HOWTO FIX SPORTS RELATED UPPER EXTREMITY GOLF INJURIES: A SPORTS PHYSIOTHERAPYAPPROACH TO TREATMENT, PAIN MANAGEMENT & RECOVERY.Have you ever undergone excruciating ache onthe inside of your elbow? You are likely to suffer from what is termed medialepicondylitis which is a tendinopathy of the medial common flexor tendon of theelbow or also well-known as either thrower’s elbow or golfer's elbow, thiscondition, like tennis elbow, is one of the most common causes of elbow pain.Golfer's elbow is an inflammation of the insertion of the tendinous softtissues and muscles. The pain of this lesion appears on the inside of the elbowwhen performing certain movements with palpation performed in a physicalclinical assessment.Physiotherapeutic treatment and appropriate self-management is requiredto alleviate this pain. In this blog post, you will learn about golfer’selbow signs and causes, golfer’s elbow symptoms that allow it to be detected,golfer’s elbow treatment, and correcting it through sports physical therapyand sports massage therapy treatment.Medial epicondylitis (golfers elbow) represents10% up to 20% of all tendinopathies of the inner elbow prominence. Golfer'selbow or medial epicondylitis is less frequent than tennis elbow or lateralepicondylitis. Its prevalence is 0.4% worldwide. Affecting mostly peoplebetween 45 to 65 years old, being more common in women than in men. 3 out of 4cases of golfer’s elbow are found in the dominant arm of the affected subject, pointedout byJohn 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 isknown to affect some who play sports (golfers, baseball players, and Americanfootball players), it should be noted that 90% to 95% of all patients diagnosedwith this injury are not even athletes, stated out by Shiri R et la (2006). The leading treatment includes releasing restrictions, strengthening andstretching underlying tissues, and exercises for the golfer’s elbow which canbe guided by our Sports Injury Specialists at My Sports Injury Clinic based in Manchester City. Sports physiotherapy, sports massage and manual therapy are essentialservices carried out by our experts specialized in treating and managing sports-relatedinjuries that will help alleviate elbow pains.What movement & motion causes the golfer’s elbow? Golfer'selbow symptoms manifest themself with pain in the area ofinsertion of the tendons on the inside of the elbow, due to strenuous or repetitivemovements, direct trauma or over-exertion when doing flexion and pronation twistingmovements, and also when performing sports activities like golf, baseball orsimply carrying out manual work, i.e. it does not have to be caused just bysports practices.  Nevertheless, youmight feel pain in the entire arm as the pain may radiate to the full length ofyour limb, published by the Institute for Quality and Efficiency in Health Care(IQWiG); Due to the high mechanical demand to which thegolfer's elbow flexors are exposed, this type of injury frequently occurs inthem, which is why it is often thought that this is an exclusive condition ofthis 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 isimportant to make clear that golfers not only suffer from this tendinopathy butare exposed to many more sports injuries.Golfer's symptoms and signs, how do you know if you suffer from golfer'selbow?If you have gotGolfer's elbow you will perceive a notable discomfort, which will present as astabbing pain inside the elbow, which can sometimes radiate throughout theflexor or anterior side of the forearm, in addition, the discomfort can occurwhen applying pressure on the internal region of the elbow, what we call theepicondyle. Golfer’s elbowsymptoms often appear more intensely when the muscles of the affected tendons(i.e. the wrist flexors or pronators) are activated.For instance,when a fist is formed, the wrist is flexed, or when you want to reach an objectat a certain distance. These movements can create pain in the inner side of theelbow referring to the golfer’s elbow.Golfer's elbowtends to affect flexion and pronation of the hand and forearm even more whenperforming movements against resistance, so affected patients are increasinglyrestricted in their activities of daily living, even simple tasks such aswriting or lifting light objects can become a problem due to the presence ofpain. 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 takeplace.In the case ofa golfer's elbow or epicondylitis, the degenerative process that occurs in thetendons (tendinopathy) becomes increasingly aggressive, which can causeneuropathy in the ulnar nerve that is adjacent to the affected area, this leadsto the appearance of symptoms such as tingling or paresthesia in the flexorregion of the hand and fingers, also called golfer’s hand. Does golfer's elbow merely come about in elite athletes?Although the injuryis called golfer's elbow or thrower’s elbow, as we previously mentioned, thisdoes not imply that these athletes are the only ones affected, in fact, theprevalence of this condition is lower in them. Hence, we can enlighten that the foremost reason for this condition to happenis a result of keeping the forearm muscles inactive, and then having suddenexercises or activities that require to overly use the muscles steadily.That being thecase, the most frequent activities that prompt the golfer’s elbow are sportslike weightlifting, golf, and sporting events that involve throwing movements(e.g. shot put, baseball, cricket, hammer throw, American football, and javelinto name a few).  In the same way, it isrelevant to understand that golfer’s elbow can arise by performing manual worktasks like chopping wood, hammering, repairing things, and painting. It is forthis reason that we can point out that certain occupations such as plumbing,construction, and carpentry are directly linked as the source of golfer's elbowinjury, as well as when cooking, for instance, peeling, and chopping, presentedby Kimberly Kaiser et la (2021). Another issueto clarify is that contrary to popular belief, the "swelling" that isusually present at the beginning of this condition does not cause pain. Thus,pain on the inner side of the elbow is due more to tendinopathy and tendondegeneration than to inflammation. The inflammation is just a reaction of yourbody, in an attempt to repair the tendon when it is overstressed or injured,said by Christopher L. Reece et la (2021). Some situationscan promote tendon degeneration of the elbow and therefore lead to medialepicondylitis, such as tobacco use and the presence of type II diabetes.Our Sports Injury Clinic in Manchester is formed by top-notch sportsrehabilitators such as sports physiotherapy Manchester clinicians and sportsmassage Manchester practitioners that implement their knowledge and expertisein the area of primary health care, physical rehabilitation, and sports therapy  Manchester, in order to provide specialized patientcare, sports injuries management, and get the patients back to their optimal capabilityand well-being as the main aim, in this sense, we summarize our services below.·      Physiotherapy for SportsInjuries regarding sprains, bruises, muscle injuries.·      TraumatologicalPhysiotherapy regarding fractures, contusions, post-surgical rehab, fissures,sprains, dislocations, tendinitis, lumbago.·      RheumatologicalPhysiotherapy regarding arthritis, osteoarthritis, fibromyalgia.·      Neuromuscular Bandage to reducepain, inflammation, improve blood circulation, amongst other benefits.·      General Conditioningincludes Manual Therapy and Acupuncture.Golfer's elbow prognosis, how long does a golfer’s elbow take to heal? In accordancewith our Physio Manchester specialistsin untreated cases, this condition usually takes to heal 6 months up to 2 yearsor becomes chronic, this means symptoms for a lifetime.Notwithstanding,in most of the treated cases the prognosis is favorable since the golfer's elbow responds very well to sports physiotherapyManchester conservative treatment, i.e. nonsurgical procedure, pointed outby Amrit V Vinod et la (2015). This getsacross that in a few weeks the symptoms shall wear off with conservative managementas sports therapy Manchester is significantly an effective managementmodality to treat elbow joint pain, accordingly discomfort and soreness mightdisappear utterly in one year. Nonetheless, conservative management usuallyworks for golfer's elbow treatment, if symptoms do not subside within a fewmonths, operative treatment may be required, and also some patients who suffer a relapse after being treated conservatively, rangingfrom 5% up to 15% but this occurs when the rehabilitation process has been disruptedor was not effectuated as physio Manchester indicated, displayed by Michael C Ciccotti et la (2004). How can a golfer’s elbow be diagnosed?To give an accurate diagnosis, a thorough physical clinical assessment andthe patient clinical history are mandatory, the evaluation will be conducted byyour doctor or physiotherapist Manchester specialist who will detectif by pressing or flexing the arm, the pain appears or worsens., thisphysical examination will be composed of tests, imaging studies, and lastly anMRI which is the gold standard to determine and confirm the condition and ruleout the presence of other pathologies such as ulnar neuritis. and ulnar collateralligament instability, indicated by Michael A. Schwartz et la (2004). How to speed up the recovery process for the golfer’s elbow?What’s the cure for elbow pain? The Physical therapy provided in MYSports Injury Clinic can help relieve elbow pain and increase the recoveryprocess. Using prescribed pain killers alongsidegolfer’s elbow exercises can reduce stress on the elbow, speed up the recoveryprocess, and minimize the risk of recurrence. Recent innovations inPlatelet-Rich plasma injection (PRP) have also shown optimistic results in the processof getting better, explained by Ankit Varshney et la (2017).How to get rid of the golfer’s elbow? The Sports Physiotherapy approachis the cornerstone of care to cure elbow joint pain It is indispensable to attend to the specialist doctor | Sports physiotherapy inManchester as soon as possible to prevent this injury from progressing andcomplicating. Pain relievers and anti-inflammatories alone do not improve theproblem. Rest, wearing a golfer’s elbowbrace, and applying local ice can help relieve symptoms, but it is still notenough. It is necessary to obtain professional help to treat this injury,which is not only limiting, but also very painful. As highlighted above, the treatment to beselected in most cases is conservative, due to its high recovery rate and thefew contraindications and side effects. The objectives to be met are mainly toreduce pain and recover functional capacity, for this it is vital to restoreflexibility and normalize the strength of the forearm muscles. In addition, itis worth mentioning that non-surgical supportive care reports an 85% up to 90%of effectiveness rate, published in a research study of the Division of SportsMedicine, Department of Orthopaedic Surgery, Thomas Jefferson UniversityHospital/Rothman Institute, Philadelphia (2004). From our point of view, we maintain that forthe definitive solution of medialepicondylitis or golfer’s elbow symptoms it is imperative to assess all theaspects that may cause said injury, not only those of musculoskeletal originbut also visceral and emotional ones. Bearing this in mind, the varioustechniques and therapeutic tools of sports physiotherapy will be oriented notonly to cease the pain and other symptoms but also to the resolution of thepresent causes.Next, we will present to you the mosteffective physiotherapeutic techniques and measures for the treatment of thiscondition:·     Postural education.·     Pain education.·     Immobilization or preionof a golfer’s elbow brace. ·     Neuromuscular bandage.·     Cryotherapy.·     Transcutaneous ElectricalNerve Stimulation (TENS).·     Ultrasound,·     Eccentric exercises.·     Myofascial relaxation ofthe wrist flexor muscles.·     Ischemic compression formyofascial trigger points.·     Decontracting massage ofthe epitrochlear muscles.·     Golfer’s elbow stretching exercises.·     Intratissue percutaneouselectrolysis (EPI).·     Dry needling.·     Shock waves.·     Neurodynamic exercises·     Medicinal plants and sportsphytotherapy.·     Stress control andnutritional corrections.The choice of any of the aforementionedtechniques will depend on the characteristics of the patient to be treated, thecauses, and the objectives that the sports physiotherapist specialist and thepatient wish to meet. Published by Rafael Peña for www.mysportsinjury.co.uk  References·     InformedHealth.org[Internet]. Cologne, Germany: Institute for Quality and Efficiency in HealthCare (IQWiG); 2006-. Golfer's elbow: Overview. 2018 May 30. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507002/·     Amin NH, Kumar NS,Schickendantz MS. Medial epicondylitis: evaluation and management. J Am AcadOrthop Surg. 2015 Jun;23(6):348-55. doi: 10.5435/JAAOS-D-14-00145. PMID:26001427.·     Ciccotti MC, Schwartz MA,Ciccotti MG. Diagnosis and treatment of medial epicondylitis of the elbow. ClinSports Med. 2004 Oct;23(4):693-705, xi. doi: 10.1016/j.csm.2004.04.011. PMID:15474230.·     Reece CL, Susmarski A. Medial Epicondylitis. 2021 Jul 22. In: StatPearls [Internet]. Treasure Island (FL): StatPearlsPublishing; 2021 Jan–. PMID: 32491792.·     Vinod AV, Ross G. Aneffective approach to diagnosis and surgical repair of refractory medial epicondylitis.J Shoulder Elbow Surg. 2015 Aug;24(8):1172-7. doi: 10.1016/j.jse.2015.03.017.PMID: 26189803.·     Varshney A, Maheshwari R,Juyal A, Agrawal A, Hayer P. Autologous Platelet-rich Plasma versusCorticosteroid in the Management of Elbow Epicondylitis: A Randomized Study.Int J Appl Basic Med Res. 2017;7(2):125-128. doi:10.4103/2229-516X.205808.·     Shiri R, Viikari-JunturaE, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medialepicondylitis: a population study. Am J Epidemiol. 2006 Dec 01;164(11):1065-74. 

