Category: Shoulder Pain

BICEPS TENDINITIS

Posted on by Dr Dharam

What is Biceps Tendinitis?

Biceps tendinitis is a prevalent condition characterized by inflammation of the biceps tendon, leading to pain and functional limitations in the shoulder region. Our specialty at Elite Physiotherapy & Sports Injury Centre is providing individualized, research-based physiotherapy treatments to manage this condition effectively.

Causes of Biceps Tendinitis

  • Overuse: The biceps tendon can be strained by repetitive overhead motions, which are typical in sports like baseball, tennis, and swimming.
  • Age-related Degeneration: As people age, their tendon strength gradually declines, leaving them more vulnerable to inflammation.
  • Acute Injuries: The biceps tendon may sustain damage by unexpected stress, such as falling on an outstretched arm.

Because the biceps tendon’s long head passes through the shoulder joint, overhead motions might put stress on it. Microtears, inflammation, and eventually tendinopathy can result from repetitive tension.

Clinical Presentation

  • Anterior Shoulder Pain: Localized pain in the front of the shoulder, anterior shoulder pain is frequently made worse by overhead exercises.
  • Tenderness: Bicipital groove pain when palpated.
  • Weakness: Less strength in elbow and shoulder motions.
  • Snapping Sensation: A snapping sensation occurs as the tendon moves within the groove when the arm is moved.

Diagnostic Approach at Elite Physiotherapy

  • Range of Motion (ROM) Testing: Assessing elbow and shoulder range of motion to find restrictions.
  • Strength Assessment: Assessing muscle strength in order to identify deficiencies.
  • Special Tests:
    • Speed’s Test: Biceps tendon involvement is indicated by pain experienced during resisted shoulder flexion.
    • Yergason’s Test: Pain during external rotation and resisted supination suggests biceps tendinopathy.
    • Palpation: Determining whether the bicipital groove is tender.

Physiotherapy Management for Biceps Tendinitis

  • Pain Management
    • Cryotherapy: Using cold packs to numb and reduce inflammation in the affected area.
    • Nonsteroidal Anti-inflammatory Drugs (NSAIDs): Doctors use nonsteroidal anti-inflammatory drugs (NSAIDs) to control pain and swelling under proper medical supervision.
  • Therapeutic Modalities
    • Radial Extracorporeal Shock Wave Therapy (rESWT): Using acoustic waves, radial extracorporeal shock wave therapy (rESWT) helps chronic tendinopathies heal.
    • High-Intensity Class 4 Laser Therapy: Improves tissue repair by penetrating deep tissues to lessen pain and inflammation.
    • Super Inductive System (SIS): The Super Inductive System (SIS) uses high-intensity electromagnetic fields to activate muscles and reduce pain.
    • Hydrotherapy: Hydrotherapy involves performing exercises in water to increase range of motion and reduce joint tension.
  • Exercise Therapy
    • Stretching exercises: Mild stretches to increase biceps and surrounding muscle flexibility.
    • Strengthening exercises: Increase the stability of your elbows and shoulders with progressive resistance training.
    • Postural Training: Postural training corrects posture to reduce excessive strain on the shoulder complex.
  • Manual Therapy
    • Soft Tissue Mobilization: Methods for increasing circulation and releasing tense muscles.
    • Joint Mobilization: Improving joint mobility and decreasing stiffness.

Why Choose Elite Physiotherapy & Sports Injury Centre?

  • Personalized Treatment Plans: Made to fit each patient’s requirements and objectives.
  • Advanced Modalities: Availability of state-of-the-art treatments such as Class 4 Laser Therapy and rESWT.
  • Experienced Professionals: A group of knowledgeable physiotherapists with a focus on musculoskeletal disorders.
  • Comprehensive Care: We assist our patients along their rehabilitation process, from the first evaluation to complete recovery.

Conclusion

Biceps tendinitis can significantly affect both daily activities and athletic performance if not properly managed. An organized physiotherapy program combined with early intervention is essential for a successful recovery. At Elite Physiotherapy & Sports Injury Centre, we’re dedicated to providing the highest quality care to help our patients restore function and return to the activities they love.

SHOULDER PAIN: AC JOINT PATHOLOGY

Posted on by Dr Dharam

What is AC Joint Pathology?

AC joint pathology can significantly impact an individual’s everyday activities and athletic pursuits, especially contact and overhead sports. The acromion, a portion of the scapula, and the clavicle are joined at the top of the shoulder by the acromioclavicular (AC) joint. This tiny joint is essential for shoulder mobility and load transfer between the axial skeleton and upper limb.

Causes of AC Joint Pathology

AC joint pathology may arise from various causes, including:

  • Trauma or Injury: A direct blow to the shoulder, frequently sustained in contact sports or falls.
  • Repetitive Overuse: Athletes who engage in overhead exercises like weightlifting, swimming, or throwing are said to exhibit repetitive overuse.
  • Degenerative changes: Include osteoarthritis brought on by aging or long-term joint stress.
  • Muscular weakness and postural imbalances: Can change biomechanics and concentrate load on the AC joint.

The most typical mechanism is a fall with the arm adducted on the shoulder tip. This stress damages the AC ligaments by pushing the acromion downward about the clavicle. In extreme situations, there may be obvious clavicular displacement due to the rupture of the coracoclavicular ligaments.

Signs, Symptoms, and Clinical Features

Patients with AC joint pathology may present with:

  • Localized shoulder pain in the upper part
  • Swelling and an obvious deformity or protrusion at the AC joint
  • Pain during overhead or cross-body arm motions
  • Restricted range of motion, especially when flexion and abduction are occurring
  • Shoulder girdle muscle weakness
  • Feelings of clicking or grinding when moving the shoulders

Diagnostic Methods at Elite Physiotherapy and Sports Injury Centre

We use a thorough approach to diagnosis at Elite Physiotherapy and Sports Injury Centre. Our Physiotherapist integrates advanced clinical reasoning and specialized orthopedic examinations with physical and functional assessments. These consist of:

  • Cross-body Adduction Test: Passive horizontal shoulder adduction is used to replicate pain.
  • The AC Resisted Extension Test: Measures the amount of pain experienced when the shoulder is at 90° flexion and internal rotation while resisting horizontal abduction.
  • O’Brien’s Test: By stressing the joint when the shoulder is internally rotated and extended to 90 degrees, O’Brien’s Test distinguishes between labral pathologies and AC joints.
  • Palpation and Observation: Finding step-off abnormalities, edema, and soreness.
  • Functional Testing: Analysis of scapular rhythm, muscular imbalances, and biomechanics in tasks particular to sports is known as functional testing.

