Knee arthroscopy: the downsides
The message is slowly filtering through the medical community and the general population that knee arthroscopy is no better than exercise for osteoarthritis (OA). More and more in my clinical practice I am coming across patients who are not surprised when I bring this up in our clinical sessions. Despite this, there are still tens […]
5 General rules to managing hip pain
When managing patients with hip joint pain, my 5 general rules are: Don’t allow imaging findings to become a burden carried for life – they may be irrelevant. Perform a thorough clinical examination to identify a symptomatic hip joint and rule out other sources of pain (e.g. lumbar spine referral, tendon injury to the lateral […]
Osteoarthritis – The Inflammatory (but only a little) Arthritis
Osteoarthritis (OA) is the most common lifestyle disease in people over the age of 65. More common than high blood pressure and diabetes. For this reason, researchers have been working tirelessly to better understand OA. And some recent discoveries have turned some commonly held beliefs about OA on their head and have big implications for […]
New research exploring psychological factors and tendinopathy.
Peter Malliaras speaks in this podcast and considers some new research exploring psychological factors and tendinopathy. Click here for the short podcast. If you have an interest in tendinopothy, and want the latest review and commentary on new clinically relevant research, follow Peter’s website here. Listen to more Podcasts by clicking here.
Hip pain? Exercise is your first line of defence.
Hip pain is not a condition reserved for the elderly. More and more hip pain research is being directed at understanding the cause and burden of hip pain on patients aged 18-50. One such condition being investigated is femoroacetabular impingement (FAI) syndrome, a condition characterised by changes to the bone formation in the neck of […]
Injury Management: Shared-decision making in the digital age.
Times have certainly changed. We rarely spend a moment disconnected from technology; carrying our smartphones everywhere, tracking various aspects of our health and wellbeing through apps and activity trackers (like Fitbits, Apple watches, etc). On top of that, at the first sign of a niggle, ache or pain, many of us turn to Dr. Google, […]
Cadence Want to fix your running fast?
Cadence Want to fix your running fast? Try cadence change…otherwise known as step rate. More often you want to increase it. When you are looking to improve running technique and/or reduce injury re-occurrence one of the first things you want to change is your cadence. Why? Because it has been shown to improve many of […]
What is the difference between KLT and other gym programming ?
What is the difference between KLT and other gym programming ? Traditional gym training commonly contains isolation and focuses on individual muscles. It often gains stability from external supports such as seats and benches. It rarely is able to mimic everyday activity or sporting activities. Kinetic Link Training is a precise and comprehensive functional strength […]
If we can shift the conversation away from pain and emphasise function we could help a lot more people.
This next blog post is a little left of centre and more of an anecdotal piece. I write this to primarily give you the client an insight as to what it’s like in the Physio position. Pain Science is a huge topic in the health field currently, and rightly so. If we can develop a […]
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 […]
Training Loads and Injury
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 […]
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. […]