Articles

Exercises for Medial Tibial Stress Syndrome (AKA ‘Shin Splints’)

It’s easy to talk generally with rehab, ‘strengthen x,y and z’, improve movement control etc but we don’t often expand on what exactly this means. Today’s blog is a brief look at an exercise programme I used recently for a patient with Medial Tibial Stress Syndrome and what my thinking was behind it. The patient, in this case, is a…

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Which specific modes of exercise training are most effective for treating low back pain?

Exercise is a recommended treatment for chronic low back pain (CLBP). Current guidelines state that no one type of exercise is superior to another, and all have small to modest effects on pain and disability. This network meta-analysis found that pilates had the largest effect on pain, that resistance and stabilization/motor control exercise had the largest effect on function, and…

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Symptomatic joint hypermobility

Joint hypermobility can be assessed using the Beighton scoring system which has a cut-off point of 5 out of 9. However, those who meet this cut-off point may be asymptomatic. Those with symptomatic joint hypermobility may not just have joint issues. The therapist has to assess the patient as a whole, as connective tissue disorders can affect multiple systems. Therapists…

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Comparison of slow and accelerated rehabilitation protocol after arthroscopic rotator cuff repair

‹rem DÜZGÜN1, Gül BALTACI2, Ö. Ahmet ATAY3 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey; 2Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey; 3Department of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Objectives: In this study, we sought to compare the effects of the slow and accelerated…

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A Physio’s Guide to Plyometrics

A Physio’s Guide to Plyometrics For many physiotherapists, plyometrics are considered outside of their wheelhouse. However, there has been promising research of late indicating significant health and performance benefits one can glean from an appropriate plyometric training program. Of interest clinically are the improvements in bone mineral density (1), decreased risk of falls in the elderly (2), improvements in tendon…

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Local anesthetic injection resolves movement pain

Local anesthetic injection resolves movement pain, motor dysfunction, and pain catastrophizing in individuals with chronic Achilles tendinopathy, a non-randomized clinical trial Key Points Local anaesthetic injection of the Achilles appears to immediately increase calf function and reduce pain and catastrophizing in subjects with Achilles tendinopathy, suggesting peripheral nociceptive input may be a key factor. Kinesiophobia (which is thought to influence…

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Is it time to put special tests for rotator cuff-related shoulder pain out to pasture?

Is it time to put special tests for rotator cuff-related shoulder pain out to pasture? Shoulder special tests should be viewed as pain provocation tests, rather than tools to arrive at specific diagnoses. Current evidence does not support using special tests to inform patients of structural involvement and pain etiology when evaluating shoulder pain. A comprehensive clinical exam should still…

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Intervertebral discs are they jelly donuts

Intervertebral discs are they jelly donuts? A blog on the human intervertebral disc, movement, function, adaptation, degradation, degeneration, wedding photos, boiling frogs and Jelly Donut lies. This blog is on all things about the human intervertebral disc and it’s beautiful structure which allows it to form multiple parts of the vertebral column primarily allowing motion of the protective column and…

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Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy

Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy: A systematic review with meta-analysis By Todd Hargrove Key Points Eccentric strengthening of the wrist extensors was found to be more effective than other strengthening protocols in the treatment of lateral elbow tendinopathy (LET). Further research is needed to clarify the optimal dosage and progression of eccentric strengthening to…

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Eccentric hamstring strength in elite track and field athletes on the British Athletics world class performance program

Athletes who perform long sprint events displayed a significant asymmetry between right and left knee flexor strength. Athletes with a previous injury displayed no significant difference in knee flexor strength compared to their previously uninjured colleagues. When normalized to bodyweight, male and female track and field athletes displayed similar levels of eccentric knee flexor strength. BACKGROUND AND OBJECTIVE As in…

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Clinical Reasoning In Manual Therapy

Touch is an important part of human interaction. Pain is an unpleasant human experience. Touch conveys meaning that words often cannot. Pain is often hard, if not impossible to put into words. It is not surprising that touching people in pain is a common ritual, and it has likely been performed for thousands of years of humanity. Touching people in pain…

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Clinical reasoning framework for thoracic spine exercise prescription in sport

As the link between the lumbar and cervical regions, the thoracic spine is a critical component of the kinetic chain during sport. However, it is not well studied in the scientific literature. This systematic review searched the available literature as well as social media to create a compendium of thoracic spine exercises for athletes. The authors categorized the exercises based…

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Weight Training Stunts Growth