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 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.

AN OVERVIEW OF THE CAUSES, TREATMENT & PREVENTION OF ABDOMINAL MUSCLE INJURIES -Sports Physiotherapy can be considered to be an essential service for an effective recovery of coremuscleinjuries specifically Abdominal Strain & sports related hernias- The core muscle injury implies possible damage that can occur to the musculoskeletal area of the mid-section, it is comprised from the chest to the mid-thigh. On the other hand; an ab strain is an injury that damages the internal structure of the abdominal muscles. The abdominal strain is characterised by stretches or tears within the muscle. Although the signs are quite similar to a hernia, we are not talking that they are the same condition. When a muscle is roughly stretched passively (without muscle contraction) or actively (with contraction) muscle tear (sprain) may occur. They are frequent, especially in: The muscles that cross the joints such as those of the hip and in the musculotendinous junction. Muscle injuries are highly common in sports that require a high demand and can reach a total of 10 to 55% of all acute injuries in sporting events, stated by Nicola Maffulli et la (2015). According to statistics, 31% of all lesions in elite football are linked to muscle injuries such as strain, sprain, and tears, and causing the injured player to be absent approximately 25 days from any sports practice including training. What are the Core Muscles and their functions? You may think that it refers only to the area of the body where the abdominal muscles are located but actually, it points out to the abdominal, lumbar, pelvic, gluteal, and deep spinal muscles. MayoClinic explains that the main function of the 'core' is tostabilise the lumbopelvic region that is key in the human body since it is the body stabilisation point for any type of movement, it is the area that gives body control, posture, and balance in sports of high intensity with quick changes in direction.      How can I sustain an abdominal strain? This condition is caused by overexertion of the abdominal muscle, which can happen by doing an activity for which the muscle is not ready, exercising excessively, doing exercise or sports activities improperly, lifting heavy objects, and twisting the body suddenly. What are the activities that can inflict a Pulled Abdominal Muscle to be worse? A post of ClevelandClinic reports that the factors that could increase your chance of developing an abdominal muscle sprain: not stretching properly before exercising, overstressing the muscles, doing sports activities and abdominal strains exercises incorrectly (especially sprinting and jumping), have weak back muscles, participate in vigorous activity, exercising in cold weather, striking the ball. If you have any of these risk factors you must tell your Sport physio in Manchester in order to tackle the abdominal strain most competently. Are abdominal muscle injuries like an abdominal strain predominant in football? Christian Brix et la (2013) lays out that owing to the fact that football is a contact sport, a slew of abdominal injuries can come about, and, these are mainly brought about by blunt trauma. Injuries to the abdominal wall in football are not entirely common however when they do occur they are categorised as severe. For this type of condition, an accurate diagnosis dictated by an MRI is indispensable. Management through a surgical process has shown encouraging outcomes. Core injuries have been reported to have a low incidence figure in professional football in England with 7% of all injuries occurring over numerous seasons. The mechanisms of action most seen for these types of incidents to occur are direct blows to the area, or very sudden movements of the torso that can cause distension. The muscles of the abdominal wall that are most affected are transverse abdominis, internal and external obliques and rectus abdominis, research made by Rob Johnson MD (2014). What is the mechanism of action of the semitendinosus and bicep femoris muscles in a hamstring strain in football players? Joke Schuermans et la (2014) presents that hamstring strain injuries are closely linked to the capability of the semitendinosus muscles and the bicep femoris muscle to provide reaction and support when being taken part in synergistic muscle movement. What are the symptoms that may indicate an Abdominal Muscle Strain?Verywellhealth says that whether you present any of these pulled abdominal muscle symptoms, do not assume it is due to an abdominal muscle sprain. Since these symptoms may be yielded by other conditions, too. Inform your sports massage therapist practitioner in Manchester if you experience any of the following manifestations: ·      Muscle pain immediately after injury. ·      Stiffness and discomfort. ·      Difficulty flexing or feeling pain when stretching the muscle. ·      Pain when touching the area. ·      Muscle spasms. ·      Swelling or bruising (in severe cases). If you’ve torn the muscle, you will feel severe pain. Our work in My Sports Injury Clinic is to provide high quality treatment alongwith education and injury prevention care to each of our patients, whether they are elite athletes, sports players, or regular everyday people. All things considered, we have the best solution when addressing your injury, some of the treatments that we offer in our establishment and home visits are sports physiotherapy, Manchester deep tissue massage, dry needling, body postural rehabilitation, cupping & Chinese medicine acupuncture.    What does a Pulled Abdominal Muscle Injury feel like? If you do suffer from a pulled abdominal muscle the outside of your abdominal wall may have the sensation of feeling very swollen and tender. You may be able to experience these sensations when performing any movement that involves the muscles of the abdomen. How can an Abdominal Strain be diagnosed?                          The sports physio Manchester will ask about your symptoms and medical history. During the thorough physical examination and various abdominal muscles testing, sports therapist will look for: ·      Tenderness over the muscle area. ·      Pain, especially when the muscle contracts ·      The Ability to perform adequate movement testing or movements. How is classified a pulled abdominal muscle injury? The sports therapy Manchester clinicians will classify the degree of the pulled abdominal muscle depending on how severely you have been injured: ·      First degree - muscle fibers are injured; 2-3 weeks to recover. ·      Second degree - a larger number of muscle fibers are injured; 3-6 weeks to recover. ·      Third degree - muscle is torn, may require surgery; about 3 months to recover. How long do core injuries take to heal? If you undergo conservative treatment as sports physiotherapy in Manchester, the recovery time could vary from two weeks to four weeks. Notwithstanding, if we refer to a non-surgical treatment we would be talking about 3 to 8 weeks to fully recover and return to the prior level of proficiency, without ruling out the option that could take more time than estimated due to complications in the rehabilitation process. How long can it take for a Pulled Abdominal Muscle to cure? An article published by MedicalNewsToday informs that a pulled abdominal muscle could take to subside to 15 days up to 31 days if it is a severe case, nevertheless, if we make reference to a mild abdominal strain it could be sorted out in less time. How do you rehab a Strained Stomach Muscle? To treat this pulled abdominal muscle condition, we should have previously attended a physio Manchester specialist to confirm the diagnosis and thus start off the approach methods, what is the pulled abdominal muscle treatment?  After the injury, stop the activity immediately. ·      Rest as needed. ·      Apply a cold compress for 15-20 minutes. Apply ice four times a day for 1-2 days. ·      Take pain relievers, (OTC) such as acetaminophen or ibuprofen. These can also help decrease swelling. ·      Manual therapy Manchester. ·      Gently perform mild stretching exercises when the pain goes away. ·      If you do not improve in 1-2 days, call your Manchester deep tissue massage practitioner up. ·      Ask your sports therapy Manchester physician when you can return to your normal activities. ·      When you feel better, do exercises to slowly regain strength. ·      Use warm compresses when you return to activity. ·      Isometric and concentric muscle exercises. What are the most common injuries of a Strained Stomach Muscle? Some of the most representative muscles of this area are denominated Transverse Abdominis, and the most common injuries of a Strained Stomach Muscleare named Osteitis Pubis,  and Serratus Strain. The primary function of the transverse abdominis is to stabilise the spine and it is also known as a compressor of the entrails of the gut.    In addition, if we focus on the incidence of this condition (Osteitis Pubis) in the general population, we can view that only 0.5% to 6.5% suffer from it, published by Justin A Classie et la. In as much as, the serratus muscle we could say that as it is the only skeletal muscle tissue in the internal area, it has the task of connecting with the scapula in order to keep it in position, likewise by sliding its fibers and contracting it is capable of moving the same bone to which it is attached to be able to perform a rotatory motion. Is it a hernia or pulled muscle? Abdominal Strain vs Hernia The abdomen is a region vulnerable to various pathologies, especially when the person exercises or carries out work carrying heavy objects, these actions can cause injuries to the abdominal wall. For this reason, it is essential to tell the difference, hernias are defects or holes that allow the contents of the abdomen, mainly the intestine and peritoneum, to escape through natural or anatomical orifices, and as time passes this can be noticed and palpated in the form of a bump. Whilst the abdominal tear or pulled abdominal muscle is the injury or rupture in the interior of any muscle of the abdominal wall that occurs after a sudden exercise or movement. How to stave off a pulled stomach muscle to help reduce your chance of getting this condition, take the following steps: ·      Stretch before exercising and cool down afterward. ·      Don't get too exhausted while exercising. ·      Get the right training for sports and exercises. ·      Do exercises to strengthen your abdominal muscles. Work with a personal trainer or a physical Manchester therapist. ·      Learn to lift heavy objects properly, and if you are tired, stop exercising. When you bear abdominal pain, seek out medical attention right away. How can you tell the difference between Muscle Strain and Muscle Soreness? To distinguish the difference it is necessary to know that the main difference lies in the onset of pain, usually, a pain caused by a pulled abdominal muscle will appear almost immediately, and it is intense. However, the pain that is caused by muscle soreness can occur after one or two days, issued by UT Physicians.                   