DEAD BUTT SYNDROME / GLUTE INHIBITION& HIP INSTABILITY: A SPORTS PHYSIOTHERAPEUTIC OVERVIEW In the following article wewill analyse and discuss the importance of the role of the gluteal muscles/hipinstability in human movement and how sports physiotherapy can help prevent, treat,and rehabilitate this type of dysfunction. Inhibited muscle groups are due towrong motor neural firing patterns or a sedentary life lacking mobility. Sittingall day at the office / or at working from home is also a health risk. It isnot the first time that we have been warned, so why do we keep doing it? WHAT CAN CAUSE HIP INSTABILITY? Hipinstability is a loose or unstable hip joint that is commonly exacerbated byproblems regarding the ligaments around the hip.Inhip dislocation, the head of the femur tends to come out of its socket. This unpleasantcondition requires medical treatment and a physiotherapeutic approach. You canbook a direct appointment with our sports physiotherapist / or chiropractor inManchester by visiting www.mysportsinjury.co.uk/booking Anaccident or sports-related injuries can bring about instability or dislocationof the hip. (Kwesi Dawson-Amoah et la 2018).However,there is a possibility where people are born with structural issues in the hipjoint, this is called hip dysplasia, which can induce the hip joint to bedislocated. If your situation is this one, doctors or sports physiotherapistsmay identify dysplasia at birth, or you may not observe it until you are older.Whateverthe source of your hip problems, we can help at our MY Sports Injury &physiotherapy Clinic in Manchester. Our orthopedic joint, physio’s inManchester and sports medicine specialists will thoroughly investigate your hipand put forward appropriate non-invasive solutions such as physical therapy orsports rehabilitation for hip instability & strengthening to improveposture and body mechanics for better alignment.WHAT ARE THE FIRST SIGNS OF HIP PROBLEMS? Itis important that we know when we suffer from hip dysfunction. My Sports InjuryClinic based in the heart of Manchester City will effectively provide athorough physical examination and assessment of the hip to solve the pathologyor symptoms and avoid the discomfort to efficiently function in pain free movement.The first symptom that we aregoing to feel with hip degeneration is the most obvious and precedes anyarthritic problem, and that is pain. But we will not feel pain in the hipitself, but rather it is focused on the inguinal area. In fact, it can extendto the front of the thigh, reaching the knee and the buttock.In this way, we cannot clarifyexactly that we have a hip wear problem, but if your pain radiates to all theseareas, it is very possible that it is, indeed, coxofemoral osteoarthritis. Ifit is only your hip that hurts, it is probably due to a muscle problem ratherthan wear and tear. Remember that the focus of pain appears in the groin. Another characteristic symptomis feeling crackling in the hip area. We can feel them with movement whenwalking and even when sitting down and crossing our legs. They are annoying and painfulcrunches that only stop when we stop moving. Apart from the crunches, a burningsensation in the groin will be indicating that something is happening in ourhip, most likely osteoarthritis.Weakness is another symptomderived from hip wear, and as it progresses, it makes it impossible for us tomove as before, so everything costs us more effort. The walks end with pain and itis very difficult for us to walk or climb stairs, carry weight or play sports.We will notice the loaded area as if it were very weak, even at night, just byturning or moving in bed, we will feel these creaks accompanied by pain. Onlywhen movement ceases, discomfort disappears. This symptom grows as wear isgreater, which is over time if we do not remedy it.Various investigations havelinked inactivity with heart disease, obesity, diabetes and even cancer (Arocha Rodulfo JI,2019). In fact, statistics from an article published by American Journal of PreventiveMedicine (AJPM) which show some implausible outcomes where around92,000 ladies with an age rate from 50 up to 79 years old were followed over a12 year-period, in this sense, by the inaction of being sitting for long timeperiods is utterly tied in with early decease (Rebecca Seguin et la, 2014). But now science has discoveredanother problem. It is known as 'gluteal amnesia', dead butt syndrome or gluteinhibition and it is an atrophy of the gluteal muscles brought on either byleading a too sedentary life or by performing improper movements whilst doingphysical activities , (says Cameron Whit, 2019) in an article published in Healthline. Hence, the term “Dead ButtSyndrome” essentially refers to the fact that our gluteal muscles tend to omittheir foremost aim that is to keep suitable alignment and provide support toour skeleton so it generates imbalance, muscle tightness, and weakness all overthe buttocks and the hip as well, according to an article issued by Parade. Gluteal amnesia introduces itself as a mechanicalalteration that yields deficiencies in lumbopelvic stabilisation. Thisfully affects the entire movement system that takes place in our body (MarcoAurélio N. Added et la,2018).Next, wepresent a brief analysis where we explain this condition, ways to detect it andcombat it. This seeks to guide the physio Manchester, coach and/or trainee, sothat they can "awaken" this powerful and necessary muscle group;which is responsible for stabilising the lower kinematic chains and is ofutmost importance in the correct quality of movement, but first let’s dive intosome anatomical insight of the gluteal muscles. WHAT ARE THE GLUTEAL MUSCLES? The glutes are 3 muscles thatare located at the back of the pelvis, in the gluteal region. These accordingto the shape and location are known as gluteus medius, maximus and minor, andare important for various movements of the lower extremities and the hip (AdelElzanie et la,2021). WHAT IS THE FUNCTION OF THE BUTTOCK/ GLUTEAL MUSCLES? Although all of them areimportant for various movements to be executed, each one of them has a specifictask depending on the place of origin and insertion. So, the functions of eachgluteal muscle are given as follows. Gluteus minimus; it ismainly involved in abduction, but it also has certain functions related torotations (Anthony J.Greco et la, 2021).Gluteus medius; it is thesame abductor, but it also works on internal and external rotation andextension (Sean Sadler et la, 2019).Gluteus maximus; its mainfunctions are related to extension and external rotation, although it alsocollaborates in adduction and abduction (Judith Borger et la, 2021).In conclusion, they aretissues that are involved in most joint movements in the pelvic and buttock area. With that being explained wecarry on learning more about this Gluteal Amnesia condition.   WHAT ARE THE SYMPTOMS OF GLUTEAL AMNESIA? A dead butt, as we will see,increases the chances of presenting lumbar pain, pubalgia, knee valgus, referredpain, stiffness, and false support, amongst other issues. Ultimately, this willcause a greater risk of injury as a result of muscular deficiencies and over-compensation(Ortiz, Jonathan Nahuel, 2018). This phenomenon has also been associated withthe development of low back pain, either as a cause or as a consequence,however, Dr. Baily says, lower back aches might be experienced as a result of lossstrength in your core, hips, and buttocks, sometimes a pretty similar sciatic-likepain can be inflicted all the way down your leg by gluteal inhibition. So, working this muchrequested muscle group then becomes something extremely essential and farbeyond fad aesthetics. Where everyone wants to tone it, but few investigate thecorrect way to activate it in response to this need.SEDENTARY LIFESTYLE AND ITS ROLE IN GLUTEAL AMNESIA It is important to firstclarify the importance of the gluteus maximus muscle which is altered in ourdaily activities; either by sedentary lifestyle or lack of movements thatactivate it.This is mainly due to spendinghours and hours sitting at work or in the car in the wrong positions; whichends up causing muscle groups such as the iliopsoas and hamstrings to shortenand our hips to be retroverted due to gluteal inhibition.But thisdoes not happen only in sedentary people. It also occurs in athletes who do notperform corrective and preventive work to strengthen their buttocks, as can bethe case of soccer players, rugby players, amongst others. Where the excessive use ofclosing chain muscles and flexor action cause their antagonists to beinhibited, let us remember that the glutes participate or should participate inall motor actions, from being upright to running.If we prolong these bad habitsover time, we obtain what is currently called "gluteal amnesia"syndrome. Or what would basically be an inhibition of the gluteus in its actionof stabilisation and extension of the hip (Gowitzke, B. A et la, 1999). MUSCULAR COMPENSATIONS CAUSED BY GLUTEAL AMNESIA Forgettingthe gluteus maximus muscle ends up triggering the shortening of other musclegroups. Such is the case with the hamstrings which begins to take on the fulland main function of extending the hip. By its counterpart, the iliopsoas ishypertonic in its excessive hip flexion action.To beprecise, the gluteus maximus is one of the strongest and most important musclesin the body, relevance that increases as it is also responsible for lumbopelvic/sacroiliacjoint stability.Formingpart of the well-known and so important CORE, central stabilisation zone andfrom where the centrifugal force that will be translated to our extremitiesarises (Akuthota, V et la,2008).HOW IS GLUTEAL AMNESIA DIAGNOSED? Todetect it, physical therapy specialist in Manchester resort to a simplephysical clinical examination, the Trendelenburg test. It consists of liftingone leg while standing in front of the specialist.Ifthe pelvis sinks on the side of the body where the leg was raised, thatindicates weakness in the gluteus medius on the opposite side. STRATEGIES FOR ADDRESSING GLUTEAL AMNESIA & HOW PHYSICAL THERAPY CANBENEFIT YOU? Rehabilitationexercises for gluteal injuries are essential to achieve the empowerment andstrengthening of these muscles, which are vital for walking, balance and thelower back.Whenan injury of any kind has occurred in the gluteus area, physiotherapy work isvery important to be able to achieve a good recovery in the area that allows usto continue with our level of autonomy and independence.Inprinciple, rest is usually beneficial in most cases, since forcing and loadingthe area more will only contribute to aggravating the problem. As for theexercises that can be performed, it must be taken into account that they willdepend on the area of the affected gluteus.SPECIFIC EXERCISES TO ACTIVATE AND TREAT GLUTEAL AMNESIATheonly way to prevent the "death" of your butt, according to the WorldHealth Organization (WHO), is to exercise. This muscle group is involved inexercises such as squats or the Romanian deadlift.Theglute bridge is an exercise that can be practiced in isometry or withrepetitions. Lying on the ground, with the knees bent and the heels close tothe buttocks, the execution consists of raising the hips without taking theshoulders off the ground.Abductionbridge is a variant of the previous exercise that helps to activate theabductor. With an elastic band placed on the legs and in the same initialposition, it is about opening the legs when the hip has already been raised andthe gluteus is contracted. Simplehip abduction, lying on your side, with your legs bent at 90 degrees and a resistanceband a little above your knees, it is about opening the leg that is on top andleaving the other on the ground.                 ReferencesArochaRodulfo JI. Sedentary lifestyle a disease from xxi century. Clin InvestigArterioscler. 2019 Sep-Oct;31(5):233-240. English, Spanish. doi:10.1016/j.arteri.2019.04.004. Epub 2019 Jun 17. PMID: 31221536.Dawson-AmoahK, Raszewski J, Duplantier N, Waddell BS. Dislocation of the Hip: A Review ofTypes, Causes, and Treatment. Ochsner J. 2018 Fall;18(3):242-252. doi:10.31486/toj.17.0079. PMID: 30275789; PMCID: PMC6162140.RebeccaSeguin, David M. Buchner, Jingmin Liu, Matthew Allison, Todd Manini, Ching-YunWang, JoAnn E. Manson, Catherine R. Messina, Mahesh J. Patel, Larry Moreland,Marcia L. Stefanick, Andrea Z. LaCroix, Sedentary Behavior and Mortality inOlder Women: The Women’s Health Initiative, American Journal of PreventiveMedicine, Volume 46, Issue 2, 2014, Pages 122-135, ISSN 0749-3797, https://doi.org/10.1016/j.amepre.2013.10.021.Added, Marco Aurélio N et al. “STRENGTHENING THE GLUTEUSMAXIMUS IN SUBJECTS WITH SACROILIAC DYSFUNCTION.” International journal ofsports physical therapy vol. 13,1 (2018): 114-120.Sadler,Sean et al. “Gluteus medius muscle function in people with and without low backpain: a systematic review.” BMC musculoskeletal disorders vol. 20,1 463. 22Oct. 2019, doi:10.1186/s12891-019-2833-4Greco AJ,Vilella RC. Anatomy, Bony Pelvis and Lower Limb, Gluteus Minimus Muscle.[Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL):StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556144/Elzanie A,Borger J. Anatomy, Bony Pelvis and Lower Limb, Gluteus Maximus Muscle. [Updated2021 Jul 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearlsPublishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538193/Akuthota V,Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. CurrSports Med Rep. 2008 Feb;7(1):39-44. doi: 10.1097/01.CSMR.0000308663.13278.69.PMID: 18296944. 