Advanced and Personalized Physiotherapy Management at Elite Physiotherapy

The focus of our care at Elite Physiotherapy and Sports Injury Centre is on precise, evidence-based therapies that are customized for each patient. To lessen discomfort, enhance function, and avoid recurrence, we place a high priority on conservative, non-surgical treatment.

1. Pain Management and Inflammation Control

  • Cryotherapy: Aids in the early stages of acute pain relief and inflammation reduction.
  • High-Intensity Class 4 Laser Therapy: Effectively lowers chronic pain, improves circulation, and encourages cellular healing.
  • Shockwave therapy (if chronic): Promotes tissue regeneration and is helpful for calcific deposits or chronic tendinopathies of the AC joint.
  • CRET Therapy: Through capacitive and resistive energy transfer, CRET therapy promotes deep tissue repair, particularly in cases of fibrosis or persistent joint stiffness.

2. Joint and Soft Tissue Mobilization

Our manual therapy techniques focus on restoring joint alignment and tissue extensibility:

  • Joint mobilizations of the AC and scapulothoracic joints
  • Myofascial release for tight shoulder and neck muscles
  • Soft tissue mobilization for rotator cuff and deltoid muscles

3. Neuromuscular Re-education

We employ targeted neuromuscular retraining to restore proper scapular mechanics and shoulder rhythm. This includes:

  • Biofeedback-based exercises
  • Scapular stabilization drills
  • Closed-chain kinetic exercises for proprioceptive enhancement

4. Strengthening and Conditioning

Progressive strengthening is essential to restore dynamic stability. Focus areas include:

  • Rotator cuff and scapular stabilizers
  • Core and kinetic chain muscles
  • Resistance band and weight-based exercises

We carefully monitor training intensity to avoid joint overloading.

5. Functional Rehabilitation and Return to Sport

As the condition improves, we integrate sport-specific drills and correct movement patterns. This ensures safe return to activity and reduces risk of reinjury.

  • Plyometric training and proprioception drills
  • Athletic taping or bracing, if needed
  • Performance analysis and correction

6. Advanced Modalities and Supportive Therapies

  • Super Inductive System (SIS): Stimulates muscle contractions and enhances neuromuscular control without physical strain.
  • Hydrotherapy: When applicable, it offers resistance with minimal joint stress, ideal for early mobilization.

Why Choose Elite Physiotherapy and Sports Injury Centre?

Our centre combines clinical excellence with advanced physiotherapy technologies. We guide each treatment with a comprehensive assessment and a personalized rehabilitation plan. Our commitment to athlete-centric care ensures faster recovery, optimal performance, and long-term joint health.

At Elite Physiotherapy, we don’t just treat symptoms; we correct the root cause. Whether you’re a competitive athlete or a fitness enthusiast, our specialized programs ensure you return stronger and pain-free.

Conclusion

Timely and professional physiotherapy care can effectively manage acromioclavicular joint disease. Elite Physiotherapy & Sports Injury Centre provides unmatched care that is customized to meet your needs thanks to our state-of-the-art modalities, evidence-based therapies, and sophisticated diagnostics. To start your path to recovery and optimal performance, schedule your consultation right now.

ROTATOR CUFF DISORDERS

Posted on by Dr Dharam

Rotator cuff disorders are among the most common causes of shoulder pain and dysfunction in athletes and the general population. Our specialty at Elite Physiotherapy and Sports Injury Centre is the use of cutting-edge clinical evaluations and evidence-based therapies in the diagnosis and treatment of various disorders.

What Is the Rotator Cuff?

The four muscles that make up the rotator cuff are the subscapularis, infraspinatus, teres minor, and supraspinatus. In addition to facilitating arm motions like lifting and rotation, these muscles stabilize the shoulder joint. When overuse or damage causes these tendons to become irritated, inflamed, or torn, disorders result.

Causes of Rotator Cuff Disorders

Disorders of the rotator cuff can result from:

  • Repeated overhead motions (found in weightlifting, tennis, and swimming, for example)
  • Poor shoulder biomechanics or posture
  • Falling on an outstretched arm is an example of acute trauma.
  • Aging-related degenerative changes
  • Scapular dyskinesis or imbalances in the muscles
  • Poor training methods or inadequate warm-up

Clinical Features and Symptoms

Common signs and symptoms include:

  • Sharp or dull shoulder pain, particularly when performing overhead tasks
  • Arm weakness, especially during external rotation or abduction
  • Sleep is being disrupted by night pain, particularly while laying on the side that is affected.
  • restricted range of motion
  • Shoulder clicking or catching sensation
  • Atrophy of muscles in chronic conditions

Diagnostic Approach at Elite Physiotherapy

We use a comprehensive functional and physical evaluation to identify rotator cuff disorders. Our thorough assessment consists of:

  • Assessing posture to find scapular winging or changed shoulder mechanics
  • Testing for rotator cuff integrity using strength and range of motion
  • Checking for localized tenderness or swelling
  • Finding compensatory patterns using functional movement screening

These evaluations help us develop individualized and successful treatment programs.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

Our facility provides a thorough, superior physiotherapy treatment plan that is customized to the patient’s condition, objectives, and sport-specific requirements. Our main goals are tissue healing, functional restoration, muscle retraining, and pain alleviation.

