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Physiotherapy Services, Dublin 6

Jordi Murphy joins a very undesirable club – the ACL club

The ACL Club

Ireland’s incredible victory last Saturday came with a hefty price tag for one of the Warriors that ultimately slayed the New Zealand team. An ACL Injury.

I winced as I saw Jordi’s knee buckle. His attempt to chase down a quick line out throw by the Kiwis ended with a nasty rotation.

To the casual observer, this was an innocuous slip. In the world of sports medicine and Chartered Physiotherapy the alarm bells were ringing!

The pitch side medical team probably knew this was an ACL (Anterior Cruciate Ligament) injury if they saw the mechanism of injury. Foot planted combined with an awkward rotation meant that the incredible force an athlete like Murphy can produce exceeded the ability of the ligament to withstand it.

Physiotherapy Dublin 6

Jordi Murphy feeling the intense pain from the knee ligament injury sustained on Sat evening

The ultimate effect is a tear of the ligament and effectively an unstable knee.

An image of the knee (from behind) with the knee ligaments still intact

An image of the knee (from behind) with the knee ligaments still intact

Ligament Tear

As the physios rushed on, they are probably asking Jordi for any tell tale signs to confirm what they intuitively know. Did you hear a pop (a nice way of asking have the bones in the knee smacked loudly together?) Where are you sore? – Normally everywhere!

So what’s happening in the initial few minutes of this injury in the majority of ACL injuries?

Extremely painful usually only for a few minutes. This is followed by a Large swelling as the knee joint fills with blood from the ligament tear.

There are some clinical tests that can be performed on the pitch in the first few minutes. These will assist a diagnosis and give the medical team a very good idea of the extent of the damage.

It’s highly likely that Jordi had rapid access to an MRI scan in the US – possibly in the Soldier Field stadium. This produces a superb image of the joint and will provide lots of information on any damage to other structures in the knee.

Jordi will need an ACL reconstruction. We’re fortunate in Ireland to have several outstanding knee surgeons to perform this work. That’s only the start of the journey. All good surgeons will emphasise to their patient that the rehab post surgery is crucial in a full recovery and return to sport.

Physiotherapy

The role of an experienced chartered physiotherapist becomes essential in the daily routine of recovery. Knowing what to do and when to do it is critical in protecting the repair and building strength in the surrounding knee muscles.

Jordi has a long road ahead of 9-12 months of hard work post surgery. He will do very well as everything is in his favour – age, background, fitness, attitude & motivation to name a few ingredients.

Like so many others before him – Conor McGregor, Peter O’Mahony, Luke Fitzgerald to name a few. Jordi is now a member of the dreaded ACL club. But he will bounce back like the others all managed so successfully.

Personal Health Physiotherapy, Dublin 6

Director of Physiotherapy – Ronan Fallon

 

For a Physiotherapy consultation with Personal Health’s Director of Physiotherapy, Ronan Fallon – Ring 01 4964002

Football, Physio, sport, Physiotherapy, Fitness

Will Jonathan Walters be fit for Saturday ? by Ronan Fallon

Well is he going to be fit to continue?

Last night’s match in Paris saw the boys in green put in a great performance on the European stage. It’s fair to say that we could have easily taken all three points. Unfortunately, this result did have an impact on Jonathan Walters.

It is well known that he has been struggling with an Achilles tendon problem for the last few weeks. The Achilles tendon is the common tendon from the calf muscles into the heel bone.
It is a notoriously tricky problem for anyone from an international footballer to a mid-week 5-a-side social footballer or tag rugby player. As such, it was not a good sign that Jonathan Walters reported last night that he was struggling with this issue from the very first minute!

Achilles tendon
As you can see from the image, pretty much all activity on the football pitch requires load to go from the calf muscle and through your Achilles tendon. This allows the athlete to propel forward to run & jump.

 

MANAGEMENT

Chartered Physiotherapy Dublin 6

Decisions Decisions…..

There is no doubt that the Irish medical team are using all of the resources at their disposal in an effort to get Jonathan fit for Saturday. This is a very quick turnaround for an injured achilles such as this one.
I suspect that they will be using a battery of treatments including anti-inflammatories, Icing, Soft tissue for the calf muscles and most importantly rest.
The crucial component in this management strategy is controlling loading. Thai is the weight that he takes through that inflamed tendon. He should be on crutches for 48 hours. This would allow the Achilles to recover without the stress of his bodyweight on every step.

Medical Team

This is a tricky conundrum for the medical team today. How long can they afford to rest Jonathan from team training in preparation for the Belgium match? Martin O’Neill and his team will have  already discussed this and may have even made a decision on ruling him out.
It’s very difficult to see how Jonathan Walters will be fit for Saturday. An MRI scan will show the true extent of the damage. As a result all we can work off are the soundbites from Management and player alike.

In conclusion, we’re all hoping for a speedy recovery and that his removal from the game early might just give him a chance for the big game on Saturday.

COYBIG !

Ronan

Physio, Golf, Tennis, Physiotherapy, Fitness, Exercise

Tennis Elbow, Golfers Elbow or both – the dreaded Country club!!

Tennis Elbow, Golfers Elbow or both – the dreaded Country club!! 

country club

 

I’m regularly asked about both Golfers & Tennis elbow in the clinic. Generally they are a large portion of the non-contact elbow injuries that patients develop. Commonly, it’s a term that people have heard of but are not quite sure what it actually is! Golf or tennis may not be on your list of hobbies to be struck down!

A tennis elbow is an irritation of the tendon on the outside or lateral part of the elbow whilst a golfer’s elbow is an irritation of the tendon on the inside or medial part of the elbow.

If you are unlucky enough to develop both, you become a member of the “Country Club!”

 

Golfers-vs-Tennis-Elbow

 

Basically, the majority of the muscles in our forearms anchor to either the inside or outside of the elbow via a shared tendon. When we overload these tendons from things such as hitting 200 golf balls off a rubber mat or deciding to tackle painting the house in one swoop, we can cause a painful episode in these tendons.

It’s a very common problem. I always like to take people through the anatomy of the issue. Understanding is the key to settling this problem down. We are fortunate to have some state  of the art anatomy tools to facilitate this in the Personal Health clinic.

 

image_Blue_elbow-pain

 

Acute or Long-Standing Issue

The next question is whether it is an acute flare up or a long standing grumbling issue? This largely dictates the management and treatment. Conservative management with appropriate exercise, soft tissue work and de-loading of the tendon resolve this issue in the majority of cases. Surgery and injections are thankfully relatively rare.

 

 

 

Call us to find out more.

Phone: 01 496 4002

Email: info@personalhealth.ie

Website: www.persoanlhealth.ie