Concussion Discussion Archives | Advantage Sport Medicine

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Concussion Discussion

How Can a Sport Medicine Physician Help with my Concussion?

Concussion Discussion

Concussion Discussion- What Should You Do?

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Jul 26

New blog alert 🚨.

From working at home to doing virtual classes, we have all spent more time on our cellphones and computers than usual. Find out some tips and tricks to improve your posture today!

Click the link in our bio to access this and many more blog posts.

#concussionrecovery #concussion #concussionawareness #concussions #concussionrehab #physiotherapy #physiotherapie #yegphysio #yegphysiotherapy #yegphysicaltherapy #rehab #rehabilitation #yeglife #yeg #yegphysiotherapy #yegphysio #yeglocal #yeghealthandwellness #stalbert #physiotherapy #edmonton #fitness #rehab #concussion #hockey #posturecorrection #posture

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Jul 24

𝐋𝐞𝐭’𝐬 𝐬𝐭𝐚𝐫𝐭 𝐛𝐲 𝐝𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐭𝐢𝐚𝐭𝐢𝐧𝐠 𝐬𝐨𝐦𝐞 𝐭𝐞𝐫𝐦𝐬..

▪️ 𝐂𝐨𝐫𝐭𝐢𝐬𝐨𝐥 𝐯𝐬 𝐜𝐨𝐫𝐭𝐢𝐬𝐨𝐧𝐞 𝐯𝐬 𝐜𝐨𝐫𝐭𝐢𝐜𝐨𝐬𝐭𝐞𝐫𝐨𝐢𝐝
Cortisol is a hormone produced by the body’s adrenal glands whereas cortisone is a type of corticosteroid medication which mimics the action of cortisol produced by the body.

Whether we are talking about cortisol or cortisone, both play a role in reducing inflammatory reactions in the body.

▪️ 𝐁𝐮𝐭 𝐢𝐬𝐧’𝐭 𝐢𝐧𝐟𝐥𝐚𝐦𝐦𝐚𝐭𝐢𝐨𝐧 𝐚 𝐧𝐚𝐭𝐮𝐫𝐚𝐥 𝐩𝐫𝐨𝐜𝐞𝐬𝐬?
Initially, the inflammatory reaction serves several important purposes. Inflammation is a crucial part of the healing process as it facilitates the removal of damaged cells and creates pain and tenderness to remind the us to protect the injured area. However, over time the inflammatory reaction can eventually become counterproductive by delaying healing and preventing return to normal function.

▪️ 𝐁𝐞𝐬𝐭 𝐔𝐬𝐞𝐬
Cortisone medications come in different forms, such as pills, liquids that can be injected directly into the body, and topical creams that can be applied to the skin.

Some of the common conditions often treated with cortisone include: Synovitis, osteoarthritis, bursitis, frozen shoulder, tendinitis, carpal tunnel, fasciitis, ganglion cysts, neuromas, etc.

Corticosteroid injections are a relatively safe procedure that have been found to be most effective when combined with other pharmacologic and rehabilitation measures such as active rehabilitation!

As with the treatment of any disorder, a carefully taken patient history and a carefully made physical examination are of paramount importance.

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Jul 22

We are very excited to announce that in addition to working at our St. Albert clinic, @itsholt will be joining the @evolve_north team to provide physiotherapy services every Wednesday.

If you would like to schedule an assessment or a training session, click the link in our bio to book your appointment or call us at 780-460-9977.

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Jul 14

New podcast 📫 check out our bio for link to podcast!

Injury in sport happens. How do you get back better and faster than ever? For athletes, there is no better approach than the “Locker Room” approach when it comes to sport injury.

In any professional training room, you will find an interdisciplinary team of experts working together with the athlete to determine the best treatment and return to play strategies possible.

This week, The Krush Performance Roundtable is joined by experts from Health Pointe Pain, Spine, and Sport Medicine and Advantage Sport Medicine and Physiotherapy.

Dr. Dhiren Naidu
· Head Team Physician for the NHL Edmonton Oilers, The CFL Edmonton Football Team & Founding member at Health Pointe

Michael Cook
· Lead Strength and Conditioning Coach at Advantage Sport Medicine and Physiotherapy and Canada’s Men’s National Volleyball Team.

