Shaw Podiatrist

30/08/2024

29/08/2024

Having cracked heels? Call /whatsapp for appointment 0683671681

20/08/2024

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20/08/2024

Complications of high heel shoes 👠

19/06/2024

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21/10/2023

🔈 HIP LIGAMENTS AND MUSCLE IMBALANCE

The hip joint is strengthen by three capsular ligaments: the iliofermoral ligament and the pubofemoral ligament are on the anterior aspect of the joint, while the ischiofemoral ligament is on the posterior aspect. As the hip is flexed, all three ligaments relax. However, in extension all three ligaments are tight, with the inferior band of the iliofemoral ligament being placed under greatest tension as it runs almost vertically. It is this ligamentous band which limits posterior tilt of the pelvis.

During adduction, it is the turn of the superior band of the iliofemoral ligament to become tighter while the pubofemoral ligament and ischiofemoral ligament relax. In abduction the opposite occurs. In lateral rotation both the iliofemoral ligament and pubofermoral ligament are taut, while medial in rotation the ischiofemoral ligament tightens.

SCREENING EXAMINATION

Hip conditions may refer pain anywhere within the L3 dermatome, over the front of the thigh and down to the knee. Initial observation includes resting position, muscle wasting, leg length and gait. Functional activities may also be revealing. Lying in bed with the affected side uppermost (hip adduction and medial rotation) places a stretch over the iliotibial band (ITB) and lengthens the posterior portion of the gluteus medius. This may be a consideration in ITB syndrome and for muscle imbalance over the hip.

MUSCLE IMBALANCE AROUND THE HIP

In the hip region, the Thomas test and the Ober manoeuvre are used to assess for muscle tightness of the hip flexors (re**us fermoris and iliopsoas) and hip abductors (TFL and ITB). Inner range holding ability of the gluteus medius is assessed with side-lying hip abduction, and of the gluteus maximus with the prone-lying hip extension movement.

07/08/2023

06/07/2022

Having Diabetes??get your feet checked 2/3 times a year to prevent the following diabetic foot complications :
Book your appointment: 072 759 3743

06/07/2022