Friday, October 31, 2008
Sunday, October 26, 2008
Friday, October 24, 2008
Sunday, October 19, 2008
Friday, October 17, 2008
Tuesday, October 14, 2008
Monday, October 13, 2008
Thanksgiving day surfing...
No 3: Shoulder hydrodilatation
As a clinical entity, frozen shoulder (adhesive capsulitis) is relatively easy to diagnose, although treatment of this condition can be frustrating. But subtle forms of capsular restriction can either mimic or enhance other causes of shoulder pain, such as a subacromial impingement. If a patient with shoulder pain presents with nocturnal pain (in the absence of a rotator cuff tear), and their range of motion is subtly restricted in end abduction, internal rotation and horizontal flexion, and their anterior-posterior glide is diminished, then a component of capsular restriction should be considered. In cases of subacromial impingement in which this capsular restriction is present, it is very difficult to treat the impingement successfully without dealing with the capsular restriction.
Capsular restriction does not usually respond favourably to manual therapy.Often attempts to mobilise the shoulder result in a flare-up of the patient’s pain. One efficient way to treat these patients is with a hydrodilatation procedure. This is performed by a radiologist under X-ray control. A needle is inserted into the offending glenohumeral joint, and a mixture of corticosteroid, local anaesthetic and saline is injected. A large volume is required, and in ideal circumstances capsular rupture is achieved. When this happens, the communication between the shoulder joint and the subscapularis bursa is seen to open up. If this treatment is successful, it is very rewarding and satisfying for practitioner and patient alike. It also allows for expedient rehabilitation of the coexisting condition.
The above matches my current experience. Very little progress with exercises and other physiotherapies. Just changing areas where the pain was. But (almost) immediate relief after treatment, and with subsequent ability to do a much wider range of exercises... My Simple Shoulder Test (see below) score went from about 8-9 out of 12 to about 2-3.
Friday, October 10, 2008
A late note, Wednesday was structured training at the track. Three sets of points race drill. Five riders, goal speed 38, do 4 laps then sprint, front rider goes to back. Repeat.
In China they make you pay for the bullet.... in BC if you need a Cortisone injection you have to buy the Cortinsone yourself :-)
Sunday, October 5, 2008
Saturday, October 4, 2008
Friday, October 3, 2008
Trolling tonight and found this paper on keeping fit as you age... called Beat the Clock.
With the right training, most people can be as fit in their 50s as they were in their 20s. Rick Lovett puts his 48-year-old body through its paces.Mainly with a runners perspective, but I think the overall conclusions and suggestions are germane to cyclists as well.
Rick Lovett is a writer and runner based in Portland, Oregon, USA