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.
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.
The shoe industry has evolved most rapidly over the previous decade and will continue to evolve as new technologies and markets are formed. We are in an era where athletes are training in barefoot running shoes and it’s not uncommon for a shoe to carry a microprocessor to play music and/or retain information for further gait evaluation post training. This article aims to unravel the hype and assist physiotherapists on advising the most appropriate footwear for their patients.
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.