UPMC Sports Surgery Clinic hosted its fifth annual GP Golf Day last week in Powerscourt Golf Club.
The weather was fantastic in Enniskerry and the East Course was in tremendous condition.
Spirits were high and this was reflected in the exceptional scorecards returned on the day!
Thank you to everybody who attended, we hope you enjoyed it as much as we did.
For more images click below.
Patients suffering from Athletic Groin Pain are returning to their sport almost 50% quicker after rehabilitating at a new biomechanical facility at Dublin’s UPMC Sports Surgery Clinic.
Ground-breaking research reveals that 73% of patients with Athletic Groin Pain return to play at an average of 9 weeks with biomechanical rehabilitation at the clinic. This work, part of a series of 3 papers published by SSC’s Groin Group in the prestigious British Journal of Sports Medicine shows the fastest published rehabilitation of groin pain patients to date.
This compares with previously published rehabilitation figures of 18.5 weeks return to play for non-surgical, and 14-18 weeks following surgical intervention. SSC’s Sports & Exercise Medicine Department have pioneered the use of 3D Biomechanics (VICON motion capture technology) when treating patients suffering from Athletic Groin Pain since they established the laboratory in 2013.
This technology digitises an athlete’s movement, clearly defines forces through the body and provides new insights into understanding rehabilitation interventions. Data captured in the testing is used by clinicians in their assessment of the patient’s injury and the development of a rehabilitation programme.
SSC Sports Medicine clinicians consist of highly experienced Sports Physicians, Physiotherapists, Strength & Conditioning coaches and Biomechanists who treat over 700 patients suffering from Athletic Groin Pain every year.
They have developed a research database of over 4,000 people affected by Athletic Groin Pain and have collaborated with the University of Roehampton in London, Dublin City University, Science Foundation Ireland and Insight to develop this highly effective new non-surgical rehabilitation pathway.
SSC’s latest research paper ‘Clinical and biomechanical outcomes of rehabilitation targeting intersegmental control in athletic groin pain: prospective cohort of 205 patients’ was published by the British Journal of Sports Medicine in March 2018.
Athletic Groin pain refers to a group of conditions that present as pain in the hip and groin. They are commonly referred to as Sportsman’s Hernia, Gilmore’s Groin, Adductor Tendinopathy, Athletic Pubalgia and Osteitis Pubis. It is commonly seen in male athletes, especially those involved in multidirectional sports such as soccer (20%), Australian rules (49%), Gaelic football (38%), and Rugby (60%) annually.
Symptoms often develop gradually. Initially, athletes see a decrease in performance with running, cutting, kicking and pain after training. Symptoms gradually worsen until athletes are no longer able to compete.
A current trend is to blame the hip joint and symptoms of femoral acetabular impingement (FAI) for all groin pain – however latest research indicates that is present in almost all footballers, and in many cases, it is the body’s natural response to training load in pre-adolescent years.
Issues around the hip are therefore more often problems we should be attempting to prevent rather than correct once they have occurred. The Groin Lab at SSC has been developing innovative methods of assessment and rehabilitation to improve outcomes of return to play without surgery in this large group of athletes.
73% of athletes undergoing biomechanical rehabilitation at SSC’s Groin Lab return to play after 9 weeks with a biomechanical rather than anatomical approach to rehabilitation.
Current time in GroinLab Rehabilitation is 9.9 weeks (6.2 through 12.6 weeks) before full return to play. This compares to previously published rehabilitation protocols of Hölmich et al (68% RTP, 18.5 weeks) and Weir et al (48% RTP, 17.3 weeks)
It also compares well to the surgical approach for adductor (63%–76% RTP, 14–18 weeks) and pubic pathology (100% RTP, 13–28 weeks) as well as hip arthroscopy (O’Connor et al).
