The 7 Step Shin Splints Treatment System
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Shoulder Sprain a Sprain Is a Stretch And/Or Tear of a Ligament, a Strong Band of Connective Tissue That Connect the End of One Bone with Another
INDUSTRYADVANTAGE THERAPY UPDATE April 2016 A Courtesy Publication for the Monett area HR/Safety Community Sprains & Strains: What’s the difference? Does seeing the term “shoulder injury” at a glance make you cringe? In the work comp world, shoulder injuries can turn into costly claims involving surgery and long-term rehabilitation. Often times, shoulder injuries begin as sprains or strains and can be treated with conservative, non-operative treatment. In this month’s Industry Update, we’ll review sprains and strains as well as other factors that can contribute to shoulder injuries in the workplace. Shoulder Sprain A sprain is a stretch and/or tear of a ligament, a strong band of connective tissue that connect the end of one bone with another. In the shoulder complex, common sprains involve the supporting ligaments of the joint between the end of the collar bone and the shoulder blade - the acromioclavicular (AC) joint. Shoulder sprains can occur during repetitive reaching or lifting activities, or with falls onto the shoulder. Treatment for mild sprains includes RICE (Rest, Ice, Compression, Elevation) and exercises to improve muscle balance, preserve joint mobility, and provide support for ligaments. Shoulder Strain A strain is an injury to a muscle and/or tendons. Tendons are fibrous cords of tissue that attach muscles to the bone. Typical symptoms of a strain include pain, muscle spasm, muscle weakness, swelling, inflammation, and cramping. Strains are common when a pushed, pulled, or lifted object suddenly gives way. They can also be wear-and- tear injuries or a result from reaching out during a fall. -
Shoulder Conditions Diagnosis and Treatment Guideline
Shoulder Conditions Diagnosis and Treatment Guideline TABLE OF CONTENTS I. Review Criteria for Shoulder Surgery II. Introduction III. Establishing Work-Relatedness A. Shoulder Conditions as Industrial Injuries B. Shoulder Conditions as Occupational Diseases IV. Making the Diagnosis A. History and Clinical Exam B. Diagnostic Imaging V. Treatment A. Conservative Treatment B. Surgical Treatment VI. Specific Conditions A. Rotator Cuff Tears B. Subacromial Impingement Syndrome without a Rotator Cuff Tear C. Calcific tendonitis D. Labral tears including superior labral anterior-posterior (SLAP) tears E. Acromioclavicular dislocation F. Acromioclavicular arthritis G. Glenohumeral dislocation H. Tendon rupture or tendinopathy of the long head of the biceps I. Glenohumeral arthritis and arthropathy J. Manipulation under anesthesia K. Diagnostic arthroscopy VII. Post-operative Treatment and Return to Work VIII. Specific Shoulder Tests IX. Functional Disability Scales for Shoulder Conditions X. References 1 Hyperlink update September 2016 I. REVIEW CRITERIA FOR SHOULDER SURGERY Criteria for Shoulder Surgery A request may be AND this has been done If the patient has AND the diagnosis is supported by these clinical findings: appropriate for (if recommended) Surgical Procedure Diagnosis Subjective Objective Imaging Non-operative care Rotator cuff tear repair Acute full-thickness Report of an acute Patient will usually have Conventional x-rays, AP and May be offered but not rotator cuff tear traumatic injury within 3 weakness with one or true lateral or axillary view required Note: The use of allografts months of seeking care more of the following: and xenografts in rotator Forward elevation AND cuff tear repair is not AND Internal/external MRI, ultrasound or x-ray covered. -
Elbow Rehab UCL Sprain Non Operative.Pages
Conservative Treatment Following Ulnar Collateral Ligament Sprains Of the Elbow Phase I Immediate Motion Phase Post-Injury days 0 - 7 Goals 1. Increase ROM 2. Promote healing of ulnar collateral ligament 3. Retard muscular atrophy 4. Decrease pain and inflammation 5. 1 week post-injury initiate cardiovascular conditioning program with modifications for injury per the ClevelandIndians Physical Development Program (start at Week 1 in manual) Activities 1. Brace (optional) - non-painful ROM (20 →90 degrees) 2. AAROM, PROM elbow, wrist and shoulder (non-painful ROM and no shoulder ER stretching) 3. Initiate Isometrics - wrist and elbow musculature, gripping exercises 4. Ice, compression 5. Initiate shoulder strengthening ( no internal rotation ) - CAUTION: avoid stressing medial elbow Phase II Intermediate Phase Post-Injury Weeks 2 - 4 Goals 1. Increase ROM 2. Improve strength and endurance 3. Decrease pain and inflammation 4. Promote stability 5. 2 weeks post-injury initiate upper/lower body strength program with modifications for injury per the Cleveland Indians Physical Development Program (start at Week 1 in manual) Criteria to Progress to Phase II 1. No Swelling 2. Acute pain is diminished Activities 1. ROM exercises - gradual increase in motion ( 0 → 135 degrees) • 5 degrees of extension, 10 degrees of flexion 2. Initiate isotonic exercises • wrist curls • wrist extension • pronation/supination • biceps/triceps 3. Advance shoulder strengthening • external rotation • internal rotation (Week 3) • supraspinatus 4. Ice, compression Phase III Advanced Strengthening phase Post-Injury Weeks 5 - 6 Criteria to progress to Phase III 1. Full AROM 2. No pain or tenderness 3. No increase in laxity 4. Strength 4/5 in the elbow flexors/extensors Goals 1. -
