injury & rehabilitation

Ankle sprains revisited

Ankle sprains revisited

The warm weather has finally made a return and many seasonal runners are out and about. Unfortunately, after months of relative inactivity, several try to pick up where they left off and very quickly wind up with an injury and side lined right at the start of the season. In the past week alone I’ve [...]

Cervical Radiculopathy

Cervical Radiculopathy

The nerves of the cervical vertebrae flow through the upper extremities in the complex brachial plexus. Radiculopathies generally occur when a disc herniation or other space occupying lesion is present. This would generally cause impingement of the nerve root. When acute, associated inflammation would cause even more pain. Generally, patients will report shooting arm pain, [...]

ACL tears revisited

ACL tears revisited

Given the recent ACL tears of Iman Shumpert and Derrick Rose and their projected multi-month recoveries, a quick review of ACL tears may be in order. We first discussed ACL tears and their rehabilitation here, here and here. The ACL runs from the medial wall of the distal femur to the lateral wall of the [...]

Functional movement screen: relative to athletic performance?

Functional movement screen: relative to athletic performance?

In the pre-season period, professional (fitness) coaches will assess their athletes fitness and movement abilities, before devising a relevant training programme. Speed, strength, endurance and peak & mean power are standard measurements to be taken, preferably in a high performance laboratory setting. Checking for musculoskeletal imbalances is also important, and in this regard an orthopaedic [...]

Osgood-Schlatter Disease

Osgood-Schlatter Disease

Sindig-Larson-Johnson syndrome is an apophysitis of the tibial tuberosity. The site where many of tendons of the thigh muscles attach to bone actually swells. This inflammatory reaction is painful and can have effects on the child. It generally happens during the rapid development of puberty when the skeleton and the muscles (and their joining tendons) [...]

Osteochondritis Dissicans

Osteochondritis Dissicans

Legg-Calve-Perthes disease (a condition described by Legg, Calve, Perthes and Waldenstrom in the early 20th century) strikes children and can leave them crippled. Rates vary from 6/100,000 to 15/100,000 depending on the population studied though it appears to be of higher frequency among anglo-saxons. It is currently believed that osteochondritis dissicans is a local phenomenon [...]

De Quervain’s syndrome

De Quervain’s syndrome

De Quervain’s syndrome is an idiopathic tendinosis of extensor pollicis brevis and abductor pollicis longus. These two thumb muscles move the thumb in extension (away from the hand in the same plane as the hand). The tissue in the retinaculum at the base of the first digit thickens creating less space for the canal. This [...]