1 day course 5 NOV: Sporting & MSK injury

Sporting and MSK injury in Children and Adolescents

5 November 2017
Prestwich, north Manchester


Course Content
A very popular one day course that introduces the fascinating and complex field of paediatric orthopaedics. Sid explains how the musculo-skeletal system develops, not in a dry factual way, rather he links maturation events to injury explaining their pathogenesis before discussing assessment and treatment approaches.
The clinical thinking, assessment and treatment approaches presented are fully transferable to adult care and understanding developmental anatomy often allows clinicians to visualise how injury in the adult occurs.

Course Aims:
To  improve your clinical assessment and management of this unique patient group and help to develop your clinical problem solving and thinking.

How will it change my clinical practice:
Increased understanding of the issues will improve your confidence and develop your clinical reasoning, helping to develop a logical, analytical approach.

How it differs from other courses:
Sid is a renowned and experienced educator exploring a subject not taught at undergraduate level and little seen at post grad level. His lateral thinking and clinical detective approach have been described as inspirational by previous delegates.

Who its for:
The course is suitable for all MSK physiotherapists as we all treat young people at one time or another.  All levels of experience have benefitted and delegates report very positive learning outcomes advising much of what they learned was new & not taught at undergraduate level or on the post grad circuit

The format:
Two one day courses, one introductory with more theory ( and one advanced with more practical and rehabilitation content – to be run at a later date ).  Courses are informal and presented in a relaxed manner. Sid’s courses are interactive and all delegates are given the opportunity to relate their case histories, contribute their experiences and knowledge and to ask questions.

Venue: Maccabi Sports Centre - Bury Old Road, Prestwich M25 0EG [get directions on Google Maps]


Includes Refreshments, Lunch and Course materials

£ 105

Newly Qualified
£ 75
- for those less than two years post qualification
to help the new generation of clinicians get started

Group bookings
£85 per person for bookings of 3 or more together
– to cater for individuals who work in one NHS trust,  clinic or dept who all may wish to attend
– one gross  payment per department please

Follow the link to our online booking form.
We will email to confirm your place(s) & invite you to make your payment.
Pay by debit or credit card over the telephone by contacting us on 0161 773 3034
Please make cheques payable to 'physioclinics.co.uk' - send to:-
The Physiotherapy course administrator, 119 Heywood Rd, Prestwich, Manchester M25 1LP
Refund Policy:
Once you have been accepted, refunds can only be provided if your place can be sold on to another delegate. As we have fixed venue costs and expenses and have provided discounts where possible please note there are no exceptions.


Venue: Maccabi Sports Centre - Bury Old Road, Prestwich M25 0EG  [get directions on Google Maps]

8.30    Registration (The building will be open from 8.30 a.m.) Tea and Coffee

9.00    Welcome       Paul Quine MCSP

Morning session

An Introduction to the issues in the field

Assessment in paediatric orthopaedics

Developmental anatomy

Linking injury to maturation of the musculo-skeletal system including

Traction epiphysitis

Physeal or ‘growth plate’ Injury

Case histories will be used to illustrate where appropriate and common treatment approaches explored.

12.30 – 1.15 Lunch

Afternoon Session

Spinal Problems in young people

Stress fractures in young athletes

CAM lesions of the hip explained

Bone tumours in the young – How to identify and when to be suspicious

4.30 Close

There is a follow up course with practical content which explores rehabilitation, weight training, screening and provides further training in paediatric orthopaedics exploring more common conditions.

What we will provide:
In addition to a great day of education and the opportunity to socialise and network we will provide a course handout, refreshments for morning and afternoon breaks and lunch all with a smile. We will provide a certificate of attendance to evidence your post graduate training and a receipt on the day.

If you need any help before the event:
please telephone us on 0161 773 3034 or e mail your query to prestwich@physioclinics.co.uk

What you need to bring:
Yourself in a state to learn – no big Saturday night out ! Please bring paper and note taking materials. There is no practical on this course and hence wear what you like. Don’t forget your mobile in case you get lost and we advise that you pre-load our ‘on the day’ contact details.

Privacy Policy:
As we are displaying images of children and their radiography images etc please do not film or photograph the presentation. The images we have permission to share are included in your handout all other images you might require for further study are simply found via our good friend Google.