Shin Splints
A Patient’s Guide to Shin Splints Orthopedic and Sports Physical Therapy 245 North College Lafayette, LA 70506 Phone: 337.232.5301 Fax: 337.237.6504 Compliments of: Orthopedic and Sports Physical Therapy DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments orA treatments.Patient's The information Guide shouldto Shin NOT be Splints used in place of a visit with your health care provider, nor should you disregard the advice of your health care provider because of any information you read in this booklet. Orthopedic and Sports Physical Therapy Thank you for requesting your Orthopaedic and Sports Physical Therapy Patient Guide and giving us the opportunity to help you better understand your condition. Once you've had a chance to review the information provided, you may have additional questions. If that's the case, we would like to offer you a FREE consultation to discuss your condition more fully, answer all of your questions, and give you our best advice on how you can resolve your pain quickly and easily. To arrange your FREE consultation, please contact us at 337.232.5301 and begin feeling good again! Call today and begin feeling better tomorrow. The OSPT Team Orthopedic and Sports Physical Therapy 245 North College Lafayette, LA 70506 Phone: 337.232.5301 Fax: 337.237.6504 www.ospt.net All materials within these pages are the sole property of Medical Multimedia Group, LLC and are used herein by permission. -
Your Guide to Playing Safe Staying Active by Participating in Sports Is a Great Way to Be Healthy
Your Guide to Playing Safe Staying active by participating in sports is a great way to be healthy. All that running, jumping and stretching, though, carries the risk of injury. Play it safe with this quick guide to common problems. An adult sports medicine overview with contributions from sports medicine experts Sally Harris, MD, and Amol Saxena, DPM. TOP INJURIES BY SPORT Running Knee injuries, particularly irritation of the cartilage on the underside of the kneecap Shin splints Achilles tendinitis Plantar fasciitis (irritation in the tendons and ligaments that run from the heel to toes) Ankle sprains and calf strains General overuse injuries such as sprains, strains and stress fractures Swimming Overuse and repetitive motion injury to the shoulder or knee Cycling Achilles peritondinesis (inflammation of the tendon sheath) Patellofemoral pain syndrome (cartilage irritation on the underside of the kneecap) Lower back pain from hunched posture and poor bike fit Traumatic injury from high-speed falls Pelvic nerve pressure and pain—alleviated with padded bike shorts Nerve inflammation in the hands—alleviated with cushioned bike gloves and padded handle bars Baseball/Softball Shoulder problems (rotator cuff injuries and shoulder tendinitis) Pitchers—tendinitis of the shoulder, back, neck, elbow, forearm and wrist; tears to the ulnar collateral ligament in the elbow Catchers—risk of back and knee problems Ankle sprains and fractures Traumatic injuries due to ball hitting body Basketball Jammed fingers Knee or ankle injuries -
Effects of Q-Angle on Lower Extremity Biomechanics And
EFFECTS OF Q-ANGLE ON LOWER EXTREMITY BIOMECHANICS AND INJURIES IN FEMALE COLLEGIATE TRACK AND FIELD ATHLETES By MYRANDA HOPE HAM Candidate for Master of Science in Engineering, Biomedical Engineering, Mercer University, May 2020 A Thesis Submitted to the Graduate Faculty of Mercer University School of Engineering in Partial Fulfillment of the Requirements for the Degree MASTER OF SCIENCE IN ENGINEERING MACON, GA 2020 EFFECTS OF Q-ANGLE ON LOWER EXTREMITY BIOMECHANICS AND INJURIES IN FEMALE COLLEGIATE TRACK AND FIELD ATHLETES By MYRANDA HOPE HAM Approved: ______________________________________ Date __________________ Dr. Ha Vo, Advisor ______________________________________ Date __________________ Dr. Edward O’Brien, Committee Member ______________________________________ Date __________________ Dr. Richard Kunz, Committee Member ______________________________________ Date __________________ Dr. Laura Lackey, Dean ACKNOWLEDGEMENTS I would like to first thank Dr. Vo for all his help throughout this project. I would not have been able to complete this study without his guidance. Thank you to Dr. Kunz and Dr. O’Brien for serving as member of my committee. Thank you to Amos Mansfield for approving this study to be conducted with Mercer University student-athletes. Thank you to all the Mercer Women’s Track and Field coaches, including Josh Hayman, Leesa Morales, and Jerod Wims, for being flexible and allowing the athletes to participate in this study around their practice schedule. Thank you to every member of the Mercer Women’s Track and -
Achilles Tendon
