Author: Dr Dharam

SHIN SPLINTS OR MEDIAL TIBIAL STRESS SYNDROME

Posted on 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 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:

  1. Physical examination: measuring knee range of motion, edema, and MCL discomfort.
  2. Special Physiotherapy Tests: Valgus stress tests are used in special physiotherapy exams to assess the integrity of the MCL and detect laxity or discomfort.
  3. 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.

POSTERIOR TIBIAL TENDONITIS

Posted on by Dr Dharam

What is Posterior tibial tendonitis?

Posterior tibial tendonitis, or posterior tibial tendon dysfunction (PTTD), is a common condition impacting the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed or damaged, impairing its ability to support the arch of the foot. It can give rise to an adult-acquired flatfoot deformity, resulting in pain and reduced mobility.

Causes and Mechanism of Injury

Posterior tibial tendonitis is frequently caused by overuse, especially in activities that put repetitive stress on the tendon, like running, hiking, or walking for extended periods. Obesity, hypertension, diabetes, and prior injuries to the foot or ankle are additional contributing factors. The posterior tibial tendon is essential for keeping the medial arch intact and enabling foot inversion. When this tendon is damaged, it may result in an arch collapse and the onset of a flatfoot deformity.

Signs and Symptoms

Individuals with Posterior tibial tendonitis may experience:

  • Swelling and pain on the inner side of the ankle and foot.
  • Flattening of the foot’s arch.
  • Inward ankle rolling.
  • Difficulty when trying to stand on tiptoe.
  • Pain in the foot and ankle, particularly following exercise.

If these symptoms are not treated, they can worsen and result in major deformity and disability.

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 Posterior tibial tendonitis:

  • Clinical Evaluation: Our physiotherapists perform detailed evaluations, monitoring foot posture, gait characteristics, and regions of sensitivity.
  • Specialized Physiotherapy Tests: We employ targeted assessments to assess the condition of the posterior tibial tendon:
    • Single-Leg Heel Raise Test: The patient tries to elevate onto the toes while balancing on one leg. If it is difficult or impossible to do this, it suggests dysfunction of the posterior tibial tendon.
    • Palpation and Loading Test: Pain and structural integrity are evaluated by applying gentle pressure along the tendon while the foot bears weight.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

Our center offers a holistic approach to managing Posterior tibial tendonitis, focusing on non-surgical interventions tailored to each patient’s needs:

1. Activity Modification:

To avert additional strain on the tendon, we recommend cutting back on or modifying activities that worsen symptoms.

2. Orthotic Support:

Custom-made orthotics or ankle braces are supplied to support the medial arch and stabilize the foot, assisting in proper alignment during everyday activities.

3. Therapeutic Exercises:

A tailored exercise program is created to fortify the posterior tibial tendon and adjacent muscles, thereby improving foot stability and function. Below are key exercises included in our treatment approach:

  • Strengthening Exercises
    The purpose of these exercises is to regain strength in the posterior tibial tendon and adjacent muscles, which will lead to enhanced stability of the foot.
    • 1. Resisted Foot Inversion:
      • Use a resistance band positioned around the foot.
      • Gently rotate the foot inward while facing resistance.
      • Do 3 sets of 10 reps for each foot.
    • 2. Heel Raises (Double-Leg & Single-Leg):
      • Position yourself on a level surface and elevate yourself onto your toes so that your heels are raised off the ground.
      • Begin with your feet positioned together, then advance to raising one leg.
      • Execute 3 sets of 15 reps.
    • 3. Arch Doming Exercise (Short-Foot Exercise):
      • While seated, attempt to elevate the arch of your foot without curling your toes.
      • Maintain for 5 seconds, then ease up.
      • Complete three sets of ten reps.
  • Flexibility & Mobility Exercises
    To alleviate stress on the posterior tibial tendon, flexibility is essential.
    • 1. Calf Stretch (Stretching the Gastroc & Soleus):
      • Position yourself so that you are facing a wall, with one foot advanced and the other extended back.
      • To stretch the gastrocnemius, keep the back leg straight, and to stretch the soleus, bend the knee.
      • Maintain each stretch for half a minute and do it three times for every leg.
    • 2. Posterior Tibial Tendon Stretch:
      • Rest your foot on the opposite knee while you sit.
      • Gently stretch your foot outward with your hands.
      • Maintain for 20–30 seconds, and do it three times for each leg.
  • Balance & Proprioception Training
    Proprioceptive exercises are crucial due to the important function of the posterior tibial tendon in stabilizing the foot.
    • 1. Single-Leg Stance:
      • Balance on one foot for half a minute, and as you improve, try shutting your eyes or using an unstable surface (like a balance board).
        Do 3 sets for each leg.
    • 2. Bosu Ball Training:
      • To improve foot stability, do squats or maintain a single-leg stance on a Bosu ball.
        Maintain for half a minute, and then replicate three sets.

4. Manual Therapy:

Our physiotherapists utilize methods like soft tissue mobilization and joint mobilization to enhance flexibility, alleviate pain, and bring back normal movement patterns.