Pre Course Reading:
Sid advises that if you do not have time to read any pre course material he will provide all necessary detail. However if you wish to bone up on the field the following material is useful:

For developmental anatomy :

Cochard. R. L  Netter’s Atlas of human Embryology updated version 2012 Saunders Elsevier                      ( chapter 1, 8 )

(ISBN-978-1-4557-3997-6 Elsevier-Saunders philadelphia PA )


Schuenke M Thieme Atlas of Anatomy Ed Ross L & Lamperti E D 2010 Thieme ( chapter 1 +2 )

(ISBN-978-1-60406-286-1 Thieme-Stuttgart New York )

For general principles :

Green N.E + Swiontkowski M F      Skeletal trauma in Children 4th ed 2009 Elsevier-Saunders philadelphia PA

(ISBN: 9781416049005 Elsevier-Saunders philadelphia PA)


Hefti F                        Paediatric Orthopaedics in practice 2007 Springer ( chapter 1, 2, 3 +4 )

(ISBN-13 978-3-540-69963-7 Springer-Verlag Berlin Heidelberg New York)


Post Course Meltdown:
As the course is only 1 day we cannot possibly cover the field comprehensively and delegates often have further questions or  cases they would like to discuss – Sid remains available to all physiotherapists who attend his courses for advice or discussion.

Musculoskeletal injuries in sporting children and adolescents
by Sid Ahamed  
Course Review -  Isla Scott MCSP

I have now attended both parts of the course and have to say that they are amongst the most clinically and commercially useful courses that I have ever done!

I have been qualified for 20 years and wish that I had done this course at the beginning of my career. TI1e quiz on Part 1 and subsequent participation made me realise how woefully inadequate my training in managing this patient group had been despite recently completing an MSc in Sports Physiotherapy.

The week after Part 1 I spotted an Osteochondral fracture that had been repeatedly missed for the last 8 months. I had the confidence to ring a consultant directly, explaining my concerns despite the child having been seen several times at A and E and by his GP. He saw him within a couple of days on the NHS and the diagnosis of a displaced oeD lesion was confirmed, This very sporty child had been receiving detentions for missing FE at school!  would not have had the knowledge or the confidence in my diagnosis prior to this course to have done this.


Since this case, I have had a plethora of other cases which have been both interesting and very satisfying to treat, so much so that our practice is rapidly gaining a name for being good at treating youngsters. The practice quickly found itself developing new referral sources such as local schools, clubs and dance academies etc with word spreading amongst the parents which has been great in an increasingly difficult market place.


Ironicaily the week after Part 2, I also had two very complex cases, one involving hip pathology in a ten year old and another the development of negative ulnar variance following a fracture (involving the growth plate) ten months previously, in a rapidly growing fifteen year old boy. In both cases 1 was able to act assertively and request investigation with justification of my clinical thinking despite them already having been seen by their GPs. I can honestly say that I would have struggled to have been confident in clinically reasoning the differential diagnoses prior to attending these courses.


I would go as far as to say that this is a "must do" course for all Physiotherapists who work in the musculoskeletal field, and the earlier that it is done in one's career the better, it is also excellent from a business perspective. I have been shocked at how many of these children have been badly managed and told simply that they have "growing pains" and to get on with it. It has been a total joy to have seen so many now return to sport and activity with parents also reporting that they have spotted early signs of overload following education and dealt with them correctly prevent issues developing. In addition to the fabulous course content and booklets for future reference I have to say that Sid is an outstanding teacher and communicator of information with exceptional knowledge of the topic and ability to convey it.

Isla Scott MCSP


Musculoskeletal injuries in sporting children and adolescents
by Sid Ahamed  
Course Review - Jo McColgan

If you have ever treated an early! mid pubescent child for a ligamentous injury and not given consideration that the proposed diagnosis could be a physeal ( growth plate) injury or if you have never considered that a child presenting with lateral foot and ankle pain could have Sinus Tarsi Syndrome and not a lateral ligament sprain of the ankle. Furthermore, if you would not fee! 100% confident in diagnosing an osteochondritis, a growth plate fracture or a tarsal coalition to name but a few conditions, then attending Sid Ahamed's courses on: "Musculoskeletal Injuries In Sporting Children and Adolescents" Parts 1 and 2 is absolutely essential for you.


In my opinion, these courses are fundamental for any physiotherapist working with children. Attending these courses will enhance your knowledge of skeletal development and maturation stage related injury, greatly improve your paediatric clinical reasoning skills, develop your knowledge and understanding of the issues involved in treating the growing child I athlete, and significantly improve the effectiveness of your assessment, diagnosis and management of this very unique group of patients.


On attending Part 1 of Sid's course, I realised that I was very guilty of treating children as "mini-adults" that I was not treating this particular group of patients as effectively as I could be, and that I had some considerable gaps that! needed to fill in my knowledge base regarding skeletal development and growth related musculoskeletal injuries.


