Back pain is a common complaint presenting in > 80% of adults. Low back pain can be classified into acute, subacute, and chronic dependent on the duration of symptoms. Your Physiotherapist will use your consultation to screen for serious pathology and categorise whether the pain is inflammatory in nature, structural, radicular, disocgenic or that of a chronic pain disorder. Inflammatory back pain is oftentimes misdiagnosed as chronic back pain or SIJ disorders. The aim of this article is to clarify the diagnosis of inflammatory back pain and outline the steps needed by both patient and primary care provider for management.Read more
This article will discuss some of the most common pathologies presenting in dancers that involve the foot and ankle joint. Injuries to the lower extremity in dancers are more common than upper limb injuries due to the amount of range and force required to perform particular movements.
- Posterior ankle impingement
- Base of 5th metatarsal fractures
- Flexor hallucis longus tendinopathy
A healthy shoulder is an integral part of normal daily activities and overall independence. A functional shoulder allows you to wash your hair, put on a shirt, swing a golf club, lift groceries into your boot to name a few. Maintaining a healthy shoulder is an important part of having optimal quality of life.Read more
Lets start by breaking down the term discogenic. The disc is the structure that lies between the vertebrae, discogenic is pain that originates from this structure. Discogenic low back pain presents as pain in the lumbar spine with or without referral that is confirmed via X-ray, CT scan or MRI. Results are commonly reported as ” degenerative disc disease” or “multi-level disc degeneration”. This article aims to explain the role of the disc, what happens when they deteriorate and what it means for you if you have been diagnosed with disc disease or a disc herniation.Read more
Posterior Tibialis Tendon Dysfunction (PTTD) is a common cause of medial ankle and foot pain affecting the tibialis posterior tendon, which – if not effectively treated – can have a detrimental impact on ankle/foot joint integrity and overall function. The severity of this condition can vary, as the tibialis posterior tendon can become inflamed and painful, or it can continue to deteriorate causing splits/tears within the tendon itself, leading to further complications within the ankle/foot complex. Therefore, identifying and treating this condition early can significantly improve patient outcomes and reduce the need for more radical interventions such as surgery.Read more
Have you ever been instructed or advised to complete a quick warm up? Or get ready for the game and not sure exactly what to do? Warming up is widely appreciated as a fundamental aspect of physical activity, exercise, and sport. This article aims to explain what, why and how we complete an effective warm up. It will also explore the current literature and evidence surrounding the effectiveness of warmups for performance enhancement and injury prevention.Read more
The Achilles is the largest and thickest tendon in the body. It is made up of Type 1 collagen fibres, tenocytes, and proteoglycans which are responsible for the tendon’s tensile strength. These complex interwoven fibres merge from the calf muscles, gastrocnemius and soleus to form the tendon that inserts into the heel bone, the calcaneus. The Achilles is involved in 93% of the plantar force in flexion of the foot. When healthy, this tendon can handle up to nine times the body weight and has a pivotal function in transmitting forces, such as explosive power and control of movements.Read more
Groin strains are commonly seen in sports with multi-directional and high velocity demands such as hockey and soccer. As a result, large sporting bodies have published preventative rehabilitation guidelines which are incorporated in pre-game warmups around the world to mitigate strain risk and reduce recurrence rates.Read more
Where Are We Now?
Anterior Cruciate Ligament (ACL) rupture has occupied a large portion of elite and amateur sporting injuries for decades. Discourse amongst the general population continues to support immediate surgical reconstruction followed by a lengthy return to sport timeframe. Thus, management of either surgical or conservative ACL ruptures necessitates robust rehabilitation protocols and a barrage of objective measures to meet the low return to sport levels and high recurrence rates.Read more
With the year that was, training has needed to be more versatile than ever. With the infrequent access to group fitness classes and gyms, there has been a significant increase in the number of people commencing running or incorporating it into their training regime. There are many factors to consider when getting into this often-addictive sport; how far, how often, how quickly, where and with what shoes. This article aims to present the most important factors to consider on this journey to mitigate injury risk and provide some confidence to make running a lasting activity!Read more