Dr Dharam, Author at Elite Physio Therapy

IT Band Syndrome : Lateral Knee Pain

Posted on April 8, 2025 by Dr Dharam

Introduction

Iliotibial Band Syndrome (ITBS) is a prevalent overuse injury among athletes, particularly runners and cyclists. It commonly impairs performance and day-to-day activities by presenting as pain on the outside of the knee. Our expertise in identifying and treating ITBS at Elite Physiotherapy and Sports Injury Centre guarantees a quick and efficient return to activities.

Understanding the Iliotibial Band

The iliotibial (IT) band is a thick band of fascia extending from the hip’s lateral aspect down to the outer part of the knee. It plays a crucial role in stabilizing the knee during movement. When this band becomes tight or inflamed, it can lead to ITBS.

Causes of IT Band Syndrome

Iliotibial Band Syndrome develops as a result of several factors:

Training Errors: The IT band may be strained by abrupt increases in training time or intensity, insufficient rest, and inadequate warm-up exercises.
Biomechanical Problems: Poor running mechanics, excessive foot pronation, and variations in leg length can all put more strain on the IT band.
Muscle Imbalances: Improper leg alignment can exacerbate IT band friction if there is weakness in the hip abductors, gluteal muscles, and core.

Repetitive knee flexion and extension usually result in ITBS because the IT band rubs against the lateral femoral epicondyle. Particularly when running or cycling, this friction causes irritation and inflammation.

Signs and Symptoms

Individuals with Iliotibial Band Syndrome may experience:

Lateral Knee Pain: A searing or sharp pain on the outside of the knee that usually gets worse when you move.
Tenderness: Sensitivity, especially close to the knee, along the IT band.
Swelling: Localized swelling on the outside of the knee.
Pain with Movement: Uncomfortable when doing things like climbing stairs or sitting for extended periods of time.
Audible Sounds: During movement, the outside of the knee may snap or pop.

Diagnostic Approach at Elite Physiotherapy

At Elite Physiotherapy and Sports Injury Centre, we employ a comprehensive assessment to diagnose ITBS:

Physical Examination

Posture and Gait Analysis: Analyzing alignment and movement patterns to spot irregularities.
Palpation: Evaluating the IT band’s softness.
Range of Motion Tests: Assessing ankle, knee, and hip joint mobility and flexibility.

Functional Assessment

Activity Simulation: Keeping an eye on mechanics when cycling or jogging in order to spot problematic trends.
Strength testing: Involves determining how strong the quadriceps, gluteal muscles, and hip abductors are.

Special Physiotherapy Tests

Ober’s Test: Determines how tight an IT band is.
The Noble Compression Test: Detects crepitus or pain at the lateral femoral condyle when the knee is moved.
Modified Thomas Test: Assesses hip flexor and IT band flexibility.

Physiotherapy Management at Elite Physiotherapy

Our tailored approach focuses on alleviating symptoms, addressing underlying causes, and preventing recurrence:

Pain Management

Cryotherapy: Using ice packs to decrease inflammation and numb pain.
Electrotherapy: Pain management through the use of techniques such as transcutaneous electrical nerve stimulation (TENS).

Manual Therapy

Soft Tissue Mobilization: To relieve tension, deep tissue massage is used to target the gluteal muscles, tensor fasciae latae (TFL), and IT band.
Myofascial Release: Resolving trigger points in the IT band and surrounding muscles.
Joint Mobilization: Improving hip, knee, and ankle joint alignment and mobility.

Stretching Activities

Improving flexibility in the IT band and surrounding muscles:

Standing IT Band Stretch: Lean sideways and cross one leg behind the other to perform a standing IT band stretch that stretches the outer thigh.
Seated Glute Stretch: Stretching the glutes while seated involves placing one ankle over the other knee and applying light pressure to the elevated knee.

Strengthening Exercises

Building strength to correct muscle imbalances:

Clamshells: Bend your knees while lying on your side, then open and close your top knee in a clamshell motion.
Lateral Band Walks: Using a resistance band over your ankles, perform lateral band walks while keeping the band taut.
Single-Leg Deadlifts: Lower your torso while extending the other leg behind you while maintaining balance on one leg and hunching at the hips.
Step-Ups: Focus on controlled motions as you step onto a platform with one leg and raise the other leg.

Biomechanical Correction

Gait Retraining: Using techniques to improve walking or running patterns is known as gait retraining.
Footwear Assessment: Making recommendations for suitable footwear or orthotics to correct foot mechanics.

Advanced Modalities

Incorporating state-of-the-art technologies to enhance recovery:

Shock Wave Therapy: Encourages the IT band to recover by using acoustic waves.
The Super Inductive System: uses electromagnetic fields to provide pain alleviation and deep tissue repair.
High-Intensity Class 4 Laser Therapy: Uses concentrated light energy to speed up tissue repair and lessen inflammation.
Hydrotherapy: Lessens joint impact while enabling movement-based recovery
Taping: Using kinesiology taping to relieve tension and promote biomechanics

Why Choose Elite Physiotherapy for IT Band Syndrome?

We offer a holistic and science-backed approach to musculoskeletal injuries at Elite Physiotherapy and Sports Injury Center. Our combination of clinical expertise, world-class facilities, and individualized attention ensures unmatched outcomes for every patient.

