As a sports physiotherapist I am frequently asked by my athletes do I know about the latest in dietary, workout or “get huge/play like superman” supplement. What is in it, what does it do, and how much can I take before an alien busts out of my chest? Firstly, I make the statement that I am not an expert dietitian or nutrionist (not even close). Additionally, these new different supplements seem to come out so fast it is exceptionally challenging to keep up with either the “proposed” or “proven” mechanisms of action. So what should we do…?
Most of you guys would know that I am a massive fan of good old fashioned, pull your socks up, fine tuned communication with patients. I am certain that the better you communicate with your patients the better their outcomes will be. We have discussed the importance of great communication previously, its importance in improving your patient rapport, improving patient compliance or even improving your application of Mobilisation with Movement techniques. In this post I want to discuss a technique that many of us sports physiotherapists would use on a daily basis to improve our communication with patients; the mighty analogy.
IT’S HERE! The first session of The Sports Physiotherapist Podcast! HOW TO LISTEN You can download this podcast staight to your computer and iPod (by right-clicking here) or listen to it below. Also, soon I will be submitting the podcast feed to iTunes, and you will be able to subscribe there as well (don’t worry […]
As sports physiotherapists we readily prescribe exercise programs to our athletes/patients – quite simply – it is a massive part of what we do. As well as exercises, we also tell our patients what they should NOT be doing – “You should not do this OR that”! Have you ever wondered how much they really take our advice? Unfortunately (for both us and the patient) our patients are frequently non-compliant with our rehabilitation programs.So here are some evidence based tips to improve patient compliance!
If you are a sports physiotherapist who works with endurance athletes, in particular runners, I am certain that you would have had the pleasure of treating lower limb overuse injuries (?sarcasm). As you would know, they can frequently be a challenging condition to rehabilitate due in no small part to the reluctance of the athlete to stop training. This makes the prevention of these injuries, and identification of ‘high-risk’ athletes essential.
How do you make a diagnosis? I assume that you perform a subjective examination and develop competing hypotheses, and then work to support or negate these via your objective examination. Can you, however, following your physical examination tell the patient the percentage chance of them having a particular diagnosis? Is that something you might be interested in? If your answer is a resounding yes, Bayes’ Theorem and a Fagan’s Nomogram can give you the ability to do so. This post will give you the easily implementable basics of using the Fagan’s Nomogram to improve your diagnostic accuracy!
In the retail and customer service world, we are told, the customer is always right. Whilst you may think that this has no relevance to the world of sports physiotherapy, where the athletes or patient are frequently wrong, it is surprising how frequently the athletes beliefs can affect your (yes, you!) clinical reasoning or practice. In this article I discuss how patients may dictate your treatments, and identify some of the issues with allowing this to happen.
You might ask why I am bothering to tell you, the avid and good looking sport physiotherapist, what plans we have the website in 2011. Well, I have decided to let you know for two main reasons. The first is because it will affect you guys. 2010 was OK, but 2011 will be awesome! I will expand below. The second reason is that by putting it out there, it serves as a good motivational tool. Plus, you guys can keep me in line. In this post, I will discuss the big goals for the site in 2011.
Patients say the darndest things, they really do. On an almost daily basis I have to stop myself from laughing at some of the things that they tell me, that are not meant to be funny. Whilst it is clearly inappropriate to laugh at them, and I never ever recommend this, I thought I would write this post as a light hearted look at some patient interactions. Below I discuss my 4 favourite statements that patients said to me this week.
As sports physiotherapists we assess, diagnose and rehabilitate a broad range of musculoskeletal conditions. Obviously we all see a myriad of conditions which are quite easy to diagnose and are quick to rehabilitate. This is the ideal situation for both the athlete and physiotherapist as the return to play timeframes are short. However, as we are all acutely aware, all sports injuries do not fit this category. In this article I discuss my three most hated sports injury diagnoses, in ascending order of hatred (yes – hatred).