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Ryan physio

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    http://www.active-physio.co.za

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    Gauteng
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    JHB

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  1. Hey Guys, a mate found this cycling computer & some gloves at Suikerbosrand. Please get in contact with me should they be yours. Assuming some proof of ownership will be required? (perhaps linkage to a pc/phone & the date of when lost).
  2. Hey All - I work in a clinic with a knee surgeon and frequently discuss this type of thing with the doc. I also attempt to cycle myself now and then 1. MRI first and always. Preferably you want a diagnosis BEFORE you go for an op. MRI is the best investigation we have. That being said it is NOT full proof, but serious damage to the soft cartilage (meniscus) and ligaments will be noted. You are giving consent with a scope. If you go for a diagnostic arthroscopy, you are giving the doc consent to fix what he finds. This means he may find and fix something that you would have preferred another treatment for. Thats important to noteThere is hard and soft cartilage. Sort cartilage tears respond very well to surgery. Why have the op? It has very poor blood supply and does not heal well, so often the piece that is torn must be removed. Hard cartilage is another animal. If you have hard cartilage wear (called articular cartilage), your joint is headed downhill no matter what you do. Honest surgeons will tell you that you are just buying time before a replacement. That being said, many people have horrid findings when the scope is done but do well for many many years after.The MRI is a guide to the surgeon as to what to expect. Sometimes the damage is worse (as noted by someone) and sometimes its not as bad. Remember that an MRI can only take 2-4mm slices of the knee. Only show much that it can show.Just some other comments people have made Arthroscopy is a sham treatment when done in a study. There is an element of truth that some docs are knife happy. The flip side is this. If you have a stone in your shoe, no matter what you do, your foot will be irritated until you remove the stone. Its a similar analogy with a scope. You are removing the debris that is inflaming the knee.Physio : I am biased being a physio, but I get excellent results with MOST of my patients (no1 has a 100% success rate). HAVE YOUR CLEATS CHECKED. I use a special mould that your cleats fit into that allows me to check 100% they are straight or slightly turned in. NEVER have your cleats set turned out. EVER. Rehabilitation is what fixed people, not so much the hands on physio. Cyclist's will happily ride for 3-5 hours Sat and Sunday but refuse to do 15min of rehabilitative exercise. Many of these issues are cause by imbalances in the lower limb that can be corrected with some simple exercises. ELECTROTHERAPY is a sham! If your physio is not using their hands and their brain to treat you, go somewhere else! The reality is rehab is boring. Either knuckle down and get it done or join a pilates class under the guidance of a physio.Not all doctors and physio are equal. Just like any other business. Some are good, some are average and some are crap. Make sure you are seeing a medical person who has good post grad experience and a special interest in the knee. There is not ONE good doc or physio. There are several and we all know each other so we can refer people to the right person depending on where they stay. Rather long post. Hope it sheds some light R
  3. We did a ride year 10+ years ago following the contour path. Was pretty epic. I would take a short rope with you. Some sections where we had to lower our bikes as it is a hiking trail and not really made for MTB.
  4. Hey, So apart from what has already been said on the topic. It sounds to me that you might simply have what we call "neural tension" try doing this exercise http://www.cornell.edu/video/supine-lower-extremity-neural-glide To get it to stretch the outside of the foot, turn you foot inwards (like you would sprain an ankle). It should give you the exact pain you get whilst cycling. Do this daily, and before you ride. If it makes a difference - you need to continue for 6 weeks
  5. Unfortunately I saw this thread too late. Was gonna tell you that it sounded suspiciously like tendonitis. All cyclists should be doing basic strength work, especially when upping the milage. Eccentric quad work and gluet medius work are NB
  6. If u are in JHB let me know and I can recommended the guys we work with
  7. Not quite sure I agree with these exercises.... good resource to have a look at it shoulderdoc.co.uk
  8. Hey - So read most of the replies on post on here. First step : DEFINE the diagnosis. Wrist sprain is super vague. GP : Not the right place unfortunately. Unless it's an obvious fracture (which is wasn't) they wont be able to help you. Should also be noted that Scaphoid fractures often don't show initially and show be re-XRAY'd 6 weeks later. If its not 3 months and you still have significant pain - You need to see a hand specialist. There are 10 metacarpal bones alone with ligaments attaching them all. Its a complex things to assess. Once the diagnosis is confirmed, treatment is discussed. Good luck
  9. Any thoughts on where to get this Buchu gel locally?
  10. There is unfortunately no quick fix. "Rome wasn't build in a day but it was destroyed in one" Very easy to harm yourself by pushing to hard. After physio make sure you go for an isokinetic test to make sure that the strength is equal and you have no measurable difference between they two limbs. Ask you physio about proprioceptive exercises once you are allowed to weight bear. Lastly, much research has been done with regards to return to sport post surgical patients. There is strong evidence to say that confidence is one of the biggest predictors of how you will do long term. Good luck with the recovery
  11. I got the camber last year Nov. Absolutely love the bike - Change the front chainring to a 36 though. Much better power
  12. Don't quote me on this, but a patient recently told me that they saw a Dr who advised them that sleeping in their running shoes would solve the problem. Just 3 nights back to back. (Anatomically I suppose that you are stretching that fascia out) Worth a try if everything else isn't helping Cortisone does work if don't in the right place by a good doc but apparently incredibly painful at first
  13. Have the 2916 camber comp. done 600km on it. It is exactly as advertised. A trail bike that climbs well. FRS + fox float = a really responsive lockout stem that is very noticeable on the climbs. Does technical like an ANIMAL. Just keeps better on each ride. Gx derailleur slightly sluggish. Mechanic says that's just fine tuning Massive grip on the tires.
  14. As Odinson said, its a new model so price isn't negotiable. The guys at Complete cyclist bedfordview gave me some awesome in-store add's on to sweeten the deal. Chat to Tammy Its worth every penny!
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