1. Manual Therapy

  • Joint mobilizations to increase scapulothoracic and glenohumeral mobility
  • Release of soft tissues to lessen trigger points and tense muscles
  • Enhancing fascial mobility through myofascial release

2. Therapeutic Exercise Program

We design specific exercises for:

  • Stabilization of the scapula and neuromuscular control
  • Periscapular and rotator cuff muscle strengthening
  • Increasing proprioception and dynamic stability
  • Training in ergonomics and posture correction

To rebuild strength and endurance, we use bodyweight movements, weights, and bands in a gradual resistance training regimen.

3. Advanced Physiotherapy Modalities

We integrate cutting-edge technologies to accelerate healing and reduce recovery time:

  • Shock Wave Therapy: In chronic situations, shock wave therapy enhances tendon repair, lowers pain, and increases collagen formation.
  • CRET Therapy: Capacitive Resistive Electric Transfer, or CRET Therapy, promotes cellular regeneration and deep tissue healing, making it perfect for tendon disease.
  • Super Inductive System: The Super Inductive System (SIS) uses high-frequency electromagnetic fields to provide both functional stimulation and pain alleviation.
  • High Intensity Class 4 Laser Therapy: Encourages cellular regeneration and reduces inflammation without causing heat damage
  • Cryotherapy: In acute circumstances, cryotherapy decreases inflammation and offers instant pain relief.
  • Hydrotherapy: Promotes early mobility in a low-impact setting; particularly helpful in situations that are subacute or following surgery.

Depending on the patient’s state, each modality is applied strategically to provide the most possible benefit with no chance of aggravation.

4. Taping and Bracing

We use kinesiology taping for:

  • Relieving pain and providing proprioceptive feedback
  • When necessary, muscle contraction or activation
  • Assisting with shoulder motion during daily activities or sports

When to Seek Help

  • Consult our experts if you have ongoing shoulder pain, weakness, or trouble performing overhead tasks. Early intervention stops additional deterioration and speeds up healing.

Why Choose Elite Physiotherapy and Sports Injury Centre?

At Elite Physiotherapy and Sports Injury Centre, we offer:

  • Experienced sports physiotherapists with expertise in shoulder rehabilitation
  • Individualized treatment plans based on detailed assessment
  • Access to the most advanced physiotherapy equipment and modalities
  • A track record of successful outcomes in athletes and active individuals
  • Holistic care focusing on complete functional restoration

Conclusion

Rotator cuff disorders can significantly impact quality of life and athletic performance. Early diagnosis, detailed assessment, and expert physiotherapy management are key to optimal recovery. At Elite Physiotherapy and Sports Injury Centre, we combine manual therapy, targeted exercises, and advanced modalities to deliver exceptional care.

For appointments and detailed consultations, visit www.elitephysiotherapy.in. Let us help you regain full, pain-free shoulder function and return to your best performance.

SHOULDER OSTEOARTHRITIS

Posted on by Dr Dharam

Introduction

Shoulder osteoarthritis (OA) is a degenerative joint disease that affects the glenohumeral joint, leading to pain, stiffness, and reduced mobility. Our specialty at Elite Physiotherapy & Sports Injury Centre is offering cutting-edge, scientifically supported physiotherapy, designed to successfully treat shoulder OA.

Causes and Mechanism of Injury

The glenohumeral joint’s articular cartilage gradually deteriorating is the main cause of shoulder OA. Among the contributing elements are:

  • Age-related degeneration: Degeneration brought on by aging is common in those over 60.
  • Previous shoulder injuries: Dislocations or fractures may accelerate the degeneration of cartilage.
  • Repetitive overhead activities: Manual laborers and athletes are particularly vulnerable to repetitive overhead activities.
  • Genetic predisposition: An important factor may be family history.

Pain and restricted mobility result from the degeneration’s effects on subchondral bone alterations, osteophyte formation, and joint space constriction.

Clinical Features

Shoulder OA patients frequently exhibit:

  • Chronic shoulder pain: Gets better when you rest and gets worse when you move.
  • Stiffness: Especially after periods of inactivity.
  • Crepitus: A grating feeling when moving the shoulder.
  • Limited range of motion: Having trouble raising the arm or carrying out overhead tasks.

Diagnostic Approach at Elite Physiotherapy

Our thorough evaluation consists of:

  • A thorough patient history: Helps determine the type, severity, and timing of symptoms.
  • Physical examination: Evaluating joint mobility, muscle strength, and posture.
  • Specialized physiotherapy tests: Neer’s and Hawkins-Kennedy tests are used to assess joint integrity and impingement.
  • Functional assessments: Measuring the effect on day-to-day activities using instruments such as the Shoulder Pain and Disability Index (SPADI).

These assessments aid in creating a customized treatment strategy.

Advanced Physiotherapy Management at Elite Physiotherapy

Using a combination of manual therapy, therapeutic exercises, and cutting-edge techniques, our treatment approach aims to reduce pain, restore function, and stop more joint degradation.

Manual Therapy

Hands-on techniques are employed to:

  • Improve joint mobility: Increase range of motion in your joints with mild mobilizations.
  • Reduce muscle tension: To ease tightness, apply a soft tissue massage.

Therapeutic Exercises

Customized exercise programs are designed to:

  • Strengthen rotator cuff and scapular stabilizers: Enhancing shoulder stability.
  • Improve flexibility: Stretching activities might help you become more flexible and less stiff.
  • Enhance proprioception: Improve proprioception with workouts for balance and coordination to avoid injuries and falls.

Postural Correction and Ergonomic Advice

Educating patients on maintaining proper posture and modifying daily activities to reduce shoulder strain is integral to our approach.

Integration of Advanced Modalities

At Elite Physiotherapy, we incorporate cutting-edge technologies to augment traditional physiotherapy treatments:

Extracorporeal Shock Wave Therapy (ESWT)

  • ESWT reduces pain and encourages tissue regeneration by applying high-energy sound waves to the affected area. Research has demonstrated its efficacy in enhancing shoulder function and reducing discomfort.

Capacitive and Resistive Electric Transfer (CRET) Therapy

  • Deep tissue heating is produced by CRET therapy using radiofrequency energy, which improves blood flow and speeds up the healing process. In cases of osteoarthritis, it helps to improve joint mobility and lessen pain.

