Sensation Testing for Patient with Central Nervous System Lesion

December 28, 2014 by Alicia Rayner

I often perform upper limb and lower limb neurology testing but rarely assess other forms of sensation. This provides a comprehensive overview of sensation testing for a central lesion, with peripheral testing being described in a later blog post.

Meniscus Injury...conservative or surgical management?

November 27, 2014 by Alicia Rayner

Meniscus injuries are common but what is the appropriate management? What clinical factors indicate conservative or surgical management pathways? The main clinical issue currently is the lack of research regarding the efficacy of arthroscopic meniscus repairs compared to a conservative approach. This blog aims to give a clinical overview, so therapists know when surgery or a conservative approach is appropriate.

Meet Marnie...Central Sensitisation Case Study

October 31, 2014 by Alicia Rayner

I had often read the theory of central sensitisation, told to look for signs of "central sensitisation" during my subjective and physical assessment. However, I had rarely seen a true "central sensitisation" patient...until I treated Marnie. This blog outlines her story, her clinical presentation, her descriptors of the condition, failed management and the management journey I undertook with her.

MCL Rehabilitation- From Ruin to Return to Play

September 27, 2014 by Alicia Rayner

Medial collateral ligament injuries occur following a traumatic valgus force, often while the knee is slightly flexed.This blog aims to provide a succinct overview of the rehabilitation of MCL injuries, with the approach I use to return an individual to full function.

Day 2 Treatment...what now??

August 22, 2014 by Alicia Rayner

A lot of emphasis is placed on a thorough initial assessment, with treatment targeted towards the impairments discovered. But what direction should your treatment take after that initial treatment?

Entrapment Neuropathies of Upper Limb

July 25, 2014 by Alicia Rayner

Sian and I both attended Michael Shacklock’s Neurodynamics Upper Limb Course in Melbourne in June. This was easily the most enlightening course I have attended, it introduced much more sensitive treatment techniques, especially for acute and severe neural conditions. Shacklock’s neurodynamics is too large a topic for just one blog, so I will expand on entrapment neuropathies of the radial and ulnar nerves.