Tahisha Naidu
· Physiotherapist at Advantage Sport Med. And Physiotherapy and Head Therapist with the Saskatchewan Rush of the NLL.

TD Foress
· Head Athletic Therapist with the Edmonton Oilers.

#yeg #yegphysio #yegphysicaltherapy #yegathlete #edmontonlife #edmontonathlete #physicaltherapy #physio #edmonton #strength #athlete #osteoarthritis #arthritis #knee #hips #injury #tsn #hockey #lacrosse #volleyball #nhl #nll

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Jul 14

New blog alert 🚨.

Looking for ways to best navigate your rehabilitation process? Take a look at our newest blog post outlining 5 tips to maximize your physiotherapy success!

Click the link in our bio to access this and many more blog posts.

#concussionrecovery #concussion #concussionawareness #concussions #concussionrehab #physiotherapy #physiotherapie #yegphysio #yegphysiotherapy #yegphysicaltherapy #rehab #rehabilitation #yeglife #yeg #yegphysiotherapy #yegphysio #yeglocal #yeghealthandwellness #stalbert #physiotherapy #edmonton #fitness #rehab #concussion #hockey

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Jul 2

As of July 1st, the Government of Alberta has lifted restrictions for COVID-19. However, with our patients' and staff safety being our #1 priority, we will continue to recommend wearing masks for all in-person physiotherapy, athletic therapy, and sports medicine physician appointments. You are welcome to bring your mask, or we will be happy to provide you with one when you enter the clinic.

As per the guidance from Physiotherapy Alberta College + Association, our therapists will also continue to wear all appropriate PPE (masks, gloves etc.) for each appointment. As always, we will continue to employ all AHS safety recommendations such as disinfecting procedures, hand hygiene, and distancing. We will also continue to screen for COVID-19 symptoms before each appointment.

As always, If you are feeling ill, please call to reschedule your appointment.

Please feel free to contact us if you have any questions or concerns.

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Jun 30

⚠️Can you spot what’s wrong??

Every patient experiences a concussion (head injury) or vestibular disorders differently, so you need a treatment plan that is truly unique to you.

At Advantage Sport Medicine and Physiotherapy, we use the newest technology and evidence-guided treatments to support our patients dealing with head injuries or vestibular disorders.

Each vestibular/ head injury patient testing starts with a 5-10min of simple tests in VR (virtual reality) to measure and track the patient’s eyes and head as they perform simple tasks. Each test is designed to target specific neurological functions.

By using eye-tracking technologies in virtual reality, we are able to perform objective assessments based on scientifically-validated metrics in minutes so you can start your customized, targeted treatment plans right away.

During your recovery, we can adjust treatment on-the-fly based on how each function improves. With dozens of unique, fun, and personalized exercises, we can properly target your rehabilitation and deliver superior care.

Your road to recovery starts here. Visit our website or send us a DM to book in at your convenience.

#concussionrecovery #concussion #concussionawareness #concussions #concussionrehab #physiotherapy #physiotherapie #yegphysio #yegphysiotherapy #yegphysicaltherapy #rehab #rehabilitation #yeglife #yeg #yegphysiotherapy #yegphysio #yeglocal #yeghealthandwellness #stalbert #physiotherapy #edmonton #fitness #rehab #concussion #hockey

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Jun 24

Welcome Austin Holt!

We are proud to announce that our very own Austin will be transitioning to our Physiotherapy team!

Austin joined Athletes Advantage Physiotherapy (now part of Advantage Sport Medicine) as an undergraduate student in 2016 and has been with us ever since! Since then, Austin has proudly worked with us as a Kinesiologist and now, as a Physiotherapist.

Austin graduated with distinction from the University of Alberta with a bachelor’s degree in Kinesiology, majoring in Sports Performance. During this time, Austin worked as the Varsity Therapist for the University of Alberta Golden Bears men’s ice hockey team. He was a valued member of the multidisciplinary team involved in the prevention, immediate care and rehabilitation of athletes’ injuries during the sports season and offseason. Through this, Austin has had opportunities to work with local and foreign professional ice hockey teams.

