What do you see from the clip? This is a post right medial meniscus repair patient of mine. His brief history is he tore his right medial meniscus in Jan 2016 and had his repair in May 2016. I first saw him early November . His physical examination showed: Right knee swelling + Limited right hip IR Limited right knee flexion to 100 deg with pain Rt knee extension strength of 4/5 ODS: DP My programme for him involved primarily balance, coordination, proprioception and strength

I have been seeing a variety of LBP patients for some time now. Most of them would demonstrate a DN/DP when assessed for MSE or MSF. When they show a lack of Lx mobility during the assessment, I would ask them to perform the Mckenzie exs or Repeated Extension in Lying (REIL) for about 10 repetitions. More often than not, their ability to extend or flex their spine would improve by an average of 30%! Here's a video of the exercise: The fact that they could regain mobility with

These are a few things I would do when my patients visit me with LBP. Pain History Where the pain was, what type of pain it was, any pins and needles (P+N), any numbness (N), intermittent/constant and the VAS. Aggravating factors: Sitting, standing, driving, sports etc Relieving factors: Meds, massage, rest etc 24 hours pattern: Better, same or worse Interpretation: Area = Reinforces my hypothesis of what needs to be treated Dull ache = Muscular related Sharp or shooting = Ne

I had a thalamic stroke patient that had issues with his sensation, balance and gait. I would normally visit him at his home for physiotherapy, therefore, our physio session can be quite limited in terms of resources. I came up with an idea of making rehabilitation inexpensive and interesting. Having been exposed to the wonders of Nintendo Wii Fit and its balance board during my diploma days, I was inspired to be innovative. I wanted to capture my patient’s attention and to i

Personally, this is one of my favourite musculoskeletal condition. It is often overlooked by physicians or any other health care professionals. The pain around the gluteal region is also often misdiagnosed as lower back pain or SIJ dysfunction. Ironic but true, this is one of the easiest musculoskeletal condition to treat. Let me share some points on making a clinical impression for piriformis syndrome before I share my treatment options. 1. Pain in the butt 2. Pain in the bu