Conditions We Treat

The Ankle

Approximately 14% of all sports injuries are ankle sprains. This risk is obviously increased if involved in high impact sports like jumping or running.

The dominant leg is also 2.4 times more likely to get injured and has a 73.5% chance of reoccurrence. This is because the fibula can support up to 1/5 of your body weight as it moves during the stance phase of running to deepen the ankle mortice and enhance the stability of the ankle. The most common injury to the ankle is the ATFL as most people tend to 'go over' on their ankle.

Management of ankle sprains:

  • RICE
  • Seek assistance for treatment and strapping if required.
  • Specific exercises will then be given to strengthen the joint and will focus on proprioception.

Plantar Fasciitis

This is the thickest fascia in the body. Inflammation is common with repetition sports or overuse. It can also be caused due to poor biomechanics of the foot or inadequate footwear? Planter fascia is also made worse if the achilles tendon is tight and is also felt worse after high heels or when you first get out of bed.

What to do:

  • Calf Stretches
  • Taping of the footwear can sometimes give rapid relief
  • Exercises to strengthen foot biomechanics

Achilles tendonitis

The achilles tendon is the largest tendon in the body. It is about 15cm long and 2 cm thick. It is able to withstand forces up to 17 times bodyweight. Achilles tendon pain is very common in runners. Tendonitis is shown with a gradual progression and swelling can be present.

RICE with treatment is the best protocol to get back to sports quickly and to prevent rupture of achilles. An exercise programme can be given to reduce risk of re-injury. Surgery is only required when a rupture has occurred. The rehabilitation of a rupture can take a good 4-6 months.

Hips

In standing each hip takes about 0.3 times bodyweight which is increased to 2.4 times bodyweight whilst standing on one leg. The hip joint is strengthened by 3 capsular ligaments. Hence it is important for surrounding muscles to help with posture, as muscle imbalances around the hip can be the cause of injury. Also hip conditions may refer pain anywhere within the L3 dermatone

Bursitis:

Main site of bursitis around the hip joint is the trochanteric bursa, followed by the ischial bursa and psoas bursa.

Trochantric bursa can be irritated if ITB is tight

  • Can cause �snapping hip� syndrome
  • Can also be caused from biomechanical faults whilst running.
  • Pelvic tilt
  • Running on a banked surface where one leg is longer than the other can also increase pressure on bursa.
  • Psoas bursae - Result of excessive activity
  • Ischial Bursae - Gives pain after prolonged sitting or direct trauma.

Treatment:

  • Rest, Ice
  • Anti inflammatories
  • Stretches depending on cause of bursae

Piriformis Sydrome

  • More common in women
  • Can give pain / tingling in thigh & buttock
  • Due to inflammation, tightness & impinges the sciatic nerve

Treatment:

  • Stretches

Muscle strain: Quadriceps, Hamstrings

This is visible with local swelling and bruising. It also often tracks down to the knee. The initial protocol is RICE. Then strength between the quadriceps and hamstrings needs to be balanced as the quadriceps tend to be stronger. This imbalance leaves the weaker muscle group open to injury. It can also be caused by a lack of flexibility. Adequate rehabilitation is required to prevent re-injury as strains especially in the hamstrings tend to recur.

Knee

Patellofemoral pain syndrome caused by asymmetry of flexibility and strength around the knee

  • Weakness in VMO Treatment
  • Retrain muscle & enable full function
  • Patella taping

ITB friction syndrome - Mainly affects tall young teenagers after growth spurt

  • Adult athletes
  • Runners on uneven surfaces
  • Sprint training
  • Hill running
  • Muscle imbalances

Cruciate Ligaments

This is usually more commonly injured in sport. 70% of acute knee injuries involve ACL damage. Usually caused by rapid deceleration or a twisting motion. Can be caused very similar to MCL or meniscus damage. ACL are normally shown with swelling immediately within 2 hours of injury.

PCL is one of strongest ligaments in the knee. An injury tends to occur when direct force is placed onto a flexed knee and are often seen in road traffic accidents. With a PCL athletes, can usually carry on playing as minimal swelling and only pain on the back of the knee.

Treatment:

  • Possibly immobilize the knee.
  • RICE
  • Intense rehabilitation to strengthen structures around the knee.
  • In severe cases, surgery.

Meniscus tear

The medial meniscus is larger than the lateral meniscus. The medial meniscus is more likely to get trapped and torn due to its attachments, as the lateral meniscus is more mobile. The menisci play a major roll in knee stability and they help in lubricating the joint by spreading the synovial fluid over the surface of the articular cartilage.

For complete diagnosis, meniscal tests and arthroscopy are required.

Treatment:

  • Conservative management: rest, gentle strengthening exercises
  • Surgical Intervention depending on severity.

Bursitis

The knee joint has about 14 bursae and are located between muscle, tendon, bone and skin. The main bursae are pre-patellar bursae (housemaids knee), semimembranosus and pes anerine bursae and Baker�s Cyst. With bursae, you notice a swelling and can tend to feel hot to touch.

Treatment:

  • Rest, Ice and anti anti-inflamatories.

Back

The Sacroiliac Joint

The sacrum is a triangle pointed downwards and is in between the pelvic bones. It allows for movement and is involved in nearly everything we do. Disruption in the SIJ can affect how we move and the dynamics of our whole body. Pain is usually at the base of the back and can travel down the leg. Unfortunately with SIJ problems, each case is different and treatment from a specialist is recommended.