Super Inductive System (SIS)

  • High-intensity electromagnetic fields are used by SIS to activate muscles and relieve pain by stimulating neuromuscular tissue. Patients with pain-related reduced movement will find it especially helpful.

High-Intensity Class 4 Laser Therapy

  • By delivering concentrated light energy to deep tissues, this method speeds up tissue healing and reduces inflammation. It improves functional results and effectively manages chronic shoulder pain.

Hydrotherapy

  • Warm water exercise reduces joint tension and promotes efficient movement by providing buoyancy. Strength, flexibility, and general joint function are all enhanced by hydrotherapy.

Cryotherapy

  • Cold treatment numbs pain and reduces inflammation. It is very helpful for reducing discomfort after manual therapy sessions or after exercise.

Personalized Care at Elite Physiotherapy

Our team of experienced physiotherapists ensures that each patient receives individualized care tailored to their specific needs and goals. Regular assessments and progress tracking allow for timely modifications to the treatment plan, ensuring optimal outcomes.

Conclusion

Although shoulder osteoarthritis can have a major negative influence on a person’s quality of life, its effects can be effectively treated with the correct care. Elite Physiotherapy & Sports Injury Centre offers comprehensive care, intending to regain function and reduce pain by combining cutting-edge modalities with classic physiotherapy procedures.

THROWER’S SHOULDER

Posted on by Dr Dharam

What is Thrower’s Shoulder?

Thrower’s shoulder, a common overuse injury among athletes participating in repetitive overhead sports like cricket, volleyball, and javelin, is our specialty at Elite Physiotherapy & Sports Injury Centre. Our individualized, research-based strategy guarantees the best possible recovery and performance restoration.

Causes and Mechanism of Injury

Repetitive overhead actions that put a great deal of strain on the shoulder’s anatomical structures can cause a thrower’s shoulder. Important contributing elements consist of:

  • Glenohumeral internal rotation deficit (GIRD): A decrease in internal rotation range relative to the non-dominant shoulder, resulting in changed biomechanics.
  • Posterior Capsule Tightness: Restricted internal rotation results in compensatory movements and more strain on the anterior tissues.
  • Scapular Dyskinesis: Shoulder stability and function are impacted by abnormal scapular movement.
  • Muscle Imbalances: Shoulder mechanics are disrupted when internal and external rotators have disproportionately strong muscles.

Together, these elements cause microtrauma, which results in diseases such as internal impingement, labral tears, and rotator cuff tendinopathy.

Clinical Features

Athletes with a thrower’s shoulder may present with:

  • Pain: Located in the superior or posterior shoulder, and made worse by throwing.
  • Decreased Performance: Reduced accuracy and velocity of throwing.
  • Stiffness: Particularly in movements involving internal rotation.
  • Fatigue: Caused by impaired shoulder mechanics, it manifests early during activity.

Diagnostic Approach at Elite Physiotherapy

Our comprehensive assessment protocol includes:

Physical Examination

We conduct a thorough evaluation focusing on:

  • Range of Motion (ROM): Evaluating internal and external rotation abnormalities.
  • Strength Testing: Involves assessing the scapular stabilizer and rotator cuff muscles.
  • Postural Analysis: Determining the alignment of the thoracic spine and scapular placement.

Special Orthopedic Tests

Utilizing specific tests to pinpoint the affected structures:

Functional Assessment

To find the biomechanical flaws causing the injury, we examine the athlete’s throwing technique.

Advanced Physiotherapy Management at Elite Physiotherapy

Our individualized rehabilitation programs aim to restore function, alleviate pain, and prevent recurrence.

Manual Therapy

Techniques include:

  • Joint Mobilizations: Improve scapulothoracic and glenohumeral mobility through joint mobilizations.
  • Soft Tissue Mobilization: Treat rotator cuff and posterior capsule myofascial limitations.

Therapeutic Exercises

We design certain exercises to:

  • Improve ROM: Increase ROM by concentrating on posterior capsule flexibility and internal rotation.
  • Strengthen Muscles: To regain equilibrium, focus on the scapular stabilizers and rotator cuff.
  • Improve Neuromuscular Control: For synchronized movement patterns, including proprioceptive training.

High-End Modalities

We incorporate cutting-edge technologies to accelerate recovery:

Functional Training

We incorporate sport-specific drills to:

  • Reinforce Proper Mechanics:  Fix improper throwing motion patterns.
  • Develop Endurance: Strengthen your muscles to endure prolonged use.

Why Choose Elite Physiotherapy & Sports Injury Centre?

Our clinic stands out due to:

  • Expertise: In-depth understanding of shoulder injuries associated with sports.
  • Personalized Care: Rehabilitation plans that are specific to each athlete.
  • Advanced Technology: Availability of state-of-the-art treatment approaches.
  • Holistic Approach: Taking into account both the injury and the athlete’s overall performance.

Conclusion

Treatment for the thrower’s shoulder must be complex. In order to guarantee that players return to their sport stronger and more resilient, we at Elite Physiotherapy & Sports Injury Centre combine clinical experience with cutting-edge therapeutic approaches. A thorough rehabilitation program and early intervention are essential for positive results.

SHOULDER DISLOCATION

Posted on by Dr Dharam

Introduction

Shoulder dislocation is a prevalent injury, especially among athletes and active individuals. Our specialty at Elite Physiotherapy & Sports Injury Centre is offering cutting-edge, individualized treatment to promote the best possible recovery and avoid recurrence.

Understanding Shoulder Dislocation

When the head of the humerus is violently separated from the scapula’s glenoid cavity, a shoulder dislocation takes place. Joint stability is compromised by this injury, which calls for quick and efficient treatment.

Causes of Shoulder Dislocation

  • Trauma: Includes direct hits to the shoulder, falls, and motor vehicle accidents.
  • Sports Injuries: Contact or high-impact sports, such as rugby, football, and wrestling.
  • Repetitive strain: Caused by overhead tasks that gradually weaken shoulder tissues.

