10/24/2018 | Diagnose & Treat

A clinicians guide to side strains in cricket fast...

Adam Smith describes the patho-anatomy of a side strain and outlines clinical tests to assess, treat and determine readiness for return to play for a cricket fast bowler. Side strains have been reported in a variety of sports, including javelin throwers, baseball pitchers, tennis players, golfers, and cricketers. This article, however, focuses on side strains... MORE

Joint injuries

12/13/2019 | Uncommon injuries

Uncommon injuries: Pes anserinus part II – the road...

In the first part of this series, Andrew Hamilton outlined the structure of the pes anserinus complex, the risk factors for injury, and the diagnostic criteria. In the second and final part, he explores the most effective treatment options and rehab protocols for athletes suffering from a pes injury. As explained in part one of this... MORE

08/29/2019 | Shoulder injuries

Frozen shoulder: new solutions to a sticky issue?

In the first of this 2-part article, Andrew Hamilton discussed the etiology of ‘frozen shoulder’ and the efficacy of conservative treatment options. In part two, Andrew examines the evidence for the benefits or otherwise of newer, more technological therapies for this condition including pulsed radiofrequency therapy and guided ultrasound. As we saw in part one of... MORE

01/23/2019 | Shoulder injuries

Sternoclavicular joint dysfunction: a rare diagnosis

Trevor Langford reviews the anatomy and biomechanics of the sternoclavicular joint, explains how joint dysfunction presents in athletes and non-athletes, and provides treatment options for a sternoclavicular joint sprain or dislocation. Injuries of the glenohumeral joint (GHJ) and the acromioclavicular joint (ACJ) are commonly diagnosed, while injury to the sternoclavicular joint (SCJ) is frequently overlooked during... MORE

Diagnose & Treat

01/16/2020 | Hip injuries

Uncommon injuries: Don’t play with groin pain – femoral...

Although relatively uncommon in athletes, the risk of a femoral neck stress fracture is nevertheless significant, especially in females. Andrew Hamilton explains the etiology of this debilitating injury, factors that aid a rapid and accurate diagnosis, and the nutritional defecits associated with its development. First reported by Asalin, a German military surgeon in 1905, a... MORE

01/3/2020 | Diagnose & Treat

Neuroplasticity part II: brain matters for effective rehab

In part one of this 2-part series on the importance of neuroplasticity in sports injury rehab, Chris Mallac explained how the ability of the cerebral cortex and cerebellum to reorganize and adapt has implications for athletes in the context of skill acquisition for an effective return to sport. In part two, Chris explores more key... MORE

12/6/2019 | Diagnose & Treat

Neuro-dynamics: mobilizing the athlete back to full function and...

Chris Mallac explores the current understanding of nerve mobility and the implications for clinicians treating athletes in their care. David Butler and Michael Shacklock coined the terms neuro-dynamics or neuro-mobilizations to describe the concept that impaired neural movement can cause limitations in the range of motion in the body(1-3). Subsequent research has supported the hypothesis that... MORE

01/21/2020 | Email Newsletters

Putting isometric contractions on hold for strength gains

The immediate benefits of a resistance training program include improved strength, larger muscle volume, stronger bones, and tendons that withstand the burdens of added load. For athletes, strength training also helps improve performance and prevent injuries, especially when tailored to the needs of their sport. The challenge is finding the time to adhere to a... MORE

01/9/2020 | Improve

Bring pressure to bear on sports injury with blood...

Is blood flow restriction training just one more fad? Alejandro Piris Nino takes an updated look at the history, uses, risks, and guidelines of this novel intervention.     Blood flow restriction (BFR) training, originally called Kaatsu (meaning training with added pressure), is the partial restriction of arterial and venous blood flow to exercising muscles... MORE

01/7/2020 | Email Newsletters

Turn up the heat to improve strength

Recovery from injury means regaining strength, but injuries also necessitate load modification. Therefore, a load of 60% to 80% of 1 rep max (RM), needed to stimulate hypertrophy and make strength gains, might be too great of a strain on injured tissues. The opposite approach, performing high reps of a low load, may be challenging... MORE


Does thoracic manipulation effectively treat subacromial pain?

In 2018 Jeremy Lewis, Ph.D. raised a controversial point in his editorial titled The End of an Era?(1) He proposed that surgery for subacromial pain may be unnecessary as the acromion may not impinge structures as once believed. He also presents physical therapy and exercise for shoulder pain as an equally effective strategy. He makes an... MORE


Hips keep goalkeepers in pain throughout season

Hockey player Marc-André Fleury recently demonstrated the extreme ranges of hip motion and pelvic stability a goalkeeper needs to do their job well (see video 1). Historically, hockey players in all positions report of hip and groin problems. However, goalies demonstrate more extremes of hip motion, especially internal rotation, as they contort their legs in... MORE


Cool it! Why cryotherapy may not get desired results...

A recent newsletter explored the effect of post-exercise cryotherapy on the uptake of protein in muscles. While the immediate use of cooling after resistance exercise might diminish muscle building, it is a common strategy used to decrease delayed onset muscle soreness (DOMS) after endurance exercise. Muscle cooling post-exercise comes in many forms: Cold water immersion... MORE

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