Periodization in rehabilitation of the MSK conditions: Plan your rehab

Keyword: anterior cruciate ligament injury, athletic rehabilitation, periodization Of the 250,000 anterior cruciate ligament (ACL) injuries documented each year in the USA, approximately 65% of these injuries require reconstructive surgery. Appropriate rehabilitation after ACL reconstruction can give predictably good outcomes, with return to previous levels of activity and high knee function. Periodization training is used at […]

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The MSK Playbook: Ulnar Nerve Entrapment

Don’t lose your nerve with the ulnar nerve: A guide to working up entrapment neuropathies. Introduction: What is Ulnar Nerve Entrapment?  Ulnar nerve entrapment neuropathies commonly present to MSK and orthopaedics clinics, with patient’s reporting (pins and needles, paraesthesia, or muscle weakness) that fits a typical distribution. Unpicking the site of compression of the nerve, […]

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Combined hormonal contraceptives do not protect against musculoskeletal injuries or conditions

Many females use combined hormonal contraceptives (CHC) for non-contraceptive reasons, including to prevent musculoskeletal injuries (e.g., ACL tears, tendinopathy, fractures) and conditions (e.g.., osteoporosis, osteoarthritis) – even though they are not proven to be protective. To bridge this gap, we combined data from over 5 million females to assess the link between CHC use and […]

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Are we working (too) comfortably?!: A toolkit for moving more during the work at home day 

This blog provides a toolkit developed based on ongoing research from the University of Edinburgh exploring ways to help those working from home move more during their day.  Shifting to working (too) comfortably Cast your mind back to early 2020 – the world went into a global lockdown to control the spread of Covid-19. We […]

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Proposing a #DREAM approach to musculoskeletal medicine

A proposed holistic and interdisciplinary model of care When it comes to musculoskeletal (MSK) injuries, most clinicians will be familiar with the acronyms ‘RICE, POLICE and even PEACE & LOVE(1)’, but how does knowing that help in the grander rehabilitation process? Whilst they may provide a structure for the acute management of MSK injuries, they […]

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S&C or Physio – who are the real exercise professionals? What about Sport Rehabilitators?

A recent blog post S&C or Physio – who are the real exercise professionals? written by physiotherapist Mr Uzo Ehiogu identified the need for ‘the physiotherapist wanting to use exercise as a primary mode of intervention’ to up-skill and sharpen their skill set in this area. This stance from a Specialist Musculoskeletal Physiotherapist should be […]

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Lateral ‘hip’ pain? Don’t always blame the glutes….

Part of a new MSK-focused blog series Lateral hip pain is a common complaint in our active patient population. It has certainly become more prevalent during and after ‘lockdown’ as patients shift towards different exercise modalities or cease being physically active, leading to ‘stress shielding’ of tendons. Gluteal tendinopathy is the most prevalent pathology at […]

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Medial Gastrocnemious Tears In Sports: Is It About Muscle, Aponeurosis Or Tendon?

Even More, Does It Really Matter? Calf muscle injuries are common in sports involving high-speed running and specially in acceleration and deceleration actions. It has been reported that calf muscle injuries contribute about 13% of muscle injuries in football, though it may be that this percentage is even higher nowadays (1, 2). It is easy […]

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Sollten wir beim Umgang mit Menschen mit nicht-traumatischen Schmerzen des Bewegungsapparates nicht langsam anfangen, unser Handeln zu überdenken?

  To read this BJSM Editorial in English, go here. Übersetzt aus dem Englischen von: Isabel Schneider @isi69schneider Link zum Originaltext https://bjsm.bmj.com/content/early/2018/07/17/bjsports-2018-099198 Jeremy Lewis, Peter O’Sullivan Die derzeitige Herangehensweise ist nicht zielführend Die Mehrheit anhaltender, nicht-traumatischer Schmerzzustände des Bewegungsapparats lassen sich nicht auf eine pathoanatomische Diagnose zurückführen, die in der Lage wäre, individuelle Schmerzen und Einschränkungen ausreichend […]

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Skeletal muscle adaptation to exercise: can we call it “Sarcohormesis”?  

By Maurílio Dutra and Martim Bottaro More than eighty years ago, the process of adaptation of the human body in response to a specific stressor to return to normal homeostasis was termed “general adaptation syndrome”[1].  The concept was then broadened to what it is now referred to as the hormesis theory[2]. The idea of hormesis has […]

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