David Ravech

Thoracic Outlet Syndrome Management Explained - Part 1

Thoracic outlet syndrome cannot be described as one condition but is the agreed name for a variety of symptoms which are explained by being assumed to be due to compression of the blood vessels and nerves as they go through the area called the thoracic ou... Read >

Explaining Physiotherapy Management of Hamstring Injuries

Diagnosing and determining the severity to the injury is the first and most important issue to be decided as this determines the expected course of recovery and the ultimate time it will take until the patient is back to normal function. Physiotherapy is ... Read >

Multiple Sclerosis Explained-Part 2

Due to the fact that almost everybody with MS has a steady progression of their condition even if they don't have obvious attacks, the term benign MS appears to be a misnomer. A very few patients may turn out to have had a clinical attack and then did not... Read >

Multiple Sclerosis Explained

Multiple Sclerosis (MS) is an inflammatory neurological disease affecting the central nervous system which results in loss of myelin, the insulating material around nerves, a process called demyelination. The lesions in MS are scarred, thickened areas, gi... Read >

Chronic Arthritis of Childhood Explained-Part 2

When a smaller number of joints are affected (the oligoarticular type) there are four or fewer joints exhibiting arthritic symptoms with the larger joints being preferentially affected. Such children do not present as unwell although they may limp when as... Read >

Chronic Arthritis of Childhood Explained

Juvenile Rheumatoid Arthritis is the commonest rheumatological disease which occurs in children and one of the commonest child chronic diseases. It covers a number of individual disorders which all have chronic joint inflammation in common. The causes of ... Read >

Hamstring Injuries Explained

In the back of the upper leg (the posterior thigh) lie the hamstrings, a group of muscles which are particularly vulnerable to injuries and ongoing pain problems in athletic individuals. The upper part of the muscles in the upper thigh and lower buttock a... Read >

Falling

Hampstead Heath this morning was beautiful but treacherous and all of a sudden, as is usual with such things, I fell over on the ice. One minute I was walking along chatting and the next minute I was on my bottom as my wrist, forearm, shoulder and buttock... Read >

Cystic Fibrosis Explained

Cystic fibrosis is an inherited condition with a fatal outcome and the most common type of these conditions in populations of Caucasian origin. It is inherited as two recessive genes, one from each partner, although these carriers show no sign of illness.... Read >

The Injured Acromioclavicular Joint Explained - Part One

The shoulder is a very vulnerable joint in many functional and sporting situations and needs careful treatment and management to recover back to its normal abilities. The main joint in this region is the shoulder joint proper, known as the glenohumeral jo... Read >

Multi-directional Instability of the Shoulder Explained

Instability of the shoulder in multiple directions is moderately often encountered, occurring normally on both sides of the body and is not related to accident or injury. The underlying difficulty is the laxity of the capsule of the shoulder and the defic... Read >

Flat Feet Explained- Part Two

As the calf muscles contract and a person rises up on tiptoes to bring the bodyweight over the heads of the metatarsals there is normally an inward deviation of the heel region. This inward deviation will not be present if there is a significant dysfuncti... Read >

Reasons For Acquired Flat Foot

Flat foot is common in the population and classed either as congenital flat foot which is not a pathology as such and may not give symptoms, and acquired flat foot which develops in adult life from a foot problem. There are many potential causes of flat f... Read >

What Is Ankle Impingement

Ankle impingement is a condition whereby the patient suffers from a restriction in their ankle movement due either to a bony or soft tissue problem. The typical causes of this condition are usually irritation of the capsule or synovial membrane of the ank... Read >

An Insight Into Fractures of the Plateau of the Tibia

At the upper end of the tibia is the tibial plateau, an expanded and flat open area of bone which forms the lower part of the knee joint. The plateau has a vital role to play in weight bearing and if this surface is damaged then this can adversely affect ... Read >