Osteoarthritis of the Knee: A Practical Treatment Approach [Article]

This article with accompanying videos and a client handout, has been written for practitioners, and discusses the issue of osteoarthritis of the knee, the role of exercise, its relationship with (or not) arthritis and progresses to physical therapy interventions including exercises which should be included as part of a strengthening and stretching plan. It is supported by videos which show manual therapy techniques that can be used as part of a treatment programme and additional videos that can be used as part of a patient education programme. Register free (or sign in) and we'll reveal a really clever way you can identify local opportunities for delivering osteoarthritis services.

To discover how to identify your local area's specific osteoarthritis needs, sign in or register free below.

Patient Information Leaflet: Patellar Tendon Pain [Printable Leaflet]

This leaflet explains to patients what Patellar Tendon pain is, how it occurs and what can be done to rehabilitate this injury. It is designed as a printable/downloadable A4 PDF. You can purchase it individually using the Purchase button below, or as part of any of the main Co-Kinetic subscriptions.

Patellar Tendon Pain: A Massage Therapist’s Game Plan [Article]

This article and associated supporting material outlines a massage therapy treatment strategy for patellar tendonosis. The author outlines a restricted reciprocal inhibition condition which is commonly found in people with patellar tendon pain, which leads to altered movement patterns at the lumbopelvic and hip level. He goes on to describe in detail a unique technique he has developed to identify the key soft tissue restrictions in the hip along with a soft-tissue based treatment to unlock the key restrictions resulting from this altered movement pattern. The article is supported by videos and a patient information leaflet.

Preventing and managing anterior cruciate ligament (ACL) injury

Anterior cruciate ligament (ACL) injuries are one of the worst knee injuries to sustain in sport, with less than 50% of athletes returning to sport in the first year following surgery and high rates of reinjury. The process for either reducing ACL injury risk or rehabilitating a patient following an ACL repair, are essentially the same. This article outlines the risk factors for ACL injury, provides tools to help you assess injury risk and recommends strategies for rehabilitation as well as for injury prevention. To help you visualise the function of the ACL we have included four animations that bring the anatomical structure and the injury mechanism to life. You can use the certificated elearning assessment or the ‘journal club’ style group discussion questions at the end of the article as part of your continuing education portfolio and you can support your clients with the two printable patient hand-outs, one covering information on ACL injury and reconstruction and the other giving early stage rehabilitation exercises.

Manual Therapy Student Handbook: Assessment and Treatment of the Knee - Part 6 [Article]

This article is the sixth in a series from our Manual Therapy Student Handbook (see the class 'Contents panel’ for further details) and it describes how to assess and treat common knee complaints. As well as listing a comprehensive assessment procedure, the treatments are described in full and have accompanying videos, which provides a great practical resource for the clinician.

Patient Information Leaflet: Your Anterior Cruciate Ligament (ACL) Injury [Printable leaflet]

This patient information leaflet includes an overview of ACL injury along with treatment, immediate post-operative care and rehabilitation. The A4 full colour leaflet in PDF format is designed to be printed out and handed to your clients and can also be used on your website as part of a "call to action" document download (for more information read our article "Physical therapy website design: 10 homepage essentials for getting new clients"). You can purchase the leaflet individually, as part of the patient information section or as part of a full site subscription.

Our Co-Kinetic patient advice leaflets are written and reviewed by a multi-disciplinary team of medical and fitness professionals. Every leaflet is peer-reviewed at the very minimum by a professional in each of the following disciplines: physical therapy, manual therapy and exercise/fitness. Where appropriate we may also ask a recognised national charity to review and approve the content.

Iliotibial Band Syndrome (ITBS): "Mechanics, Management and Mystery" podcast with Brad Neal, Jack Chew and Rob Tyer [Podcast]

Open access podcast covering best practice assessment, treatment and management of iliotibial band syndrome (ITBS) as well as the common dilemmas faced in frontline clinical practice. We also discuss injections, other adjunct therapies and surgery!

Synthetic meniscus augmentation and prostheses - Fisic Conference Presentation 2015 (12 mins)

This content consists of a 12 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Professor Peter Verdonk is a Consultant in Orthopaedic Surgery at the Antwerp Orthopaedic Centre (Monica Hospitals) and Researcher at the Ghent University, Belgium. His clinical and research interests are knee surgery and arthroplasty with a particular focus on meniscus substitution and cartilage repair.

Professor Verdonk obtained his PhD at the Ghent University in 2006 on 'The Human Meniscus: characterization, transplantation and tissue engineering'. He received his orthopaedic training in Ghent University, and was a fellow of Professor Bellemans in Leuven and of Professor Neyret in Lyon.

He was an international travelling fellow of the International Cartilage Repair Society in 2004 and of the European Society of Sport Traumatology Knee Surgery and Arthroscopy in 2007.

Professor Verdonk has authored more than 68 peer reviewed papers and has lectured internationally. He is also involved in a number of national and international scientific organization. For more info please visit www.verdonk.be

Meniscal transplantation: Where are we? Indications and results - Fisic Conference Presentation 2015 (9 mins)

This content consists of a 9 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Mr Tim Spalding has a specialist interest in reconstructive knee surgery includes meniscal transplantation, articular cartilage repair, ligament reconstruction including multi-ligament injuries, and osteotomy.