A BIOMECHANICAL ASSESSMENT OF THE FOOT & ANKLE JOINT: THE IMPORTANCE OF PODIATRY IN SPORTS PERFORMANCE AND WHY PODIATRY CAN HELP SYMPTOM RELIEF. The increase in the practice of running has generated a type of public that loves the sport, but which in turn is more aware of the need to take preventive measures. Biomechanical studies of the footprint and personalised insoles are increasingly in demand in a sector that enjoys sport while thinking about minimising risks. Furthermore, it has been shown that lower limbs injuries represent nearly 70% of all sports-related injuries (G M Gordon 1984). [RH1]  On top of that, it is worth considering that according to research studies the mean incidence evidenced for running related injuries may account for 37% regarding lower limbs injuries, also taking in those runners who usually do not wear orthosis. (Jade Dempster et la 2021). What are biomechanics? This concept is very familiar within the field of podiatry, but outside of it is usually a term that few people recognize. At MY Sports Injury Clinic in Manchester, we know this discipline very well, as it is a common practice that is carried out by our sports physio Manchester to generate different diagnoses and be able to apply personalised treatments to each patient. Biomechanics can be defined as the discipline in charge of analysing the movement of the body in different situations and how it can react (Jay Levrio 2009). For instance, the knees, hips, feet, and ankles are parts that are activated when walking, jogging or running; therefore, it is crucial to know how they respond to this stimulus, so that they are not negatively affected. At our Sports Therapy Manchester Clinic, we offer a comprehensive treatment for athletes. Our sports massage Manchester practitioners who are specialists in sports podiatry, take care of the tread of all types of athletes, attending to the needs of each sport, category, and patient. In terms of effectiveness in tackling lower extremities injuries treated by a thorough podiatry treatment by making use of foot orthoses, research has found that moderate to substantial good effects were displayed when it comes to preventing and managing plantar fasciitis, and posterior tibial stress fractures as well. It was not quite effective whilst treating patellofemoral pain syndrome. (Patria Hume et la 2008) Foot care should be present throughout our lives, and in the case of sports people more. For an athlete, foot care is essential, since it is a gesture that is going to be performed thousands of times and more repeatedly than a person who does not practice any sport.[RH2]  Let us remember that if the footprint is not adequate, it not only affects our feet, but our entire body, especially the ankle, knee, hip and back joints, producing pathologies at the muscular and postural level. Therefore, if we take care of our footprint, we can enjoy sport throughout life in a healthy way. The basis of the study in sports podiatry is the prevention of injuries and improvement of sports performance. If you are looking for sports podiatry in Manchester City Centre to prevent, diagnose and treat lower limb conditions related to the feet, you have come to the perfect place! At MY Sports Injury Clinic we are experts in musculoskeletal joint disorders, sports podiatry and we work at all levels of sports performance within our private practice. We help professional athletes and those who make sports a lifestyle to feel better. Other proven medical treatments which we provide are, Sports Massage, Sports Chiropractic, Acupuncture, Sports physiotherapy & Foot Podiatry in Manchester in Manchester. Most common services include Sports Physical therapy & Manual Therapy. In order to get an initial appointment, visit: https://www.mysportsinjury.co.uk/booking. WHAT IS THE RELATIONSHIP BETWEEN BIOMECHANICS AND PODIATRY? Keep in mind that the feet are the base of the entire body, the ones that support all the weight when we are in a static or dynamic vertical position. With the step by step the whole body is involved, so it is important that all people have a complete study of the footprint to detect possible biomechanical alterations. It is important to know what response the body gives to the movement we cause, as it is one of the best ways to prevent diseases and ailments, such as plantar fasciitis, claw toes, knee or hip problems. To do this, physio Manchester professionals analyse the behaviour of the entire locomotor system and apply this information to the prevention of alterations that originate in the feet. It should be noted that the health of the feet is the health of the body. This is because they are the great leaders of the movement and their work is much harder than it seems; therefore, they need to receive the attention they deserve, because by solving foot problems, other parts of the body can be restored to health (Leonard A Levy 2015). WHAT ARE THE MOST FREQUENT SPORT INJURIES TO TREAT WITH SPORTS PODIATRY AT OUR SPORTS THERAPY MANCHESTER CLINIC? Sports podiatry is responsible for diagnosing and treating sports injuries that can be suffered during the performance of any sporting activity. However, it is very convenient to also remember the importance of its preventive nature. Right now, thanks to technological advances, it is possible to obtain much more precise information about the foot. In this way, we can choose good shoes that meet the characteristics we need for our feet, as well as tailor-made insoles for each person. Whether we are cautious or not, playing sports can lead to muscle and joint injuries, especially when practicing sports at a professional level. In sports podiatry there are injuries common to all sports and others more specific depending on the activity performed by each person. One of the most widespread injuries are ankle sprains alongside with Achilles tendinitis. HOW EFFECTIVE ARE ORTHOTICS DEVICES FOR TREATING ACHILLERS TENDINOPATHY? One of the reasons people visit our Sports Massage Manchester Clinic is to seeking out resolution for their feet issues so some of the proven orthotics devices used for Achilles Tendinopathy are splints, braces, foot orthoses, etc. Moderate evidence was found in these studies which showed that using these orthotics devices alongside physical therapy can produce beneficial outcomes (Lisa A Scott et la, 2015). Another very common injury is plantar fasciitis, which causes acute pain in the inner area of ​​the heel and usually manifests itself when we put our foot down in the morning when we get up. Another common injury that causes muscle pain in the leg or shin is shin splints. Blisters and stress fractures are other common injuries that we treat in sports injury clinic. As soon as the first symptoms appear, it is important to go to a specialised podiatrist, in this way we will prevent the problem from getting worse. HOW CAN BIOMECHANICS IN PODIATRY HELP IMPROVE ATHLETES’ PERFORMANCE? Biomechanics in podiatry is used to study support, gait, and, in the case of being an athlete, what is called sports gesture as well. Sports biomechanics is perhaps one of the most demanded disciplines by sports clubs. This is due to the fact that athletes are increasingly aware of the importance of taking care of their feet, both to prevent possible injuries and to increase their performance. It is better to anticipate the pain and not take the risk. Thanks to these studies, professionals create personalised routines, 100% adapted to the athlete. IS BIOMECHANICAL ASSESSMENT OF ANKLE AND FOOT FOR ELITE ATHLETES ONLY? Biomechanics can be applied not only to athletes, but also to every person, since we all walk and move to perform different actions such as go to the park, running, etc. HOW DOES THE FOOT AFFECT THE POSTURE? The influence of the foot on the posture of the body is important. Posture is defined as each of the positions adopted by the body in spatial relation between the different parts or segments that comprise it. “Efficient posture” is understood as that which requires the minimum energy expenditure. This posture arises from the correct joint alignment of each of the body segments, and as a consequence produces an absence of muscle fatigue and the accumulation of residual tension, which are the origin of pain and a sensation of bodily discomfort. In this way, the morphological structure of the foot influences the general structure of the organism, considering, in addition, that the plantar support conditions the alignment of the spine (Andrew K Buldt et la, 2018). WHY DO WE NEED FOOT ALINGMENT? Inappropriate footwear and incorrect foot alignment can lead to a varied list of physical problems, such as calf strain, ligament rupture, lower back pain and sprains, amongst others. The quality of life can be improved by a good way of stepping. To solve it, podiatry and biomechanics have joined technological innovation for the diagnosis, design and manufacture of personalised insoles (Sigvard T Hansen Jr et la, 2009). PODIATRY OR ORTHOTICS? WHICH ONE TO CHOOSE? We have discussed orthotics and podiatry are two different types of medical disciplines that treat pathologies, injuries or ailments located in different parts of the body, which in both cases do involve the bone, nervous and muscular systems. WHAT IS THE DIFFRENCE BETWEEN ORTHOTICS AND PODIATRY? Basically, the main difference is that the podiatrist is in charge of providing an accurate diagnosis and subsequently treating foot problems such as malformations, deformities, traumas, amongst others. Therefore, a podiatrist may prescribe orthotics. On the other hand, orthotics has got some likenesses with podiatry owing to the fact that they can work jointly. Meanwhile at our sports podiatry clinic in Manchester you will be told that orthotics consists of studying and analysing the musculoskeletal system as a whole so the bones, muscles, and joint issues can be solved by prescribing orthotic devices in some cases. HOW BENEFICIAL IS PODIATRY TREATMENT ALONGSIDE PHYSIOTHERAPY TREATMENT IN MY SPORTS THERAPY CLINIC? If physiotherapy deals with the treatment and prevention of musculoskeletal pathologies of the entire human body, podiatry does the same for the foot and lower limbs. Although the answer is clear, there are many variations that we can give it, and in this takeaway, we will discuss it. Physiotherapy is responsible for the treatment of many pathologies of the lower body, likewise the podiatrist influences these ailments. In the same way, the complete podiatric assessment provides a lot of information on how the muscles work in each phase of walking. With this information we can treat those who have hypertonia or send empowerment exercises for those who are working little. On the other hand, ultrasound examination by a foot physio in Manchester can help podiatric treatment. Knowing how the plantar fascia is, the preparation of the foot orthotics will be much more precise and in the case of needing to infiltrate the affected area, the location will be exact. In this way, interprofessional action enriches the treatment and the patient's improvement is greater. References Gordon GM. Podiatric sports medicine. Evaluation and prevention of injuries. Clin Podiatry. 1984 Aug;1(2):401-16. PMID: 6152607. Dempster J, Dutheil F, Ugbolue UC. The Prevalence of Lower Extremity Injuries in Running and Associated Risk Factors: A Systematic Review. Physical Activity and Health. 2021;5(1):133–45. DOI: http://doi.org/10.5334/paah.109 Levrio J. Podiatric medicine: a current assessment. J Am Podiatr Med Assoc. 2009 Jan-Feb;99(1):65-72. doi: 10.7547/0980065. PMID: 19141726. Hume P, Hopkins W, Rome K, Maulder P, Coyle G, Nigg B. Effectiveness of foot orthoses for treatment and prevention of lower limb injuries : a review. Sports Med. 2008;38(9):759-79. doi: 10.2165/00007256-200838090-00005. PMID: 18712943. Levy LA. The role of podiatric medicine in the health-care team. A paradigm shift. J Am Podiatr Med Assoc. 2015 Mar;105(2):198-9. doi: 10.7547/0003-0538-105.2.198. PMID: 25815663. Scott LA, Munteanu SE, Menz HB. Effectiveness of orthotic devices in the treatment of Achilles tendinopathy: a systematic review. Sports Med. 2015 Jan;45(1):95-110. doi: 10.1007/s40279-014-0237-z. PMID: 25108348. Buldt AK, Allan JJ, Landorf KB, Menz HB. The relationship between foot posture and plantar pressure during walking in adults: A systematic review. Gait Posture. 2018 May;62:56-67. doi: 10.1016/j.gaitpost.2018.02.026. Epub 2018 Feb 23. PMID: 29524798. Hansen ST Jr. Introduction: The first metatarsal: it's importance in the human foot. Clin Podiatr Med Surg. 2009 Jul;26(3):351-4, Table of Contents. doi: 10.1016/j.cpm.2009.03.012. PMID: 19505636.      [RH1]Is their any relevant studies to show the prevalence of lower limb injuries without orthosis. FLAT FEET especially?  [RH2]explain how the effectiveness of podiatry treatment on biomechanics and link in research litreature studies to support text ok  

How to fix upper extremity forearm injuries: sports-related golfers elbow injuries: A Sports Physiotherapy approach to treatment & Pain Prevention  -An overview of golfers Elbow Forearm Injuries. Is having Sports Massage Therapy beneficial for golfer’s elbow & golfer’s hand - Have you ever undergone excruciating ache on the inside of your elbow? You are likely to suffer from medial epicondylitis which is a tendinopathy of the medial common flexor tendon of the elbow or also commonly known as thrower’s elbow or golfer's elbow, this condition, like tennis elbow, is one of the most common causes of elbow pain. Golfer's elbow is an inflammation of the insertion of the epicondylar muscles. The pain of this lesion appears on the inside of the elbow when performing certain movements and with palpation. Physiotherapeutic treatment is required to alleviate this pain. In this blog post, you will learn about golfer’s elbow signs, symptoms and causes, also golfer’s elbow symptoms that allow it to be detected, golfer’s elbow treatment with sports physical therapy and pain management, amongst many more topics.   HOW COMMON IS GOLFERS ELBOW WITHIN SPORTS?  Medial epicondylitis represents 10% up to 20% of all tendinopathies of the epicondyle. Golfer's elbow or medial epicondylitis is less frequent than tennis elbow or lateral epicondylitis. Its prevalence is 0.4% worldwide. WHO IS MOST LIKELY TO GET GOLFERS ELBOW? Affecting mostly people between 45 to 65 years old, being more common in women than in men. 3 out of 4 cases of golfer’s elbow are found in the dominant arm of the affected subject, pointed out by John Kiel et la (2021). It is also considered an occupational disease, which has a high prevalence of 3.8% to 8.2% in some occupations, and although it is known to affect some who play sports (golfers, baseball players, and American football players), it should be noted that 90 to 95% of all patients diagnosed with this injury are not even athletes. (L D Field et la 1998) The leading treatment includes strengthening and stretching exercises for the golfer’s elbow which can be guided by our Sports Injury Specialist physiotherapists at My Sports Injury Clinic based in Manchester City. Sports physiotherapy clinicians, sports massage therapists, and manual therapists are some of our experts in sports-related injuries that will help you to fix elbow pain in Manchester. What movement & motion causes golfer’s elbow? Golfer's elbow symptoms manifest itself with pain in the area of insertion of the tendons on the inside of the elbow, due to strenuous or monotonous movements, direct trauma or over-exertion when doing flexion and pronation movements, when performing sports activities such as golf, baseball or simply carrying out manual work, i.e. it does not have to be caused just by sports in general.  Nevertheless, you might feel pain in the entire arm as the pain may radiate to the full length of your limb. Due to the high mechanical demand to which the golfer's elbow flexors are exposed, this type of injury frequently occurs in them, which is why it is often thought that this is an exclusive condition of this type of sporting activity and that it is the only one related to golf, however, people who have never played golf can suffer from it, as well as it is important to clarify that golfers not only suffer from this tendinopathy but are exposed to many more complex forearm and wrist injuries.published by the Institute for Quality and Efficiency in Health Care (IQWiG); (2018).     