Published by Rafael Peña for www.mysportsinjury.co.uk References ·       Anderson, M.K., Hall, S.J., & Martin, M. (2005). Foundations of Athletic Training: Prevention, Assessment, and Management. (3rd Ed.). Lippincott Williams & Wilkins: Philadelphia, PA. ·       Arnheim, D.D. & Prentice, W.E. (2000). Principles of Athletic Training. (10th Ed.). McGraw Hill: Boston, MA. ·       Ekstrand J, Hägglund M, Waldén M. Epidemiology of muscle injuries in professional football (soccer) Am J Sports Med. 2011;39:1226–32. ·       Garrett WE., Jr Muscle strain injuries: clinical and basic aspects. Med Sci Sports Exerc. 1990;22:436–43. ·       Muscle strain (pulled muscle). (n.d.).https://www.hopkinsmedicine.org/orthopaedic-surgery/specialty-areas/sports-medicine/conditions-we-treat/muscle-strains.html ·       Sprains, strains and tears. (2011). https://www.acsm.org/docs/default-source/files-for-resource-library/sprains-strains-and-tears.pdf?sfvrsn=5b229fcf_2 ·       Schuermans J, Van Tiggelen D, Danneels L, Witvrouw E. Biceps femoris and semitendinosus--teammates or competitors? New insights into hamstring injury mechanisms in male football players: a muscle functional MRI study. Br J Sports Med. 2014 Dec;48(22):1599-606. doi: 10.1136/bjsports-2014-094017. PMID: 25388959; PMCID: PMC4267196. ·       Brix C, Lohrer H, Hoeferlin AABDOMINAL MUSCLE INJURIES IN SOCCER–SURGICAL CASE SERIESBritish Journal of Sports Medicine 2013;47:e3. ·       Johnson, R. Abdominal wall injuries: Rectus abdominis strains, oblique strains, rectus sheath hematoma. Curr Sports Med Rep 5, 99–103 (2006). https://doi.org/10.1007/s11932-006-0038-8.

High Impact and contact actions causes & effects of Sports Injuries. Sports injuries are linked to exercise and can be due to various sources, such as not stretching properly, poor sports practice, an sports incident derived from the actions of a strong impact or contact in physical activity, or lack of regular exercising, amongst other factors. In this post, we will talk about the most frequent sports injuries yielded by high impact and contact actions, the treatment for sports injuries, and how to prevent them, under the evaluation and counseling of MY Sports Injury & physiotherapy | Manchester in our sports injuries clinic known as My Sports Injury Clinic. There are a large number of high-performance athletes and amateur practitioners who bear a sports injury stemmed from severe contact and impacts, either harsh hits with other athletes, objects with which sports activity are performed, or with the surfaces where sports practises are carried out.In high-impact and contact sports where these sports injuries occur more frequently, we find disciplines like football, basketball, boxing, rugby, mixed martial arts, and other extreme sports such as skiing, motorcycling, and motor racing. According to the latest investigation study of Eduardo Tondelli et la (2021), it was possible to demonstrate that the recurrence per game of the sports injury in rugby could be estimated up to 52.4%. Of this statistic, a range of 62.8%, were sports injuries caused by contact, with the lower extremities being the most common injured areas accounted for 58.9%, the most critical injury turned out to be anterior cruciate ligament tear and the one with the highest incidence rate was hamstring strain injury within Rugby & football.       On numerous occasions, a high impact contact could trigger the athlete to lose balance; this would mean that the affected athlete would have to make sudden movements to change direction and twist to trying to compensate for the loss of stability, this generally brings about damage to connective tissue and in the case of suffering a very strong impact, a joint displacement could come about. In addition, Mark Pallis et la (2012) published that acromioclavicular joint separations are quite observed amongst young athletes, men are more likely to sustain it, and where the greatest number of cases of this sports injury was evidenced was in the practise of athletics, adding up to 91%. Another injury of this characteristic is the Anterior Cruciate Ligament (ACL); predominantly has an effect on young individuals, calculating over 200.000 cases of this sports injury in the United States yearly. Moreover, up to 15,000 operations per year of the rupture of the (ACL) have been carried out in England, pointed out by David Beard et la (2017).    This sports injury named ACL has a prevalence of 11.1% in professional football players according to studies made by the Noyes Knee Institute (2018). What are the types of impact and contact sport injuries?The kinds of injuries sustained by impact and contact actions are generally of a violent nature due to collisions with other individuals or elements necessary for sportspractise; as a result of these incidents we as sports physio Manchester also known as sports injuries specialists can spot bruises, cuts, muscle aches, head injuries, dislocations, and even broken bones, explained by a post issued by Sports Medicine Information. Broadly, these high-impact sports injuries get to encompass contusion traumas, fractures, spinal and head injuries, and damage to connective tissue such as ligaments and tendons.  What is the Appropriate Treatment for these sports injuries?As a starting point, treatment for sports injuries will be based on the extent and severity of the injury. Sports injuries that are considered high risks such as bumps, head contusions, and spinal injuries should be treated more urgently. Whereas the other injuries that are not categorised as emergency medical conditions like dislocations, fractures, damage to the connective tissue, strains, sprains, ruptures, and superficial injuries will be treated and heal properly under the supervision of a custom-tailored Sports physiotherapy Manchester treatment. In the most severe cases, a surgical procedure may be needed. Although, both surgical and conservative treatment are be very effective for all types of musculoskeletal conditions.   A Borussia Dortmund player (Youssoufa Moukoko) - performing a Prehab Strength & Conditioning session for Pre-Season At our MY Sports Massage Manchester City Centre, we offer the appropriate Sports physiotherapy treatment for each type of injury. Some of the treatments that our highly experienced certified physio Manchester clinicians include: Manchester deep tissue massage, acupuncture, naturopathic cupping therapy, dry needling, customed exercises routines, osteopathy, physical manual therapy amongst other services in help to self-manageable recovery and prevent future injuries from re-occurrence How many sports-related injuries occur each year?Regarding the most state of the art information, it has been reported that about 8.6 million sports injuries are witnessed per annum, stated by Cary Orthopaedics (2018). It should be noted that strains are by far the most repetitive sports injuries. Which sport causes the most sports injuries each year?Football and Wrestling have been displayed to be the sports that possess the highest incidence of sports-related injury rates within men. Simultaneously, gymnastics and football are the leading sports-related injury disciplines for women, according to the Center of Disease Control and Prevention (CDC) 2015. Sports injuries are of great concern to athletes since an injury of this nature can mean losing the routine in their sports practice until recovery. Next, we will discuss the 3 most frequent ones. What are the 3 most frequent sports injuries? ·      Ankle sprain. This injury is very common in sports practice, but also daily activity. In most cases, it occurs due to an inward movement of the foot that causes tension on the ligaments. The sprain can be mild when there are micro-tears in the ligaments, moderate when there is a partial tear in the ligaments, and severe when the ligaments are torn. The most common symptoms are bruising, and pain. It occurs mainly in impact sports or in which the practise is carried out on unstable surfaces. ·      Muscle strain. It consists of the breaking of the fibers that make up the muscle. It generally affects lower limb muscles such as the gastrocnemius, hamstrings, and quadriceps. A muscle tear or fiber break can be caused by a blow or contusion, or by a sudden contraction of the muscle. Its severity is given mainly by the number of muscle fibers torn in the injury. The main symptom is sudden, sharp, localised pain.    It is one of the most frequent injuries in all types of sport. ·      Fractures. These are the gravest sports injuries. The most common causes of fractures are falls or excessive muscle activity that lasts over time. In most cases, immobilisation, rest, and rehabilitation are required, as well as in the most severe cases, surgery. In both cases, it requires a subsequent progressive recovery. What to do to prevent sports injuries To avoid sports injuries, it is essential to perform a good warm-up of at least ten minutes and stretch at the end. Also join sports practice progressively, as well as perform the prior functional exercise. Sports injuries vary in intensity, so treatment changes depending on the severity. Sports injuries can be chronic when they are produced by repetitive movements and acute if they occur at a certain time due to a specific and violent effort. Published by Rafael Peña for www.mysportsinjury.co.uk       References ·      Eduardo Tondelli, Carlos Boerio, Mauro Andreu & Santiago Antinori (2021) Impact, incidence and prevalence of musculoskeletal injuries in senior amateur male rugby: epidemiological study, The Physician and Sportsmedicine, DOI: 10.1080/00913847.2021.1924045. ·      Kerr ZY, Dompier TP, Snook EM, et al. National collegiate athletic association injury surveillance system: review of methods for 2004–2005 through 2013–2014 data collection. J Athl Train 2014;49:552–60. ·      Kucera KL, Marshall SW, Bell DR, DiStefano MJ, Goerger CP, Oyama S. Validity of soccer injury data from the National Collegiate Athletic Association's Injury Surveillance System. J Athl Train 2011;46:489–99. ·      Marshall SW, Covassin T, Dick R, Nassar LG, Agel J. Deive epidemiology of collegiate women's gymnastics injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train 2007;42:234–40. ·      https://www.stopsportsinjuries.org/STOP/Resources/Statistics/STOP/Resources/Statistics.aspx?hkey=24daffdf-5313-4970-a47d-ed621dfc7b9b. ·      Thorstensson, C.A., et al., Choosing surgery: patients' preferences within a trial of treatments for anterior cruciate ligament injury. A qualitative study. BMC Musculoskelet Disord, 2009. 10: p.100. ·      Pallis M, Cameron KL, Svoboda SJ, Owens BD. Epidemiology of acromioclavicular joint injury in young athletes. Am J Sports Med. 2012 Sep;40(9):2072-7. doi: 10.1177/0363546512450162. Epub 2012 Jun 15. PMID: 22707749.

