The role of the scapula in Shoulder Impingement Syndrome: part 2

Part 2 of the shoulder impingement series is an entire blog dedicated to looking at the finer detail of normal functioning of the scapula and then applying this knowledge to scapula assessment and diagnosis of scapula dyskinesis. Before we can move onto rehabilitation pathways, you first need to try decipher what we see. 

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Physical Therapy in California - the requalification process

Thinking about moving to the States to practice Physiotherapy? The system is complicated and it takes a long time to meet all the requirements for an American Physical Therapy licence. Unfortunately for me, I have struggled to navigate my way through it all. I wanted to share this journey with you and all the information I've gathered along the way in the hope that others will be more successful in the future. 

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Patella Tendinopathy & the 4-stage management program for 'Jumper's knee'

Let's continue to learn about the management of tendinopathy and this week look at the 4-stage management plan for patella tendinopathy presented by Malliaras, Cook, Purdam & Rio (2015). I've learnt so much about isometric exercises, isotonic loading, energy storage and release and return to sport from these amazing authors. 

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Treatment of Achilles tendinopathy with combined loading programs

Eccentric muscle strengthening has become the primary conservative management approach for Achilles tendinopathy and popularized by the Alfredson program, however up to 45% of patients do not respond to this approach. Other loading programs such as Silbernagel-combined loading program incorporates eccentric-concentric, eccentric and then faster loading. The purpose of this blog is to review this combined loading program in the treatment of Achilles Tendinopathy.

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Hip: Retraining mobility & dynamic motor control in Pilates

Recently I published a blog about current approaches to treating chronic pain and in that blog I discussed the Explain Pain approach to managing pain and used my personal story of chronic hip pain as an example. This blog is a follow up post to outline what current rehab I am completing for my hip. It is not a program for acute hip pain but an outline of long-term rehab goals. It is a fusion of Pilates, Yoga, Functional strengthening and more physio-centric exercises. We all know the initial exercises for restoring function at a joint in the acute phase of injury, however when thinking about managing the regions above and below that joint, I would encourage you to use exercises that link these regions rather than addressing them in isolation. Everything is connected to everything. 

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Fueling for Your Half Marathon

This week we are side-stepping from Physiotherapy and discussing nutrition in sports and I'm thrilled to introduce Casey Keane-Miller (RD, CSSD) a Registered Dietitian and Board Certified Specialist in Sports Dietetics who lives and works in the San Francisco Bay Area. Casey shares her advice about choosing the right fuels for training and competing. There are some great tips throughout this blog, which can be applied to training for a marathon, half marathon and other long distance endurance events.

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