Osteochondral Defects in the Knee - The Gastros Could Be The The Key - The 'Go-To' Physio скачать в хорошем качестве

Osteochondral Defects in the Knee - The Gastros Could Be The The Key - The 'Go-To' Physio

Ever have a knee pain patient who done all the quad work but still experiences pain? ⁣⁣⁣ ⁣⁣⁣ To the naked eye the initial test here looks like a 'quad muscle strength test'. ⁣⁣⁣ ⁣⁣⁣ But we're not assessing the strength of a muscle here.⁣⁣⁣ ⁣⁣⁣ We're really stressing the ability of the nervous system to tolerate and distribute load well.⁣⁣⁣ ⁣⁣⁣ When I push down on the proximal tibia with the knee flexed, I'm effectively testing posterior knee stability.⁣⁣⁣ ⁣⁣⁣ The PCL is a key restraint to posterior tibial translation, and several muscles — including the quadriceps, hamstrings, and gastrocnemius — play crucial stabilising roles alongside it, particularly under dynamic loading conditions.⁣⁣⁣ ⁣⁣⁣ What I've found is that very often, patients test strong (done all the quad work) but still experience pain. ⁣⁣⁣ ⁣⁣⁣ Why?⁣⁣⁣ ⁣⁣⁣ Why is there still a 'prediction error' or 'perceived threat' present? ⁣⁣⁣ ⁣⁣⁣ What isn't doing its job that if it was doing its job, the pain experience would not be present? ⁣⁣⁣ ⁣⁣⁣ All good questions to help us focus. ⁣⁣⁣ ⁣⁣⁣ From my own clinical experience, I often find the inability of the proximal gastrocnemius to tolerate load is on such contributor in SOME cases.⁣⁣⁣ ⁣⁣⁣ While it's traditionally considered a plantarflexor, its anatomical position and biomechanical function support a role in restraining posterior tibial translation.⁣⁣⁣ ⁣⁣⁣ The gastrocnemius originates on the posterior femoral condyles, creating a compressive/anterior stabilising force.⁣⁣⁣ ⁣⁣⁣ So often I'll then test the gastrocnemius in more isolated positions and if indicated attempt to improve its ability to contribute more via hands on treatment and rehab. ⁣⁣⁣ ⁣⁣⁣ Very often then when we retest, the pain experience resolves.⁣⁣⁣ ⁣⁣⁣ Then increase load tolerance up the graded exposure ladder for longer lasting changes. ⁣⁣⁣ ⁣⁣⁣ This is a perfect example of looking at the body and understanding the rules of the game we are really playing.⁣⁣ ⁣⁣ If you'd like to install a complete step-by-step system that helps you confidently handle any complex case, ethically double patient retention, and become the fully booked 'Go-To' Physio in your town, just DM me the word 'MENTOR' for all the information. ==== How To Confidently Design Rehab Plans That Solve Complex Cases In 10 Minutes Or Less! https://learn.thegotophysio.com/compl... I've been in your position before... As a physiotherapist myself, I know how frustrating it is when you feel stuck in your career. Even though you’ve reached a level of skill and competence that sets you apart from many of your peers, you know there’s still a gap between where you are today and where you could be. When faced with challenging cases, you start second-guessing your approach. You question whether you have the knowledge and skills to treat patients with more complex issues. And then you start worrying about how this could impact your reputation in the wider industry. I know this feeling myself. Early in my career while working with my dream team (Munster Rugby), two players had to retire on my watch. It was at that moment that I said enough was enough, and I fully committed to building a complete and robust step-by-step system that didn’t rely on ‘magic bullets’ or ‘techniques. If you’re experiencing similar challenges in your career, then you might be missing some critical elements in your system that are necessary for your success and your peace of mind. I learned that with the right direction, a shift in mindset, and a change of method, you can put an end to those feelings of frustration. You want to be able to grow your practice and have other physiotherapists come to you for advice about resolving complex cases. You want your skills to be so refined that your colleagues see you as someone who has mastered clinical practice. When I changed my approach and added more structure, my patients with complex issues started recovering quicker. I stopped second guessing myself, and my peers started to see me as their ‘go-to’ physio for advice. Drawing on all my years’ experience, I developed my 'Go-To' Therapist Mentorship Program to help you achieve clinical mastery too. It’s designed to help you make progress with those challenging cases and grow your patient list to the point that you need to take on your own employees. This is about more than boosting your skills. It’s about cementing your reputation as an expert clinician – one who other physios look to for guidance. To get started head here: https://thegotophysio.com/mentorship/ ================================================================= For our Latest Updates, Be Sure To Follow Us On Social Media: Facebook:   / daveosullivansportsphysio   Instagram:   / daveosullivanphysio   LinkedIn:   / daveosullivanphysio