We are proud to provide:

One-on-one physiotherapy sessions
Customized exercise prescriptions
High-end electro-modalities and manual therapy techniques
Sports-specific rehabilitation programs
Guided return-to-sport protocols

Book Your Appointment Today

Don’t let lateral knee pain limit your lifestyle or sports performance. Early intervention ensures faster recovery and prevents long-term issues.

Visit our website at elitephysiotherapy or call us to book a consultation with our expert physiotherapists.

Let us help you move pain-free, perform better, and prevent injury -the Elite way.

PLANTAR FASCIITIS

Posted on April 5, 2025 by Dr Dharam

Introduction

Plantar fasciitis is one of the most common causes of heel pain, affecting athletes and non-athletes alike. Our innovative physiotherapy treatments for plantar fasciitis at Elite Physiotherapy & Sports Injury Centre guarantee a quick and efficient recovery. A thorough explanation of plantar fasciitis, including its causes, symptoms, diagnosis, and state-of-the-art physiotherapy treatment, is given in this article.

What is Plantar Fasciitis?

The inflammation of the plantar fascia, a thick band of tissue that runs from the heel bone to the toes, is known as plantar fasciitis. It is essential for maintaining the arch of the foot and absorbing shock when moving. Pain and stiffness are caused by tiny tears that form when this fascia is overstressed.

Causes of Plantar Fasciitis

Excessive strain and stress on the plantar fascia causes inflammation and microtears, which is known as plantar fasciitis. Typical reasons include:

Overuse Injury: Repetitive stress from sprinting, jumping, or extended standing can result in overuse injuries.
Poor Foot Biomechanics: High arches, flat feet, or inappropriate running or walking patterns.
Inappropriate Footwear: Wearing shoes with insufficient cushioning or arch support is considered inappropriate footwear.
Obesity: Excess weight puts undue strain on the plantar fascia.
Tight Calf Muscles: The heel is under more stress when ankle mobility is restricted.
Sudden Increase in Activity: Increasing training intensity quickly without the necessary conditioning.

Excessive loading of the plantar fascia leads to degenerative changes rather than acute inflammation. Chronic pain and stiffness are caused by microtears that form at the fascia’s attachment to the calcaneus (heel bone). The fascia thickens and fibroses as a result of this tension over time, losing its flexibility and functionality.

Signs, Symptoms, and Clinical Features

Heel Pain (First-Step Pain): Severe heel pain, particularly in the morning or after extended periods of inactivity.
Localized Tenderness: Palpable pain near the medial calcaneal tubercle.
Activity-Aggravated Pain: Prolonged standing, running, or walking exacerbates pain.
Foot stiffness: The arch of the foot becomes less flexible, particularly after inactivity.
Pain Reduction with Rest: When you take a break, your symptoms go away, but when you move, they come back.
Swelling: In rare instances, there may be mild heel edema.

Diagnosis of Plantar Fasciitis at Elite Physiotherapy & Sports Injury Centre

To properly diagnose plantar fasciitis, we at Elite Physiotherapy & Sports Injury Centre perform thorough physical and functional evaluations. We assess foot mechanics, muscular imbalances, and pain sources using specific physiotherapy exams.

Physical and Functional Assessment

1. Observation and Palpation

Look for any indications of an irregular weight distribution, foot arch height, and swelling.
To determine whether the medial calcaneal tubercle is painful, palpate it.

2. Special Physiotherapy Tests

The Windlass Test – Involves dorsiflexing the big toe to assess the tightness of the plantar fascia.
The heel raise test – Detects weakness and soreness when performing single-leg heel raises.
The Navicular Drop Test – Evaluates arch stability and foot pronation.

3. Gait and Biomechanical Analysis

Examining running and walking patterns to identify irregularities in foot action.
recognizing compensatory motions that could exacerbate discomfort.

4. Range of Motion and Strength Testing

Evaluating calf muscle stiffness, foot arch flexibility, and ankle dorsiflexion.
Assessing the strength of the intrinsic foot muscles.

Advanced Physiotherapy Management of Plantar Fasciitis

At Elite Physiotherapy & Sports Injury Centre, we utilize cutting-edge physiotherapy treatments to ensure rapid and effective recovery. Our treatment approach focuses on reducing pain, improving biomechanics, and restoring foot function.

1. Pain Management Techniques

Shockwave therapy – Decreases chronic pain, promotes healing, and breaks down scar tissue.
High-Intensity Class 4 Laser Therapy – Encourages tissue regeneration and reduces inflammation.
Super Inductive System (SIS) – Deep tissue stimulation is provided by the Super Inductive System (SIS) to enhance neuromuscular function and lessen discomfort.
Cryotherapy – Cold therapy, or cryotherapy, is used to lessen acute pain and inflammation.

2. Manual Therapy

Myofascial Release: Specific manual procedures to alleviate calf muscle and plantar fascia strain.
Deep Tissue Massage: Reduces lower leg and foot trigger points.
Joint Mobilization: Enhances movement patterns by increasing ankle and foot mobility through joint mobilization.

3. Therapeutic Exercises

Stretching Exercises

Plantar Fascia Stretch – Pulling the toes toward the shin to release tension is known as a plantar fascia stretch.
Calf Stretching – To lessen the strain on the fascia, stretch the gastrocnemius and soleus muscles.

Strengthening Exercises

Intrinsic Foot Muscle Strengthening: Arch lifts, toe curls, and towel scrunches are exercises that strengthen the muscles of the feet.
Calf Raises: Increasing the strength of the lower leg and foot muscles.
Resisted Ankle Movements: To increase foot stability, use resistance bands.