Upon graduation, Austin moved to Dublin, Ireland, where he completed his Master of Science in Physiotherapy at the University College Dublin with First Class Honors. While abroad, Austin found his passion for sports medicine and orthopedic rehabilitation while working with members of the Ireland national men’s rugby squad, Irish club soccer and hurling teams. Austin has also worked at the National Orthopedic Hospital of Ireland, where he saw various sports injuries and orthopedic surgeries such as rotator cuff repairs, knee ligament repairs, meniscal repairs, and discectomy/ spinal fusions.

Call in or DM to book now!

#yeg #yegphysiotherapy #yegphysio #yeglocal #yeghealthandwellness #stalbert #physiotherapy #edmonton #fitness #rehab #concussion #hockey

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Jun 1

@stepupwithalicia Hey guys!

It's the first Day of June and first day of Step Up With Alicia! Join us for a month of fun and outdoor goodness.

You can help us in three ways!
1) Join the Step up with Alicia group on the @canadaslifeline app
2) Join the @strava group
3) Take part in our launch event on June 5 as seen on Strava

All links in bio! If you have any issues don’t hesitate to reach out!

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May 18

𝕃𝕠𝕨 𝕓𝕒𝕔𝕜 𝕡𝕒𝕚𝕟 𝕒𝕟𝕕 𝕥𝕙𝕖 𝕦𝕤𝕖 𝕠𝕗 𝕚𝕞𝕒𝕘𝕚𝕟𝕘
some helpful knowledge from our physio @embrown.physiotherapy

💬 How many times have you heard or said the following?
“𝑰𝒇 𝒘𝒆 𝒄𝒐𝒖𝒍𝒅 𝒋𝒖𝒔𝒕 𝒈𝒆𝒕 𝒔𝒐𝒎𝒆 𝒊𝒎𝒂𝒈𝒊𝒏𝒈, 𝒘𝒆 𝒘𝒐𝒖𝒍𝒅 𝒌𝒏𝒐𝒘 𝒘𝒉𝒂𝒕 𝒊𝒔 𝒄𝒂𝒖𝒔𝒊𝒏𝒈 𝒎𝒚 𝒑𝒂𝒊𝒏”

The research shows that imaging findings such as disc degeneration, arthropathies, and disc herniations are commonly identified by CT and MRI in patients complaining of low back pain.
⁉️However, these findings are ALSO found in asymptomatic patients

𝗪𝗵𝗮𝘁 𝗱𝗼𝗲𝘀 𝘁𝗵𝗶𝘀 𝗺𝗲𝗮𝗻?
This essentially means that radiological findings do not correlate to pain or to severity of pain. In other words, due to the subjective nature of pain, MRIs cannot detect what is causing pain. If not used appropriately, MRI findings could in fact lead patients down the wrong path when analyzing structures that may or may not be contributing to their pain.

‼️𝗡𝗼𝘁 𝘄𝗶𝘁𝗵𝗼𝘂𝘁 𝗿𝗶𝘀𝗸!
Imaging is not without cons or risks. In addition to the equipment/healthcare costs and the inherent risk associated with exposure to radiation (depending on the imaging technology), in the case of low back pain, studies indicate that patients who underwent early MRIs were more likely to have prolonged disability, higher medical costs, and greater utilization of surgery.

𝗪𝗵𝗮𝘁’𝘀 𝘁𝗵𝗲 𝗮𝗹𝘁𝗲𝗿𝗻𝗮𝘁𝗶𝘃𝗲?
Active rehabilitation combining strength, flexibility, and aerobic fitness has been seen to decrease low back pain and stiffness, increase function, and improve quality of life.

While imaging Is evidently beneficial in certain contexts or if conservative treatment fails, low back pain is often benign and does not warrant evaluation with any imaging modality.