EFFECTS OF SPORTS HERNIA IN THE ELITE ATHLETES -       Sports therapy & Rehab for sports hernia / groin related pain Sports Hernia has been widely adopted as the medical term implemented to describe and explain some type of chronic pain at the groin level that may have been induced by damage to the soft tissues where tendons, muscles, and ligaments were most likely compromised. It also alludes to the tears in the lower abdomen or in the groin area that may be present when the subject or athlete makes extremely sudden movements of changes of direction. Likewise, there are chances that a sports hernia can worsen and become a conventional hernia, it is not usual for this type of aggravation to happen. Sports hernias are frequently seen in disciplines that require explosive changes of direction such as football, hockey, American football, hurdling, or wrestling. Sports hernias are known to inflict severe pain in the groin at the time of injury, what would be another factor to suspect the suffering of sports hernia, after the incident where the injury arose, the athlete may refer to pain or stiffness with activities such as getting out of bed or getting out of the car. Any activity that increases intra-abdominal pressure such as coughing or sneezing can even cause pain. International Journal of Sports Therapy aka IJSPTexplains that this Athletic Pubalgia soreness is usually experienced with much more intensity than a unilateral or bilateral abductor strain. According to scientific research carried out by the renowned physician Anderson Oliviera et la (2016) treatment time may vary from 31 days to 365 days, also obtaining a fairly high percentage of subjects who went back to their sporting activities as normally did before being injured, reaching an average of 95. 2%. To achieve a successful recovery is strictly to undergo specialised and qualified medical treatment, which will be divided into conservative and surgical treatment, as for non-surgical treatment as the first line of treatment, we find the work performed by sports physio Manchester/ sports therapy Manchester clinicians in My Sports Injury Clinic which is a Manchester City Rehabilitation Centre, where we offer the best of care to our patients and provide a service that meets their needs, some of the treatments we feature are deep tissue massage, manual therapy,  osteopathy, dry needling, manual lymphatic drainage, stretching and so on. What exactly is a sports hernia? Johns Hopkins Medicine sets out that Athletic pubalgia or sports hernia is the term used to describe ailments located in the area of the pubic symphysis. The main feature is the pain in this area, but we can find this same symptom at the level of the adductors, abs, or in the anterior part of the thigh. Sports hernia symptoms generally begin as a discomfort or pain when performing sports activities and as it becomes chronic, it commences to establish itself in the activities of daily life, notably incapacitating those who suffer from it.    This pathology is called "sports hernia" since most of the people who present it are athletes, both high performance and recreational, the most prevalent cases are soccer players, as stated by an epidemiological study with a duration of 9 years, it was evidenced that amongst 43 injured subjects with sports hernia the percentage of soccer players was the highest, reaching up to 58.1% and the runners had 30.2% of incidence, and the average of professional athletes added up to 37.2%. What is the difference between a hernia and a sports hernia? The article of Rock & Armor apprises that traditional hernia refers to defects or holes in the abdominal wall where other tissues can herniate. Sports hernia alludes to tears or injuries to the soft tissues of the groin or lower abdomen that can occur when an athlete makes changing direction all of a sudden. What are sports hernias symptoms? Sports hernia symptoms include chronic groin pain, often in both, accentuated by exercise, coughing, or sneezing. Pain in the pelvis or scrotum or testicles may also be experienced. The pain tends to accentuate over time. Chronic refers to the duration of the problem, not the seriousness of the disorder. A Sports hernia is more common in men. What to avoid with a sports hernia 2 pieces of advice suggested by our physios Manchester to avoid when treating a sports hernia injury, you may be doing something wrong and it is worse than doing nothing to rehab for a sports hernia. 1.    Do not take anti-inflammatories for more than 10 days. The pain you feel in the pubic area may be due to inflammation and your doctor prescribes an anti-inflammatory to combat it. If the anti-inflammatory after 10 days (and we are being very generous with this amount) does not eliminate or calm your pain, it will not do it in 15 days, a month, or a year either. Taking an anti-inflammatory for long periods affects the health of your organs. 2.    Not stop at all. By not stopping at all, we mean that you do not lie down on a sofa or bed to rest the pain, the solution cannot be to give up physical activity. You can and should reduce its intensity, but do not take complete rest. So, exercises for sports hernia will be indicated in future physiotherapy Manchester consultation. How do you diagnose a sports hernia? Have you wondered what the test for sports hernia confirmation is? Your sports therapy practitioner will tell you to do a sit-up if it hurts; it’s likely to suffer a sports hernia. On the other hand, The British Journal of General Practice also known as BJPG enlightens that there are two gold-standard imaging studies to confirm an injury of this type, are the ultrasound and the MRI. Do sports hernias heal on their own? Our physiotherapists Manchester explain that injuries of this nature such as sports hernia cannot heal by themselves since the pain will not disappear permanently simply with ice, and rest. The pain will wear off with the application of the RICE (treatment for sports hernias) as long as the sports action is not resumed on the playing field, and what is sought is the exact opposite, which is to be able to resume sports activity without any pain or discomfort. How to treat a sports hernia if you have ever had an athletic pubalgia/sports hernia, you know very well that it is a pain in the pubic area. This pain occurs in anyone, but it is very common in athletes. Do you want to know what the treatment for sports hernia is? Well, from sports therapy Manchester, the main objective in the face of this problem will be to reduce pain in a way that allows us little by little to return to sports activity. The physiotherapy Manchester treatment that is proposed to be the treatment for sports hernia is: ·      Isometric and eccentric exercises of the adductor and abductor muscles, as well as the abdominals ·      Stretching and sports massage Manchester techniques of the adductors, hamstrings, and psoas. ·      Manipulation of the symphysis pubis. ·      It is recommended that in an acute phase of the patient keep sports rest that demands great effort. Our sports therapy Manchester treatments at My Sports Massage Manchester City Centre include a comprehensive assessment of your injury and a follow-up of it to achieve a complete recovery. How to heal a sports hernia without surgery Intermountain Healthcare affirms that generally conservative treatments in these types of conditions have a 90% chance of being successful in their resolution. Some of the steps to follow would be: ·      Rest; your sports therapy treating specialist may advise you to stop any practice for the first seven days after the injury has occurred. ·      Ice; the implementation of ice will make it easier to decrease swelling. ·      Medicine; pain relievers, and anti-inflammatory pills. ·      Injections. ·      Physical therapy Manchester. How long are you out with a sports hernia? The time you will be away from sports activity depends solely and exclusively on the severity of your injury. Orthoinfo informed thatin a high percentage of cases, normally a non-surgical treatment would last up to a maximum of 6 weeks. In the event that the pain returns after conservative treatment, the possibility of undergoing surgical treatment should be evaluated. How long is recovery from sports hernia surgery? Full recovery after being involved in the surgical process could take up to 12 weeks, only if the recovery plan is carried out alongside sports therapy after the operation we will obtain the best outcomes, it is necessary to adhere to this recommendation. Published by Rafael Peña References ·       Wilkerson, R. Sports hernia (athletic pubalgia) https://orthoinfo.aaos.org/en/diseases–conditions/sports-hernia-athletic-pubalgia/. Updated June 2017. Accessed February 2019. ·       Reis F.A., Rosenfeld A., Ikawa M.H., Silva F.D., Costa J.D., Natour J. A importância dos exames de imagem no diagnóstico da pubalgia no atleta. Rev Bras Reumatol. 2008;48(4):239–242. ·       Schilders E Dimitrakopouiou A Cooke M et al. Effectiveness of a selective partial release for chronic adductor‐related groin pain in professional athletes. Am J Sport Med. 2013;43:603‐607. ·       Minnich JM Hanks JB Muschaweck U et al. Sports Hernia: Diagnosis and treatment highlighting a minimal repair surgical technique. Am J Sport Med. 2013;39:1341‐1349. ·       Taylor D.C., Meyers W.C., Moylan J.A., Lohnes J., Bassett F.H., Garrett W.E., Jr. Abdominal musculature abnormalities as a cause of groin pain in athletes. Inguinal hernias and pubalgia. Am J Sports Med. 1991;19(3):239–242. ·       Joesting DR Diagnosis and treatment of sportsman's hernia. Curr Sports Med Rep. 2002;1(2):121‐124. ·       Rabe SB Oliver GD Athletic pubalgia: Recognition, treatment, and prevention. Athl Train Sports Health Care. 2010;2:25‐30.

