Archive for October, 2017

Try Physiotherapy for Golfer’s Elbow

How Physiotherapists Treat Golfer’s Elbow
by Jonathan Blood-Smyth

Golfer’s elbow (medial epicondylitis) is not confined to golfers, but occurs in many sportsmen and women, with racquet sports the most common causes. Other sports where golfer’s elbow occurs are in bowlers in cricket, archers and weightlifters. This and the more common tennis elbow are tendinopathies, overuse syndromes where there is no significant inflammation but a pathological alteration in the body of the tendon at the painful site.

The medial epicondyle is the bone prominence on the inside of the elbow where the forearm and rotatory muscle originate from. The muscles become tendinous near the bone and the tendon inserts into the bone to anchor the muscles. This area is where the pain occurs but no inflammatory process, rather a degenerative one. As the elbow is stresses by forces which would tend to push the elbow out into “knock elbow”, the tendon takes a lot of stress and changes occur.

High stresses occur in the cocking phase of a throw and during the subsequent acceleration, and in the golf swing from high backswing down to near the ball strike. Golfers are more likely to have their dominant hand affected and tennis players who use heavy topspin in their forehands are also more at risk.

The medial epicondyle is the bone prominence on the inside of the elbow where the forearm and rotatory muscle originate from. The muscles become tendinous near the bone and the tendon inserts into the bone to anchor the muscles. This area is where the pain occurs.and scientific work has not shown an inflammatory process but degenerative one. As the elbow is stresses by forces which would tend to push the elbow out into “knock elbow”, the tendon takes a lot of stress and changes occur. High stresses occur in the cocking phase of a throw and during the subsequent acceleration, and in the golf swing from high backswing down to near the ball strike. Golfers are more likely to have their dominant hand affected and tennis players who use heavy topspin in their forehands are also more at risk.

Pain and ache over the front of the medial epicondyle is the typical symptom, worse with repeated flexion of the wrist and improved with resting. Shoulder, elbow, forearm or hand pain can occur, with weakness or pins and needles in the lower arm. Physiotherapy examination includes the bony tendon insertions, the elbow joints and the muscles, with palpation of the “funny bone” area behind the elbow where the ulnar nerve lies. Nerve involvement can give weakness in the forearm muscles and sensory symptoms, so an exclusion neurological examination is performed by the physio.

The main treatment of golfer’s elbow is conservative, including anti-inflammatories, wrist and forearm splinting, corticosteroid injection and physiotherapy. Modifying the provoking activity is a first line of management, making patient education about the condition and the eliciting factors vital. An example is modifying the golf swing mechanics to avoid setting the problem off continually. The patient is taught to avoid aggravating positions and activities, such as leaning on the elbow if there is nerve involvement.

Non-steroidal anti-inflammatory drugs are used in the initial acute phase to reduce pain and inflammation along with avoiding painful movements, use of ice, gentle stretches, friction massage and ultrasound. As the problem settles and becomes sub acute the aims change to improving flexibility by stretching, increasing strength and normal activities. A forearm brace may also be used or a wrist brace to rest the wrist muscles. Once the problem is chronic the programme continues with reduced use of the splint and re-introduction of sporting activities.

Correction of sporting technique, such as the golf swing, is best achieved by engaging a professional instructor who can also advise on stretches, fitness work and muscle strengthening. Athletes should warm up well before sport and stretch effectively afterwards, choosing good technique and selection of appropriate equipment. Doctors and therapists may need to monitor patients, especially athletes, very carefully as they tend to continue to perform through the pain.

Be the first to comment - What do you think?  Posted by admin - October 18, 2017 at 4:28 pm

Tags: , ,

Why Visiting A Physiotherapy Clinic May Be More Important Than You Think

You’ve just experienced an injury. Immediate action for therapy may be more important then you know.

