Orthopaedic & sports injury clinic
Physio Room team at Autumn Shift Festival

Physio Room team at Autumn Shift Festival

Dimples, not just a pretty face

Its under 30 days until the start of the 2012 Olympic summer games in London, the excitement and anticipation of the games are growing by the day. To add to the excitement a major supplier to the athletes, Nike, has just released some new technology to the sprinting world.

Taking the theory behind golf ball dimples for improved aerodynamics, Nike is boasting a new track suit to aid the runner and their swinging limbs through the air.

Dimpling pattern of the TurboSpeed Suit

The theory behind the dimpling pattern is a somewhat simple concept of physics, the use of dimpling pattern separates the air which which is encountered by the sprinters limbs ultimately reducing the drag.

This is something that has been in the golf world since the early 17th century when golfers noticed their stitched goose feather balls flew straighter and further than the traditional rounded golf balls. It was quite sometime until the effects of turbulent and laminar flow were discovered.

A demonstration of the reduced drag of a dimpled golf ball

Of course the introduction of new speed technology is nothing new the olympics. You only need to look as far back as the 2008 swim suit saga where the new ultra fast and buoyant suits helped swimmers break 25 world and 65 olympic records in almost every event in the pool.

Will the new Nike suit has the same effect with the track and field community?

Most likely not, although the results will be exciting to see in the next 6 weeks.

Bugaboo Forearm, Squeaker’s Wrist and Intersection Syndrome of the Forearm

Wrist injuries are common in sports and in tasks requiring repetitive movement of the wrist. A common, but easily overlooked condition, is the intersection syndrome.  Intersection syndrome of the forearm is a painful condition caused by inflammation of the second extensor compartment tendons of the forearm.  Location of pain is where the first extensor compartment tendons (abductor pollicis longus and extensor pollicis brevis tendons) intersect or cross over the second extensor compartment tendons (extensor carpi radialis longus and extensor carpi radialis brevis tendons) (Costa et al., 2003).  The tendons intersect approximately 4 cm proximal to the wrist (Grundburg, 1985) at an angle of 60 degrees (Costa et al,. 2003).

Intersection syndrome can be common in acute traumatic injuries to the area (eg. falling) or through repetitive strain (eg. rowing, canoeing).  Signs and symptoms include swelling, redness, tenderness at the point of intersection, and crepitus during thumb and wrist movement.

Treatment

Initial treatment includes inflammation control: Ice, immobilization through splint/brace, avoidance of aggravating movements, and NSAIDS (as prescribed by doctor). Symptoms typically resolve within 2–3 weeks in 60% of patients (Costa et al. 2003). Surgery is indicated only for those not responding to conservative therapy (Stern, 1990). When conservative treatment fails, a tenosynovectomy (removal of the tendon sheath) and a fasciotomy (cut away the fascia to relieve pressure) of abductor pollicis longus can be performed (Costa et al. 2003). 

Intersection Syndrome

Dobyns et al. (1978), coined the term “intersection syndrome,” to simplify and relate the syndrome to its anatomical reference.  In the literature, intersection syndrome has been also referred to as:

  • “peritendinitis crepitans,”
  • “oars- men’s wrist,”
  • “crossover syndrome,”
  • “subcutaneous perimyositis,”
  • “squeaker’s wrist,”
  • “bugaboo forearm,” 
  • “abductor pollicis longus bursitis” 
  • “abductor pollicus longus syndrome (Costa et al. 2003)

References:

Costa, Morrison, Carrino. MRI Features of Intersection Syndrome of the Forearm. American Journal of Roentgenology. 2003.

Dobyns & Linscheid. Sports stress syndrome of hand and wrist. Am J Sports Med. 1978.

Grundberg & Reagan. Pathologic anatomy of the forearm: Intersection Syndrome. Journal of hand surgery. 1985.

 Stern. Tendinitis, overuse syndromes, and tendon injuries. Hand Clin. 1990.

Picture: Costa et al. 2003

Written by: Jessie Wong, PT

Physiotherapy Explained on Empowered Health

If you are unsure what Physiotherapy is or how a Physiotherapist can help, here is a great video explaining Physiotherapy sponsored by the Vancouver Sun and featuring Physio Room’s very own Jessie Wong!

http://www.vancouversun.com/health/empowered-health/Video+Empowered+Health+Physiotherapy+Explained/6129702/story.html

Check out our physiotherapist Jessie Wong's personal website!

