2/ It is worth reflecting on the fact that most trained PT’s will assess neurological function in suspected upper limb and lower limb neurological dysfunction ... BUT NOT routinely in the cervical-cranial region.
3/ For a profession that positions itself as able ‘First Contact Practitioners’ for MSK conditions, that HAS to to be an #AFI
Serious adverse events related to cervical-cranial neurovascular dysfunction = Vision loss, Stroke or Death
External Iliac Artery Endofibrosis (EIAE) is a rare cause of exercise induced leg pain #EILP in high level #sport
It often remains undiagnosed because doctors & physios may be unfamiliar with the condition.
I teamed up with @tomgoom to raise awareness in #Physio #Physiotherapy
2/ The symptoms only manifest at high levels of effort, and subside quickly when the effort level is reduced.
Athletes report that they can train/compete at lower levels of effort without symptoms for prolonged periods.
Effecive testing requires the reproduction of symptoms.
3/ Reduced pulses or blood pressure (ABPI) after exercise is an indicator that such athletes should be referred on to the vascular team for further investigation. Duplex US, MRA, CTA will locate the site of the flow limitation.
Reason 2.
You routinely assess neurological function when you encounter 1. Distal symptoms in the upper limb 2. Distal symptoms in the lower limb
It is logical therefore to do the same when it comes to the neck/head/face
Reason 3.
You will see patients who complain of post trauma/insidious onset dizziness/nausea/visual disturbances
... which may or may not be linked to CN dysfunction.
CN testing should form part of your routine risk assessment. pubmed.ncbi.nlm.nih.gov/34182898/
#Physio#FCP ‘s
Time to brush up on your haemodynamics ✅
"We found that arterial thrombosis associated with COVID-19 infection was characterized by dire outcomes, namely strikingly increased rates of amputation and death, which in our series were 25% and 38%, respectively,"
Be aware that arterial complications will likely present as PAIN in the early stages.
There may be an exercise induced component.
That may be down to deconditioning or fatigue OR it may be due to underlying pathology.