ACL rehabilitation and Patella-femoral Ligament Reconstructions
Prehabilitation -build wasted muscles, regain range of motion preoperative, discuss options regarding management e.g. conservative options
Pre-operative assessment of unaffected leg strength as a baseline
Recovery from surgery (range of movement / swelling etc)
Strength and neuromuscular control (Knowing where you body is in space)
Power training: explosive activities (Jumping)
Running, agility and landings (How to change of direction)
Sport specific drills (Variety of drills depending on your sport)
Return to sport testing: is very important and decreases the likelihood of a secondary injury
Knee and Hip Osteoarthritis
Appropriate strengthening and neuromuscular control programmes to prolong your knee and hip
Taking appropriate outcome measures - to assess progress
Running Good Life Arthritis: Denmark (GLAD) classes: world best practice
Appropriate bracing or taping to unload the affected area so that rehabilitation can continue.
Assisting with shared decision making process for when surgery (replacement, osteotomy) maybe appropriate (referral to coleagues)
Assisting with shared decision making process when injectables e.g. PRP, Stem cell therapy , Synvisc (referral to colleagues)
Achilles Tendinopathy / Tendinitis or Rupture
Appropriate loading has been shown to be the most beneficial treatment for tendons. Whether it is static or dynamic and in what position is crucial to avoid tendon compression and therefore pain. This is usually combined with adjunct therapies like shockwave therapy, dry needling and potentially injection therapies (from his network of colleagues)
Ruptured Achilles - conservative or operative management options based on your goals, times frames and requirements. Appropriate loading and strengthening programmes as this is one of the hardest muscle to regain both full strength and power with either surgical or non surgical management
Lateral ankle reconstructions or sydesmosis repairs (High ankle sprain)
Lateral ankle reconstructions are most commonly a repeated injury from rolling or inverting your ankle on a number of occasions. Most of the time a person can recover from a lower grade lateral or high ankle sprain
Similar to the knee a lack of neuromuscular control or proprioception affects the stabilty of this joint
The sydesmotic joint is injured in a different way more commonly a fixed foot and rotation this has a longer period to recover, but early CAM boot in lower grades can stabilise this significantly.
