WTH Happened To My Quads?  Arthrogenic Muscle Inhibition Explained

Quad atrophy following ACL injury is mind blowing.  It wasn’t until I experienced this personally with my own ACL injury, that I really could grasp this strange and frustrating phenomenon.  My quad index at 5 days post injury was 58%!  I am now 17 days post ACL rupture.  My quad is deflating daily, like a... Continue Reading →

MY ACL Graft Selection: it’s not at all like choosing socks

On my 40th birthday, I distinctly remember thinking: “If I blew out my ACL now, I’d have to have an allograft.” Those are the random and irrational thoughts that go through a physio’s head.  I know I’m not alone… admit it, if you are a 40+ physio, you are nodding your head in agreement. So... Continue Reading →

Iliopsoas Syndrome: impingement, snapping & tendinopathy

Iliopsoas tendinopathy, iliopsoas bursitis, coxa saltans (“Internal Snapping Hip”) and iliopsoas impingement (IPI) are collectively described as iliopsoas syndrome because of the likelihood they coexist and the difficulty of discriminating one from another.  Iliopsoas syndrome is also very difficult to discern from femoroacetabular impingment (FAI) and acetabular labral tears (ALT), and is a frequent complication... Continue Reading →

Femoroacetabular Impingement: interpretation of radiographs for the physical therapist

Radiographs are used to diagnose femoroacetabular impingement (FAI) in addition to clinical exam and history.  Three different views are generally used: AP Pelvis, Dunn Lateral, and False Profile.  Proper interpretation is essential as it is necessary for accurate diagnosis, treatment planning, and surgical decision-making.  Physical therapists do not typically have access to radiographs, let alone... Continue Reading →

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