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Knee Ligaments

The Ligaments of the Knee

So what exactly is a ligament? Within a joint there are 4 key structures that keep you moving: Bones – a joint is where 2 bones meet Cartilage – this is the squishy stuff on the end of bones, in the discs in your spine and in extra cushions like the meniscus. This stops the bones rubbing together Tendons – the rope like fibres that join muscles to bones Ligament…

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Knee Pain after surgery

Knee Surgery – when it doesn’t fix the problem

Recent evidence suggests that as many as 20% of patients who have a Total Knee Replacement (TKR) continue to suffer chronic pain after surgery. The follow up looked into who this 20% might be – are there any common themes? Women We know women have a higher incidence of chronic pain. We also now know that pain messages in women are conveyed using a different biological system to men. So…

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Ankle Sprains and their long term consequences

Ankles – just a sprain?

So many of us have “sprained” an ankle. That general term for “I fell and hurt my ankle and it’s still sore”. In medical terms a sprain is when there is a “stretching or tearing of ligaments” so it’s a useful catch all term for joint injuries that need a bit of rest and Ice but not much more. But a recent study suggests that there might be longer term…

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Top tips for getting shoes to fit

3 Top Tips for Getting your shoes to fit

I’ve spoken before about how to get the right fit for children’s school shoes (where you can download my handy guide!) but what about us adults? Aren’t our feet important too? While I’m an avid believer in orthotics and the impact they have, it helps to put them in a well-fitting pair of shoes! Do your shoes fit? The average shoe size is up about two sizes since the 1970’s,…

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ITB and sciatica can often be confused

Sciatica or ITB (Iliotibial Band)?

Sciatica, one of those wonderful medical terms which we now use in everyday conversation to cover a whole host of aches and pains. Real, true sciatica is only from problems in the disc L3 in your lower back and symptoms include: Pain in the buttocks or leg, often worse when sitting. Burning, tingling or “pins and needles” down the leg. Weakness, numbness, or difficulty moving the leg or foot. A…

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Arthritis and OsteoArthritis can occur in any joint in the body

What is Arthritis?

Arthritis – such a common diagnosis for so many people and so many joints. But what is it? Arth – joint Itis – inflammation This can happen to any joint in the body –any point where 2 bones meet, and this includes each disc of the spine as well! Sometimes we are given more complicated names for specific joints or conditions: Osteoarthritis – when the cartilage within the joint has…

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School shoes need to fit correctly

School Shoes – Getting the right fit

Aaaaah,Back to School time, depending on which side of the parenting fence you are on you are jumping for joy or sad for the end of summer. But whatever you feel about this time of year one thing never changes – kids grow! And that means new uniform and new school shoes. While the wrong size clothes might be annoying or irritating, the wrong size shoes can have a BIG…

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Knee surgery - total knee replacement, arthroscopy, ACL - getting a good result

Knee Surgery – getting a good result

I don’t think it will surprise anyone who’s met me or read my blog that  in my opinion surgery is to be considered the last resort, the thing you do when you’ve tried everything else or things have got so bad there just isn’t another option. But if you are at that point then I think it’s important to get the BEST results possible. These points apply for all kind…

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predicting the future with gait analysis

Bunions – predicting the future

“I have a vision . . . . a vision of your future . . . . . it’s a pain free future . . . . . ” Yes, yes, I know, it’s an old joke that I can predict your future with gait analysis. The studies show that it can predict your outcome after hip replacement surgery and now it turns out that it can predict your injury…

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Video Gait and Pressure Analysis

Gait Analysis and hip osteoarthritis

In the past I have jokingly referred to gait analysis as a way to predict the future. I can watch you walk, analyse your foot function and be pretty certain whether you will have hip, knee or ankle pain in the next decade. Foot function rarely alters, it gets worse but if you have high big toe impact at 18 the chances are you will continue to have high big…

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