KNEE JOINT INJURY|MENISCUS STRAIN & TEAR IN ELITE ATHLETES -       Sports physical therapy rehabilitation – When we refer to any knee joint injury such as Meniscus Strain and Meniscus Tear it is proven that a high amount of them are linked to sports practise especially in sports like football, volleyball, skiing amongst others and most of them are due to unsuitable technical skills or since the physical activities are executed in improper environments. They can also be produced right after a contact such as tackles and blows unexpectedly. This means that contact sports and trauma scenarios are highly prone to trigger Meniscus injuries and other joint knee injuries.  The blog post of MYchoice explains that when there are sudden movements of pivoting or twisting, and when the joint is being compressed these actions put in danger the knee and can lead to a pulled or torn meniscus. If you suspect that you or any of your acquaintances are suffering from a meniscus tear, knee pain, and other types of lower limb injury your duty is to visit a professional health provider like our sports therapy Manchester practitioners where a thorough check-up will be run, also having sports physiotherapy assessments in My Sports Injury Manchester City Centre is the initial stage to the treatment of our patient, in which we try to obtain all the essential and relevant data of the ways the injury occurred, through medical history and in-depth physical examination. According to a study by Martin Majewski et la published in Research Gate, the knee is a biomechanical zone that is described as an area of utmost care due to its anatomical complexity. It has been reported the incidence of knee injuries accounted for 19.530 sporting event injuries out of 17.397 subjects during a 10 years’ time frame follow-up where 38, 8% of these injuries were related to lesions in the knee joint. Male athletes scored a higher rate than female athletes with 68, 1% over 31,6%. The average age where this type of knee joint injury was observed more frequently was between 20 and 29 yo nearly 50% of the patients had the appointed age. | First of all, we must know what the meniscus is for. What is the meniscus for?  Under our MY sports Injury therapy Manchester specialists clinics a meniscus tear is a pretty common knee injury. The meniscus is a rubbery, C-shaped disc that cushions the impact of steps on the knee. Each knee has two menisci: one on the outer edge of the knee and one on the inner edge. What sports have the most meniscus tears cases? The meniscal tear is well-known for producing instability in the knee which can intervene and impair the regular performance of the elite athletes making them be out of any sporting event until returning to their preceding proficiency. Statistically, the most affected sports by this condition are Football reaching up (35%), Skiing accounts for (26%), and other sports such as Wrestling, Basketball, Tennis, and Baseball. No evidence was found for the average prevalence of TM in these sports. How do Meniscus Tears happen? There is a main way where knee ligament injuries occur in this case the meniscus tear is produced when the foot is firmly resting on the floor and the knee is abruptly twisted either by its movement itself or by an external force. Cedars-Sinai stated that this condition can also be developing itself gradually over the years due to loss of elasticity in the menisci i.e. in elderly adults, degenerative knee changes can induce to meniscal tear with just a minor or no trauma. Regardless of the knee symptoms, meniscus injuries are habitual amongst elderly people and middle-aged subjects, these injuries are frequently associated with knee osteoarthritis. The stats of people who have presented torn meniscus without a previous traumatic event can reach up to 31 % according to the research study made by Wolf Petersen et la 2015. However, you have to be very clear that an injury of this type can be suffered at any age, although young athletes are quite prone to sustain them. What does a torn Meniscus feel like? A torn meniscus has the following characteristics and it feels as if your injured knee is losing range of motion due to a blockage that does not allow you to extend your leg to its full capacity. In addition, MayoClinic points out that you can also get to present stiffness, inflammation, and soreness. Another sensation that can be related to a meniscal tear is that the injured leg begins to give way. How Meniscus Tear is treated? My Sports Injury Clinic is a sports physiotherapy Manchester rehabilitation Centre where the physical therapists and sports therapy clinicians will guide you through the best possible treatment options for your torn meniscus. How your doctor/ physio Manchester treats your meniscus tear depends on several factors, including the type of tear, its location, and its severity. Your age and activity level may also influence treatment options. Treatment could include: ·       Rest, ice, wrap the knee with an elastic bandage and keep the leg elevated on pillows. ·       Pain killers to cease the pain. ·       Physiotherapy/ Sports therapy Manchester. ·       Exercises scheme. ·       Corticosteroid injections. ·       Surgery to repair the meniscus. ·       Surgery to remove part of the meniscus. Meniscus Tear how long to heal? The recovery time will vary as it depends on the grade of the lesion, age, lifestyle, and if it is treated conservatively or through surgery. Therefore, whether you will be put through a conservative approach like sports physiotherapy Manchester it could take from 42 to 56 days to heal properly not needing a surgical procedure. Most of the cases give exceptional results implementing physical therapy management as the first line of treatment i.e. it is extremely effective. On the other hand, a research study by the University of Michigansays the recovery process after surgery could take longer and could even take 3 to 6 months to be completely recovered. How Meniscus Tear is diagnosed? The Doctors of Physical Therapy’s article indicates that some hands-on tests that may be required to determine and diagnose the tear even though a single clinical maneuver run by physio Manchester cannot make the diagnosis but a set of them may foretell a torn meniscus. Some of the techniques carried out by sports physiotherapists Manchester to pinpoint this condition are Positive McMurray’s test, Pain with flexion and extension overpressure, and history of the joint locking. The odds that you must need an imaging study to bear out the Meniscus tear are high; it is likely to make use of an MRI study which is the most precise means to confirm it. It has been revealed that 36% of individuals have a tear without actually presenting any symptom of pain in the knee area.  How often do Meniscus Tears need surgery? Meniscus tear surgery may be needed when you are suffering from grade 3 and grade 4 and after being treated unsuccessfully with non-surgical management, how do I know if the conservative treatment is not working? Well, if the manifestation of the symptoms continues after 8 weeks of having started off the physical therapy, your physicians would recommend undergoing surgery to repair the tear. These procedures are called meniscus repair, meniscectomy, and meniscus replacement. Those surgical processes are notably efficient notwithstanding the fact that they could result in osteoarthritis in the long term.    How often does a Torn Meniscus require Physical Therapy after the surgical process? Every time that any patient has been undergone a non-conservative treatment the process of getting better has to be accompanied by sports therapist / Physical Therapist in Manchester. This measure is highly essential since it would provide the knee the strength and mobility necessary to regain the lost quality of life, so and early sports therapy rehabilitation is imperative after surgery to progress as good as possible and return to the sports practise, informed by Matthias Koch et la (2020).   Can a Meniscus tear heal on its own? Sometimes, some individuals may reckon that their torn meniscus injury will heal on its own, unfortunately, not all injuries of this nature can heal on their own, and so a treatment plan is strictly indispensable. PennMedicine reports that if your tear is situated on the meniscus’ external one-third,  there are chances that it may heal by itself due to that zone possesses rich blood cells and blood supply which can help to regenerate the damaged tissue.   What happens if a meniscus tear is left untreated? Bad things can happen; complications can take place if you do not treat a torn meniscus, a portion of your meniscus might lose and slide into the joint space, and the worst scenario is that you probably will need a replacement surgery to restore knee functionality. An unsolved tear may also drive arthritis.   Can you strain your meniscus? Indeed you can strain the meniscus since it has the same mechanism of action to get injured as the tear, only that in the case of strain it is less severe and the recovery could be faster.   How long does a meniscus strain take to heal? MercyHealth highlights that usually a mild meniscus strain can be healed within a period from 14 days to 21 days and one of the prime symptoms is discomfort and pain in the outer knee.   Why does the Meniscus tear heal poorly? Eventually, when this occurs it is because the blood supply to the meniscus is very limited, we must remember that blood is the main source through nutrients that reaches the structures of our body and this is what allows us to heal and recover from injuries, cited from OrthoVirginia. Hence, we can say that this is due to the absence of a good blood supply in the affected area.   What exercises can’t I perform with a torn meniscus? The exercises that our sports therapy Manchester practitioners advise that should not be performed are those related to twisting, pivoting, and deep squats, we must avoid them at all costs, since they will add extra pressure to the already unstable injured knee. Otherwise, if doing other types of physical activity makes your knee unsteady or causes any kind of pain or discomfort, stop immediately and do not do it again.   Is it ok to massage a torn meniscus? Definitely yes including a cluster of maneuvers over the surface tissue applying adequate pressure to hit the deep structures. It is implemented to boost the blood flow and also to reduce swelling, minimise muscle spasms, and encourage normal tissue repair.   How do you rehab a torn meniscus without surgery? When your doctor gives the green light to begin sports therapy Manchester treatment, it is advisable to perform the following exercises to improve stability and strengthen your knee. ·      Quadriceps setting. ·      Mini-squats. ·      Straight leg raise. ·      Hamstring heel digs. ·      Leg extensions. ·      Standing heel raises. ·      Clams. ·      Hamstring curls. Written by Rafael Peña for www.mysportsinjury.co.uk   References ·       Koch M, Memmel C, Zeman F, et al. Early Functional Rehabilitation after Meniscus Surgery: Are Currently Used Orthopedic Rehabilitation Standards Up to Date?. Rehabil Res Pract. 2020;2020:3989535. Published 2020 Mar 29. doi:10.1155/2020/3989535 ·       Kelln B. M., Ingersoll C. D., Saliba S., Miller M. D., Hertel J. Effect of early active range of motion rehabilitation on outcome measures after partial meniscectomy. Knee Surgery, Sports Traumatology, Arthroscopy. 2009;17(6):607–616. doi: 10.1007/s00167-009-0723-2. ·       Badlani J. T., Borrero C., Golla S., Harner C. D., Irrgang J. J. The effects of meniscus injury on the development of knee osteoarthritis: data from the osteoarthritis initiative. The American Journal of Sports Medicine. 2013;41(6):1238–1244. doi: 10.1177/0363546513490276. ·       Mordecai S. C., al-Hadithy N., Ware H. E., Gupte C. M. Treatment of meniscal tears: an evidence based approach. World Journal of Orthopedics. 2014;5(3):233–241. doi: 10.5312/wjo.v5.i3.233. ·       Majewski, Martin & Susanne, Habelt & Klaus, Steinbrück. (2006). Epidemiology of athletic knee injuries: A 10-year study. The Knee. 13. 184-8. 10.1016/j.knee.2006.01.005. ·       Cardone DA, et al. Meniscal injury of the knee. https://www.uptodate.com/contents/search. Accessed Oct. 8, 2019. ·       Cardone DA, et al. Meniscal injury of the knee. https://www.uptodate.com/contents/search. Accessed Oct. 8, 2019. ·       AskMayoExpert. Meniscal tear. Mayo Foundation for Medical Education and Research; 2019.

