Rotator Cuff Related Shoulder Pain (RCRSP) is an umbrella term for a wide variety of previously described shoulder pathologies such as subacromial impingement, rotator cuff tendinopathy, posterior impingement, biceps tendinopathy and bursal pathology. A common presentation is pain and/or weakness in the region of the shoulder, usually the mid-deltoid region, with the worst movement being … Continue reading
See the elbow assessment below: https://www.groovimovements.co.za/wp-content/uploads/2020/08/ELBOW-ASSESSMENT-BLANK-2020.pdf… Continue reading
This is the clinical and research version of the VISA-G It is a reliable and valid disability score for gluteal tendinopathy. “Development and Validation of the VISA tendinopathy questionnaire for greater trochanteric pain syndrome, the VISA-G.&#… Continue reading
This insertional degenerative tendon injury typically presents as pain on the side (lateral) or behind (posterior) the head of the femur. Glute Medius & / or Minimus Tendinopathy was renamed as Greater Trochanteric Pain Syndrome (GTPS) due to the complex nature and various pain generating structures around the hip. There is often associated distension of … Continue reading
PART 2: In Part 1, we discussed the downsides to using the Clam exercises as a method to strengthen the Hip Abductors, External rotators. Please refer to Part 1: THE PROBLEMS WITH THE CLAM EXERCISE: an emphasis on Greater Trochanteric Pain Syndrome for details on this discussion. In Part 2, I would like to discuss … Continue reading
Posterior Calf pain in runners is a recurring problem. In this article, we look at possible differential diagnoses for posterior calf pain and discuss a few treatment options. “Extremely tight calves can force you to slow down and stretch mid-run! Read on to understand what is happening in your legs, and make an appointment with … Continue reading
Tennis Elbow (or Lateral Epicondylagia) is one of the most common overload injuries that we see in the over 35s. It is characterized by pain on the outside of the elbow, usually near the prominent bone (lateral epicondyle) where the Extensor Carpi Radialis Brevis (ECRB) tendon attaches, aggravated by gripping or wringing activities. This report … Continue reading
When you are riding at pace, are you breathless and wheezing like a fish out of water? Do you suffer from back or neck pain or both? Read on to find out why. First we need to understand the role of the diaphragm in breathing, core stability and as a source of pain. Practitioners often … Continue reading
Studies show that 45 per cent of cyclists suffer from chronic neck pain, which is often worse after a ride (Wilber et al, 1995). Many complain of bilateral upper trapezius (shoulder) pain after cycling for more than 20 minutes and the resulting headache is often compared to a hangover. Traditional neck stretches don’t seem to … Continue reading
Traditionally, the Clam exercise & the Figure 4 are used to strengthen the hip muscles (Glute Medius, Minimus & Maximus) in order to improve hip control. They are often used as an early stage of rehabilitation after hip surgery to facilitate control around the femero‐acetabular region. The theory is that the external rotation moment assists … Continue reading
Posture and Postural Types are a source of constant debate, with some authors saying there is no relationship between abnormal posture and pain and dysfunction. Others, however (Kendall, 1992; Sahrmann 2002), have addressed & identified postural dysfunctions and how these change loading on weight bearing joints and affect the biomechanics and kinematics of the adolescent … Continue reading
A pattern of excessive hip adduction and internal rotation with medial deviation of the knee has been associated with numerous musculo-skeletal dysfunctions. Research into the role that ankle dorsiflexion (DF) range of motion (ROM) play in lower limb kinematics is lacking. The objective of this cross-sectional, observational study was to investigate the relationship between ankle … Continue reading
Buy the Groovi-SI-Belt Over the past 15 years, the use of a Pelvic compression belt has become recommended for both lumbo-pelvic support and failed load transfer in patients requiring lumbo-pelvic control for pain and/or instability (Mens et al, 2006, Kim et al, 2017). A combination of an SI-belt with a spinal stabilisation rehabilitation program may … Continue reading
So often you’ll read that spending time in the saddle gives you well shaped and toned buttocks. Alas, this couldn’t be further from the truth. For riders who put in extra hours of riding per week, but neglect to train off the bike, the net result can be a weak core, persistent pelvic girdle pain … Continue reading
Reduced flexibility in cyclists predisposes to hip and knee injuries. In recent years, a wealth of valuable research has been done into hip biomechanics. It is well known that the weakness of certain hip muscles, particularly the hip extensors, abductors and lateral rotators (such as Gluteus Maximus and Medius), and the tightness of other hip … Continue reading
Cyclists are vulnerable to lower back pain, but you can protect yourself by working on your core strength. The flexed posture that cyclists have to sustain, while pumping their legs through the down and upstroke, results in progressive overload of the lumbar discs, facets and ligaments, as well as fatigue of the back muscles. All … Continue reading
Visualise a cyclist crashing and you’re bound to picture an outstretched arm trying to cushion the blow. The shock from the impact travels up the arm to the collarbone strut. No wonder then, that fractures to the clavicle or injuries to the acromioclavicular joint (ACJ) and the surrounding ligaments are among the most common traumas seen … Continue reading
Iliotibial band syndrome (ITBS) is one of the leading overuse injuries in runners (Taunton et al, 2002; Ferber et al, 2010).Despite its prevalence, few studies regarding biomechanics have been done and little is known about its aetiology (Noehren et al, 2007)… Continue reading
So often we hear parents bemoaning their child’s posture. “Stand up straight”, “Get your shoulders back”; “stop stooping”; “stand upright” and so on. Parents, quite rightly, blame the advent of television, Playstation, Blackberry’s and the like. “In our day we used to ride our bikes and play outside”. Also accurate, but in today’s world of … Continue reading
‘ITBS’ or Iliotibial Band Syndrome is described as a severe sharp or stabbing pain on the outside of the knee; worst at about 30 degrees of knee flexion. It was first thought that ITB syndrome was aggravated in sportsmen by the flexion and extension of the knee during downhill running, or in cycling, especially when … Continue reading