  • Soft Tissue Mobilization (STM)
    • Targeted massage techniques break down adhesions, enhance blood circulation, and decrease inflammation in the posterior tibial tendon.
    • STM also targets compensatory muscle tightness in the calves, plantar fascia, and peroneal muscles.
  • Myofascial Release (MFR)
    • A slow and sustained stretch relieves tension in the soft tissues surrounding the posterior tibial tendon.
    • Helps in enhancing foot mobility and reinstating arch support.
  • Joint Mobilization
    • Talocrural & Subtalar Joint Mobilization: By improving ankle and foot mechanics, talocrural and subtalar joint mobilization lessens the load on the posterior tibial tendon.
    • Midfoot Mobilization: The navicular and cuneiform bones are essential for preserving the foot arch.
  • Active Release Technique (ART)
    • In order to relieve tension and enhance movement patterns, the physiotherapist applies pressure to the tendon as the patient moves the foot.
  • Dry Needling & Trigger Point Therapy
    • To reduce discomfort and enhance muscle activation, dry needling targets trigger sites in the calf muscles and posterior tibial tendon.

5. High-End Modalities:

We use cutting-edge therapy technology to reduce symptoms and hasten healing:

  • Shock Wave Therapy: Shock wave therapy uses acoustic waves to lessen pain and encourage tissue regeneration.
  • Capacitive Resistive Electric Transfer (CRET) Therapy: Capacitive Resistive Electric Transfer (CRET) therapy uses targeted electromagnetic energy to improve deep tissue healing.
  • Super Inductive System: Increases muscle strength and decreases pain by stimulating neuromuscular regions with high-intensity electromagnetic fields.
  • High-Intensity Class 4 Laser Therapy: High-intensity Class 4 laser therapy delivers deeply penetrating light energy to stimulate tissue repair and reduce inflammation.
  • Hydrotherapy: Hydrotherapy uses water exercises to increase strength and flexibility while minimizing joint stress.
  • Cryotherapy: Uses cold therapies to ease pain and reduce inflammation.

Elite Physiotherapy and Sports Injury Centre guarantees a thorough and efficient treatment plan for patients with posterior tibial tendonitis by combining these cutting-edge technologies with conventional physiotherapy procedures.

Conclusion

Effective management of posterior tibial tendinitis depends on early diagnosis and treatment. To restore function and enhance our patients’ quality of life, we at Elite Physiotherapy and Sports Injury Centre are dedicated to offering individualized care using both traditional and innovative methods.

Tarsal Tunnel Syndrome

Posted on by Dr Dharam

What Is Tarsal Tunnel Syndrome?

A compressive neuropathy known as Tarsal Tunnel Syndrome (TTS) affects the posterior tibial nerve as it travels through the tarsal tunnel, a small opening on the inside of the ankle. This disorder can affect everyday activities and athletic performance by causing pain, tingling, and numbness in the foot and ankle. ​

Causes and Mechanism of Injury

Compression of the posterior tibial nerve within the tarsal tunnel results in TTS. There are several reasons why this compression may occur, such as: ​

  • Anatomical Abnormalities: The nerve may be more stressed by flat feet or fallen arches. ​
  • Trauma: Swelling or scar tissue from ankle sprains or fractures can pinch nerves. ​
  • Systemic Conditions: Inflammation or damage to nerves can be a result of conditions like diabetes or arthritis. ​

For example, An athlete who sprains their ankle may produce scar tissue as the injury heals. TTS might result from this scar tissue encroaching on the tarsal tunnel and squeezing the posterior tibial nerve. ​

Signs and Symptoms

Individuals with TTS may experience:

  • Pain: A burning or aching feeling on the bottom of the foot or inside the ankle. ​
  • Numbness: A “pins and needles” sensation or diminished feeling in the foot. ​
  • Tingling: Prickly feelings that could spread to the toes.
  • Weakness: Feeling unsteady or having trouble moving your feet. ​

Prolonged standing, walking, or physical activity frequently makes symptoms worse; resting may help them.

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 TTS accurately. Our diagnostic approach includes:

  • Clinical examination: Includes measuring muscle strength and reflexes, determining sensitive spots, and assessing foot and ankle alignment. ​
  • Special Physiotherapy Tests: Applying certain tests to elicit symptoms and validate the diagnosis. ​
    • Dorsiflexion-Eversion Test: The therapist extends all toes, everts the foot, and maximally dorsiflexes the ankle. While tapping over the tarsal tube, this posture is maintained for 5–10 seconds. Symptoms along the nerve distribution are replicated in a positive test. The Student Physical Therapist’s website
    • Tinel’s Sign: A “pins and needles” or tingling feeling in the foot caused by light tapping over the tarsal tunnel indicates nerve irritation. ​

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

Our center offers a multifaceted approach to managing TTS, focusing on alleviating symptoms, addressing underlying causes, and preventing recurrence. Our advanced physiotherapy treatments include:

