Physio Edge podcast with David Pope

• 170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles

  Brazilian Jiu-Jitsu (BJJ) is a popular grappling-based martial art that uses joint locks and chokes to subdue or submit opponents. It’s an intense, physically demanding sport with complex movements and submission techniques that involve a risk of injury, particularly to the knees, shoulders, elbows, neck, and lower back. It’s important for Physiotherapists and health professionals who treat BJJ athletes to understand the different mechanisms of injury, movements and positions athletes need to be able to perform, so they can develop successful rehabilitation programs, and safely and successfully return athletes to training. In this podcast, David Pope (APA Titled Musculoskeletal and Sports and Exercise Physio) explores BJJ injuries with Dr. Lachlan Giles—a BJJ black belt and world-class BJJ competitor, including 1st Place IBJJF Pan-Pacific Championship 2016 & 2017, 3rd place ADCC 2019 Open weight division and many more accomplishments. Lachlan is also a BJJ coach to top level competitors, including Levi Jones-Leary, Craig Jones before he moved to DDS, and a Physiotherapist with a PhD in knee pain and rehab. Lachlan shares his extensive experience treating and managing BJJ injuries, drawing from the research, as well as his clinical knowledge and personal experience as an elite grappler and BJJ coach. In this podcast, we discuss: The challenges physiotherapists face when treating BJJ athletes and how to adapt rehab programs for them. Common areas injured in BJJ. What commonly causes knee injuries, including LCL and ACL sprains, in BJJ. Different positions athletes need to get into in BJJ, why it’s important to understand these positions, and how you can use this to guide your rehab and return to sport. Strength vs flexibility vs conditioning? Which factors are critical in injury recovery, prevention and performance? Practical strategies for modifying training and load to allow injured athletes to continue training safely. The role of neck strengthening in protecting against neck injuries from chokes and takedowns. How to structure a safe return-to-play progression for knee, back, and rib injuries. Key factors that impact athlete recovery. When athletes can continue training, when and how to modify training and when to recommend complete rest. The impact of training style, intensity, and mindset on injury risk and longevity in the sport. How older athletes can adjust their game to have fewer injuries while continuing to train and compete. Listen to this podcast now to have a better understanding of BJJ injuries, rehabilitation, and strategies to help athletes successfully get back to or continue training and competing in BJJ. 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 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 Dr Lachlan Giles David Pope on Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge   Chapters:  04:40 - Lachlan's PhD 10:06 - Can VMO be targeted with rehab? 14:06 -  What challenges do Physios face when treating BJJ athletes? 17:03 - When to allow patients to continue training 19:35 - Different types of training 21:36 - Lachlan's training with an LCL injury 26:53 - Common injuries in BJJ 29:18 - Other areas injured in BJJ, and why low back pain occurs 33:39 - How BJJ athletes can train to stay healthy and avoid injury 37:05 - Getting back to training and rolling 42:23 - Tests before patients "invert" with their legs over their head 48:11 - Leg entanglement, 50/50 and leg locks 52:09 - Positions to use when coming back from an injury 53:08 - Rib and costochondral injuries 59:44 - Forearm periostitis

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• 169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom

   Static stretching has long been used to improve flexibility, but research shows its effects are often short-lived. So how can you help patients achieve lasting improvements? In this episode, Tom Goom (Running Physio) explores exercises you can provide to patients to increase muscle fascicle length, improve flexibility, and reduce injury risk. You’ll discover: Why static stretching alone may not create long-term flexibility gains Exercises to improve muscle length and function Key training parameters for effective flexibility training Strategies to maintain flexibility improvements over time If you’re a physiotherapist or health professional looking for research-backed flexibility strategies, this episode is packed with practical insights! 🔗 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. Article associated with this episode: Click here to download your podcast handout Diong J, Carden PC, O'Sullivan K, Sherrington C, Reed DS. Eccentric exercise improves joint flexibility in adults: A systematic review update and meta-analysis. Musculoskeletal Science and Practice. 2022 Aug 1;60:102556. Links associated with this episode: Free Achilles tendinopathy videos Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Tom live on Facebook & ask your shoulder related questions every Friday 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 Tom Goom on Twitter Tom Goom’s website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge

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• 168. How to explain shoulder pain to patients. Physio Edge Shoulder Success podcast with Jo Gibson

  How do the terms we use influence a patient’s understanding of their shoulder pain, their recovery expectations, and even their treatment choices? In this episode of the Physio Edge Shoulder Success Podcast, Jo Gibson (Upper Limb Rehabilitation Specialist Physio), explores the power of language in physiotherapy and how our explanations can either support or hinder a patient’s progress. Drawing on research and real-world clinical experience, Jo discusses a compelling case study: Persistent shoulder pain after multiple treatments – A patient with years of ongoing pain, failed surgeries, and various diagnoses struggles to make sense of their condition. Despite normal imaging, they avoid activity and seek repeated treatments, caught in a cycle of fear and uncertainty. Jo unpacks key questions around patient communication: How do diagnostic labels like "impingement" or "rotator cuff tear" shape patient beliefs? Why do patients often focus on the most negative aspects of their diagnosis? How can we explain shoulder pain in a way that reassures rather than reinforces fear? You’ll also gain practical strategies to: Explore what patients understand about their diagnosis and how it influences their behavior. Use language that encourages confidence and movement rather than avoidance. Identify non-verbal cues that indicate uncertainty or distress in your patients. With evidence-based insights and actionable communication tips, this episode will help you refine your patient interactions and improve rehabilitation outcomes. Listen now to discover how small changes in your language can make a big impact on your patients’ recovery. 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: Free video series - How to be a shoulder detective: Solving acute shoulder pain 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

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• 167. Bones, them strong bones: How to use bone loading programs. Physio Edge Running repairs podcast with Tom Goom

  Bone strength and density are vital in your running and sporting patients who can experience bone stress injuries (BSI’s), and also as patients get older and more vulnerable to falls and fractures. How can you improve bone strength in patients following a bone stress injury such as Medial Tibial Stress Syndrome or stress fractures, or in other patients that you’d like to improve bone density or strength? Traditional approaches to strength and conditioning may not always address the needs of your patients recovering from bone stress injuries. That’s where bone loading programs come in—a targeted strategy to help prepare bones for impact, improve power, and support a return to sport. In this episode, Tom Goom (Running Physio) dives into the research and how to use a bone loading program to stimulate bone adaptation. In this podcast, you’ll discover: The theory and evidence behind bone loading programs and how bones respond to impact. How to identify the right stage of injury recovery for introducing impact training. Practical guidelines for implementing short, progressive bone loading exercises. Techniques for progressing exercises based on patient goals and symptoms. Strategies to improve bone strength in patients experiencing other musculoskeletal issues such as Achilles tendinopathy. Real-world applications and demonstrations of bone loading programs. Tom also shares insights on identifying readiness for impact exercises, managing patient expectations, and adjusting programs for individual needs. You’ll leave this episode equipped with actionable strategies to help patients safely and effectively return to sport while supporting their bone health. If you’re a clinician or physiotherapist looking for practical solutions to manage bone stress injuries or improve bone density, this podcast is packed with valuable information you can apply in your practice right away. 🔗 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. Article associated with this episode: Turner CH, Robling AG. Mechanisms by which exercise improves bone strength. Journal of bone and mineral metabolism. 2005 Jan;23:16-22. Links associated with this episode: Free Achilles tendinopathy videos Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Tom live on Facebook & ask your shoulder related questions every Friday 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 Tom Goom on Twitter Tom Goom’s website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge Chapters: 04:37 - Turner and Robling (2005) running longer doesn't make bones stronger 10:46 - Bone loading progressions 15:58 - Analysis of the evidence 17:05 - Whether loading technique matters 15:03 - Summary  

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• 166. To tape or not to tape? Physio Edge Shoulder Success podcast with Jo Gibson

  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?  

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