Gluteal tendinopathy

June 05, 2018 by Sian Smale

As the term lateral hip pain has evolved from greater trochanteric pain syndrome and trochanteric bursitis, to gluteal tendinopathy, we too have seen a growing amount of clinic trials published sharing what is known about this condition and evaluating the effectiveness of our current treatment methods.

I was thrilled to see a paper recently released in the BMJ by a powerhouse group of researchers on the effectiveness of three different treatment approaches for this condition. Mellor, Bennell, Grimaldi et al (2018) conducted the first RCT to evaluate the effect of: education about tendon loading & exercises specific to stage of tendon pathology, versus a single CSI, versus a wait and see approach, on pain and functional outcomes with gluteal tendinopathy.

Surgical vs non-surgical treatment for the knee

May 25, 2018 by Sian Smale

Presented in this blog are the key messages from CPG over the past 10 years regarding the assessment and treatment (both surgical and non surgical) for meniscal lesions, degenerative knee disease, articular cartilage lesions, and ACL tears.

Suprascapular nerve palsy

May 14, 2018 by Sian Smale

Suprascapular nerve compression is a rare condition that primarily presents with pain and weakness. This blog outlines the clinical presentation, causes of compression, diagnosis and prognosis for recovery.

TFCC & Ulnar-side wrist injuries

April 30, 2018 by Sian Smale

Ulnar sided wrist pain can be a complex problem to diagnose. The following blog provides a review of the clinical anatomy, pain provocation tests and classification for diagnosis of TFCC injuries in patients with ulnar sided wrist pain.

Incorporating PRI into Physical Therapy Practice

April 09, 2018 by Sian Smale

When I joined the team at TherapydiaSF I came to learn that our facility is trained in an approach known in America as PRI (postural restoration institution). This blog reflects on what I have learnt over the past 12 months around this approach and how it can be integrated into my previous training.

Breathing pattern disorders - treatment approaches

March 25, 2018 by Sian Smale

This is the final blog on breathing pattern disorders and presents the main ideas that represent how my clinical practice has changed with regards to treatment. The blog focusses on manual therapy, therapeutic exercises and patient education around the treatment of BPD.