Do you see hip and groin pain in sport? Join me for an MDT webinar on how to differentiate sporting hip and groin pain with 3 colleague consultants @one_welbeck - providing MDT treatment all under one roof. Tues 3rd Nov 630pm (UK) bit.ly/3l75jf8 lots to cover in 90 min
Is it pubic overload? I'll be discussing recent agreed terminology and key features on Hx, Exam and how (and if) imaging helps to help differentiate this overuse condition from other conditions
is it hip joint? Mr Pramod Achan ortho surgeon @OneWelbeck will be discussing top 3 clinical features of how to differentiate hip joint from other pathology. I'll be asking Prim specifically about whether guided injections are useful in confirming hip joint as pain source.
is it hernia? Jonathan Wilson @medjmw colorectal surgeon @OneWelbeck with an interest in hernia repair will discuss top 3 clinical features of a 'true' hernia. I'll be asking Jonathan about whether he uses dynamic US to confirm a Dx and is a sportman's hernia a true entity?
Is it a gynae cause? Mr Tom Setchell consultant gynaecologist @one_welbeck will discuss top 3 clinical features of gynae pathology. Many questions here - but I want to know THE top clinical tip suggesting endometriosis and how to manage incidental ovarian cysts on hip MRI
Please forward your questions to me before the webinar - tweet me, leave a message, or forward your questions to info@sportdoctorlondon.com See you Tuesday and thanks to @one_welbeck for making this possible.
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if you missed the fantastic webinar on assessment and management of calf tears by @carlespedret then spend the time to listen to some great PEARLS on assessment and Mx @TheISEH However, if you don't have time, then I've summarised top take home tips below:
1. calf tears are a common injury in elite and non-elite sport. Rodas et al 2019 dx.doi.org/10.1177%2F2325… most common muscle injury and second to hamstring in time loss: All SEM and Sports Physios need to know about calf tears
2. not all calf pain is a muscle tear: we need to think about non-muscle differentials and non-msk pathology including proximal Achilles tendon tear, DVT and popliteal artery aneurysm. Some of these conditions can be career or life threatening.
These are my top take home messages from the Achilles and calf conference in Barcelona this week #BarcaMedicine. It was a great opportunity to keep up to date and share ideas in a top class venue in a top class city #Barcelona
Plantarflexion weakness predisposes to AT and many risk factors related to this weakness. But it's not all about strength: improved neuromuscular control also important @Seth0Neill hypothesised how NM control could help tendinopathy
how effective is exercise in tendinopathy? @DrPeteMalliaras suggested that evidence for exercise (compared to placebo/wait and see) is not as good as we believe. Only one Achilles study demonstrated effectiveness compared to wait and see. how much placebo is in exercise?