Saturday, 15 September 2007
Global overview
I had a pt this week who presented with no pain but the last three years after an annual sports carnival she gets quad pain. So she came to me to see what she could do to prevent it from happening again and the carnival was the next day. How do you treat no pain? In this situation PMH is important she had a hx of sprained ankles and knee ligament damage on the same side. This suggested that she had instability problem on that side which also is the side of her quad injuries. So i tested her SIJ which showed massive instability and subsequently had lead to her ankle, knee and quad problems. So when stumped take a step back and view the whole picture.
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I also found that with a lot of pts who presented with reoccuring lower limb injuries. It often is of great benefit spend a few minutes in giving lumbopelvic stablising exs eg. TA/multifidus and glut med. I did this with a lady who had plantarfascitis, who had had a THR but never had any physio rehab thus leading to favouring her "good" leg and causing overuse strain. I gave her the above exs esp. glut med, and along with other techniques for the acute pain, long term it was of good benefit.
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