Let’s take the example of a sport related injury. Whenever you see a baseball player or any athlete get hurt, the physiotherapist is usually one of the health professionals that immediately rushes to the injured to help the injured player. It may be just as important to visit a local physiotherapy clinic to ensure minimal recovery time, and prevention of life long chronic pain, if you experience an injury as well. Read more…

Be the first to comment - What do you think?  Posted by admin - at 4:27 am

Tags: , , , , , ,

Physiotherapy- A Lucrative Career Option In The Field Of Medicine

Health is the most important asset for leading a hurdle- free life. As usually said, health is wealth; good health is the reason behind a great life. People without any health problems are very happy and usually in a pleasant mood. Mental and physical stress are very much interconnected, so a person who is physically fit, generally has a smooth and calm life overall. Doctors or other professions related to medicine are very famous among the students and most of the medical students aim to become a doctor due to the respect this profession gets.

With the masses getting aware of the side effects of alternative medicines, people are getting more cautious about the methods or the treatments, one undertake to cure a particular disease. Also, with the advancements in technology and the changing work and general lifestyles, discovery of new diseases is also becoming a regular phenomenon. Due to all this, people prefer taking precautions towards the use and practice of their daily habits, to have minimum encounter to the medicinal institutes.

Read more…

1 comment - What do you think?  Posted by admin - October 17, 2017 at 4:29 pm

Tags: , , , , , ,

Rheumatoid Arthritis: Joint Protection Program To Protect Your Joints 1

Rheumatoid arthritis affects the joints, causing biomechanical changes, pain even, thus, biomechanical forces that are externally driven such as low but repetitive trauma or stress, or even trauma can exacerbate a joint riddled with arthritis. For this reason, the joint protection program was conceptualised and further developed for our patients. The main goals of this program is to first and foremost prevent aggravation and secondly, to relieve pain and minimise deformity from occurring.

Principles for the joint protection are:

1. using adequate and correct body biomechanics to perform tasks eg using larger or stronger joints to perform activities, using the hips and knees for lifting objects rather than using the back, pushing objects instead of pulling, using a trolley instead of carrying heavy items etc Read more…

Be the first to comment - What do you think?  Posted by admin - at 4:34 am

Tags: ,

Ankle Sprain Physiotherapy Treatment

Sprained ankles are very common and repeated sprains can lead to a swollen, painful ankle, problems walking on rough ground and the risk of re-injury. The physiotherapist begins with asking: How did the injury occur? Was there a high level of force involved? What happened afterwards – could the patient walk or did they go to hospital? Was there an x-ray?

The amount of pain the patient suffered after the injury is extremely important and if the level of pain is very high or if it doesn’t settle, there might be a fracture. Pain should settle with time and if not the physio will refer the patient back to the orthopaedic doctor. The areas of pain should match the mechanism of injury, indicate which structures might be injured and should be tested by the physiotherapist later.

Special questions are asked about the past medical history and previous injuries, any drugs the patient is taking, their appetite level, whether they are losing weight, their sleep quality and pain in the morning, their bladder and bowel normality and any relevant family history. This is to clear the patient of any serious underlying condition so that treatment can be safely performed.

Read more…

Be the first to comment - What do you think?  Posted by admin - October 16, 2017 at 4:31 pm

Tags: , , , , ,

Career in PHYSIOTHERAPY

Physiotherapy is a therapeutic treatment concerned with prevention, treatment and management of movement disorders arising from conditions and diseases occurring throughout the lifespan. Physical therapy is performed by either a physical therapist (PT) or a physical therapist assistant (PTA) acting under the direction of a PT.

However, various non-PT health professionals  employ the use of some physical therapeutic modalities in practice. A program of physical therapy will typically also involve a patient’s caregivers. Physiotherapy is the system of treatment of disease and disability using physical exercises. It is a vital rehabilitative service needed in a community and a therapeutic supplement of the medical profession, integral to the treatment of most patients.

Physiotherapy  seeks to improve movement dysfunction, promote optimal health and functions of the human body. It helps in optimal functioning of the body and involves the assessment, maintenance, restoration of the physical function and performance. It is  recommended for people with degenerative disorders, the physically challenged, sportspeople and those suffering from arthritis and neurological disorders etc;

Read more…

Be the first to comment - What do you think?  Posted by admin - at 4:30 am

Tags: , , , , , , , , , , , , , , , ,

Documentation In Physiotherapy – Benefits Of It

Documentation is very important in physiotherapy. A thing or a case is documented especially when that case has something that can help the present patient and even future patients for that matter. Different kinds of case studies are undertaken (e.g., types of support chairs that cater to back ailments, inventions that can aid a person recover from an ailment, a certain drug?s effects and side effects, etc.). Journals concerning therapy and medicine often include various accounts regarding physiotherapy. These documentations help physicians and other health care professionals by informing them about the latest methods, concepts, and works that have been successful and those that fell short.

