When consulting for a physiotherapist for the first time it is difficult to know what to expect and understand what will happen and why. This post has been written to provide insights about the first appointment and explanations about the assessment part. Why will your physio will perform an assessment? Safety first. "Primum non Nocere".... Continue Reading →
This is the story of Alice who accepted to share with you her experience of her sciatica. She wrote this post and allowed me to translate it in English and publish it here. I am grateful for this, as sharing lived experiences is extremely valuable. Part 1: The vicious circle It all started in October... Continue Reading →
Several names exist for this issue: Tennis elbow, lateral elbow pain / tendinopathy, epicondylalgia, epicondylitis … They all refer to the same problem. Foreword: This post has been written in relation to the reading and analysis of 6 recent literature reviews that synthesise the current scientific evidence about tennis elbow . These papers have been... Continue Reading →
(Vuvan, Vicenzino, Mellor, Heales, & Coombes, 2019) Aims: To investigate the effect of an 8-week unsupervised program of isometric exercise compared to a wait-and-see approach on pain, disability, global improvement, and pain-free grip strength in participants with unilateral LET. Methods: RCT in Australia. Inclusion: 18-70 years old, unilateral LET >6 weeks, pain >2 on average,... Continue Reading →
(Hoogvliet, Randsdorp, Dingemanse, Koes, & Huisstede, 2013) Aims: To assess the evidence for effectiveness of exercise therapy and mobilisation techniques for both medial and lateral epicondylitis. Methods: SR on 4 DB, 2 reviewers independently extracted data and assessed the methodological quality. English, German, French, Dutch language. Quality assessed according to a scale (Furlan). Heterogeneity made... Continue Reading →
(Coombes, Bisset, & Vicenzino, 2015) Aims: To collate evidence and expert opinion on the pathophysiology, clinical presentation, and differential diagnosis of LET. Factors that might provide prognostic value or direction for physical rehabilitation are canvassed. Clinical recommendations for physical rehabilitation are provided, including the prescription of exercise and adjunctive physical therapy and pharmacotherapy. Methods: Not... Continue Reading →
(Smith, Hendrick, O Smith, & Al., 2017) Aims: To compare the effect of exercises where pain is allowed / encouraged compared with non-painful exercises on pain, function or disability in patients with chronic musculoskeletal pain within randomised controlled trials. Method: Systematic review on exercises into pain vs non-pain exercises on pain, function or disability. 9... Continue Reading →
(Takasaki et al., 2011) Aims: The purpose of this study was 1) to examine measurement reliability of segmental upper cervical movements using magnetic resonance imaging and 2) to investigate the content validity of the FRT Methods: MRI study measurement on 19 healthy women. Results: FRT is a valid and reliable (substantial reliability) measure of Upper... Continue Reading →
(Van Laarhoven et al., 2011) Aims: To study verbally induced nocebo and placebo effects on itch and pain. Methods: 105 healthy female subjects were randomly assigned to one of 4 groups: (Itch nocebo n=36 vs Control n=20 or Pain nocebo n=33 vs Control n=16). In itch / pain nocebo groups patients were told a verbal... Continue Reading →
(Walsh & Hall, 2009) Aim: The aim of this study was to determine the reliability, validity and diagnostic accuracy of manual palpation of the sciatic, tibial and common peroneal nerves in the examination of low-back related leg pain. Methods: 45 subjects. Palpation compared to SLR + Slump. Inclusion: presence of unilateral low-back related leg pain,... Continue Reading →
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