Calving it up

The first aim for this blog was to highlight how we can break down the components of a dynamic balance test such as the SEBT, or understand the requirements for normal gait and stair navigation. The second is to emphasise the importance of making sure that our early stages of rehabilitation allow for sufficient time to help our patients develop the range of movement, muscle length and neuromuscular control to allow them to be successful when integrating these components together. I recognise that these exercises aren't radically new or fancy, heck they can be just down right boring, but when done right and combined with the education as to why, they can be hugely impactful

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Treatment of Achilles tendinopathy with combined loading programs

Eccentric muscle strengthening has become the primary conservative management approach for Achilles tendinopathy and popularized by the Alfredson program, however up to 45% of patients do not respond to this approach. Other loading programs such as Silbernagel-combined loading program incorporates eccentric-concentric, eccentric and then faster loading. The purpose of this blog is to review this combined loading program in the treatment of Achilles Tendinopathy.

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Posterior Ankle Impingement - bony

Posterior impingement relates to posterior pain on end-range plantar flexion (PF) due to compression of posterior bony and soft tissue structures. Often seen caused by overuse in dancers and football, or activities that involved repetitive end range PF. This blog describes the bony causes often related to posterior ankle impingement and the differential diagnosis involved.  

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Posterior Ankle Impingement - soft tissue

Posterior impingement relates to posterior pain on end-range plantar flexion (PF) due to compression of posterior bony and soft tissue structures. Often seen caused by overuse in dancers and football, or activities that involved repetitive end range PF. This blog describes the soft tissue causes often related to posterior ankle impingement and the differential diagnosis involved.  

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