BRINGING SCIENCE TO TREATMENT

Leg injuries

Plantaris tendon: the nuisance bystander?

in Diagnose & Treat, Leg injuries

The plantaris muscle and tendon are considered unnecessary for the biomechanical function of the lower limb. Yet this benign muscle can cause problems if ruptured or involved in a medial Achilles tendon injury. Chris Mallac explains why, and how to manage an injury to either. The plantaris muscle (PM) is a small, thin, and spindle-shaped muscle... MORE

Uncommon injuries: Proximal hamstring rupture – act sooner rather...

in Anatomy, Leg injuries, Pre-hab and post-surgical rehab, Uncommon injuries

Chris Mallac looks at the etiology, diagnosis, and treatment options for proximal hamstring ruptures in athletes. Although an uncommon form of hamstring damage (only eight to 12% of all hamstring injuries), an untreated rupture at the muscle origin leads to significant functional debilitation(1-3). The actual incidence of undiagnosed rupture may be much higher, thus accounting... MORE

Psoas major II: managing dysfunction with corrective interventions

in Diagnose & Treat, Hip injuries, Leg injuries, Musculoskeletal injuries, Prevent

In the first part of his two-piece review on psoas major (PM), Chris Mallac discussed the relevant and complex anatomy and biomechanics of this unique and misunderstood muscle. In part two, Chris looks at how PM dysfunction may manifest as a musculoskeletal problem, and the corrective interventions a therapist can use to manage PM dysfunction. PM... MORE

Intramuscular hamstring tendon injury: prognosis, surgical repair and rehabilitation

in Anatomy, Diagnose & Treat, Leg injuries, Strength

Adam Smith explores the anatomy of intramuscular hamstring tendons, outlines an injury classification system and using a case study, provides treatment and rehab options following surgical repair. Hamstring injuries are the most common muscular injury in athletes with most injuries occurring at the musculotendinous junction(1-3). There is some evidence that injuries that involve the intramuscular... MORE

Quadriceps strains and contusions: assessment and diagnosis

in Acute injuries, Diagnose & Treat, Leg injuries, Overuse injuries

Andrew Hamilton reviews the clinical presentation and assessment of quadriceps strains, along with a discussion of appropriate imaging used in diagnosis. Strains and contusions of the quadriceps are common in sport and frequently result in lost time from training and competition. Acute strain injuries of the quadriceps occur in sports such as soccer, rugby, and football,... MORE

11 factors that differentiate sciatica from hamstring or other...

in Diagnose & Treat, Hip injuries, Leg injuries, Musculoskeletal injuries

Michael Lancaster discusses potential diagnoses in cases presenting with rear thigh pain, and how to sleuth out the cause. Posterior thigh pain provides a great challenge to sports physiotherapists around the world, with the most common cause being hamstring strains(1). However, there are a number of structures that cause pain both locally or referred. Identification of... MORE

Tibialis posterior tendon: a key player in foot biomechanics

in Leg injuries, Musculoskeletal injuries, Overuse injuries

Trevor Langford looks at the anatomy and biomechanics of the tibias posterior, and outlines suitable examination protocols as well as the treatment and management options for dysfunction The tibialis posterior tendon (TPT) is a major player in the optimal functioning of foot biomechanics, particularly as it provides stability to the medial longitudinal arch (MLA)(1). Dysfunction not only presents... MORE

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