Physio Room inaugural Christmas party at Tableau Bar Bistro! Great dinner, great company.  Some of Vancouver’s best physiotherapists and registered massage therapists in attendance ;)

Physio Room inaugural Christmas party at Tableau Bar Bistro! Great dinner, great company.  Some of Vancouver’s best physiotherapists and registered massage therapists in attendance ;)

What is a Functional Screening Assessment?

One of the many common questions we receive is to do with Functional Screening Assessment.  Click the link below for a great article on it outlining the procedure.  If you are an exceptionally active individual, book a Functional Screening Assessment at Physio Room.

http://running.competitor.com/2011/11/sports-science-update/sports-science-update-the-functional-movement-screen_42914 

Who wants to be injured during ski and snowboard season? 5 tips to reduce your risk of injury

It’s the earliest opening at the local mountain and that means ski and snowboard season has begun!  That also means aches, bruises, tears and possibly broken bones.  Before heading to the slopes, take these tips with you to have an injury free season.  

Fitness
Prepare your body by ensuring that you’ve taken the time to condition your legs, arms and core for the unpredictable conditions on the slope. Talk to your physiotherapist about what exercises are most appropriate for you.  

Warm up and cool down
Like with any sport, it is important to take 5-10 minutes to warm up your body for the slopes.  It can be anything from going down the easy bunny hills or performing a few burpees before putting your skis and boots on. Cool down your body by ending on the easier hills and performing a few stretches.

Skiier’s thumb
If you’re skiing with poles, try not to put the ski pole strap around your wrist.  Falling forward onto the ski poles can hyperextend the thumb and damage the ulnar collateral ligament.  This ligament is important for stability of the thumb.  Use the straps only if you’re truly afraid of losing your poles and in deep powdered snow.  

Snowborder’s ankle
Ankle injuries can occur if the boot is too big, therefore allowing too much movement of the ankle.  It is important to get your equipment properly fitted, and don’t be tempted to borrow your friend’s gear.  Ankle injuries can also occur with snowboard jumps that go wrong.  Landing with your ankle rolled inwards can lead to serious ankle sprains and possibly fractures of the talus bone of your ankle.
   
Knee injuries
Catching the ski or snowboard on a funny edge can lead to awkward twisting of the knee and tearing of the MCL (medial collateral ligament), ACL (anterior collateral ligament) or meniscus.  Having adequate strength and prorprioception around the knee to react to these changes can help decrease your chance of a knee injury.  

Remember to dress appropriately including a helmet, obey mountain boundaries, and check the conditions before heading to your favourite mountain!

Join Physio Room in donating food items to the Greater Vancouver Food Bank this holiday season

December is just around the corner and that means family gatherings, dinners, work and holiday parties for many of us.  However, there are many of those in need and we would like to do our part here at Physio Room by collecting non-perishable food items for the Greater Vancouver Food Bank. 

Please feel free to come by our clinic during your shopping trips to Main St. this Christmas and drop off some of the “most-needed” items listed on their website https://www.foodbank.bc.ca/

Physio Room will kick it off by committing to donate $100 worth of non- perishables to the Food Bank this season!

Questions?

Our physiotherapists will be replying to questions/comments and posting them to our blog.  So please, ask away or if you have a topic you would like our therapists to discuss, send ‘em our way!

COMING SOON…

COMING SOON…

Thanks for your support Vancouver!

So we have been open for nearly 3 months now and the feedback and support from Vancouver and especially the Main st. community has been phenomenal.  We know there are numerous Physiotherapy clinics in the Lower Mainland but when we set out to launch Physio Room, we really strived to offer something unique and it’s quite evident in the response so far, that people have been receptive.  So from everyone here at Physio Room - “THANK YOU!” 

We have many other things in the works at all different stages of planning right now so follow us on Twitter/Facebook and check back often for updates!

If you any questions, positive or negative feedback (we’re not perfect =)) please drop us an e-mail, give us a call or simply drop-by our clinic.

Thanks again…

Sincerely,

Absolutely everyone here at Physio Room