Due to its wide range of motion, the shoulder is prone to dislocation. The most frequent kind, anterior dislocations, are caused by an external force acting on an arm that has been abducted, stretched, and externally rotated. Although less frequent, posterior dislocations can happen as a result of internal rotation and arm adduction brought on by seizures or electric shocks.

Clinical Features

  • Intense pain: Sudden, severe shoulder pain.
  • Deformity: A noticeable change in the shape of the shoulders.
  • Limited Mobility: Inability to move the arm without experiencing severe pain.
  • Swelling and Bruising: Around the shoulder joint.
  • Tingling or numbness: These symptoms could be signs of nerve involvement.

Diagnostic Approach at Elite Physiotherapy

Physical and Functional Assessment

Our clinicians conduct a thorough evaluation, including:

  • Observation: Checking for muscle atrophy, edema, and deformity.
  • Palpation: Recognizing soreness and unusual posture.
  • Range of Motion Tests: Evaluating active and passive movements.

Special Physiotherapy Tests

Utilizing established orthopedic assessment techniques, we perform:

  • Apprehension Test: By monitoring the patient’s response during external rotation and abduction, the Apprehension Test can identify anterior instability.
  • Relocation Test: If symptoms improve when posterior pressure is applied, the relocation test confirms instability.
  • Sulcus Sign: Identifies inferior instability by noticing a depression below the acromion when downward traction is given.

Imaging

While our primary focus is on physical assessment, we may recommend imaging studies like X-rays or MRIs to rule out fractures or soft tissue injuries if necessary.

Advanced Physiotherapy Management at Elite Physiotherapy

Our center offers a comprehensive, non-phase-wise rehabilitation program tailored to individual needs.

Pain Management

  • Cryotherapy: Using cold packs to relieve pain and inflammation is known as cryotherapy.
  • High-Intensity Class 4 Laser Therapy: Penetrating deeply into the tissue promotes tissue healing and lessens discomfort.

Restoring Mobility and Strength

Manual therapy:

  • Joint mobilizations to improve mobility.
  • Soft tissue techniques to alleviate muscle tightness and pain.

Therapeutic Exercises:

  • Range of Motion (ROM): Mild motions to regain flexibility.
  • Strengthening exercises: To improve joint stability, focus on the rotator cuff and scapular stabilizers.
  • Proprioceptive Training: Enhancing neuromuscular control and joint position sensing through proprioceptive training.

Advanced Modalities

Functional Rehabilitation:

It is the process of simulating everyday tasks to guarantee a safe transition back to regular functioning.

We focus on restoring functional independence through:

  • Neuromuscular Re-education: Improving muscle control and coordination.
  • Postural Training: Adjusting body alignment to avoid further injuries.
  • Activity-Specific Training: Getting patients ready to resume sports or daily activities.

Why Choose Elite Physiotherapy & Sports Injury Centre?

  • Expert Team: Skilled physiotherapists with a focus on musculoskeletal and Sports injuries.
  • State-of-the-Art Facilities: Outfitted with cutting-edge techniques for the best possible care.
  • Personalized Care: Customized treatment regimens to achieve certain objectives.
  • Holistic Approach: Combining manual therapy, exercise, and cutting-edge technologies provides a holistic approach.

Conclusion

Quick and effective management of shoulder dislocations is essential to restore function and prevent recurrence. To guarantee the best possible recovery, we at Elite Physiotherapy & Sports Injury Centre provide thorough, evidence-based physiotherapy treatments using cutting-edge modalities. Our individualized approach aims to restore function, strength, and mobility so that patients can confidently resume their everyday activities and sports.

SHOULDER BURSITIS

Posted on by Dr Dharam

Introduction

Shoulder bursitis is one of the most frequent causes of shoulder pain. Shoulder pain can severely limit sports performance and everyday activities. To properly treat this problem and guarantee long-term comfort and healing, Elite Physiotherapy & Sports Injury Centre provides expert, cutting-edge, and customized physiotherapy solutions.

What is Shoulder Bursitis?

Shoulder Bursitis is the inflammation of the subacromial bursa, a small fluid-filled sac located beneath the acromion (the top outer edge of the shoulder blade). This bursa lessens friction while the shoulder moves by serving as a cushion between soft tissues and bones.

Inflammation or irritation of the bursa results in pain, limited movement, and discomfort when using the shoulder. It is most frequently linked to trauma, underlying shoulder problems, or repetitive overhead movements.

Causes of Shoulder Bursitis

Shoulder bursitis can result from several conditions. Typical reasons include:

  • Repeated overhead motions (often seen in throwers, swimmers, artists, and athletes)
  • Direct injury or a shoulder fall
  • Bad posture or shoulder biomechanics
  • Rotator cuff injuries
  • Calcium deposits in tendons
  • Systemic inflammatory diseases such as gout or rheumatoid arthritis
  • Infections (septic bursitis is uncommon, but it can happen)

The acromion and the rotator cuff tendons are separated by the subacromial bursa. Irritation may result from friction, compressive pressures, or repetitive microtrauma between these components. This results in thickening of the bursal walls, increased production of synovial fluid, and inflammatory changes that decrease the subacromial space and worsen impingement symptoms.

Signs and Symptoms

The following are typical clinical signs of shoulder bursitis:

  • Pain in the upper arm or outer shoulder
  • Pain made worse by lifting or overhead activities
  • Tenderness  in the lateral shoulder or larger tuberosity
  • Restricted active range of motion, particularly in flexion and abduction
  • Painful arc of abduction between 60° and 120°
  • Pain at night, particularly when resting on the afflicted shoulder
  • Swelling or warmth in severe situations

Diagnostic Approach at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, we conduct a comprehensive physical and functional assessment to diagnose Shoulder Bursitis accurately.