Active Mobility Exercises for Your Wrist & How to Strengthen it Wherever you are!     When it comes to working out, most people usually think of exercising their legs, arms or other major body parts. However, having flexible, mobile wrists is something that shouldn't be overlooked. Without it, you can’t perform certain workouts properly, and you risk further injury that can prevent you from exercising altogether. Plus, it’s not just exercise (or lack thereof) that leads to immobile wrists. Daily activities such as typing, writing, and even constantly using mobile phones can all contribute to tight wrists.   Strengthening exercises and wrist massage therapy are especially important for those working from home. This should also be paired with ergonomic work setups; after all, these exercises will not be effective if you continue to work with your wrist in bad positions. The Health and Safety Executive describes ergonomics as the design of rooms and equipment, which can affect one’s performance and promote better health and productivity. Tools like ergonomic keyboards, chairs, and wristpads achieve this by incorporating a design that is best suited to the worker’s health.   To ensure your wrists stay strong and mobile no matter what you're doing, here are some exercises you can do to keep them in the best possible shape:   Kettlebells     VIDEO: [Embed: https://www.youtube.com/watch?v=uT1LV1eLcdM#t=33] (Video Credit: Kettlebell Fitness Athletics)   Many kettlebell exercises are dynamic and more appropriate for fast lifts and strength training. But these weights are so versatile that they can be used for mobility too. A great example is a double kettlebell rack walk. Take a kettlebell in each hand and lift them to the underside of your chin so that your palms and your wrists are facing each other. Walk forward while holding the kettlebells in the same position. Keep going for your desired number of reps.   When starting with workouts like these, it can be easy to push yourself harder than intended. If kettlebell exercises leave you unable to move for a few days, then working with a sports massage therapist is best to relieve any soreness and tension. Make it a habit to visit these professionals now and again to ensure your muscles stay flexible and maintain their full range of motion.   Theraband     Therabands are great since they can be used pretty much anywhere, thanks to their compactness. It’s also the only workout that’s the least likely to cause wrist strains.   If you have problems with functional mobility, then the Theraband is an excellent option to improve the affected area. These thick elastic bands come in varying levels of resistance, so make sure to choose one that’s challenging enough, but doesn’t cause an uncomfortable strain.   CrossFit     VIDEO: https://www.youtube.com/watch?v=2IDqSq138_g&feature=youtu.be (Video Credit: Airrosti Rehab Centers]   If you haven't heard of this trendy exercise, CrossFit is a program developed to offer a full-body workout that combines elements of cardio, weight lifting, gymnastics, core training, and much more. Since it is based on the fundamentals of functional fitness, CrossFit focuses on using movements that you use often such as picking things up from the floor, climbing stairs, and carrying heavy bags. As such, the strength and mobility it can build for your wrists and other joints can be applied to your day-to-day activities too.   However, it's also best to exercise caution when joining high-intensity sports like CrossFit, as there is always a risk of injury involved. Consulting a sports physiotherapy professional can prevent sports-related injuries and maximise your performance.   Wrist Walks     As one of the few exercises you can perform without equipment, wrist walks are something that should only be attempted if you’re strong enough to carry your own weight (similar to push-ups). It’s done by placing your palms flat against the wall, fingers pointing up, and “walking” down with your hands until you reach a point where your hands cannot walk any further. Reverse the directions of your hands so that your fingers point towards the floor and walk back up. Repeat for as many reps as you desire.   Nothing is more frustrating than missing exercises due to poor wrists, but skipping wrist exercises will only cause you more pain in the long run. Along with exercise, our feature on the Magnitude of a Good Posture highlights how proper posture can promote mobility and strength, and your wrists are no exception. Whether you’re experiencing pain during push-ups or from typing at your desk all day, it pays to address the pain through different means, whether that’s through ergonomics or with the help of My Sports injury clinic Manchester.   Written by Mary Kramer for mysportsinjury.co.uk

All the sports activities to exercise your body and high-performance sports, including walking, have the risk of suffering a strain or a tear.Comprehensive Orthopedics, S.C. explains that the regions of the body that are more exposed to suffer any of these conditions are those that are more involved in the specific activity that is carried out e.g. in disciplines such as football, boxing, jumping sports, basketball, and volleyball have in commonality the an increased risk of suffering either a strain or a tear in the lower limbs. The same things happen with sports that perform quick starts in track and field sports such as long jump, running races, and hurdling.   Every time an individual comes to MY Sports Injury Rehabilitation Centre of Manchester City  The first step to follow is to carry out a Comprehensive Physical assessment and Musculoskeletal joint / muscle examination carried out  by our sports physios Manchester and thus be able to determine what is the source and root cause of the sports injury. From then on they will develop a customised work plan where the sports injury will be addressed and treated effectively and so the patient can resume their prior lifestyle. The benefits of sports therapy Manchester in these types of injuries are highly guaranteed, the application of a sports physiotherapy approach is characterised by being one of the most effective conservative treatments in any kind of sports injury, some pathologies, and pain are due to improper biomechanics and functional movements. It’s important to seek out sports physiotherapy specialists therapy counseling before and after the sporting event. According to stats of the Journal of Athletic Training the prevalence of a knee strain in young athletes is exponentially high but the rates can vary significantly by gender, sports, and age. The sports where the highest occurrence takes place are basketball and football for men and also women. The average age most likely to suffer a strain is between 15 and 19 years, this statistic represents both genders. According to the Journal of Sport and Health Science terms of a hamstring strain accounted for 12 percent of all injuries that occurred in the football season and had a recovery time of 17 days. Now, you may be wondering, how can I tell a strain from a tear? What’s the difference between a strain and a tear? Simple, the difference is that strain occurs when either a tendon or a muscle is stretched to a higher range than it can be subjected to. Cape Cod Healthcare presents that a strain may be the consequence of a single event or persistent movements that can take a toll on the tendon or the muscle. On the other hand, it can be said that the tear is more severe than a sprain and a strain, a ligament can be torn and the same happens with a tendon and a muscle in this kind of sports injury scenario. Scre    Now that you have no doubt what is the difference between a strain and a tear, we can continue explaining what each injury consists of, their causes, and the sports medicine approach that should be performed for both knee injury MCL and distal hamstring strain. What is a Medial Collateral Ligament? The medial collateral ligament is one of the ligaments of the knee joint. A ligament is a tough, flexible strip of tissue that holds cartilage and bone together. Cedars Sinai indicates that one of the most essential functions of this ligament is that it lets the knee be stable and also to be able to rotate, as well as preventing the knee from being too extended inwards. What causes Medial Collateral Ligament pain? This injury can be produced by either a strain or a tear. The knee has a band of connective tissue inside it and that‘s called the Medical Collateral Ligament. The Michigan Medicine / University of Michigan sets down that you can harm your MCL through movements that implicate rapid changes of direction, twisting, and bending. For example in football, a medial collateral ligament injury can occur when the knee is struck and the blow causes it to change its natural direction of motion. Also, this type of lesion can come about in sports with a lot of weaving and jumping movements like skiing. What does Medial Collateral Ligament pain feel like? In obedience to sports physios Manchester the MCL’s the symptoms are quite similar to any other type of knee injuries however they are graded into 3 types depending on the severity, nature and symptoms of damage sustained. For this reason, you must go to MY sports Injury rehabilitation clinic so that you can be evaluated by a professional who specifies what the problem is. Although the main characteristics published by Healthline are inflammation in the knee joint, a similar sensation where you experience that your knee is about to give way when you are lifting weight, a