  • Manual therapy: Methods to improve mobility and lessen nerve compression, such as soft tissue manipulation and nerve gliding exercises. ​
  • Therapeutic Exercises: Tailored stretching and strengthening regimens that focus on the ankle and foot muscles to enhance function and support. ​
  • Orthotic Intervention: Reducing tension on the posterior tibial nerve by correcting biomechanical anomalies such as flat feet with custom-made orthotics.
  • High-End Modalities: Using cutting-edge therapies to hasten recovery and lessen symptoms ​
    • Shock Wave Therapy: Reduces pain and encourages tissue regeneration by using acoustic waves. ​
    • CRET Therapy: Radiofrequency energy is used in Capacitive Resistive Electric Transfer (CRET) therapy to promote deep tissue repair and decrease inflammation. ​
    • SIS: By stimulating neuromuscular areas with high-intensity electromagnetic fields, the Super Inductive System (SIS) reduces pain and speeds up the healing process. ​
    • High-Intensity Class IV Laser Therapy: Reduces inflammation and speeds up tissue repair by penetrating deep tissues with concentrated laser energy. ​
    • Hydrotherapy: In order to lessen the strain on the injured area while preserving mobility, hydrotherapy involves patients in water-based exercises. ​
    • Cryotherapy: Reduces inflammation and numbs acute pain by applying regulated cold exposure. ​

At Elite Physiotherapy and Sports Injury Centre, our skilled physiotherapists are committed to offering individualized treatment. We customize each treatment plan to meet the unique demands of each patient, guaranteeing a full recovery and a return to sports and daily activities. ​

Make an appointment at Elite Physiotherapy and Sports Injury Centre if you suffer from Tarsal Tunnel Syndrome symptoms. Our team provides compassionate care and state-of-the-art treatments to support your recovery journey. ​

HAGLUND’S DEFORMITY

Posted on by Dr Dharam

What is Haglund’s deformity?

A bony growth on the rear of the heel, where the Achilles tendon connects to the calcaneus (heel bone), is known as Haglund’s deformity. This illness frequently causes pain, swelling, and discomfort, which majorly impacts day-to-day functioning and sports performance. Our specialty at Elite Physiotherapy and Sports Injury Centre is the thorough evaluation and treatment of Haglund’s deformity through the use of state-of-the-art physiotherapy methods and innovative treatment approaches.

Causes and Mechanism of Injury

Repetitive pressure, friction, and biomechanical abnormalities aggravating the soft tissues surrounding the heel bone cause Haglund’s deformity. Its development is influenced by several factors, including:

  • Genetic Predisposition: Excessive pressure on the rear of the heel is more likely to occur in people with tight Achilles tendons or high arches in their feet.
  • Inappropriate Footwear: The issue may worsen if you wear tight, stiff, or high-heeled shoes that cause friction against the heel bone.
  • Overuse and Repetitive Stress: The Achilles tendon and heel bone are constantly under stress from athletes and participants in sports like running, sprinting, and jumping.
  • Poor Biomechanics: Excessive pronation, excessive supination, or abnormal walking patterns can all lead to excessive pressure on the heel’s back.
  • Tight Achilles Tendon: A shortened Achilles tendon can cause limited ankle dorsiflexion, which can put more strain on the heel bone.

Signs and Symptoms of Haglund’s Deformity

The common symptoms include:

  • There is a noticeable bony mass on the heel’s back.
  • Pain and tenderness at the enlargement location, particularly when running or walking.
  • Swelling and redness are brought on by inflammation of the soft tissues around it.
  • Achilles tendon inflammation causes stiffness and restricted ankle movement.
  • Increased pain when wearing shoes, particularly ones with stiff heel counters.

Diagnostic Methods at Elite Physiotherapy and Sports Injury Centre

For assessing the degree and impact of Haglund’s deformity, we at Elite Physiotherapy and Sports Injury Centre use a comprehensive diagnostic process that consists of both functional and physical evaluations.

Clinical and Functional Assessment

  • Visual Inspection: Recognizing the distinctive heel bump, redness, and swelling.
  • Palpation: Measuring localized swelling and discomfort to gauge the level of irritation.
  • Range of Motion (ROM) Tests: Assessing Achilles tendon and ankle flexibility to identify motion restrictions.
  • Gait analysis is the process of evaluating walking patterns in order to find biomechanical anomalies that are causing excessive heel stress.
  • Special Physiotherapy Tests:
    • Passive Ankle Dorsiflexion Test: To determine how tight the Achilles tendon is, use the passive ankle dorsiflexion test.
    • Heel Raise Test: The heel raise test is used to assess mobility and discomfort when using the calf muscles.
    • Tibial Nerve Stretch Test: To rule out nerve involvement causing posterior heel discomfort, use the tibial nerve stretch test.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

In order to prevent recurrence, our physiotherapy-based treatment aims to improve mobility, lessen pain, and address the underlying biomechanical problems.