Balance and Proprioception Training

Single Leg Balance Exercise: Improve arch control and foot stability
Wobble board training: Training on a wobble board increases foot strength and coordination

4. High-End Electrotherapy and Modalities

CRET Therapy (Capacitive-Resistive Energy Transfer Therapy) – Enhances deep tissue healing and reduces inflammation.
Hydrotherapy – Water-based exercises to reduce weight-bearing stress on the foot.
Ultrasound Therapy – Provides deep tissue healing and improves circulation.

5. Footwear Modification and Orthotics

Custom Orthotics – Provides arch support and redistributes pressure evenly.
Footwear Advice – Guidance on selecting shoes with proper cushioning and arch support.

6. Kinesiology Taping

Supportive Taping Techniques – Reduces stress on the plantar fascia and improves foot mechanics.
Dynamic Taping – Provides proprioceptive feedback to enhance foot function.

Why Choose Elite Physiotherapy & Sports Injury Centre for Plantar Fasciitis Treatment?

At Elite Physiotherapy & Sports Injury Centre, we provide:

Expert Physiotherapists specializing in sports injury rehabilitation.
State-of-the-art technology for advanced pain relief and healing.
Personalized treatment plans tailored to individual needs.
Holistic approach integrating manual therapy, exercises, and high-end modalities.
Fast recovery and long-term pain relief with advanced physiotherapy techniques.

Conclusion

Plantar fasciitis can be debilitating, but with the right physiotherapy treatment, recovery is possible. At Elite Physiotherapy & Sports Injury Centre, we use the latest evidence-based techniques, high-end modalities, and expert physiotherapy care to ensure optimal healing. If you’re experiencing heel pain, don’t let it affect your daily activities. Book an appointment today and take the first step towards a pain-free life!

TURF TOE | TOE INJURY

Posted on April 1, 2025April 1, 2025 by Dr Dharam

Introduction

Turf toe is a significant concern for athletes, particularly those engaged in sports requiring sudden acceleration, deceleration, or directional changes. The diagnosis and treatment of turf toe is our specialty at Elite Physiotherapy and Sports Injury Centre, guaranteeing a quick and secure return to optimal performance.

Understanding Turf Toe

Turf toe refers to a sprain of the metatarsophalangeal (MTP) joint of the big toe. Usually, this injury happens when the toe is forcefully twisted upward, causing the soft tissues and ligaments around it to stretch or rip.

Causes and Mechanism of Injury

The primary cause of turf toe is hyperextension of the big toe, often resulting from:

Sports Activities: Because artificial grass has less traction, playing sports on it might cause the foot to slip backward while the toe stays planted.
Inappropriate Footwear: The danger might be increased by wearing shoes with flexible soles or inadequate support.
Repetitive Stress: The disorder may be exacerbated by constant push-off motions, which are typical during running and leaping.

Signs and Symptoms

Individuals with turf toe may experience:

Pain and Tenderness are located at the base of the big toe, intensifying during movement.
Swelling and Bruising: Visible around the MTP joint.
Limited Joint Movement: Difficulty in bending or straightening the toe.
Instability: A sensation of looseness in the toe joint.

Diagnostic Methods

At Elite Physiotherapy and Sports Injury Centre, our diagnostic approach includes:

Clinical evaluation: Entails reviewing the patient’s medical history and performing a physical examination to detect limitations in the range of motion, edema, and soreness.
Functional assessment: Involves tracking weight-bearing and walking patterns to identify any irregularities.
Special Physiotherapy Tests: Making use of certain evaluations to assess the MTP joint’s and the surrounding structures’ integrity.
Imaging Studies: Making a referral for MRI or X-rays when required to evaluate soft tissue injury or rule out fractures.

Advanced Physiotherapy Management

Our centre offers a comprehensive, individualized treatment plan focusing on:

Initial Care

Rest and Activity Modification: Helping patients cut back on activities that make their symptoms worse.
Cryotherapy: Using ice packs to relieve pain and inflammation.
Compression and Elevation: To reduce swelling, apply bandages and raise the foot.

Therapeutic Modalities

Shock Wave Therapy: Using acoustic waves to promote healing and reduce pain.
High-Intensity Class 4 Laser Therapy: This method reduces inflammation and promotes cellular healing by penetrating tissues with laser light.
Super Inductive System (SIS): Using electromagnetic fields to improve neuromuscular function and reduce pain.
Hydrotherapy: Performing regulated aquatic activities to increase mobility without putting undue strain on the toe.

Manual Therapy

Joint mobilization: It is the process of restoring normal joint mechanics with mild movements.
Soft Tissue Manipulation: Applying pressure to the surrounding muscles and ligaments to ease stress and increase blood flow.

Exercise Rehabilitation

Range of Motion Exercises: Using motions to preserve and improve joint flexibility.
Strengthening exercises: Targeting the lower leg and foot muscles to improve MTP joint support.
Proprioceptive Training: Improving balance and coordination through proprioceptive training can help avoid further injuries.

Education and Prevention

Advice for Footwear: To safeguard the toe joint, shoes with the right amount of support and stiffness are advised.
Activity Modification: Advising on methods and approaches to reduce the chance of re-injury when playing sports and going about daily tasks.

Conclusion

Although common among athletes, turf toe requires prompt and effective treatment to prevent long-term issues. At Elite Physiotherapy and Sports Injury Centre, we provide customized treatment using cutting-edge modalities and research-proven techniques. We want to ensure that you can quickly and safely resume your active lifestyle.