lot of sensitivity and pain in the inner knee, and a clicking sound at the exact moment when you get injured. How do you know if you have a Medial Collateral Ligament injury? When your sports physio Manchester is evaluating you rigorously, the following technique will be carried out to determine if you are indeed suffering from MCL. How to diagnose Medial Collateral Ligament Injury? your injured knee will be bent gently by your physio Manchester, then a little pressure will be applied to the outside of the knee, at that moment they will notice if the inside of the knee is loose, which would be enough to diagnose it.Although to be more precise in the diagnosis, an MRI is extremely recommended, which is the gold standard procedure in this type of sports injury, this imaging study may help out ruling out any others type of problems in the knee, announced by Kyle Andrewset la (2017). How to heal Medial Collateral Ligament? Right after the injury, treatment may include: ·      Over-the-counter pain relievers. ·      Follow these instructions: rest, ice, compression (with an elastic bandage), and elevation (put the knee up). ·      Wearing a knee brace, health professionals such as our sports physios Manchester will advise on the best type of knee brace to protect the medial collateral ligament and knee joint during the healing process. Other treatments may include: ·      Make use of crutches during recovery. ·      Physical therapy/ Sports therapy Manchester to strengthen muscles and improve flexibility. ·      Surgery (in the most severe cases is needed). How to strengthen Medial Collateral Ligament? The physiotherapist Manchester in this stage of strengthening the ligament will introduce the sports physical therapy approach with a series of exercises, those are the following: ·      Electrostimulation may be helpful in reducing reflex muscle inhibition. ·      Half squat with monopod support, the opposite leg resting on the yoga ball and we stretch it back by flexing the leg resting on the ground. We repeat the process 10 times and change legs. ·      The exercise bike is also helpful in restoring movement. Initially, the bicycle saddle is placed as high as possible and then gradually lowered to increase the degree of flex. ·      Exercises such as towel extension and hanging legs prone are used to achieve equal extension or hyperextension of the contralateral leg. ·      For knee flexion, the patient sits at the end of a table to allow the force of gravity to assist flexion. The contralateral (unaffected leg) aids flexion by gently pushing the affected leg. ·      Step up or bench rises: we start with one foot resting on a bench of variable height so that the leg that runs perpendicular to the support bench and the weight of the body falls on this foot. The body is upright and relaxed and the other foot is with the tips of the toes resting on the floor near the bench. How long for Medial Collateral Ligament to heal?  The overview of Medial collateral ligamentinjuries has affirmed that the primary method of treating grade 1 and 2 MCL injury is the conservative treatment which takes in a strength training program and a range of motion exercises routine. If you are dealing with MCL grade 1 it might take only a few days to heal (less than a week). But, if you’re sustaining MCL grade 2 it could take up to 28 days to heal adequately. However, if you have been diagnosed with MCL grade 3 you might require a surgical process and sports therapy rehabilitation, this grade might be last up to 2 months to get a full recovery.  Also, it is important to note that physical therapy has been highlighted as a highly effective treatment for cases of grade 1 and 2 lesions in the medial collateral ligament. Medial Collateral Ligament Injury takeaways: ·      The MCL is the ligament that gives the knee joint more stability. Also, they emphasize that this ligament injury is the most common among knee injuries in elite athletes; they also noted that an average of 7.9% of all knee injuries causes a ligament tear can be witnessed. ·      There are three types of MCL, and it’s defined by grades, it could be 1, 2, or 3. Grade 1 is the least serious, your ligament is not torn at this point, and it was just stretched out. Grade 2, this probably indicates that your ligament has been prejudiced up to being partly torn. This eventually may produce an instability sensation in the joint of the knee. Grade 3 is the worst of all of them, coming about when the ligament is entirely torn. In this case, non-conservative management is strictly required. ·      You must attend a physio specialist consult so they can examine you and determine what grade is the one you present and thus be able to begin to tackle your sports injury. Important points to know about hamstring strain injury The average age with more odds to get a hamstring strain is comprised between 16 and 25 yo.  The sports where you might be more susceptible to suffering HS are football, and track and field sports which are the sports where the hamstring is exposed to carry the most burdens. The UEFA made a study where was found that an annual rate of players who sustained a hamstring strain has risen to 2, 3% per year amongst every European League within a 13 years follow-up, this was published by Statpearls / Hamstring Injury.   How do you treat a strained hamstring? WebMD states that the not-so-serious cases like mild to moderate make well by themselves, it is only necessary to give them some time. If you would like to speed up the recovery time a bit, follow these pieces of advice: ·      Rest the injured leg, endeavor to avoid adding weight to your harmed leg as much as possible. In scenarios where the pain is intensive, crutches may be needed until the pain disappears. Enquire your sports therapy physio Manchester if you require them. ·      Apply ice over the leg, it is well known that ice may help to ease the pain and reduce the inflammation.Do this every three to four hours for 20 to 30 minutes for two to three days until the pain disappears. ·      Compress your leg; wear an elastic bandage to cover the leg and contain the inflammation. ·      Raise the leg; be capable of keeping your leg as high as possible when lying down and sitting down.It is advisable to use a pillow. ·      Take anti-inflammatory pills, like NSAIDs. ·      You must strengthen the hamstring by doing a strengthening and stretching exercise routine, this needs to be supervised by a sports therapy specialist. Give strength to the hamstring is an essential manner to prevent and steer clear of a hamstring strain. In critical cases where the muscle has absolutely torn a surgery will be performed, the muscles will be repaired and reattached to each other. How long does a Hamstring Strain take to heal? Mainly, the hamstring strains where the muscle has not been involved in any rupture it would take from 28 days to 56 days to heal. In as much as the hamstring has been torn it must be mandatory to perform a surgery, it would take up to 3 months till you recover your prior level of range of motion, and capacity. You should start off to notice some improvement and relief by turning up a physical therapy constantly, issued by the journal Healthline/ Hamstring / Recovery time. Should you massage a hamstring strain? Sports massage Manchester can be perfectly drawn on as a conservative treatment for hamstring injury since it helps to relax the tight muscles, therefore, assists in the muscles stretching, also it can help to boost blood flow through the injured area to finally heal the hamstring injury properly. Sports massage for a hamstring strain is aimed at reducing muscle tightness and speed up the recovery process. As the recovery progresses, the physiotherapist Manchester will implement a deeper work like transverse friction massage. To sum up, sports massage therapy has countless benefits when treating this type of sports injury, make known by Mel Wright Deep Tissue and Sports Massage Therapy.                                                            published by Rafael Peña for www.mysportsinjury.co.uk REFERENCES ·       Andrews K, Lu A, Mckean L, Ebraheim N. Review: Medial collateral ligament injuries. J Orthop. 2017 Aug 15;14(4):550-554. doi: 10.1016/j.jor.2017.07.017. PMID: 28878515; PMCID: PMC5581380. ·       Poudel B, Pandey S. Hamstring Injury. [Updated 2020 Sep 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. ·       Phisitkul P, James SL, Wolf BR, Amendola A. MCL injuries of the knee: current concepts review. Iowa Orthop J. 2006;26:77-90. ·       Fetto JF, Marshall JL. Medial collateral ligament injuries of the knee: a rationale for treatment. Clin Orthop. 1978;132:206–218. ·       Paulos LE, et al. The biomechanics of lateral knee bracing. Part I: Response of the valgus restraints to loading. Am J Sports Med. 1987;15(5):419–429. ·       Pforringer W, Beck N, Smasal V. Conservative therapy of ruptures of the medial collateral ligament of the knee. Results of a comparative follow-up study. Sportverletz Sportschaden. 1993;7(1):3–7. ·       Naqvi U, Sherman Al. Medial Collateral Ligament Knee Injuries. [Updated 2021 Mar 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. ·       Chang JS, Kayani B, Plastow R, Singh S, Magan A, Haddad FS. Management of hamstring injuries: current concepts review. Bone Joint J. 2020 Oct;102-B(10):1281-1288. doi: 10.1302/0301-620X.102B10.BJJ-2020-1210.R1. PMID: 32993323. ·       Ernlund L, Vieira LA. Hamstring injuries: update article. Rev Bras Ortop. 2017;52(4):373-382. Published 2017 Aug 1. doi:10.1016/j.rboe.2017.05.005.

