Aiden Cox Physio

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Aiden Cox Physio

Physiotherapist at The Oval Physiotherapy & Sports Injuries Centre

09/12/2022

To me, this picture says a thousand words.

It reminds me why I practice physiotherapy and have decided to dedicate a lot of time to this profession.

To help people regain their function and continue doing what they love is fulfilling and gives me a sense of purpose.

From diligently working on biomechanics and the physiological capacities of muscles, tendons, bone.

To managing bigger challenges around topics of diet, women’s health, mental health and activity around this ‘overuse’ type injury.

The complexity in this professional dynamic can be hard to handle at times, but a moment of appreciation like this from a patient make it all worth it in the end.

06/12/2022

Observing surgery first hand is critical in a physiotherapists understanding and management of post operative patients.

Visually seeing what is being repaired, reconstructed or debrided puts into perspective why certain procedures and precautions are required.

It’s complex and intricate in detail.

How the body adapts to this is also equally amazing!

Just know it’s not for the feint hearted 😁

Thank you to Professor Des Bokor for being so open to the opportunity.

01/12/2022

Every young professional needs the guidance of a mentor!

Early this year I sought help.

Initially in a professional sense, but quickly realised that professional and personal are very intricately related.

Practising healthy habits. Seeing things from different perspectives. Keeping honest with yourself and others.

These are the things that very quickly manifest into the right steps forward in your career.

And in under a year, my confidence in both clinical and personal aspects of life has grown massively.

I see progress. I’m motivate and keen to share my journey with peers and colleagues.

Thank you Donny!

05/07/2022

Wests Tigers Cubs NZ Tour 2022🐯

Privileged to be a part of the program.

First international trip ✅
Television appearance ✅
Win ✅

17/02/2022

Very proud of this accomplishment!

My honours thesis formed part of a study conducted by Sydney Children's Hospitals Network - which was then published in the reputable journal ‘Pediatrics’!

Blessed to be a part of the process and hope to tackle more research in the future 😊

11/11/2021

In episode 7, Rob and I talk about how to continue to learn outside of Uni and enhance your skills in the clinic 👩‍🏫👩‍🎓

18/10/2021

Patellar Tendinopathy – Introduction 📚

Patellar tendinopathy often reveals itself as pain at the front of the knee following an increase in physical activity loading over a matter of weeks and months.

It is commonly seen in jumping sports, which require the tendon to work like a spring to facilitate powerful plyometric movements. ⛹️‍♂️

Too many of these plyometric movements, without appropriate recovery and healing, can cause the tendon to undergo structural change and degenerate. ❌

As a result, the tendon is not working optimally ➡️leading to pain and reduced performance!

Cook and Purdam’s continuum of tendinopathy + progressive loading program are both established model’s clinicians can work with to facilitate return to sport for athletes with patellar tendinopathy.

Currently, this approach seems the most effective for rehabilitation of patellar tendinopathy.

Other programs, such as eccentric exercise therapy, do not achieve similar results. Further information on this can be found in Tom Goom’s January 2021 review of “Effectiveness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trial”.

Follow the series to find out how to implement this approach and manage patellar tendinopathy!

22/09/2021

Femoroacetabular Impingement (FAI) Syndrome – Part 1 ⚽️

ADVICE 💯

Management of FAI Syndrome requires a sound understanding of the pathoanatomy.

Irritation ➡️inflammation ➡️ pain at the anterior hip leads to a compromise in function of the deep hip stabilisers and gluteal muscle groups.

Dysfunction in the hip mechanics occur as a result, leading to further irritation of the structures anteriorly 😤😮‍💨

This ultimately results in a cycle of pain and dysfunction 🔄– which we need to eliminate by addressing all components of the cycle.

First! Stop irritating it. “Put out the fire”.

Simple put, if it hurts, feels uncomfortable or not “right”, don’t do it.

This will be anything that requires repetitive or sustained end range hip flexion, rotation, adduction (and even extension) because these joint positions place the greatest amount of stress on the anterior hip joint.

5 ways to stop irritating the already irritated structures!
1. Adjust your sitting posture to an elevated surface with knee’s slightly apart 🪑
2. Stand up more frequently 🧍‍♂️
3. Reduce walking/running intensity and volume
4. Reduce incline walking/running
5. Reduce change of direction maneuvres 🏃

Now that you’re letting it settle down… what next?

Follow the series for more strategies to help manage this pain!

21/09/2021

Femoroacetabular Impingement (FAI) Syndrome is a pathomechanical impingement of soft tissue structures at the anterior aspect of the hip which occurs with repetitive and vigorous hip motion, particularly into flexion, adduction and rotation.

Irritation of these anterior structures can lead to a pain, and often appears on the background of underlying morphological changes to the hip joint. CAM-type and PINCER-type adaptations to the bones of the hip can occur asymptomatically, particularly through adolescence, and is a known risk factor for development of hip pain and associated damage to the joint labrum and cartilage. This is due to greater forces created at the anterior hip joint. Similarly can be said about the congenital condition of hip dysplasia.

Typically, the pain appears in the hip or groin, and can be accompanied by mechanical symptoms such as clicking, catching and stiffness.

Structurally, there are several possible reasons for the symptoms, including:
1. Cartilage
2. Labrum
3. Iliopsoas bursa
4. Synovium
5. Joint capsule and ligament
6. Tendon

The pain response leads to a change in the mechanics of the hip joint – which leads to a cascade of pain leading to dysfunction which then leads to further pain!

Follow the series for strategies to help manage FAI!

09/09/2021

Stay tuned! 🎙

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