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Physiotherapy in the Management of Headache
TLP Injury Edition – Physiotherapy in the management of headache On this episode of the injury edition, Sam discusses the different types of headaches people may suffer and how physiotherapy can help in the management Click on the link below or search “Tokyo Living” on itunes, spotify, youtube or your favourite podcatcher! TLP Injury Edition - Physiotherapy in the management of headache https://tokyo-living.simplecast.com/episodes/tlp-injury-edition-physiotherapy-in-the-manag


Tokyo Living Podcast – Injury Edition: Hamstring (and other) muscle injuries
On this episode of the injury edition, some discusses the management of muscle injuries, with a specific focus on hamstring injuries. TLP Injury Edition - Hamstring (and other) muscle strains #tokyoliving #tokyo #tokyolife #lifestyle #health #fitness #wellness #podcast #injury #pain #rehabilitation #load #rehab #musclepain #hamstringstrain #calfstrain #groinstrain #muscleinjury References: Buckthorpe M, Gimpel M, Wright S, et al Hamstring muscle injuries in elite football: tr


Tokyo Living Podcast – Injury Edition: Neck Pain
On this episode of the injury edition, Sam discusses the assessment and treatment approach for common neck pain conditions. https://www.youtube.com/watch?v=fyjwnXQI4XE #tokyoliving #tokyo #tokyolife #lifestyle #health #fitness #wellness #podcast #injury #pain #rehabilitation #load #rehab #backpain #lowbackpain #lowerbackpain #sciatica #discherniation


Zone 2 Cardio – Part 1
#physiotherapy #physio #osteopathy #osteo #physiotherapytokyo #physiogym #rehab #injury#recovery #rehabilitation #workhardrecoverhard #physiotherapy#tokyofitness #tokyogym #tokyoboxing #fit360 #club360roppongi #gymroppongi #personaltrainingtokyo #fitandhealthy #exercise #fitnessforlife #traininglife #trainingdays #trainingvibes #trainingmotivation #fitnesslife #trainingtips #internationalgym #internationalfitness


Common Ski Injuries #13: Concussion
The final injury we will discuss in this series is concussion. A concussion is a type of traumatic brain injury (TBI) that causes a temporary disturbance in the function of the brain, and leads to symptoms such as dizziness/balance issues, headache, nausea, confusion, memory loss, grogginess and even psychological symptoms such as depression, anger, frustration, etc. Those in contact with a concussed individual may note delayed response time, memory loss in inconsistency, a d


‘Optimizing Sleep’
This week we are discussing scientifically-backed and practical sleep tips for improving sleep quality. A lot of these tips may be obvious to most, but we all need a re-up of this information every now and again. Optimising your sleep environment, minimising the impact of stimulants and managing factors such as jetlag and stress are among the more well-known strategies. An often underutilized tool for improving sleep however is through sleep diaries. This allows us to be more


Common Ski Injuries #12: Whiplash
Less commonly seen in winter sports are injuries to the neck. Similar to lower back injuries, acute onset of pain in the neck may follow a long day of unaccustomed activity, an odd or unexpected movement, or even a night’s sleep on a different sleeping surface. As with lower back injuries, provided there are no neural signs such as weakness or numbness in the hands or arms, then these problems can be managed conservatively and should settle in a number of weeks. High-velocit


Tokyo Living Podcast Injury Edition - Extrasode - The sprained ankle
On this episode of the injury edition, Sam discusses sprained ankles; why they often reoccur and what we can do to optimally manage this injuries Click on the links below or search “Tokyo Living” on itunes, spotify, youtube or your favourite podcatcher! https://youtu.be/CbMDwXMIMdY https://tokyo-living.simplecast.com/episodes/tlp-injury-edition-extrasode-the-sprained-ankle #tokyoliving #tokyo #tokyolife #lifestyle #health #fitness #wellness #podcast #injury #pain #rehabilitat


Common Ski Injuries #11: Soft tissue injuries
As with any sports, there is the risk of acute muscle strains with skiing and snowboarding. Some of the common sights of muscle injury are: The hamstring: often when a ski becomes stuck and the body is flung forwards, placing excessive stress on the back of the thigh. The quadriceps: often caused by a fall when the knees are bent under and the body bent back, placing the front of the thigh under excessive stretch. The adductors: the two skis move away from each other causin


