Connectivity with Iain Duncan
lateral epicondylitis

Lateral Epicondylitis: A Therapy Update

Background  Definition: Lateral epicondylitis is a common, painful condition characterized by pain at the lateral side of the elbow, that increases during gripping or squeezing. Though sometimes referred to as “tennis elbow” it occurs mostly in middle aged adults regardless of sporting activity.  Light microscopy reveals both an excess of fibroblasts and blood vessels that […]

Injection therapies for plantar fasciopathy (‘plantar fasciitis’): a systematic review and network meta-analysis of 22 randomised controlled trials

Konstantinos Tsikopoulos, Haris S Vasiliadis and Dimitris Mavridis. Abstract Objective To compare the efficacy of different injection therapies for plantar fasciopathy (historically known as ‘plantar fasciitis’). Design Systematic review and network meta-analysis. Data sources Electronic databases (MEDLINE, CENTRAL, Web of Science and Scopus) were searched up to 11 July 2015 for completed studies. Eligibility criteria for selecting […]

Caution about Steroid Injections before total hip replacement

This abstract reproduced courtesy of The Journal of Arthroplasty. The Timing of Total Hip Arthroplasty After Intraarticular Hip Injection Affects Postoperative Infection Risk Brian C. Werner, MD, Jourdan M. Cancienne, MD, James A. Browne, MD Department of Orthopaedic Surgery, University of Virginia Health System, Box 800159, Charlottesville, Virginia   DOI: http://dx.doi.org/10.1016/j.arth.2015.08.032 Background The data regarding any association […]

Association of Vitamin D With Stress Fractures: A Retrospective Cohort Study

Jason R. Miller, Karl W, Dunn, Louis J. Ciliberti Jr., Rikhil D. Patel, Brock A. Swanson. Published in The Journal of Foot & Ankle Surgery 2016, Feb (55): 117-120. Vitamin D is an essential, fat-soluble nutrient that is a key modulator of bone health. Despite the gaining popularity throughout published medical studies, no consensus has […]

Best Practice Guide to Conservative Management of Patellofemoral Pain

The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning Christian John Barton, Simon Lack, Steph Hemmings, Saad Tufail, and Dylan Morrissey. Br J Sports Med 2015;49:923-934. Patellofemoral pain is a chronic and prevalent condition that  has complex aetiology and multiple treatment options.T his is a well thought out review […]

Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy

Ebonie Rio, Dawson Kidgell, Craig Purdam, Jamie Gaida1, G Lorimer Moseley, Alan J Pearce, Jill Cook. see original abstract BJSports Med online. This single-blinded, randomised cross-over study compared immediate and 45 min effects following a bout of isometric and isotonic muscle contractions. Outcome measures were PT pain during the single-leg decline squat (SLDS, 0–10), quadriceps strength on […]

Preventative interventions for tendinopathy

A recent review by Janne A. Peters and colleagues in the Journal of Science and Medicine in Sport looked at the available evidence for tendon injury prevention. They conducted a systematic literature review to identify articles that assessed prevention systematically. They found ten articles with a wide variety of preventive interventions, which they divided into categories: stretch and exercise […]

STRESS FRACTURES

STRESS FRACTURE GRADING GRADE XRAY SPECT-CT BONE SCAN MRI 1 normal mild /diffuse increase in tracer uptake. CT normal Increased periosteal T2 signal. Normal marrow signal. 2 normal moderately intense tracer uptake, mild sclerosis or thickening, but no fracture line plus changes on STIR and T2 sequences 3 Visible line intense (linear) focal tracer uptake with definite […]