Sinus Tarsi

15:05 I had a read up on SINUS TARSI syndrome

Liam had mentioned it and it came up again in the taping textbook that I have been reading today.

I looked it up on:

http://www.physioadvisor.com.au/8074550/sinus-tarsi-syndrome-physioadvisor.htm

I think I understand it a little better now.

15:09 I also read up on Liam's What's my Injury website.

http://www.whatsmyinjury.com/ankle-sinus-tarsi-syndrome/


I understand it a bit more now.

Sinus Tarsi

15:05 I had a read up on SINUS TARSI syndrome

Liam had mentioned it and it came up again in the taping textbook that I have been reading today.

I looked it up on:

http://www.physioadvisor.com.au/8074550/sinus-tarsi-syndrome-physioadvisor.htm

I think I understand it a little better now.

15:09 I also read up on Liam's What's my Injury website.

http://www.whatsmyinjury.com/ankle-sinus-tarsi-syndrome/


I understand it a bit more now.

GH THREADS MACP

I had a really good chat with Katherine on Friday.

We shared a shift for a change.

It's so great to work with someone who is in the MACP. It is a real highlight of my workplace.

We talked about a problem patient I had with persistent severe proximolateral patellar pain.

We then talked about subjective notes.

Her use of THREADS plus her extra questions within GH. General health label.

Trochlear Groove - where your kneecap should happily slide

I looked this up, to check, as I use it lots to explains knee problems to my patients:

The groove that the patella sits in at the end of the femur is called the:

Trochlear Groove

Nerve root level variability

Talked to my excellent physiotherapist colleagues.

They tell me that nerve roots can exit at a foremen 3 levels above or below where they exit the spinal cord.

This is from perhaps the:

Textbook of pain.

Perhaps Butler's texts.

It's great to have confirmation of this. When working at Dr Sherwood's I often found they the sore spinal level did not correspond to the affected textbook dermatome, but often related to one above or below.

I'll try to find the reference now.

Katherine has kindly lent me her Textbook of Pain.

New job

I'm now working at Physio4life in Putney. A large, well established practice, full of lovely people to work with. They are specialists in sport including Running, Rowing and Triathlon. I'm loving the military connection too!

Ligaments of the spine

I spent some time reading up on deep ligaments of the spine today:
Anterior longitudinal ligament
Posterior longitudinal ligament
Ligamentum flavum
Interspinous ligament
Supraspinous ligament

I non specific low back pain it's really virtually impossible to pin down one structure as the source of pain. But in the light of a detailed clinical examination it's useful to have some suspects.