07/22/2018 | Neck and back injuries

Upper trapezius: the key to scapulohumeral rhythm

Chris Mallac explores the relevant anatomy and function of the UT, the role it has in musculoskeletal dysfunction and management ideas in the form of strengthening and loosening. The upper trapezius (UT) is a major muscle that affects movement and stability of both the scapula and cervical spine. The coordination and interplay between the UT... MORE

06/26/2018 |

Golf: a gentle game that leads to pain

Although golf is regarded by many as a ‘gentle’ sport, the risk of lower back pain among its practitioners is surprisingly high. Andrew Hamilton explains the kinematics leading to back pain in golfers... MORE

Joint injuries

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

12/24/2018 | Knee injuries

Pellegrini-Steida syndrome – a cause of stubborn medial knee...

Patrick Gillham looks into the aetiology of Pellegrini-Stedia syndrome, and how best to treat it using conservative measures. Calcification of soft tissue structures is not uncommon in the body. This process frequently occurs in the shoulder, with the supraspinatus tendon being the most commonly affected. After the shoulder, the hip is the second most frequent... MORE

Diagnose & Treat

04/18/2019 | Diagnose & Treat

Slipping rib syndrome: an obscure cause of thoracic pain?

Andrew Hamilton investigates the role of ‘slipping rib syndrome’ in the etiology of thoracic pain. What role does rib hyper-mobility play and what should clinicians be on the lookout for? Thoracic movement A number of rigid structures, including the ribs, sternum, and thoracic vertebrae, comprise the thoracic region. Intervertebral discs and costal cartilages facilitate the... MORE

04/8/2019 | Neck and back injuries

Lumbar spondylolysis in adolescent athletes: breaking the curse!

Pat Gilham considers the etiology, diagnosis and conservative treatment options for younger athletes with lumbar spondylosis. Spondylolysis is a fracture at the pars interarticularis of a vertebra. In the general population, the incidence of spondylolysis as a cause of low back pain is around 6% in adults and 4.4% in the paediatric population(1). However, in adolescent athletes,... MORE

04/2/2019 | Shoulder injuries

Significance of upper scapular rotation on rotator cuff tendon...

Scapulohumeral rhythm describes the intimate relationship between the movement of the humerus and the scapula in abducting the shoulder joint. When elevating the arm, the scapula moves in an upward rotation one degree for every two degrees of humeral movement. Since both bones contribute to the joint movement, impairment of the movement of one, usually the... MORE

04/16/2019 | Email Newsletters

The importance of sleep in performance and injury recovery

March madness culminated in the NCAA men’s championship finals when Texas Tech met the University of Virginia. With both schools given the chance to win their first basketball championship, the Raiders of Texas Tech were celebrating what has been for them a comeback season. To what did they attribute their success? Sleep! After a three-game... MORE

03/26/2019 | Email Newsletters

Running from injury

Last year a landmark study revealed that vertical loading forces, long thought the scourge of injured distance and recreational runners, are likely not the causes of repeated injuries(1). Rather, Canadian researchers found that when evaluating kinetic variables in 65 healthy female runners, only peak braking force (PBF) was a significant predictor of repeated running injury... MORE

03/25/2019 | Sports psychology

Painful truths: the physical impacts of emotional stress

Trevor Langford explores the physiological effects of stress, and the implications for athletes seeking to reduce pain and return to normal function. Figure 1: Stress and homeostasis Through its impacts on the CNS, endocrine and immune systems, stress can alter the physiological homeostasis in the body. Background Athletes at all levels of sport are exposed... MORE


Efficient training: drop jumps versus soccer drills

Spring has sprung in the Northern Hemisphere while the mild days of fall are starting in the Southern. With the change in the weather, young athletes everywhere are getting out and playing footie. Meanwhile, coaches scrambling for best practices to give their team the edge often resort to technical training. Chilean researchers have just released... MORE


Managing pain with meditation

In our series on pain in athletes, we’ve explained how pain perception effects an athlete’s potential to return to their previous level of play. If an athlete has a tendency toward catastrophizing, they will see only the negative aspects of their injury. In addition, they may tend to focus more intently on their pain, increasing... MORE


Fear avoidance: 4 ways to address fear of pain...

Fear is an emotional response to a threat, either real or perceived. It is a great motivator and rapidly modifies behavior. Fear avoidance is making behavioral choices to avoid that which instills fear, like taking a circuitous route to keep from driving down a street you know is a police speed trap. As discussed in... MORE

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