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Exercise & PCOS

Abstract: Polycystic ovary (ovarian) syndrome (PCOS) is a common disorder affecting 12-18% of Australian reproductive-aged women and up to 21% in high risk groups. PCOS can affect women of all shapes and sizes.

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Knee Injury Prevention in Football

Knee injuries constitute a serious problem in many team field based sports but are especially common in football due to the 360 degree nature of the sport. In Football the sport involves sudden change of directions, pivoting/cutting, accelerations/decelerations and jumping/landing which are all common mechanisms for knee injuries.

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Tips for Sedentary Workers

Research published in the British Journal of Sports Medicine concluded that office workers spent between 65% and 75% of their working hours sitting down, with half sedentary for long periods.

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Achilles Tendon Rupture

The Achilles tendon is the largest and strongest tendon in the body. It connects the calf muscle to the heel. It is placed under stress with every step we take and must withstand stresses of many times body weight when we run, push-off or jump.

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Ligament Injuries to the Thumb

Ligaments are soft tissue structures that attach bones together, and in so doing support the join or joint between these bones. The term ligament sprain means that the ligament fibres are disrupted and is synonymous with ligament tear.

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TFCC Tear

This is an injury that affects the triangular fibrocartilage complex (TFCC) that sits between the ulna and radius in the wrist.

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Bakers Cyst

A Baker’s Cyst is swollen semimembranosus gastrocnemius bursa. Synovial bursae are sacs that generally occur near our joints and sometimes communicate with the joint cavity. They typically sit at sites of anatomical friction and are designed to reduce friction. A swollen and painful bursae is known as a bursitis or bursopathy and can result from a number of causes.

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Iliotibial Band (ITB) Friction Syndrome | Leg Injury

ITB is an abbreviation for the “iliotibial band” which is a strong, flat tendon-like structure which connects the muscles of the hip to the outside of the lower leg. Friction occurs as the lower part of the ITB rubs over the lateral femoral epicondyle. If the ITB is tight and the rubbing becomes repetitive, increased friction will result causing irritation of the band and the bursa (a fluid filled sac) which sits between the band and the underlying surface. The band often rubs over the bony prominence at around 30 degrees of knee flexion.

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Avulsion Fracture

This is a fracture that occurs at the attachment sites of both ligaments and bone pulls away from the attachment site of the soft tissue.

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Medial Collateral Ligament Injuries

Medial Collateral Ligament injuries occur when the knee is being stressed towards the inside – into a knock kneed position – either via non-contact (running/stepping resulting in the knee being twisted) or contact scenarios (an opponent in sport falling onto the outside of the knee).

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De Quervain’s Tenosynovitis

There are several tendons in the thumb. Two of these (abductor pollicus longus, and the extensor pollicus brevis) sit within a common sleeve (known as a tendon sheath). Overuse of these tendons will create an inflammation of the tendon sheath via excessive friction where the tendons emerge from the sheath.

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Nerve Root Compression more info

Nerve Root Compression is a common condition that affects these nerves. It can affect any level of the spine but is more common in the lumbar and cervical spine. The compression is usually the direct result of an acute disc bulge or some bony overgrowth or both leading to a compression of the nerve near these foramina.

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Stress Fracture of the Lumbar Spine

Bone is a metabolically active tissue that undergoes continuous resorption and renewal. Stress on the bone accelerates this process. When the process of renewal is not able to keep up with the process of bone resorption a stress fracture can form.

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Osgood Schlatters Disease

This is a stress injury to the bony attachment of the patellar tendon (see fig 1). It is caused by repeated stress on the growth plate of the bone from activities such as running, jumping and kicking. It usually occurs in active adolescents between the ages of 11 and 15 years and presents with pain and swelling over the front of the knee fig 2 below the knee cap, at the top of the tibia.

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Patella Dislocation

This injury results in the patella (knee cap) moving outside of its natural groove in the joint and dislocating to the outside of the knee. The injury can either be traumatic with a history of trauma, or non-traumatic or spontaneous occurring in individuals whose ligaments are hypermobile.