Golfer's Elbow Signs & Symptoms, how do you know if you suffer from golfer's elbow? If your suffering with Golfer's elbow you will perceive a significant discomfort, which will present as a stabbing pain inside the elbow, which can sometimes radiate throughout the flexor or anterior side of the forearm, in addition, the discomfort can occur when applying pressure on the internal region of the elbow, what we call the medial epicondyle. Golfer’s elbow symptoms often appear more intensely when the muscles of the affected tendons (i.e. the wrist flexors or pronators) are activated. (Nirav H Amin et la 2015). For instance, when a fist is formed, the wrist is flexed, or when you want to reach an object at a certain distance. These movements are directly involved when you notice pain in the elbow zone due to the golfer’s elbow. Golfer's elbow tends to affect flexion and pronation of the hand and forearm even more when performing movements against resistance, so affected patients are increasingly restricted in their activities of daily living, even simple tasks such as writing or lifting light objects can become a problem due to the presence of pain. In addition, not only does active movement causes discomfort, but also passive stretching, and if the injury progresses without treatment, pain at rest can also take place. In the case of a golfer's elbow or chronic epitrocleitis, the degenerative process that occurs in the tendons (tendinopathy) becomes increasingly aggressive, which can cause neuropathy in the ulnar nerve that is adjacent to the affected area, this leads to the appearance of symptoms such as tingling or paresthesia in the flexor region of the hand and fingers, also called golfer’s hand.   How long does golfer’s elbow take to heal? Golfer’s elbow without surgical intervention can vary between 4- 6 weeks dependant on the tendon healing and rehabilitation exercise intervention carried out alongside sports physiotherapy. Sometimes symptoms can go away on its own after 3-4 weeks but in more severe cases can last a few months.   How to speed up the recovery process for golfer’s elbow? Actively Resting. Put your repetitive activities on hold until the pain is gone or minimised to tolerable levels.   Ice the affected area. Apply ice packs to your elbow for 15 to 20 minutes at a time, three to four times a day for several days.   Use a brace to support the elbow / forearm .   Stretch and strengthen the affected area through sports rehabilitation   Nutritional advice to fuel protein synthesis and amino acid into the body.   How can golfer’s elbow be avoided?   Tendon injuries are usually the product of constant movements as well as overloading of the muscles in the area (forearm and arm), so the prevention of problems such as epitrochleitis, golfer’s elbow and epicondylitis consists of exercising regularly , but adapted to the person's capabilities, avoid sudden movements of the elbow, establish active breaks during daily activities and when playing sports. In order to prevent excessive muscle tension, perform muscle stretching suggested by your physio specialists in Manchester before and after exercises and be attentive to the signals that our body sends us, in order to respond in a way that is consistent to avoid injury.   How to get rid of golfer’s elbow? Regarding the treatment of these pathologies or injuries, our Sports Injuries Clinic in Manchester City offers the following recommendations.   In case of blows, the usual measures include local cold, anti-inflammatory or analgesic medication and, if necessary, rest. In the case of more chronic injuries due to repeated overexertion of the muscles, physiotherapy in Manchester, stretching, muscle strengthening and prevention rules must be added to the previous treatment.   For a well-known rheumatologist at the Institute MYM at the Teknon Medical Center “the key is to deflate the affected structure. Treatment depends on the cause, whether it is mechanical or if there is an underlying systemic disease. Within the therapeutic arsenal is physiotherapy, acupuncture in Manchester, drugs and infiltrations”. Will golfer’s elbow heal on its own? If the injury is recent, with rest and treatment the injured tendon is likely to heal with some scar tissue and maximum strength. While a recent minor injury may need a few weeks of rest to heal, a severely damaged tendon may take months to repair, according to Institute for Quality and Efficiency in Health Care (IQWiG). Corticosteroid injections can help relieve short-term pain by helping to start rehabilitation exercises carried out by your physiotherapist in Manchester. But it can weaken the tendon tissue if they happen too often. What does golfer’s elbow feel like? According to our sports massages physio in Manchester; epitrochleitis sufferers feel pain that extends from the inside of the elbow to the wrist due to damage to the tendons that bend the wrist toward the palm. What can be mistaken for golfer’s elbow? Sometimes the golfer’s elbow is confounded with tennis elbow but they are not quite alike at all, as the pain brought about by these pathologies take place in different areas of the arm, whether inner or outer zone. So, at our Sports-related Clinic in the heart of Manchester our manual therapy specialists shall set out that the one which causes inner pain is the golfer’s elbow and tennis elbow can provoke outer pain, explained by Johns Hopkins Medicine website. References ·       InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Golfer's elbow: Overview. 2018 May 30. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507002/ ·       Kiel J, Kaiser K. Golfers Elbow. [Updated 2022 Jun 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519000/ ·       Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, Tytherleigh-Strong G, Rushton N. Lateral epicondylitis: a review of pathology and management. Bone Joint J 2013; 95-B(9): 1158-1164. [PubMed] ·       Amin NH, Kumar NS, Schickendantz MS. Medial epicondylitis: evaluation and management. J Am Acad Orthop Surg. 2015 Jun;23(6):348-55. doi: 10.5435/JAAOS-D-14-00145. PMID: 26001427. ·       Menta R, Randhawa K, Cote P, Wong JJ, Yu H, Sutton D et al. The effectiveness of exercise for the management of musculoskeletal disorders and injuries of the elbow, forearm, wrist, and hand: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration. J Manipulative Physiol Ther 2015; 38(7): 507-520. [PubMed] ·       Olaussen M, Holmedal O, Lindbaek M, Brage S, Solvang H. Treating lateral epicondylitis with corticosteroid injections or non-electrotherapeutical physiotherapy: a systematic review. BMJ Open 2013; 3(10): e003564. [PMC free article] [PubMed] ·       Field LD, Savoie FH. Common elbow injuries in sport. Sports Med. 1998 Sep;26(3):193-205. doi: 10.2165/00007256-199826030-00005. PMID: 9802175.    

UNDERSTANDING THE BENEFITS OF RED LIGHT THERAPY: DISCUSSING HOW RED LIGHT THERAPY HELP WITH THE SPORTS-RELATED PAIN AND PHASED RECOVERY PROCESS? Surely you have found it in the aesthetic clinic, maybe the Acupuncture Clinic and also in the office of your sports physiotherapist clinic in Manchester. Near-infrared light lamps are offered as a solution for wrinkles, muscle injuries, cellulite, and acne. However, much has been said on the usefulness of this type of therapy but currently there are many ongoing studies being carried out in order to determine what conditions can be exactly treated and tackled by this kind of low-level light therapy program. It has been shown photobiomodulation produced by Red light therapy has been proven to remarkably improve performance and speed up recovery process of elite rugby players (Douglas S Johnson et la, 2016). The layers of the skin have a high content of blood and water that allows the absorption of light with each wavelength, which has positive and different effects on the skin. Light therapy is an advanced technology that uses specific wavelengths of light to provide the following benefits according to the type of light. Infrared light replenishes dermal and epidermal cells. It is used to rejuvenate the skin and heal wounds, cuts, and damaged skin. Red light stimulates collagen production and promotes circulation. It is used to rejuvenate the skin and to reduce wrinkles, scars, and even skin tone. It is also employed in diminishing pain by stimulating optimal cell function. Yellow light reduces swelling, redness and inflammation. It is used to heal sunburn. Blue light has antibacterial properties. It is used against acne to purify the skin, regulate the sebaceous glands and calm inflammation. WHAT IS RED LIGHT THERAPY? Red Light Therapy is a nascent physical therapy treatment which has demonstrated to get good outcomes at dealing with acne, signs of aging, scars, wrinkles, and most commonly musculoskeletal aches & pains a perfect recovery tool to use.  It makes use of a low wavelength red light in order to penetrate deeper into the skin and get to reach the subcutaneous tissue, introducing itself as one of the light therapies which possesses more range when it comes to layers of the skin (Caerwyn Ash et la, 2017). This red light therapy can be also gone by the name of low-level laser light therapy, soft laser therapy, cold laser therapy, non-thermal LED light, low-power laser therapy, biostimulation, photonic stimulation, photobiomodulation, and phototherapy.     SO HOW DOES RED LIGHT THERAPY REALLY WORK? The working principle of red light therapy is the stimulation of the mitochondria, this is, the organelles inside the cells of our body, which are responsible for producing energy in the form of a molecule called ATP (adenosine triphosphate). If the mitochondria are stimulated with infrared radiation, they can produce more ATP, which the cell then uses to regenerate and repair damage, or in other words, rejuvenate by boosting new cell growth (Joseph Tafur et la, 2008). In fact, aging is identified as a decrease in the activity of the mitochondria. WHAT ARE THE RED LIGHT THERAPY BENEFITS IN SKIN HEALTH? It can stimulate the amount of collagen produced which provides strength, elasticity, and structure to the skin, enhance fibroblast generation which produces collagen, furthermore, collagen is in charge of building skin since it is a component of the connective tissue, improve blood circulation, and decrease swelling in the cells, amongst others. According to a research it’s been pointed out that low-energy red/near infrared light plays an essential role when treating alopecia, skin rejuvenation, and acne as it has presented safe and effective results (Graeme Ewan Glass, 2021). When you search red light therapy near me it will show you the best options for you since it is essential to seek out and turn up to your Sports Physio Manchester in order to treat your condition as this red light therapy Manchester strictly needs to be handled by a physiotherapy Manchester specialist, or you can use red light therapy at home but being supervised by our sports massage Manchester specialist in home health care  services, feel free to contact us www.mysportsinjury.co.uk/booking CAN RED LIGHT THERAPY BENEFIT SPORTS-RELATED INJURIES REHAB? Yes, it can indeed. There are a great number of research studies which claims it. One of the most important benefits that elite athletes can be obtained by undergoing RLT sessions is pain and inflammation relief as it can retard the beginning of musculoskeletal fatigue in high-intensity activities regardless of blood lactate levels being boosted (Leal Junior et la, 2009). Particularly, red light therapy can get you a rapid recovery, reduce both inflammation and fatigue before and after physical activity albeit better outcomes were seen in post-groups (Filipe Abdalla Dos Reis et la, 2014), and diminish soreness. Some of the proven sports physiotherapy treatments programs which can be found at Our Sports Therapy Manchester Clinic are Myofascial Release, Deep Tissue Massage,  Sports Massage Manchester, Manual Therapy, Sports Physical Therapy, ´Physical Conditioning, Sports-Related Injuries, Acupuncture in Manchester, Dry needling, Osteopathy, Red Light Therapy Manchester, and Body Postural Rehabilitation. Red light therapy is able to enhance sports performance by using it during pre and post workout as it can markedly maximise results. It is an exceptional option for faster sports injuries recovery such as sprained muscles, tendon injuries, injury aches, and bone repair in some cases. There are have been reports of red light therapy benefits in National Football League (NFL) since it has been used in order to try to achieve sleep optimisation, improve cellular regeneration, and aid in the natural anti-inflammatory process, endeavouring to provide the tools required by the American football players to fulfill recovery needs making them be in the best possible conditions for their daily physical activities and sports performance, according to 49ers website.  A study was conducted where the rate of effectiveness obtained was 65.9% for all sports-related injuries that were treated with LLLT (lower level laser therapy). Nevertheless, in some specific the rates of success were considerably higher those conditions were tennis elbow, Achilles tendinitis, and jumper’s knee (Yusuke Morimoto et la, 2013).       HOW LONG SHOULD THE RED LIGHT THERAPY MANCHESTER SESSION LAST? The treatment usually lasts between 15 and 30 minutes. The skin should be checked every 5 minutes to avoid burns or injuries. The lamp is placed about 60 cm away from the area to be treated. The application ends when the patient starts sweating, then it is considered that the thermoregulation process has been sufficient. For further information & enquiries please visit www.mysportsinjury.co.uk/booking we can arrange Red light therapy for you. HOW LONG DOES RED LIGHT THERAPY IN MANCHESTER CLINICS TAKE TO START SHOWING FAST RESULTS? It depends on the type and quality of the skin, but it must be taken into account that a treatment cycle should not be less than 6-8 sessions. It has been proven that outcomes start being noticed after carrying out a daily red light therapy session 3-5 times per week for several months. Lower-lever laser therapy programs are also used in post-operative stages due to it is an apt and feasible procedure to minimise post-surgical intervention pain owing to the fact it is noninvasive, safe, and painless (Sholeh Nesioonpour et la, 2014). Some studies have been made where it is highlighted that RLT can help with sleeping disorders as well because this lower-level light therapy can deal with them by improving the serum melatonin level, and endurance performance of the elite athletes. Hence, you will get a better sleep as result of this practice (Zhao J et la, 2012). IS INFRARED LIGHT THE SAME AS ULTRAVIOLET LIGHT? IS RED LIGHT THERAPY GENUINELY SAFE? No, it's not the same. Ultraviolet is below 400 nanometers. The great advantage that red-near-infrared light has over ultraviolet rays is that the latter can damage the skin. Red-infrared light does not. Red and near infrared light is totally safe even after long periods of exposure (Max Myakishev-Rempel et la, 2012). With red and near infrared light you cannot tan or burn. While the ultraviolet stays on the surface of your skin, the infrared penetrates up to 7 centimeters inside your skin, even reaching internal organs. Published by Rafael Peña for www.mysportsinjury.co.uk     References Pinto HD, Vanin AA, Miranda EF, Tomazoni SS, Johnson DS, Albuquerque-Pontes GM, Aleixo IO Junior, Grandinetti VD, Casalechi HL, de Carvalho PT, Leal-Junior EC. Photobiomodulation Therapy Improves Performance and Accelerates Recovery of High-Level Rugby Players in Field Test: A Randomized, Crossover, Double-Blind, Placebo-Controlled Clinical Study. J Strength Cond Res. 2016 Dec;30(12):3329-3338. doi: 10.1519/JSC.0000000000001439. PMID: 27050245. Tafur J, Mills PJ. Low-intensity light therapy: exploring the role of redox mechanisms. Photomed Laser Surg. 2008;26(4):323-328. doi:10.1089/pho.2007.2184 Ash, Caerwyn et al. “Effect of wavelength and beam width on penetration in light-tissue interaction using computational methods.” Lasers in medical science vol. 32,8 (2017): 1909-1918. doi:10.1007/s10103-017-2317-4 Glass GE. Photobiomodulation: The Clinical Applications of Low-Level Light Therapy. Aesthet Surg J. 2021 May 18;41(6):723-738. doi: 10.1093/asj/sjab025. Erratum in: Aesthet Surg J. 2022 Jan 19;: PMID: 33471046. Leal Junior EC, Lopes-Martins RA, Vanin AA, Baroni BM, Grosselli D, De Marchi T, Iversen VV, Bjordal JM. Effect of 830 nm low-level laser therapy in exercise-induced skeletal muscle fatigue in humans. Lasers Med Sci. 2009 May;24(3):425-31. doi: 10.1007/s10103-008-0592-9. Epub 2008 Jul 23. PMID: 18649044. Dos Reis FA, da Silva BA, Laraia EM, de Melo RM, Silva PH, Leal-Junior EC, de Carvalho Pde T. Effects of pre- or post-exercise low-level laser therapy (830 nm) on skeletal muscle fatigue and biochemical markers of recovery in humans: double-blind placebo-controlled trial. Photomed Laser Surg. 2014 Feb;32(2):106-12. doi: 10.1089/pho.2013.3617. Epub 2014 Jan 23. PMID: 24456143. Morimoto Y, Saito A, Tokuhashi Y. Low level laser therapy for sports injuries. Laser Ther. 2013;22(1):17-20. doi: 10.5978/islsm.13-or-01. PMID: 24155545; PMCID: PMC3799051. Nesioonpour S, Mokmeli S, Vojdani S, Mohtadi A, Akhondzadeh R, Behaeen K, Moosavi S, Hojjati S. The effect of low-level laser on postoperative pain after tibial fracture surgery: a double-blind controlled randomized clinical trial. Anesth Pain Med. 2014 Jun 21;4(3):e17350. doi: 10.5812/aapm.17350. PMID: 25237637; PMCID: PMC4165037. Zhao J, Tian Y, Nie J, Xu J, Liu D. Red light and the sleep quality and endurance performance of Chinese female basketball players. J Athl Train. 2012;47(6):673-678. doi:10.4085/1062-6050-47.6.08 Myakishev-Rempel M, Stadler I, Brondon P, Axe DR, Friedman M, Nardia FB, Lanzafame R. A preliminary study of the safety of red light phototherapy of tissues harboring cancer. Photomed Laser Surg. 2012 Sep;30(9):551-8. doi: 10.1089/pho.2011.3186. Epub 2012 Aug 1. PMID: 22853435; PMCID: PMC3423866.

