Thursday, 13 December 2012
Thursday, 22 November 2012
Sunday, 11 November 2012
Wednesday, 24 October 2012
Pain talk from Nick Leo Southern at Notts County FC
Main points: -
Main points: -
- If a patient is in pain for more than 3 months consider neuropathic medications.
- Tramadol and Amitriptaline taken together could lead to problems
- When Drs prescribe neuropathic medications they start low and go slow.
- Ibuprofen taken profalactively may increase the risk of injury as it can degenerate tendons.
- Paracetamol has the least side effects of any analgesia.
- Codiene turns to morphine in the liver.
Monday, 8 October 2012
Often known as a "High Ankle Sprain". The anatomy of the foot/ankle bones.
The anatomy of the AITFL ligament. This is fairly common in footballers, when they kick the ball they externally rotate and dorsi flex their foot. The injury can also be related to a stud caught in the grass as rotation occurs. This accounts for 18% of all ankle injuries and a greater loss of time and delayed return to sport.
The clinical tests:
Palpation - OTTOWA ankle score.
Anterior draw test - Good validity
Talar tilt test - is sensitive for complete ruptures of the CFL but not for partial ruptures of AITFL
Squeeze test - used for syndesmosis and AITFL injury. Poor reliability for partial tears
External rotation test - fair reliability and more reliable test than the squeeze test.
Dorsiflexion compression test - fair reliability
X Ray under external rotation/Dorsi flexion stress, best to do in weight bearing.
Aircast splint for 2 weeks then graded Physiotherapy.