  • Observation and palpation for pain, warmth, and swelling.
  • Checking for range of motion (passive and active).
  • Manual resistance testing to rule out rotator cuff tears.
  • Special Physiotherapy Tests including:
    • Neer’s Impingement Test: Indicates subacromial impingement.
    • The Hawkins-Kennedy Test: Causes pain when bursitis is present.
    • Painful Arc Test: If pain is felt between 60° and 120° abduction, it may indicate subacromial bursitis.
    • Yergason’s and Speed’s tests: To rule out tendinopathy of the biceps.
    • Drop Arm Test: To assess involvement of the rotator cuff.

To assess shoulder mechanics and find underlying biomechanical problems, we also employ functional movement screening.

To confirm the diagnosis and rule out other illnesses, imaging tests like MRIs or ultrasounds may be suggested in some situations.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

We believe in evidence-based, individualized, and goal-oriented rehabilitation. Our treatment focuses on relieving pain, restoring function, and preventing recurrence.

1. Pain and Inflammation Reduction

    We efficiently relieve pain and inflammation by using state-of-the-art modalities:

    1. Shock Wave Therapy: Promotes tissue repair, lowers inflammation, and dissolves calcium buildup.
    2. CRET Therapy (Capacitive and Resistive Electric Transfer): Deep heating technology that enhances blood flow and cellular repair.
    3. High-Intensity Class 4 Laser Therapy: Promotes healing by providing analgesic and anti-inflammatory properties that operate quickly.
    4. The Super Inductive System (SIS):  Improves neuromuscular activation and promotes deep tissue healing without physical contact.
    5. Cryotherapy: Used to reduce pain and swelling during the acute or subacute phase.

    These techniques improve the results of traditional therapy and are totally safe for shoulder bursitis.

    2. Manual Therapy

      Our knowledgeable physiotherapists employ expert hands-on methods to:

      • Mobilize the glenohumeral joint and scapulothoracic articulation
      • Release the tense soft tissues surrounding the deltoid and rotator cuff.
      • Improve the mobility of the thoracic spine and scapular rhythm
      • Perform trigger point release and myofascial release as needed

      3. Therapeutic Exercises

        We design customized exercise programs focusing on:

        • Adjusting posture and maintaining scapular stability
        • Exercises for range of motion (pulley-assisted movements, pendulum swings)
        • Exercises to strengthen the periscapular and rotator cuff muscles
        • Isometric exercise to enhance neuromuscular control and lessen pain
        • Resistance training that is gradually increased as tolerated

        Every exercise is gradually increased in difficulty to prevent discomfort and guarantee a safe return to activities.

        4. Neuromuscular Re-Education

          Our therapists place a strong emphasis on addressing muscular imbalances and poor shoulder mechanics by using:

          • Proprioceptive training
          • Kinesio taping for pain management and support
          • Retraining functional movements for everyday tasks and sports

          5. Hydrotherapy

            Hydrotherapy in a regulated aquatic setting aids in the subacute and recovery stages:

            • Reduce joint loading
            • Encourage early mobility
            • Increase muscular contraction without causing discomfort

            6. Education and Ergonomics

              We educate patients about:

              • Correct posture
              • Activity modifications
              • Ergonomic adjustments
              • Home exercise programs to sustain recovery

              Why Choose Elite Physiotherapy and Sports Injury Centre?

              At Elite Physiotherapy & Sports Injury Centre, we provide a comprehensive approach by fusing cutting-edge facilities, professional knowledge, and globally recognized physiotherapy technologies. Our goal is full function and performance restoration, not simply symptom reduction.

              We are committed to:

              • Giving individualized, one-on-one care
              • Using the newest technology to recover more quickly
              • Providing rehabilitation programs based on evidence
              • Long-term planning to prevent recurrence

              Book Your Consultation Today

              If you or someone you know is suffering from Shoulder Bursitis, don’t ignore it. Early and effective physiotherapy intervention can prevent chronic pain and dysfunction.
              Visit us at: elitephysiotherapy.in
              Book your consultation with our experts and experience advanced physiotherapy like never before.

              CALCIFIC TENDINOPATHY OF THE SHOULDER

              Posted on by Dr Dharam

              Introduction

              Calcific tendinopathy of the shoulder is a painful condition characterized by calcium deposits within the rotator cuff tendons, most commonly affecting the supraspinatus tendon. Our specialty at Elite Physiotherapy & Sports Injury Centre is offering thorough, scientifically supported physiotherapy treatments that are customized to meet the needs of each patient. ​

              Causes and Mechanism of Injury

              Although the precise etiology of calcific tendinopathy is still unknown, several elements are involved in its development:​

              • Degenerative Changes: Tendons may degenerate as a result of age-related wear and tear, increasing their vulnerability to calcium deposition.​
              • Repetitive Overuse: Overhead sports and jobs that require a lot of shoulder motions can make people more susceptible.​
              • Reduced Blood Supply: Healing may be impeded and calcification may be encouraged by decreased blood supply to the tendons.​
              • Metabolic Disorders: A higher frequency of calcific tendinopathy has been linked to conditions such as diabetes and thyroid issues.

              The condition progresses through three stages:​

              1. Formative Phase: The tendon starts to accumulate calcium deposits.​
              2. Resting Phase: There may not be many symptoms and the deposits stay steady.​
              3. Resorptive Phase: Inflammation and severe pain result from the body’s attempt to reabsorb the calcium.​

              Clinical Features

              Patients with calcific tendinopathy often present with:​

              • Shoulder Pain: Usually restricted to the side or front of the shoulder, this pain gets worse as you move.​
              • Reduced Range of Motion: Having trouble raising the arm, particularly above the head.​
              • Night Pain: Pain that disrupts sleep, especially when lying on the affected side, may be a sign of an underlying issue.​
              • Muscle Weakness: Pain and inactivity cause the shoulder muscles to lose strength.​

              Diagnostic Approach at Elite Physiotherapy

              At Elite Physiotherapy & Sports Injury Centre, we employ a thorough assessment protocol:​

              • Detailed History and Physical Examination: Understanding the onset, course, and nature of symptoms.​
              • Functional Assessment: Functional assessment involves evaluating shoulder strength, movement patterns, and functional limitations.​
              • Special Physiotherapy Tests: Clinicians use specific tests to distinguish rotator cuff involvement from other shoulder disorders.​
              • Imaging Referrals: In order to verify the existence and magnitude of calcific deposits, we occasionally work with imaging centers to arrange for ultrasound or MRI.​

