Parsonage Turner Syndrome
Parsonage Turner Syndrome (Brachial Neuritis): A Comprehensive Clinical Review Parsonage Turner Syndrome (PTS), also known as brachial neuritis or neuralgic amyotrophy, represents a rare but clinically significant neurological disorder affecting the peripheral nervous system. This condition presents a unique challenge for healthcare practitioners due to its sudden onset, variable presentation, and prolonged recovery trajectory. Understanding […]
Costochondritis management
Useful video information https://www.youtube.com/watch?v=4HWQvO2lLlA Best costochondritis self treatment Bob&Brad PT https://www.youtube.com/watch?v=1CImipDDRrc&list=TLPQMTIwMzIwMjHAz6qQfEVRFQ&index=4 Costochondritis 4-self treatment Bob&Brad PT https://www.youtube.com/watch?v=_irAe4_3d38&list=TLPQMTIwMzIwMjHAz6qQfEVRFQ&index=2 AskDrJo Costochondritis treatment https://www.youtube.com/watch?v=YV0vgC2siS0&list=TLPQMTIwMzIwMjHAz6qQfEVRFQ&index=3 SportsInjuryClinic.net Costochondritis Tietze Syndrome https://www.youtube.com/watch?v=Oz82Ehuu6AQ&list=TLPQMTIwMzIwMjHAz6qQfEVRFQ&index=6 JohnGibson Tape for intercostal muscle and rib pain Costochondritis: A Comprehensive Review Costochondritis is a common inflammatory condition affecting the costochondral or chondrosternal joints, characterized by localized chest pain […]
Respiratory Physiotherapy and Chest xrays
Cardio-respiratory physiotherapy The physiotherapist can obtain information from lung sounds and CXR presentation about disease progression, baselines within assessment and treatment effectiveness. Clinical reasoning based upon knowledge of pathology and disease progression in the cardio-respiratory patient is essential for effective treatment management. The information gathered is used in conjunction with other patient related information (e.g. […]
Why steroid injections were stopped during COVID-19
During COVID lockdown there has been a national cessation on the delivery of intra-articular steroids, this has come at some cost to patients. Changes to their pain management strategy away from injection therapy to opiate based analgesia has come with its challenges. So why are steroid injection not recommended during a pandemic? https://en.wikipedia.org/wiki/Hypothalamic%E2%80%93pituitary%E2%80%93adrenal_axis. […]
Steroid injection for knee osteoarthritis
How steroid injection works Google web story – click image In 1951, Hollander et al. (1951) first described the use of intraarticular injections of corticosteroids for the management of arthritis, the Glucocortoids marked immunosuppressive and anti-inflammatory properties started a rapid global change in the treatment for joint conditions. The modified cortisol structure 16-alpha-hydroxyl-9-alphafluoroprednisolone was given […]
Prescribing for children and adults
The differences when prescribing for children Different laws and practice guidelines apply, different pathophysiology, different pharmacokinetics and pharmacodynamics, different ‘host’ response and different adverse drug reactions can all explain why some drugs behave differently in children (Stephenson, 2005). This blog explores the differences in prescribing in children and takes account of practical considerations. The Care […]
MSK Practitioner formulary (drugs)
Opiates – pain relief Drug name Clinical indication Formulation & dose Contraindications & precautions Adverse effects Drug name Codeine phosphate Opioid analgesic (Moderate) 5-HT stimulation Clinical indication Mild to moderate pain Painful cough Acute diarrhea Formulation & dose Tablet by mouth Adult 30–60 mg every 4 hours if required; maximum 240 mg per day. Dependency […]
Knee Osteoarthritis
Patients often ask me ‘how do you know its knee osteoarthritis?’ (KOA), ‘what has caused my knee osteoarthritis?’, ‘how do steroid injections work?’, ‘do I need a steroid injection?’, ‘how do they work and for how long?’, ’What else can I do to help?’, this case will help you with the finer details and provide […]
How MSK practitioner went from supplementary to Independent prescribers
The Cumberlege report identified that health professionals were experiencing delays when waiting for doctors to sign prescriptions, the suggestion of non-medical prescribing was made (DHSS, 1986). The 1st crown report (DOH, 1989) termed this ‘Dependent prescribing’ and later it became knowns as ‘Supplementary prescribing’. In 1992 the first district nurses and health visitors began prescribing, […]
How does manipulation work
In European and North American populations about one-third of adults will experience neck pain in the course of a year,1 and many will seek manual therapy. This author 2 offers the following definition of manipulation; A skilled, passive, high velocity and low amplitude force directed at specific spinal segment3,4 performed at the point slightly before […]
Switch to Hyaluronic acid
Three presentations that give you a clear picture of what why and when Hyaluronic acid what is HA? A naturally occurring glycosaminoglycan found in the synovial fluid.A physiological lubricant that stimulates endogenous HA synthesis. COVID-19 UK position statements on Corticosteroids and their potential side effects. Who is […]