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Apr 21, 2015

Trochanteric Bursitis

What is it? Trochanteric bursitis is one of the common causes of pain on the lateral (outside) of the hip and is the result of inflammation of the superficial (& deep in severe cases) trochanteric bursa.

In some cases inflammation of theese two bursae can be accompianed by local tendonitis or inflammation of the gluteal tendons & hip rotator muscles. 

What is a bursa? Bursa are small sacs or ‘cushions’ of fluid found throughout the body. They sit between tendons & bones  to allow tendons to slide without friction over bony sirfaces. When these sacs get inflammed or irritated they can cause pain.

Why? Trochanteric bursitis can occur as an overuse injury due repetitive friction of the gluteal tendons as they pass over the greater trochanter during activites such as running and cycling. In these cases there is usually biomechanical deficienies that need addressing. It can also be of acute onset from a direct blow or fall onto the lateral side of the hip.

What are the signs & symptoms?

  • Pain & swelling on the side of the hip
  • Pain may travel down the outside of the thigh
  • Pain aggravated by lying on affected side
  • Pain made worse by activities such as climbing stairs, crossing & uncrossing legs, rising from a low seated position, running & cycling.
  • Tenderness directly over the greater trochanter.

Read Full Fact Sheet HERE -  trochanteric bursitis.pdf

Categories Injury Information Tags hip pain trochanteric bursitis bursitis physio

Golfers Elbow

Golfers elbow or medial epicondylitis is a common cause of elbow pain. It is an overuse injury seen commonly in Golfers but also suffered by tennis players who hit a lot of top spin on their forehand shot. 

The muscles that work to produce wrist and finger flexion all attach at a common origin into the medial epicondyle (bony prominence) on the inside of the elbow. During certain activities (such as gripping) repetitive tension is placed through this group of muscles. If this constant strain is excessive the tendons can become overloaded, inflamed and painful. In the older sportsperson the tendons can also begin to show signs of degenerative wear and tear.

SIGNS & SYMPTOMS

  • Tenderness over the medial (inside) of the elbow which can radiate into the forearm.
  • Pain on resisted wrist flexion and forearm pronation (rotation of the forearm)
  • Pain on passive wrist extension as this places stretch through the tight group of muscles
  • Pain may be aggravated by gripping activities. 

DIAGNOSIS: A physiotherapist should be able to make an accurate diagnosis from your clinical history and examination.

In cases where your condition does not respond to appropriate treatment further investigation such as an ultrasound may be warranted.

READ FULL FACT SHEET HEREGolfers Elbow.pdf

Categories Injury Information Tags elbow pain golfers elbow physio massage rehabilitation

Aug 28, 2014

ITB Friction Syndrome

Iliotibial band (ITB) Friction syndrome if one of the most common causes of lateral (outside) knee pain that we see, especially in runners.

The ITB is a band of connective tissue that spans the length of the outer thigh. It originates up at the hip from another structure called the TFL (tensor fascia lata) and inserts onto the tibia just below the knee.

ITB friction occurs when the ITB gets tight & inflamed and begins to rub over the lateral femoral condyle on the outside of the knee joint producing acute pain in this area.

(READ FULL FACT SHEET BELOW)

ITB friction syndrome.pdf)

 

Categories Injury Information Tags ITB friction knee pain runners knee ITB running pain knee exercise run fitness physiotherapy massage strengthening

Jul 30, 2014

Stress Fracture

Stress fractures are an overuse injury that we see most commonly in the leg. 50% of all stress fractures are found in the weight bearing bones whether it be of the femur (thigh bone), tibia (shin bone) or in the foot itself.

A stress fracture is the result of excessive stress through a particular region. Soft tissues in the area get overloaded and transfer their stress to the bone resulting intially in a stress reaction in the bone. With continued load a stress farcture will appear.

Generally stress fractures occur when an athlete has a sudden increase in training loads. Other facors such as a change in footwear, training on unfamiliar surfaces or increase in intensity of training can also result in this injury.

Easily the most common sport we tend to see stress fractures in is running due to repetitive impact of the foot striking the ground. Other common sports include tennis, basketball & gymnastics.

Click the link below to access the FULL FACT SHEET

stress fractures.pdf

Categories Injury Information Tags stress fracture pain overuse running rest physiotherapy fracture

Jul 11, 2014

Hamstring Tear

The hamstring muscle group consists of three muscles located at the back of the thigh. Semimembranosis, semitendinosis and biceps femoris. The hamstring is a common site for injury across many sports including running, rugby, soccer, tennis and AFL.

The anatomical ‘architecture’ of the hamstring is quite complex. All three muscles share a common point of origin at the ischial tuberosity (the bony prominence found deep in the lower buttock that we sit on).

Pain in the hamstring region is usually attrituted to one of two things; an injury the hamstring muscle itself, or referred pain due to injury higher up in the buttock or lumbar spine.

Have you torn your hamstring? A torn or strained hamstring is a memorable event. Usually you are mid activity & you feel a sudden severe pain at the back of the thigh. You are usually unable to continue with activity due to pain.

Your physiotherapist will also use a variety of assessment techniques to detemrine whether the tear is located in the muscle belly or the hamstring tendon.

Risk factors? Previous injury, poor strength, lack of flexibility, inadequate warm up and imbalance

between quadriceps & hamstring may potentially increase the risk of an injury from occuring.

Signs & Symptoms can include:

Pain at the back of the leg of sudden onset

Pain on hamstring stretch

Pain on resisted hamstring contraction – your physio will do a variety of tests to assess this.

Bruising may be present at the site of the tear or below depending on the severity.

Click the link below to access the FULL FACT SHEET

hamstring strain.pdf

Categories Injury Information Shin pain Tags hamstring hamstring tear injury muscle tear physiotherapy rehabilitation pain strain