LISFRANC INJURY OF THE FOOT

Posted on March 29, 2025April 3, 2025 by Dr Dharam

Introduction

A Lisfranc injury affects the midfoot, involving the tarsometatarsal joints and associated ligaments. A prompt and precise diagnosis is essential for successful treatment and the best possible outcome. Each patient receives individualized care at Elite Physiotherapy and Sports Injury Centre, where we specialize in cutting-edge physiotherapy therapies designed to address Lisfranc issues.

Causes and Mechanism of Injury

Lisfranc injuries can result from both direct and indirect trauma:

Direct Trauma: A force exerted to the top of the foot, as in car accidents, crush injuries, or falls from a height, is frequently the cause of direct trauma.
Indirect Trauma: Twisting on a plantarly flexed foot or axial loading through the foot are common causes of indirect trauma, which is commonly observed in sports like football or horseback riding.

Signs and Symptoms

Patients with a Lisfranc injury may exhibit:

Pain and swelling in the Midfoot.
Bruising on the bottom of the foot.
Pain when bearing weight, particularly when going downstairs.
Tenderness when the midfoot region is touched.
Difficulty or inability to bear weight on the affected foot.

Diagnostic Methods

Accurate diagnosis involves a combination of clinical assessment and imaging studies:

Clinical Examination: Key assessments include:
- keeping an eye out for bruises and swelling, especially on the bottom of the foot.
- Palpating the midfoot to identify areas of tenderness.

Performing specific tests, such as:
- Piano-Key Test: Moving the metatarsals up and down to detect pain or instability.
- Midfoot Compression Test: Squeezing the foot’s width to stress the space between the first and second metatarsals, noting any pain or clicking sounds.
- Passive Pronation-Abduction Test: Rotating the forefoot outward while stabilizing the hindfoot to assess for pain, indicating potential injury.

Imaging Studies:
- X-Rays: Weight-bearing X-rays are essential to reveal joint misalignments or fractures.
- CT Scans: Useful for detecting subtle fractures and planning surgical interventions.
- MRI: Effective in evaluating ligament injuries and assessing soft tissue damage.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, we offer a comprehensive physiotherapy program for Lisfranc injuries, focusing on:

Edema Reduction: Utilizing techniques like cryotherapy to minimize swelling and promote healing.
Strengthening Exercises: Addressing muscle weakness resulting from immobilization through targeted exercises.
- Toe Flexor and Extensor Strengthening
- Ankle and Foot Isometric Strengthening
- Resistance Band Exercises
- Heel and Arch Strengthening
- Balance and Proprioception Training
- Functional and Sport-Specific Strengthening
Flexibility Training: Improving range of motion in the foot and ankle to restore standard movement patterns.
- Toe and Forefoot Flexibility Exercises
- Ankle and Midfoot Mobilization Stretches
- Calf and Achilles Flexibility Exercises
- Plantar Fascia and Foot Arch Flexibility
- Functional Dynamic Stretching
Gait Training: Assisting patients in regaining proper walking patterns to prevent compensatory injuries.
Custom Orthotics: Providing personalized foot orthoses to support the midfoot and enhance stability during recovery.

Advanced Modalities Offered
To enhance recovery, we incorporate state-of-the-art modalities, including:
- Shock Wave Therapy: Stimulates healing in damaged tissues and reduces pain.
- High-Intensity Class IV Laser Therapy: Penetrates deep tissues to alleviate pain and inflammation.
- Hydrotherapy: Utilizes water’s buoyancy to facilitate gentle movement and reduce weight-bearing stress.
- Cryotherapy: Cold treatments are applied to decrease inflammation and numb acute pain.

These advanced treatments are integrated into personalized rehabilitation plans to optimize healing and restore function effectively.

Conclusion

Effective management of a Lisfranc injury requires a thorough understanding of its causes, accurate diagnosis, and a tailored physiotherapy approach. At Elite Physiotherapy and Sports Injury Centre, our dedicated team employs advanced diagnostic techniques and innovative treatment modalities to ensure the best possible outcomes for our patients. If you suspect a Lisfranc injury, seek professional assessment promptly to initiate appropriate care and facilitate a successful recovery.

CERVICAL DISC HERNIATION

Posted on March 26, 2025 by Dr Dharam

Introduction

Cervical disc herniation is a prevalent condition that can significantly impact daily life. Our specialty at Elite Physiotherapy and Sports Injury Centre is offering thorough, non-invasive pain relief and function restoration therapies. Focusing on the cutting-edge modalities offered at our facility, this study explores the causes, mechanisms, clinical characteristics, diagnostic techniques, and physiotherapy management of cervical disc herniation.

Understanding Cervical Disc Herniation

Intervertebral discs, which serve as cushions and promote mobility, divide the seven vertebrae that make up the cervical spine. When the nucleus pulposus, the gel-like center, pushes through a rupture in the annulus fibrosus, the tough outer layer, it might cause a cervical disc herniation, which could compress the spinal cord or neighboring nerve roots.

Causes

Common causes of cervical disc herniation include:

Disc Degeneration: Dehydration and a lack of disc elasticity brought on by age-related wear and tear might make discs more prone to tearing.
Trauma: Abrupt injuries, such as whiplash from falls or auto accidents, can result in disc herniation right away.
Repetitive Stress: Over time, repetitive neck motions or bad posture can cause constant tension that can lead to disc injury.

