Lower Limb Injuries In The Adolescent Athlete
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 […]
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 […]
In this blog I will outline the diagnostic process for tendinopathy. For detailed info and specifics on diagnosis for each lower limb tendon and lots of clinical assessment and management info check out upcoming courses in Melbourne, Sydney, Brisbane and the UK here. One of the issues with tendinopathy is that there is limited evidence […]
Dear all Here is a brief case presentation of an interesting patient I saw in clinic recently. Some good clinical messages for clinical reasoning non-responsive tendinopathy patients. If you are interested in more detailed clinical reasoning, assessment and management of tendinopathy patients please check out upcoming tendinopathy courses in Melbourne, Albury and Sydney http://www.completesportscare.com.au/courses/tendinopathy-courses/ I […]
Inferior pole patellar tendinopathy is almost unheard of in people who are not performing near maximal impact loading. In contrast, you do see quads tendon and distal patellar tendon issues related to compression in people that are no impact loading (e.g. sudden and unaccustomed prolonged kneeling as in DIY activity leading to a compressive quads […]
Tendinopathy Blog December 2013
Dear all What a great year it has been, some excellent tendinopathy research. Thanks to all the blog readers and subscribers and I wish you all the best for 2014 Some interesting studies to sink your skeptical and analytical minds into this month. Enjoy Best wishes Peter Fessel et al. 2013 – Collagen fibrils […]
Tendinopathy Blog November 2013
Dear all Have just enjoyed 4 excellent days at the Sports Med New Zealand conference – thanks for the great hospitality and view from my hotel room Key message from my lecture to delegates was – we need to rethink our focus on tendon ‘healing’ – there is no imaging evidence it happens after […]
Dear all Here is the latest in clinically relevant tendinopathy research. Some cool stuff, including our study showing eccentrics do not lead to better tendon adaptation than concentric after 12 weeks loading if load intensity is similar Enjoy Peter The first study to suggest that, as in muscle, tendon adaptation may be more load […]
Tendinopathy imaging – can it help the clinical picture?
Tendon injuries affect many people and include tennis elbow, plantar fascitis, Achilles, patellar, tibialis posterior, as well as rotator cuff injury. Recent studies by our research group have shown that there are different phases of tendon injury on ultrasound imaging. Less severe pathology involves diffuse tendon (middle image) thickening, compared to the parallel and fibrillar appearance […]