Weight Training Stunts Growth – An Evidence-Based Myth Buster There is a widely held belief that weights training, when performed during puberty/adolescence, can stunt ones growth by damaging their growth plates. Because of this, it is suggested that children and adolescents should only perform body weight exercises and not use any external loading (dumbbells, kettlebells, barbells) during this time of…

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If i had a dime for everytime my patients told me

If I had a dime for every time one of my patients told me “I feel like my hip is out of place,” I’d be a rich man. While I can understand why this is such a common notion, I’m here to tell you that your hips simply do NOT go out of place (for the most part). Furthermore, telling…

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Corrective Posture Exercise

Corrective exercise: what are we correcting? For some reason I keep receiving emails extoling the virtues of ‘corrective exercise’. Whenever I hear the term ‘corrective exercise’ the question that always pops into my head is “what the hell are we correcting?” especially as ‘corrective’ exercise is often touted as alleviating or eliminating pain and preventing injury. Over the…

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ACL Injury Reconstruction

BACKGROUND AND OBJECTIVE The harsh reality for individuals who sustain an anterior cruciate ligament (ACL) rupture is that their risk of developing knee osteoarthritis (OA) increases substantially (1). Although quadriceps weakness is a risk factor for developing OA, the relationship between other functional performance tasks and early onset of OA is unknown (2). The primary objective of this study was…

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Achilles Tendinopathy

Achilles tendinopathy is a condition that causes pain, swelling and stiffness of the Achilles tendon that joins your heel bone to your calf muscles. It is thought to be caused by repeated tiny injuries to the Achilles tendon. These may occur for a number of reasons, including overuse of the tendon – for example, in runners. Treatment includes rest, ice…

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Anxiety or Corona Virus: Telling the Difference

Many people suffer from anxiety on a daily basis. And with the general public experiencing anxiety about Covid-19, those regular anxiety sufferers could feel that things have reached a new level of panic – perhaps resulting in a list of symptoms that are similar to those of the corona virus i.e. shivers, excessive sweating, shortness of breath, etc. for this…

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Establishing a Healthy Immune System

In these unprecedented times that we find ourselves in and as we approach the winter months whereby an increase in seasonal colds and flu are expected, it is of no surprise that there is a vast amount of information being circulated regarding the importance of “boosting” one’s immune system. The truth of the matter is that one should not aim…

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The Importance Of Recovery

The body adapts to the demands imposed on it from exercise and training in general. Whilst a lot of us are adapting to the new conditions and restrictions at the moment, it is crucial to stay physically active. Whatever your choice of activity may be, remember that consistency is the key. As your body adapts, there may come times when…

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‘The new normal’ – Helping kids through COVID-19 post lockdown

As government eases restrictions and announces that schools will reopen, parents are anxious about preparing their kids to the new reality we face. They are challenged with creating ‘a new normal’ were kids can still salvage their childhood while combatting Covid-19. Here are a few guidelines to help parents prepare children for life post lockdown. Parents should not project their…

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CHIROPRACTIC : It’s Never Too Early

The beauty of Chiropractic is the fact that it naturally restores the communication pathways between the brain and the body, thereby restoring normal nervous system function. This in turn unlocks optimal wellness and peak performance in individuals, no matter how young. Children develop through touch, taste, sight, smell and hearing. All of these require an optimally functioning nervous system. The…

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Biopsychosocial Model in Physiotherapy

In healthcare, we strive to treat every person holistically, not just the injury in isolation. A person is more than just an ankle or a back. Patients are people with frustrated employers expecting them to return to work. They are people with families who expect them to cook, take their children to school and play with them after. Maybe they…

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Role of Occupational Therapy in Depression

Major Depressive Disorder is one of the most prevalent mental health disorders in this day and age. Depression is classified under the umbrella of mood disorders. The Occupational Therapist is a well-respected member of the multi-disciplinary mental health team (MDT). Occupational Therapy aims at promoting mental health through the use of meaningful, purposeful and enjoyable activities in order to maintain…

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Field Hockey Sports Tips

Field hockey is one of the oldest sports in existence: 4,000 year-old wall decorations from the tomb of Kheti in Egypt depict players with rudimentary ”crooks” and a ball. The modern game of field hockey was subsequently developed in England in the mid-19th century and exported to the United States as a woman’s sport in 1901. As the sport has…

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Performance nutrition

Nutrition may not create a good athlete, but it could be one of the factors that make a GREAT athlete. Sports performance is mostly determined by genetic potential, training, and psychological drive. Nutrition is one of those ‘X’ factors that can put one athlete above another. Nutrition plays a vital role in fueling the body to be able to train, replacing…

