07/19/2018 | Email Newsletters

High hamstring tendinopathy: a pain in the bum

The last installment in our series on tendinopathy takes a look at the proximal hamstring tendon. A growing number of running athletes suffer from the degenerative tendon disease known as proximal hamstring or high hamstring tendinopathy (HHT)(1) . Athletes complain of a pain at the gluteal fold, which may not bother them during running but... MORE

06/25/2018 |

Injection therapy: considering the finer points

Corticosteroid injections are widely used to aid injury rehabilitation but we still understand very little about their mechanism. Tracy Ward looks at the current thinking and discusses how this potentially impacts treatment options… MORE

Joint injuries

07/3/2018 |

The Buford complex

Chris Mallac looks at a rare and under-recognised variant of normal shoulder anatomy known as the Buford complex. How does it differ from normal anterior shoulder anatomy and what are the implications for clinicians? The Buford complex is a relatively rare and under-recognised variant of normal shoulder anatomy that affects the antero-superior labrum and the middle... MORE

06/26/2018 |

Masterclass: AC joint reconstruction – Part I

In part 1 of this feature, Chris Mallac outlines the relevant anatomy and biomechanics of the ACJ, how they are injured, how to clinically assess injury and the relevant radiological requirements in determining the extent of injury. MORE

Diagnose & Treat

07/22/2018 | Leg injuries

Medial tibial stress syndrome: a novel approach?

Medial tibial stress syndrome can be a persistent and debilitating condition in athletes. Andrew Hamilton looks at the risk factors involved, the popular treatment options, and also considers the efficacy or otherwise of a novel approach based on fascial manipulation. Medial tibial stress syndrome (MTSS – commonly known as shin splints) is a frequent injury of... MORE

07/22/2018 | Leg injuries

Hip weakness and shin splints: a biomechanical approach

Alicia Filley examines the role of biomechanics in medial tibial stress syndrome. Medial tibial stress syndrome (MTSS – commonly known as shin splints) is not medically serious, yet can suddenly side-line an otherwise healthy athlete. Roughly five percent of all athletic injuries are diagnosed as MTSS(1). The incidence increases in specific populations, accounting for 13-20% of... MORE

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

07/8/2018 | Improve

NSAIDs: the good, the bad and the ugly

Andrew Hamilton looks at recent research on non-steroidal anti-inflammatory medication; should it be considered a last resort for athletes rather than the first? Non-steroidal anti-inflammatory drugs (NSAIDs) are cornerstones of pain management in homes, clinics and hospitals worldwide. These agents are consumed or prescribed for diverse conditions ranging from mild intermittent to chronic musculoskeletal pain, as... MORE

07/7/2018 |

Chronobiology: rhythms and athletic injury

We may live in a high-tech 24/7 world, but fundamental biological rhythms remain deeply ingrained in our physiological makeup. Andrew Hamilton explains how these rhythms can affect injury risk, and the implications of this for coaches and clinicians Humans have evolved in and are surrounded by a world full of rhythms. It would be incredible therefore... MORE

07/3/2018 |

Text neck and the curse of thoracic dysfunction

Trevor Langford explores the biomechanical demands of the thoracic spine, provides examination and assessment guidelines and outlines methods for improving thoracic mobility. Thoracic spinal or mid back pain is a common complaint among a wide range of age groups within the general population, with adolescents and the elderly alike reporting pain. Shoulder biomechanics can be affected... MORE


Tendinopathy in the long head of the bicep

Previous newsletters have reviewed the mechanism of injury, pathophysiology, rehab approach, and use of non-steroidal anti-inflammatory medications in the treatment of tendon injuries. Physiotherapist and writer Chris Mallac recently took a deep dive looking at  the tendon of the long head of the biceps (LHB). Injuries to this tendon occur in overhead athletes, swimmers, and cross fit athletes. Be curious... MORE


Principles of tendon healing apply to the Achilles tendon

Achilles tendinopathy and tear. Photo Credit William Morrison, MD, @morrisonMSK The principles of tendon injury and healing apply to any injured tendon, even the Achilles. The largest tendon in the body, the Achilles is the connection for both the soleus and gastrocnemius muscle to the calcaneus. It functions in nearly every activity, including walking, running,... MORE


NSAIDs: the magic pill for managing tendinopathy?

The natural tendency for many athletes in the acute stage of tendon injury is to manage the pain and possible swelling with non-steroidal anti-inflammatory (NSAIDs) medications. But is this the best approach? Andy Hamilton, editor of Peak Performance and frequent contributor to Sports Injury Bulletin, examines the role of NSAIDs in healing from injury here. As... MORE

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