Many of the world’s sports physical therapists and physiotherapists spend their weekends at sporting events around the world. Unfortunately, many of us do not have the support of a huge medical team around us, such as that available to James Sutherland at Wallabies games. Therefore, we are often the most highly trained “medical” staff at any given event, and when it comes to injured athletes the buck stops with us. This means we require knowledge on a variety of conditions that may not be “sports” injuries and many abdominal injuries may fall outside the expertise of a physio.
How regularly do you treat injured athletes with reduced lower limb flexibility? The answer from many of you would likely be all day long! It has been well established that athletes with reduced lower limb flexibility are at greater risk of injury (Murphy et al., 2003). Thus, it would be logical that a program of regular stretching, which has been shown to improve lower limb flexibility (Harvey et al., 2002), would reduce this injury risk… wouldn’t it? Well, not conclusively…
Introduction The condition discussed in this article, you will come to find, is quite complex and can be a battle for the physiotherapist and physical therapist. Thoracic outlet syndrome is considered to be a collection of quite diverse syndromes rather than a single entity (Yanaka et al., 2004), and therefore, accurate diagnosis and enlightened treatment […]
Lateral epicondylalgia (tennis elbow) is a condition that I, and am sure many other physiotherapists out there, treat very commonly. Interestingly, despite the frequency with which healthcare is sought for this condition; only recently has our understanding of the pathophysiology of lateral elbow overuse injury improved. Consequently, the treatment approaches for lateral epicondylalgia vary widely and lack definitive evidence. Therefore, this article will discuss the evidence based assessment and management of lateral epicondylalgia (tennis elbow)…
It is no secret that sports physiotherapists and physical therapists across the world commonly assess and treat knee injuries. Of these injuries, patellofemoral pain is exceptionally common, accounting for 25% of all sports related knee injuries (Fredericson & Yoon, 2006). In fact, patellofemoral pain syndrome is the most commonly reported injury sustained by runners (Taunton et al., 2002). As many of the aetiological factors that contribute to patellofemoral pain syndrome have not been clearly identified, decision making regarding appropriate rehabilitation and treatment can often be challenging. This article will discuss the use of isometric adduction during closed kinetic chain lower limb exercises to facilitate vastus medialis obliquus (VMO) activation.
You know what I’ve learned after talking to incredible sports physiotherapists and sports medicine professionals, attending numerous professional development courses, conferences and seminars and reading many books: there is so much that I don’t know. And I say that without reservation, as I know that it is impossible to stay at the forefront of current practice and research in all fields of sports medicine. There is just not enough hours in the day. Fortunately, I also know not to pass up opportunities to learn from experts in a given field. Thus, I would like to introduce you to Michael Boyle.
Something A Little Different: So, I have decided to do something a little bit different. I have invested some time into creating some videos for YouTube based on various diagnoses and pathologies that have been previously discussed on this site. I have done this for a few reasons, including to allow the blog/site to reach a greater audience, to assist or cater for those who prefer to watch or listen to information rather than read lengthy articles and also to allow physiotherapists and physical therapists to refer patients/athletes to the videos as a source of information, which can be consumed in their own time….
If you work with athletes who train hard, as many sports physiotherapists do, then you will have encountered exercise induced muscle damage or delayed onset muscle soreness (DOMS). It is also likely that the suffering athlete has come to you and said “I’m so sore from that workout – can you do anything?”. There are many widely used post workout and recovery strategies that are touted as effective at enhancing an athletes recovery from high intensity exercise. However, as is frequently the norm in sports medicine, the evidence for their use is mostly anecdotal rather than based on high quality clinical trials. Fortunately, a new review recently published discusses the effectiveness of physiotherapeutic interventions following high intensity exercise.
Kienbock’s Disease is a rare and infrequently discussed source of wrist pain that you could definitely encounter in your clinical practice. The condition is named after the Viennese radiologist Robert Kienbock who presented his findings on the disorder in his 1910 publication ‘Concerning traumatic malacia of the lunate and its consequences’. This condition, discussed in depth below, primarily affects people between 15 and 40 years old and has been documented in athletes from many sports that include repetitive use of the wrist e.g. golf, tennis, martial arts, etc . Therefore, if you work with athletes from these sports, you should remain on high alert for the occurrence of Kienbock’s disease.
Can we get better results? The answer is yes. I am certain that following many physiotherapy or physical therapy treatments there is something else that could have been done or said that would allow the patient to get better results. Unfortunately, most physiotherapists do not have all day to spend with one patient, and are thus limited in what they can do. We just want to hope that we can efficiently deliver the best possible treatment or intervention in any given environment. This is why prioritising treatments and using Pareto’s Law can be quite important.