Physiowest

01/10/2023

Check out this blog to learn how to assess and treat two major causes of dizziness

04/09/2023

⌨️🥊 The most common finger injuries occur because of how much we use our fingers for activities every day and also during combat sports.

🫵 Most injuries to the finger involve a direct blow to the tip or forcing the finger beyond its usual range of motion.

Some common injuries are mallet finger, jersey finger and boutonniere deformity.

What other finger injuries have you come across? Let us know below in the comments!

If you want to know more about this topic, watch the lecture 'Relevant Anatomy & Biomechanics of the Hand & Wrist
' by Ian Gatt on Trust me-Ed!

You can watch the full lecture here 👇
https://www.trustme-ed.com/lectures/relevant-anatomy-biomechanics-of-the-hand-wrist

18/07/2023

Physiowest - Remedial Massage is back! -

Physiowest 94 Station Road Deer Park, Vic 3023 AustraliaYou have received this email because you have previously received massage therapy services at Physiowest.Don’t want to receive these emails? unsubscribe here.

06/02/2023

🦵 How do you know who will struggle following a Total Knee Arthroplasty?

😰 Understanding important prognostic factors can help you address these in a sensitive, patient centered manner.

😁 Check out this new blog which outlines the factors that contribute to poor outcomes in Total Knee Arthroplasty and how to address them.

✅ Read it now

🔗 https://bit.ly/3kLs515

10/01/2023

https://m.facebook.com/story.php?story_fbid=861702045136251&id=100038893911991&mibextid=qC1gEa

🎊🌲Between the years, we traditionally announce our "Best-of series" of the most influential posts of 2022.

📣 today 🥇 #4

Mechanisms of resorption in lumbar disc herniation

👉 Clinically, the phenomenon of spontaneous shrinkage or disappearance of a herniated lumbar IVD without surgical intervention is called reabsorption.

👉 The spontaneous resorption rate of lumbar disc herniation (LDH) is over 60% according to a meta-analysis by Zhong et al. (2017) and Chiu et al. (2015) https://pubmed.ncbi.nlm.nih.gov/28072796/, https://pubmed.ncbi.nlm.nih.gov/25009200/ with extrusion and sequestration being more prone to regression than other types. https://pubmed.ncbi.nlm.nih.gov/24630494/

But how does this actually happen? 🤓

👉 Resorption of the intervertebral disc tissue can be explained by 3 theories, but the exact mechanism is not conclusively understood:

1. Reduction in disc material size due to gradual dehydration and shrinkage, which could explain the decrease in the signal of the disc on MRI. https://pubmed.ncbi.nlm.nih.gov/11901758/
https://pubmed.ncbi.nlm.nih.gov/11750011/

2 The tension on the posterior longitudinal ligament causes the herniated disc fragment to be retracted back into the intervertebral disc space. This can be a mechanism when the annulus fibrosus (AF) is not damaged, but not with extruded and migrated fragments.
https://pubmed.ncbi.nlm.nih.gov/24316264/
https://pubmed.ncbi.nlm.nih.gov/3875236/

3. The third theory, the most well studied and with the best clinical evidence, is gradual resorption of the disc material by enzymatic degradation and phagocytosis induced by an inflammatory response and neovascularisation.

When protruding IVD tissue squeezes out of the epidural space, it disrupts immune privilege, triggering an autoimmune response, then lymphocytes activate macrophages.

Related factors secreted by IVD cells and macrophages further drive the recruitment of macrophages to the intervertebral disc in paracrine and autocrine forms. Macrophages undergo differentiation from M1 to M2 types.

M1-type macrophages secrete pro-inflammatory factors to initiate angiogenesis, promote the expression of matrix metalloenzymes and apoptosis of herniated IVD nucleus pulposus cells.

M2-type macrophages secrete anti-inflammatory factors to relieve pain response, promote new blood vessel formation, and are responsible for tissue remodeling and repair, and absorb the protruding debris to reduce the total volume of the intervertebral disc, and reduce the mechanical compression of the nerve. Throughout the process, infiltration and activation of macrophages mediate inflammatory responses, matrix metalloenzyme activation, and neovascularization.

https://pubmed.ncbi.nlm.nih.gov/16688039/
https://pubmed.ncbi.nlm.nih.gov/19333096/
https://pubmed.ncbi.nlm.nih.gov/15626982
https://pubmed.ncbi.nlm.nih.gov/35999644/

21/05/2022

Physical activity is beneficial in many ways, including in reducing the risk of dementia. Learn more about dementia here:https://content.choose.physio/sites/default/files/2022-04/APA_ACH_Dementia_Factsheet-B_v4B.pdf

19/05/2022

17/05/2022

The focus of this instalment will move away from subjective examination and focus on objective examination and differential diagnosis. Frozen shoulder IS a clinical diagnosis,...

13/05/2022

🗣 "Don’t have a hip replacement yet you’re too young, you’ll need a replacement after 10 years…"

🦿 Total hip replacements.. ⤵️

*hold my beer* 🍺

27/04/2022

This is the best damn bench article for physios. It is your complete guide including bench press technique, coaching, cueing and modifying the technique for your injured clients.