Prolapsed disc

Disc injuries occur frequently through repeated flexion movements and especially when a combination of movements, flexion and rotation, is placed under strain on the spine. They can occur gradually as a result of repeated bending. It can happen at any point in the spine but more commonly in the lower back. A prolapsed disc is when the nuclear bulge ruptures the annulus and then can protrude out onto the nerve root.

Treatment

  • Rest, Ice
  • Anti-inflammatories
  • Physiotherapy
  • Exercises

Neck

Headaches/Migraines

Can be caused by tightness in the neck muscles and poor posture. Especially common in people with desk jobs or drive for a living. Massage can help with heat and exercises to improve the posture.

Shoulder

Rotator Cuff tendonitis

This is common in both as a result of overuse and through trauma. The most commonly affected tendon in the shoulder is the supraspinatus. Pain is found at 90 degrees abduction, 30 degrees into forward flexion and with your thumb pointing to the floor. Management is RICE and through exercises and posture related work.

Impingement syndrome

The subacromial space may reduce up to 50% if the supraspinatus muscle is dysfunctional. This gap is usually about 1cm. Pain is usually felt during abduction at about 70-120 degrees as this is where the greater tuberosity comes close to the acromion. The main structures that get affected are supraspinatus tendon, the long head of biceps and the subacromial bursa. It can also be caused by instability, muscle imbalances, overuse or joint laxity of the shoulder joint.

Treatment:

  • RICE
  • Rehabilitation and hands on treatment
  • Exercises.

Bursitis

There are around 8 bursae around the shoulder. One of the most commonly affected bursae in the shoulder is the subacromial bursa. This lies between the deltoid muscle and the joint capsule. Pain is acute and often refers down the arm and sometimes even into the wrist. Resisted movements are largely painless and a painful arc only presents in subacute cases. If it's chronic, the onset is gradual and a painful arc is present.

Treatment

  • Possible sling if in acute phase.
  • Anti-inflammatories
  • Posture re-alignment

Shoulder Instability

For the glenohumeral joint to be unstable there must be both anterior and posterior laxity. Active stability is achieved through contraction of the rotator cuff muscles compressing the glenohumeral head into the glenoid. Rehabilitation must involve work of all the rotator cuff rather than just one portion. Taping can also be used to aid movement around the shoulder.

Frozen shoulder

Between 2-3% of the adult population between 40 and 70 years old develop this condition as more and more people are playing sports into their later years. It is more common with women and presents as a gradual loss of movement around the shoulder either with or without pain. It becomes noticeable when everyday tasks get harder especially the ability to reach behind their back. The tightness tends to be caused by a tightening of the joint capsule as it thickens and adheres to the humeral head.

Treatment

  • Physiotherapy and in severe cases surgery.
  • Anti-inflammatories

Elbow/hand

Tennis Elbow/ Golfers Elbow

Are common terms used to describe pain either on the inside or outside of the elbow. Repeated activity causes microtrauma and healing tends to fail due to the slow progression of the granulation tissue to a mature form. The pain usual builds up slowly if its an overuse injury or can be instant due to a single incident. Pain is also usually increased when small objects are gripped or thrown.

Treatment

  • RICE
  • Anti-inflammatories
  • strengthening and stretching exercises
  • Sports injury hands on treatment.

Carpal Tunnel Syndrome

Is a condition caused by the compression of the median nerve. It is more common in women than men and occurs typically in later life (40-60 years). A numbness, burning and tingling is felt over the first three fingers. Pain is made worse with repeated movements and prolonged wrist flexion.

Treatment

  • Rest the wrist in a splint
  • Anti-inflammatories
  • Stretching the flexor retinaculum
  • Exercise program to strengthen surround structors

De Quervain�s Syndrome

Is an inflammation and thickening of the synovial lining of the tendons down the thumb side of the wrist. It is usually causes by overuse and is common in ocupations with repetition.

Treatment

  • RICE
  • Responds well to physical treatment
  • Possible immobilization in a splint
  • Corticosteroid injection if severe.

Skier�s thumb

Is an injury to the Ulnar Collateral Ligament (UCL) and occurs when the thumb is abducted e.g. When skiing, the strap on the pole pulls the thumb out. It is found to account for 10% of all alpine skiing injuries.

Treatment

RICE and possible strapping depending upon severity. In severe cases, surgery after an exercise program to strengthen the surrounding structures.

For more information on the conditions we treat and services we offer, or to book an appointment please call 07872 948788 or email us at info@impactsportsinjury.com

Conditions We Treat

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T: 07872 948788
E: info@impactsportsinjury.com

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David Lloyd Leisure, Royal Crescent, Cheadle Royal, Cheadle, Cheshire, SK8 3FL


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Knee Pain
Physiotherapy
Our Sports Rehabilitators are experts at diagnosing and treating both long term and short term knee pain.

Sports Injuries
Sports Injuries
We specialise in treating a large variety of sports injuries such as running injuries, cycling injuries, tennis injuries and muscle strain.
Back pain
Back pain
We treat a large variety of conditions that cause back pain using a combination of physiotherapy, anti-inflammatories and exercise.
Headaches
Headaches
Headaches often stem from neck problems, such as tightness in the neck muscles and poor posture.