Cycling Injuries – Common Myths

Cycling injuries – Five Common Myths

and why they might be wrong

 

Below we discuss the most common pitfalls to be aware of when it comes to finding the causes and best treatments for Cycling Injuries.  As keen cyclists always hungry to improve, we get our information from all kinds of places; other riders, magazines and the professionals we see on TV, but how do we know what we’re doing is right, and best for us personally?

When it comes to Cycling Injuries, according to the experts, there are some commonly held misconceptions that could mislead us, the kind that we see here at Ashburton Physio most regularly when patients present with cycling injuries or pain which refuses to go away.

There is so much stuff out there, which when we take time to reflect on it, there isn’t much evidence for. It is really important that we question things,  easy answers are not necessarily the right ones. In every setting, we have to ask ‘does this make a difference to me?’”

Continue reading

achilles_tendinopathy

Achilles Tendinopathy – what should you do?

 

What is Achilles tendinopathy and what causes it?

Achilles tendinopathy is a condition that causes pain, swelling and stiffness of the Achilles tendon. It is thought to be caused by repeated tiny injuries (known as microtrauma) to the Achilles tendon. After each injury, the tendon does not heal completely, as should normally happen. This means that over time, damage to the Achilles tendon builds up and Achilles tendinopathy can develop.

This is a subject close to my heart at the moment as I am experiencing symptoms.

The Achilles Tendon can be found just above the heel bone, it attaches the calf muscles, Gastrocnemius and Soleus to the heel.

There are a number of things that may lead to these repeated tiny injuries to the Achilles tendon. For example:

  • Overuse of the Achilles tendon. This can be a problem for people who run regularly. (Achilles tendinopathy can also be a problem for dancers and for people who play a lot of tennis or other sports that involve jumping.)
  • Training or exercising wearing inappropriate footwear.
  • Having poor training or exercising techniques – for example, a poor running technique.
  • Making a change to your training programme – for example, rapidly increasing the intensity of your training and how often you train.
  • Training or exercising on hard or sloped surfaces.

Continue reading

calf_raise_picture_shin_splint

SHIN SPLINTS

Shin Splints or Medial Tibial Stress Syndrome (MTSS) is a common injury amongst runners.

Like so many of the running injuries we see in clinic every day, Shin Splints is classed as an ‘overuse injury’. It does appear in other sports but is certainly much more prevalent in runners.

SYMPTOMS OF SHIN SPLINTS

In typical cases of Shin Splints, pain is usually felt two-thirds of the way down the shin bone (Tibia), just off the inside edge of the bone.  In the early stages of the condition, pain is usually felt at the beginning of a run and then subsides during the training session itself. Commonly, symptoms also tend to reduce a few minutes after a run session has finished.

As the injury gets worse the pain can be felt when walking and at rest.

It is often painful when direct pressure is applied to the inside border of the tibia. Occasionally some swelling can be present.

Continue reading

frozen-shoulder

Frozen Shoulder

Frozen Shoulder is a common cause of shoulder pain, particularly within middle-aged patients. Indeed, in Chinese medicine, Frozen Shoulder is known as ’50-year-old shoulder syndrome’. It is also known as ‘Adhesive Capsulitis’ meaning a ‘Sticky Capsule’ and more recently is coined a ‘Contracted Frozen Shoulder’. It is slightly more common among females than males and is more likely to occur following an injury to the shoulder and is more commonly seen in patients with certain medical conditions such as diabetes. Often there is no cause or explanation for why a Frozen Shoulder occurs.

Typically, Frozen Shoulder often starts slowly, with quite severe pain, often in the upper arm, which then develops into pain with severe stiffness and loss of range of motion at the shoulder region. Patients more often complain that they are having difficulty sleeping due to the pain. The loss of movement most often associated with a frozen shoulder affects the ability for patients to externally rotate their shoulder (turn their shoulder outwards) and therefore patients see a severe restriction of certain movements such as washing their hair or reaching their arm into their coat sleeve.

Continue reading

Back Pain and Physiotherapy

Lower Back Pain (lumbago) is particularly common, although it can be felt anywhere along the spine – from the neck down to the hips. In the case of lower back pain, statistics show that 80% of the population have suffered from some complaint in this area.

