4. Restore extension: poor extension = poor result. We used *manual therapy* to help. 😬. Twice/week. 😬🤯. For 6 weeks..FFD’s can be hard to change, so he was pushed pretty hard. Patient needs to stretch. A lot. Multiple times daily for at least 5 minutes per time. 9/ - ThreadSky

camtudor.bsky.social • 105 days ago

4. Restore extension: poor extension = poor result. We used *manual therapy* to help. 😬. Twice/week. 😬🤯. For 6 weeks..FFD’s can be hard to change, so he was pushed pretty hard. Patient needs to stretch. A lot. Multiple times daily for at least 5 minutes per time. 9/

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camtudor.bsky.social•105 days ago

5. The physio sessions weren’t just ‘hands-on’. Also a combination of coaching and motivation. It’s important for patients to see incremental ‘wins’ to help sustain them through a long rehab. In the initial stages progress can be slow, so in person sessions are invaluable. 10/

camtudor.bsky.social•105 days ago

6. Strengthening: *Controversially* we used open chain resistance.🤯.an exercise demonised like few others. But they can be invaluable in patients with atrophied quads who struggle with WB load. Used sensibly they’re fine, and offer a step to heavier WB load. 11/

camtudor.bsky.social•105 days ago

Outcome:

- 6/52 sleep was undisturbed.
- 3/12 climbing stairs pain free.
- 12/12 full function restored, and working without restriction.
- 2 years he cycled Mt Ventoux!
- 8 years after he was 🚴‍♂️ regularly, in the gym x 2/week, and comes for a ‘loosen up’ as symptoms dictate. 12/

camtudor.bsky.social•105 days ago

Too many OA patients are told they've failed rehab, when in fact rehab has failed them. They often don't improve because they weren't given permission or guidance to push themselves. Not all patients will, but all should be given the chance. 13/

camtudor.bsky.social•105 days ago

Patients suffering OA are too often coddled (like many other age related problems); advised to take it easy, with fear avoidance behaviours imposed upon them. This isn’t the way. Some will need TKR, but many can delay or avoid completely with comprehensive rehab. 14/

camtudor.bsky.social•105 days ago

On group classes; much needed in public health. But generic classes aren't enough. They need to be individualised. Physiotherapy is much more than advice and exercise.

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