1. Management of Pain and Inflammation

  • Cryotherapy: Often known as ice therapy, numbs severe pain and reduces swelling.
  • Shock Wave Therapy: By improving blood circulation, shock wave therapy promotes tissue healing and lowers inflammation.
  • High-Intensity Class 4 Laser Therapy: Provides deep-penetrating light energy to the afflicted area, accelerating cellular repair.

2. Improving Mobility and Flexibility

  • Manual therapy: mobilization methods to enhance Achilles tendon flexibility and joint mechanics.
  • Stretching Exercises:
    • Stretches for the calf and Achilles to increase range of motion and reduce stress.
    • Stretching the plantar fascia can improve foot mobility.

3. Strengthening the Lower Limb and Foot Muscles

  • Specific Strengthening Exercises:
    • To strengthen and lessen tension on the Achilles tendon, use eccentric heel drops.
    • Exercises for the foot’s intrinsic muscles to improve arch stability.
    • Exercises using resistance bands to stabilize the ankles.

4. Gait training and biomechanical adjustments

  • Super Inductive System: Enhances gait function by activating neuromuscular areas using electromagnetic fields.
  • Custom Orthotics and Footwear Modifications: The purpose of custom orthotics and footwear modifications is to reduce pressure on the heel and correct aberrant biomechanics.
  • Taping and Bracing: Reduces tension in the afflicted area and offers structural support.

5. Cutting-edge techniques for Quicker Recovery

  • CRET Therapy: Promotes blood circulation and deep tissue healing.
  • Hydrotherapy (Aquatic Therapy): By lowering weight-bearing stress, hydrotherapy (also known as aquatic treatment) enables pain-free movement and strengthening.

Conclusion

At Elite Physiotherapy and Sports Injury Centre, we provide state-of-the-art treatments in conjunction with skilled physiotherapy techniques to ensure optimal healing. If you are dealing with chronic heel pain, get in touch with us today for a thorough evaluation and a customized rehabilitation program. Haglund’s deformity can have a significant impact on mobility and overall quality of life, but effective relief and recovery are achievable with an accurate diagnosis and an individualized physiotherapy plan.

Retrocalcaneal Bursitis

Posted on by Dr Dharam

What is Retrocalcaneal Bursitis?

The painful inflammatory disease known as retrocalcaneal bursitis affects the bursa between the calcaneus (heel bone) and the Achilles tendon. Athletes and those who perform repetitive tasks that impose excessive tension on the heel are frequently affected by this condition. It can seriously affect everyday activities and mobility if treatment is not received. At Elite Physiotherapy and Sports Injury Centre, we use advanced physiotherapy methods and luxury modalities to diagnose and treat retrocalcaneal bursitis in a comprehensive and sophisticated manner.

Causes and Mechanism of Injury

Repetitive friction and severe pressure on the bursa at the rear of the heel can cause retrocalcaneal bursitis. Among the most common causes are:

  • Overuse and Repetitive Stress: The bursa may get irritated by high-impact exercises including jogging, jumping, and abrupt direction changes.
  • Inappropriate Footwear: Irritation and inflammation can result from wearing stiff or poorly fitting shoes that rub on the heel.
  • Biomechanical Abnormalities: Extreme strain on the Achilles tendon and bursa can result from conditions such as high arches, flat feet, or a changed walking pattern.
  • Trauma or Direct Impact: Inflammation may be brought on by a forceful impact to the rear of the heel.
  • Underlying Medical Conditions: People who have gout, rheumatoid arthritis, or infections are more likely to develop bursitis.
Lateral view of bones of lower leg and foot showing ligaments, Achilles tendon, retrocalcaneal bursa, and subcutaneous calcaneal bursa.

Signs, Symptoms, and Clinical Features

The following symptoms are frequently seen in people with retrocalcaneal bursitis:

  • Pain and tenderness at the back of the heel, especially when walking or doing vigorous activities.
  • Swelling, warmth, and redness, in the affected region.
  • Increased pain when pushing off the foot or standing on toes.
  • Ankle stiffness and limited range of motion, especially in the morning or after extended periods of inactivity.
  • Dorsiflexion, or pulling the toes toward the shin, exacerbates the pain.

Diagnosis at Elite Physiotherapy and Sports Injury Centre

To establish the diagnosis and rule out other possible disorders like Achilles tendinitis or Haglund’s deformity, our center conducts a comprehensive physical and functional assessment. Our diagnostic methodology consists of:

Clinical Assessment

  • Palpation and Inspection: Examining the afflicted bursa for soreness, redness, and swelling.
  • Assessing the ankle joint’s range of motion (ROM): This involves determining how flexible and mobile it is.
  • Strength testing: involves determining how strong the Achilles tendon and calf muscles are.

Functional and Special Physiotherapy Tests

We employ specific physiotherapy tests, such as the following, to validate the diagnosis:

  • Hoffa’s Test: To determine whether Achilles tendon involvement and underlying soft tissue inflammation are present.
  • Arc Sign Test: Distinguishing between bursitis and Achilles tendinopathy.
  • Royal London Hospital Test: Assessing Achilles pain and swelling with the Royal London Hospital Test.
  • The Silfverskiold Test: Measures tension in the gastrocnemius muscles, which can put too much strain on the bursa.

