// 03072020 💀 Officially done orthopedic OPD rotation 👋 Thank you everyone for taking care of me a lot in this rotation. There is a chilled and super duper down-to-earth Boss - Mr Kian Ti ; Pharmacists who are patient, friendly and willing to teach; & Pharmacy Assistants who are smart, hardworking and treat me like 👶 It was a great month working together with all of you and I did learn many things not only knowledge wise but also the perspectives when looking at matters and the attitude. Hope we can have chances to work again in the future! - - - #PRPlife #orthopedics #FOTHKL #calcium #fosamax #bonviva #gonnamissherealot #骨科 #藥劑實習生 #億偉的游子紀錄 #笑看人生

💥 Pectoralis Tear(附中文) “What do you need to know” - Allan came forward to me last week suffering from pain after trying for his bench press PR. He was worried that his injury might to be risky to keep training. So he decided to consult a physical therapist before going back to training - Upon initial observation, we can see a small bruise on the left anterior shoulder, and a bulge of muscle lateral to the pectoralis major. I asked Allan to raise his arm up and pain resulted. I followed with a series of resistance test of the shoulder joint. There was weakness in horizontal adduction of the arm and when the arm is outstretched to the side - To determine the severity of tendon injury, I follow the general grading for tendon rupture: Grade I : Overstretching of a tendon without a loss of function Grade II : Continuity of the tendon is intact but strength is significant reduced Grade III : Complete disruption of a tendon - From my objective evaluation, Allan’s injury is a typical Grade I to II pectorals tendon tear. I suggested an MRI with the orthopedic doctor for a follow-up. In the next video I will be posting what exercises I gave him. —————————————— 💥 胸大肌拉傷 “個案分享" - Allan 上禮拜嘗試卧推PR後，因為胸大肌的疼痛來就診。他很害怕這個受傷會讓他不能繼續訓練，決定先找一個物理治療師評估一下，看看專業的意見，給他訓練上的建議 - 在初步的客觀評估，我們可以看到左肩前外側有一個小瘀青，左胸大肌的外緣也有一塊肌肉凸出來。我請Allan把雙手往上舉高，在舉到快180度的時候他說會有明顯疼痛感。接著我針對肩關節週邊肌群做阻力測試，明顯的看到在左手往內夾(飛鳥夾胸的動作)會有無力感，當手往外打開的時候也會有疼痛 - 要如何決定拉傷的嚴重度？我參考一般臨床肌腱拉傷的分級: 第一級: 輕度拉傷，功能不受影響 第二級 : 中度拉傷，肌纖維中度損傷，但肌纖維不完全斷裂，肌力明顯受影響 第三級 : 重度拉傷，肌肉完全斷裂 - 從我的客觀評估，明顯的能判斷Allan的疼痛是因為胸大肌肌腱第一到第二級拉。我建議他找骨科醫生做進一步諮詢，照核磁共振確認受傷的狀況。下一篇發文我會告訴大家胸大肌拉傷的運動 . #jamesthephysio signing out . #physicaltherapy #physiotherapy #rehab #dpt #prehab #physio #exercises #workout #functionalfitness #strengthandconditioning #functionaltraining #personaltraining #injuryprevention #fisio #fisioterapeutas #fitness #pectear #tendon #物理治療 #運動醫學 #肌腱拉傷 #重訓 #概念 #相信專業 #預防 #健康促進

💥健身做動作身體會不舒服 " 運動的問題交給動作專家” - 健身風氣盛行，因為重訓、健力、玩crossfit而受傷的人變多。在看診的時候，病人都說有照X光不過看起來沒什麼問題，那到底為什麼會有疼痛呢。答案是你的動作岀了問題，同一種訓練，同樣的動作做太多，常會產生過度使用的問題。醫生依靠影像客觀檢查，在兩三分鐘短時間幫你動一動手腳，是不太能找到動作問題。只是物理治療師會花10分鐘，20分鐘，或更久的時間來評估你的動作，了解你的工作形態，日常生活，才能得出結論，找到疼痛的原因 - 如果真的是有骨折，肌腱斷裂，脫位等等，應該馬上找骨科醫生處理。不過疼痛的來源，並沒有那麼簡單，往往不是影像看到什麼，就是那個問題。動作的問題看醫生不會好，動作的問題要找物理治療 —————————————— 💥 Have pain when you move? “ Find someone who knows movement” - More and more clients come to my doorstep for weightlifting injuries, crossfit injuries, or just pain from too many dumbbell side raises. Nothing abnormal was found from X rays or MRIs. So what is the source of pain when you move ? - Repetitive movement pattern, for example snatches, bench presses, if done too much can lead to stress of soft tissues and joints that leads to pain. But can thorough movement assessment been done in just a few minutes? No. Physical therapists spend 10 minutes or even more, with a detailed understanding of exercise program, to reach a conclusion of the source of pain - If you have a fracture, tendon tear, please go to an orthopedic surgeon to put them back together. But if it is not the case, it should be time for movement specialists to intervene. Let movement pain be solved with movement solutions . #jamesthephysio signing out #physicaltherapy #physiotherapy #rehab #dpt #prehab #physio #exercises #workout #functionalfitness #strengthandconditioning #functionaltraining #personaltraining #injuryprevention #fisio #fisioterapeutas #物理治療 #運動醫學 #運動按摩 #疼痛 #打針不會好 #相信專業 #相信你的物理治療師