San Francisco slopes & stairs slaughter my soleus

How often do you assess the function of the calf muscle in lower limb injuries and what strategies to you give your clients for home-based exercises? Inspired by my own experience from the past 3 months in San Francisco, walking over 10km a day, this blog explores the clinical anatomy and functional significance of the calf muscles.

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Turning down TFL

TFL pain and tightness is a common problem in hip/knee injuries. Recently I asked a group of Australian Physiotherapists what their tips for reducing TFL overactivity were. Precision of technique and quality of movement was the message that came from every therapists. 

The aim of this blog is to briefly discuss why TFL becomes overactive, review the literature behind minimising TFL activity and then to share some addition clinical tips that I use to progress rehabilitation into all planes of movement. 

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The power of words & messages

In 2014 I attended a course held by Specialist Physiotherapist Peter O'Sullivan. Peter is at the forefront of research in chronic low back pain and one of his main goals is to reduce the gap between what science tells us and what clinicians and patients know. Peter is from Western Australia and his team continue to drive the revolution of changing how we view and manage back pain, from a pathological model to a conceptual model. I learnt so many tips to make my communication skills better. The aim of this blog is to share with you the key messages I took away from this course. 

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Being specific about functional exercises

Recently I had the opportunity to observe Michael Vadiveloo, a Specialist Sports Physiotherapist, as awarded by the Australian College of Physiotherapists in 2011. Michael shared with me his tips for retraining the lower limb kinetic chain for knee, hip and foot/ankle injuries. One unique aspect of these way he taught exercises was his focus on the entire lower limb. This blog explores some of these exercises and provides tips for getting the most out of each one. 

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Differential diagnosis of cervicogenic dizziness

Dizziness may have vestibular, cardiac, neurological, psychological, and cervicogenic origins. Physiotherapists have the ability to differentiate between cervicogenic dizziness and vertigo. This blog explores some of the causes for dizziness and vertigo which are not cervicogenic in nature.

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Reducible discogenic low back pain

A previous blog has explored the initial assessment of acute lower back pain presenting with radicular leg pain. This is a sequel post which explores the management pathway from day 1-3 on a patient with discogenic low back pain with radicular leg pain. It specifically focuses on when I chose to retrain lumbar flexion range of movement and the steps taken. 

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