𝗘𝘅𝗽𝗲𝗿𝗶𝗲𝗻𝗰𝗶𝗻𝗴 𝗽𝗮𝗶𝗻?
Physiotherapists are experts in assessment. At Advantage Sport Medicine Physiotherapy, we can help you determine what the best course of action is for your condition.
*references in comments*

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May 11

Osteoarthritis: Visual Explanation. Osteoarthritis Health: A video explanation of osteoarthritis discussing topics such as pathophysiology, joint changes, x-ray findings, and management.

Osteoarthritis (OA) is the most common form of arthritis. It affects more than 10% of Canadians and approximately 50% of new cases occur in those over the age of 50, as a result, it is typically defined as an age-related disorder.

The joints in our body are constantly undergoing a cycle of making new tissue and recycling old, OA is the consequence of an imbalance between this cycle of breakdown and repair. If left unmanaged, this imbalance will result in structural and functional changes to synovial joints.

The goal of OA is to be proactive instead of reactive. Physiotherapy can help prevent robust risk factors from coming into play such as obesity and joint injury. The role of physiotherapy is to guide patients to feel empowered in taking control of their own health. This can be done by movement retraining to avoid joint injury, neuromuscular and strength training, and education on topics such as pain science and joint health.

For more information on osteoarthritis, check out our blog: https://advantagesportmed.ca/advantage-sport-medicine-x-osteoarthritis/

Be sure to like and subscribe for more content!

#yeg #yegphysio #yegphysicaltherapy #yegathlete #edmontonlife #edmontonathlete #physicaltherapy #physio #edmonton #strength #athlete #osteoarthritis #arthritis #knee #hips #injury

@kevintrinhyyc

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Apr 13

Patient-centred care.

Our team of therapists places your goals at the forefront of our treatment sessions. Helping you manage your pain isn't the only objective, but to also understand your injury, avoid future reoccurrences, and most importantly, to get you back to doing what you love most with confidence and without limitation.

Book in with our team now. We can't wait to work with you!
Edmonton: 780.229.0174
St. Albert: 780.460.9977

#yeg #yegphysio #yegphysicaltherapy #yegathlete #edmontonlife #edmontonathlete #physicaltherapy #physio #edmonton

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Apr 12

quarterback /ˈkwôrdərˌbak/
noun: a player whose main objective is to lead the team by helping developing the play and/or be the main offensive weapon.

We are going to miss the quarterback of our clinic. @cassidy.lynn.mayer will be away on maternity leave until 2022. We will miss you so much Cassidy!! She is a woman that can do it all, nothing ever stops her!

If you've stopped by the clinic this past year you've certainly been greeted by Cassidy's warm, welcoming personality. Hope to see you soon Cass :)

#teamplayer #yeg #yegphysio #yegphysicaltherapy #yegathlete #edmontonlife #edmontonathlete #physicaltherapy #physio #edmonton

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Apr 12

Reposted • @kevintrinhyyc The front squat is one of my favourite exercises. It’s a great movement for building: overall leg strength, torso posture in the squat, vertical movement, upper body strength and it can be carried over into different movements such as the back squat and clean.   When first learning the movement, athletes often find it challenging to keep the bar secure in a front rack position and this leads to pain in the wrist. Stretching the wrist may temporarily help but the key to building any good movement is to build mobility and strength throughout the body and most importantly, spending time practicing the craft.

To see the front squat at its very finest, check out the movement performed by elite athletes such as: @kuohsingchun_official @luxiaojunbarbell @squat_university

@advantagesportmedyeg
#squats #frontsquat #coldmindwarmbody #weightlifting #weightliftingtechnique #weighttraining #strength #squatuniversity

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Apr 8

Repost • @itsholt Rotator cuff pain? Achilles pain? Golfers elbow or Tennis elbow? Have you been dealing with tendon pain and are looking for help? Come see us at Advantage Sport Medicine and Physiotherapy to book an assessment. Your pain should be addressed, and we can help.

#physiotherapy #physicaltherapy #tendon #tendinitis #physioyeg #yeg #yeglocal #rehabilitation #pain #recoveryispossible #recovery #yeghealthcare #yeglife

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Apr 1

#KrushReport Dr. Naidu discusses the importance of customizing team warm-up programming to meet team dynamics and athletic specific dynamics based on injury history.

