Biomedical subjects
Publications and source records attributed to A P Millar.
Anabolic steroid use has escalated in recent years along with law enforcement. A total of 169 athletes participated in a trial of medical prescription designed to minimize harm as drug elimination is impossible. This showed one-third of athletes achieved their goal in one course, and few were frequent users over the 3-to-5-year period of the trial. Side effects were minimal and reversible.
Medial knee pain is an increasingly common presentation in sports medicine practice. A prospective review was undertaken of 72 patients, mean age 48 years, seen in 1986-1987. The physical findings which were most diagnostic were a loss of some degrees of flexion which was painful medially when forced, and tenderness over the posteromedial joint line. Treatment was either injection of local steroid, or physiotherapy, together with emphasis on quadriceps exercise. Five patients failed to respond and were referred for arthroscopy. Nine patients relapsed once but no subsequent episode has occurred. Meniscotibial ligament strain is a common cause of knee pain in middle-aged sports people.
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Increased physical and mental activity has something to offer all people, including the elderly. The medical profession often regards 'geriatric' as a 'condition' instead of a person with special needs and abilities. The opportunity to promote better health to such people is available: we must aim to add life to years not years to life.
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The injuries which occur in recreation have the effect of eliminating participation for a period and also in many cases lead to a cessation of physical activity. The loss of well being as a result of idleness is a price that today's inactive world cannot afford to pay.
Four hundred patients, average age 35 attended for treatment of strains to calf muscles. There was an average delay of 8 days before presenting. The treatment involved several repetitions of a routine involving ice or short wave for pain relief, passive stretching, ultra sound and exercises firstly for the antagonists and then the injured muscle in that order. Quadriceps exercises and correct walking were performed to ensure fitness for sport after cure. The average treatment time was 6 days. Prevention of disability was aided by early treatment, stretching before activity and exercises to increase strength in the calf. The recurrence rate was 1%.
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Explore the source record for details and available documents.
Strains of the posterior calf musculature frequently relate to overuse of the gastrocnemius muscle. The principal sports involved are the slower side-to-side sports. Treatment routine is composed of pain relief, passive stretching, exercises for the antagonists and later the agonists, and quadriceps exercises. In a series of 720 patients, over a 12-year period, this routine has been effective as evidenced by a recurrence of the condition in only 0.7% of the patients. Prevention of the injury is best obtained by regular stretching and strength development routines.