BRINGING SCIENCE TO TREATMENT

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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


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

12/31/2018 | Ankle and foot injuries

Sinus tarsi syndrome: a possible source of lateral ankle...

Chris Mallac explains the etiology of sinus tarsi syndrome, and outlines diagnosis and management options for clinicians. Sinus tarsi syndrome (STS) is a frequently misdiagnosed condition in which patients have pain over the lateral aspect of the ankle (the sinus tarsi region) with an ‘unstable’ sensation in the rearfoot. STS sufferers usually have a history... MORE

Diagnose & Treat


10/2/2019 | Knee injuries

Jumping to conclusions about anterior knee pain

Jumper’s knee occurs in 14% of athletes, mostly volleyball, basketball, and handball players(1). The term ‘jumper’s knee’ typically refers to anterior knee pain, usually presumed as patellar tendinopathy. However, a careful history and exam reveal that quadriceps tendinopathy exists in up to 25% of patients. These athletes complain of anterior knee pain at the superiorpole... MORE

09/28/2019 | Diagnose & Treat

Bridging the gap: from active to sports ready!

Tracy Ward looks at what the science says on preparing the injured athlete for a full return to sport. The goal of rehabilitation following a sports injury is to bridge the gap from an injured state to full sports readiness. This requires extensive planning to ensure loading produces the appropriate tissue adaptation to withstand the imminent... MORE

09/19/2019 | Tools and technology

Smooth movement: the benefits of isokinetic training

Andrew Hamilton looks at recent evidence for the benefits of using isokinetic strength training in rehabilitation. The goals of clinicians and trainers involved in the care and rehab of athletes are simple: firstly, to try and prevent the occurrence of injury, and secondly, to help rehabilitate those athletes that succumb to injury as rapidly as... MORE


10/9/2019 | Email Newsletters

Walk it off! Guidelines for preventing overdiagnosis

The British Journal of Medicine published two interesting articles this month. The first is an education review on the overdiagnosis and medicalization of athletes (and the public at large)(1). The authors cite several factors supporting this trend in sports medicine, including: The belief that more intervention improves outcomes. Making the definition of disease more inclusive.... MORE

09/17/2019 | Email Newsletters

Giving recovery the squeeze

Some time ago, editor Alicia Filley explored the effectiveness of graded compression garments (GCGs) on athletic performance and recovery for our sister publication Peak Performance. As she explained, the theory behind the use of GCGs by athletes stems from the regular application of their usage in the medical field. In hospitals, GCGs are worn by... MORE

09/13/2019 | Tools and technology

Shock and awe: the role of ESWT in healing...

Following on from our recent article on the use of extracorporeal shockwave therapy in adhesive capsulitis, Chris Mallac takes a wider look at this mode of treatment and investigates a number of other sporting injuries where its use might be appropriate and beneficial. Extracorporeal shockwave treatment (ESWT) was developed over 40 years ago to disintegrate urinary... MORE


10/15/2019

Gait deviations and running injuries: chicken or the egg?

To measure the occurrence of these deviations, they evaluated 72 runners with a diagnosis of PFP, ITBS, MTSS, or AT. These runners had a history of injury for more than three months with associated running volume modification. None received prior treatment for their injury, and all were able to run at least 10 minutes before feeling... MORE

09/25/2019

Taking a crack at groin pain

Groin pain accounts for up to 30% of all sports injuries(1). Treating this ailment requires careful sleuthing from the sports injury clinician. The list of differential diagnoses to consider for groin pain is lengthy, including: Hip, pelvic, or knee joint pathology Bone pathology Tendon or ligament strain Muscle belly strain or tear Sports hernia Abdominal... MORE

09/11/2019

Not ready to return to sport after ACLR? Bring...

Anterior cruciate ligament (ACL) tears are the bread and butter for many an outpatient orthopedic practice. Still, physios the world over would happily go into semi-retirement if they could improve the outcomes of ACL repairs (ACLRs). As it stands today, just over half of the 250,000 to 300,000, who suffer an ACL injury in the... MORE

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