#krushperformance #yeg #yegphysio #yegphysicaltherapy #yegathlete #edmontonlife #edmontonathlete #physicaltherapy #physio #edmonton #strength #athlete #volleyball #football #hockey

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Mar 27

Challenge Accepted!!
In support of @hockeygivesblood @edmoilkings we will also be donating $1 for every save @sebastian.cossa makes this season! Here's @kvintrnh doing his best impression of Cossa using his mitts for the rockets.

We would also like to challenge clinics in our local community. @on.the.bench @thebridge.fit @stridesportphysioyeg @leading_edge_physiotherapy

Repost: @mattthephysioyeg Myself and Dr. Ashley Todd are excited for our colleagues with the @edmoilkings and extremely proud of their involvement with @hockeygivesblood - together we are going to donate $1 for every save @sebastian.cossa makes this season and we encourage local clinicians to do the same!

@canadaslifeline
@yegperformancechiro
@advantagesportmedyeg
@advantagesportmedstalbert

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Mar 15

Welcome Mike Cook!

We are very excited to welcome Mike to our team. Mike has extensive experience in strength and conditioning, rehabilitation and athletic performance. Mike has worked with a spectrum of athletes from community to elite level,and have helped guide numerous athletes to individual and team achievements. If you’re looking for some knowledge drop, ask Mike about the benefit of force plate testing systems in rehabilitation populations 💡

Here are a few things Mike has to share about his experiences:
* I have been in the area of strength and conditioning for almost 20 years
* I have worked in multiple professional settings across a variety of different sports.
* Currently the the Lead S&C/Lead IST for Men’s Indoor Program with Volleyball Canada
* Oversaw the Strength and Conditioning and Sport Science area at University of Alberta for 12.5yrs.
* Was the Strength and Conditioning Coordinator for the Edmonton Football Club for 4 years.
* Had a major focus in the return to performance area, particularly in the area of ACL-R and dual plate force testing systems.
* MSc in Strength and Conditioning and I am a Certified Strength and Conditioning Specialist through the NSCA.

#yeg #yegphysio #yegphysicaltherapy #yegathlete #edmontonlife #edmontonathlete #physicaltherapy #physio #edmonton #strength #athlete #volleyball #football #hockey

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Feb 23

Sweet {Jolie} Boutique gift card giveaway! #supportlocal #supportsmallbusiness

In light of the ongoing restrictions, we have decided to divert our advertising dollars to support local businesses. Over the coming month we will be purchasing gift certificates and giving them away on social media.

Thank you to @sweetjolieboutique for being such great leaders in our community. Sweet {Jolie} is a community-conscious women’s clothing boutique based in Edmonton, Alberta known for its trendy, boho styles accessible to women of all shapes and sizes! Our clinic is honoured to be able to work with #sjloveyourself #sweetjolieboutique in giving away a $100 gift card!

To enter:
1) Follow @advantagesportmedyeg @sweetjolieboutique
2) Tag 2 friends per post (multiple entries are v welcomed!! Tag away ✊🏻)
3) Optional: Share this post in your story for an additional entry.

Ends: Friday, March 5, 2021 @12:00
Winner announced: Monday, March 8, 2021

#yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegblog #supportyeglocal

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Feb 5

No off days for Kwabena #62

We love watching Kwabena’s rehab journey. He’s been on another level of focus since getting back in the gym.

#yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #cfl #knee #rehabilitation

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Feb 3

Join our team 🙌🏻

Send us a DM or contact us for more information. Resumes can be sent to jdenault@advantagesportmed.ca

Full-time receptionist days/evening/weekends required for a growing sports physical therapy clinic. If you are friendly and outgoing and can work independently, come join our team!
The successful candidate will have the following qualities and skills:

• Cheerful and pleasant disposition when answering phones as well as greeting patients into the clinic.
• Provide a high-level of customer service.
• Maintain a strict level of confidentiality.
• Assist with medical documents/letters to doctors, lawyers, insurance companies.
• Can schedule appointments and complete payment transactions accurately.
• Working knowledge of the EMR Healthquest is an asset.
• Assist the physiotherapists with a variety to tasks.
• Clean/stock clinic rooms.
• Previous clinic experience required.

