#Musculoskeltal

MOST RECENT

This morning I posted something like, "Each time a patient tells me they had MRI for their neck or back I am tempted to say 'You could've given me that money!'" My American best friend living in Thailand had this to comment on the post... #physicaltherapy #physiotherapy #musculoskeltal #orthopedics #orthoPT #imaging #backpain #neckpain #kneepain #shoulderpain #MRI #youarenotyourmri #choosePT #choosewisely

Wow I had a super busy Friday, Saturday and Sunday in London. I was extremely fortunate to attend a course run by Amos Ziv, an extremely knowledgeable Israeli Acupuncturist / Lecturer who trained under the late Dr Wang.
The course was mainly for treating musculoskeletal conditions and pain management with immediate changes. After digesting all the theory and watching the demonstrations we were able to practise on each other and see first hand the immediate effect of this treatment .

It’s very gentle in its approach, with fewer needles used, but carries a strong movement of Qi through the channels resulting in reduction in pain.
If you think this maybe of benefit to you then book in some Acupuncture as I will be incorporating this new technique straight away.
Book in at : www.olivetreebeauty.co.uk

#painmanagement #meridianwave #musculoskeltal #olivetreewellbeing #acupuncture #brackley #painreduction #tcm #alwayslearning #newskills #advancedacupuncture #qimoving #channeltherory #meridiantheory

SERIES 4/5: CLINICAL DIAGNOSIS.

A diagnosis of ITB syndrome is typically made clinically with the defining symptom being lateral knee pain associated with running or repetitive loading of the knee.
It should the noted that the validity and reliability of the Noble compression test and the Rene's test are yet to be evaluated. •••••••••••••••••••••••••••••• #physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #research #knee #ITB

SERIES 4/5: ITB SYNDROME-CAUSE.
ITB syndrome is primarily caused by compression of the posterior ITB edge on the lateral aspect of the femoral condyle which causes irritation.
Essentially, weakness in the lateral rotators and gluteus medius muscle causes excessive internal rotation of the femoral head and adduction of the femur. Such that when running, increased femoral adduction inducing a valgus abnormality increases the lateral tibiofemoral compression and thus, increases compression of the fat pad that lies inferior to the ITB.

Mucha MD, Caldwell W, Schlueter EL, Walters C, Hassen A, Hip abductor strength and lower extremity running related injury in distance runners: A systematic review., Journal of Science Medicine in Sports, 2017;20(4):349-355.
••••••••••••••••••••••••••• #physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #research #knee #ITB #itbsyndrome

SERIES 3/5: ITB SYNDROME-CLINICAL SYMPTOMS:
1. Pain isolated to the lateral aspect of the knee. Specifically located at the lateral femoral condyle.
2. Pain with repetitive flexion-extension based exercises/activities.
3. Pain is normally elicited at 30' of tibial extension as this has previously been shown to be the angle of greatest compression of the ITB. Essentially, at 30' of tibial extension, the ITB move posterioly to the lateral femoral condyle, in this position the posterior edge of the ITB comes into contact with the lateral edge of the femoral condyle. Therefore, ITB friction syndrome generally elicits pain at this angle. ••••••••••••••••••••••••••••••••••
#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #research #ITB #illiotibialband #runner

Series 1/5: Illiotibial Band Syndrome -DESCRIPTION.

The ITB is a longitudinal fiberous band that has a proximal insertion on the iliac tubercle of the iliac crest and a distal insertion on the lateral tibial condyle.
The ITB primarily acts as a lateral stabiliser to the knee both in a flexed and extended position. Therefore, the ITB has a significant involvement in running and walking.
Clinically, lateral knee pain associated with running and pain at the location of the femoral condyle would indicate potential Illiotibial Band syndrome. ••••••••••••••••••••••••••••••••••••
#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #physicaltherapy #patella #TFL #ITB #knee

Approximate healing times of different musculoskeletal tissues that have been injured. This is a helpful guide in both devising rehabilitation program and determining when to return to sports and/or normal activities. #physiotherapy #physicaltherapy #sportsphysio #orthopedic #softtissueinjury #sportsinjury #musculoskeltal #healingtimes

Over the next few posts I will be discussing Illiotibial band syndrome.
1. What it is
2. Cause
3. Symptoms
4. Clinical diagnosis
5. Physiotherapy management.

As always, evidence based practice will inform my discussions.
Watch this space🤓🤙. ••••••••••••••••••••••••••••••••••••
#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #physicaltherapy #patella #TFL #ITB #knee

Yet another quote from another colleague emphasizing how critical are the words that we use in the clinic. Many practitioners including doctors, physios, chiros, and even personal trainers like to pathologise their patient's pain... Things like out of alignment, weak and degenerated spine, bad back, worn out knee cartilage. These things create fear and anxiety in the psyche of the patient. #wordsmatter #stopfearmongering #physicaltherapy #physiotherapy #painscience #painscienceeducation #painphysio #painrehab #orthopedic #musculoskeltal