His training took place in Oxford and at Royal Hospital Haslar, prior to a specialist arthroscopy and knee surgery fellowship in Toronto in 1994-1995. He qualified in 1982 from Charing Cross Hospital, London and spent the first part of his medical career with the Royal Marines and the Royal Navy.

Mr Spalding joined the University Hospitals Coventry in 2000 after five years as a Consultant in the armed forces. He has a busy sports knee surgery practice, runs a knee fellowship program and continues to be very active in teaching and research, pioneering several new techniques.

A key part of Mr Spalding's practice is understanding the impact and result of surgery and treatment. He is one of the national leads for the National Ligament Registry, for countrywide information on Anterior Cruciate Ligament Reconstruction, and he monitors results of the pioneering surgery that he undertakes to reconstruct the knee.

Repair techniques and rehab strategy - Fisic Conference Presentation 2015 (9 mins)

This content consists of a 9 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Dr Peter Myers is an Orthopaedic Surgeon with a special interest in Sports Medicine. He is a Senior Consultant Surgeon at the Mater Public Hospital and is in private practice at the Brisbane Orthopaedic and Sports Medicine Centre. He is a Clinical Associate Professor at the University of Queensland.

After graduating in Medicine from the University of Queensland, Dr Myers completed his Orthopaedic Training in Queensland, before undertaking two years of Fellowship training overseas working in Sports Orthopaedic Centres in Atlanta (USA), Toronto (Canada), and Edinburgh (Scotland). Dr Myers attends a number of Brisbane's Sporting Clubs as Team Doctor. He is on State, National and International Committees for various Sporting Associations, and is a past President of the Australian Knee Society and Patron of Sports Medicine Australia (Qld Branch). His practice focuses on Sports Orthopaedics and knee surgery. He is a past President of the Australian Knee Society and a College Examiner in Orthopaedic Surgery.

Dr Myers has published and presented numerous papers on Sports Medicine and other topics both locally and internationally. In 1992, he was awarded Honorary Membership of the American Orthopaedic Society of Sports Medicine. In 2000, he was awarded the Australian Sports Medal for services to sport, and in 2014, Dr Myers was appointed Member of the Order of Australia (AM) for services to Orthopaedic Surgery and Sports Medicine.

Radiological evaluation of menisci: The post surgical meniscus - false negatives and root tears - Fisic Conference Presentation 2015 (9 mins)

This content consists of a 9 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Dr Adam Mitchell specialises in musculoskeletal imaging, with particular expertise in sports injury. He is radiologist to several Premier League football teams, professional cricket clubs and numerous rugby union teams, including England. He also provided radiological imaging services for individual athletes at the Beijing 2008 Olympics and was an on-site radiologist at the London 2012 Olympics.

In addition to his role at Chelsea and Westminster Hospital, Dr Mitchell is also an Honorary Senior Lecturer at Imperial College in London. He is also an international lecturer and teacher in radiology related to sports and exercise medicine, orthopaedics and rheumatology.

Dr Mitchell is an author of Gray's Anatomy for Students 1st and 2nd editions, Gray's Pocket Atlas of Anatomy and Gray's Anatomy for Students flash cards, as well as the editor of multiple books, including Applied Radiological Anatomy and Applied Radiological Anatomy for Medical Students and has published over 50 peer-reviewed papers.

Save the meniscus! Stability: The roles of MM in ACL deficiency and LM function in sport - Fisic Conference Presentation 2015 (8 mins)

This content consists of a 8 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Mr Giles Heilpern is a consultant knee surgeon with a special interest in sports and ligament injuries of the knee and knee reconstruction and replacement.

He studied medicine at Pembroke College, Cambridge and Guy's and St. Thomas' Hospitals, London qualifying in 1999. He trained as an orthopaedic registrar in London. In 2009, Mr Heilpern completed two subspecialist fellowships in Australia – in Sydney and Perth.

He started at Kingston Hospital as a consultant orthopaedic surgeon in October 2010 and he joined Fortius in 2012. His knee surgery practice covers all aspects of knee surgery including arthroscopy, ligament reconstruction, partial and total knee arthroplasty and osteotomy.

Mr Heilpern has had multiple publications in internationally peer-reviewed journals and has contributed to the Oxford Textbook of Orthopaedics. He is regularly a faculty member on orthopaedic training courses and regularly lectures on knee surgery.

The basic science of meniscal repair - Fisic Conference Presentation 2015 (10 mins)

This content consists of a 10 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Mr David Houlihan-Burne is a lower limb reconstruction surgeon, specialising in knee surgery, both of sports injuries and arthritis.

Mr Houlihan-Burne qualified from St Mary's Hospital Medical School, Imperial College in 1995. His Orthopaedic training took place in London with specialist and fellowship training in knee and sports injury surgery at Chelsea and Westminster Hospital and the Jonathan Webb Clinic, Bristol.

