Patellar tendinopathy, commonly referred to as “Jumper’s Knee”, is a common overuse lower limb injury. In certain sporting populations, such as elite volleyball, the incidence can be as high as 45% (Lian et al., 2005). Thus, it is easy to see the importance of the identification of risk factors for patellar tendinopathy. Additionally, once identified such risk factors have clear implications for both the prevention and rehabilitation of this condition. This article discusses the latest research identifying risk factors for the development of patellar tendinopathy.
INTRODUCTION Mid-portion (or non-insertional) Achilles tendinopathy has been reported as one of the most common overuse injuries (Maffulli et al., 2003). It is common in those who engage in regular physical activity, which means athletes are particularly susceptible to this condition. Sports physiotherapists who treat regularly treat runners will be aware of its high incidence […]
Cervical radiculopathy is a pathology of the cervical nerve root (Dox et al 1979), frequently associated with cervical disc herniation or another space occupying lesion (such as osteophytes), which can cause nerve root impingement and inflammation. As many of you will be aware, this can be a very painful and often debilitating condition. Although the natural history of the condition is favourable, it has been suggested that if the condition becomes chronic it can be recurring and impact negatively on physical and mental health. Therefore, it is essential that as physiotherapists we are aware of the most evidence informed diagnosis and treatment techniques for cervical radiculopathy.
INTRODUCTION Many of you, I’m sure, will be interested to learn to efficacy of PRP injections for treating athletes with chronic achilles tendinopathies. PRP has gained significant attention of late; in the media, medical community and with our athletes. It seems my athletes are always asking for information on the most effective form of injectional […]
Plantar heel pain, or commonly plantar fasciitis, is a very common clinical presentation. In an athletic population of runners, plantar heel pain has been shown to account for as much as 8% of injuries (Taunton et al 2002). Thus, sports physiotherapists should be aware of the most appropriate management techniques for this condition. Recently support for the effectiveness of myofascial trigger point therapy has come from a randomised controlled trial. The results and techniques utilised in the trial are discussed in this post.
Neck pain is a common clinical presentation, affecting up to two-thirds of the population at some time in their life. Therefore, as sports physiotherapists we will regularly assess and treat athletes with recent onset neck pain. As a component of rehabilitation many physiotherapists will include some form of evidence based manual therapy, commonly either mobilisation or manipulation. However, a clinical question I am often asked (by both myself and patients) is what additional benefits does manipulation provide, given the additional risks? This clinical question is answered by a recent RCT that compares the use of mobilisation and manipulation in patients with recent onset neck pain.
When I say optimal shoulder function what do you think? My guess for many of you it is likely ‘rotator cuff function’ (yeah, for some it may be scapulohumeral rhythm). However, you would undoubtedly agree that optimal function of the rotator cuff musculature is essential in the successful rehabilitation of the majority of shoulder pathologies. It is common in clinical practice to utilise shoulder adduction movements to guide clinical decision making, particular in subacromial impingement syndrome patients. However, a recent EMG study has challenged the validity of both these assessment and treatment decisions.
How important is foot posture? Think about this question… what are your thoughts? I guarantee that the majority sports physiotherapists would be aware of the impact of foot posture on the lower limb kinetic chain. Thus, you sports physiotherapists would be aware of the predisposition to many overuse injuries that poor foot posture will give your athletes. This has lead to the practice in the sports medicine world of attempting to strengthen the musculature responsible for restricting and/or controlling foot (over)pronation. This article discusses the thinking behind these clinical decisions and research regarding the optimal exercise choice.
How often do you treat ankles? I know that I treat them every day, and it is likely that you do to. Osteochondral lesions are very underdiagnosed causes of ankle pain and dysfunction. The astute sports physiotherapist should be aware of the hallmarks of this diagnosis. This article aims to present an overview of the evidence based assessment and management of osteochondral lesions of the ankle.
Osteitis Pubis is a condition that many consider rare, however, it is probably more common than you may think. The incidence of groin pain, in some sports, is as high as 13% (Ekstrand and Ringbord, 2001). Thus, it is highly likely that as a sports physiotherapist you will encounter may athletes with a diagnosis of osteitis pubis. Therefore, as is frequently stated on this site, you need to be aware of the current research and evidence based practice, even in a world with limited research.