BH is a 59 year old gentleman who was involved in an RTA as a pedestrian in November 2017. He sustained a triple ankle fracture which required surgery to fixate and was subsequently non-weight bearing for 8 weeks after. Once his cast was removed he was fitted with a boot and allowed to fully weight bear, so his rehabilitation could now begin. His main goal was to be able to walk comfortably whilst on his cruise holiday at the beginning of March.
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NDO is a 79 year old lady with a long term history of lower back pain and bilateral shoulder pain, mostly due to OA and age-related changes. She was a professional volleyball and softball player in her youth so her shoulders were worked hard for many years.
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The shoulder is the most mobile joint in the body. It is more of a complex than a single joint as it consists of 5 joints, over 30 muscles and 6 major ligaments. The main shoulder joint is a ball-and-socket joint, which allows a very wide range of movement, therefore it is easily prone to overuse and injury. Shoulder pain is the third most common musculoskeletal complaint presenting to physiotherapy and the pain and disability associated with shoulder problems can have a large impact on individuals’ ability to complete their normal daily tasks.
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The rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone (humerus) firmly within the shallow socket of the shoulder. 30% of people will experience shoulder pain in their lives. A rotator cuff injury can cause a dull ache in the shoulder which can radiate down to the arm. The pain can be sharp on certain movements and is often worsens when you try to sleep on the involved side. A rotator cuff injury can make it difficult and painful to do everyday tasks, such as brushing your hair and getting dressed
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