Achilles Tendon The Achilles tendon, the largest and single strongest tendon in the body, connects the heel bone to the muscles in the back of your leg and thigh. The primary function of the Achilles tendon is to transmit the power of these muscles to the foot enabling walking and running. Why do Achilles tendon injuries occur? Achilles tendon injuries can occur especially when the tendon is subjected to strong forces such as in velocity sports: running, soccer, basketball, tennis, and baseball. Additionally, aging, and the Achilles tendons poor blood supply also increases your chance of injury. The area of the tendon with the poorest blood supply is the area (2 to 6 cm) just above its insertion into the heel bone. The blood flow to this area decreases as you get older. This means, older active individuals are more vulnerable to injury and need especially to take precautions such as wearing appropriate athletic gear, and doing proper stretching. People who over pronate , (flattening of the arch, turning out of the heels and splaying outward of the forefoot) can especially develop in unstable shoe gear foot pain as well as, Achilles tendinitis and Achilles tendonosis, two common overuse disorders that occur in the Achilles tendon, bunions, hammertoes , plantar fasciitis , shin splints and knee pain. Athletes and laborers who routinely put added stresses on their feet are vulnerable to Achilles tendon injuries. Weekend warriors, who are not in proper condition and infrequently, participate in athletic activities also are at greater risk for Achilles tendon injuries. Injury to the Achilles tendon can be sudden or gradual and the healing course can be lengthy. -
Bone Edema After Ankle Sprain and Update
ISSN: 2574-1241 DOI: 10.26717/BJSTR.2019.13.002435 M Ballester. Biomed J Sci & Tech Res Mini Review Open Access Bone Edema After Ankle Sprain and Update M Ballester*1, G Lucar1 and Shahdad Saeedi2 1Consorci Sanitari del Maresme Hospital de Mataró, Barcelona, Spain 2MedStar Georgetown University Hospital, Washington, US Received: January 23, 2019; Published: January 25, 2019 *Corresponding author: M Ballester, Consorci Sanitari del Maresme Hospital de Mataró, Barcelona, Spain Mini Review sustaining an ankle sprain is made on a T2-weighted image which Acute ankle sprains are one of the most common musculoskeletal shows increased signal intensity and decreased signal intensity injuries. Studies in both the United States and European countries on a T1-weighted image. The location and pattern of the osseous have shown that 30% of all athletic injuries involve ankle sprains injury has been studied by Labovitz being most frequently found in [1]. Patients often present to their primary care physician or the medial talar dome. emergency department from the lateral ankle pain and instability With appropriate treatment following an ankle sprain the that at 1-year follow-up after conservative treatment, 5% to 33% clinical prognosis of bone edema is usually favorable. The initial after a plantarflexion inversion injury. A systematic review showed treatment algorithm after an ankle sprain can be superior to making the patient non-weightbearing and allowing them to bear weight of the patients still experience pain and instability, 34% of patients incomplete recovery from their initial injury [2]. It is critical for us to reduce joint stiffness. The actual evidence does not show that reported at least one recurrent sprain and 15% to 64% reported bone marrow edema after an ankle sprain is a prognostic factor for lateral ankle sprain such as peroneal tendon tears, osteochondral recovery [3]. -
Ankle Sprain, Acute
Dr. S. Matthew Hollenbeck, MD Kansas Orthopaedic Center, PA 7550 West Village Circle, Wichita, KS 67205 2450 N Woodlawn, Wichita, KS 67220 Phone: (316) 838-2020 Fax : (316) 838-7574 ANKLE SPRAIN, ACUTE Description An acute ankle sprain involves the stretching and tearing of one or more ligaments in the ankle. A two-ligament sprain causes more disability than a single-ligament sprain. Sprains are classified into three grades: In a first-degree sprain, the ligament is not stretched or lengthened but is painful. With a second- degree sprain, the ligament is stretched but still functions. With a third-degree sprain, the ligament is torn and does not function. Lateral ankle sprains: There are three ligaments of the outer (lateral) ankle. These are the most common sprains. Medial ankle sprains: There is one large triangular ligament of the inner (medial) ankle, which is stronger and more compact than the outer ligaments, making injuries to it less likely. Syndesmosis (“high ankle”) sprains: This is the ligament that connects the two leg bones just above the ankle. This ligament is usually injured when the sprain to the ankle is very severe. Common Signs and Symptoms Pain, tenderness, and swelling in the ankle, starting at the side of injury, that may progress to the whole ankle and foot with time Pop or tearing sensation at the time of injury Bruising that may spread to the heel Impaired ability to walk soon after injury Causes Stress on the ankle that temporarily forces or pries the ankle bone (talus) out of its normal socket Stretching -