He was appointed Consultant Orthopaedic Knee surgeon at The Hillingdon and Mount Vernon Hospital in 2005 and has built up a lower limb surgery practice, providing care for many local amateur and semi-professional sports players.

He has a particular interest in knee ligament surgery, as well as the treatment of knee arthritis in the younger patient, including knee cartilage transplantation. He has experience in all aspects of knee reconstructive surgery and is one of the UK and European lead surgeons in developing a rapid recovery protocol following hip and knee replacement surgery.

Mr Houlihan-Burne is a member of the British Orthopaedic Association, the British Association for Surgery of the Knee (BASK) and the British Association for Sports and Exercise Medicine (BASEM).

Management of patella tendinopathy - Fisic Conference Presentation 2015 (12 mins)

This content consists of a 12 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Dr Jonathan Rees graduated from the Royal London Hospital in 1995 and had postgraduate training at five London teaching hospitals. Between 2004 and 2012 he was a Consultant at Headley Court, the Defence Medical Rehabilitation Centre and Honorary Consultant Rheumatologist at Guy's and St Thomas' Hospitals.

Since 2012 Dr Rees has been Consultant in Rheumatology and Sports Medicine at Addenbrooke's Hospital, Cambridge. He is Honorary Senior Lecturer in Sport and Exercise Medicine at Queen Mary College, University of London.

He has worked in sports including Professional Football, Rugby Union and Disability Sport. Dr Rees was Medical Officer to the Great Britain 2008 Paralympic Team in Beijing. He was a member of the LOCOG Sports Medicine Advisory Group between 2008-2012 and a Consultant at the 2012 London Olympic Games.

Dr Rees' Medical Doctorate from University College London won the British Society of Sport and Exercise Medicine 2008 Basic Research Prize. He has published around 20 articles in peer review journals including highly cited articles in particular on tendinopathy.

Dr Rees regularly lectures nationally and internationally and has been interviewed by both BBC and ITN news. He is a Fellow of the Royal College of Physicians and a Founding Fellow of the Faculty of Sport and Exercise Medicine. He is a former President of the Royal Society of Medicine Sports and Exercise Medicine Section.

Management of early OA in the hip - Fisic Conference Presentation 2015 (10 mins)

This content consists of a 10 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Mr Marcus J K Bankes trained at University College Hospital, qualifying in 1991. He completed his Postgraduate clinical training at the Royal National Orthopaedic Hospital, Stanmore, Middlesex additional clinical training with Fellowships in Boston, Toronto, and Vancouver. Mr Bankes was appointed Consultant Orthopaedic Surgeon at Guy's and St Thomas' Foundation NHS Trust in 2002.

Mr Bankes' practice is exclusively confined to problems in and around the hip joint, and he specializes in the arthroscopic treatment of hip impingement and other sporting hip disorders, minimally invasive PAO (peri-acetabular osteotomy) and total hip replacement in young adults.

He has pioneered the use of ceramic on ceramic bearings for total hip replacements for all ages and introduced the technique of minimally-invasive peri-acetabular osteotomy (MIS PAO) to the UK from Denmark for treatment of symptomatic hip dysplasia.

Recognised as an opinion leader in hip surgery, Mr Bankes gives between 15 and 20 talks a year to national and international meetings and is a regular contributor at the British Hip Society and London Hip Meetings, as well as being a reviewer for a number of orthopaedic journals. He leads the Steering group for the British Non-Arthroplasty Hip Registry.

Causes of instability in the knee and how to differentiate - Fisic Conference Presentation 2015 (11 mins)

This content consists of a 11 minute video presentation professionally produced and presented at the Fisic Conference 2015.

Mr Adil Ajuied specialises in all aspects of knee surgery. He has worked as a Consultant at Guy's and St Thomas' Hospitals since February 2009 and also practices at the Fortius Clinic London.

Mr Ajuied qualified as a Doctor in 1998 from Guy's and St Thomas' medical school. While in training he completed a postgraduate Master' degree, and has been appointed a Senior Honorary Clinical Lecturer in Trauma and Orthopaedics as well as Director of Education for South London Orthopaedics, in recognition for his contributions to higher surgical training. He currently sits as an executive board member of the British Association of Surgery of the Knee (BASK).

Mr Ajuied has travelled and worked in many countries from Belgium to South Africa on specialist fellowship training and charitable work. In 2008 he worked in South Africa (University Hospital of Witwaterstrand, Johannesburg), where he held an appointment as an Honorary Consultant. While in South Africa he established a new dedicated Knee Injury Service, which continues to serve the local community growing from strength to strength, and with which he still has strong links.

His special interests include knee arthroscopy (keyhole surgery), ACL reconstruction, knee injuries, meniscal repair, ligament repair and reconstruction, cartilage treatments, orthopaedic trauma, limb injury and reconstruction, and joint replacement.

While in clinical practice, Mr Ajuied has developed a number of care innovations, including new surgical techniques and a unique rapid rehabilitation programme for patients undergoing knee surgery. At present he is engaged in a number of research projects, including international collaborations in multi-centre trials. Mr Ajuied lectures and instructs nationally and internationally on topics relating to knee surgery.