The Peepul Centre clinic

Our New Ultrasound and Interferential combination unit

Peepul Centre Clinic

England Ladies Masters V's The British Army

Pain medication

Pain talk from Nick Leo Southern at Notts County FC 

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.

Ankle Injury? It could be an Ankle syndesmosis and AITFL injury

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

Imaging:

MRI

X Ray under external rotation/Dorsi flexion stress, best to do in weight bearing.

Treatment

Aircast splint for 2 weeks then graded Physiotherapy.

Armless George!

The "new look" Physio Bus

Golden memories of our great Olympic adventure

Leicester Mercury story about Walk-in Physio MD

Olympic Canoe Slalom final. GB won Gold and Silver. So proud!

World Hockey Masters Tournament 2012

England Ladies Masters. Third in the world!

Walk-in Physio at the Hockey Masters World Cup 2012.

Hockey Masters World Cup 2012

First Aid and Pitch side Physio support to the Masters Hockey World Cup 2012

Walk-in Physio in association with Extreme Care

London 2012 Olympics

Taken at the Olympic Test event last year

The Physio's all wrapped up!

The physio's doing Resusi Annie Aerobics!

The London 2012 Olympics

T
Taken last year at the Olympic test event

The London 2012 Olympics

Photo taken last year at the Olympic Test Event