MDT의 Vision은 근골격계문제를 가진 환자를 평가하고 치료하고 교육하는데에 있어 전 세계적으로 첫번째 choice가 되는 것이다!!!💎
.
#mdt #vision #first #choice #assessment #treatment #education #musculoskeltal #disorder #patient

Casual clip coming that I want you to try 🤗 . These tips are my go to release favs when my scoliosis gets “cranky” on me ➡️➡️ http://pilatesandscoliosis.com/movement-clips/

#pilatesandscoliosis#scoliosis#pilatesprepwork#prepyourmuscles#musclecare#musculoskeltal#musculoskeltaltherapy#smartbodymovement#smartbodies

SERIES 4/5: BAKERS CYST-DIAGNOSIS.
Clinically, a Baker's cyst is typically made from an observational point of view in which a posterior protrusion in the popliteal fossa will be evident. Severity dependent on increasing size which is more easily visible when the patient is standing with full knee extension. However, the gold standard remains MRI in order to differentiate between meniscal cysts or myxoid tumours. Otherwise, ultrasound is commonly used. However, this method lacks the ability to identify cause of the baker's cyst (OA meniscal lesion). Moreover, observational analysis will confirm a baker's cyst in conjunction with the patients subjective history and objective examination to identity the cause.
Both MRI scans (axial and sagittal respectively) show a baker's cyst and the communicating Chanel between the semimembranosis and the medial head of the gastrocnemius in which the fluid bisects before passing into the popliteal bursa. ••••••••••••••••••••••••••••••••••••
#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #research #knee #bakerscyst #bursa #poplitealcyst

SERIES 3/5: BAKER'S CYST: CAUSE.
A Baker's cyst can be definitely as either being primary or secondary. A primary cyst occours in an otherwise asymtomatic healthy knee joint. Often referred to as a primary idiopathic cyst. Such that the cyst forms with no known underlying cause.

A secondary cyst occurs as a result of a specific underlying knee pathology that induces an effusion. Often OA or a menisical lesion. A joint effusion increases the intra-articular joint pressure, thereby stretching the joint capsule causing the synovial fluid to pass into the popliteal bursa, intersecting the medial head of the Gastroc and the Semimembranosis causing the bludge.
Essentially, the mechanism of injury will give a good induction if a meniscal injury is suspected or it there is an insidious onset combined with the subjective history may indicate OA.
Xiao-nan Zhou, Bin Li, Jia-shi Wang and Lun-hao Bai*, Surgical treatment of popliteal cyst: a systematic review and meta-analysis, Zhou et al. Journal of Orthopaedic Surgery and Research (2016) 11:22 ••••••••••••••••••••••••••••••••••••#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #research #knee #bakerscyst #bursa #poplitealcyst

SERIES 3/5: BAKER'S CYST-CLINICAL SYMPTOMS.
Symptoms can include:
• pain.
• swelling and a mass.
• stiffness sometimes increased by activity.
• tightness behind the knee.
• Vague posterior knee pain.

However, smaller Baker's cysts are often aysmtomatic with only defining observational symptom being a small mass behind the knee.
Reference:
Di Sante, Luca, et al. "Ultrasound-guided aspiration and corticosteroid injection of Baker's cysts in knee osteoarthritis: a prospective observational study." American Journal of Physical Medicine & Rehabilitation 89.12 (2010): 970-975 ••••••••••••••••••••••••••••••••••••
#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #research #knee #bakerscyst #bursa #poplitealcyst

SERIES 1/5: BAKER'S CYST-description.
A bakers cyst emerges between the medial head of the gastrocnemius and the semimembranosis muscle. Essentially, a bakers cyst is a swelling of the gastrocnemius-semimembranosis (popliteal) bursa as a result of an increased accumulation of synovial fluid that leaves the joint cavity. ••••••••••••••••••••••••••••••••
#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #research #knee #bakerscyst #bursa #poplitealcyst

#Repost @doctorhouse.co.id (@get_repost)
・・・
Nyeri pada tangan sangat umum terjadi, mulai nyeri pada pergelangan tangan, terjadi pembengkakan pada telapak tangan, mati rasa atau kelemahan. Hingga menyebabkan tidak dapat beraktivitas ataupun menggenggam. Nyeri pada tangan dapat disebabkan oleh berbagai hal mulai dari saraf yang terjepit hingga penyakit yang mendasari seperti misalnya arthritis.

Beberapa penyebab nyeri pada tangan yang tersering seperti :
1. Carpal tunnel syndrome

Carpal tunnel syndrome adalah kondisi yang relatif sering terjadi yang menyebabkan nyeri, rasa baal dan kesemutan di tangan dan jari yang biasanya berkembang perlahan dan memburuk di malam hari. Gejala cenderung dirasakan di ibu jari, telunjuk, jari tengah dan sebagian jari manis. Penderita akan sulit menggenggam. Sindrom ini adalah masalah saraf yang paling sering terjadi.

2. Osteoarthritis
Osteoarthritis adalah bentuk arthritis yang paling sering. Penyakit ini menyebabkan degenerasi progresif dari kartilago (tulang rawan). Penyakit ini dapat terjadi akibat penuaan atau setelah terjadi cedera, misalnya fraktur atau dislokasi. Ketika mengenai tangan akan menimbulkan gejala nyeri, pembengkakan, dan kaku.

