SB Sports Injury Clinic. 14 Broadway, Shifnal, Shropshire TF11 8AZ


  Contact: 01952 462330

All posts by Shropshire Physiotherapy

Anterior Knee Pain

Anterior knee pain is a term used to describe pain at the front of the knee. It is an umbrella term and covers several conditions for example Chondromalacia patella (wear and tear or softening or the retro patella surface), Inflammation of the patella tendon/fat pad and surrounding structures often referred to as Jumpers Knee.

The cause of anterior knee pain can be multifactorial due to the wide and varied structures that could cause the pain and so it is relatively poorly defined. Often underlying factors such as overuse, Muscle imbalance, weakness and patella abnormalities or even varied foot postures can lead to symptoms.

Patients can present with a variety of symptoms due to the varied source of the problem but characteristically patients with anterior knee pain often demonstrate functional pain problems on walking, squatting, descending stairs and sitting for prolonged periods with the knee’s bent. On occasions it can present as joint instability and with giving way of the knee.

The assessment and diagnosis of anterior pain is tricky and so a detailed knowledge of the anatomy as well as experience in treating the condition is essential. Once a diagnosis has been determined the treatment again can be challenging often rest from activity is required while your physiotherapist goes on to advise on exercise therapy to correct any weakness/muscle imbalances. Your physio may use techniques to help with patella alignment or position such as strength exercises or tapping techniques. If there is significant pain again tapping can be useful as well as electrotherapy treatment and the possibility of acupuncture may be considered. It maybe that strength work on your foot posture will be required and even an orthotic to correct foot posture is often considered.

In all, most anterior knee pains are very treatable and so if any of the above sounds familiar then here at SB Sports Injury & Physiotherapy Clinic Ltd we have the staff to assess and successfully treat the condition.

If you would like to arrange an assessment, please do not hesitate to contact us on 01952462330 or email enquiries@shropshirephyios.co.uk.

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Soft Tissue Injuries

So the seasonal bad weather is upon us and so in this month’s article I thought I would talk about immediate post injury/first aid care for soft tissue injuries and with the frosty and snowy weather on its way it can often be a hazardous time.

We do see an increase in injuries such as soft tissue injuries for example ligament injuries from patients slipping and falling in the cold and icy conditions. Obviously, the best form of treatment is prevention so just simple things like making sure you have the appropriate shoes on and make sure paths in and around your property are gritted.

If a fall or injury does occur, here are some tips to help ease the pain. Most of you will have heard of RICE this is an acronym for Rest, Ice, Compression and Elevation and is essential for management of soft tissue injuries.

REST:

Rest is essential to help take the strain off tissues which are trying to heal. Rest will prevent further swelling, pain and further injury. It should be used for a period of time which enables the limb or body part to allow restoration of function.

ICE:

Ice can be a valuable treatment in easing pain and reducing inflammation and swelling. Controlling the swelling can reduce the risk of increased scar tissue build up and further joint irritation. It is recommended that we ice for around 15 minutes at a time for up to 48-72 hours post injury. It is important to make sure you have good sensation as if you haven’t you are at risk of ice burns. A good tip is to place a thin damp tea towel between the skin and ice and this will act as a barrier to the skin preventing ice burns.

Compression:

This again is useful in controlling swelling and managing pain. There are various supports and braces available but a simple tub grip stocking from your local chemist will suffice. Usually used for extended periods but never through the night.

Elevation:

This is where the body part is placed in an elevated position to aid venous blood flow to aid in the reduction of swelling and in turn reducing pain.

Remember if you do injure yourself and the pain and dysfunction is severe, it is advisable to seek medical attention. All our physiotherapists are state registered and qualified to assess and treat soft tissue injuries.

If you are concerned about your mobility or the mobility issues of a friend or loved one, we do have a physiotherapist who specialises in mobility problems. She can provide specific exercises, balance re-education and falls prevention advice, which can help rehabilitate and maximise potential. This type of therapy can be carried out at the clinic or in comfort of your own home through our home visiting service.

If you do require advice or would like to book an appointment, please call our reception on 01952462330 or email us at enquiries@shropshirephysio.co.uk or visit our contact page.

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The Rotator Cuff

The Rotator cuff is a series of tendons in and around the shoulder which are largely responsible for maintaining the ball of the upper arm bone position within the shallow cup or socket of the shoulder, it also plays a significant role in aiding movement patterns of the shoulder. In short it plays an integral part in contributing to how your shoulder functions and so when it is injured it can cause major dysfunction in the form of significant pain and loss in movement.

How we injure the rotator cuff can be quite diverse from merely straining t

he cuff by lifting something, overloading the cuff through a repeated loading event such as day to day activities like repeated movements or activities that the shoulder isn’t use to carrying out or more serious injuries such as a tear or even complete rupture of the Rotator cuff through sudden trauma such as a fall or even an overload above head height.

Often patients with overload injuries will talk about a more gradual onset of pain or more acute onset where trauma is involved. Also, calcification or arthritis and wear patters can cause a more gradual increase in symptoms of pain and loss in range of movement over a period of time.

Physiotherapy is centred around getting the correct diagnosis which is essential for implementation of the correct treatment.  So the history of the injury can give vital indications as to the nature of injury and severity, this along with observation of movement patterns, special tests to specifically stress the different tendons of the rotator cuff and palpation of the various tendons will all give an indication of what is required  at the point of treatment to achieve a successful outcome.

Treatments centre around directly treating the problem with electrotherapy, hands on soft tissue work and exercise therapy as well as working on posture and stability around the shoulder with again home exercise techniques, strapping and strength work.

If you feel you have any symptoms described in the article and would like to arrange an appointment please do not hesitate to contact us on 01952462330 or email enquiries@shropshirephyio.co.uk.

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Postural/Sedentary Pain

A condition which is defiantly on the rise is Postural/Sedentary pain. You may be wandering what this is, well it is pain related to lack of activity in our lives and the stress placed on our postural set causing pain. It is somewhat unusual as we often associate pain problems with trauma or sudden movements that cause pain, but we are seeing more and more postural pain associated with inactivity.

The ever increasing technology/IT in our lives is having a detrimental effect on the human body, especially at work where more and more occupations involve often lengthy periods of time sat at a computer or a laptop. It is not just at work for example internet shopping has led to a reduction in people shopping on the high street and so becoming more sedentary.

The fact of the matter is the human form through the years has evolved through movement and so you could argue that we are not designed to be sedentary in the same posture for hours on end. The price of sitting for too long has been well documented to increase chances of heart disease, cancer and diabetes and even short periods of activity can reduce that risk.

In the clinic the number of patients being treated for neck and back related problems relating to inactivity significantly exceeds those doing physical jobs. So how can we prevent these problems when so many parts of our lives are becoming sedentary?

In the workplace:

It is vitally important to take regular breaks to move out of set postures regularly even if it is just to stand and stretch on occasions. Secondly make sure during break times you don’t just go a sit in the canteen or staff area but go for a short brisk walk. Thirdly make sure your workstation has been assessed and set up to suit your individual needs.

Outside of work:

It is important to try to take regular exercise whether it is a brisk walk for 30-40 minutes, going to the gym, taking part in competitive sports or even just being on your feet and moving around rather than sitting in front of the TV every night.

So, if you do have pain then here at SB Sports Injury & Physiotherapy clinic, we can help via treatments using manual techniques, acupuncture, electrotherapy, exercise therapy and probably the most important intervention self-help postural exercises.

If you feel this is an all too familiar scenario and would like to arrange an appointment please do not hesitate to contact us on 01952462330 or email enquiries@shropshirephyios.co.uk.

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