The Groin Lab at SSC is available for all sportsmen and women both in Ireland and internationally. At present, it is treating on average 2 to 3 referrals of high profile international athletes every week.
| Anyone suffering from Athletic Groin Pain wishing to avail of the facilities at UPMC Sports Surgery Clinic can do so by making an appointment by contacting sportsmedicine@sportssurgeryclinic.com |
Three landmark papers published in the British Journal of Sports Medicine with the highest Impact factor of any Sport Science, Medicine, and Orthopaedic Journal.
If you’re serious about training and competition, then at some point you’re sure to have asked yourself ‘Am I doing this right?’
We all follow general principles; don’t over-train, get plenty of rest, eat well, stay properly hydrated – but eventually we reach a point where something more tailored to us as individuals is needed, and the value of objective, science-based approach.
At UPMC Sports Surgery Clinic’s Run Lab, Strength and Conditioning Coach Colin Griffin explains the role of their services in improving performance and reaching goals.
Griffin, who represented Ireland as a 50km race walker in two Olympics and has coached other athletes to that level, and has recently run a marathon in 2.29.15, is an accredited strength and conditioning coach who is leading Run Lab’s superbly-appointed service in Gulliver’s Retail Park in Santry, north Dublin.
“Endurance performance is multi-factorial and while aerobic endurance is very important, there are other trainable variables that can contribute to further performance improvements or at least more consistent training. The Run Lab service provides comprehensive profiling of the athlete and can identify areas of limitation for people who are ambitious to improve their performance”
The aim is to optimise performance in a real-world setting, so when we recommend areas of training on which to focus, we’re taking into account the lifestyle factors which may make some changes difficult; for instance the type of work you do, the hours you keep, your access to facilities and so on. These factors influence how your body can recover and adapt to training.
This isn’t a once-off process; ideally, we like to follow-up after, say, 8-10 weeks to review progress and if necessary make changes to our recommendations. It is a consultation service and we also welcome interaction with the athlete’s coach. Essentially, we’re offering ongoing support for athlete and coach.
| There’s also the injury-prevention aspect to our service; by talking to the athlete about their injury history and training profile, in combination with physiological tests, we can identify any areas of weakness or imbalance that could either explain past injuries or help forestall future problems. |
There is a greater need to train smarter; the ‘traditional’ approach to endurance running emphasises mileage, with 100 miles per week the gold standard. However, athletes can reach a ceiling where increasing mileage further may not yield any further benefits and training needs to be more creative. For some athletes, they may not be able to tolerate that mileage without breaking down regularly. With Run Lab, we can help identify more efficient and effective methods to optimise endurance by training at the right intensities together with developing power and elasticity to complement their running.
We use a wide range of technology, including force plates and 3D motion analysis. The 2-hour consultation begins with a strength and conditioning coach who will discuss your training background and performance goals. You will be measured for height and weight. Then you will have your ankle and hip mobility assessed, as well as your balance during a single leg squat.
After a brief warm-up, you will perform a series of jumping and hopping tests on the force plate. The results of these tests will tell us whether you need to develop more strength or power, and your tendons’ ability to absorb and return elastic energy – an important determinant of running economy and performance.
We perform a gait assessment using video analysis, looking at posture, how you strike the ground and how you absorb impact, noting any asymmetries between left and right side. We can then advise if you would benefit from making some changes to your running technique to improve performance or reduce your risk of injury.
A treadmill test then measures the lactate threshold, running economy; indicators of aerobic efficiency. We will then be able to advise you on what zones you should train at for long runs and interval training. The athlete receives a dashboard report which they can discuss with their coach to help them devise a more effective training programme.
| For more information or to book an appointment at SSC’s Run Lab service please contact 01 526 2040 |
This event consisted of workshops with the following:
Researchers working with SSC are looking for asthmatics to volunteer for a research study to investigate the effect of time of day on exercise-induced asthma.
The study will consist of 3 visits to Trinity College Dublin. On the first visit, they will perform a medical exam and explain the procedure to you. Visits 2 and 3 will occur in the morning and evening and the test will be performed.
