AC Physio

24/09/2023

ACL protocol decision should be a shared decision between patient and physiotherapist / orthopedic surgeon. Patient should not be influenced or forced to choose surgical or non- surgical option. Our role as Healthcare practitioner is to give all the information for the patient to decide what to do next. These are some of the information that we can give to them:

-Benefits of non-surgical protocol
-Risks of non-surgical protocol
-Benefits of surgical protocol
- Risks of non-surgical protocol

24/09/2023

21/07/2022

🔥 Exercise Tips🔥
The banded ice-skaters will help strengthen the hips and glutes. It also targets a good portion of your quads. This exercise also provides tremendous ankle stability benefits that can carry over to runners and just about anyone that is serious about improving their lower body performance. You can also integrate this exercise into a lower body strength circuit. It will get your heart pumping in just a few hops. Even if you don’t practice any sports or if you don’t consider yourself an athlete, this exercise can really help prevent injuries as well.

20/03/2022

🔥Exercise Tip🔥

Prone Swimmer

Benefit: This exercise focuses on building postural strength, shoulder range of motion and helps to improve overall shoulder health.

When: To get the most out of this exercise, it is best to perform a few shoulder mobility exercises first. Start with 2-4 sets of 2- 5 reps

How: Lay face down with your arms overhead. Lift one arm up and the opposite leg towards the ceiling. Your shoulder blade should drive the arm movement, your glutes should drive the leg movement

Feeling: You will feel the muscles on the back of the arm and the leg that are lifting up towards the ceiling.

Compensation: Avoid arching the lower back as you elevate the arms and the legs.

09/03/2022

CPD presentation today, in clinic, on return to sport phase

13/02/2022

📗 Injury Focus 📗
De Quervain's tenosynovitis

History
Is an inflammatory condition caused by tendons on the side of the wrist at the base of the thumb. Pain get worse with abduction of the thumb, a grasping action of the hand and an ulnar deviation of the wrist. Thickening and swelling can also be present. Activities such as golfing, playing the piano, or activities by office workers and musicians, can lead to chronic overuse. It affects the extensor pollici brevis and abductor pollici longus tendons.

Examination
On palpation, significant findings will be tenderness over the base of the thumb and/or the first dorsal compartment extensor tendons on the thumb side of the wrist. Decreased metacarpal abduction ROM of the first digit with associated weakness on the hand. A provocative Finkelstein test can be indicative as well.

Treatment
The aim of non-surgical management is to reduce pain and swelling with: thumb splint; avoid repetitive or aggravating movements; progressive strengthening exercise program and complementary therapies such as acupuncture, Shockwave therapy, taping

31/08/2021

📗 Injury Focus📗

Meniscus Tear Injury

History
Pain is the primary symptom of a meniscus tear. Pain can be intermittent and typically occurs with weight-bearing, squatting and twisting activities. The pain is usually localised to the medial or lateral joint line, although posterior pain can occur with meniscal root tears.

Examination
At observation we can examine for a knee effusion, as this always indicate joint disease. After an acute injury, there may be a large effusion from hemartrosis. Range of motion may be decreased if the effusion is large enough. Crepitius with joint motion can be a sign of meniscal injury. Tenderness along the joint line is seen. McMurray's and Appley's tests are positive if provoke pain.

Rehabilitation
Quadriceps and hamstring exercises help to maintain muscle strength and protect the knee joint. Patients may return to low-impact exercises within a few days. The patient can advance activity as pain and swelling permit. Early weight-bearing is allowed but squatting is prohibited. Running is not allowed for the first 2-3 months. Once the patient is running well, agility drills an begin followed by sport-specific skills.

21/08/2021

💭Throwback Monday💭

Master's degree in theories and techniques of strength and conditioning in football

One of my specializations is football rehabilitation and physical conditioning. This master's degree gave me the chance to improve my knowledge on how to manage footballers during the season in every aspect: prevention programmes to reduce the risk of injury, monitoring the internal/external loading, biomechanical asswssments and rehabilitation to back as soon as possible on the pitch.

It has been great learning from the best specialists of the major Serie A teams,in the Italian football temple, Coverciano.

24/07/2021

📗Injury Focus 📗

Hip Femoroacetabular Impingement

History
Patients with FAI likely develop pain due to repeated contact between the femur and the acetabulum. In the short term, this may generate synovitis and associate pain. In the long term, it may cause a labral tear and progressive damage to the articular surface. This may predispose to the development of the osteoarthritis, and further hip problems, in later life. The most common history is of and insidious onset if anterior hip pain. This is generally worse with physical activity. Activities requiring flexion and rotations are often provocative. If asked, the patient may give a longstanding history of hip stiffness and difficult stretching.

Examination
The most common finding is of a loss of hip internal rotation. In many cases, this is not symptomatic and can be a normal finding during a pre-competition medical assessment. When symptomatic, hip flexion an internal rotation are also generally provocative movements

Treatment
- hip muscle strengthening exercises
- proprioception exercises
- reduction in hip loading activities
- modified training