The scary statistic is that of this number, 80% of the injuries will reoccur within three years. Often the reoccurrence rates increase, eventually resulting in constant pain. In most cases, the pain isn’t caused by anything serious and will usually get better over time. Patients need to learn how to manage their symptoms to avoid the pain returning.  This is where Physiotherapy comes into its own. Whether back pain rules your life or you just get an occasional twinge, physiotherapy should be able to help you, and hopefully, help recurrences.

Continue reading

Acupuncture Headaches Physio

Headaches – Physio and Acupuncture

A Headache is a pain in the head due to varying causes. Headaches may result from any number of factors, including tension; muscle contraction; vascular problems; withdrawal from certain medications; abscesses; or injury.

Headaches fall into three main categories:

Cervicogenic, Tension-type and Migraine.

  • Cervicogenic or Neck-related headaches are the most recently diagnosed type of headache and are musculoskeletal in nature. They may be caused by pain in the neck or spine that is transferred to the head. Many times, neck related headaches go undiagnosed because of their recent classification.
  • Tension-type headaches are the most frequent. Patients who endure tension-type headaches usually feel mild to moderate pain on both sides of the head. The pain is usually described as tight, stiff or constricting as if something is being wrapped around your head and squeezed tightly.
  • Migraines affect far fewer people than tension-type headaches and have a much shorter duration, their symptoms are much more severe. They typically affect women more frequently than men, with pain that usually occurs on one side of the head. Migraines can be so severe that they can cause loss of appetite, blurred vision, nausea and even vomiting.

Continue reading

Tennis elbow

Tennis Elbow or Lateral Epicondylitis

Tennis elbow is a condition that causes pain around the outside of the elbow. It is clinically known as lateral epicondylitis and occurs following overuse of the muscles and tendons of the forearm, near the elbow joint.

You may notice pain:

  • on the outside of your upper forearm, just below the bend of your elbow
  • whilst lifting or bending your arm
  • when gripping small objects, such as a pen
  • if twisting your forearm, such as turning a door handle or opening a jar

You may also find it difficult to fully extend your arm.

Continue reading

New Project – ReWalk Exoskeleton

Really proud to have witnessed our patient Sarah’s new project today.  She had her second go in a ReWalk Robotic Exoskeleton and was amazing. She has really grasped the basics quickly and managed over 2000 steps.  Sarah has already learned to stop, and change direction and has been designated Star Pupil status.    ‘Bigger steps’ and ‘Faster’ comments already prove that her determination is outstanding.  Uneven ground and slopes were a little more challenging but won’t beat her.

Continue reading

Plantar Fasciitis Heel Pain

Plantar Fasciitis/Heel Pain

Plantar Fasciitis /Heel pain is a common foot condition. It’s usually felt as an intense pain when using the affected heel.
Heel pain usually builds up gradually and gets worse over time. The pain is often severe and occurs when you place weight on your heel.

What is the Plantar Fasciitis?

The plantar fascia is a tough and flexible band of tissue that runs under the sole of the foot. It connects the heel bone with the bones of the foot, and acts as a kind of shock absorber to the foot.  In most cases, only one heel is affected, although estimates suggest that around a third of people have pain in both heels.

Most cases of heel pain are caused when the Plantar Fascia becomes damaged and thickens.
Plantar fasciitis is the medical term for the thickening of the plantar fascia. The pain is usually worse first thing in the morning, or when you first take a step after a period of inactivity. Walking usually improves the pain, but it often gets worse again after walking or standing for a long time.

Some people may limp or develop an abnormal walking style as they try to avoid placing weight on the affected heel.

Continue reading

All you need to know about OA Knees…..

There is a lot of information about OA knees below, but the long and short of it is…. exercise is the answer! Do have a read, it is quite interesting…..

unknown

What is Osteoarthritis (OA):

Osteoarthritis: Osteon means bone, Arthro means joints, Itis means inflammation. This terminology is technically incorrect and OA is actually not an inflammatory condition by nature. This is why some people now call it Osteoathrosis instead. The Osis part actually means degeneration, which is more accurate. Essentially, breaking down the word tells us what it is – degeneration of the joint. More specifically it is degeneration of the articular cartilage of the joint. This is essentially damage and loss of cartilage until the joint is “bone on bone”. The bone actually starts to thicken and wear in response to the extra load on it, which causes bony outgrowths to form, called osteophytes. The synovium around the joint also thickens and produces extra fluid making the joint swell up.

Continue reading