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Keep Your Joint. Stop Your Pain. T P A T I E N T RESOURCES KEEP YOUR JOINT. STOP YOUR PAIN. T A I N T R O T O M U S C U L O S K E L E T A L B A (01) T E N D O N I T I S / B U R S I T I S O F T H E H I P L E O G R E A T E R T R O C H A N T E R I C F B U R S I T I S C 02 O N T 03 I L L I O P S O A S B U R S I T I S E N T S 04 S A C R O I L I T I S I N T R O T P M U S C U L O S K E L E T A L B (05) T E N D O N I T I S / B U R S I T I S O F K N E E 06 P E S A N S E R I N E B U R S I T I S 07 S U P R A P A T E L L A R B U R S I T I S I L L I O T I B I A L B A N D 08 S Y N D R O M E 09 P A T E L L A R T E N D I N I T I S I N T R O T P M U S C U L O S K E L E T A L C (10) T E N D O N I T I S / B U R S I T I S O F S H O U L D E R S U B A C R O M I N A L B U R S I T I S A ( I M P I N G E M E N T S Y N D R O M E ) R 11 O M B I C E P S T E N D I N I T I S O 12 T I O F R O Z E N S H O U L D E R N 13 ( A D H E S I V E C A P S U L I T I S ) 01 MUSCULOSKELETAL TENDONITIS/BURSITIS OF THE HIP When the pain stops abruptly the muscles and ligaments will respond to the sudden shifting in the swing of You recently had a procedure the joint and this will create pain, performed and are surely feeling soreness and even tendonitis and changes to the pain and function of bursitis. your joint. It is important to remember that the treatment is designed to These are normal responses because precisely target the pain generated by they need to be reconditioned to the nerve endings that have been work properly with the renewed exposed from arthritic wearing of the normal motion of bony joint that they hard “Teflon like” hyaline cartilage are lifting and moving. coating the ends of the bone inside of the joint. This condition is called So, remember that we have precisely Chondromalacia. treated the source of the problem within your joint. We have stopped When we disrupt the exposed sensory the pain. It is up to you to nerves that are transmitting the pain retrain/recondition and strengthen sensation, your motion will change. the muscles and ligaments that are Remember, for years prior to this responsible for the proper movement procedure you have been of that hinge or ball joint. Because we accommodating for the pain inside of have almost immediately reversed the joint by shifting the motion or years of chronic joint pain, it can be swing of the joint. When we “turn off” stressful to the resulting the pain generators that are causing deconditioned muscles and the adapted motion in your joint, you ligaments. So, rehabilitation and will start shifting your motion in the reconditioning of these muscles and joint to what was more normal as it no ligaments is a vital part of getting you longer hurts when you put weight or motion back! pressure on the exposed nerves. Naturally, many of the muscles and The first part of this e-book ligaments are “out of shape” because explains some common they had adapted over years to the musculoskeletal complaints abnormal joint motion you had that some patients may because of the chondromalacia pain. experience at any time after the procedure associated with changes in the pain. GREATER 02 TRONCHANTERIC BURSITIS what is it? more information This condition is associated with explanation symptoms of pain and inflammation at the lateral aspect of the hip and thigh https://www.youtube.com/watch? and at times quite severe sharp pains. v=8xA53i4CuW0 what causes it? exercise Many times, this is caused by https://www.youtube.com/watch? inflammation of the bursa sac that v=EvWoBqdZPr0 cushions the tendons as they glide over bones. Greater Trochanteric bursitis can be triggered by overuse, patient education poor posture, arthritis, gout, trauma, https://my.clevelandclinic.org/health/di surgical complications, and muscular seases/4964-trochanteric-bursitis or tendon tears. symptoms? Patients may complain of difficulty sleeping on their side at night, pain with prolonged standing or walking, and pain with going downstairs. treatment? Treatment options include: Physical Therapy Speak with your ARO NSAIDs (Anti-inflammatory Medications) physician if you feel you Steroid Injections may be suffering from surgery to remove the bursa similar issues, as this (which is extremely rare). condition usually responds well to prompt evaluation and treatment. 03 ILLIOPSOAS BURSITIS what is it? more information Pain associated with Illiopsoas bursitis patient education is most commonly reported as down the front of the groin and thigh as well https://my.clevelandclinic.org/health/di as into the buttocks and may or may seases/15721-psoas-syndrome not be associated with a snapping sensation in the groin. what causes it? This is often caused by an inflammation of the bursa sac below the illiopsoas muscle causing rubbing and irritation with pain and limitations in ROM (range of motion) with walking, exercising, standing or extending your leg. Many times, this is associated with an overuse syndrome or repetitive strain. treatment? Treatment options include: Rest Ice Anti-inflammatories (NSAIDs) Physical Therapy or Manipulation for stretching and strengthening Speak with your ARO exercises physician if you feel you Steroid injections into the bursa may be suffering from sac for localized anti-inflammatory response. similar issues, as this condition usually responds well to prompt evaluation and treatment. 04 SACROILITIS what causes it? more information Pain associated with Sacroilitis (Sacral patient education Iliac Joint Dysfunction) arises from https://my.clevelandclinic.org/health/di inflammation at the connection or joint seases/15721-psoas-syndrome between your Pelvis or Ilium and Spine or Sacrum. https://www.mayoclinic.org/diseases- conditions/sacroiliitis/symptoms- causes/syc-20350747 symptoms? The pain is usually described in the low video back, buttock, lateral hip and radiating https://www.youtube.com/watch? down the lateral thighs to the knee but v=1iwmcCw4bAw typically not past the knee. Symptoms are often worse with prolonged sitting or standing, changing positions and Speak with your ARO rotating the hips. physician if you feel you may be suffering from similar issues, as this condition usually responds well to prompt treatment? evaluation and treatment. Treatment options include: Physical Therapy NSAIDs (Anti-inflammatories) Steroid injections Radiofrequency Ablation to the nerves going to the joint 05 MUSCULOSKELETAL TENDONITIS/BURSITIS OF THE KNEE When the pain stops abruptly the muscles and ligaments will respond to the sudden shifting in the swing of You recently had a procedure the joint and this will create pain, performed and are surely feeling soreness and even tendonitis and changes to the pain and function of bursitis. your joint. It is important to remember that the treatment is designed to These are normal responses because precisely target the pain generated by they need to be reconditioned to the nerve endings that have been work properly with the renewed exposed from arthritic wearing of the normal motion of bony joint that they hard “Teflon like” hyaline cartilage are lifting and moving. coating the ends of the bone inside of the joint. This condition is called So, remember that we have precisely Chondromalacia. treated the source of the problem within your joint. We have stopped When we disrupt the exposed sensory the pain. It is up to you to nerves that are transmitting the pain retrain/recondition and strengthen sensation, your motion will change. the muscles and ligaments that are Remember, for years prior to this responsible for the proper movement procedure you have been of that hinge or ball joint. Because we accommodating for the pain inside of have almost immediately reversed the joint by shifting the motion or years of chronic joint pain, it can be swing of the joint. When we “turn off” stressful to the resulting the pain generators that are causing deconditioned muscles and the adapted motion in your joint, you ligaments. So, rehabilitation and will start shifting your motion in the reconditioning of these muscles and joint to what was more normal as it no ligaments is a vital part of getting you longer hurts when you put weight or motion back! pressure on the exposed nerves. Naturally, many of the muscles and The second part of this e- ligaments are “out of shape” because book explains some they had adapted over years to the common musculoskeletal abnormal joint motion you had complaints that some because of the chondromalacia pain.
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