Now, having attended both Part 1 and Part 2 of Sid's courses, all these factors have been comprehensively addressed and as a result I can emphatically say that this is one of the most beneficial and stimulating courses I have been on.


Sid himself is the perfect educator. He is exceptionally knowledgeable and has vast clinical experience in this subject matter. He has an infectious enthusiasm for his subject, is extremely motivational and approachable, and has a real knack of getting those attending the course to share their own experiences and knowledge. He effort!essly stimulates discussion, and from this, a whole lot more is learned. Nobody felt awkward or inhibited.


Sid covers a lot of information on the course, yet his pace and delivery is perfect. As a result, I developed a good understanding of the subjects covered there and then and didn't have to go away and read through the course manual several times in order to digest things.


Sid also included an extra section on, "Strength and Conditioning Training in Children and Adolescents", which the course attendees were keen to discuss. This addendum was also extremely relevant and beneficial.


On the whole, everything about this course is to be applauded. Even the other course attendees. It was so refreshing to attend with such a welcoming group of enthusiastic, motivated physiotherapists, all as equally keen as myself to improve their knowledge and skills and so willing to share information that I'm sure will benefit all our patients. I would emphatically recommend this course and, in the future, I will undoubtedly consider attending Sid's other courses.

Jo McColgan
Private Practitioner
Forfar, Scotland


Musculoskeletal injuries in sporting children and adolescents
by Sid Ahamed  
Course Review - Penny Sergeant MCSP

" How much do you know about injuries in adolescents and children?" Sid asked. "Because I have a quiz for you. I will warn you that the average score for this is 6 out of 40 so don't worry if you don't do well"


Well, I've been qualified and practicing for 28 years and I was confident, having dealt with many and various sporting youngsters in that time, that I knew most of it and would surpass his expectations. I did better than average, scoring 6 % out of 40. The scores in our group varied from 2-16 so I wasn't alone.


Having thoroughly humbled us, Sid then proceeded, with great eloquence born of vast experience and an easy manner, to re-educate us. I say re-educate because we had been taught most of it at some time in our training or practice but we had never seen the x-ray! MRI scans of the conditions.


He took us through the growing adolescent skeleton and highlighted the stresses and strains that are put on it by the ever increasing demands of sports such as: gymnastics, football, athletics and swimming. How to spot avulsion fractures and chrondral injuries and differentiate them from tendon and ligament injuries was very useful. He touched on the care required when dealing with elite athletes and the risk of litigation. We were shown rehab drills for footballers and athletes and how sports specific they are. The need to know the specifics of the sport that our young patients are returning to was emphasised and liasing with their coaches is highly desirable.


Sid answered any questions raised fully and by the end of the day I'm sure that we all would have scored much more highly in his quiz.


A one day course was adequate but slightly rushed. He had so much experience and information that it could easily have been spread over a day and a half or two days. We ended the day feeling more confident and informed with our learning outcomes fully met. It was definitely a worthwhile day and I would advise all physiotherapists who treat patients with immature skeletons to attend this course.


Penny Sergeant MCSP


Musculoskeletal injuries in sporting children and adolescents
by Sid Ahamed  
Course Review -  Angela Hughes MCSP


This course is an absolute must for any physiotherapist assessing and treating children or adolescents even in the smallest way. It makes a great consolidation day for those of us who work within this area a lot. The day started with a quiz from Sid to find out where our weaknesses lay - in the nicest possible way! Now, armed with how little the majority of us scored, he could set about telling us all what we needed to know!


Anatomy revised, we set about the specific conditions seen in this age group and how they differ from adults.


Those less experienced in this area will have come away confident in diagnosing conditions they may have called something else prior to this course for this age group. They will also be much happier in their management of these conditions. Good subjective simple visual analogue pain scale marker were used to assess when to stop the child I adolescent from playing, which I have found very helpful already and then when to allow them to return to sport specific training depending on pain scales.


The knowledge that many of the conditions seen must be treated like fractures rather than soft tissue injuries and that the tendon is stronger than the apophysis and that the worst that could happen would be an avulsion fracture if they continued to play through pain was a very powerful tool to use to persuade patients to take enforced rest until pain levels reduce. The importance of flexibility and good lower limb alignment was discussed and the importance of podiatrists and orthotic provision where necessary.


Sid has a fantastic lecturing style - captivating to listen to , and we all found it very easy to ask questions and felt able to chip in at any time with our thoughts and experiences, which I am sure benefited us all.


Angela Hughes MCSP