Full-time hours: 35hr per week
Expected Start Date: Flexible
Contract length: 15 months

#yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #career #job #jobsearch #jobs #health

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Jan 27

Concussion Education 📖

Our team has put together a quick education piece on concussion recovery. There are many factors involved in ensuring a successful recovery beyond just aerobic and physical conditioning.

We work with sport medicine physicians and athletic therapists in our concussion clinics to build a comprehensive rehabilitation plan to get you back to work, your sport and most importantly, daily activities. For more information check out our blog or give us a call and we would be happy to chat more.

- your team at ASM 👊🏻

#yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #concussionrecovery #concussions #concussionawareness

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Jan 26

Padmanadi gift card giveaway! #supportlocal #supportsmallbusiness

In light of the ongoing restrictions, we have decided to divert our advertising dollars to support local businesses. Over the coming month we will be purchasing gift certificates and giving them away on social media.

Thank you to @padmanadi for being such great leaders in our community. During the past year, they have been innovative in their ways of serving #yeg and surrounding communities, they have provided free meals to families enduring hardship, and there meals are always full of care! Our clinic is honoured to be able to work with #padmanadi and give away a $100 gift card!

To enter:
1) Follow @advantagesportmedyeg @padmanadi
2) Tag 2 friends (multiple entries are v welcomed!! Tag away ✊🏻)
3) Optional: Share this post in your story for 2 additional entries.

Ends: Friday, February 12, 2021 @11:59pm.
Winner announced: Monday, February 15, 2021

#yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegblog #supportyeglocal

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Jan 22

Congratulations Heather!

Repost: @uofarehabmed Congratulations to one of our wonderful ACCEs, Heather Bredy for being awarded the Pinnacle Award of Distinction from Physiotherapy Alberta - College + Association in recognition of significant contributions to Alberta's physiotherapy profession through clinical work and commitment to students and the wider physiotherapy community.

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Jan 20

Did you know!?
Skier’s thumb is currently the most frequent upper extremity injury amongst skiers with its prevalence being as high as 32% of all skiing-related injuries!

▪️Skier’s thumb refers to an injury/tear to the ulnar collateral ligament (UCL) of the thumb which commonly occurs when a skier lands on an outstretched hand or falls while holding a ski pole.

‼️ If not managed appropriately, skier’s thumb may lead to chronic laxity and instability of the joint and the premature onset of arthritis.

▫️Common signs & symptoms include:
o   Pain over the inside of the thumb
o   Initial bruising and swelling
o   Tenderness
o   Painful and/or weak grip
o   Pain with thumb movements
o   Potential mass at the base of the thumb

▪️How can we help at @advantagesportmedyeg
Clinical examination is crucial in order to determine appropriate injury management and minimize the risk of associated chronic instability and the early onset of arthritis. Physiotherapists are experts in assessment and determining the extent of injury, if referral is appropriate, and the most appropriate rehabilitation interventions.

Anderson D, & Anderson, D. (2010). Skier’s thumb. Australian Family Physician, 39(8), 575–577.

Chuter, G. S., Muwanga, C. L., & Irwin, L. R. (2009). Ulnar collateral ligament injuries of the thumb: 10 years of surgical experience. Injury, 40(6), 652–656. https://doi.org/10.1016/j.injury.2009.01.107

Engelhardt, J., Christensen, O., & Christiansen, T. (1993). Rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. Injury, 24(1), 21-24. doi:10.1016/0020-1383(93)90076-i

Madan, S. S., Pai, D. R., Kaur, A., & Dixit, R. (2014). Injury to Ulnar Collateral Ligament of Thumb. Orthopaedic Surgery, 6(1), 1-7. doi:10.1111/os.12084

Mahajan, M., & Rhemrev, S. J. (2013). Rupture of the ulnar collateral ligament of the thumb - a review. International journal of emergency medicine, 6(1), 31. https://doi.org/10.1186/1865-1380-6-31