Outside the Orthopaedic Protocol

May 19, 2017 by Sian Smale

This week we welcome Physical Therapist, Michael McGowan (DPT) to share with Rayner and Smale a unique case study about a complex combination of orthopaedics and oncology. Michael shares his experience managing a patient who following diagnosis of an osteosarcoma, was managed with a 3-part total knee replacement, fibular ORIF and radical resection of the distal femur. A complex orthopaedic procedure indeed, but the most challenging aspect to manage was cancer-related fatigue.

Entrapment Neuropathy & Neurodynamic Blogs Summarised!

May 11, 2017 by Sian Smale

Understanding clinical neurodynamics and pathoneurodynamics has changed my approach to the treatment of entrapment neuropathies and my learning has been guided by Michael Shacklock. Here is a summary of our blogs looking at clinical neurodynamics and entrapment neuropathies.

Taking the Sore Thumbs Out of Manual Therapy

May 05, 2017 by Sian Smale

This past weekend I took the myofascial decompression level 1 course and proudly now own my own kits of cups. I really enjoyed the didactic component of this course and this blog shares some interesting concepts that you will learn about if you too choose to take a course through www.myofascialdecompression.com

Female Spin Bowler with Lumbar Stress Fracture

April 27, 2017 by Alicia Rayner

Lower back injuries in cricketers are usually associated with fast bowlers. However, I have recently treated two spin bowlers. A previous blog focused on an amateur male spinner. This blog compares Tim to an elite level female spin bowler...

Cervical Radiculopathy or Infected Root Canal?

April 20, 2017 by Sian Smale

This is an interesting case example exploring the link between dental pain, TMJ pain and cervical pain. There are multiple pain mechanisms contributing to the overall presentation. It was definitely a complex case that required thinking outside the square in order to find the root of the problem.

Physical Therapy in California - Part 4 the internship

April 13, 2017 by Sian Smale

Two months into my six months as an intern. Here are some tips I've learnt along the way that may help you speed up this process if you've got this far through the journey too.