What Band are physio’s working in Orthopaedic Clinics?
Hi. I was just enquiring how many physio’s in your departments work in Orthopaedic Consultant clinics. In addition would it be possible to let me know at what Band they work at and also what responsibility they have. Any information would be of benefit. Best Regards
ACL injury prevention
Have a look at this website and follow it through to the Sports Medicine Biodynamics Center . Tim Hewett is an excellent speaker and the research they are doing into preventing ACL injuries is very interesting and can be utilised in rehab post acl reconstruction. Worth looking at some of the links and articles on the site. We’ll try and incorporate some of the exercises he suggests in the exercise reminders on phyiotoolbox.com.
http://www.cincinnatichildrens.org/svc/find-professional/h/timothy-hewett.htm
This following is a link to one of the research articles he has done , which is definately worth a read. The emphasis in his talks is on quality of the exercises described in the article particularly avoiding a dynamic valgus position on landing for example a deep squat jump or single leg hop. Any comments ?
http://www.prorehab-pc.com/images/resourses/PoACLI.pdf
Use of Frictions in the treatment of Lateral ankle sprains
Hi. Just a quick note to see how other physios get on when using transverse friction massage (TFM) for the treatment of grade 1 and 2 lateral ligament sprains. I find it very useful but I sense not all physio’s use it. If so do more people use Ultrasound or do you use a mixture of both?
Painful thumbs?
If you suffer from painful thumbs at the end of a busy week of ‘hands on’ treatment you might want to have a look at this site - www.thumbsavers.com . I know people will say that if you use the correct technique you won’t get problems but some physios will still be prone to problems. I’ve tried them and they are good for trigger point pressure, massage and friction massage techniques. There is obviously a reduction in the feedback you get and for some techniques you are better off using your elbow but I can see they would definately help many therapists who suffer from sore thumbs.
Hip Arthroscopy
Hi, I have just been to a study day on hip arthroscopies in Walsall. It was very informative as the trust I work at has completed approx 5 procedures so far. Apparently hip arthroscopies have been around for 20 years+. It seems in most places however it is a new procedure. I understand cost is a major stumbling block in a lot of trusts. A figure of around £5,500 per operation means PCT’s might be reluctant to fund the surgery. From the surgical point of view however there is a lot they can do. Remember all these ‘groin strains’ we see. Are they groin or might they be hip. Imaging is very useful with MR arthrogram and CT arthrogram used prior to surgery. Check back in the next 2 days when I will add further information.
Post-op TKR and THR - Average length of stay
Hi
I was just enquiring what the average length of stay following a routine TKR or THR is at your hospital. Currently if the patients are routine we are able to get them home on day 3 and have a service that goes to the house. This means their wounds and exercises can be checked, saving them time spent in hospital.
Post-op THR
Hi, I was just wondering at what point your consultants are happy for patients to progress off sticks or elbow crutches. Also do your hip patients have crutches or do they use sticks. Where I work a number of the consultants now are happy for patients to progress off their crutches at 4 weeks. They are using 36mm heads, pinnacle cups and corail stems.
P.A.S. and Physiotherapy
Hi
We have just started to implement the PAS system in physiotherapy. We are now 1 week into it and things still aren’t great. We were using the TIARA system which was simple but had to change due to trust policy. Does anyone have any experience using PAS in physiotherapy and has it helped in any way?
Oswestry Orthopaedic Up-Date
Hi
Sorry for the delay. The 2 day seminar was very worthwhile back in July. It was a jam backed seminar/course with speakers on a wide range of upper limb conditions and surgery. There was also a good session on Cadaver’s, although the smell wasn’t so great! It was a great way to make more sense of anatomy if like me, you haven’t seen any before. I am still waiting for the DVD of the notes from the course. Once they have arrived I will post more information.
Oswestry Upper Limb Course
I am due to attend the Oswestry Shoulder and Elbow Course starting tomorrow. It has a varied and interesting 2 day programme and is led by Cormac Kelly, Upper Limb surgeon. Following the course I will post any new thoughts on current surgical techniques and also the rehabilitation post surgery. Look out for this at the end of the week
