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Hip Bursitis (Trochanteric Bursitis)

Hip Bursitis (Trochanteric Bursitis)

Hip Bursitis (Trochanteric Bursitis)

WHO:

  • Runners
  • Athletes involved in jumping, sprinting and lunging sports
  • Elderly

 

WHAT:

Trochanteric bursitis is a general term used to describe pain around the hip, specifically at the greater trochanter region. Bursitis refers to the inflammation of the bursa within the hip joint. A bursa is a small sac of fluid that sits on the outer aspect of the hip joint. The bursa lies between the gluteal muscles and the greater trochanter, a bony prominence of the femur bone. The bursa acts to lubricate the joint and prevent friction of the tissues around the joint. When this sac of fluid becomes irritated it becomes inflamed causing pain and swelling around the hip joint. Pain is often felt on the side of the hip but can often refer to the front of the hip and even down the side of the thigh.

 

WHEN & HOW:

Hip or trochanteric bursitis is often caused as a result of repetitive exercise or prolonged activities placing strain on the bursa. It can also occur as a result of direct trauma or prolonged pressure to the area, such as lying on your side on a hard surface for too long.  The gluteal muscles are the main muscles that attach at the hip and lie over the trochanteric bursa. These muscles are normally responsible for the stabilisation of the hip joint in weight-bearing activities. So in activities such as running, jumping and squatting where the gluteal muscles are very active, there is a lot of frication created at the bursa. Overtime this causes irritation and inflammation at the bursa and thus pain. Similarly poor movement patterns can affect the way the hip joint or lower back moves which can further irritate the bursa. Poor movement can be caused by numerous variables such as;

  • Muscle strength imbalances
  • Excess muscle tightness
  • Overactive or inhibited control of a muscle
  • Poor foot posture (eg. Flat feet)
  • Hip and lower back problems
  • Degenerative changes due to old age

 

MANAGEMENT:

Treatment and management of Trochanteric bursitis requires any underlying causes to be addressed whilst treating the pain and inflammation at the hip itself. Your physiotherapist at our Move Forward Kinross Physiotherapy clinic will assess the hip, as well as the whole lower limb and low back in order to determine the exact cause of your hip pain. Following this assessment, you will be provided with a detailed outline of your own individualized treatment management plan. Your treatment may include a combination of the following;
• Rest
• Ice/ Heat
• Brace/ off-load taping
• Soft tissue massage
• Mobilizations
• Dry needling
• Stretching & strengthening exercises, which can be performed within the gym located at Move Forward Hillarys Physiotherapy
• Activity and exercise modifications to improve lower limb mechanics and posture, which can be performed within our pilates studio at Move Forward Quinns Physiotherapy or Jindalee Physiotherapy

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Move Forward spring water bottles for local community!

Move Forward spring water bottles for local community!

Keep an eye out for our Move Forward logo spring water bottles in clinic. They can be purchased for a gold coin donation with all proceeds going to local community groups and charities! If your local community group would like to get involved in this initiative please contact our Community Engagement Officer Naomi via email: naomi.udiljak@moveforward.physio

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Welcoming Naomi to the Team

Welcoming Naomi to the Team

We are lucky to welcome Naomi Udiljak to the Move Forward team @ Jindalee Physio.
Naomi has been a patient at Jindalee since she was a teenager and it was these experiences that inspired Naomi to become a Physio!
Amazingly 10 years later Naomi has joined the Jindalee team with much excitement for all involved. With a special interest in just being one of the nicest Physios you will ever meet, we know all of our patients are going to love Naomi. See her in clinic today at Jindalee Physiotherapy.

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Patello-Femoral Pain syndrome (PFPS)

Patello-Femoral Pain syndrome (PFPS)

Patello-Femoral Pain syndrome (PFPS)

Who

  • Runners!!!
  • Elderly
  • Athletes in high impact sports (jumpers, sprinter….)
  • Basketball and netball players
  • Gym Junkies
  • Desk warriors

 

What

Patello-femoral pain syndrome, or PFPS, is the most common cause of pain at the knee joint. It normally presents as pain felt around, and behind the knee cap (patella). It is common in both the young and old, active and inactive.

When & How

PFPS is most commonly caused by mistracking or poor movement of the knee cap, as opposed to direct trauma to any specific structure within the knee. Poor movement can be caused by numerous variables but is most commonly caused by;

  • Muscle strength imbalances
  • Excess muscle tightness
  • Overactive or inhibited control of a muscle
  • Poor foot posture (eg. Flat feet)
  • Hip and lower back problems
  • Degenerative changes due to old age

The kneecap normally runs along a groove in the thigh bone known as the femoral groove. As a result of any of the above variables, this movement along the groove is changed, and the knee cap starts to mistrack. As a result there are excessive joint pressures put through the knee joint and knee cap. Overtime this will lead to irritation, swelling and pain which in turn further changes the way the kneecap tracks along the femoral groove.

