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Category Archives for Rehabilitation

Feeling your way out of knee pain

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I offer to people a venue both for talking about their knee pain and for following informational videos that may help them to reduce their experience of pain without surgery, drugs or shots.I am not a medical doctor or physiotherapist, but could be considered a ‘pain coach’. I have developed a useful online program for knee […]

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Knee problems from poor core strength

This article stresses the importance of core strength in knee rehabilitation. In any complex articulated structure it is important that each part of the structure is adequately strengthened or buttressed, or the whole edifice may become problematic.Patellar problems, in particular, may not derive primarily from the patella, but from rotational problems of the other bones, […]

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Common Knee Symptoms

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Many knee problems can be diagnosed from the story of the initiating incident together with a competent examination. Usually those additional special investigations – such as X-ray and MRI scan – serve only to confirm what is already suspected.With the advent of the internet, people with medical problems find themselves turning more and more to […]

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Why re-injury is common in CRPS patients

Complex Regional Pain Syndrome (CRPS) – formerly known as Reflex Sympathetic Dystrophy (RSD) – was initially diagnosed over a century ago. Despite its unquestionable existence, it is often diagnosed late and re-injury of the same or different limb is not uncommon due the characteristics of the disease.Much of the research has been done only within […]

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Early Recognition of CRPS after Knee Surgery

Complex Regional Pain Syndrome or CRPS is a somewhat poorly understood but accepted pain syndrome marked by injury or surgery to a limb and the development of a constellation of symptoms (Laplant 2014).Clinically, prior to 1994 the syndrome was termed RSD or Reflex Sympathetic Dystrophy, drawing attention to involvement of the ‘sympathetic’ part of the […]

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Surgical Treatments for Established Arthrofibrosis: Salvage or Cure?

Arthrofibrosis is the consequence of fibrotic tissue that occurs as a result of knee injury or surgery of some sort, most commonly associated with Anterior Cruciate Ligament (ACL) reconstruction, but may occur with any invasive procedure of the knee such as Total Knee Replacement. Arthrofibrosis may result in significant disability to those patients who have […]

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Measuring the range of motion of the knee with a goniometer

Measurement of ROM in a rehabilitation unit is traditionally performed with a little instrument called a goniometer. ‘Gon’ is a Greek prefix implying ‘knee’ so a ‘goniometer’ means an instrument for measuring the knee, although in practice it can be used for measuring ROM of any joint.Goniometers are traditionally plastic, with two arms connected at […]

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Rehabilitation considerations after cruciate ligament reconstruction

This group of patients, in contrast to knee replacement patients, are usually high-functioning in terms of their knees before the abrupt incident – generally young and fit, with no prior muscle wasting, bony deformity or limitation in their range-of-motion.After their injury they may be over-keen to get ligament reconstructive surgery done so that they can […]

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Overzealous Physiotherapy: A Cautionary Tale

The development of knee arthrofibrosis is a serious complication of knee surgery, and in particular of knee ligament reconstruction and total knee replacement, and especially if complicated by post-operative bleeding into the joint cavity. How the physiotherapist guides the all important rehabilitation process can have disastrous or excellent recovery potential for the patient. It is […]

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My Arthrofibrosis Story

My life in retrospect is divided into segments of “before the accident” and “after the accident” as it was a defining time in my life, with longstanding repercussions.I was very active, a dancer, a runner – a life no one would describe as sedentary as it is now. I had always led a dynamic lifestyle, […]

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Baker’s Cyst causing pain at the back of the knee

The region at the back of the knee is called the popliteal region, and the diamond-shaped recess in the middle of it is called the ‘popliteal fossa’. Pain experienced in this region is very common, but it may be a bit of a challenge to the doctor to determine what is causing it.The most common […]

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Cyclops lesion after ACL reconstruction

The mythical ‘Cyclops’ creatures had an eye in the centre of their forehead. The ‘cyclops’ lesion that we refer to in the knee is a fibrous nodule, resembling an eyeball, localised to the middle of the rounded part of the femur, and obscuring the notch area and cruciate ligaments. It forms in relation to damage […]

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Why do so many knee replacement patients end up with a stiff knee?

It’s common for the knee replacement patient to have to wait many years before undergoing their surgery because the classical wisdom is that the knee replacement will eventually wear out sufficiently to require revision, so the longer it can be put off the smaller the likelihood of such a revision becoming necessary. By the time […]

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