Physio Edge podcast with David Pope18 Juni 2020

104. Peripheral nerve sensitisation & neural tissue pain disorders with Dr Toby Hall

How can you identify the source of your patients leg, shoulder or arm pain? Is it from neural tissue compression, sensitisation or irritation or nearby joints, tendons or muscles? What questions and objective tests will help you diagnose a neural tissue pain disorder (NTPD)?

In this podcast with Dr Toby Hall (Specialist Musculoskeletal Physiotherapist, FACP, PhD), you'll discover:

Three types of neural tissue pain disorders, and how to identify each one
What is Peripheral nerve sensitisation (PNS)?
What clues in your subjective examination will help you identify PNS?
Why do nerves become inflamed or irritated?
How to identify & differentiate radiculopathy and radicular pain in patients with radiating limb pain.
Do all patients with NTPD have obvious neuro symptoms such as pins and needles, numbness or weakness?
Quick screening tests you can use in your assessment to identify PNS.
How to identify if your patients shoulder and arm pain is from neural tissue or from local shoulder structures.
How to diagnose a NTPD in patients with hip or leg pain.
How to perform passive neurodynamic tests such as the straight leg raise (SLR), upper limb neurodynamic test (ULNT), slump test and femoral nerve slump test.
What information does a positive or negative neurodynamic test provide?
Can we identify the location of a nerve lesion or irritation with our passive neurodynamic tests or palpation?
Initial PNS treatment options
Is exercise helpful or harmful in patients with PNS?
How can you palpate over neural tissue, and what information does this provide?
Do opioids provide pain relief, or prolong recovery in patients with NTPD?

This podcast is the first part in a two part series on neural tissue pain disorders with Dr Toby Hall. Part 1 (this podcast) guides you through the types of NTPD, and how to assess and diagnose NTPD. Part 2 (available soon) will take you through how to treat PNS.

I highly recommend listening to this episode (part 1) prior to part 2, to have a thorough understanding of when and how to treat PNS.

CLICK HERE to get access to Sherlock Holmes and the sign of the four hypotheses with Nick Kendrick

Links associated with this episode:

Det här avsnittet är hämtat från ett öppet RSS-flöde och publiceras inte av Podme. Det kan innehålla reklam.

Avsnitt(177)

178. Patellofemoral pain 2 - What to do when runners won't reduce their training with Tom Goom

Many runners patellofemoral pain (PFP) is aggravated by the activity they love. They either stop running to let their pain settle, and then it returns as soon as they start back up again, or keep runn...

3 Juli 33min

177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss with Tom Goom

Patellofemoral pain (PFP) is one of the most common running injuries, and the high recurrence rate can make it a frustrating injury for patients to experience and clinicians to treat. In this episode,...

29 Juni 37min

176. Neck-driven shoulder pain - 5 common misunderstandings. Physio Edge Shoulder Success podcast with Jo Gibson

When is your patient's shoulder pain from their neck? Are you missing a cervical spine component in your shoulder patients? After a day in clinic reviewing patients with years of unresolved shoulder p...

4 Mars 11min

175. Tendinopathy treatment: Your guide to isometrics, isotonics & plyometrics with Dr Ebonie Rio

Should you prescribe isometric or isotonic exercises for your patient's lower limb tendinopathy? When is it safe to add plyometric loading, and how do you progress running or jumping without flaring y...

18 Feb 53min

174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson

Have any of your shoulder patients improved and then plateaued, unable to regain their full range of movement, or get rid of their painful arc? Sometimes it's not the cuff, capsule, nerves or neck—it'...

4 Sep 202517min

173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom

Anterior hip pain is often blamed on the hip flexors, but in runners, that's rarely the diagnosis. So how can you identify the real cause and guide patients to a safe, effective recovery? In this epis...

6 Aug 202519min

172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson

Your patient presents with shoulder pain, and straight away you need to identify: Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely? Is it rotator cuf...

16 Juli 202524min

171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras

Your patient is running, playing sport, or jumping or lunging forward - an activity with fast eccentric or concentric activity in dorsiflexion,and suddenly they feel like they've been kicked in the ba...

8 Juli 20251h 27min