BACK PAIN HEALTH OVERVIEW: PREGNANCY RELATED BACK PAINSACROILIAC JOINT DYSFUNCTION PAIN AS THE MAIN FACTOR OF LOWER BACK DISCOMFORT Do you feel a deep pain in your lower back when you get up from the chair? If so, you may be suffering from sacroiliac dysfunction syndrome. We present an in-depth article outlining informative and education around Sacroiliac Joint Dysfunction discussing how to correctly treat and manage this condition.We explore the clinical diagnosis, pain management approach, and consider how physical therapy treatment can effectively target lower back issues. Leading physiotherapy Manchester city centre Sports Injury Clinics focus on Low back pain which is a common reason for private medical consultation. It is estimated that 84% of patients will suffer from low back pain throughout their lives (Deyo RA et al, 1987).It especially affects people who have undergone lumbar fusion surgeries, and continue to have residual back pains that usually has a negative effect on the quality of life of patients and is one of the main reasons for absenteeism from work. Sacroiliac joint pain may arise from pregnancy, after spinal surgeries, stress, repetitive movements, and could be the aftermath of trauma such as collisions and tackles in sports (Marc A. Raj et al, 2021). However, this muscuolo-skeletal disorder may be developed by other complex pathologies that can affect the sacroiliac joint e.g., inflammatory, metabolic, infectious, iatrogenic, as well as mechanical dysfunction of the sacroiliac joint, which presents pain in the region without demonstrable anatomical alteration of the body (Szadek KM et al, 2009).Low back pain symptoms have a recurrent and markedly presence amongst worldwide population. Hence, several research studies have been carried through where the Sacroiliac Joint Dysfunction was described as one of the most predominant causes of these symptoms, furthermore, the prevalence of this Sacroiliac Joint Dysfunction was higher than supposed reaching up to 10-30% of the screened individuals. This means that of every 100 subjects who were experiencing low back pain 10 up to 30 of them were diagnosed with the Sacroiliac Joint Dysfunction (Chaler Vilaseca J et al, 2017). Although, an article published by SI-BONE explains that this figure could be higher as of result of medical health care providers might sometimes overlook it when it comes to spot the diagnosis.The sport in which elite athletes have been proven to be the most prone to coming about this condition is rowing, outcomes accounted for 54.1% of team members have presented it at least once (K E Timm, 1999). WHEN SHOULD I WORRY ABOUT BACK PAIN IN PREGNACY?Back pain in pregnancy is quite common, especially after the third trimester. This discomfort is caused by a set of factors due to the hormonal alterations that are suffered throughout the development of pregnancy.The hormonal alteration that occurs during pregnancy causes the ligaments and joints to become looser and therefore more mobile. This has its benefits since it prepares your body for the moment of childbirth, but on the other hand, your back needs to make a greater effort.However, back pain is mainly caused by the progressive increase in weight that your spine has to support, which is distributed mainly around your waist.  WHAT SHOULD I DO ABOUT LOWER BACK PAIN IN PREGNACY?   Low back pain is one of the most common discomforts of pregnancy, especially in the last months. According to the American College of Obstetricians and Gynecologists; the pain may go away after the baby is born. However, the pain may persist for months after giving birth.When the due date approaches, back pain can become disabling; there is difficulty walking fast and long distances. Additionally, there may be difficulty falling asleep and pain during intercourse, according to a medical article.Frequently the onset of pain occurs around the 18th week of pregnancy and the maximum intensity would be observed between the 24th and 36th week.Here in My Sports Injury Clinic our first-rate physiotherapists can help you with initial assessment, and treatment of the condition, these are some easy-to-follow recommendations to prevent and relieve back pain during pregnancy.KEEP A GOOD POSTUREThe Mayo Clinic recommends that you stand tall, with your back straight, your chest lifted, and your shoulders back and relaxed. If you're going to be on your feet for a long time, place one foot on a low stool and take breaks.When sitting, always choose a chair that supports your back, place a small cushion behind your spine, and lean back well so your back is straight.EXERCISE IS ALWAYS KEYDo physical activity on a regular basis. For example, you can walk, swim, perform pilates, and practice yoga. Always remember to do it under medical supervision.WEAR THE RIGHT TRAINERSNow you're going to love tennis shoes! The comfortable, low-heeled shoes are your new favourites.   The American College of Obstetricians and Gynecologists recommends wearing athletic shoes. As you walk, keep your hips forward.TREATMENT OF LOW BACK PAIN DURING PREGNANCY BY SPORTS PHYSIOTHERAPIST MANCHESTERWhen the pain is intense, lasts for more than two weeks and interferes with your daily activities, consult your doctor. To relieve pain there are also general recommendations such as.Relaxation and conditioning exercises guided by a physical therapist Manchester; the goal is to strengthen the muscles.Therapies in the water; being inside the water, the gravitational loads on the maternal musculature are reduced, according to the medical article “Management of non-obstetric pain during pregnancy”, published by Elsevier Spain, S.L.Pilates and yoga; practising stretching techniques can promote flexibility and reduce back pain. Get advice in a certified place, with professionals and special sessions for pregnant women.   Massages in the area of pain performed by a sports massage clinician.To rest, sometimes it is best to lie down to get some relief.Moreover, it has been described that pregnancy-related soreness and discomfort in the Sacroiliac Joint or other anatomical structures such as pubic symphisis, lumbosacral region or any combination of the mentioned joints have been termed as Pelvic Girdle Pain (PGP) which shows a prevalence rate from 4% up to 76% of all pregnant women (Brian Fiani et al, 2021). A cross-sectional study issued by (Paneri Sandeep Ghodke et al, 2017) claims that 26% of women who have just given birth present Sacroiliac Joint Dysfunction, this incidence rate was considerably lowest in segment cesarian section than in full term normal delivery which turned out to have a patently higher rate. WHAT IS THE SACROILIAC JOINT?It is the joint formed by the connection between the sacrum bone, there are two joints each one located on each side of the sacrum, which is located at the base of the spine, and the iliacus, which is the pelvic bone that is part of the hip. In short, the sacroiliac joint constitutes the union between the back and the legs (George Ampat et al, 2021).Its main function is to distribute the weight of your body to the legs so that you can walk upright. HOW DO I KNOW IF I HAVE SACROILIAC JOINT DYSFUNCTION?Pain caused by sacroiliac joint disorders can be felt anywhere from the lower back of the spine to the buttocks or the legs. Chronic sacroiliac joint pain can make it difficult to carry out common daily tasks and affects all aspects of a patient's life. Albeit, you must seek out medical professional assistance like the one we provide at our Sports Therapy Clinic with our experienced  physiotherapy Manchester specialists in order to evaluate and diagnose your sports injury or disability.  Sports Physiotherapy clinic is easily accessible for the array of business people working in the city centre and also offers corporate partners direct Sports therapy treatment into businesses and premises in and around Manchester.Some of the treatments that are available to the patients are Sports Massage, Sports Physiotherapy, Osteopathy & Body Postural Rehabilitation. Designed to treat the direct source of pain, not just the symptoms allowing you to live and pain-free optimal lifestyle.WHAT ARE THE SACROILIAC JOINT DYSFUNCTION SYMPTOMS?LOW BACK PAINThe main symptom of sacroiliac joint dysfunction is back pain, which can be caused by excess or defect in mobility. If you sit or stand for a long time, you may feel discomfort in the lower part of the spine.PAIN RADIATING DOWN THE LEGIt is common for you to notice that the pain radiates to the buttocks, thighs, groin or upper back. You may confuse it with sciatic pain, as this discomfort is also associated with the lower lumbar vertebrae.SACROILIAC STIFFNESS OR LOCKINGIf your sacroiliac joint becomes locked, you may feel limited in your ability to move your lower back, groin, hips, and pelvis. This can make it difficult for you to perform everyday actions like bending over and climbing stairs.HYPERMOBILITY OR INSTABILITYOn other occasions there is a laxity of the sacroiliac ligaments that cause hypermobility. Instability in the pelvis or lower back can cause discomfort when standing and walking.HOW CAN SACROILIAC JOINT DYSFUNCTION BE DIAGNOSED?The most effective diagnostic test is image-guided injection of anesthetic block solutions into the joint, which is considered positive if there is at least 75% relief of symptoms acutely. Treatment begins with physical therapy and/or intra-articular steroid infiltration (Robert E Poley et al, 2008).WHAT EXACERBATES SACROILIAC JOINT PAIN?How can sacroiliac joint pain be worse? Is there anything that can aggravate sacroiliac joint-related back pain? When performing some activities which require heavy impact movements such as labor intensive jobs, running, contact sports, and jumping which definitely we should not be carrying out as these activities do our back pain no good but rather what they really do is make it worse. Furthermore, the fact of standing for long time periods can intensify your sacroiliac joint-related lower back pain as well, according to an article published by Virginia Spine Institute.HOW DO YOU KEEP YOU SACROILIAC JOINT HEALTHY?In order to keep your sacroiliac joint healthy, pain-free and in optimal conditions, you must educate yourself in maintaining a good posture for your spine, both while standing or sitting. You must also do constant stretching, in order to avoid stiffness or sacroiliac locking. It is also important to often exercise your back to strengthen the back muscles. If you have to spend a lot of time sitting in front of a desk, it is advisable to take small breaks every 30 minutes. WHAT IS THE BEST WAY TO GET RID OF SACROILIAC JOINT PAIN?To solve the dysfunction of the sacroiliac joint you can use different conservative treatments such as medication, physical therapy Manchester, manual therapy, and exercises for sacroiliac joint.Anti-inflammatories, at first, and corticosteroid infiltrations will help relieve sacroiliac pain and inflammation in your joint. Physiotherapy Manchester can help you strengthen the muscles around your sacroiliac joint and increase its movement by making it more flexible.In addition, you will learn to correct habits that you may have adopted when trying to avoid pain, such as walking with a limp or leaning to one side.Studies have been carried out and showed that physiotherapy has a success rate of 56% when treating and managing patients with sacroiliac joint-related back and leg pain, physiotherapy accounted for 20%, manual therapy added up to 72%, and intra-articular injection reached 50% with these outcomes it is worth keeping in mind that the ideal treatment for sacroiliac joint pain is manual therapy which stood from the rest (L. H. Visser et al, 2013).Absolute rest is not recommended. Any low-impact aerobic exercise will help increase blood flow to the area, stimulating its healing response. In addition, you will strengthen the muscles of the back, which will reduce your discomfort.  IF CONSERVATIVE TREATMENT DOES NOT WORK, SHOULD I TRY SURGERY FOR SACROILIAC JOINT DYSFUNCTION?If after applying the different conservative treatments, you still feel pain, surgery can help you. A study was conducted where two groups of sacroiliac joint dysfunction patients were evaluated, one group was having conservative treatment and the other one was treated through a surgical procedure, after six months the group managed with surgery presented a success rate of 81.4% compared to the conservative group which obtained 23.9% (Peter Whang et al, 2006). There are three principal surgical options, these are.SACROILIAC JOINT FIXATION SURGERYThis technique is based on fixing the joint using several screws between the sacrum and the iliac. It is not about a fusion between both bones, but about stabilising the entire joint. Today this is not the most recommended technique. As it is not a bone fusion, it causes a lot of mechanical stress on the screws.   OPEN SACROILIAC FUSION OR ARTHRODESISThis technique consists of the fusion of the sacral and iliac bones. As it is open surgery, it is necessary to make an incision at the lumbar level to access and place the screws between both bones.Before undergoing this type of surgery, you should bear in mind that post-surgical complications can occur and that the intervention and recovery time are longer than with more innovative surgeries, which also entails more pain.PERCUTANEOUS SACROILIAC FUSION OR ARTHRODESISWith this surgical intervention we manage to fuse the pelvis (the iliac bone) to the spine (sacrum) for its stabilisation. This new minimally invasive technique, such as endoscopic surgery, allows percutaneous sacroiliac fusion to be performed using new triangular trabecular metal implants.In this way we can avoid the complications of open interventions, such as bleeding, post-surgical pain, healing problems and, what is also very important, and the risk of recurrence.Published by Rafael Peña for www.mysportsinjury.co.ukReferencesDeyo RA, Tsui-Wu YJ. Deive epidemiology of low-back pain and its related medical care in the United States. Spine (Phila Pa 1976) 1987; 12:264.Fiani B, Sekhon M, Doan T, et al. Sacroiliac Joint and Pelvic Dysfunction Due to Symphysiolysis in Postpartum Women. Cureus. 2021;13(10):e18619. Published 2021 Oct 9. doi:10.7759/cureus.18619Timm KE. Sacroiliac joint dysfunction in elite rowers. J Orthop Sports Phys Ther. 1999 May;29(5):288-93. doi: 10.2519/jospt.1999.29.5.288. PMID: 10342566.Raj MA, Ampat G, Varacallo M. Sacroiliac Joint Pain. [Updated 2021 Nov 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS. Diagnostic validity of criteria for sacroiliac joint pain: A systematic review. J Pain. 2009;10:354-68.Ghodke, Paneri & Shete, Dhiraj & Anap, Deepak. (2017). Prevalence of Sacroiliac Joint Dysfunction in Postpartum Women-A Cross Sectional Study. Journal of Physiotherapy & Physical Rehabilitation. 02. 10.4172/2573-0312.1000149.Visser LH, Woudenberg NP, de Bont J, et al. Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial. Eur Spine J. 2013;22(10):2310-2317. doi:10.1007/s00586-013-2833-2Sacroiliac Joint Fusion Using Triangular Titanium Implants vs. Non-Surgical Management: Six-Month Outcomes from a Prospective Randomized Controlled Trial Peter Whang, Daniel Cher, David Polly, Clay Frank, Harry Lockstadt, John Glaser, Robert Limoni, Jonathan Sembrano International Journal of Spine Surgery Jan 2015, 9 6; DOI: 10.14444/2006Poley RE, Borchers JR. Sacroiliac joint dysfunction: evaluation and treatment. Phys Sportsmed. 2008 Dec;36(1):42-9. doi: 10.3810/psm.2008.12.10. PMID: 20048471.  

