High Value Treatment for Hip and Knee Osteoarthritis
Key Points: Evidence supports exercise, education and weight loss as first line treatments for OA Manual therapy and acupuncture are adjuncts and should not be used in isolation to treat OA Knee arthroscopy is no better than placebo, and should be avoided Any considerations of joint replacement should be discussed with your health care tea […]
There is currently emerging evidence that an athletes training loads do in fact have a clear relationship to injury. This may not come as a big surprise to many, but it can be extremely challenging to firstly understand load, then be able to accurately monitor it and then utilise this information to actually guide and […]
When their pain is more than just “growing pains”. Lower limb injuries in the adolescent athlete. Due to the complex architecture of the growing skeleton, children and adolescent athletes are at risk of a number of injuries that we adults are not. Young athletes can be prone to both acute injuries and chronic overload due […]
Many of the running injuries we see are when a patient has performed a sharp increase in activity (running), especially after a long period of rest. A thorough running physiotherapy assessment usually finds a strength deficit combined with less than optimal biomechanics. In our treatment we provide rehabilitation exercises and cues to correct their biomechanics. […]
The Obsession With Strike Pattern Continues: But Be Careful
Recently I read with interest a paper by Roper et al (2016) which looked at whether changing the strike pattern of runners with patellofemoral pain (i.e. knee cap pain) from a heel to a forefoot strike would be effective. They made the change over 2 weeks and followed runners up a month later as well. […]
Gluteal tendinopathy is a common condition that causes pain on the outside of the hip and often the upper thigh. Like Peter said in the previous blog, often pain arises due to a reduction in tolerance of the tendon to perform certain activities. This often includes going up or down stairs, walking, sitting with crossed […]
Tendinopathy is a painful conditions affecting many tendons such as the Achilles, lateral elbow, lateral hip and rotator cuff tendons. The more I practice and specialise in tendons, the more I realise that all I am doing is guiding you, the patient during your recovery. In fact, I do almost nothing else to get patients […]
What happened to Osteitis Pubis? Classifying groin pain for better rehab outcomes.
It didn’t seem too long ago that professional and amateur sportspeople alike were spending lengthy periods on the sidelines with the dreaded diagnosis of osteitis pubis. Associated strongly with field sports that required fast paced agility running and kicking, osteitis pubis was a common diagnosis that often meant prolonged rehabilitation and time away from competition. […]
Low back pain is extremely common. Three quarters of people will report at least one episode of back pain in their life time. Back pain is often excruciating, leading to withdrawal from activity, time off work and decreased productivity while at work. So given this, it would make sense to get an X-ray, CT or […]
The majority of runners who seek health care for their injuries do not receive any form of running assessment and advice on their running technique. If it is assessed, it is either done so with the view of prescribing foot orthoses, most commonly in podiatry, or by ‘that guy’ in the shoe store to determine […]
8 Key Risk Factors for Hamstring Injury Non modifiable: Unable to change 1. Previous Hamstring injury Significant risk factor Greater risk of recurrence with greater injury severity 2. Age 2.5 times greater risk if >25 years old 3. Previous injuries Especially knee injuries such as an ACL reconstruction Modifiable: Able to change 4. Muscle weakness […]
Core Stability Training Core stability training generally refers to exercises that target the lumbar spine and pelvic region.To get the most out of your core stability training, we must understand the anatomy of the area. viagra cijena The key muscles which need to be considered during core stability training include: 5 Key Muscles 1. Transversus […]
