@LenMacPT@function2fitnes Not personal. I don’t know you. Words reflect discomfort with seeming to clinically assess a cyclops lesion. There are many possibilities causing a block to full ext.
I’m not here to win people over-just to be the best professional possible. The rest follows! Have a great day!
Important article on expectations after #ACL recon +/- menisc repair. pt expectations must be right-outcomes will be “poorer” at 6-12/12 post repair: often braced to protect thus Rehab is slower. Think long-term! https://t.co/2s9zeqky3d #knee#physio#Huddersfield
Best mgt with acute #hamstring tear?
P.O.L.I.C.E 🚨🚔
Protect
Optimal Loading
Ice
Compression
Elevation
Remember that *total* rest can be an extreme, but that *some* load *may* be useful in initial stages.
Always consult your #Physio@joel_clayton
https://t.co/vqCFLs9G2E
@PWalsh2018 It’s a difficult one Peter without knowing you, the surgeon, and how well the surgery went, +/- any post-op complications; suffice to say a multi-ligament recon has to be protected for longer.
Feel free to DM if needs be.
Progressive jumping programme with #ACL Rehab-box jumping with rotation. 90deg initially, under controlled env’t. Don’t forget-the Knee is designed to pivot-let’s train that. Great work by AC!
Irrespective of knee trauma or surgery, no surprise that a big FFD leads to poorer functional outcomes! https://t.co/ZI4Qw2F9Tu
Vital to restore 0deg actively & passively ASAP! #knee#rehab#huddersfield#kneeexpertise
@BJSM_BMJ@ianmcdermottLSO …but I think the answer is genuinely to assess and treat on a ‘per case’ basis. I’ve rehabbed pts with flipped flap tears of MM back to sport, and failed with rehab in less ‘nailed on’ cases. This recent spike of debate is a great reflection on our Ortho & Rehab practices! 2/2
@BJSM_BMJ@ianmcdermottLSO For my part, there isn’t a broad strokes answer to this dilemma, although as a Physio, I naturally err on the side of conservative mgt. However, (and I openly admit to bias here, having worked with Steve Bollen for a number of years), he presents an excellent argument…1/2
The difficulty is identifying the “copers” (who can manage with no ACL and no recon). No way of knowing until they fail, which could be months down the line. Other prob is if recon, RTP early and it fails, big risk of 2ndary injury to other ligs/meniscii. https://t.co/3HMKQRKo3b
@Hewett1Tim Understood, but IF: Some athletes can play at a high level without an ACL, and many “normal” people can manage without an ACL repair. WHY?? (BTW, I have been doing this a long time, and do not mind asking the stupidest questions that I can not answer)
[Osteo]chondral defects associated with #ACL injury don’t appear to affect LT (165 months) outcomes. (Surely affect loading criteria/capabilities in the early stages though…) #knee#injury#huddersfield#holmfirth#yorkshire#westyorkshire https://t.co/AQpS3e0boI