Daily Dose

Physiotherapy: Daily Dose.

Physiotherapy is already a well established and respected profession. As the new generation coming through it is our responsibility to develop our profession into the best it can be. Experience comes with time but the potential to learn with tools such as the internet, ipad games, 3D anatomy and DVD lectures to mention a few has never been this easy.

Never before have you be able to access those at the top their game so easily with the use of their websites, online lectures and twitter. So open to your mind to everything that is on offer.

We all know if you try to read in bulk the information won’t stick! The following section mimics our facebook page so that you don’t miss out on these snippets, read through at your leisure and learn something new each day. If you do this every day over the length of your course/ rotations you will help consolidate your knowledge may learn 365 new pieces of information/year ! In this competitive world it will help to improve your employability but more importantly you will be able to provide a highly level of care to your patients. Use this opportunity to learn from others experiences as you develop your own.

There are four major seronegative spondyloarthropathies: (Nucatola et al, 2004)

  • Ankylosing Spondylitis (AS)
  • Reiter’s Syndrome
  • Psoriatic Arthritis
  • Arthritis of Inflammatory Bowel Disease

 

 Are you considering spinal manipulation in the treatment of rotator cuff tendinopathy?(2012)Level 4 evidence. #physio 

 

Adhesive capsulitis (Frozen Shoulder) affects 2-5% of the general population (Kordell, 2002). Differential diagnoses: Arthritis (In a recent talk by consultant Richard Sinnerton he emphasised that not all stiff shoulders were frozen and could be due to arthritis- Think about age, onset of symptoms).
RED FLAGS: Knee/back These are the special questions which may indicate that something more sinister may be going on. Patients should be referred immediately back to the GP with your concerns noted. Ask a seniors advice on the severity of these symptoms and whether and A and E referral is more appropriate. Mechanism of Injury is important here, what force was exerted through the leg? Was it enough for a tibia/femur fracture? Loss of pulses in the foot may indicate vascular compromise due to a fracture.

Fractures can lead to fatty embolisms therefore warrant immediate A and E referral. Bilateral pins and needles or numbness in the LL. Problems with bowel and bladder function where the patient is unable to feel themselves going to the toilet. Incontinence. Paraesthesia in the groin region. Loss of pulses in the LL (Vascular compromise). Obvious deformity.

Essential special questions for the knee – Mechanism? Crepitis/clicking? Locking? Giving way? http://www.physiowizz.co.uk/assessments/knee-assessment/
Three potential causes of pins and needles in the upper limb/hand: peripheral nerve irritation, nerve root irritation, cervical spondylosis

 References

Nucatola TR, Freeman E, Brown DP. Seronegative Spondyloarthropathies. In: Cuccurullo S, editor. Physical Medicine and Rehabilitation Board Review. New York: Demos Medical Publishing; 2004. Available from: http://www.ncbi.nlm.nih.gov/books/NBK27224/

 

 

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