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.
As sports physiotherapists we treat all sorts of patients that want to do crazy things. You know… run, swim and ride all day and even climb mountains and cliffs. Many of these athletes are young and physically active, and they strive to push their body to its physical limits. A well recognised condition to affect this group of people is chronic exertional compartment syndrome (CECS). In fact, eighty-seven percent of patients with CECS participate in sports, and runners account for 69% of these cases Thus, sports physiotherapists, particularly those that deal with endurance sports, will assess and treat this condition with considerable frequency. This article discusses new research on changing biomechanics to manage CECS.
The post-operative rehabilitation of an ACL reconstruction is something that many sports physiotherapists perform on a daily basis. Many will know that muscular atrophy is quite common; particularly affecting the quadriceps, hamstrings and triceps surae. In fact, quadriceps atrophy and strength will often exceed 20% during the first three months (Nicholas et al., 2001). Therefore, we see post-operative rehabilitation protocols focusing on quick restoration of the patients muscle function and strength. Thus, we are often quick to, and appropriately so, prescribe exercises. However, this article will discuss the potential for the additional clinical benefits of electrical muscle stimulation (electro-stimulation)
Introduction With a name like that, all physiotherapists will remember this one! But how much detail is remembered? Have a quick think about how many wrist patients you see, compared to knee or back patients. If you are in a private practice/outpatient clinic with a demographic anything like mine you will be seeing mostly backs, […]
Groin pain is a common complaint in sports involving running, kicking and explosive changes of direction, and as such is frequently encountered by the sports physiotherapist. In soccer, groin and lower abdominal pain accounts for 10-13% of injuries per year. However, due to the number of potential differential diagnoses for athletes with chronic pain in the groin and lower abdominal region only a small proportion of athletes are eventually diagnosed with athletic pubalgia (sports hernias). Athletic pubalgia is a poorly understood disease process and it is imperative that athletes with the condition are managed appropriately as the symptoms can eventually limit the athlete’s participation in training and playing.
It has been suggested that up to 79% of runners will sustain lower limb injuries. The patients with these pathologies frequently present with identifiable biomechanical faults associated with either deficits in pelvic strength or neuromuscular function. Thus, physiotherapists and physical therapists the world over implement rehabilitation programs aimed at strengthening the lateral hip abductors and external rotators. However, when it comes to exercise prescription for this musculature we require EMG studies to ensure that we are operating from a strong evidence basis. This article discusses such research.
In this episode of the podcast I interview Trent Salkavich. Trent is a Sports Podiatrist and Director of SportsPodiatrists.com.au. He consults from Sydney Sports Medicine Centre, Balmain Sports Medicine and Sydney Sports Med Specialists. He is currently the consulting podiatrist for the Australian Defence Force Academy Barracks, Sydney Apia (formally known as the Medibank) International Tennis Tournament, NSWIS/AIS Tennis players, various AUS/NSW Institute of Sport athletes, and the Australian Wallabies 2011 World cup team.
Any physiotherapist working with academy footballers will know that these players are at risk of overuse injuries due to their immature musculoskeletal systems (1). However, it is imperative that therapists can confidently identify when the players require a therapeutic intervention rather than dismissing their symptoms as ‘growing pains’. It has been found that 5% of all injuries in football academies are due to overuse (1), as some young footballers will partake in high volumes of physical activity. This article will discuss the evidence based management of Osgood-Schlatters condition.
Patellofemoral pain syndrome is a condition that is commonly encountered by the sports physiotherapist. There is a clear reason for this, it has been reported to affect approximately 25% of athletes (DeHaven & Lintner, 1986). Furthermore, it is the most commonly reported injury sustained by runners (Taunton et al., 2002). Thus, it is the subject of much discussion on this site, and we have provided articles on a number of management options for patellofemoral pain syndrome. However, this article will discuss new research on potential prospective indicators for the development of patellofemoral pain syndrome.