It is common in clinical practice to be faced with patients who have indications that they have a lumbar herniated disc. This is often accompanied by nerve root compression and significant pain particularly pain, pins and needles and numbness. This is a common problem, but in spite of this understanding of the cause and treatment options is still poor in the community and in some parts of the medical profession and allied health.
Unweighted rehab has traditionally been accomplished through aquatic therapy (pool time) or harness systems. Unweighting can be useful in the rehabilitation of various mala- dies. The technique allows earlier and more intensive active exercise therapy before patients are ready for full weightbearing.
Over the last two decades the number of ACL injuries amongst children and adolescents has increased by 2.3% per year. The ACL is an important ligament, and provides stability to the knee in situations which involve rotation and hyper-extension. The stability provides protects the meniscus and joint surfaces. Any damage to a meniscus in the knee can increase joint contact stresses by up to 500% and in many cases can be a predisposing factor for osteoarthritis later in life. Osteoarthritic changes are often seen at 10 years post injury.
This commentary from The International Journal of Sports Physical Therapy in 2012, by Manske, and Lehecka, argues provides an excellent commentary on the value of evidence-based practice in Sports Physical Therapy. This text is a summary of this article.
Common questions we are asked about knee braces
It is well recognised in practice and in the literature Eraut (1998) that a formal education and training provide only a small part of the preparation for work. This is evident with healthcare, in allied health, where Physiotherapy achieve the technical competency for a qualification, yet present to work lacking both technical skills and higher order transferrable skills.
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.
The following can be extremely useful for helping to calm your mind and body during those stressful and tiring times during pregnancy and birth:
This review looks at 2 papers, one from Northern Europe in 2015, and one from North America in 2015. Articular cartilage damage often occurs at the time of ACL injury and whether to treat this or not has never been clearly established. Using micro fracture of the subchondral bone proposes to induce a fibrocartilaginous healing of the defect, but its efficacy is unclear. These reviews look at 2 papers.
This study in the Journal of Orthopaedic and Sports Physical Therapy evaluated the contact and shear forces during nine weight-bearing exercises. Most of the studied functional exercises are commonly used in lowly rehabilitation. Estimated loading on the tibia femoral and patellofemoral joints can then be used to great different exercises and provide insights for the staging of rehabilitation programs following the injury or surgical intervention. During rehabilitation, the challenge is to protect the joint structures from excessive forces, while providing sufficient stimuli to regain muscle control and strength to restore normal function.
This editorial discusses the significance of fractures associated with an ACL injury.
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.
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.
Shoulder injuries are common especially in sports. Many sports involve repetitive overhead motions and this can place extremely high stresses through the shoulder. These activities can include but not limited to throwing, bowling, serving, swimming and some track and field activities
For decades, the dominant philosophy governing treatment recommendations for uncomplicated low back pain (LBP) was that LBP was a self-limiting “injury” that healed on its own in the majority of cases.
There are many people out there who already have long-standing neck pain – probably due to a neck injury that happened months or years ago? What can they do to reduce their pain? The official recommendations are for people to remain active and use neck exercises.
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.
At Advanced Physiotherapy & Injury Prevention, it is our philosophy that no leg injury rehab program is complete without an assessment of and specific rehab for proprioception.
In the past, some have regarded the fibromyalgia diagnosis with some scepticism due in large part to a limited understanding of the disease’s biological causes.
We have taken the excerpts below from the Lederman article in 2007. He explains the basic concept of core stability and the problems with it.
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.
Whether it’s elite level athletes or recreationalists, compression garments are in style, but is the squeeze on your body worth the squeeze on your wallet?
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.
This is an injury that affects the triangular fibrocartilage complex (TFCC) that sits between the ulna and radius in the wrist.
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.
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.
An acute wry neck is the sudden onset of neck pain accompanied by spasm of the neck muscles.
A SLAP lesion is as a result of an acute trauma due to overload, resulting in a degenerative lesion.
If you have back Pain, read tour following tips to take care of your back.
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.
Children’s bones are still growing, making them prone to overuse injuries at areas of the bone containing growth cartilage.
Various studies have shown that both exercise and manual therapy reduce the associated pain and disability of osteoarthritis and are recommended as first line treatments.
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).
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.
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.
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.
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.
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.
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.
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’.
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.
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.
Did you know that if back pain makes a person miss four to twelve weeks of work, that person will have a 40% chance of missing work for the next year?
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.
Do you wish to work in a sport setting or event and be able to help manage and prevent injuries?
Children’s bones are still growing making them prone to injuries to the areas in the bone known as the epiphysis and apophysis. These are the areas on the growing bone that contain growth cartilage. This is the area of the bone that produces new bone cells that allow children to grow.
The main idea of using and ankle brace is to prevent the ankle from spraining - which is one of the most common injuries we see.
Arthritis is often thought of as a problem that only affects the more mature population, but one form of arthritis, osteoarthritis of the knee, is a problem for younger, more active people as well.
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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