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Management of Ankle Sprains

Sprains to the lateral ligaments of the ankle are the most common sporting injury and account for about 10 percent of all sporting injuries. Not surprisingly this has been well researched and there are well over 100 published papers on preventing ankle injuries.

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Quadriceps Contusion

This is the result of sustaining a direct blow to the front of the thigh, resulting in tissue damage and a subsequent hematoma (or bleed). It is more commonly referred to as a ‘Corked Thigh’.

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Nerve Root Compression

Nerve Root Compression is a common condition that affects these nerves. It can affect any level of the spine but is more common in the lumbar and cervical spine. The compression is usually the direct result of an acute disc bulge or some bony overgrowth or both leading to a compression of the nerve near these foramina.

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Foot Pronation & Orthotics

Feet are incredibly complex structures that are put under alot of stress everyday normal activities such as walking, running and jumping. In running up to 10 times body weight can go through the foot.

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Patella Dislocation

This injury results in the patella (knee cap) moving outside of its natural groove in the joint and dislocating to the outside of the knee. The injury can either be traumatic with a history of trauma, or non-traumatic or spontaneous occurring in individuals whose ligaments are hypermobile.

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Ergonomic Chairs

There is a wide range of seating types and designs on the market which is promoted as being ‘ergonomic’: The philosophy of ergonomics is to design the work environment to suit the worker. Seating is only one aspect to consider.

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Making your appointment count

Have you been to the Physio or other health care practitioner and walked away without sufficient understanding of your problem. As health professionals it is our responsibility to provide you with certain information, and as a patient you should be proactive in seeking information about your condition. These are some questions you may ask your Physio or healthcare provider.

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Carpal Tunnel Syndrome

This is a condition of the median nerve, which becomes compressed or irritated within a space known as the “carpal tunnel” in the wrist.

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Nerve Root Compression

This is a condition that affects the spinal nerves which exit the spine and can affect any level of the spine. It is more common in the lower lumbar and mid to low cervical spine.

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Sinding-Larsen-Johansson Disease

Sinding-Larsen-Johansson disease affects the proximal end of the patellar tendon as it inserts into the inferior pole of the patella, and represents a chronic traction injury of the immature junction between these structures. It is closely related to jumpers’ knee or patellar tendinopathy, which is the adult manifestation of this disorder.

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Spondylolisthesis

A condition that affects the vertebral bodies of the spine most commonly in the lumbar spine. It describes one vertebral body moving forward in relation to another vertebral body below. It is often related to previous stress fractures that may have developed in early childhood which has now progressed to full fracture of the vertebrae.

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Tennis Elbow

Tennis elbow refers to pain on the outside of the elbow. It occurs commonly amongst tennis players and hence its name, but it also occurs through many other activities.

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Adductor (groin) Tendinopathy

This is a condition of the adductor tendons. The adductor tendons attach the thigh bone (femur) to the pelvis and are placed under great stress with running, jumping or kicking. Tendinopathy is a general term that means “tendon disorder”. It encompasses all types of tendon problems and does not imply a particular diagnosis or mode of treatment required.

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Thoracic Spine Joint Dysfunction

The thoracic spine is the area of your upper back. It is defined by the ribs which attach to the vertebrae. It consists of a series of joints, discs, nerves and soft tissue attachments, all of which can be painful. The thoracic joints are common sources of pain, and are easily treated causes of pain and disability.

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Syndesmosis Injuries | Ankle Injury PART 2

Although ankle syndesmosis injuries comprise less than 10% percent of all ankle injuries, they are such important structures that they require urgent assessment and treatment. It is vital to remember that an ankle syndesmosis injury is more complex than a simple ankle sprain. The healing time is at least twice as long, and getting back to normal activity is usually a more gradual process.

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Knee Meniscal Cartilage Injury Part 1

There are two menisci in the knee; each rests between the thigh bone (femur) and shin bone (tibia). The menisci are made of tough cartilage and conform to the surfaces of the bones upon which they rest. The menisci function to distribute a person’s body weight across the knee joint and to improve the shape of the join between the 2 bones, contributing to the stability of the knee joint.

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