              Comprehensive Physiotherapy Management

              We design our physiotherapy interventions to alleviate pain, restore function, and prevent recurrence:​

              Manual Therapy

              Hands-on techniques to improve joint mobility, reduce muscle tension, and enhance circulation in the affected area.​

              Therapeutic Exercises

              Customized exercise programs focusing on:​

              • Range of Motion: Gentle stretching to improve flexibility.​
              • Strengthening: Targeted exercises for the rotator cuff and scapular stabilizers.​
              • Neuromuscular Control: Enhancing coordination and movement patterns.​

              High-End Modalities

              We incorporate advanced technologies to optimize healing:​

              • Shock Wave Therapy: Non-invasive treatment that promotes reabsorption of calcium deposits and reduces pain.​
              • Capacitive Resistive Electric Transfer (CRET) Therapy: Enhances tissue healing through deep thermal effects.​
              • Super Inductive System: Utilizes high-intensity electromagnetic fields to stimulate tissue repair and pain relief.​
              • High-Intensity Class 4 Laser Therapy: Accelerates cellular regeneration and reduces inflammation.​
              • Hydrotherapy: Water-based exercises that minimize joint stress while improving mobility and strength.​
              • Cryotherapy: Application of cold therapy to reduce acute inflammation and pain.​

              We select each modality based on individual assessment to ensure safety and effectiveness.​

              Personalized Care at Elite Physiotherapy

              Our approach is patient-centric, emphasizing:​

              • Individualized Treatment Plans: Tailored to the specific needs and goals of each patient.​
              • Education and Empowerment: Providing knowledge about the condition and self-management strategies.​
              • Ongoing Support: Regular follow-ups to monitor progress and adjust treatment as needed.​

              By integrating advanced physiotherapy techniques with personalized care, we aim to achieve optimal outcomes for our patients.​

              Conclusion

              Shoulder calcific tendinopathy can have a major effect on day-to-day functioning and quality of life. Our thorough evaluation and state-of-the-art treatment methods at Elite Physiotherapy & Sports Injury Centre provide efficient ways to manage this illness. For a customized rehabilitation program, we encourage you to speak with our knowledgeable staff if you’re dealing with shoulder pain or dysfunction. ​

              Frozen Shoulder | Adhesive Capsulitis

              Posted on by Dr Dharam

              Introduction

              Frozen shoulder, also known as Adhesive capsulitis, is a debilitating condition that causes pain and stiffness in the shoulder joint. At Elite Physiotherapy and Sports Injury Centre, our specialty is delivering individualized, evidence-based physiotherapy treatments to restore mobility and reduce discomfort related to this illness. ​

              Causes and Mechanisms

              The thickening and tightening of the connective tissue around the shoulder joint, which limits movement, is usually the cause of frozen shoulder. Although the precise explanation is yet unknown, several factors could be involved:​

              • Prolonged immobilization: After an injury or surgery.​
              • Systemic conditions: These include heart disease, diabetes, and thyroid issues.​
              • Gender and age: More prevalent among people between 40 and 60, especially women.​

              Clinical Features

              Symptoms typically appear gradually in patients and continue through three stages:​

              1. Freezing Stage: Limited range of motion due to chronic pain that gets worse with movement.​
              2. Frozen Stage: Although there may be less pain, the shoulder stiffens and becomes extremely limited in movement.​
              3. Thawing Stage: Progressive increase in mobility.​

              Common signs and symptoms include:​

              • Dull or aching pain in the shoulder and upper arm.​
              • Difficulty doing ordinary tasks like reaching overhead or dressing.​
              • Soreness in the shoulders that interferes with sleep.​

              Diagnosis at Elite Physiotherapy

              At Elite Physiotherapy, our thorough evaluation consists of:​

              • Comprehensive medical history: To determine possible causes.​
              • Physical examination: Measuring range of motion, both active and passive.​
              • Specialized tests: To assess shoulder mobility and pinpoint particular limits, use the Apley Scratch Test, for example.​

              These assessments allow us to create a customized treatment program that meets each patient’s particular requirements.

              Physiotherapy Management at Elite Physiotherapy

              Our strategy combines manual therapy, focused exercises, and cutting-edge modalities to restore function and lessen pain.​

              Manual Therapy

              Our skilled physiotherapists use the following methods to ease muscle tension and increase joint mobility:​

              • Joint mobilizations to enhance range of motion.​
              • Soft tissue massage to alleviate muscle tightness.​

              Therapeutic Exercises

              The purpose of personalized fitness regimens is to:

              • Boost your strength and flexibility.​
              • Increase the stability of your shoulders.​
              • Encourage the functional motions required for day-to-day tasks.​

              Exercises are gradually modified to fit the patient’s tolerance and degree of recuperation.​

              Postural Education

              We offer advice on how to keep your posture correct to lessen shoulder joint stress and avoid more issues.​

              Advanced Modalities at Elite Physiotherapy

              To augment traditional physiotherapy, we offer state-of-the-art modalities:​

              Shock Wave Therapy

              Uses acoustic waves to promote healing, lessen discomfort, and increase shoulder mobility.​

              Capacitive and Resistive Electric Transfer (CRET) Therapy, or TECAR or TRF Therapy

              increases circulation and encourages tissue regeneration by delivering radiofrequency energy to deep tissues.​

              Super Inductive System (SIS)

              Helps with pain management and functional recovery by stimulating muscles and neurons with high-intensity electromagnetic fields.​

              Class 4 High-Intensity Laser Therapy

              Reduces inflammation, eases discomfort, and speeds up the healing process by penetrating deeply into tissues.​

              Hydrotherapy

              Include warm-water pool workouts that ease joint stress and promote smooth movement.​

              Cryotherapy

              Uses cold treatment, which is particularly helpful in the early stages of frozen shoulder, to reduce inflammation and numb pain.​

              Why Choose Elite Physiotherapy?