More and more areas regarding physiotherapy cases are being covered in various studies. These cases are assessed then documented so that specialist as well as people in the community will learn about the findings of such cases. Documentations in physiotherapy are essential legal texts and should not be taken for granted especially by experts and professionals in health care.

In general, documentation papers and forms often contain introduction the physical issue or to physiotherapy, background of the study, past methods used to treat the case, attempted methods, procedure created and guidelines followed, discussion of the case, and other things that the author things are relevant to the case or study.

Read more…

Be the first to comment - What do you think?  Posted by admin - October 15, 2017 at 4:34 pm

Tags: , , , ,

Physiotherapy Advice For Tennis Players

Tennis is enjoyed by people of all ages and with more and more indoor courts springing up around the country it’s no longer confined to the summer months. Whether you play tennis competitively or just for fun and exercise, there are a few important things to follow to keep you in good health and free from injury. Physiotherapy has long been associated with physical movement and well-being and it can educate you in these matters. Here are a few things to consider.

First up, if you are new to the game it’s worth a visit to the GP before you pick up a racquet. Any existing conditions or physical problems should be assessed by a medical doctor to ensure your body is going to be able to cope with a higher level of activity. If you already have an injury, visit a physiotherapist to help get you back into a good physical state and then ask them for advice about exercises that can help you prepare for tennis.

When playing sport, you’ll need to prepare the muscles that are needed most. This is done in a warm-up session before the game and a cool down session afterwards. This should last about 15 minutes. Here are the muscles to concentrate on for tennis and how to stretch them.

Read more…

Be the first to comment - What do you think?  Posted by admin - at 4:29 am

Tags: , , , , , , ,

Physiotherapy – Joint Position Sense

The human sensory system is designed to give us the information we need to manage the challenges of the world. We take in vast amounts of information every minute of the day, much of it not relevant, the brain deciding what is important and what is not. We are familiar with vision, hearing and touch and consciously and unconsciously use the incoming information to guide our actions and responses in daily life. However, there are two more sensory input systems, related to the others, which are vital to normal functioning. These are the sensory feedback we get from our bodies and the joint position sense.

Profound loss of sensory input is more common than we think as it happens every time we get a numb, dead feeling arm when we wake up. When I woke up with my arm completely numb I moved if off my chest grumpily twice until I began to understand, by feeling the arm gradually from the elbow up, that it was my own arm I was trying to get rid of. The loss of sensibility was so great that as far as I was concerned the arm did not exist and therefore must have belonged to someone else. Without our sensory input we are limited in our abilities.

Read more…

Be the first to comment - What do you think?  Posted by admin - October 14, 2017 at 4:34 pm

Tags: , , , , , ,

How to Judge Your Physical Therapist

When you need physical therapy, you might need to actually find a physical therapist that you are willing to work with. You thought selecting a doctor was hard – this is equally hard, if not harder! Here are some things to consider.

What kind of education and training does the physical therapist have? While they didn’t have to attend an ivy league university, you do want to make sure that your therapist is educated, trained, and that they have experience dealing with your type of specific problem – successfully. Don’t be afraid to ask direct questions regarding all of this.

Is the therapist licensed properly in your state? You can check with your state’s licensing board, as well as physical therapy organizations for licensing, membership, standing status, and more. Find out if your physical therapist has had complaints or been sued regarding their treatment of patients in the past.

What kind of facilities does the therapist have? Before you make an appointment for actual physical therapy, make an appointment for a consultation, and ask for a tour of the facilities. Do you like what you see? Is the place clean? Is the therapist working in as sterile an environment as possible?

Read more…

Be the first to comment - What do you think?  Posted by admin - at 4:30 am

Tags: , , , ,

Next Page »