Ankle Sprain
PATIENT EDUCATION Ankle Sprain What Is an Ankle Sprain? An ankle sprain is an injury to one or more ligaments in the Anterior ankle, usually on the outside of the ankle. Ligaments are talofibular ligament Posterior bands of tissue – like rubber bands – that connect one bone talofibular to another and bind the joints together. In the ankle joint, ligament ligaments provide stability by limiting side-to-side movement. Calcaneofibular ligament Some ankle sprains are much worse than others. The severity of an ankle sprain depends on whether the ligament is stretched, partially torn, or completely torn, as well as on the number of Symptoms ligaments involved. Ankle sprains are not the same as strains, The symptoms of ankle sprains may include: which affect muscles rather than ligaments. • Pain or soreness Causes • Swelling Sprained ankles often result from a fall, a sudden twist, or a blow that forces the ankle joint out of its normal position. • Bruising Ankle sprains commonly occur while participating in sports, • Difficulty walking wearing inappropriate shoes, or walking or running on an • Stiffness in the joint uneven surface. These symptoms may vary in intensity, depending on the Sometimes ankle sprains occur because a person is born with severity of the sprain. Sometimes pain and swelling are absent weak ankles. Previous ankle or foot injuries can also weaken the in people with previous ankle sprains. Instead, they may simply ankle and lead to sprains. feel the ankle is wobbly and unsteady when they walk. Even if there is no pain or swelling with a sprained ankle, treatment is crucial. -
Knee Meniscal Cartilage Injuries
Knee Meniscal Cartilage Injuries In the knee, there are areas of cartilage tissue which act like shock absorbers in the joint - these are called menisci. There are also areas of cartilage covering the ends of the long bones at the knee joint - these are called articular cartilages. The meniscal cartilage may become damaged or torn causing significant problems for patients. The knee joint The diagram right illustrates the knee joint. Femur Each knee joint contains an inner and outer meniscus (medial and lateral meniscus). These are thick rubber-like pads of cartilage tissue. They are C-shaped and become thinner towards the middle of the joint. The meniscal cartilages sit between the thin layer of articular cartilage which covers the bottom of the femur and the top of the tibia. Lateral Medial Meniscus Meniscus The menisci act like shock absorbers to absorb the impact of the upper leg on the lower leg. They also help to improve smooth movement and stability of the knee. Tibia When people talk about a cartilage injury to a knee, they usually mean an injury to one of the meniscal cartilages. Meniscal cartilage injuries The knee is commonly injured in sports, especially rugby, football and skiing. You may tear a meniscus by a forceful knee movement whilst you are weight bearing on the same leg. The classical injury is for a footballer to twist (rotate) the knee whilst the foot is still on the ground - for example, whilst dribbling round a defender. The meniscus may tear fully or partially. How serious the injury is depends on how much is torn and the exact site of the tear. -
Case of Acute Concomitant Rupture of Anterior Cruciate Ligament and Patellar Tendon of Knee: Surgical Decision Making and Outcome
Case Report Journal of Orthopaedic Case Reports 2017 May‑Jun: 7(3):5‑8 Case of Acute Concomitant Rupture of Anterior Cruciate Ligament and Patellar Tendon of Knee: Surgical Decision Making and Outcome Jithin Orville Lobo1, Joe Joseph Cherian1, Arnav Sahu1 What to Learn from this Article? To not miss concomitant ligamentous injuries in a knee and the subsequent management of these injuries. Abstract Introduction: Acute concomitant rupture of both anterior cruciate ligament (ACL) and patellar tendon is a rare injury. The diagnosis of either of the injuries may be missed on clinical examination in the emergency room. A high index of suspicion is necessary when active extension is absent, and necessary investigations like ultrasound or magnetic resonance imaging (MRI) should be done to confirm the diagnosis. There are no fixed treatment protocols in these injuries. The options include immediate repair of patellar tendon with either simultaneous or delayed reconstruction of ACL. Case Report: We present a case of 30‑year‑old man with simultaneous ACL and patellar tendon injury sustained in a RTA, riding pillion on a bike. The mechanism of injury was a direct blow on his flexed right knee followed by landing on the ground, on his foot with a twisting valgus thrust. Following clinical examination and radiographs, MRI was done which showed complete patellar tendon mid substance rupture and ACL tear. A staged procedure was planned, and the patient was taken up for immediate patellar tendon repair. This was followed by 5 weeks of cast immobilization. After 6 weeks, the knee was mobilized and ACL reconstruction was done using hamstring graft.