MP SPORTS PHYSICIANS COVID 19 POLICY

 

 

Effective May 27 2020

As a result of the excellent response in Australia to COVID 19, restrictions have been relaxed earlier than expected. HOWEVER, we still need to be vigilant as COVID is a highly contagious virus and could quickly escalate again.

At MP Sports Physicians, we will continue to offer telehealth appointments to all patients. We will also continue to offer face to face appointments.

We ask that you do not attend our clinic if you are unwell. Your appointment may still be able to be undertaken via telehealth from home.

We ask that, wherever possible, ONLY ONE person attend each appointment to reduce waiting room contact.

Please use the hand sanitiser provided on entering and leaving the rooms and adhere to cough/ sneeze etiquette.

Please let us know at the time of booking whether you prefer face to face or telehealth. Both styles of appointment are equally effective. Telehealth is highly recommended for those over 70 or with pre existing medical conditions.

 Thank you.

Painful Heels

SCIATICA

Sciatica is an all-encompassing term to describe pain felt in the leg referred from a spinal source.

Technically, it implies involvement of the sciatic nerve or of its nerve roots at the spine.
When this occurs, the pain is described as lancinating, burning and severe. The patient will be able to draw a line with one finger to trace the pain. There may be true numbness or weakness in the distribution of the affected nerve.
In these cases, the pain results from irritation of the spinal nerve, most commonly from a disc protrusion. Interestingly, the pain can often be just as severe with a relatively minor disc injury as it can be with complete nerve compression.
However, there are numerous other structures that can present with leg pain. Generally, the referral pattern will be a little more vague and is unlikely to be linear. Although there may be some alterations in sensation or feelings of pins and needles, there is no demonstrable nerve dysfunction on clinical examination.
Considerations for this diagnosis include gluteal tightness, gluteal tendinopathy, facet joint related pain, sacroiliac joint pain and pain emanating directly from a lumbar disc (without nerve root involvement).
Careful examination will definitely help to differentiate these and it is important to remember that most cases of back related leg pain do not need an MRI scan. Seeing pathology on a scan does not imply causality. In fact, it is rare to see a normal spinal MRI, even in someone with no symptoms. Clinical examination holds much more value.