Common Ski Injuries #10: Shoulder dislocation
Our last post discussed rotator cuff injuries. Due to the violent nature of skiing and snowboarding related falls, it is also not uncommon for us to see dislocations of the shoulder. A shoulder dislocation is where the head of the humerus (top of the arm bone), moves out of the normal confines of the shoulder joint socket (glenoid). The most common direction of dislocation is anterior (to the front), and the typical mechanism of injury is a combination of outwards rotation wi


Tendons and Tendinopathy
#physiotherapy #physio #osteopathy #osteo #physiotherapytokyo #physiogym #rehab #injury #recovery #rehabilitation #workhardrecoverhard #physiotherapy #tendon #tendinopathy


Common Ski Injuries #9: Shoulder strains
We have previously discussed clavicle fractures and injuries to the AC joint. We also commonly see injuries to the rotator occur with skiing and snowboarding. The rotator cuff is a group of 4 muscles, the tendons of which intertwine with the capsule of the shoulder and help provide stability to the joint. Because they lie close to the joint they are effective as stabilizing muscles, but are quite small in comparison to other muscles in the region, and as such are vulnerable


New and Exciting Findings in the Field of ACL Rehab!
In this week’s look at the science, we are discussing the recent rise in research into the cross bracing protocol (CBP) as a means of allowing natural healing of the ACL post-rupture, as opposed to a reliance on reconstructive surgery. In the paper above, we see as many as 90% of the cohort treated with CBP showing some degree of ligament healing. There is obviously some apprehension surrounding this protocol, as there is potential to miss out on the crucial early stages of r


Common Ski Injuries #8: Lower back
Lower back pain is the most common complaint we deal with in orthopedic practice, and while it isn’t the most common winter sports injury, it is still possible to injure this area on the slopes. Lower back pain may come on due to overuse, especially at the start of the season, when we are getting used to an unaccustomed activity again. Or symptoms may start following an acute injury, usually a hard or slightly awkward landing, or a rapid change of direction movement that the


Common Ski Injuries #7: Thumb Injuries
We mentioned in the last post how twisting movements involving ski poles may cause injury to the wrist. Given the positioning of the thumb with these implements, it is also a common area of injury. The most common injury we see in this region is a tear of the ulnar collateral ligament (UCL). So common is this injury that it is colloquially known as “skier’s thumb” (also “gamekeeper’s thumb in hockey). The ligament lies at the articulation between the thumb and the hand, and d


Could my pain be rheumatic?
Rheumatological conditions are problems based around systemic inflammation, rather than being associated with a specific injury or overuse. Because they may behave similarly to regular orthopedic conditions, they may be misdiagnosed. Examples: -Ankylosing spondylitis -Psoriatic arthropathy -Enteropathic spondylitis -Juvenille idiopathic arthrtitis -Crystal arthropathy -Septic arthritis -Lupus -Sjogrens -Scleroderma -Myositis -Mixed/undifferentiated -Hypermobility -Vasculitis


Common Ski Injuries #6: Hand and Wrist
Another area that may be affected during a fall is the hand and wrist. This is usually the result of a fall onto an outstretched hand, or a falling mechanism involving twisting the hand and wrist around the ski pole. There are a number of different injuries that may occur to this region, but the two most common ones are a fracture of the scaphoid and an injury to the Triangular Fibrocartilage Complex (TFCC). A scaphoid fracture will result in pain on the thumb side of the wri


HIERARCHY OF PREVENTION
Musculoskeletal injury is a complicated, multi-faceted process, and the specific cause(s) of injury will be unique to the individual. However, in an effort to decrease the occurrence of injury, there is a general hierarchy of importance in terms of measures that can be taken. Health professionals often observe people over-emphasising some of the less important facets of injury prevention, in the process ignoring the “big rocks” Of primary importance is management of training


Common Ski Injuries #5: Upper arm fractures
Less common than the clavicle fractures and AC joint injuries discussed in the previous posts, a fracture of the upper part of the arm (humerus) may occur with a direct fall onto the side of the arm, as well as with rapid twisting motions involving the shoulder. These injuries may present similarly to other shoulder injuries such as rotator cuff strains (to be covered in a future post), but the telltale sign is significant bruising on the side of the arm. Any traumatic injur


Common Ski Injuries #4: Clavicle Fracture
We discussed in the previous post how a fall onto the side of the shoulder may cause damage to the AC joint. The same mechanism of injury may also cause a fracture to the clavicle (collarbone). Clavicle fractures are less commonly caused by a fall onto an outstretched hand or elbow. The clavicle usually fractures in the middle third, the weakest part of the bone, and this will be indicated by the site of pain. There will often be a visual deformity caused by the fracture. An
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