Outside the orthopaedic protocol

This week we welcome Physical Therapist, Michael McGowan (DPT) to share with Rayner and Smale a unique case study about a complex combination of orthopaedics and oncology. Michael shares his experience managing a patient who following diagnosis of an osteosarcoma, was managed with a 3-part total knee replacement, fibular ORIF and radical resection of the distal femur. A complex orthopaedic procedure indeed, but the most challenging aspect to manage was cancer-related fatigue

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Taking the sore thumbs out of manual therapy

This past weekend I took the myofascial decompression level 1 course and proudly now own my own kits of cups. I really enjoyed the didactic component of this course and this blog shares some interesting concepts that you will learn about if you too choose to take a course through www.myofascialdecompression.com

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Cervical radiculopathy or infected root canal?

This is an interesting case example exploring the link between dental pain, TMJ pain and cervical pain. There are multiple pain mechanisms contributing to the overall presentation. It was definitely a complex case that required thinking outside the square in order to find the root of the problem.

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