In certain situations, for a more thorough evaluation, we could suggest imaging tests like MRI or ultrasound.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

At our clinic, we treat retrocalcaneal bursitis using customized, evidence-based physiotherapy plans. Our course of treatment consists of:

1. Management of Pain and Inflammation

  • Cryotherapy: Using ice packs to minimize swelling and give instant pain relief is known as cryotherapy.
  • Activity Modification: To avoid more aggravation, it is advised to temporarily limit high-impact activities.

2. Advanced Physiotherapy Modalities

We use state-of-the-art techniques to maximize healing and accelerate recovery, such as:

  • Shock Wave Therapy: Shock wave therapy uses acoustic waves to encourage tissue repair and alleviate pain.
  • CRET Therapy: Promotes inflammation reduction and cellular healing.
  • The Super superinductive system (SIS): Uses electromagnetic fields to promote healing, increase circulation, and reduce pain.
  • High-Intensity Class 4 Laser Therapy: Enhances tissue repair, lessens pain, and speeds up cellular healing.
  • Hydrotherapy: Hydrotherapy includes water-based exercises that increase joint mobility while reducing strain on the injured area.

3. Techniques for Soft Tissue and Manual Therapy

  • Myofascial Release: Myofascial release relieves tension in the Achilles tendon and surrounding structures.
  • Deep Tissue Mobilization: Improves blood flow and eases tense muscles.
  • Joint mobilization: Enhances ankle function and flexibility.

4. Exercises for Therapy

We create specialized workout regimens to regain strength, flexibility, and appropriate biomechanics, such as:

  • Stretching exercises: They target the Achilles tendon and calf muscles to release stress.
  • Strengthening exercises: To increase stability and lessen bursa strain, focus on the calf, ankle, and foot muscles.
  • Proprioception Training: Proprioception training includes exercises for balance and coordination that improve functional mobility and reduce the risk of re-injury.

5. Postural and Biomechanical Adjustment

  • Gait Training: Gait training corrects faulty walking habits to lessen undue heel strain.
  • Orthotic Recommendations: Providing personalized foot insoles for better pressure distribution and shock absorption is one orthotic recommendation.
  • Advice on Footwear: Suggest suitable footwear with supportive arch support and cushioned heels.

Prevention and Long-Term Care

To lower the chance of recurrence, we at Elite Physiotherapy and Sports Injury Centre concentrate on both prevention and treatment methods. We instruct our patients on:

  • Appropriate warm-up and cool-down techniques both before and following physical activity.
  • Maintaining the lower extremities’ strength and flexibility.
  • Gradually increase activity levels to prevent overuse injuries.
  • Maintaining appropriate foot alignment requires the use of orthotics and supportive footwear.

Conclusion

If left untreated, retrocalcaneal bursitis can become incapacitating. At Elite Physiotherapy and Sports Injury Centre, we combine cutting-edge physiotherapy methods, upscale modalities, and customized rehabilitation programs to offer a thorough, patient-centered approach to treatment. Our objectives are to guarantee a full recovery, avoid recurrence, and assist our patients in getting back to their regular activities and sports without any restrictions.

For an extensive evaluation and top-notch physiotherapy treatment, come see us right now if you have heel pain and think you may have retrocalcaneal bursitis.

Achilles Tendinopathy: Cause, Symptoms & Physiotherapy Management

Posted on by Dr Dharam

Understanding Achilles Tendinopathy

A common overuse ailment that affects the Achilles tendon, which joins the calf muscles to the heel bone, is Achilles tendinopathy. Pain and stiffness in the back of the heel are common symptoms of this illness, especially in the morning or during exercise. Achilles tendinopathy is our specialty at Elite Physiotherapy and Sports Injury Centre, and we guarantee a customized treatment plan for every patient.

Causes and Mechanism of Injury

Repetitive strain on the tendon without sufficient recovery is the main cause of Achilles tendinopathy. Unexpected increases in physical activity, inappropriate footwear, and biomechanical problems like overpronation are some of the factors that contribute to this illness. For example, an athlete may develop tendinopathy if they suddenly increase their exercise volume without giving their muscles enough time to recover.

Signs and Symptoms

Patients typically report:

  • Achilles tendon pain and stiffness, often following periods of inactivity.
  • Swelling or thickening of the tendon.
  • Discomfort when running or climbing stairs—activities that put stress on the tendon.

Diagnostic Methods at Our Clinic

To diagnose Achilles tendinopathy, we at Elite Physiotherapy and Sports Injury Centre use thorough physical and functional evaluations. Our assessment consists of:

  • Palpation: To find areas of discomfort or thickness, gently press along the tendon.
  • Range of Motion Tests: Measuring ankle flexibility to identify restrictions.
  • Strength testing: Assessing the strength of the calf muscles to find imbalances.
  • Special Physiotherapy examinations: To distinguish Achilles tendinopathy from other disorders, we use specific examinations.