UNDERSTANDING THE SPINE ANKYLOSING SPONDYLITIS CONDITION & HOW PHYSICAL THERAPY ALONGSIDE A PAIN MANAGEMENT APPROACH TO HELP RELIEVE SYMPTOMS The disease known as ankylosing spondylitis is a complex rheumatoid condition that normally causes inflammation that affects the axial skeleton, it primarily tends affects the spine and sacroiliac joints, although it may involve extra articular organs and peripheral joints, (said by JürgenBraun et la 2007). This condition can cause limitations in the movement of the back, as well as alter the functions and structure of the spine. It tends to have a higher prevalence rate in young people, (said by Frédérique Astier et la 2013), and it is estimated that between 0.1 and 1.3% of the world's population suffers or has suffered from this disease, (published by Linda E. Dean et la 2014). The condition appears with an insidious onset, morning stiffness, greater after periods of inactivity; inflammatory-type pain located at the level of the sacroiliac joints, with irradiation to the buttocks, posterior aspect of the thigh, and some limitation in flexion. It is followed by the disappearance of the physiological spinal curves, beginning with the lumbar lordosis. Over the years there have been substantial changes in the treatment of this disease, different techniques, Manchester deep tissues massage, and new physical therapies have emerged that can help the patient to cope with it. However, anti-inflammatory drugs, sports physiotherapy & therapeutic massage in Manchester, remain the focus of these new techniques (JürgenBraun et la 2007). According to a post by SportsMedToday, the sacroiliac joint is a term used to describe the place where the sacrum and the iliac bones meet. The sacrum is located at the base of the spine; often the athletes that are impaired the most by this condition are young males comprising an average age from 15 to 30 yo, habitually presenting stiffness and regular low back pain lasting more than twelve weeks. As well as, the worst episode of pain is experienced in the morning which can last around half hour and with a tendency to improve throughout the day thanks to physical activity. HOW LONG DOES ANKYLOSING SPONDYLITIS TAKE TO HEAL? An article published by EverydayHealth, explains that there is evidence where it has been notifying that actually this condition has no cure but rather it can be treated in order to relieve, subside and cease symptoms aiming to get a pain free life and remain in remission as well as preventing from spine stiffening (Blake Miller,2018). In accordance to this the best option you have got in order to give treatment to your disease is to visit My Sports Injury Clinic Manchester a leading sports physiotherapy in Manchester and find the nearest sport therapy clinic center. You may enquire or request a consultation with our medical health specialists to discuss your health-related concerns or injuries. We help you go through this situation our sport injury specialists with great expertise, who will address, assess and determine what the most suitable treatment options are for your individual needs, this may vary between sports massage or more complex manual therapy techniques provided in our Manchester City center location. At My Sports Injury Clinic Manchester we strive for our patients to be in a healthy optimal state both mentality and physically so providing a series of proven conservative treatments that help alleviate, heal and keep your condition away from exacerbating, there are more structured physical therapy programs including, acupuncture in Manchester, Osteopathic techniques for correction purposes to the joints, Chinese massage & cupping therapy, deep tissue, thermotherapy and sports massages, dry needling, and postural correction rehabilitation amongst others.HOW TO HELP & TREAT A PATIENT WITH ANKYLOSING SPONDYLITIS WITH SPORTS PHYSICAL THERAPY? Physiotherapy Manchester treatment can be classified into two periods, on the one hand we will address the inflammatory phase and, on the other, the inter-outbreak periods.In the acute or inflammatory phase, we will focus on reducing pain and inflammation. To do this, we will resort to controlled rest, to reduce inflammation and avoid stiffness.During these periods of rest, it will be convenient to apply local heat by conduction, as well as educate and make the patient aware of the importance of breathing exercises. Diaphragmatic re-education and rib-ventilation exercises will be performed. Active-assisted mobilisation of the extremities and the cervical spine can be combined. If the possibility of performing isometric exercises is considered, they should be performed with few repetitions to avoid an aggravation of the inflammatory period. During the non-inflammatory period, we can insist on thermotherapy techniques, including convection (infrared lamps) and conversion (short wave) techniques. The application of low and medium frequency electrotherapy also offers good results as an analgesic measure. The respiratory exercises learned during the inflammatory phase will be continued during this period, insisting on their correct learning, which provides an increase in the patient's vital capacity and allows him to relax. A very important section corresponds to the maintenance and/or increase of vertebral mobility. To do this, flexibility exercises will be carried out on all the vertebral segments and, when a segment is stiff, postural treatment will be insisted on to maintain the joint in the most functional position possible. These exercises are also applicable for all peripheral joints, especially in the shoulder and hip.HOW EFFECTIVE IS THE ANKYLOSING SPONDYLITIS CLINICAL REHABILITATION WITH CONSERVATIVE AND NON-CONSERVATIVE TREATMENT? Ankylosing spondylitis, as we discussed earlier, is a complex condition and its treatment is no exception. Much has been said on which is the appropriate treatment to treat it and all the investigations have come to the conclusion that the conservative treatment with anti-inflammatory drugs and physical therapy Manchester is the first treatment program to be regarded since it’s proven to be the most effective (H. Song, D et la 2008). Regarding the conservative treatment, a study was conducted in 763 patients who underwent 3 weeks of spa exercises followed by 37 weeks of physical therapy Manchester. The results showed 18% improvement in pain condition, 27% increase in physical function, and general improvement in the patient in 28%, those who carried out this study determined that group physiotherapy and controlled by a physio specialist Manchester is highly beneficial (Hanne Dagfinrud et la 2008). Surgical treatment to treat ankylosing spondylitis has not yet been proven as a factor for the improvement of the mechanism affected by the inflammation caused by this disease to date and normally only physiotherapeutic treatment is recommended in conjunction with the administration of non-steroidal anti-inflammatory drugs (M Dougados et la 2002).WHAT GENDER IS MORE SUSCEPTIBLE TO SUFFER FROM ANKYLOSING SPONDYLITIS? Ankylosing spondylitis has a significant prevalence worldwide, as previously claimed this prevalence is between 0.1 to 1.3%, which makes it one of the most common rheumatoid diseases. Young people tend to be the most affected in terms of its prevalence, the ages most likely to present this condition are between the second and third decade of life, that is, early adulthood (Mark Mansour et la 2007). An article published by MayoClinic enlightens as a general rule the subjects affected with this affection have the HLA-B27 gene, nonetheless, individuals with this gene can normally live a healthy life without even undergoing AS.ARE MEN MORE LIABLE TO GO THROUGH ANKYLOSING SPONDYLITIS? In addition, the results of a hundred studies carried through historically have affirmed that women have a lower risk of suffering from this disease to be specific the mean average is 1% in the female sex and 3.4% in the male sex.WHAT POPULATION IS MORE LIKELY TO EXPERIENCE ANKYLOSING SPONDYLITIS? A review article was performed by the British Society for Rheumatology  was performed regarding the subjects more prone to endure ankylosing spondylitis, in this sense, this research was carried out in different countries resulted in the Asian and European continents with the highest incidence (Gareth T. Jones et la 2014).HOW OFTEN DO ELITE ELITE ATHLETES SUSTAIN ANKYLOSING SPONDYLITIS? Most of the young athletes who attend to a clinical consultation do it as a result of some sort of discomfort caused by a specific activity, although these athletes may also suffer from other systemic pathologies such as rheumatoid diseases, which shows a tendency to be pretty alike to sports-related injuries when it comes to symptoms and signs, these patients should undergo a comprehensive physical clinical examination by your ideal sports physiotherapist Manchester and get to determine a precise diagnosis of what type of rheumatoid inflammatory disease is going to be dealing with (Fabio Jennings et la 2008). An article published states that AS is more prone to attack young athletes, especially elite swimmers. However, they also added that there is no statistical analysis to corroborate this information, contrary to the prevalence in gender and age, but within these percentages, a significant number of athletes who suffer from this condition should always be considered. References Linda E. Dean, Gareth T. Jones, Alan G. MacDonald, Christina Downham, Roger D. Sturrock, Gary J. Macfarlane, Global prevalence of ankylosing spondylitis, Rheumatology, Volume 53, Issue 4, April 2014, Pages 650–657, https://doi.org/10.1093/rheumatology/ket387 Dougados M, Dijkmans B, Khan M, et alConventional treatments for ankylosing spondylitisAnnals of the Rheumatic Diseases 2002;61:iii40-iii50. Codish S, Dobrovinsky S, Abu SM, Flusser D, Sukenik S. Spa therapy for ankylosing spondylltis at the Dead Sea. The Israel Medical Association Journal 2005;7:443‐6. Analay Y, Ozcan E, Karan A, Diracoglu D, Aydin R. The effectiveness of intensive group exercise on patients with ankylosing spondylitis. Clinical Rehabilitation 2003;17(6):631‐6. Eric Toussirot, The Risk of Cardiovascular Diseases in Axial Spondyloarthritis. Current Insights, Frontiers in Medicine, 10.3389/fmed.2021.782150, 8, (2021). Jennings F, Lambert E, Fredericson M. Rheumatic diseases presenting as sports-related injuries. Sports Med. 2008;38(11):917-30. doi: 10.2165/00007256-200838110-00003. PMID: 18937522.