Mechanism of Injury

An excessive amount of pressure or tension on the cervical spine usually results in tears in the annulus fibrosus, which is the mechanism of damage. This makes it possible for the nucleus pulposus to herniate, which could compress the spinal cord or nerve roots and cause neurological symptoms.

Clinical Features

Individuals with cervical disc herniation may experience:

Neck Pain: A localized ache that could get worse when you move.
Radicular Pain: Severe, shooting pain that travels down the arm, hand, or shoulder from the neck.
Numbness and Tingling: Pins-and-needles sensations in the afflicted arm or fingers.
Muscle Weakness: Inability to hold or lift objects because of weak hand or arm muscles.
Reduced Range of Motion: Neck stiffness and restricted motion.

Diagnostic Methods at Elite Physiotherapy and Sports Injury Centre

To properly diagnose cervical disc herniation, a comprehensive physical and functional evaluation is carried out at our clinic, including specialized physiotherapy tests. These evaluations could consist of:

Spurling’s Test: Reproducing symptoms of nerve root compression by gently pressing on the head.
The cervical distraction test: Involves gently raising the head to check for symptoms that could indicate nerve root involvement.
Upper Limb Tension Tests: Evaluating the sensitivity and mobility of the upper limbs’ nerves.
Manual Muscle Testing: Assessing muscle strength manually to pinpoint particular deficiencies linked to nerve compression.

These tests help in formulating a personalized treatment plan tailored to the patient’s specific condition.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

Our approach focuses on alleviating pain, improving mobility, and preventing recurrence through a combination of advanced physiotherapy techniques and modalities.

Pain Management

Manual therapy: Techniques for gently mobilizing the spine to improve mobility and lessen pain.
Electrotherapy: Pain relief through the use of techniques such as transcutaneous electrical nerve stimulation (TENS).

Advanced Modalities

We offer state-of-the-art treatments to enhance recovery:

Shock Wave Therapy: Non-invasive pulses help injured areas heal and feel less pain.
Super Inductive System: High-intensity electromagnetic fields are used in the Super Inductive System to reduce pain and encourage tissue regeneration.
High-Intensity Class 4 Laser: Laser therapy is delivered by a high-intensity class 4 laser, which speeds up healing and reduces inflammation.
Hydrotherapy: Exercises using water to gradually increase strength and flexibility without putting undue strain on the cervical spine.
Cryotherapy: Using cold therapy to reduce inflammation and numb painful tissues.

Therapeutic Exercises

A customized exercise program is designed to strengthen neck and shoulder muscles, improve posture, and enhance flexibility. These exercises aim to support the cervical spine and reduce the risk of future injuries.

Ergonomic and Postural Training

Education on maintaining proper posture during daily activities and ergonomic adjustments to workstations to minimize strain on the neck.

conclusion

At Elite Physiotherapy and Sports Injury Centre, our multidisciplinary team is dedicated to delivering personalized care using the latest advancements in physiotherapy. Our goal is to help patients achieve optimal recovery and prevent future occurrences of cervical disc herniation.

HIP OSTEOARTHRITIS

Posted on March 22, 2025 by Dr Dharam

What is Hip Osteoarthritis?

Hip osteoarthritis (OA) is a degenerative joint disease that affects the hip joint, leading to pain, stiffness, and reduced mobility. At Elite Physiotherapy and Sports Injury Centre, we specialize in all-encompassing physiotherapy treatments designed to improve our patient’s quality of life by managing and reducing hip OA symptoms.

Causes of Hip Osteoarthritis

Hip OA results from the gradual wear and tear of the cartilage that cushions the hip joint. Several factors contribute to its development:

Age: As people age, the danger rises.
Genetics: People may be more susceptible to OA if they have a family history of the disorder. Health
Joint Injuries: Degeneration of cartilage might be accelerated by prior hip traumas.
Obesity: Carrying too much weight puts additional strain on the hip joint, accelerating deterioration.
Structural Abnormalities: OA may result from developmental or congenital conditions that impact hip alignment.

Mechanism of Injury

The cartilage that supports the acetabulum and femoral head gradually deteriorates in hip OA. Bone-on-bone contact brought on by this deterioration results in discomfort and irritation. Osteophytes, or bone spurs, may develop as the disease worsens, further restricting joint motion and making pain worse.

Signs and Symptoms

Common clinical features of hip OA include:

Pain: Usually in the buttocks, groin, or thigh; becomes better with rest and gets worse with exercise.
Stiffness: Particularly apparent after periods of inactivity, like waking up in the morning, is stiffness.
Reduced Range of Motion: Difficulty with hip rotation and bending.
Crepitus: A grating sensation or sound during hip movements.
Limping: To minimize pain, individuals may develop an altered gait pattern.

Diagnostic Methods at Elite Physiotherapy and Sports Injury Centre

At our clinic, we employ a thorough physical and functional assessment to diagnose hip OA:

Patient History: Talking about the symptoms, when they started, and how they affected day-to-day activities.
Observation: Evaluating gait, posture, and any obvious abnormalities.
Palpation: Examining the hip joint for soreness.
Tests of Range of Motion: Assessing hip suppleness in multiple directions.
Muscle Strength Tests: Evaluating the hip-supporting muscles’ strength.

