The Tetris effect

This case presentation describes two areas of treating elbows that look beyond traditionally used exercises and manual therapy. The first is the freedom of combined active movements and the second is what I call the Tetris effect. Both of these components were pivotal in this patient's recovery from acute lateral epicondylalgia.

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Spinal degenerative changes are a natural part of ageing

Spending time deciphering and interpreting the meaning of MRI and CT scans for our patients is a difficult task. How do we know what is normal and what is related to pathology? This blog explores a recent systematic review that provides evidence about the prevalence of normal age-related changes on spinal imaging of the lumbar spine and MRI changes in the cervical spine .

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Adhesive Capsulitis - Management

A systematic review by Blanchard (2010) found corticosteroids are better at improving pain, passive external rotation and shoulder disability in the first 6 weeks post-injection. However, physiotherapy was more beneficial at 12 weeks in reducing pain and disability, with both injections and physiotherapy more beneficial than placebo. So should we wait for it to "burn out"?

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