A SPORTS PHYSIOTHERAPY OVERVIEW OF TREATMENT, PREVENTION & MANAGEMENT OF LABRAL TEARS FACTORING SHOULDER INSTABILITY & NON-SURGICAL PAIN MANAGEMENT   The Shoulder Labrum Tear, as the name suggests, is a painful and limiting condition caused by a tear in the thick piece of tissue attached to the edge of the shoulder. Research studies have been shown that Shoulder Labral Injuries have a prevalence rate of 0.12 per 1000 exposures; in this sense, elite athletes are highly susceptible to sustain these types of shoulder disabilities resulting in instability due to collision over the shoulder, and persistent traumatic events, is worth keeping in mind that overhead and contact sports such as baseball, cricket, rugby, volleyball, American Football, and other overhead arm motions activities similar to throwing are tending to generate the Shoulder Labral Injury , reports (Sandeep Mannava MD et la, 2018). The Shoulder labrum, as we have just mentioned,  outlines and covers the entire surface of the shoulder joint and also reinforces the socket and ball of said joint (Cooper De et al, 1992).The shoulder joint is made up of the glenoid, which is the shallow depression of the socket, and the head of the upper forearm known as the humeral head, that is the ball which inserts into the socket, explains (Stephen Fealy MD, 2020).Johns Hopkins says, there are three ways this piece of tissue can be torn, the 1st is completely outside the bone, the 2nd way is where the tendon of the biceps muscle is attached, and the 3rd can bring about both ways within and along the edge of the labrum. Which is why a physical examination and assessment is essential to diagnose alongside MRI Screening to accurately determine the complexity of injury. A research article posted by Hospital for Special Surgery (HSS) indicates the labrum is essential in the fixation of the shoulder because it has many ligament attachment sites which provide support to the joint; the most common are the rotator cuff and several muscles that enclose the shoulder which prevent the shoulder from dislocating. SO, WHAT DOES A TORN SHOULDER LABRUM ACTUALLY FEEL LIKE?Most commonly symptoms of a torn shoulder are intense sharp shoulder pain, achiness in the joint, instability and a feeling of grating, grinding, locking, and catching while performing shoulder movements.Patients who usually suffer from this condition usually report deep pain in the shoulder joint accompanied by a popping sensation and instability to hold the arm in specific positions.According to Rebound, the most common Shoulder Labrum Tear Symptoms are:Instability in the shoulderDeep pain in the jointPopping and Clicking SensationDiscomfort or pain when lifting objects or moving the armReduced ROMWeakness in the Shoulder joint, on numerous occasions on one sideThese symptoms vary depending on what type of labrum tear the patient has suffered, they’re described below.WHAT ARE THE DIFFERENT TYPES OF SHOULDER LABRAL TEARS?  The two most common types of labral injuries are the SLAP tear and Bankart tear.  Both types of tears are usually accompanied by aching pain and difficulty performing normal shoulder movements.   What are SLAP tears?SLAP acronym means "Superior Labrum Anterior to Posterior”. The part affected in this type of tear is the front area of ​​the upper arm where the biceps tendon connects with the shoulder.Baseball pitchers and volleyball players who perform high-energy, quick-snap actions across the top of the musculoskeletal area of the shoulder are the most vulnerable to this injury. Patients with SLAP tears may present pain close to the biceps tendon in the front of the shoulder. The anterosuperior labrum usually appears to have a poor blood supply, whereas the inferior labrum has a significant blood flow (Cooper DE et al, 1992).How incident is the SLAP in the population?Even today the incidence of this condition is a matter of debate; it is known that Snyder has stated on different occasions that the percentage has been growing exponentially hard in the last decades. Proof of this are the studies carried out in 2002 where the incidence in the population was 4 out of every 100,000 people and in 2010 where the incidence increased to 22.3 out of every 100,000 people. Another characteristic of this condition is that the highest incidence usually occurs in young patients between 20 and 29 years of age and between the ranges from 40 to 50 years, lays out (Scott D. Mair et la, 2021).What are Bankart tears?Bankart tears are most common in younger subjects who have had their shoulder dislocated. The joint capsule (fibrous tissues that surround, support, and keep safe the joint) can pull on the lower portion of the labrum and tear it if the ball of the shoulder joint falls out of the socket. As a result of the labrum rupture, the shoulder is more likely to re-dislocate, causing instability.Anterior instability is caused by a dislocation in which the head of the humerus slips toward the front of the body, and its lifetime reoccurrence is nearly from 1% up to 2%, claims (Matthew Varacallo et al, 2021).Posterior instability occurs when the ball slips toward the back of the body, it should be noted that this particular one is an odd condition as it represents 10% incidence of all existing shoulder injuries, apprises (Alaina Brelin et al, 2017). The affected individuals with Bankart tears may be concerned that the shoulder will dislocate or slip out of place.ARE ATHLETES THE MOST PRONE TO SHOULDER LABRAL INJURY AND CAN SHOULDER LABRUM TEAR BE PREVENTED?Normally this condition is quite difficult to prevent, unfortunately high performance athletes are predisposed to have it as this condition is sensitive to overhead movements.        However, people who have suffered from a traumatic event such as a fall are also prone to experience it. Older adults are also at risk for this injury as these tissues become more fragile with aging, as well as tissue degeneration caused by recurring overhead manual labourer occupations, points out (David C et la, 2021).Although SLAP is difficult to prevent there are certain methods that can help prevent it. As we mentioned earlier, athletes are more likely to develop this affection, especially baseball and softball pitchers due to overuse of movement in the shoulder. Monitoring and limiting the pitch count especially in a young pitcher can be a good precaution method against this condition, affirms (John Henry Wilckens, MD).CAN A SHOULDER LABRAL TEAR HEAL WITHOUT SURGERY?Initial treatment for shoulder labrum tear & for SLAP usually does not require surgical intervention; initially Physical Therapy Manchester is used depending on the severity of the tear. "Surgeons should try to be as conservative as possible when treating a torn shoulder labrum," says Dr. Fealy.Surgeons will usually conduct a physical clinical assessment and order MRI or X-ray to determine which the appropriate treatment for the patient is. Sports Physiotherapy Manchester is usually accompanied by anti-inflammatories, and, in specific cases, cortisone injections for Shoulder Labral Injury can also be used. Gradual shoulder extensions performed by a physical therapy Manchester practitioner over a period of one to two months should also be added.For this reason is essential to seek out and turn up to your Physiotherapy Manchester practitioner in order to assess your condition with the shoulder labrum tear test, feel free to contact us www.mysportsinjury.co.uk HOW LONG DOES THE SHOULDER LABRUM TEAR INJURY TAKE TO BE SOLVED UNDER MY SPORTS INJURY CLINIC PHYSIOTHERAPY MANCHESTER MANAGEMENT PROGRAM?The required recovery time frame to rehab a torn labrum could approximately take from 2 months up to 3 months, in this case scenario is paramount the physiotherapy guidance of your Sports Massage Manchester clinicians, explains MorePhysicalTherapy.WHEN DO YOU NEED SURGERY FOR A TORN SHOULDER LABRUM?Surgical treatment should be considered when all non-conservative methods have been tried without efficacy. The type of intervention that will be performed on the patient will depend on the severity of the tear. "If physical therapy fails and the athlete still can’t complete overhead motions, or the shoulder continues to dislocate, surgical treatment might be required to reattach the torn ligaments and labrum to the bone," says Dr. Fealy.Russel Warren, MD, for Arthroscopic procedures sets out that  one of the most used methods to treat SLAP is arthroscopy, since when carried out through a small incision it is much less invasive than an open operation.Doctors usually recommend more conservative methods for older people who do not perform physical activity on a regular basis; otherwise young athletes are usually managed through arthroscopic surgery to achieve greater efficiency. Find the best Sports physiotherapist in Manchester to treat your Labral Tear Condition.WHAT IS THE RECOVERY TIME FRAME FOR SHOULDER LABRUM TEAR SURGERY?Recovery from surgery depends on different factors such as the specific location of the tear and how good the surgical intervention was. Regularly, the recovery period after undergoing surgery varies from 4 up to 5 weeks when the labrum begins to adhere to the edge of the bone again and it could take twice time period time for it to fully strengthen. In athletes the period is much longer because they will need from 6 months to a year to fully recover.Patients are usually recommended to wear a sling for four weeks after the operation, regardless of the surgery performed. This helps protect the shoulder while it heals during the post-operative period. In parallel, the recovery process must be accompanied by a Sports Physical Therapist including custom counselling in order to return a full function and live pain-free. The average time of returning to sports and getting back on daily basis activities after arthroscopic SLAP repair surgery ranges from 8 up to 9 months and the success rate accounts for 69.9% of screened individuals who got back their optimal level and proficiency, says (Aarabi Thayaparan et al, 2019).SHOULDER LABRAL TEAR EXERCISES RECOMMENDED BY YOUR SPORTS MASSAGE MANCHESTER CHIROPRACTORSIf arthroscopic surgery is indicated in a SLAP injury, the Physical Manual Therapist must design a program for shoulder rehabilitation including shoulder labral tear exercises, starting with a functional assessment, subsequently; pain treatment, passive / active mobilisations, is important avoid Adhesive Capsulitis of the Shoulder (prolonged immobilization), adjacent trigger point treatments, and Neurodynamic exercises.1.    Toning or strengthening exercise for recovery from shoulder injuriesThese are exercises to strengthen or tone the rotator muscles of the shoulder, supraspinatus, infraspinatous, and rotator cuff. In addition, the posterior muscles of the arm as well.Use a rubber band, dumbbell, perform a short contraction, take a break between contractions of at least 3-4 seconds, it can be done several times a day. 2.    Stabilisation exercises for shoulder injuries and rehabilitationWe show you a series of exercises indicated to stabilise the shoulder joint, recommended in cases of shoulder rehabilitation in injuries where stability is affected.Kneel on and put your hands on the floor like a cat-cow position and start making circles in that position in order to give a little loads to the injured shoulder so the musculoskeletal area actives and stabilise itself. You can also add an unsteady object to the routine like a ball; this exercise can be performed several times a day as well. 3.    Exercises to improve shoulder mobilityWe give you various recommended exercises to improve and regain mobility of the shoulder joint complex.Kneeling, we place our hands and head resting on the floor with our arms extended above our heads. We should feel a stretch in the shoulder or upper or lower back. We stand in a narrow squat rack or under a door frame and place the hand and forearm on each side of the structure. Keeping the arms in that position, we advance the torso until we feel a stretch in the pectoral or shoulder area. We lie on the floor on our back with a mobility roller under the centre of the back longitudinally, or some other structure that raises our back without hindering movement. We place the arms extended to the sides of the body with the palms facing the ceiling. From that position we slide the backs of the hands up to the top of the head and return to the starting point. We should feel a stretch in the chest area and / or in the anterior shoulder area. KEY POINTS ABOUT SHOULDER LABRUM TEARThe shoulder is one of the most important regions of our body and at the same time, one of the most affected parts since it suffers a lot of wear and tear on a day-to-day basis. You might think that this deterioration occurs mainly in athletes, but contrary to what people believe, anyone can have shoulder problems due to a fall or a repetitive activity in which the arm has to be raised overhead. These two factors can lead to a tear in the labrum, that is, a partial tear in the cartilaginous ring that surrounds the base of the shoulder joint and provides it with stability.There are two types of tears. Traumatic tear of the labrum; athletes are very prone to suffering from it. It occurs mainly for these reasons due to a shoulder dislocation and also for an injury as a result of lifting heavy objects or high impact activities. The other one is non-traumatic tear of the labrum; it occurs in people with great laxity, since they have greater mobility in the shoulder joint. It is precisely this joint instability of the shoulder or muscle weakness that causes tears.Many times this condition is asymptomatic, especially when it is a small tear, so it does not cause pain.To find out if a labrum tear is suffered, the sports physiotherapy Manchester practitioner will perform the shoulder labrum tear test that assess the labrum and the stability of the shoulder joint, and an MRI may be also prescribed.Depending on the type of tear, it can be treated with physical therapy that will plan a rehabilitation and prevention treatment for certain movements and positions, perform manual therapy to reduce pain and correct movement, do exercises to strengthen the shoulder, balance the muscles, reduce pressure on the labrum and do stretching. Likewise, the physiotherapist will help those who have undergone surgery through progressive rehabilitation exercises to prevent the tissues from tearing again.Published by Rafael Peña for www.mysportsinjury.co.ukReferences1.      Mannava S, Frangiamore SJ, Murphy CP, et al. Prevalence of Shoulder Labral Injury in Collegiate Football Players at the National Football League Scouting Combine. Orthop J Sports Med. 2018;6(7):2325967118783982. Published 2018 Jul 9. doi:10.1177/2325967118783982 2.      Thayaparan A, Yu J, Horner NS, Leroux T, Alolabi B, Khan M. Return to Sport After Arthroscopic Superior Labral Anterior-Posterior Repair: A Systematic Review. Sports Health. 2019 Nov/Dec;11(6):520-527. doi: 10.1177/1941738119873892. Epub 2019 Oct 4. PMID: 31584340; PMCID: PMC6822213. 3.      Cooper DE, Arnoczky SP, O'Brien SJ, Warren RF, DiCarlo E, Allen AA. Anatomy, histology, and vascularity of the glenoid labrum. An anatomical study. J Bone Joint Surg Am. 1992 Jan;74(1):46-52. PMID: 1734013. 4.      Varacallo M, Musto MA, Mair SD. Anterior Shoulder Instability. [Updated 2021 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538234/ 5.      Brelin A, Dickens JF. Posterior Shoulder Instability. Sports Med Arthrosc Rev. 2017 Sep;25(3):136-143. doi: 10.1097/JSA.0000000000000160. PMID: 28777216.