Special Physiotherapy Tests: To diagnose hip OA, we use certain tests:
- Trendelenburg Test: The Trendelenburg Test evaluates the hip abductors’ strength. A positive test result denotes weakness, which is frequently linked to hip OA.
- FABER Test: Identifies problems in the sacroiliac or hip joints. Hip pathology is suggested by pain during this test.
- The Hip Scour Test: Replicates pain through particular movements to identify nonspecific hip pathologies.

Functional Performance Tests: To evaluate physical function, we use standardized tests.
- The 30-second chair-stand test: Counts the number of stands a patient can complete in 30 seconds to assess lower body strength.
- 40-Meter Fast-Paced Walk Test: Measures walking speed and endurance.
- The Stair-Climb Test: Evaluates functional mobility by measuring the ability to climb and descend stairs.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

Our approach to managing hip OA is multifaceted, focusing on pain relief, improving joint function, and enhancing overall quality of life:

Patient education: We discuss hip OA and stress and the value of joint protection techniques and activity adjustment to lessen hip stress.

Exercise Therapy: Tailored exercise regimens are intended to increase flexibility, balance, and strength in the hip-supporting muscles. These workouts could consist of:
- Exercises for Strengthening: Focusing on the quadriceps, gluteal, and core muscles to support the hip joint.
- Stretching exercises: increasing hip flexor, extensor, and abductors’ range of motion.
- Aerobic Conditioning: Low-impact exercises like swimming or walking that improve cardiovascular health without putting undue strain on the hip joint.

Manual Therapy: To lessen discomfort and increase joint mobility, our therapists use hands-on methods like soft tissue massage and joint mobilizations.

High-End Modalities: To improve therapy results, we use cutting-edge therapeutic technology.
- High-Intensity Class IV Laser Therapy: This treatment provides both short-term and long-term pain relief by reducing inflammation and targeting pain receptors.
- Hydrotherapy: Using the buoyancy of water to provide mild workouts that improve strength and flexibility while lowering joint stress.
- Cryotherapy: Using cold therapy to reduce inflammation and numb discomfort to help relieve symptoms.

Gait Training: To reduce hip strain, we help patients establish the best walking habits possible, with the use of assistive technology if needed.
Functional Training: By concentrating on everyday tasks, we hope to help patients regain their independence by improving standing, walking, and stair climbing.

Conclusion

With a combination of advanced assessment techniques, targeted exercise programs, manual therapy, and state-of-the-art modalities like high-intensity laser therapy, hydrotherapy, and cryotherapy, our committed team at Elite Physiotherapy and Sports Injury Centre provides individualized and evidence-based physiotherapy interventions for managing hip osteoarthritis. Our patient-centric approach ensures that each treatment plan is tailored to individual needs, promoting long-term joint health and functional independence. If you or a loved one is experiencing hip osteoarthritis, come to our clinic for professional care and the best physiotherapy solutions available.

CRICKET-SPECIFIC REHABILITATION – OPTIMIZING RECOVERY AND PERFORMANCE

Posted on March 19, 2025March 20, 2025 by Dr Dharam

Introduction:

The sport of cricket requires a special combination of strength, endurance, agility, and accuracy. Because cricket-specific actions are repeated, there is a higher chance of injury for all players—batsmen, bowlers, and wicketkeepers. Because we are knowledgeable about cricket biomechanics, we at Elite Physiotherapy and Sports Injury Centre provide tailored rehabilitation programs to help players of all skill levels recover and compete at their best.

Understanding Common Cricket Injuries

Cricket injuries vary depending on the player’s role and playing style. Some of the most common injuries include:

Fast bowlers: High-impact bowling motions can cause stress fractures, lumbar spine injuries, rotator cuff strains, and knee ligament injuries.
Batsmen: Lower back problems, wrist injuries, hamstring strains, Golfer’s elbow or Tennis elbow, and side strains brought on by rapid sprints and repeated rotations.
Wicketkeepers: Constant squatting and abrupt movements can cause knee stress injuries, hamstring strains, and finger dislocations.
Fielders: Contusions from diving catches and throwing motions, shoulder dislocations, and ACL injuries.

Key Elements of Cricketer-Specific Rehabilitation

1. Accurate Injury Assessment

A detailed evaluation is crucial to understanding the severity and cause of the injury. At Elite Physiotherapy and Sports Injury Centre, we conduct:

Biomechanical analysis
Functional movement screening
Muscle strength and flexibility testing

2. Personalized Treatment Plan

Each rehabilitation program is tailored based on the injury type and the player’s role in the game. Our approach includes:

Pain management: methods to lessen pain and inflammation include manual therapy, cryotherapy, and electrotherapy.
Mobility and Flexibility Training: Restoring the full range of motion through dynamic stretching and proprioceptive exercises is known as mobility and flexibility training.
Strength and Conditioning: Strength training tailored to a particular sport to improve muscle endurance and prevent potential injuries.
Core Stability Training: Core stability training strengthens the core muscles to support the spine and enhance overall agility and balance.

3. Sport-Specific Training and Return-to-Play Protocols

A cricketer’s rehabilitation is incomplete without a gradual return to training. Our experts incorporate:

Bowling workload monitoring helps avoid stress-related injuries.
Batting drills with modified intensity to increase stamina without overtaxing the affected region.
Agility drills for fielders and wicketkeepers to regain coordination and reaction speed.
Match simulation training to ensure confidence and readiness before returning to competitive cricket.

