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Axial Spondyloarthritis

Today is World AS Day, brought to us by @asif.spondylitis and @NationalAxialSpondyloarthritisSociety, so let’s take a look at Axial Spondyloarthritis (AxSpAr / AS) Axial Spondyloarthritis is a progressive form of inflammatory arthritis, which involves the spine. It affects up to 1 in 200 people in the general population, and may account for as much as 15% of cases of chronic … Continue reading Axial Spondyloarthritis

Lyme Disease

May is Lyme disease awareness months, organised by @LymeDiseaseUK and @Lyme-Disease-Action, so let’s talk about Lyme Disease. Lyme disease is a bacterial infection spread to humans from tick bites; with an estimated 2,000-3,000 cases a year through England and Wales; with about 15% having been acquired abroad. Ticks don’t jump or fly, but climb onto you if you brush against … Continue reading Lyme Disease

T4 Syndrome

Let’s take a look at T4 syndrome. T4 syndrome, or more accurately “upper thoracic syndrome”, is a rare and perhaps under-recognized clinical entity. The most common cause of T4 syndrome is overuse injury and it usually seen in patients who perform excessive amounts of bending, lifting and twisting movements seen in sports such as gymnastics and pole dancing. T4 syndrome … Continue reading T4 Syndrome

World Health Day 2022

Today is @WorldHealthDay, brought to us by the @WHO so let’s look at some general principals, rather than any specific conditions.  For the last 50 years or so, we have been seeing “epidemics” of non-communicable diseases such back pain, obesity, diabetes, allergies & intolerances etc. These can be seen as diseases of dysevolution – which is to say that we … Continue reading World Health Day 2022

Tendinopathy

Let’s take a look at tendinopathy. AKA Tendonitis Tendinopathy is irritation and pain localised in or around a tendon, which is a band of fibrous tissue that connects muscle to bone and transmits the force and action of the muscle. Injury is usually a repetitive strain, or overuse injury; but can also be an acute traumatic tearing. Tendons are designed … Continue reading Tendinopathy

Lower Core

Let’s take a look at core strength and stability for the pelvic girdle and low back. First of all – what is meant by your Core Musculature? Well, this largely depends on who you ask. As physical therapists, we mean the deep muscles that stabilise your body, and allow other, larger muscles to create movement from a firm base – … Continue reading Lower Core

Concussion

Let’s take a look at concussion, AKA mild Traumatic Brain Injury (mTBI). The brain is made of soft tissue, which is cushioned by spinal fluid and encased in the protective shell of the skull. When you sustain a concussion, the impact can shake your brain, literally causing it to move around, impacting the inside of your skull. The trauma is … Continue reading Concussion

Medical Imaging

First of all, I love a good X-ray or an MRI / CT scan. However, they are not always appropriate, and just like opioids, or statins, they have been overprescribed recently, and making the news. Medical imaging will show you the gross anatomy, and whether it is “normal” or “abnormal” or even “normally abnormal”. It will not tell you whether … Continue reading Medical Imaging

SI Syndrome

Let’s take a look at sacroiliac syndrome (SI syndrome). Symptoms of SI syndrome consist of pain at the base of the spine which is located usually on one side, with pain then being referred down the back of the leg, rarely going below the knee. Pain is typically a pinching or stabbing in the lower back with a background dull … Continue reading SI Syndrome

Ice or Heat

Let’s take a look at the therapeutic use of ice and heat. As a rule of thumb, you should apply an ice pack as soon as possible after an injury; applying it for 10-15 minutes, and repeating after 60-90 minutes. Make sure that the ice pack is dry, and covered in a layer of material. The closer you can stick … Continue reading Ice or Heat

Neck Pain

Let’s take a look at neck pain. Neck pain is common, but not normal. Causes include trauma, poor posture, muscle strain, bone abnormalities, and more, the vast majority are not serious. Diagnosing neck pain may require X-rays, MRIs, and other imaging tests, though often imaging may show abnormalities that aren’t causing any pain. Consequently, imaging is only recommended for pain … Continue reading Neck Pain

Achilles Tendinopathy

Let’s take a look at achilles tendinopathy. Achilles tendinopathy is a common overuse injury caused by repetitive energy storage and release with excessive compression. This can lead to a sudden injury, or in the worst case, can cause a rupture of the Achilles tendon. In both cases, a lack of flexibility or a stiff Achilles tendon can increase the risk … Continue reading Achilles Tendinopathy

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