More on the prevalence of hip morphology in athletes: https://www.jospt.org/doi/10.2519/jospt.2021.9622 Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/ Unravelling the relationship between cam morphology and hip OA: https://pubmed.ncbi.nlm.nih.gov/30175856/

Today’s episode is another JOSPT Cases cameo! Dr Mike Rosenthal, associate editor for JOSPT Cases, explains a clinical case of a patient after total hip arthroplasty with pain symptoms that don’t quite add up. We discuss why it is important to continue red flag screening throughout care, how to frame an urgent referral, and how the imaging approach can influence health care. There are even some bonus tips for authors who are considering submitting case studies to JOSPT Cases (https://www.jospt.org/toc/jospt-cases/current). ------------------------------ RESOURCES American College of Radiology Appropriateness Criteria: https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria Radiology Across Borders' Diagnostic Imaging Pathways: https://radiologyacrossborders.org/diagnostic_imaging_pathways/ IFOMPT International Framework for Red Flags: https://www.jospt.org/doi/10.2519/jospt.2020.9971

Does the thought of dermatomes and myotomes, nerve trunks and nerve roots fill you with confidence or fill you with fear? Physiotherapist and neuroscientist, Dr Annina Schmid (Nuffield Department of Clinical Neurosciences, Oxford University), shares a checklist of what you need to know, and what you need to do, to nail your neurological assessment next time you're in the clinic. ------------------------------ RESOURCES Does your neurological examination for suspected peripheral neuropathies measure up? Do a check-up here: https://doi.org/10.2519/jospt.2022.11281 Why you cannot trust the dermatomes: https://www.youtube.com/watch?v=BZYtAR4zUpg&t=283s More from Dr Schmid's Neuromusculoskeletal Health and Science Laboratory: https://www.ndcn.ox.ac.uk/research/neuromusculoskeletal-health-and-science-lab

The masters woman athlete has high expectations on herself for performing in sport. She is often navigating the training, performance and musculoskeletal health care landscape with little support from a dedicated multidisciplinary team. Today, Professor Kirsty Elliott-Sale brings her physiology and endocrinology expertise to help you understand how best to support masters women athletes to stay healthy and perform at their best during and beyond the menopause. ------------------------------ RESOURCES Standards of practice for research on women in sport, sports medicine, sport science: https://pubmed.ncbi.nlm.nih.gov/33725341/

How comfortable do you feel when guiding women on how to stay active, healthy and injury-free beyond the menopause? In today's episode, Professor Kirsty Elliott-Sale (Institute of Sport at Manchester Metropolitan University) walks through all you need to know about the menopause and how you might tailor your exercise prescription for women who are approaching, in the middle of, or post- menopausal. We talk through the phases of menopause, typical signs and symptoms, and Kirsty's whole body approach to supporting women to stay active through their life.

Dr. Kevin Wernli unpacks his research on patients’ beliefs about relationships between low back pain, posture and movement. We’re helping you support patients as they challenge their own beliefs about pain and moving. Kevin’s approach focuses on liberating the person to test their own beliefs with information and knowledge from trusted sources. Today we’re tackling the common belief that “my back is easy to injure and hard to heal”. ------------------------------ RESOURCES Dr. Wernli’s paper and subject of today’s interview: https://pubmed.ncbi.nlm.nih.gov/35959703/ Ten facts every person should know about back pain: https://pubmed.ncbi.nlm.nih.gov/31892534/ Empowered Beyond Pain podcast (especially episodes 4, 5, 11-20 about back facts): https://open.spotify.com/show/3ogpeLlDGLRLiHofEWvCje Cognitive Functional Therapy: https://pubmed.ncbi.nlm.nih.gov/29669082/ Pain-Ed: www.Pain-ed.com Infographics and short videos: https://www.pain-ed.com/blog/2020/06/13/ten-low-back-pain-facts-videos/ PainHealth: https://painhealth.csse.uwa.edu.au/

Today we tackle some big-picture questions about what it means to exist between the sports performance and sports physical therapy arenas. Dr Mack explains how collaborating with and learning from a variety of people in a variety of professions helps her thrive in the rehabilitation and performance spheres. As the director of education content for the American Academy of Sports Physical Therapy and a business owner, Dr Mack also shares her thoughts on working in the insurance and cash-based settings, and the resources available for clinicians to help them best serve their patients with rehabilitation and performance.