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Proximal Hamstring Tendinopathy is a musculoskeletal problem that usually occurs in athletes who frequently bend their hips with a relatively extended knee. It mainly appears in long and medium distance runners and less often on sprinters. Running uphill is also a predisposing factor.     CLINICAL PRESENTATION The tendinopathy's initial presentation mimics a classic case of sciatica. The pain is felt at the buttock, and often radiates at the posterior aspect of the thigh. Initially, it appears only in running,...

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Low Back Pain: Is it bad to bend over at the waist?

  For many years, the prevailing notion has been that the safest way to lift objects off the floor is to bend the knees and keep the back straight, as shown in the icon below.       However, this general guideline, which does not deal with each case separately, does not seem to have reduce the incidence of low back pain. On the contrary, its indiscriminate implementation has created a subgroup of people who have now lost the ability...

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Alex Karagiannidis attended the Isokinetic Medical Conference, in Milan, Italy. The topic of the Conference was "Football Medicine Strategies for Joint and Ligament Injuries" and the emphasis was on the latest evidence regarding the treatment and rehabilitation of the ligamentous injuries in athletes and especially the post-op rehabilitation of the athletes who sustained an ACL injury.

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Swimmer's Shoulder

Swimmer’s Shoulder: The 4 Key Points of the Rehabilitation Program

The "Swimmer's Shoulder" is a debilitating painful condition of the shoulder, in athletes that swim either in an amateur level or in a competitive level. At this article we address 4 key points of the rehabilitation program, regardless of the painful cause (e.g. subacromial impingement, instability etc.), which are important for restoring restoring proper shoulder function and returning to sports performance. These key points are: The selective activation of the rotator cuff muscles. Regardless of the diagnosis (impingement or instability), the athlete...

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Alex Karagiannidis participated at the ISOKINETIC CONFERENCE 2018, which was held in Barcelona (inside the Camp Nou Stadium) on June 2-4. The latest advances at the following clinical entities were emphasised during the 3-day Congress «Sports' Injury Prevention», presented by Dr. K. Thorborg, Dr. J. Harey, Dr. M. Walden and referred to the Hip and the Knee joint, the Groin and the muscle injuries.     "Latest advances in Muscle Injuries' Rehabilitation", presented by Dr. C. Askling     Alex Karagiannidis, MSc., Dip.MDT., BSc(Hons) Physiotherapy    ...

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Musculoskeletal Pain

Musculoskeletal Pain: A Holistic Approach

It is logical, when we are in a pain state, to focus on the symptom, and think that the problem will be solved if the pain goes away. However, this hypothesis is often not functional and sometimes leads to a vicious circle. A basic Law that governs our Health is that the root cause of a health problem is largely the result of our way of life, our daily habits, our thoughts and behaviors. Most of the times, pain is...

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Δυσκινησια Ωμοπλατης

Scapular Dyskinesia: an often neglected cause of Neck Pain

    One of the causes that lead to neck pain is Scapular Dyskinesia. The term "Scapular Dyskinesia" refers to the abnormal resting position of the scapula or/and its abnormal movement during arm elevation. When we elevate the arm to perform an overhead activity, e.g. to place an object on a high shelf, the scapula rotates upwards, supporting the arm (pic. 1).   [caption id="attachment_1806" align="aligncenter" width="398"] Pic. 1. Normal movement of the scapula during the arm elevation[/caption] The upward...

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Αλέξανδρος Καραγιαννίδης - ομιλητής 12 Συνέδριο της Αθλητιατρικής Εταιρείας

12th Congress of the Sports Medicine Association of Greece

Alex Karagiannidis was an invited speaker at the 12th Congress of the Sports Medicine Association of Greece.     The topic of his presentation was "The Rehabilitation of the Sports-Related Groin Pain: Key Points, Latest Evidence" The presentation focused on the following topics: The importance of the assessment of the athletes with groin injury, regarding the anatomical source of the symptoms The presentation of the most common clinical entities The clinical reasoning behind exercise prescription     The oral presentation...

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Alexandros Karagiannidis at Sports Congress 2018


Alex Karagiannidis participated at the Sports Congress 2018, which took place in Copenhagen (February 1-3).   The latest advances at the following clinical entities were emphasised during the 3-day Congress «Treatment of the Sports-Related Groin Pain», presented by Dr. Christian Thorborg‘s team (Professor in Copenhagen University Hospital Hvidovre)     «Rahabilitation of Hamsring Muscle Injuries», presented by Jurdan Mendiguchia  (Department of Physical Therapy, Zentrum Rehab and Performance Center)        

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Επώδυνο Γόνατο - Ενδυνάμωση Τετρακέφαλου


Exercise is the necessary method to restore the normal function of all the painful knee syndromes, as a result of overuse, injury or surgery. If your Orthopedist advises you to start exercising, then your rehabilitation program should include the following goals.   1. RESTORE FULL RANGE OF MOTION Normal function of the knee during the activities of daily living and in sports, requires that the knee can fully straighten and bend as much as possible, without pain. When you bend...

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