              At Elite Physiotherapy and Sports Injury Centre, we are committed to providing:​

              • Personalized care: Treatment programs created to fit each patient’s needs.​
              • Experienced professionals: A group of licensed physiotherapists with knowledge of how to treat frozen shoulder.​
              • Advanced technology: Having access to state-of-the-art techniques that improve the effectiveness of treatment.​
              • Comprehensive services: Including home visits, in-clinic sessions, and telerehabilitation choices.​

              Conclusion

              Although frozen shoulder can have a major negative influence on quality of life, healing is possible with prompt and effective physiotherapy therapies. We at Elite Physiotherapy are committed to helping you at every stage of your recovery process so that you can resume moving without pain. ​

              TR-Therapy

              Posted on by Dr Dharam

              Revolutionizing Rehabilitation with TR-Therapy

              At Elite Physiotherapy and Sports Injury Centre, we take pride in continuing to lead the way in medical innovation by providing innovative treatments that transform recovery and rehabilitation. One of the most cutting-edge techniques we use is TR-Therapy, a novel therapy designed to speed up recovery, lessen discomfort, and increase general mobility. Modern technology and individualized treatment are flawlessly combined in this therapy, guaranteeing each patient receives the best possible outcomes.

              What is TR-Therapy?

              Targeted Radiofrequency Therapy, or TR-Therapy for short, is a non-invasive therapeutic approach that uses high-frequency electromagnetic energy to encourage deep tissue repair. In contrast to conventional treatments, TR-Therapy induces regulated hyperthermia (deep heating) by penetrating deeply into muscles, ligaments, and connective tissues. Significant pain reduction, enhanced circulation, and a quicker recovery are all made possible by this special mechanism. The versatility of TR-Therapy, which can be utilized with or without thermal effects, makes it ideal for a variety of injuries and medical disorders.

              How TR-Therapy Works?

              A closer look into TR-Therapy’s process reveals that it uses a combination of ergonomic applicators and sophisticated radiofrequency radiation to give targeted treatment:

              1. Capacitive Mode: This mode concentrates on soft tissues and the skin, targeting superficial tissues. It’s perfect for ailments like small sprains or inflammations that need to be treated at the surface level.
              2. Resistive Mode: The resistive mode targets deeper structures, such as tendons, joints, and muscles. It works especially well for joint stiffness, deep muscle injuries, and persistent pain.
              3. Dynamic Impedance Control: During therapy, a state-of-the-art function called Dynamic Impedance Control continuously analyzes tissue impedance. This guarantees the best possible energy delivery, modifying in real time for optimal efficacy and comfort.

              Patients frequently report feeling a calming warmth that eases tension and relaxes muscles during therapy. TR-Therapy’s combination of thermal and physical impacts makes it both fun and effective.

              Applications of TR-Therapy at Elite Physiotherapy and Sports Injury Centre

              At our center, we include TR-Therapy into all-encompassing treatment programs to address a variety of ailments. Here are a few of the most important uses:

              1. Management of Chronic Pain

              The quality of life can be greatly impacted by chronic pain, particularly in regions like the shoulders, neck, or lower back. Deep tissue relaxation, a reduction in muscle tension, and long-term pain relief are all benefits of TR-Therapy. For people with ailments like frozen shoulder, cervical spondylosis, or lumbar pain, this makes it a great choice.

              2. Improved Muscle Regeneration

              Active people and athletes frequently have small tears, overuse injuries, and muscular weariness. TR-Therapy increases oxygen delivery to tissues and circulation, which speeds up muscle recovery. This therapy helps patients return to optimum performance more quickly, whether they are recovering from strenuous training sessions or treating sports-related injuries.

              3. Edema and Post-Traumatic Swelling

              Edema and swelling can impede the healing process for those recovering from surgery or trauma. The non-thermal application of TR-Therapy efficiently lowers inflammation and encourages lymphatic drainage, which speeds up healing and increases mobility.

              4. Myofascial Pain Syndrome

              Widespread pain and stiffness can be caused by trigger points in muscles and fascia. TR-Therapy precisely targets these regions, relieving tension and reestablishing regular muscular function. This is particularly helpful for ailments like tennis elbow, IT band dysfunction, and plantar fasciitis.

              5. Tendon and Joint Rehabilitation

              Rest and rehabilitation must frequently be carefully balanced in cases of joint and tendon injuries. The focused approach of TR-Therapy guarantees efficient therapy without overtaxing the afflicted area. Because of this, it is the preferred treatment for tendinitis, ligament sprains, and arthritis.

              Why Choose Elite Physiotherapy and Sports Injury Centre?

              Elite Physiotherapy & Sports Injury Centre was founded in 2008 and has been at the forefront of revolutionizing rehabilitation and physiotherapy in India. What sets us apart is this:

              • Holistic Rehabilitation: Our method helps patients get back to their regular activities or sports after receiving therapeutic treatment. We place a strong emphasis on result-oriented healing, making sure that patients not only recover but also perform at their best.
              • Cutting Edge Facilities: We provide our patients with the newest developments in medical technology thanks to our state-of-the-art physiotherapy equipment, which includes TR-Therapy systems.
              • Tailored Care Plans: Each patient at Elite Physiotherapy is given a customized treatment plan based on their unique requirements, objectives, and recovery schedules. To optimize benefits, TR-Therapy is smoothly included into these plans.
              • Sports Physiotherapy Expertise: We have years of expertise treating athletes and active people, and our focus is on improving athletic performance and treating sports injuries.

              Experience the Difference

              At Elite Physiotherapy and Sports Injury Centre, we combine knowledge, technology, and compassion to provide unmatched care. TR-Therapy is evidence of our dedication to quality and innovation in rehabilitation. TR-Therapy can be extremely beneficial whether you’re trying to improve your athletic performance, manage a chronic illness, or recover from an injury.

              Stop by our office today to learn more about how you can include TR-Therapy in your healing process. Allow us to assist you in starting along the path to an active and pain-free life.