Imaging for back pain – is it always necessary ?

stock-photo-acute-pain-in-a-male-lower-back-monochrome-image-isolated-on-a-white-background-341735282Low back pain is very common. Most of us will experience some form of back pain in our life time.

So is it always necessary to have an Xray, CT or MRI to work out the cause of the back pain?

Here are some of the downsides associated with back imaging that should be considered:

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Jumper’s knee (patellar tendinopathy)

stock-photo-beach-volleyball-players-in-sunglasses-under-sunlight-dynamic-sport-action-outdoor-525074893The patellar tendon is a strong thick tendon that sits below your kneecap at the front of the knee and is responsible for transferring load between the quadriceps muscle to the shin. These loads are passed through in activities such as stairs, running, jumping and landing. In some cases, loads that are placed through the patellar tendon can be excessive and increased too quickly and the tendon can begin to fail. Inflammatory and degenerate processes then commence and can lead to pain and disrepair.

Patellar tendinopathy (aka Jumper’s knee) commonly affects people involved in jumping sports such as basket ball and volleyball. it usually presents in scenarios where the load is increased too quickly or excessively. For example a sudden change in volume/load, or in frequency of training, or potentially after a rest/off season period and return to sport too quickly.

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TFCC treatment options

stock-photo-human-hand-with-a-wrist-brace-orthopedic-equipment-over-white-39150328In addition to last week’s post about TFCC injuries in the wrist.

What are the suggested treatment options for the management of TFCC injuries?

Management of TFCC injuries is mainly determined by whether the distal radioulnar joint is stable. If instability is present the joint needs to be stabilised.

Conservative options for TFCC injury are mainly considered in presence of a stable distal radioulnar joint include:

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TFCC – a common wrist injury (signs and symptoms)

shutterstock_179809730The Triangular Fibrocartilage Complex (TFCC) is a complex structure within the wrist, which acts as a major stabiliser of the joints between the two forearm bones (distal radioulnar joint) and also between the ulna (forearm) and the carpal bones (the hand). The TFCC helps to transmit load from the wrist to the forearm, as well as assist in complex movements of the wrist.

The TFCC is susceptible to injury, commonly either traumatic or degenerate.

Traumatic injuries such as falling onto an outstretched hand or degenerate in nature (wear and tear). Risk factors include: Read more