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
Physiotherapists have a reputation for brutally digging into trigger points (or ‘muscle knots’, as they are colloquially known) with their hands, thumbs, fingers and even sometimes elbows, leaving their patients feeling battered and bruised (temporarily, of course!).
If only there was a technique that could treat trigger points without inflicting the same amount of pain, and without causing grown men to weep. There is, in fact, such a technique and an increasing number of physiotherapists are becoming trained in it, sparing their precious hands and their patients’ pain thresholds at the same time.Read more
Ankle sprains are undoubtedly one of the most common injuries we see as physiotherapists. The vast majority of active people will have experienced an ankle sprain during their lifetime and, unfortunately, sprains have a nasty habit of recurring if not managed well in the first instance.Read more
The patellofemoral joint refers to the junction between the knee cap (patella) and the thigh bone (femur) and, unfortunately, pain in this region is a common problem seen by physiotherapists.Read more
You have just rolled your ankle, you heard a ‘crack’, now your ankle is starting to swell and go red, and the pain is building up. Maybe you first noticed your pain after a hard gym session, or a day in the garden. Or maybe you don’t know how your pain started, it just did. All you know is that you feel pain and want it to go away. But what is pain? Why does it start? And what can we do to fix it?
The Traditional Model of Pain
Physiotherapy is a healthcare profession that is aimed at helping people feel better, move better and stay pain-free by means of assessment, diagnosis and treatment of simple, and/or complex conditions. Read more
Are you climbing your number of years in age faster than you can climb the stairs?
Do you feel that your body is not what it used to be?
Have you had any recent falls or perhaps a near miss?
Do you feel that your physical capacity and ability is hindering other important aspects of your life?
As we grow older, our bodies grow older. This is not something that you should be ashamed, nor deterred by. There are known physiological changes that occur in our body as a result of the ageing process.
If you overstretch, overstress, strain, sprain, tear or rupture an anatomical structure in your body, the rehabilitation process can sometimes seem painful, overwhelming and daunting. Factors such as time off work for both rest and appointments and time away from competitive sport or training can feed into the negative conundrum of injuring oneself. Sometimes, it is challenging to know how to self manage your injury, leading to questions such as; do I use ice or heat?, do I rest it or move it?, should I go and get a scan?, should I use a brace? Rest assured, you are not on your own and this article chooses to answer one of those questions in particular; should I use a brace or not?