OATS procedure (Osteochondral Allograft Transplantation Surgery) attempts to repair hyaline cartilage in young athletic patients.
Hyaline articular cartilage covers the ends of your bones allowing frictionless joint movement. Trauma to the cartilage and normal wear and tear can lead to exposing underlying bone, which in turn causes degenerative osteoarthritis.
The procedure requires an allograft from a donor which is surgically implanted into articular cartilage in lesions >3cm.
High rates of success have been shown in recent evidence when treating full-thickness articular cartilage defects with the OATS procedure.
Compliance to rehabilitation is key for a successful outcome so ensure you listen to your physiotherapist 😉
When the Physio says rest 🙄
Injuries at this point are not ideal. Add a calf strain to the mix of things currently wrong with my left leg. Having to remove the ego from the game to make sure I am back up to training ASAP, with Mt Solitary in April and UTA100 in May. The weeks are ticking by a little too quickly for my liking. .
12 week Knee + Patello-femoral Rehab program exercise number 4️⃣ is The VMO Knee Extension Raise. For the full video of this preview head to the website page below.
You can do this over a foam roller, yoga block or simply and rolled towel. Pushing down before you attempt to extend the knee into terminal knee extension is important as we are not try to do a straight leg raise here. Great firing / activator at this stage of the program and is best at the beginning of your workouts. ➡️ Next up: Romanian Deadlift with a Powerband for resistance instead of weights, from Rehab Set B.
ℹ️ There 6 exercises in this 2nd part over 6 videos: 2 exercises from each section: Mobility, Set A rehab and Set B rehab.
Check out the full commentary for all the tips and tricks around each exercise. ⭐️ ❗️If you missed the first lot of 6 exercises - check out the previous posts.
To check out the free weeks preview section that we are showcasing for the KNEE + PATELLO-FEMORAL REHAB 12 WEEK PROGRAM, simply go to: ➕ physiorehab.com/programs
🔎 Head to the 12 Knee program
🔗 And click on ‘free preview weeks’ button
👉 And select weeks 3-4 👌 #vmo#quadriceps#acl#aclrehab#kneepain#patellafemoralsyndrome#aclinjury#knee#sportsinjuries#injury#pain#physio#physiotherapist#physiotherapy#sportsphysio#physiosydney#physiobondi#bondiphysio#sydneyphysio#physiofitness#physiorehab#physicaltherapist#rehab#rehabilitation
0 496 hours ago
PROBLEM: We are addicted to our phones! We are spending countless hours watching videos, movies, texting instead of calling people for hours on our phones! Our phones are to make our life easier, but instead it is the root of majority of problems we see daily. Bending your neck increases the amount of pressure 5 fold on our cervical spine. When the neck is flexed halfway this causes our muscles on the backside of our neck up to the base of our head to work extra hard to try and support our 5 kg head! Our muscles become tight, knotted and create pressure because of this extra load. ——————————————————
SOLUTION: Elevate your hands to bring the phone to your face to decrease the amount of flexion at your neck. Do this every time you use your phone so you don’t look like Quasimodo and to prevent ‘Text Neck’
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COULD STRESS MEAN I’M MORE PRONE TO INJURY OR IMPACT MY RECOVERY?
An injury is not just a physical dysfunction it can bring about a roller coaster of emotions with it. Feeling isolated, frustrated, anxious or depressed is NOT uncommon 🤯
❇️ Several studies have shown that athletes who demonstrate these characteristics are at a HIGHER RISK of sustaining an injury:-
▫️High life stress
▫️Low psychological and coping skills
▫️Low social support
▫️High avoidance coping strategies
(Johnson et al. 2005; Maddison & Prapavessis 2005).
❇️ What is promising is that when these at risk athletes took part in stress management training, they had faster recovery rates and fewer injuries! ————————————————————————
WHAT IF I’M ALREADY INJURED?
❇️High levels of stress and depression can disrupt the body’s natural healing process (Cramer, Roh & Perna 2000).
❇️Stress increases the release of catecholamines and glucocorticoids, which essentially impact the movement of ’healing’ immune cells to the injury site AND interfere with the removal of damaged tissue.