MY Sports Injury : A Physical Therapy Study on Mid Thoracic Back Pain. How Conservative Treatment is important to manage Thoracic Spine Dysfunction -Thoracic Back Pain Exercises to Relieve Symptoms- Mid Thoracic Back Pain can inflict soreness, impairment, dysfunction, and discomfort that occur in the thoracic spine. The thoracic spine is located at the back of the chest; According to Colin Tidy et la (2020) the pain might spread from the base of the neck to the beginning of the lumbar spine zone, mainly the mid thoracic back pain is observed between the scapular bones or more commonly known as shoulder blades.It can result in a significant disability or dysfunction. As reported by Eric Sterne et la (2019) the pain in the spinal region can be generated by numerous sources and is highly important to undergo a comprehensive physical clinical evaluation and accomplish an effective sports injury management care program, it should be noted that the Mid Thoracic Back Pain is way less frequent in comparison to lumbar and cervical pathologies. In this article you shall learn about thoracic back pain etiology, how to prevent mid back, diagnosis, and Physical Therapy treatment required to improve this condition. How common the Mid Thoracic Back Pain is amongst regular Individuals and Elite Athletes? As said from the abovementioned statement thoracic back pain is less usual than lumbar back pain. A clinical investigation study published by Kristine A Karlson (2004) showed that in the thoracic region in the elite athletes the pain comes about from the chest in most of the cases, so the thoracic back remains pain free. In spite of the fact that the spine is kept safe from sudden movements by virtue of the ribs and the adjacent muscles that surround it, the thoracic back is still liable to suffer from certain types of injuries due to overuse while performing sporting activities, these injuries encompass avulsions, muscle strains, and stress fractures. On the other hand, in the regular population a group of researchers carried out several studies where different groups of 100 people were asked if they sustain or ever suffered this ache, the highest result was in a study where 74 subjects out of 100 answered affirmatively after having experienced thoracic back pain. In conclusion, this condition is common in the general population. Also, there is some evidence of biopsychosocial associations. Is age a determining factor for Mid Thoracic Back Pain? If So, Which subjects are more prone to having Mid Thoracic Back Pain? Some research and studies carried out by Andrew M Briggset la 2009 especially in young patients, where the thoracic back pain turned out to be more common than is usually believed. The mid thoracic back pain (TBP) got an increasing prevalence rate in regard to age since the transition stage between childhood and adulthood was the period where the affected people presented mid thoracic spine pain the most. Generally, these studies reported a higher prevalence for TBP in child and adolescent populations, and particularly for females. Some evidence shows that soreness or dysfunction of the thoracic back pain is not insignificant in adulthood, whereas, the incidence of spinal pain amongst healthy teenagers is described as significant as well, since it has been increasing over the years, which may indicate a growing condition, specifically for future grown-up subjects. However, more worldwide research studies are required in order to prove if this increasing impact is an international matter. This focus attention on how important is to examining prognostic factors and risks for the thoracic mid back pain condition, from childhood through adulthood, published by Anne J Smith et la for BMC Musculoskeletal Disorders. Which sports are the most likely to cause Thoracic Back Pain? Thanks to advances in the prevention of high performance sports-related injuries to the thoracic spine, it is an easy task to find proven equipment with advanced technology that helps the elite athlete to be less prone to suffering from mid thoracic back pain. However, in sports such as hockey, even when the equipment for the head, neck and body provides great protection, this has not been able to reduce the pain in those who practice this sport. As indicated by Current Sports Medicine Journal. In general lines, aggressive sports of total contact such as rugby or American football are the most prone to produce this type of pain and impairment. Notwithstanding, there are several sports that are not as aggressive as those mentioned above, they also tend to produce thoracic back pain, repetitive load sports on the spine like rowing, gymnastics, and golf. Mid Back Pain whilst deadlifting in the gym? Valley Spinal Care (SPC) explains that the deadlift is one of the best and most complete exercises that we can do in the gym. It develops the strength of the whole body and the muscles of the back of the body that are usually neglected or underdeveloped. But, although it is one of the best exercises in the fitness world, it can also cause pain if we do not perform it correctly. For instance, how many times have you felt a sharp pain in your Mid Thoracic Back after doing the deadlift? The deadlift puts a lot of stress on your back and it is normal for your lower back to feel tired after doing the exercise, but your hamstrings, buttocks, lats and erector spinae muscles should also feel tired. If you only notice pain in your Mid Thoracic Back after doing the deadlift, keep reading this and let’s dive into it. How to prevent Mid Thoracic Back Pain while performing Deadlifting exercise routine in the gym?   Don't lift too much weight Without a doubt, this is the factor that can cause the most pain in the back. Lifting too much weight will prevent you from maintaining the correct posture and technique for the exercise to be safe. Keep an adequate breathing technique in order to stabilise your core muscles area When you breathe, you lose internal pressure and control of the diaphragm that supports the spine. Breathing the right way is one of the best ways of the core muscles area to be prepared for carrying out your set of exercises, and it is also an essential part of doing deadlifting suitably. Execution speed Mainly, there are two ways to do the deadlift; with stop and without stop. The non-stop deadlift consists of hitting the discs on the ground as you come down from the bar and coming back up without a pause, making a kind of bounce. This form can be helpful in maintaining muscle tension throughout the exercise, but performance may be sped up and correct technique neglected. The deadlift with pause between reps allows you to get back into the proper position and maintain correct technique throughout the exercise. In this way, in addition to making exercise safer, you can help get the most out of it. Uneven grip width When holding the bar, be sure to spread your hands evenly apart with the same breadth of your legs. Using an uneven grip can put more strain on one side of the body, making the exercise more difficult, and can also lead to back pain. Concerned about your Back Pain Symptoms? MY SPORTS INJURY | Sports Physiotherapy clinic is easily accessible for the array of business people working in the city center and also offers corporate partners direct Sports therapy treatment into businesses and premises in and around Manchester. Some of the treatments that are available to the patients are Sports Massage, Sports Physiotherapy, Osteopathy & Body Postural Rehabilitation. Designed to treat the direct source of pain, not just the symptoms allowing you to live and pain-free optimal lifestyle.   What are the most recommended stretches for Low- Back Pain & Mid-Back Pain by Sports Physiotherapy Manchester Specialists? 10 stretches for Low Back or Mid Back Pain everyone should do ·       Stretch a Knee to the Chest for mid back pain Lie on your back with both knees bent, hold one thigh behind the knee with one hand and bring the knee toward the chest, hold this position for 20 seconds, relax, and repeat it 5 times on each side. ·       Hamstring stretch for low back pain Lie on your back with your legs bent, hold one thigh behind the knee with your hand, slowly straighten your knee until you feel the back of your thigh stretch, hold this position for 20 seconds, relax, and repeat it 5 times on each side. ·       Squat against the wall for back pain in general Stand with your back leaning against the wall, move your feet 12 inches in front of the body, maintain your ab muscles contracted as you slowly bend your knees 45 degrees, hold this position for 5 seconds, slowly return to the upright position, and repeat it 10 times. ·       Opposite arm and leg exercise This simple exercise reduces tension in the lower back and also strengthens the abdominal muscles. Stand on four supports, with the palms of your hands on the floor and your knees bent raise and stretch your right arm and left leg until they are parallel to the ground, hold the pose for 4 seconds and slowly return to the starting position, repeat the activity with the opposite arm and leg, perform 3 sets of 10 reps on each side. ·       Opposite arm and leg on belly This activity is similar to the previous one, with the difference that this time you will keep your belly on the ground for support, instead of your knees. Lie face down on an exercise mat with your arms extended toward the crown of your head and your palms on the floor, simultaneously raise your right arm and left leg to a comfortable height, hold the position for a couple of seconds and slowly return to the starting position, repeat with the other side and complete 10 reps for each, and perform 3 or 4 sets per session. ·       Pelvic elevation The pelvic lift or bridge is an exercise that works the muscles of the lower back and abdominal. Lie on your back on a mat, bend your knees, and put your feet on the floor; keep your hands at the sides of your body and keeping your back straight, lift your buttocks off the floor and lift your pelvis. Hold the pose for 10 seconds, rest, and repeat 10 times. ·       Hip flexion This is a Sports Physiotherapy exercise for Lower Back Pain, although, this exercise is designed to tone the hips, it is proven that it could also have a positive effect to strengthen the lower back, alleviating its discomfort. Put your left foot in front of the other, with your knee bent forward as you straighten your right leg, bend your trunk forward so that your left knee makes contact with the axillary fold and returns to the starting position, perform the same movement with each leg alternately until completing 10 repetitions. ·       Oblique exercises The objective of these middle and low back pain exercises is to strengthen the muscles of the lumbar and oblique muscles of the waist. ·       Cat-cow stretch This exercise can help make your entire spine, from your hips and lower back to your shoulders and neck, be more flexible. Support yourself with your hands and knees on the ground. The knees should be separated and aligned with the hips, and the hands should be aligned with the shoulders. Your stomach should be firm, as if you were trying to glue your belly button to your spine. Inhale and tilt your pelvis back so that it rises slightly, move your head up as if trying to look up at the ceiling, but don't strain your neck. As you exhale, pull your stomach toward your spine and hunch your back. You should look like an angry cat with a hunched back. Inhale and return to the "cow" position of this pose, perform 10 complete cycles from cat to cow. ·       Ball wall squat exercise for your lower back and middle back pain Slowly bend your knees 45 to 90 degrees, hold this position for 5 seconds. Straighten your knees and slowly bend your knees 45 to 90 degrees while raising both arms overhead. What is the mechanism of action of chest back pain? The Centers of Advanced Orthopedics (CAO) has indicated that the most common cause of thoracic back pain/ chest back pain is inflammation of the muscles, ligaments, tendons, or soft tissue of the thoracic spine. This inflammation can be caused by different factors that the general population usually does without realizing it, these are. ·        Having suffered sudden sprain or strain (such as in car accidents or sports injuries). ·        Having had a fall or a direct blow to the thoracic region can cause pain. Rib fractures that can have an effect on the thoracic nerves as well. ·        Sitting for a long time in a desk or computer chair. ·        Lasting a long time standing in a stooped position repeatedly. ·        Repetitively carrying significant weight with your spine, such as a backpack or suitcase. ·        Performing persistent movements where the thoracic part of the spine is involved (such as in sports or at work), also well-known as an overuse injury. Some of the less common causes are those that involve a disease or physiological factor such as Thoracic Herniated Disc, Arthritis, Spinal Infection, and Spinal Toumors. It cannot be assumed that all the pain in the thoracic back is due to the spine itself, in many cases the pain in this area is also produced by problems that affect the lungs, the upper part of the esophagus, the stomach, the pancreas, and up to the gallbladder, issued by Colin Tidy (2020). When you should go to the ER for back pain Sudden spike in pain, discomfort, weakness or numbness. Loss of bladder function. High fever. Severe stomach pain. Unexplainable weight loss. The pain results from a fall or severe blow to your back. Spinal pain rehabilitation is one of the most used and most effective methods in the treatment of both acute and chronic either low back pain or mid back pain and in any type of diagnosis. Sports physiotherapy rehabilitation encompasses a multitude of techniques ranging from kynesiotherapy, which covers everything related to exercises, to electrotherapy with the use of short wave or ultrasound, through hydrotherapy with baths at different temperatures. The role of sports physiotherapy Manchester specialist in the treatment of back pain is to reduce pain and improve the functional capacity of the patient, allowing him to return to work and day to day activities and lead a normal life. Physical therapy Manchester approach also has a preventive task with the aim of improving the patient's ability to manage the back problem and prevent it from appearing again, always attempt to see a sports physiotherapy Manchester expert in order to get your spinal discomfort and dysfunction fixed, request an appointment and finally live pain free. Published by Rafael Peña for www.mysportsinjury.co.uk References ·        Karlson KA. Thoracic region pain in athletes. Curr Sports Med Rep. 2004 Feb;3(1):53-7. doi: 10.1249/00149619-200402000-00010. PMID: 14728915. ·        Menzer, Heather MD; Gill, G. Keith MD; Paterson, Andrew MD Thoracic Spine Sports-Related Injuries, Current Sports Medicine Reports: January 2015 - Volume 14 - Issue 1 - p 34-40 doi: 10.1249/JSR.0000000000000117 ·        Briggs, A.M., Smith, A.J., Straker, L.M. et al. Thoracic spine pain in the general population: Prevalence, incidence and associated factors in children, adolescents and adults. A systematic review. BMC Musculoskelet Disord 10, 77 (2009). ·        Sterne E., Roig R.L., Guirguis M. (2019) Thoracic Back Pain. In: Abd-Elsayed A. (eds) Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-99124-5_136·        Chua NH, Gultuna I, Riezebos P, et al; Percutaneous thoracic intervertebral disc nucleoplasty: technical notes from 3 patients with painful thoracic disc herniations. Asian Spine J. 2011 Mar5(1):15-9. doi: 10.4184/asj.2011.5.1.15. Epub 2011 Mar 2.