Physiotherapy Management

Achilles tendinopathy is treated in our clinic utilizing a multimodal approach that emphasizes functional restoration, tendon repair, and pain management. Among our methods of treatment are:

  • Eccentric Loading Exercises: These exercises stretch the strained tendon while encouraging collagen realignment and strengthening.
  • Shock Wave Therapy: Using acoustic waves to promote healing and lessen pain is known as shock wave therapy.
  • CRET Therapy: By using electromagnetic energy to promote deep heat, Capacitive Resistive Energy Transfer (CRET) therapy improves tissue recovery.
  • Super Inductive System: High-intensity electromagnetic fields are used in the Super Inductive System to reduce pain and promote tissue regeneration.
  • High-Intensity Class 4 Laser Therapy: High-intensity Class 4 laser therapy uses deep tissue laser treatments to lower inflammation and accelerate healing.
  • Hydrotherapy: Performing exercises in warm water to increase flexibility and strength while reducing tendon stress.
  • Cryotherapy: Cryotherapy uses cold therapies to reduce inflammation and dull severe pain.

Our skilled physiotherapists create customized treatment programs to guarantee that every patient gets the best care possible based on their unique requirements.

Strategies for Prevention

In order to avoid recurrence, we recommend:

  • Increase activity levels gradually to prevent overtaxing the tendon.
  • Wear supportive shoes that suit the situation.
  • Including consistent calf muscle strengthening and stretching workouts.

Our goal at Elite Physiotherapy and Sports Injury Centre is to help patients recover quickly and effectively by offering cutting-edge, research-based therapies for Achilles tendinopathy.

Calcaneal Fractures: Causes, Symptoms, and Advanced Physiotherapy Management

Posted on by Dr Dharam

Calcaneal Fractures

The calcaneus bones in the foot are injured in calcaneal fractures. The mobility and quality of life might be greatly affected by these fractures. Our specialty at Elite Physiotherapy and Sports Injury Centre is thorough rehabilitation for these injuries, using cutting-edge techniques to guarantee the best possible outcome.

Causes and Mechanism of Injury

Axial force is usually the cause of calcaneal fractures, which are the most frequent tarsal bone fractures. This occurs when someone falls from a height and lands on their feet, compressing and breaking the heel bone. If not properly treated, such injuries can result in serious morbidity.

Signs and Symptoms

Individuals who have calcaneal fractures may suffer from:

  • Severe hindfoot pain.
  • Bruises and swelling near the heel or ankle.
  • Unable to use the injured foot to support the weight.
  • Pain or deformity in the ankle or heel area.

Diagnostic Methods

Our assessment at Elite Physiotherapy and Sports Injury Centre consists of the following:

  • Physical Examination: Evaluating edema, bruising, and deformity.
  • Functional Assessment: Evaluating weight-bearing ability and range of motion.
  • Special Physiotherapy Tests: Using certain tests to detect ligamentous injuries and fractures.

Advanced Physiotherapy Management

Our goal when treating calcaneal fractures is to minimize pain, restore function, and avoid complications. To meet the needs of each patient, we combine modern techniques, therapeutic exercises, and manual treatment.

High-End Modalities Utilized

We use the following cutting-edge therapies to improve recovery:

  • Shock Wave Therapy: Applying acoustic waves to the wounded area helps to promote tissue repair and lessen discomfort.
  • CRET Therapy: Through the use of electromagnetic energy, Capacitive Resistive Energy Transfer (CRET) Therapy improves deep tissue healing while lowering inflammation and increasing circulation.
  • The Super Inductive System:  Stimulates muscles and speeds up bone mending by using strong electromagnetic fields.
  • High-Intensity Class 4 Laser Therapy: Promotes quicker tissue repair by reducing pain and inflammation with concentrated light energy.
  • Hydrotherapy: Uses water-based workouts to reduce joint tension and increase strength and mobility.
  • Cryotherapy: In the early stages of an injury, cryotherapy uses cold therapy to minimize discomfort and swelling.

Personalized Rehabilitation Programs

Each patient receives a personalized rehabilitation program from us that emphasizes:

  • Pain management: is the process of reducing discomfort by using physical techniques and modalities.
  • Restoring Range of Motion: To restore mobility, use stretching techniques and joint mobilizations.
  • Strengthening exercises: To regain strength and function, focus on the lower leg and foot muscles.
  • Gait training: Gait training helps patients rediscover appropriate walking techniques to avoid further injuries.
  • Proprioceptive training: Using certain exercises to improve balance and coordination.

Our goal at Elite Physiotherapy and Sports Injury Centre is to treat calcaneal fractures with state-of-the-art physiotherapy techniques. We design our individualized care programs and cutting-edge modalities to promote a quick and efficient recovery, allowing our patients to confidently resume their regular activities.