❇️Prolonged stress may also decrease the actions of insulin-like growth hormones which are CRITICAL to help the rebuilding process.
It is SO important to recognise when we are struggling mentally with an injury or to look out for the signs that our patient or someone close to us needs help. I will post in the coming week about the evidence behind some coping strategies but just starting to talk about this and involving a sports psychologist where needed will only help to speed up the physical recovery! #itsokaytonotbeokay
New blog post coming soon ✨
AUSSIE RULES FOOTBALL 🇦🇺
Here in Australia we our biggest sport is AFL. It’s a fascinating game in terms of the play and injury rates/management. 🧠
In Australia, we have some of the best healthcare practioners in the world and we have come a long way. Yet our injury rates continue to rise! 📈
I believe it’s a combination of things that have lead to this rise. Eg change in rules in regards to interchange and substitutions, a gradual pay rise for players and therefore higher pressure and stakes to perform well and having big preseasons. 🤕
I will be focusing a lot on Athlete’s on this page this year, in particular AFL! 🤙
Are there any other reasons that you guys can think of why our injury rates continue to rise??? •
I found this little gem from @bartold_clinical 😎
Not too sure what I came to work dressed as today. Comfy as hell though!! .
🔈 Have you booked your next session in with me or one of my team. We have some awesome Osteopaths and Physiotherapists that can help if you’re in pain, or have a little niggle or ache you want checked out. .
🗣 We even do 20 minute FREE CONSULTATION. .
👉🏼 NO HARD SALE
👉🏼 HONEST ADVICE
👉🏼 EFFECTIVE TREATMENT
Frontal Lobe Paradox: Where People Have #Brain#Damage But Don't Know It
Sam Gilbert, UCL and Melanie George, Canterbury Christ Church University
Humans have big brains and our frontal lobes, just behind the forehead, are particularly huge. Injuries to this part of the brain often happen after blows to the head or a stroke. Paradoxically, some people with frontal lobe injuries can seem unaffected – until they’ve been carefully evaluated.
The frontal lobes are sometimes described as the executives of the brain, or conductors of the orchestra. Among other things, they control and organise our thinking and decision-making processes. You rely on your frontal lobes when you do things like make plans, switch from one activity to another, or resist temptation.
Some people with #frontal#lobe#injuries seem completely normal in short one-to-one conversations, but they actually have great difficulty with everyday tasks, such as cooking, organising their paperwork or remembering to take medication. This is called the frontal lobe paradox because, even though these people seem unimpaired when assessed, they have significant difficulties in everyday life. #brain # #cognitivedissonance#checkyourself#headtrauma#ptsd#domesticviolence#sportsinjuries#mentalhealthawareness#mentalhealth
Professional #handball player 23 y.o. hard contusion in quadriceps region. Continued training and massage. 3 weeks after came to perform #ultrasound due to increased volume. A. Clinical image. B. Ultrasound longitudinal video of a high grade contusional injury in vastus intermedius with incipient myositis ossificabs (due to previous massage). C. Blood extracted by US guided procedure. D. Ultrasound longitudinal video after guided procedure.
Let’s get LIT! 🔥 💪
Not confident with your lower back when it comes to core or ‘AB’ exercise?
Try the LIT approach..
1. Reduce the load through the spine
2. Eliminate all impact on your joints
3. Crunch away using this fantastic TRX assisted crunch 👌
What a fantastic introduction session for @parmenterjulie as she embarks on her journey to becoming the fittest and strongest version of herself she has ever been and at the age of 63!! I hope that my documenting on my wide variety of clients proves just how capable different people are of achieving their health and fitness goals, it just needs the right direction, application and consistency! 👊
Whenever we identify dysfunctional movement patterns or postures in the body, the question we need to ask is: Why is ‘this’ particular problem present? When it comes to flat feet and over pronation, the answer cannot be: Because orthotics or ‘supportive’ shoes are not present. If this answer was true, then all people should be wearing these types of aids. This type of logic assumes that the innate structures, which we are born with, are incapable of serving our needs. On the contrary, our bodies are actually perfectly designed to help us function optimally in most of the environments we are exposed to. The real problem, however, is that we have placed barriers in the way of our natural abilities. The use of mainstream, ‘fashionable’ footwear is a prime example of a barrier, which prevents our feet from functioning the way they should.
