Physiotherapy Blog. Sharing knowledge & Encouraging growth.
This rugby season, I have treated nine players who sustained ankle syndesmosis injuries. To familiarise myself with the anatomy, I pulled out my trusty Moore Anatomy textbook, however found the information available very limited. The goal of this blog is to detail the anatomy and function of the ankle syndesmosis, to allow more effective and efficient treatment of this region.
Read MoreReflecting on a weekend of teaching I noticed a common theme as I transitioned from participating at the UCSF sports medicine conference to teaching an advanced track seminar at the NATA annual conference. This theme is something I've been brought back to over and over again, the continuum and transition between preventative and rehabilitative care.
Read MoreWhat exercises do you give a player to return them to change of direction sports? This blog shows some examples of end-stage knee rehab, with a focus on change of direction and single leg control.
Read MoreWhen suspecting a central nervous system lesion it is important to assess different facets of sensory integration. For example, light touch, two-point discrimination, temperature discrimination, sharp/blunt, kinaesthesia, proprioception, and stereognosis. When suspecting a peripheral nerve lesion however, it is more important to understand the difference between dermatomal and cutaneous nerve distributions. The purpose of this blog is to review aspects of sensory testing for a peripheral nerve lesion and differentiation from central nervous system lesions.
Read MoreThis 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.
Read MoreThis 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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