Anterior Ankle Tendinopathy: Diagnosis & Advanced Physiotherapy Management

Posted on by Dr Dharam

Anterior Ankle Tendinopathy

Pain and dysfunction at the front of the ankle are symptoms of anterior ankle tendinopathy, which mostly affects the tibialis anterior tendon. Both daily activities and athletic performance may be greatly impacted by this condition, particularly for those who do repetitive dorsiflexion movements.

Causes and Mechanism of Injury

To dorsiflex the foot and enable upward movement, the tibialis anterior muscle is essential. Microtrauma and tendon degeneration can result from overuse or repetitive strain, especially during activities like jogging or climbing on uneven terrain. People can be predisposed to this tendinopathy by systemic disorders like diabetes or hypertension, as well as intrinsic variables including age-related tendon degradation and diminished vascularity. Mechanical overload, abrupt increases in exercise intensity, and inappropriate footwear are examples of extrinsic variables.

Long-distance runners who abruptly increase their training volume without enough recovery frequently develop anterior ankle tendinopathy. Running-induced repetitive dorsiflexion and inadequate recovery time might overstress the tibialis anterior tendon, causing microtrauma and subsequent tendinopathy.

Signs and Symptoms

Patients typically present with:

  • Pain in the medial midfoot and anterior ankle.
  • Resistance to dorsiflexion worsens the pain.
  • Tenderness along the tibialis anterior tendon’s length.
  • Crepitus or swelling in the affected area.

These symptoms may be more noticeable at night and frequently get worse with activity.

Diagnostic Methods at Elite Physiotherapy and Sports Injury Centre

We at Elite Physiotherapy and Sports Injury Centre use thorough physical and functional evaluations to diagnose anterior ankle tendinopathy. Our strategy consists of:

  • Clinical Evaluation: a thorough medical history to determine the development of symptoms, activity levels, and possible causes.
  • Physical Examination: Palpation along the tibialis anterior tendon to detect tenderness or edema; discomfort assessment using resisted dorsiflexion.
  • Special Tests: Orthopedic specialists use particular tests to assess the integrity and function of tendons.

These evaluations enable us to precisely identify the condition and provide a customized therapy strategy.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

In order to prevent recurrence, our facility provides a thorough physiotherapy program that addresses underlying reasons in addition to symptom relief. Among our managerial techniques are:

  • Activity Modification: Helping patients cut back on or stop activities that make their symptoms worse so that the tendon can recover.
  • Manual therapy: Using methods like massage and soft tissue mobilization to ease tense muscles and increase blood flow to the afflicted area.
  • Therapeutic Exercises: Creating customized workout plans to improve the tibialis anterior muscle and its surrounding structures’ strength, flexibility, and endurance.
  • High-end modalities: Making use of cutting-edge therapeutic technologies to ease pain and encourage recovery, such as:
  1. Shock Wave Therapy: Shock wave therapy involves using acoustic waves to promote tendon repair and reduce pain.
  2. Capacitive Resistive Electric Transfer (CRET) Therapy: Using deep thermal effects, Capacitive Resistive Electric Transfer (CRET) therapy improves tissue repair.
  3. Super Inductive System: The Super Inductive System uses high-intensity electromagnetic fields to lessen pain and promote tissue regeneration.
  4. High-Intensity Class 4 Laser Therapy: High-intensity Class 4 laser therapy involves using deep tissue laser therapy to lower inflammation and encourage healing.
  5. Hydrotherapy: Hydrotherapy involves using water-based exercises to increase strength and mobility while reducing joint stress.
  6. Cryotherapy: Using cold therapy to alleviate acute pain and inflammation.

Pain and dysfunction at the front of the ankle are symptoms of anterior ankle tendinopathy, which mostly affects the tibialis anterior tendon.

At Elite Physiotherapy and Sports Injury Centre, we’re dedicated to giving our patients individualized care and state-of-the-art treatments so they may reach their performance and wellness objectives.

Talus Stress Fracture : Causes, Symptoms, Diagnosis, and Advanced Physiotherapy Management

Posted on by Dr Dharam

Despite being very rare, stress fractures of the talus are serious injuries that need careful attention and care. The talus, a crucial bone in the ankle that connects the leg and foot, is essential for both weight bearing and movement. At Elite Physiotherapy and Sports Injury Centre, we provide cutting-edge, customized treatment for conditions like talar stress fractures, guaranteeing our patients a speedy recovery.

What Causes a Stress Fracture of the Talus?

When misuse and repetitive stress surpass the bone’s capacity for self-healing, stress fractures result. As the main weight-bearing bone in the ankle, the talus is vulnerable to these injuries in people who participate in high-impact activities or have poor biomechanics.

Common Causes

  • Overuse and Repetition:  High-impact sports like basketball, gymnastics, ballet, and running can lead to overuse and repetition.
  • Inappropriate Training Techniques: Abruptly increasing the amount or intensity of training.
  • Foot biomechanics: abnormalities such as flat feet or overpronation.
  • Footwear: Poorly supportive shoes that are worn out or inadequate.
  • Bone Health Issues: Osteoporosis and vitamin D insufficiency are conditions that affect bone health.