💯 TAG or SHARE with someone who could benefit from peroneus longus (outer ankle) strengthening and better calf raise form⠀
📌 As I mentioned in my previous post, the peroneus longus is responsible for keeping the 1st ray (ball of the big toe) down as well as bringing the foot downward (plantar flexion) and outward (eversion), which should work in unison with the gastrocnemius-soleus complex (the calves) and the tibialis posterior (inner leg muscle) to provide a stable and smooth transition of our body over our foot as we walk⠀
📌 It also provides the stability needed on the outer ankle to help keep inversion ankle sprains from occurring/recurring⠀
📌 Poor functioning of the peroneus longus may be due to underuse/underloading, overloading, or from a previous injury, such as an inversion (foot going inward) ANKLE SPRAIN, where the peroneal muscles are often strained along with the outer ankle ligaments (sprained)⠀
💯 So, in addition to working on dynamic and reactive stability (a topic for a later post), it's also important to work on the STRENGTH of the peroneus longus⠀
💯 One of the best ways to do this is through calf raises (on 1 or 2 legs), with the focus on depressing the 1st ray downward as you raise up. This will allow for a coordinated contraction of the calves (gastrocnemius-soleus complex) along with the outer ankle/foot musculature (peroneals)⠀
📹 As you can see in the video, I use the tip of a towel to provide the cue to keep my first ray down. A common compensation seen with peroneus longus weakness or underuse is shifting the pressure under the forefoot toward the pinky toe (outside of the foot). The towel cue keeps this from occurring⠀
🚨 If this is too difficult to perform on 1 leg, try performing on 2. You can also perform this off of a step to work on the full range of motion⠀
🔥How Injured Tissues Heal🔥 by @travers_sportsmed
❗Tag a friend who would benefit from this info on the tissue healing process ❗
⚕️Reduce injury risk and Improve performance by following @travers_sportsmed⚕️
🤕 Soft tissue injuries are commonly categorized in three different areas. It's important to understand what our body is doing at each stage. From this information you can properly treat your athlete or patient.
The inflammation phase or acute inflammatory phase is the first phase of an iniury. There is pain, swelling, and redness. An increased number of inflammatory cells are sent to the injured tissue. The usual time from for this phase is about two to four days post-Injury but can vary. During this phase your goal is to reduce the pain and swelling. Rest, ice, compression, and elevation and modalities as needed.
The repair phase starts when the body goes from the acute phase and transitions to repairing the injured tissues. Here you will see collagen fiber organization and a decrease in the number of inflammatory cells. This phase can last up to about 6 weeks post Injury. New scar tissue begins to mature and strengthen. Here is when rehabilitation exercises and modalities are implemented to ensure the proper strengthening of the muscles and alignment of the scar tissue.
The remodeling phase is typically between six weeks and three months post injury. Through proper treatment and exercise progression there will be proper collagen alignment and tissue strength. During this phase we typically want our athletes to perform sport specific acitivities at full strength. High level rehabilitation protocols can usually be implemented during this phase.
❓Questions about the healing phases ? Ask ⬇️
💥Hamstring Strengthening for a Gymnast💥
⚙️The research shows most hamstring injuries generally occur when the hamstring is lengthened at a rate that is faster and/or stronger than what the muscle is currently capable of overcoming. .
⚙️For a gymnast, hamstring injuries typically happen at or near the end range of the hamstrings flexibility because muscles are generally weaker in a lengthened state....that is, UNLESS YOU TRAIN THEM AT THIS END-RANGE!
💣Here are 3 easy exercises to add in some end-range / eccentric strengthening of the hamstring muscles for someone who is fairly flexible- gymnasts, dancers, cheerleaders, divers, etc.
↪️BTW, these can and IMO should be applied to other athletes as well, the range of motion will obviously be smaller but the goal is to strengthen within each athletes capabilities! 👌🏼
💡If you want to reduce your risk of getting a hamstring injury you have to LENGTHEN and STRENGTHEN💡