Management

Treatment and management of PFPS requires any underlying causes to be addressed whilst treating the pain and inflammation at the knee itself. Your physiotherapist at our Move Forward Kinross Physiotherapy clinic will assess the whole lower limb, as well as the hip and low back in order to determine the exact cause of your knee pain. Following this assessment, you will be provided with a detailed outline of your own individualized treatment management plan. Your treatment may include a combination of the following;
• Rest
• Ice/ Heat
• Brace/ off-load taping
• Soft tissue massage
• Mobilizations
• Dry needling
• Stretching & strengthening exercises, which can be performed within the gym located at Move Forward Hillarys Physiotherapy
• Activity and exercise modifications to improve lower limb mechanics and posture, which can be performed within our pilates studio at Move Forward Quinns Physiotherapy or Jindalee Physiotherapy

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Ankylosing Spondylitis (AS)

Ankylosing Spondylitis (AS)

Ankylosing Spondylitis (AS)
Who:
• Males more likely than Females
• Most commonly occurs in those in their late twenties but can occur as late as 45yrs of age

What:
Ankylosing Spondylitis (AS) is a condition which causes pain and inflammation in joints, primarily in the joints of the spine. The term ankylosing means fusion of 2 bones, and the term spondylitis means inflammation of the spine joints. Hence this condition commonly causes permanent stiffening of the spine over time. Inflammation of the bones that make up joints (such as the spinal vertebrae) will overtime cause new bone growth around these joints, resulting in fusion of 2 bones into 1, thus causing stiffness and lack of mobility.

How:
The exact cause of AS is still unknown, however there appears to be a strong genetic link. Persons who carry the HLA-B27 gene appear to be at a much greater risk of suffering from AS, than those without. Being a carrier however does not necessarily mean a person will get AS, as studies have shown only 1 in 8 persons who carry the gene get AS.

Management:
AS will be diagnosed by your doctor, through both blood tests and medical scans, such as x-rays or MRIs. If these results appear positive your GP will refer you on to a Rheumatologist who specialise in these types of conditions.

Medications are usually prescribed to help control inflammation and reduce pain within the spine and other affected joints. In conjunction with this a physiotherapist will further help pain relief through treatment techniques such as heat, dry needling, and soft tissue release.

Once pain has been effectively reduced and inflammation controlled, your physiotherapist will then being to restore normal joint range of motion. Maintaining normal joint mobility and range is essential in preventing stiffness of the spinal joints. Postural correction and muscle strengthening will also play an important role in regaining full movement and then maintaining it.

In summary, once diagnosed with AS,  physiotherapy will play a vital role in long term health and preventing worsening of symptoms associated with AS. Depending on the severity of your condition and which joints are primarily affected, your Move Forward physiotherapist will provided you with a detailed outline of your own individualized treatment management plan. Your treatment may include a combination of the following;
• Rest
• Ice/ Heat
• Brace/ off-load taping
• Soft tissue massage
• Mobilizations
• Dry needling
• Stretching & strengthening exercises, which can be performed within the gym located at Move Forward Hillarys Physiotherapy
• Activity and exercise modifications to improve lower limb mechanics and posture, which can be performed within our pilates studio at Move Forward Quinns Physiotherapy or Jindalee Physiotherapy

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Biceps Tendinopathy

Biceps Tendinopathy

Biceps Tendinopathy

Who

  • Bodybuilders/ powerlifters
  • Physical jobs, tradies such as carpenters, scaffolders etc.
  • Elderly
  • Athletes involved in throwing sports
  • Swimmers

What

Bicep tendinopathy is a broad term used to describe injuries to the biceps tendon including,

  • Biceps tendonitis
  • Biceps tendinosis
  • Biceps tenosynovitis
  • Biceps tendon tear or rupture

The biceps muscle has two heads, a short and a long head. It is most often the tendon of the long head of biceps that gets injured. The tendon, arising from the biceps muscle, runs along the top of the arm bone and attaches onto the shoulder capsule. Thus, the long head of biceps acts to both bend the elbow and also stabilize the shoulder. Inflammation or irritation to the tendon, or the protective sheath around the tendon, usually occurs as a result of chronic overuse. In some case it can also be injured as a result of direct trauma.

When & How

Injury to the biceps tendon usually occurs in combination with other conditions such as rotator cuff tears, shoulder impingement, SLAP lesions, labral teats or shoulder instability. These conditions can occur for a number of reasons including;

  • Altered or poor body mechanics
  • Weakness or injury to the shoulder rotator cuff muscles
  • Age related changes affecting the neck and shoulder joints
  • Changes in exercise programs, such as new exercises or sudden increases in activity
  • Activities requiring repetitive overhead movements such as throwing or swimming

With these conditions the biceps tendon can be subject to compression, pinching, shearing or excessive tension. This result in micro damage occurring at the tendon, overtime this repetitive stress to the tendon begins to irritate it resulting in swelling and pain.

Management

To manage biceps tendinopathy your local move forward physiotherapist will assess your elbow, shoulder and neck to determine any factors that may be contributing to your injury. Following this they will prescribe you with an individualized program and treatment plan to best manage your injury and to prevent any ongoing long term pain. They will use a number of techniques throughout your rehabilitation which may include;

  • Deep tissue massage
    • Dry needling
    • Joint mobilisations
    • Stretching exercises
    • Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapyand Jindalee PhysiotherapyMove Forward practices.
    • Heat and/or ice therapy
    • Taping
    • Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy, located just next to Whitfords Shopping centre within Healthy Life Gym.
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