Injury Prevention Strategies for Cricketers

Proper Warm-Up & Cool-Down: Stretches that are dynamic before training and static afterward might assist ease tense muscles.
Strength and Conditioning Programs: Exercise regimens tailored to cricket enhance muscle stamina and resistance to injury.
Load management is preventing overuse and making sure you get enough sleep in between workouts.
Proper Technique: Training modifications help prevent repetitive strain injuries.
Hydration and Nutrition: To aid with muscle healing, drink enough water and eat a diet low in inflammation.

Why Choose Elite Physiotherapy and Sports Injury Centre?

Our specialty at Elite Physiotherapy and Sports Injury Centre is cricketer-specific rehabilitation, fusing practical experience with scientific data to guarantee a quicker and safer recovery. Whether you play cricket professionally, want to play, or just enjoy sports, our sports physiotherapists are dedicated to helping you get back on the field stronger and without injuries.

Make an appointment with us right now to advance your skills if you need performance-enhancing training or are dealing with any cricket-related injuries.

SNAPPING HIP SYNDROME

Posted on March 13, 2025March 13, 2025 by Dr Dharam

What is Snapping Hip Syndrome?

Snapping Hip Syndrome (SHS), also known as “Dancer’s hip,” is a disorder in which the hip pops or snaps when you move. This syndrome can impact everyday tasks and sports performance, either without pain or with accompanying discomfort.

Causes and Mechanism of Injury

SHS is categorized based on the location and cause of the snapping:

External SHS: This happens when the gluteus maximus tendon or the iliotibial band (ITB) pass across the femur’s greater trochanter. This ailment can result from repetitive motions, particularly when running or cycling.
Internal SHS: This kind occurs when the iliopsoas tendon snaps over bone landmarks such the femoral head or the iliopectineal prominence. It is frequently observed in sportsmen and dancers who engage in repetitive hip flexion motions.
Intra-articular SHS: Less frequently occurring, intra-articular SHS is brought on by intra-articular lesions such as loose bodies or labral tears in the hip joint.

Signs and Symptoms

Individuals with SHS may experience:

A noticeable popping or snapping sound made when moving the hips.
Hip pain or discomfort, particularly when engaging in hip flexion or extension exercises.
The feeling that the hips are “catching” or “locking.”
Weakness in hip motions, especially when the leg is raised forward or sideways.

Diagnostic Methods at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, we employ comprehensive physical and functional assessments to diagnose SHS:

Patient History: Knowing the type, degree of activity, and motions that cause the snapping sensation, as well as the start, length, and character of symptoms.
Physical examination: Evaluating muscle strength, flexibility, and hip range of motion.

Special Physiotherapy Tests:
- Ober’s Test: Assesses the ITB’s tightness, which could lead to external SHS.
- The Thomas Test: Measures the iliopsoas muscle’s flexibility, which is relevant to internal SHS.
- The FABER Test (Patrick’s Test): Detects dysfunctions of the hip or sacroiliac joints that may resemble symptoms of SHS.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

Our approach to managing SHS is holistic, focusing on individualized treatment plans that address the root cause of the condition.

Manual therapy: Methods for reducing muscle tension and increasing flexibility, such as myofascial release and soft tissue manipulation.

Therapeutic Exercises:
- Stretching: To increase flexibility, focus on the gluteal, ITB, and iliopsoas muscles.
- Strengthening: To increase stability and support hip function, concentrate on the hip abductors, adductors, and core muscles.

High-End Modalities:
- Shock Wave Therapy: Acoustic waves are used in shock wave therapy to lessen pain and encourage tissue recovery.
- CRET therapy: It uses electromagnetic energy to promote deep tissue healing.
- The Super Inductive System (SIS): Helps to reduce pain and develop muscles by stimulating neuromuscular regions with high-intensity electromagnetic fields.
- High-Intensity Class 4 Laser Therapy: Reduces inflammation and speeds up healing by delivering deep-tissue photonic energy.
- Hydrotherapy: Uses workouts in the water to increase strength and mobility while reducing joint tension.
- Cryotherapy: Uses cold therapy to ease pain and reduce inflammation.

Activity Modification: Advice on how to change activities to reduce hip strain and stop symptoms from getting worse.

Our goal at Elite Physiotherapy and Sports Injury Centre is to provide individualized care by combining cutting-edge modalities and sophisticated physiotherapy techniques to guarantee a speedy recovery and a return to your active lifestyle.

SHIN SPLINTS OR MEDIAL TIBIAL STRESS SYNDROME

Posted on March 10, 2025 by Dr Dharam

What is Shin Splints (Medial Tibial Stress Syndrome)?

Shin splints, sometimes referred to as medial tibial stress syndrome (MTSS), are a common overuse injury among athletes, especially runners and those who perform repetitive lower-leg stress-related tasks.

Causes and Mechanism of Injury

Shin splints arise from excessive and repetitive stress on the tibia and surrounding musculature. Key contributing factors include:

Training load errors: The tibial bone’s ability to reconstruct and strengthen can be overloaded by abrupt increases in training volume or intensity without sufficient adaption times, which can cause micro-damage.
Biomechanical Factors: Overpronation, when the foot rolls inward excessively during walking, can result in an irregular distribution of stress along the shin, raising the risk of MTSS.
Muscle Imbalances: Shin pain may result from changes in load distribution caused by weakness or tightness in the calf muscles, especially the soleus.

