Q-angle.. is it real.. does it matter?

In Miscellaneous

An increased Q-angle is often mentioned as a risk factor for injuries around the patella, in particular patella subluxation and patellofemoral pain syndrome (PFPS).

But many questions exist over its relevance, the reproducibility of is measurement, and indeed its contribution to any injury around the patellofemoral joint. Let's take a look..

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Is Trigger Point Therapy.. well.. bollocks?

In Miscellaneous

I am firmly of the opinion that anyone who ever treats anyone with plantar heel pain, or, the ubiquitous "plantar fasciitis", should be required to suffer same said condition for at least 4 weeks.

Great wall of china

I have, and let me tell you, it is very, VERY unpleasant.

Actually having experienced the problem.. living it, being frustrated by it and being limited by it is a very valuable lesson indeed. Does it give one more insight into your limping patient's problem? Well.. that depends on how empathetic you are, but it certainly did for me. Of course, I am a very caring, sharing person!

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Don't know your Fartlek from your Tempo run? If you want to treat runners, You better read this!

In Miscellaneous

THE LANGUAGE OF RUNNING

Perhaps you would rather I wrote about the language of love?  I dunno, but if you want to walk the walk and talk the talk with your running patients, you NEED to be able to communicate in “run speak”!

Runners have a vocabulary all their own, and at times it can be quite complex, so, if you do not know your tempo from your fartlek, you better read on!

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Hallux Rigidus: A tough nut to crack!

In Miscellaneous

Miscellaneous

In 1977, Root, Orien and Weed, defined the term hallux limitus as “the deformity of the 1st metatarsophalangeal joint in which the base of the proximal phalanx of the hallux is subluxed plantarly upon the 1st metatarsophalangeal head”. 

Miscellaneous

In describing this condition, they purported that the articular surface of the proximal phalanx would lose its ability to freely glide over the condylar surface of the 1st metatarsophalangeal head, and as such would “jam” against the 1st metatarsophalangeal head and be unable to move through its full range of dorsiflexion.

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Don't know your terminal swing from average linear velocity? Then here is a GLOSSARY OF TERMS for you!

In Miscellaneous

Miscellaneous

 

I thought it might help to define some terms.. so here is a glossary for you! This might be of help, especially for those training new staff..

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An addendum: Orthoses.. looks like anyone can prescribe them, but.. Should just anyone?

In Miscellaneous

 

Just to illustrate what a complete and utter balls up this issue has become, I have added a commentary to the article I wrote on Tuesday. This is a tale of naked greed and deception, intrigue and blatant lying. Read on if you dare!

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Orthoses.. looks like anyone can prescribe them, but.. Should just anyone?

In Miscellaneous

I have been pondering this question for some time, years actually. My prudent voice told me it was too risky to discuss because I would invariably p*ss someone off if I said what I really thought. However, my righteous and indignation voice feels I have to speak up, because things just seem to have got out of hand..

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Tendinopathy – rehab progression – part 1 (0.5 CME credits)

In Miscellaneous

Miscellaneous

This is a must read for anyone treating tendon injury. If you do not understand the progression of tendinopathy, and how that affects the management, you will be shooting blindfolded in relation to management!

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Are you looking in the right place for the cause of your patient's tendon pain?

In Miscellaneous

Miscellaneous

I have been meaning to write about this issue for a very long time, but got bushwhacked and distracted. But this is a really important issue, because the so called "metabolic Syndrome" is alive and well, and there is mounting evidence that your healthy looing patient who hobbles in with a nasty dose of Achilles tendon pain, might be suffering from this condition. And, if you do not know about it, and do not know how to recognise it, you will not be able to properly treat it...

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