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Overuse Injuries

There are basically two types of injuries: acute injuries and overuse injuries. Acute injuries are usually the result of a single, traumatic event. Common examples include wrist fractures, ankle sprains, shoulder dislocations, and hamstring muscle strain. While overuse injuries are more common in sports than acute injuries, they are subtle and usually occur over time, making them challenging to diagnose…

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Tips to Relieve Digital Eye Strain

Do you experience headaches, blurry vision, dry eyes, excessive tearing, light sensitivity or neck and shoulder pain? If you answered yes to 2 or more of these symptoms you may be suffering from Digital Eye Strain. DES is a group of eye and vision related symptoms associated with prolonged screen time for both adults and children. Here are a few…

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Rugby Injuries

Rugby is one of the most popular sports in the world alongside soccer and cricket. In the recent years rugby has been gaining in popularity in the United States with athletes from elementary school to adults playing the game. Now more than 80,000 players are registered with USA Rugby, 20,000 of these players are high school age. In South Africa…

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SHOCKWAVE THERAPY – (ESWT) AS A TREATMENT

Shockwave therapy is a multidisciplinary device used in orthopaedics, physiotherapy, sports medicine, urology and veterinary medicine. Its main assets are fast pain relief and mobility restoration. Together with being a non-surgical therapy with no need for painkillers makes it an ideal therapy to speed up recovery and cure various indications causing acute or chronic pain. Acoustic waves with high energy…

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Do I really need REST?

For any athlete be it a weekend warrior, fitness fanatic, Strava record holder or Professional an injury can be devastating and more than a little frustrating. The major cause of frustration for most, besides being in pain, is the fact that they are unable to do the training or racing they had planned. That dreaded word from your healthcare professional…

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Fascia Release Therapy

Treating back pain; planta fasciitis; ITB inflammation; tight muscles; Irritable Bowel Syndrome; scar tissue; tight calves; sore knees; and headaches (caused from tension). Neck ache; frozen shoulder; poor posture and so much more. This massage is for anyone. It offers a great tension release and helps to improve circulation. It is for those who sit at a desk all day…

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Shoulder Point Pain

Have you ever been playing touch rugby, and in your enthusiasm, you zigged when you should have zagged? You lose your footing, fall, and land on your shoulder? Or possibly whilst playing in the surf, you underestimated the big wave that picked you up and dumped you on your head and shoulder? You may have then experienced a nagging pain…

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Water Polo

Over the past 20 years, water polo participation has grown significantly in the South Africa. Sportsmanship, equipment, and attention to preparation and strengthening can help prevent injuries and enhance and improve performance. Water polo is physically challenging, combining the rigors of swimming, wrestling, and competitive throwing. Similar to basketball, it involves bursts of activity around the goal and during transition,…

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Swimming Injuries

Swimming is among the most popular low-impact fitness activities, with more than a million competitive and recreational swimmers in the United States and many thousands in SA. More than one-third of these athletes practice and compete year-round. Elite swimmers may train more than five miles a day, putting joints through extreme repetitive motion. Most swimming injuries affect the shoulders, knees,…

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Plantar Heel Pain

This is quite a common condition that can affect just about anyone. It is general term for pain on bottom part of the heel of the foot and may be a result of many causes. The most common that we see is plantar fasciitis, also known as plantar fasciopathy or plantar fasciosis. No matter what it is called, it hurts!…

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Sports tips for Tennis

Tennis Injuries Tennis, played worldwide, is one of the most popular racket sports. A high number of tournaments for competitive tennis players may lead to overuse injuries, such as “tennis elbow” or wrist injuries. For noncompetitive tennis players, improper or inadequate physical and technique training may be the cause of overuse injuries. Although overuse injuries make up a large chunk…

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Neck Pain

Neck Pain has become a recurring problem in the lives of many, and although a common assumption appears to be that it’s due to inherent “poor posture”, deciding on a starting point to address this can sometimes feel like an insurmountable task. A simpler approach can sometimes be to break the big picture into smaller, more manageable pieces, and it…

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Preventative Dentistry

Preventative dentistry is focused on preventing unnecessary tooth loss due to tooth decay, enamel wear and gum disease. Preventive dentistry goes hand-in-hand with oral hygiene and by maintaining good oral health; you can not only prevent tooth loss but prevent the related complications and pain that go along with losing a tooth. What does preventative dentistry involve? Initially, Dr Moodley…

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