Informed pain management for LBP

This week we are looking at an article review covering a brilliant paper that has recently been published out of Hong Kong. I have been waiting for a paper like this for some time now, that looks systematically at all the literature behind the current approach to pain management education we are encouraged to provide to our patients about lower back pain.

Read More

Anatomy 101: the upper cervical spine

"The anatomy of the high cervical spine is unique and, to some degree, more complicated to assess than the rest of the vertebral column. The shape of the bones and their articulations are distinctly different between the occiput and atlas, atlas and axis, and axis and C3. Such a marked change in anatomy does not occur in such close proximity anywhere else in the vertebral column" (Edwards, 1992, pp. 42-43).

Due to the close proximity of this region of the spine, careful consideration must be made when understanding which level is being loaded under pressure, and what sensitising movements can be applied to differentiate between intra-articular and periarticular restrictions to movement. This blog explores the key features of clinical anatomy and offers tips for structural differentiation with palpation.

Read More

Functional facts about hip muscles

This blog is a compilation of fun and functional facts about the muscles which control and move the hip. Presented here are concepts around anatomy, muscle synergies and changes to muscle function which occur with pathology, specifically OA. There is also a review of the current knowledge and details that drive our decision making around exercise prescription for retraining hip strength, particularly hip extension, abduction and external rotation strength. 

Read More

Pregnancy related DRAM

DRAM/DRA is the acronym for diastisis of the rectus abdominus muscle, which is a separation between the left and right halves of the rectus abdominus through widening for the central ligament known as the linea alba (LA). It has been shown to be present in 27%-100% of women during the second and third trimester of pregnancy and up to 68% of women in the post-partum period (Hilde, Tennfjord, Sperstad & Engh., 2017). This blog explores the current research around assessment, diagnosis and exercise prescription for rehabilitation.

Read More