In this case of a 13 year old female called Nyah, there was a 4 year history of right knee pain following a skiing trip. The pain was in the medial thigh, around the bulk of the vastus medialis (tear drop muscle). Scans revealed nothing so physiotherapy was ordered via the GP. Several sessions were taken, based around exercises, but the pain persisted.
When I examined Nyah, neurological and orthopaedic tests were unremarkeable, however I did find that she couldn’t contract several muscles eccentrically if I applied only a small force.The...
Being obese or overweight arises from excess energy consumption, relative to expenditure, over long periods. Although eating patterns are influenced by many factors, such as cultural, social and commercial factors, the regulation of food intake and uptake in the body is a very complex process, which involves biochemical signals and hormones from many sources including the brain-gastrointestinal axis, fat stores and the pancreas. Even the fat cells, adipocytes, themselves are highly specialised to play important roles in energy storage,...