Many competitive and professional athletes live with some form of chronic or persistent pain that is not caused by tissue damage. This article will allow you to distinguish between ‘pain’ and ‘injury’ and to treat pain in the athlete in a holistic manner using physical therapy as well as a biopsychosocial approach, a positive unified message across the interdisciplinary team, informed and shared decision-making that empowers the athlete. Login or register a free account below to access the contents, key points and discussion questions that accompany the article.
These days it is understood that for most chronic pain, ongoing nociceptive triggers are rare. Instead, therapists have to treat a much more complex mix of central sensitisation, anxiety and fear of pain. This involves... Read More
Advice on many aspects of life, including physical activity, manual therapy and massage, nutrition and sleep, can help a woman have a happy and healthy pregnancy as well as promoting healthier outcomes postpartum for both... Read More
Frozen shoulder: we’ve all heard of it but do we really understand it and know how to treat it? The answer is probably no, because it is a bit of a conundrum. Its aetiology is... Read More
Covid-19 infection is known to cause cardiovascular injury. However, the incidence of silent cardiac injury after recovery from Covid-19 is unknown. If any potential cardiac damage in athletes is left unidentified and return to play... Read More
Covid-19 and the physical distancing measures introduced to help reduce its spread have spurred many businesses to find new ways of working. Many occupations, even ones traditionally believed to need face-to-face contact, are being done... Read More
Hamstring injuries are common in sport, as are injury recurrence rates. Hamstring injury rehabilitation requires a multifactorial approach involving the lower spine and pelvis, neuromobilisation and hamstring lengthening and strengthening. This article sets out the... Read More
Hamstring injuries are common (may be up to 12% of sports injuries) and so you are likely to see many patients with these injuries. After reading Part 1 of this article you will have refreshed... Read More
Having read Part 1 of this article, you will be aware of the complex and varied nature of conditions that Covid-19 survivors might face. Reading this article will enable you to assess all the needs... Read More
In the UK we have been living in lockdown since 23 March 2020 in response to the Covid-19 pandemic, which has killed hundreds of thousands of people – an almost science-fiction-style scenario. Even with this... Read More
Having good posture is an ideal that is instilled in us from early on – has anyone not been told to sit or stand up straight at some point in their life? There is, however,... Read More
The causes of tendinopathy are complex and not fully understood but the results – ranging from mild pain and swelling to complete loss of function – and the frustratingly slow recovery can be devastating, particularly... Read More
If missed or misdiagnosed, syndesmosis injuries are one of the most common causes of chronic ankle dysfunction and potential degenerative disease. Early and good diagnosis of the grade of injury (covered in Part 1)... Read More
If missed or misdiagnosed, syndesmosis injuries are one of the most common causes of chronic ankle dysfunction and potential degenerative disease This article guides you through how these injuries occur and how to best diagnose... Read More
Having read Part 1 of this article, you will already be able to identify if a player has suffered a sport-related concussion (SRC) and whether they need to be removed from play. Here, Part... Read More
Part 1 of this article described the hip morphology associated with femoroacetabular impingement (FAI) and how to accurately identify FAI syndrome (FAIS) using the triad of symptoms, clinical signs and imaging findings. This article,... Read More
Concussion in sport can be challenging to identify but it is crucial that it is not missed. This article, Part 1 of 2, discusses what you need to know so that you can identify sport-related... Read More
Femoroacetabular impingement (FAI) is not a new idea but hip arthroscopy has allowed identification and surgical treatment of a greater number of patients. This increase is also partly the result of the confusion use of... Read More
Stress urinary incontinence (SUI) is a little-discussed but perhaps surprisingly common condition in elite athletes involved in high-impact sports. This article discusses the possible causes of SUI (which is more complex than simply weak pelvic... Read More
There are many situations when patients experience loss of muscle mass and function, for example, after a sports injury, surgery, fracture or joint degeneration. Resistance training is known to be effective for strength training but... Read More
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