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 […]
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. […]
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 […]
To maximise your outcome after a hamstring injury, it is vital to consider how you run and if this is contributing to your risk of injury. We know from research studies that the hamstring is most commonly injured during the terminal swing phase of running where the leg is extending forward preparing the foot for […]
A lot of patients I see with patellofemoral pain who have failed to improve following exercise rehabilitation have spent substantial time trying to activate their VMO (Vastus Medialis Oblique) muscle. The questions we need to ask are: 1. Why have they focussed so much on exercising this little muscle? 2. Why hasn’t it worked? So […]
Tendinopathy is common and affects many sites around the body, including the Achilles, outside of elbow (tennis elbow) and outside of hip (gluteal) tendons. People with these painful conditions often have difficulty with functions such as raising their arm, walking, running and going up and down stairs. The only treatment that is supported by strong […]
Hamstring Origin Tendinopathy Hamstring origin tendon pain can be debilitating and is common among runners and even walkers. This short blog post will cover how to identify it and what the key steps to managing it are. How do I know I have it? Pain localized to the sitting bone (see figure below) Pain that […]
Dear all Has been a while since the last installment and there have been lots of enthusiastic researchers publishing their excellent work – here is some. More to follow in a ‘Christmas Special’, back end of December, as there are lots of other great studies over the last 3 months I would like to include. […]
Was an action packed and interesting 2 days in Oxford at the 3rd International Scientific Tendinopathy Symposium 2014. As one of my students commented, ‘this must be like Mecca for the tendophiles’. It is indeed very indulgent to talk tendons uninterrupted The conference was divided into a basic science day and clinical translation day. I […]