The test involves you breathing a gas mixture fastly and deeply to replicate the effect of exercise. For this study, they are looking for male asthmatics, aged 18-35, who have mild to moderate asthma. Participants should be otherwise healthy and not had a severe asthma attack requiring hospitalisation in the prior 5 years.
| If you are interested please contact Dr Andrew Rowe on arowe@tcd.ie for further information. |
A selection of photographs from SSC’s GP Educational evening focusing on Hip and Groin Pain which was hosted in Santry last night.
At this event presentations were by Mr Michael Donnelly, Consultant Orthopaedic Surgeon; Mr Gavin McHugh, Consultant Orthopaedic Surgeon and Sam Baida, Senior Musculoskeletal Physiotherapist specialising in Hip and Groin Pain.
Our next event for GPs is our 2018 Spring GP Study Day which is taking place in Santry on Saturday, April 14th.
| For further information click here. |
On Tuesday 30th of January UPMC Sports Surgery Clinic hosted an Open Evening for Nurses in the clinic.
Director of Nursing Mary O’Brien and her team of Nurses were on hand to discuss nursing opportunities available at SSC with visitors and showcase the facility.
This event took place between 5.30 pm and 8 pm and there are plans to host similar events later in the Spring.
UPMC Sports Surgery Clinic is currently recruiting for nurses in the following areas :
If you are interested in joining our team please do not hesitate to contact Director of Nursing Mary O’Brien.
| To discuss nursing career opportunities or arrange an appointment with Mary O’Brien please call 01 5262175 or email maryobrien@sportssurgeryclinic.com |
A selection of photographs from SSC’s educational evening focusing on orthopaedics and sports injuries which was hosted in Kilashee House Hotel, Co. Kildare.
SSC would like to thank everyone who braved the atrocious weather conditions to join Mr Diarmuid Molony, Dr Kathir Tamilmani and Mr Mihai Vioreanu to make this a very special event.
Our next educational evening for GPs and Physiotherapists focusing on orthopaedics and sports injuries will take place next month in Farnham Estate, Co Cavan.
| Click here for further information |
Mr Molony is a graduate of University College Dublin. He completed higher surgical training in Orthopaedic Surgery in Ireland in 2010 and spent the following year as a clinical fellow in shoulder and elbow surgery at the Royal North Shore Hospital (University of Sydney) in Australia and as Trans-Tasman Shoulder and Elbow fellow in Christchurch, New Zealand.
He also completed visiting fellowships focussing on elbow reconstruction in the Hand and Upper Limb Centre, London Ontario and The Mayo Clinic, Rochester Minnesota.
Mr Molony returned to Ireland in September 2011 and has been practising as a consultant orthopaedic surgeon specialising in shoulder and elbow surgery since then. Having initially worked in Waterford, he returned to Dublin in May of 2014 and currently works in Tallaght hospital and is clinical lead in orthopaedic surgery in that hospital. He is also appointed to Blackrock Clinic and joined the UPMC Sports Surgery Clinic in March of 2017. He provides a tertiary referral service for complex shoulder and elbow problems and has a particular interest in post-traumatic elbow and shoulder reconstruction, shoulder and elbow instability and joint replacement of the shoulder and elbow.
Mr Molony has a Masters in Surgery and has published over 20 peer-reviewed publications and a book chapter. He has ongoing research interests in the traumatic shoulder and elbow injuries and sports injuries. He is involved in higher surgical training in orthopaedics both in Ireland and internationally.
He is a founding member and treasurer of the Irish Shoulder and Elbow Society and a member of the British Elbow and Shoulder Society. He is a fellow of the Royal College of Surgeons in Ireland and a member of the Irish Institute of Trauma and Orthopaedic Surgery and the Irish Orthopaedic Association. He is an AO trauma instructor and has acted on faculty for international meetings on shoulder and elbow reconstruction and trauma surgery.
| For further information on Mr Molony please contact Lisa Flanagan on 089 400 4995 or email dmorthoclinic@gmail.com |
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