How can you diagnose posterior shoulder, neck and supraclavicular pain in your weightlifting patients and throwing athletes? Could a bone stress injury be responsible for your patients pain?

Explore how to assess, diagnose and rehab shoulder pain from bone stress injuries in weightlifters or throwing athletes in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover:

• Bone stress injuries in the upper limb and ribcage that cause shoulder pain.
• What causes first rib stress fractures?
• Which patients develop first rib bone stress injuries - common populations and activities.
• Common areas of pain with first rib stress fractures.
• How to assess & diagnose first rib bone stress injuries.
• Common painful and restricted movements that help with diagnosis.
• How to differentiate between a rotator cuff injury and first rib bone stress injuries.
• Cervical spine & shoulder strength and control assessment tests that help identify where to target your rehab.
• Do biomechanics in weightlifting matter?
• How to assess and address weightlifting biomechanics to allow healing and return to sport.
• Imaging
  • Why imaging is vital in patients with this injury.
  • Common imaging that misses 1st rib bone stress fracture, and what imaging to request that actually identifies it.
• Why non-healing with the formation of pseudoarthrosis may lead to better outcomes than bony callous formation.
• Whether patients can return to sport if rib stress fractures don't heal.
• How can you rehab patients with 1st rib stress fracture?
• How to progress rehab exercises.
• Treatment when 1st rib callus formation is causing thoracic outlet syndrome.

Podcast handout

The handout for this podcast consists of an article 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

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Frozen and stiff shoulder assessment & treatment with Jo Gibson

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Shoulder: Steps to Success online course with Jo Gibson

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Links associated with this episode:

• Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson's online course at clinicaledge.co/frozenshoulder
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
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• Infographics by Clinical Edge

Article associated with this episode:

• Download the podcast handout to receive the article associated with this podcast.

• Miller A, Dodson CC, Ilyas AM. Thrower's fracture of the humerus. The Orthopedic Clinics of North America. 2014 Aug 3;45(4):565-9.