Episodes

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

    170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles
    Apr 8 2025
    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 membershipClick here to register and receive immediate access to the Tricky tendons infographic seriesFree Achilles tendinopathy video series with Tom GoomDavid Pope at Clinical Edge Download and subscribe to the podcast on iTunesDownload the podcast in OvercastListen to the podcast on SpotifyDr Lachlan GilesDavid Pope on TwitterDavid Pope & why I started Clinical Edge Review the podcast on iTunesInfographics by Clinical Edge Chapters: 04:40 - Lachlan's PhD10:06 - 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 training19:35 - Different types of training21:36 - Lachlan's training with an LCL injury26:53 - Common injuries in BJJ29:18 - Other areas injured in BJJ, and why low back pain occurs33:39 - How BJJ athletes can train to stay healthy and avoid injury37:05 - Getting back to training and rolling42:23 - Tests before patients "invert" with their legs over their head48:11 - Leg entanglement, 50/50 and leg locks52:09 - Positions to use when coming back from an injury53:08 - Rib and costochondral injuries59:44 - Forearm periostitis
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    1 hr and 12 mins
  • 169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom

    169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom
    Mar 29 2025

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

    168. How to explain shoulder pain to patients. Physio Edge Shoulder Success podcast with Jo Gibson
    Feb 20 2025
    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 GibsonGet your access to the free video series “Frozen shoulder assessment & treatment” with Jo GibsonImprove your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo GibsonImprove your confidence and clinical reasoning with a free trial Clinical Edge membershipJoin Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunesDownload the podcast now using the best podcast app currently in existence - OvercastListen to the podcast on SpotifyJo Gibson on TwitterLet David know what you liked about this podcast on Twitter Review the podcast on iTunesInfographics by Clinical Edge
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    24 mins
  • 167. Bones, them strong bones: How to use bone loading programs. Physio Edge Running repairs podcast with Tom Goom

    167. Bones, them strong bones: How to use bone loading programs. Physio Edge Running repairs podcast with Tom Goom
    Nov 29 2024
    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 videosDiscover the simple secrets to successfully treat tendon pain in this free three part video series with Tom GoomImprove your confidence and clinical reasoning with a free trial Clinical Edge membershipJoin Tom live on Facebook & ask your shoulder related questions every Friday Download and subscribe to the podcast on iTunesDownload the podcast now using the best podcast app currently in existence - OvercastListen to the podcast on SpotifyTom Goom on TwitterTom Goom’s websiteDavid Pope - TwitterDavid Pope & why I started Clinical Edge Review the podcast on iTunesInfographics by Clinical Edge Chapters: 04:37 - Turner and Robling (2005) running longer doesn't make bones stronger10:46 - Bone loading progressions15:58 - Analysis of the evidence17:05 - Whether loading technique matters15:03 - Summary
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    22 mins
  • 166. To tape or not to tape? Physio Edge Shoulder Success podcast with Jo Gibson

    166. To tape or not to tape? Physio Edge Shoulder Success podcast with Jo Gibson
    Nov 20 2024
    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 GibsonGet your access to the free video series “Frozen shoulder assessment & treatment” with Jo GibsonImprove your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo GibsonImprove your confidence and clinical reasoning with a free trial Clinical Edge membershipJoin Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunesDownload the podcast now using the best podcast app currently in existence - OvercastListen to the podcast on SpotifyJo Gibson on TwitterLet David know what you liked about this podcast on Twitter Review the podcast on iTunesInfographics by Clinical Edge Chapters: 03:36 - Patient 1 - Taping for volleyball post shoulder stabilisation surgery06:26 - Patient 2 - Neck driven shoulder pain 07:04 - What's the evidence for and against tape?13:09 - Applying the evidence around taping18:15 - Back to the case studies 21:47 - Question - Can tape stimulate mechanoreceptors to give somatosensory feedback to the brain?
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    25 mins
  • 165. Busting hip pain myths with Mehmet Gem

    165. Busting hip pain myths with Mehmet Gem
    Nov 5 2024


    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
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    1 hr and 9 mins
  • 164. Case study: Rotator cuff tear + arm symptoms. Physio Edge Shoulder Success podcast with Jo Gibson

    164. Case study: Rotator cuff tear + arm symptoms. Physio Edge Shoulder Success podcast with Jo Gibson
    Jul 18 2024
    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) isCommon pain patterns with rotator cuff tearsWhy the Suprascapular nerve can be affected in MRCT’sHow to set realistic expectations with patients about their recoveryCommon causes of pain into the posterior arm, wrist and handHow to differentially diagnose shoulder, arm and hand pain Assessment tests to identify and exclude cervical involvementWhen 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 GibsonFree webinar - Rotator cuff revealed: Rehab & reasoning with Jo GibsonGet your access to the free video series “Frozen shoulder assessment & treatment” with Jo GibsonImprove your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo GibsonImprove your confidence and clinical reasoning with a free trial Clinical Edge membershipJoin Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunesDownload the podcast now using the best podcast app currently in existence - OvercastListen to the podcast on SpotifyJo Gibson on TwitterLet David know what you liked about this podcast on Twitter Review the podcast on iTunesInfographics by Clinical Edge
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    15 mins
  • 163. ACL treatment options and cross-bracing with Clare Walsh

    163. ACL treatment options and cross-bracing with Clare Walsh
    Apr 17 2024
    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 bracingFollowup 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 membershipFree Achilles tendinopathy video series with Tom GoomDavid Pope at Clinical Edge Download and subscribe to the podcast on iTunesDownload the podcast in OvercastListen to the podcast on SpotifyClare Walsh on TwitterDavid Pope on TwitterDavid Pope & why I started Clinical Edge Review the podcast on iTunesInfographics by Clinical Edge
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    1 hr and 8 mins
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