Signs and Symptoms

Individuals with MTSS typically experience:

Diffuse Pain: Aching along the inner edge of the tibia, usually in the lower two-thirds of the leg.
Tenderness: The medial part of the shin is sensitive to touch.
Activity-Related Discomfort: Pain that worsens when you move and goes away when you relax; however, in more severe cases, the pain may linger even when you’re at rest.

Diagnostic Methods at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, our comprehensive assessment for MTSS includes:

Clinical Evaluation: To determine pain patterns and contributing variables, a thorough patient history and physical examination are conducted.
Functional Assessment: Examining movement and gait patterns to identify anomalies that might be causing shin pain.
Special Physiotherapy Tests: Using particular tests to assess biomechanical alignment, muscle strength, and flexibility.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

Our tailored approach to managing MTSS encompasses:

Activity Modification: Offering advice on short-term activity reduction or adjustment to ease tibial stress and promote tissue repair.
Manual therapy: Reducing muscle tension and increasing flexibility by applying methods like myofascial release and soft tissue mobilization.

Therapeutic Modalities: Employing advanced treatments, including:
- Extracorporeal Shock Wave Therapy (ESWT): By applying shock waves to the injured area, extracorporeal shock wave therapy (ESWT), a non-invasive treatment, encourages recovery.
- High-Intensity Class IV Laser Therapy: Through deep tissue penetration, high-intensity class IV laser therapy improves tissue healing and lowers inflammation.
- Cryotherapy: Using cold therapy to lessen inflammation and pain.
- Hydrotherapy: Water-based workouts to increase strength and flexibility with minimal weight-bearing stress.

Strengthening Exercises: To increase load distribution and resilience, create customized training regimens that target the calf muscles, especially the soleus.
Stretching regimens: To improve flexibility and lessen tibial strain, use stretching exercises that target the calf muscles.
Gait Retraining: Teaching patients how to run properly, including how to change their cadence and foot strike, to reduce undue strain on their shins.
Assessment of Footwear: Giving advice on suitable footwear and, if required, custom orthotics to address biomechanical problems such as overpronation. We also provide customized insoles and sandals after a 3D examination of your foot at our clinic.

Conclusion

With a thorough and customized treatment plan, medial tibial stress syndrome is a treatable condition. To guarantee the best possible recovery and a safe return to exercise, we at Elite Physiotherapy and Sports Injury Centre combine cutting-edge therapeutic methods with individualized rehabilitation plans. To start a customized healing journey, speak with our Specialized staff if you’re suffering from shin pain.

PELLEGRINI STIEDA SYNDROME

Posted on March 8, 2025March 8, 2025 by Dr Dharam

What is Pellegrini Stieda Syndrome?

Calcification near the root of the knee’s medial collateral ligament (MCL) is a characteristic of Pellegrini-Stieda Syndrome (PSS), which causes pain and limited movement and frequently develops after knee injuries.

Causes and Mechanism of Injury

PSS is usually caused by direct or indirect trauma to the knee, such as external rotation forces or valgus stress from sports injuries. These forces have the potential to harm the MCL, resulting in calcification and hematoma development.

Signs and Symptoms

Individuals with PSS may experience:

Pain along the inner knee
Tenderness and swelling over the MCL
Restricted knee range of motion, particularly while extending
Stiffness and Discomfort when engaging in activities

Diagnostic Methods

At Elite Physiotherapy and Sports Injury Centre, we employ comprehensive physical and functional assessments to diagnose PSS:

Physical examination: measuring knee range of motion, edema, and MCL discomfort.
Special Physiotherapy Tests: Valgus stress tests are used in special physiotherapy exams to assess the integrity of the MCL and detect laxity or discomfort.
Imaging Studies: PSS is confirmed by using X-rays to find calcification close to the medial femoral condyle.

X-ray showing calcification of proximal MCL (Right Knee)

Physiotherapy Management

At Elite Physiotherapy and Sports Injury Centre, our approach to managing PSS focuses on alleviating pain, restoring function, and preventing recurrence. Our comprehensive treatment plan includes:

Pain management: Using techniques like cryotherapy to lessen discomfort and inflammation.

Manual therapy: Increasing flexibility and decreasing stiffness by mobilizing joints and soft tissues.

Therapeutic Exercises: Creating customized workout plans to improve knee stability by strengthening the hip abductors, hamstrings, and quads.

Advanced Modalities: Incorporating state-of-the-art treatments available at our centre, including:
- Shock Wave Therapy: Using acoustic waves to promote tissue healing and lessen pain.
- CRET Therapy: Using high-frequency electrical currents, capacitive-resistive electric transfer (CRET) therapy improves tissue healing and lowers inflammation.
- SIS: The Super Inductive System (SIS) uses electromagnetic fields to activate muscles and relieve pain by stimulating neuromuscular systems.
- High-Intensity Class IV Laser Therapy: Using deep-penetrating laser light, high-intensity class IV laser therapy reduces inflammation and speeds up tissue recovery.
- Hydrotherapy: Hydrotherapy uses water-based exercises to increase flexibility and strength while reducing joint tension.

Our holistic approach ensures that each patient receives personalized care tailored to their specific needs, facilitating optimal recovery and return to activity.

Conclusion

Treatment for Pellegrini-Stieda Syndrome must be multimodal. To deliver efficient, customized care, Elite Physiotherapy and Sports Injury Centre combines cutting-edge therapeutic techniques with professional evaluations. Our dedication to using state-of-the-art therapies guarantees our patients the greatest results.