MY Sports Injury Rehabilitation and Structural Stability Exercises to Improve Scoliosis Symptoms based on Pain Management Scoliosis is termed as a spinal disorder or a deformity in the spine that consists of an abnormal curvature of the vertebrae that compose it, normally people have a natural curvature in their spine when a curvature is considered as scoliosis it must exceed 10 degrees of abnormal angulation to be seen through an anterior-posterior plain radiography. According to a review posted by Medline Plus most of the time when the source of this affection is undefined is called idiopathic scoliosis. It can also be congenital (at birth) or neuromuscular. In some cases, it can develop due to serious injuries caused by sports injuries or accidents, issued by Joseph A Janicki, MD et la (2007). How is the physical examination for Scoliosis in Elite Athletes? The physical examination in the patients who are sustaining scoliosis should begin by taking into account general aspects such as the skin and the neuromuscular system before beginning to evaluate the shape of the back thoroughly, published by Benjamin Alman et la (2007). Height plays a fundamental role when examining the athlete's body as it is essential to control the risk of scoliosis curve progression and even more so when it comes to young patients. The length of the fingers and the extremities should be considered in athletes who have great stature and the relationship between this and the width of the arms helps to diagnose any other anomaly or syndrome that the athlete may be sustaining. In addition, patients who are suffering from scoliosis also suffer from hyperlaxis which is Increased range of movement of joints, and joint laxity the skin may need specialized treatment. Now you may wonder what does hyperlaxis refer to? Well, hyperlaxis in the joints is known as the result when the joints present an increased range of mobility, associated with functional disability, discomfort, and pain of the musculoskeletal system, said by Mariana Haro et la (2014). How to treat Scoliosis conservatively? Much research has been done about conservative treatments to treat scoliosis, what we know as conservative treatments are those that do not need to implement invasive measures such as surgery. The most common and most effective methods contemplate a series of medications for pain management and mostly Manchester physical therapy. A literature review published by R. A Dickson in the Journal of Bone and Joint Surgery explains that amongst the therapeutic programs used to treat Scoliosis symptoms there are some specialized modalities such as electrotherapy where electrical stimulation of the spinal musculature is implemented. Physical agents such as thermotherapy and the ones most frequently used are mechanical modalities consisting of manual physical therapy techniques and therapeutic massages to alleviate and posturally correct curvature, stated by T.Watson(2002). Some of the proven treatments programs which can be found at My Sports Injury Clinic are Myofascial Release, Deep Tissue Massage, Manual Therapy, Sports Physical Therapy, ´Physical Conditioning, Sports-Related Injuries, Acupuncture, Dry needling, Osteopathy, and Body Postural Rehabilitation. Which patients can and cannot receive conservative treatment for scoliosis? As claimed in a research article made by Heather Watters et la (2012) describes that to treat the scoliosis symptoms could be applied two different types of approach can be either conservative management or non-conservative intervention, thus the benchmark to select what kind of treatment is the most adequate will vary depending on the risk progression and how severe is the spinal curvature at the moment of physical clinical assessment with your physio Manchester. In this sense, young individuals that are still in the growth process and present a deviation of the spinal curvature above 45° may require surgery and those subjects that have fulfilled their growth cycle and go through a deviation higher than 50° need to be treated with non-conservative management as well.  To what extent can Scoliosis be managed by avoiding surgical treatment? It is key to note that age plays a major role when deciding on the physical therapy methods for scoliosis i.e. patients who experience a spinal deviation lower than 40° become into consideration as perfect candidates to undergo a physiotherapeutic program with our sports massage Manchester practitioners at My Sports Injury Clinic, explained by Marianna Bialek (2011). Which Scoliosis treatments are most effective, conservative or non-conservative? This will basically vary from the type of scoliosis that is manifested since we could be witnessing three different types of scoliosis, therefore, it could be mild, moderate, or severe, and in this way, our Manchester physical therapists and Chiropractors will determine what the next step to follow is. According to an article issued by Healthline, mild scoliosis is the condition in which conservative treatment is best accepted and has excellent results because the angle of deviation does not exceed 20 °. Whilst moderate scoliosis tends to be handled with Manchester physical therapy and scoliosis exercises, but wearing a back brace in order to correct the posture is also suggested by physio Manchester specialists and physicians, nearly 30% of moderate scoliosis cases require this orthopedic device and a minimum incidence of a 10% of the patients need surgical process involvement, assured by Paul Sponseller in a Johns Hopkins’s article. Meanwhile, when it refers to severe scoliosis the only possible pain management is to operate. What is the Schroth method for Scoliosis? An overview article by Outpatient Rehabilitation Services (CHOC) discusses that the Schroth method is a physiotherapy technique used to treat idiopathic scoliosis and other disorders of the spine. Furthermore, back problems are not limited to adults only; children can also have pain due to these deformations. It is a non-invasive method whose objective is the straightening of the spine, through self-stretching, rotational breathing, and stabilisation by isometric tension. Hence, it is important to acknowledge that Physical Schroth Therapy-based Scoliosis treatment can be really helpful when it comes to treating every case of Scoliosis whether be mild, moderate, or severe, and also there is no restriction of age. An article posted by IvyRehab affirms that it is extremely beneficial since is implemented in back/spine impairments rehabilitation processes and near muscles after going through a surgical procedure. The exercises promote the perception and knowledge of the body by the patient; the postures and movements that he usually performs. It also teaches how to optimise the muscles to achieve a more neutral position that can be consciously integrated into the patient's day-to-day activities. Diaphragmatic Breathing to Help Improve Structural vs Non-Structural Scoliosis A research study by Kaitlyn Alvarez (2019) has demonstrated that deep breathing or diaphragmatic breathing exercise protocols have been embraced as forms of treatment to tackle the curved backbones disorder known as scoliosis. Regarding the difference of the effectiveness of this treatment between structural and non-structural scoliosis is that the diaphragmatic breathing exercises and the so-called pilates where various postures are used such as axial elongation or the organization of the shoulder girdle help alleviate and slightly correct both types of scoliosis. Nevertheless, patients who sustain structural scoliosis tend to show fewer outcomes with these treatments since the course of the abnormal curves of the spine are much more accentuated, and the rib cage in some cases is collapsed causing a respiratory insufficiency. What are the Elite Athletes and Genders most likely to suffering from Scoliosis condition?  An article made by Noralign Functional Rehabilitation says that although scoliosis is normally congenital and develops during an early age, it tends to affect mostly girls, and in adulthood, women are also the ones who most often experience spinal problems. A study carried out at John's Hopkins Hospital and later published in the American Journal of Neuroradiology (AJNR) confirmed that the female gender suffers the most from this condition, however, information was also revealed that most of the cases were usually mild scoliosis. As for athletes, there is no concrete evidence that any specific sport causes you to develop scoliosis; regardless there are several cases in which athletes who perform disciplines with weights have had a slight progression in the curvature of their spine. One of the most popular cases of athletes with scoliosis is that of the Olympic medalists Usain Bolt and Michael Phelps. How long does it take for Physical Therapy-based Scoliosis treatment to be effective? As reported by Brian Dovorany (2020) in ScoliSmart’s review lays out that when scoliosis inflicts mild problems on children it could take from a semester to one year to observe positive progress and improvement in those affected subjects. Furthermore, the outcomes obtained from the recovery process could have a higher degree of efficiency if they are complemented with nutritional support and a muscle retraining program. That being the case Physical Schroth Therapy-based Scoliosis treatment program is equally as important as the any other physical therapy Manchester as if you complete your sports physiotherapy Manchester program successfully you will get excellent results on your spinal disabilities and discomfort, there is not any specific length of treatment because it will depend on the severity of the case. Although, an article of JohnsHopkins explains that the patients start to see the amelioration of symptoms once they already have around 5 to 20 sessions of this type of physical therapy Manchester approach. Which treatments are most effective?   Each treatment is equally effective since not all cases are the same, the recovery time will not be the same for all cases either, remember that what will really determine which treatment will be used to address your injury is the degree of curvature of your spine.   Published by Rafael Peña forwww.mysportsinjury.co.uk   References ·        Watters H, Volansky K, Wilmarth M (2012) The Schroth Method of Treatment for a Patient Diagnosed with Scoliosis: A Case Report. J Nov Physiother2:113. doi:10.4172/2165-7025.1000113.·        Paediatrics & Child Health, Volume 12, Issue 9, November 2007, Pages 771–776, https://doi.org/10.1093/pch/12.9.771·        Białek M. Conservative treatment of idiopathic scoliosis according to FITS concept: presentation of the method and preliminary, short term radiological and clinical results based on SOSORT and SRS criteria. Scoliosis. 2011;6:25. Published 2011 Nov 28. doi:10.1186/1748-7161-6-25·        Rigo M, Reiter C, Weiss HR. Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis. Pediatr Rehabil. 2003;6(3-4):209–214.·        Coillard C, Circo A, Rivard CH. A new concept for the non-invasive treatment of Adolescent Idiopathic Scoliosis: the Corrective Movement principle integrated in the SpineCor System. Disabil Rehabil Assist Technol. 2008;3(3):112–119. doi: 10.1080/17483100801903913.·        Rigo M, Quera-Salva G, Puigdevall N. Effect of the exclusive employment of physiotherapy in patients with idiopathic scoliosis. Proceedings Book of the 11th International Congress of the World Confederation for Physical Therapy. London. 1991. pp. 1319–1321.

AN OVERVIEW OF PERONEAL NEURALGIA BASED ON SPORTS PHYSICAL THERAPY, TRAUMA AND PAIN MANAGEMENT The neuralgia of the peroneal muscle is a very rare condition that generally occurs after having suffered trauma or a metabolic syndrome. But it can also be caused by the existence of tumors. This neurological disorder is as a result of an abnormality in the function of this nerve or a lower extremity injury and is subject to experiencing certain neurological deficits and ache throughout the peroneal muscles area.Patients who suffer from this condition tend to experience extremely painful episodes at the slightest stimulation, initially, they will be short and infrequent, however, if the disease progresses untreated, the pain will be more acute and prolonged. An important aspect of neuralgia is that it affects mostly women and is more likely in people who are older than 50 years old.These incidents can become more and more constant and lasting so it is vital to see a medical doctor, sports medicine specialist or sports physiotherapist in manchester when you begin to feel reoccruing pains that are not relieved with analgesics. The sporting events where is more likely to present this kind of injury are baseball, mountain climbing, and gymnastics. There are a wide variety of treatment alternatives for those who suffer from peroneal neuralgia, if this is your case, you are not destined for a painful life, you just have to comply with the appropriate treatment. Often it is found damage nearby the hip that could jeopardize the nerve, a particular injury that involves this nerve is the fracture of the acetabulum which reports a 16% up to 33% prevalence.  Y Hirasawa et la point out that peripheral nerve injuries in sports just reach up to 0.5% of whole sports-related lesions. Firstly we have to understand the anatomical structure of this area, and the distinction between neuralgia and neuropathy as they could be confounded hence it can be a challenge to identify them and diagnose them in clinic. We recommend that you visit a Sports Medical Doctor or / sports injury specialist in order to carry out a physical assessment and examination to determine an accurate clinical diagnosis. Initial appointment bookings can be made by visiting MY Sports Injury Physical Therapy and Rehabilitation Clinic in Manchester City MY Sports Injury Clinic, we offer comprehensive and specialised care; our focuses are movement as a main outcome to recover, to maintain optimal quality of life and re-establish activities of daily living. Our professional practitioners have a depth of knowledge expertise, and experience in providing a high quality standard of care. At MY Sports Injury Clinic | Manchester we also provide an holistic approach using effective, safe treatment techniques and advanced technology, seeking to shorten rehabilitation times and prolong functional movement, overall health and longevity. Some of the specialist treatments services we carry out are Sports physical therapy, Medical Acupuncture, Sports massages, Deep tissue massages, sports injury rehabilitation amongst others. The most frequent pathological conditions / Injuries that our Sports Injury Specialists handle at My Sports Injury Clinic are Musculoskeletal injuries, fractures, sprains, myalgia, dislocations, pre and post-operative, overuse injuries, postural disorders, muscle imbalances and Pain management. What is the difference between neuralgia and neuropathy? The main reason why it is possible to differentiate these pathologies is that neuralgia is known only as a disorder in the sensitivity of a nerve, generally, it is caused by sports injuries (i.e. direct trauma and sometimes by underlying diseases such as irritation, chronic kidney disease, and diabetes, HIV, herpes, and syphilis infections, as well as pressure on nerves from nearby tumors, ligaments, blood vessels, and bones. For instance a carpal tunnel injury (Wrist & hand) is neuralgia as it is commonly brought about as a consequence of a pronator teres contracture. According to our Sports physio Manchester practitioners state that the neuropathy refers to the lesion of the peripheral nervous system and produces swelling, numbness, pain, and muscle weakness. It can be the result of metabolic problems, infections, sports injuries, traumatic injuries, and exposure to toxins. In addition, one of the most common underlying diseases is diabetes. In most acute cases, the symptoms improve especially if they are treated immediately. What are the peroneal muscles? The peroneal muscles are muscles that are spotted on the lateral aspect of the leg, between the knee and the ankle. It is responsible for stabilising the ankle and helping to avoid sprains when we twist the ankle. The injuries that most frequently affect these muscles are those products of repetitive and excessive movements that end up generating the establishment of an inflammatory process in the tendons. Therefore, one of the most common injuries that come about in this area is peroneal tendonitis. Other injuries that also affect the tendons are the rupture or tear of the fibers. So the person experiences pain, movement limitation, tissue deficiencies, edema, and, in many cases, bruising. Now, whether the tendon or muscle fibers are affected by contractures or painful points, medical treatment and physiotherapy Manchester sessions are required to help repair the tendons or muscle tissue, which help reduce discomfort, pain management, and also to regain functional movement back into the body. What do the peroneal muscles do? Both fibulae are powerful muscles so they are able to intervene in various movements in the area. So, while the long one is in charge of plantar flexion and the eversion movement of the foot, the other intervenes only in this last movement, which is composed of abduction and rotation. Where are the peroneal muscles? The peroneal muscles are tissues that belong to the lateral muscles of the leg, which is why they are located on the external outer face of the fibula bone, their function is to evert What are the symptoms of a patient with peroneal Neuralgia?  Broadly patients suffering from this condition tend to express and present the following signs, e.g. hyperalgesia, sensory loss, and pain sensation triggered by stimuli that do not normally cause pain that is regularly located in the lower leg and dorsal foot.As well, there may be the presence of a motor function deficiency, mainly paresis which is muscular weakness caused by nerve damage. How to treat peroneal Neuralgia based on sports physical therapy Neurodynamic exercise rehabilitation can help to mobilise the nervous system this is a group of exercises performed by the Injured Patient. Neurodynamic movements will try to improve the glide and slide mechanism of joints and peripheral nerves including the tissues that surround them, therefore, it is about releasing nerves that may be trapped or adhered causing patients loss of strength, sensitivity or unpleasant tingling, this series of exercises should be specifically dictated and supervised by your sports specialists or sports physiotherapist Manchester once you are diagnosed which such nerve injury. How does the peroneal nerve heal? Consult with your sports physio Manchester what is the best plan for your case, generally, the peroneal nerve heals with physical therapy that consists of strengthening the muscles of your foot and leg, orthotics can also be used, an ankle and foot brace is used to treat foot drop and lastly method to treat the injury of this nerve we find the surgery that is effective as well, the surgical options are to repair the nerve, remove the pressure from the nerve or graft a new nerve in its place. Said by D Garozzo et la (2004). What happens if the peroneal nerve is damaged & How MY Sports Injury can help recovery? When the nerve is injured and this leads to dysfunction, symptoms may include decreased sensation, numbness, or tingling in the upper part of the foot or in the outer portion of the lower or upper leg. As also, the foot drop that is the inability to keep the foot horizontally. At our sports massage Manchester city centre we can provide assistance and guidance with Sports Therapy / Sports physiotherapy sessions that will help to strengthen leg muscles and maintain range of motion in the knee and ankle may improve gait problems related to peroneal nerve injury. Stretching exercises are distinctly essential to avert heel stiffness. How to assess the peroneal nerve? Our sports therapy Manchester physiotherapists will perform a set of maneuver tests of nerve activity that include ultrasound of the nerves, nerve conduction tests i.e. to measure how fast nerve signals pass through the nerves, MRI, and electromyography. Moreover, they also will carry out some motor involvement tests to assess the peroneal nerve, those are known as foot/toe dorsiflexion (DPN) and foot eversion (SPN), issued by Bradley Lezak et la (2021). What innervates the superficial peroneal nerve? The superficial nerve of the fibula supplies the long and short peroneal muscles. This nerve culminates in a sensory branch that innervates the skin of the distal lateral region of the leg, the dorsum of the foot, and the toes, except for the first interdigital space. Published by Rafael Peña for www.mysportsinjury.co.uk References ·        Hirasawa Y, Sakakida K. Sports and peripheral nerve injury. Am J Sports Med. 1983 Nov-Dec;11(6):420-6. doi: 10.1177/036354658301100607. PMID: 6650720. ·        Radić B, Radić P, Duraković D. PERIPHERAL NERVE INJURY IN SPORTS. Acta Clin Croat. 2018;57(3):561-569. doi:10.20471/acc.2018.57.03.20. ·        Lorei MP, Hershman EB. Peripheral nerve injuries in athletes. Treatment and prevention. Sports Med. 1993 Aug;16(2):130-47. doi: 10.2165/00007256-199316020-00005. PMID: 8378668. ·        Garozzo D, Ferraresi S, Buffatti P. Surgical treatment of common peroneal nerve injuries: indications and results. A series of 62 cases. J Neurosurg Sci. 2004 Sep;48(3):105-12; discussion 112. PMID: 15557879. ·        Katirji B. Disorders of peripheral nerves. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 107. ·        Toro DRD, Seslija D, King JC. Fibular (peroneal) neuropathy. In: Frontera WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 75.