3. Rheumatoid arthritis

Rheumatoid arthritis adalah penyakit autoimun. Nyeri tangan yang berkaitan dengan rheumatoid arthritis biasanya berupa nyeri berdenyut, tumpul dan dirasakan terus menerus. Nyeri seringkali memburuk di pagi hari dan setelah beristirahat.

4. Trigger finger
Trigger finger adalah kondisi yang mempengaruhi tendon tangan. Kondisi ini menyebabkan jari terkunci pada posisi tertekuk. Kondisi ini dapat sangat nyeri, terutama ketika penderita menekuk atau meluruskan jari yang sakit.

#musculoskeltal #fisioterapi #nyeri #nyeritangan #keseleo #kejepit #pekerja #atlet #olahragawan #gym #fitnes #lansia #kliniknyeri #kliniksendi #klinikotot #kliniktulang #infokesehatan #infopenyakit #infogejala #bebasgerak #bebasnyeri #hidupsehat #sehat #lllt #nyeri

Nyeri pada tangan sangat umum terjadi, mulai nyeri pada pergelangan tangan, terjadi pembengkakan pada telapak tangan, mati rasa atau kelemahan. Hingga menyebabkan tidak dapat beraktivitas ataupun menggenggam. Nyeri pada tangan dapat disebabkan oleh berbagai hal mulai dari saraf yang terjepit hingga penyakit yang mendasari seperti misalnya arthritis.

Beberapa penyebab nyeri pada tangan yang tersering seperti :
1. Carpal tunnel syndrome

Carpal tunnel syndrome adalah kondisi yang relatif sering terjadi yang menyebabkan nyeri, rasa baal dan kesemutan di tangan dan jari yang biasanya berkembang perlahan dan memburuk di malam hari. Gejala cenderung dirasakan di ibu jari, telunjuk, jari tengah dan sebagian jari manis. Penderita akan sulit menggenggam. Sindrom ini adalah masalah saraf yang paling sering terjadi.

2. Osteoarthritis
Osteoarthritis adalah bentuk arthritis yang paling sering. Penyakit ini menyebabkan degenerasi progresif dari kartilago (tulang rawan). Penyakit ini dapat terjadi akibat penuaan atau setelah terjadi cedera, misalnya fraktur atau dislokasi. Ketika mengenai tangan akan menimbulkan gejala nyeri, pembengkakan, dan kaku.

3. Rheumatoid arthritis

Rheumatoid arthritis adalah penyakit autoimun. Nyeri tangan yang berkaitan dengan rheumatoid arthritis biasanya berupa nyeri berdenyut, tumpul dan dirasakan terus menerus. Nyeri seringkali memburuk di pagi hari dan setelah beristirahat.

4. Trigger finger
Trigger finger adalah kondisi yang mempengaruhi tendon tangan. Kondisi ini menyebabkan jari terkunci pada posisi tertekuk. Kondisi ini dapat sangat nyeri, terutama ketika penderita menekuk atau meluruskan jari yang sakit.

#musculoskeltal #fisioterapi #nyeri #nyeritangan #keseleo #kejepit #pekerja #atlet #olahragawan #gym #fitnes #lansia #kliniknyeri #kliniksendi #klinikotot #kliniktulang #infokesehatan #infopenyakit #infogejala #bebasgerak #bebasnyeri #hidupsehat #sehat #lllt #nyeri

Over the next few posts I will be discussing a Baker's Cyst.
1. What it is
2. Cause
3. Symptoms
4. Clinical diagnosis
5. Physiotherapy management.

As always, evidence based practice will inform my discussions.
Watch this space🤓🤙. Have a great week! ••••••••••••••••••••••••••••••••••••
#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #physicaltherapy #patella #synovialfluid #bakerscyst #knee

2nd publication submission 🤙.

SERIES 4/5: HOFFA'S SYNDROME-CLINICAL DIAGNOSIS.

The hoffa's test is promiariy used to reproduce Hoffa's syndrome symptoms using the following test protocol:
1. Hip and knee flexed to 90'
2. Pressure is applied to the medial and lateral joint lines, adjacent the patella tendon.
3. Ask the patient to extend the knee whilst maintaining pressure on the joint lines.

Pain reproduction in the last 10 degrees of extension is indicative of Hoffa's syndrome.
However, application of pressure in the medial and lateral joint lines may cause pain in other retropatella structures inducing a false positive therefore this test should be interpreted with caution and used respectively in conjunction with the subjective history. Moreover, the efficacy of this test has not yet been evaluated in the literature. ••••••••••••••••••••••••••••••••••••
#physiotherapy #physio
#musculoskeltal #sportsmassage #personaltraining #anatomy #love #rehabiliation #health #fitness #csp #hcpc #medical #muscles #fitspo #exercise #sportphysio #injury #rehab #norwich #doctor #medicine #physiolife #dpt #physicaltherapy #patella #kneepain #infrapatellafatpad #hoffassyndrome #knee

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