Physio Edge podcast with David Pope5 Apr 2021

118. Atraumatic SCJ instability diagnosis & rehab. Physio Edge Shoulder success podcast with Jo Gibson

Patients with atraumatic sternoclavicular joint (SCJ) instability may have pain during overhead activities, throwing or playing sport. How can you diagnose and successfully rehabilitate SCJ instability? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and explore:

Assessment & diagnosis

Which bony surfaces, ligaments and muscles provide stability at the SCJ.
Why do patients develop SCJ instability, and what are the risk factors?
What the research reveals about SCJ instability.
Common symptoms that help you identify SCJ instability.
Questions you need to ask that help with diagnosis.
Posterior instability - Common symptoms & anatomical structures that can be impacted.
How to identify clavicular epiphyseal plate injuries in young athletes.
When closing of the proximal clavicular epiphyseal plate occurs, and why this is important to know.

Rehab & recovery

Rehab exercises you can use to develop muscular support for the SCJ.
How and why you can add C/Sp exercises into SCJ rehab.
How long recovery will take your patients.
When patients are likely to start noticing improvements in symptoms.
Will SCJ instability patients continue to experience instability and pain after rehab?
Is this condition self-limiting?
How can involvement of the SCJ disc be identified?
What imaging can be helpful?
When should you request SCJ imaging?
When is SCJ surgery indicated?

Jo also answered these questions from FB Live listeners:

Does hypermobility change with age?
Can asymptomatic SCJ instability occur in weightlifters that do not have hypermobility, and do we need to treat it?
Which SCJ patients benefit from injections?
When should SCJ injections be avoided?
What autoimmune inflammatory conditions may result in SCJ swelling?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

Free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson's online course at clinicaledge.co/frozenshoulder

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

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