Example of Mechanism of Injury

Repeated microtrauma to the talus occurs when a marathon runner trains on uneven terrain without adequate rest intervals. A stress fracture occurs when this stress eventually exceeds the bone’s ability to heal itself.

Signs and Symptoms

For prompt intervention, it is essential to recognize the symptoms of a stress fracture. Patients who have a talar stress fracture frequently show:

  • Deep, Persistent Pain: Ankle pain that improves with rest, especially when you’re not carrying any weight.
  • Swelling: The ankle joint is noticeably swollen.
  • Tenderness: Pain along the length of the ankle joint or when the talus is palpated.
  • Stiffness: Difficulty with dorsiflexion or plantarflexion and decreased ankle mobility.
  • Gait Alteration: A change in gait brought on by discomfort, such as limping.

Diagnosis of Talus Stress Fractures

To guarantee precise evaluation and diagnosis, Elite Physiotherapy and Sports Injury Centre combines clinical knowledge with cutting-edge diagnostic methods.

1. Detailed Physical Examination

  • Ankle bruising, edema, and limitations in movement were noted.
  • Finding painful spots on the talus by palpating it.

2. Functional Assessment

  • examination of gait to identify biomechanical anomalies or compensatory patterns.
  • Tests of balance and weight-bearing are used to assess functional limitations.

3. Special Physiotherapy Tests

  • Certain stress tests to determine the precise site and type of injury. The goal of these studies is to replicate symptoms by subjecting the talus to controlled stress.

4. Imaging

  • Even though physical examinations are thorough, advanced imaging tests like CT, MRI, or X-rays could be suggested to confirm the diagnosis and gauge the severity of the damage.

Management of Stress Fracture of the Talus

A combination of rest, sophisticated physiotherapy techniques, and a gradual return to exercise are necessary for effective management. For the best possible rehabilitation, we at Elite Physiotherapy and Sports Injury Centre offer state-of-the-art, patient-centered care.

Initial Management

  • Activity Modification: To lessen talus tension and stop more damage, refrain from weight-bearing activities.
  • Immobilization: Restricting movement and promoting recovery through the use of braces or supportive footwear.
  • Pain and Swelling Control: Using cryotherapy, or cold therapy, to reduce inflammation.

Comprehensive Physiotherapy Management

1. Advanced Modalities for Pain Relief and Healing

We use cutting-edge technologies to enhance results and accelerate recovery:

  • Shock Wave Therapy: A non-invasive treatment that promotes bone repair, lessens discomfort, and enhances circulation in the afflicted area is shock wave therapy.
  • Capacitive Resistive Energy Transfer (CRET) Therapy: Using specific electromagnetic waves, Capacitive Resistive Energy Transfer (CRET) therapy improves tissue repair and lowers inflammation.
  • Super Inductive System: The Super Inductive System uses electromagnetic stimulation to reduce pain and encourage deep tissue healing.
  • High-Intensity Class 4 Laser Therapy: Promotes bone healing, lowers inflammation, and stimulates cellular repair.
  • Cryotherapy: Applying cold to relieve severe pain and swelling.
  • Hydrotherapy: A water-based treatment that increases joint strength and mobility without putting undue strain on the talus.

2. Progressive Strengthening and Weight-Bearing

  • As the pain goes away, gradually increase the amount of weight-bearing workouts.
  • To regain stability and avoid further injuries, do strengthening exercises that focus on the ankle, foot, and surrounding muscles.

3. Exercises for Mobility and Flexibility

  • Ankle flexibility and range of motion can be enhanced with mild stretches.
  • methods for reducing stiffness and reestablishing regular motion.

4. Training for Proprioception and Balance

  • exercises intended to decrease the chance of re-injury by enhancing ankle stability and coordination.
  • Balance boards and stability trainers are examples of tools that can improve neuromuscular control.

5. Gait Retraining

  • Targeted treatments aimed at reversing abnormal gait patterns brought on by pain or compensating after the injury.
  • Instruction on appropriate foot placement and biomechanics.

6. Education of Patients

  • Advice on how to prevent recurrence through appropriate footwear, training methods, and activity adjustment.
  • Suggestions for bone health, hydration, and diet to aid in general recuperation.

Why Choose Elite Physiotherapy and Sports Injury Centre?

At Elite Physiotherapy and Sports Injury Centre, we provide unmatched care by fusing cutting-edge technology with our expertise. Our team of highly skilled physiotherapists develops individualized treatment programs based on the particular requirements of every patient. Our advanced technologies, thorough evaluations, and patient-centered approach guarantee a quicker recovery and long-term well-being.

State-of-the-art methods and caring treatment can help you at every stage, whether you are an athlete ready to resume your sport or an active person looking for pain relief.

Take the First Step Toward Recovery

Don’t delay if you have ankle pain or think you may have a talar stress fracture. To start your path to an active, pain-free living, stop by Elite Physiotherapy and Sports Injury Centre. Our skilled team and advanced treatments are here to support you in achieving the best possible recovery.