The Ottawa ankle rule is an effective tool to determine the use of radiography for acute ankle injuries. These rules is validated in both adults and children. It has a high sensitivity of 90%-100% and has clinical significance to rule out foot fracture but has poor specificity for ruling in foot fractures ( many false positives). Some points to consider when carrying the assessment: Palpate the entire distal 6cm of the fibula and tibia; Do not neglect the importance of medial
Asymptomatic Subjects with Abnormal Spinal Findings I have seen many clients from as young as 20+ to as old as 90+. Most of them would see me for a disc prolapse or for spondylosis. The fact is all of us go through some degeneration as we age and what is shown on the scan might not be the true cause of pain.
I would normally correlate all my clinical findings with the imaging and that would give me a better impression of what is the cause of pain. My clients are also advis
PTs and doctors have commonly told clients that their muscles are 'tight' or your body is very 'stiff' but what really is being tight and stiff?
I would define being tight or stiff as the inability to achieve certain range of motion whether passively or actively. For me, feeling tight or stiff can be used interchangeably.
There are two types of tightness: structural and functional.
Structural tightness involves your anatomy, some people are born less flexible than other