HOW TO TREAT SNAPPING HIP SYNDROME SYMPTOMS WITH SPORTS PHYSICAL THERAPIES This snapping hip syndrome is an uncommon hip disorder; it is also called coxa saltans and dancer’s hip amongst physicians and sports therapy practitioners. Healthline specifies that the snapping hip syndrome may impact any person of all ages or genders but women are actually more prone to be harmed by SHS. Predominantly, this disorder is innocuous nevertheless it can inflict joint damage as its main risk. In more severe cases it may bring out a lot of pain which can decrease sports performance in athletes and execution in dancers. ChoosePT informs that the statistics of patients with SHS worldwide can reach around 5% up to 10% being the elite athletes such as runners, weight lifters, and footballers along with dancers the patients with higher prevalence. So How can physical therapy help me to treat Snapping Hip Syndrome? Sports physiotherapy is widely known as the means to achieve a full recovery from a sports injury, treat certain pathologies, and most importantly, prevent them. If you consider that you are suffering from this condition, you should go to the nearest sports physiotherapy clinic, remember that something that is not treated in time can go from mild to severe and harm you, even more, affecting your lifestyle’s quality considerably. At our MY Sports Injury Manchester Rehabilitation Centre we have highly trained staff such as our sports therapy Manchester practitioners, Acupuncturists, and deep-tissue therapists who will assess you and pinpoint which is the most appropriate treatment for your condition and in this case if you are going to require snapping hip syndrome exercises, always ensuring the physical and mental well-being of our patients. How does Snapping Hip Syndrome sound like? Individuals who have been impaired by snapping hip syndrome usually can perceive a particular snapping sensation or sound coming from the front/ groin area, side, or back of their hips when walking, dancing, running, standing up, and weightlifting. It is like one or both hips are snapping or popping. This audible click is produced in the joint around the hip. What is snapping hip syndrome? Anatomical point of view  This snapping hip syndrome can occur in different areas of the hip where tendons and muscles slide over the hip bones. The most common site where it occurs is where the iliotibial band passes over the greater trochanter, which is a protrusion of the proximal femur. Why does Snapping Hip Syndrome occur?  A publication of US National Library of Medicine National Institutes of Health - Understanding and Treating the Snapping Hip, a reliable journal, says when the hip flexes, the IT band moves or "jumps" over the trochanter. This movement of the iliotibial band over the greater trochanter produces the clicking sound and the “giving way” sensation typical of the pathology. This pathology can eventually irritate the trochanteric bursa, causing bursitis, which is the inflammation of the bursa. Other tendons that can cause a dancer’s hip are the rectus femoris tendon, the hamstring muscles, or the iliopsoas tendon. A labrum injury can also cause symptoms of a snapping hip. In the medical reference article, Snapping Hip Syndrome, it is mentioned that there are manifold causes of dancer’s hip and its classification is established by body structure that is the source of clicking sensation and soreness in acute cases. Two prime denominations of SHS have been classified: ·       Extra-articular SHS (either internal or external). A literature review Extra-Articular Snapping Hip reports a figure of 90% elite ballet dancers with SHS and 80% of these cases are bilateral. The incidence in women with SHS is quite remarkable from the teenage years. Being higher in comparison to adolescent men, where 12 young female individuals were diagnosed and just three boys were detected with SHS. ·       Intra-articular SHS. What causes Snapping Hip Syndrome? WebMD explains that the SHS is the result of repetitive tension in the muscles and tendons that surround the hip. ·       People who participate in sports and activities that require repetition of hip flexion are more likely to experience snapping hip. Dancers are especially vulnerable. ·       Young athletes are also more likely to have SHS due to the additional stress on the muscles due to accelerated bone growth. ·       Acetabulum labrum injury. How can Snapping Hip Syndrome be diagnosed? The diagnosis of Snapping Hip will be fundamentally clinical, trying to reproduce the click with various tests or specific manual techniques, examining whether the click comes from the hip joint itself or from the tissues that surround it, such as muscles or tendons. What is the treatment for Snapping Hip Syndrome? Sierra R. Musick et la (2020) most of the patients respond to conservative treatment, which consists of: ·       Rest; a period of rest and modification of activities helps control symptoms. ·       Physical therapy; exercises to stretch and strengthen the muscles around the hip, especially the iliotibial band. It may require the help of a physical therapist/ sports massage Manchester therapist. Physiotherapy and osteopathy treatment involves a global assessment of the subject. We will assess the mobility of the hip, both by excess and by default, of the musculature and all the structures that surround it. It can be very useful to achieve a good release of the adhesions of the tensor fascia lata / iliotibial tract concerning the vastus lateralis, up to the knee. ·       Corticosteroid injection. It should be noted that conservative treatment with physical therapy in cases of SHS with mild to moderate pain is highly effective. Is it necessary surgical treatment for Snapping Hip? If sports physiotherapy management does not cure your Snapping Hip completely,your healthcare provider may recommend surgery which is known to be efficient in grave scenarios for this type of disorder. The type of surgery will depend on the cause of your SHS.The operation can be performed either with arthroscopy or open. The primary aim of the surgery is to eradicate the strain of the tendon to remove the snapping. Yi-Meng Yen, MD, PhD et la (2016). At MY Sports Injury Rehabilitation Centre of Manchester City we will carry out a team and coordinated work between all the professionals of My Sports Injury Clinic (Sports physiotherapists, Personal trainers, Sports Therapist practitioners, Osteopaths amongst TCM Acupuncturists), and thus be able to achieve a complete functional and sports re-education What are Snapping Hip Syndrome Exercises? Sports Physiotherapy Manchester ·      Stretch for quadratus lumbar fibers. This has its variants to stretch the muscle fibers according to their orientation.Quadratus lumbar fibers stretching| Sports Physiotherapy Exercises | MY SPOTS INJURY CLINIC ·      Pyramidal stretch. With these stretches, you work on the pyramidal and all the buttocks (major, middle, and minor), including the tensor fascia lata. However, the stretches below are best suited for the pyramidal muscle. Pyramidal stretch | Sports Physiotherapy Exercises | MY SPORTS INJURY CLINIC ·      Tensor fascia lata muscle stretch. Standing next to a wall, with the injured side closer to the wall, lean on the hand on the same side, cross the good leg over the other leg keeping the affected foot flat on the floor and tilt the pelvis (hips) towards the Wall. Tensor fascia lata muscle stretch | Sports Physiotherapy Exercises | MYO   ·      Long adductor muscle stretch.                               Lying on your back, with your legs raised against a wall, we slowly spread our legs until we feel the adductor muscles begin to stretch. Long adductor muscle stretch | Sports Physiotherapy Exercises | MYO   ·      Iliopsoas muscle stretch.  The muscle is stretched on the side of the leg that is behind. Iliopsoas muscle stretch | Sports Physiotherapy Exercises | MYO ·      Sartorius muscle stretch. The lower leg muscle is stretched. In this way, the leg that is above and that hooks the knee below must pull downwards (in the direction of internal hip rotation, with the knee previously flexed at least 90º). Sartorius muscle stretch | Sports Physiotherapy Exercises | MYO Key points about Snapping Hip Syndrome, conclusions: ·      The snapping hip is the clicking sound produced in the joint or around the hip associated with added bursitis or the presence of muscle spasms. ·      A dancer’s hip can occur due to various factors: lower limb dysmetria, activities that require extreme and repetitive ranges of movements of joint range, the strain produced in the psoas muscle, and /or presence of bone alterations. ·      It is more common amidst women between 15-40 years, although there are also cases in men. ·      Only 30% of people with it present pain. ·      Symptoms: audible pop in the hip when performing movements of said joint, superficial lateral or deep anterior pain in the groin area, palpation of the femoral trochanter is painful, there is no pain unless exercise is performed. ·      Treatment: rest, cold, analgesics, and exercise program (warm-up, stretching, and eccentric exercises, especially in athletes). Written by Rafael Peña for mysportsinjury.co.uk       REFERENCES ·       Nolton EC,Ambegaonkar JP, Recognizing and Managing Snapping Hip Syndrome in Dancers. Medical problems of performing artists. 2018 Dec;     [PubMed PMID: 30508831]. ·       Yen YM, Lewis CL, Kim YJ. Understanding and Treating the Snapping Hip. Sports Med Arthrosc Rev. 2015;23(4):194-199. doi:10.1097/JSA.0000000000000095. ·       Nunziata A, Blumenfeld I. Snapping hip; note on a variety. Prensa Med Argent. 1951 Aug 10;38(32):1997–2001. ·       Lewis CL. Extra-articular Snapping Hip: A Literature Review. Sports Health. 2010 May;2(3):186-90. doi: 10.1177/1941738109357298. PMID: 23015936; PMCID: PMC3445103. ·       Musick SR, Varacallo M. Snapping Hip Syndrome. [Updated 2020 Aug 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. ·       Nolton EC, Ambegaonkar JP. Recognizing and Managing Snapping Hip Syndrome in Dancers. Med Probl Perform Art. 2018 Dec;33(4):286-291. ·       Potalivo G, Bugiantella W. Snapping hip syndrome: systematic review of surgical treatment. Hip Int. 2017 Mar 31;27(2):111-121.

Back pain is more common than you think. In fact, statistics from the American Chiropractic Association show that back pain is a leading cause of disability worldwide, and most of these cases are due to bad posture rather than natural causes like fractures. Other effects of bad posture include more musculoskeletal-type injuries and pain in the neck and shoulders. On top of this, circulation, digestion, and even lung function may also be impaired.   Fortunately, avoiding and combating these effects is simple: improve your posture. Wondering how to get started? Here are some tips.   Ensure your workspace is ergonomic   Not having the proper chair and table, especially if you’re at your desk all day, means you’re more prone to posture problems. HR News reports that one-third of UK office workers suffer from backache due to their work environment, while another 13% complained of neck pain. Luckily, Pain Free Working explains that ergonomic chairs can help improve postural disorders and misalignment of the spine. These chairs have adjustable components, such as seat height, backrest, and armrest to help you maintain proper posture for long periods of time. However, remaining seated for hours at a time can still take a toll on your body. To address this, The Independent suggests standing desks that can prevent you from being inactive for too long.   Avoid slouching   Even when you’re not at your work desk using an ergonomic chair, it's important to try not to slouch. It may feel tiring to keep your back straight all the time — but that’s only because your body isn't used to it yet. Slouching adds stress to your spine, and also strains other bones, muscles, and joints that are directly connected to the spine. Aside from that, slouching also squishes your internal organs, leading to digestive and even respiratory problems. In the article The Magnitude of a Good Posture: The New Rules of Posture, it is said that good posture aligns body parts to keep the spine in line. This correct alignment of body parts reduces wear and tear on joint surfaces, which can otherwise lead to arthritis and joint pain.   Start a regular yoga or pilates routine   Yoga gently stretches your muscles, helping you become more flexible. It’s also good for building muscle strength and relieving back pain. A workout similar to yoga is pilates, which is also low-intensity, low-impact, and helps you build muscle strength. Professor Greg Whyte, an authority on sports science, differentiates the two — saying yoga is generally more about flexibility, while pilates is more about strength. Another difference is that yoga is connected to spiritual pursuits, while pilates has origins in physical healing and rehabilitation. Regardless of what you choose, you’d be glad to know you can do both yoga and pilates for stress relief and good exercise.   Mind how you sleep   It’s hard to remember how to sleep when you’re already in bed, but it’s still worth keeping in mind that the way you sleep can greatly affect your posture when you wake up. Consider sleeping in a loose fetal position, since it’s great for back pain. Sleeping in a tight fetal position, however, can limit your breathing and leave you sore when you wake up. Meanwhile, sleeping on the side with a pillow between your legs also helps avoid back pain and aligns your hips. All in all, laying on your back has the most benefits — helping to protect your spine and relieving hip and knee pain.   Correcting your posture may feel uncomfortable at the start, especially if you’re not used to it, but it’s worth it in order to improve your overall health.   Written by Mary Kramer for mysportsinjury.co.uk

HOW TO FIX ROUNDED SHOULDERS | & SPORTS PHYSIOTHERAPY MANAGEMENT TO SOLVE POSTURAL ALTERATIONS. What is a rounded shoulder? The rounded shoulders posture is one of the most common dysfunctions in this modern day technology driven life , this posture can be the consequence of an increase in the curves of the dorsal spine and protraction of the muscles of the deltoid muscles in the shoulders. To correct this rounded shoulder posture, which in the long term can cause injuries at different levels (shoulders, cervical, and back); there are specific methods according to sports physiotherapy protocols, the stretching of these retracted muscles and different rounded shoulder exercises to gain mobility in our spine. MY Sports Injury Clinic’s outlines the guidelines to correct rounded shoulders and prevent the hunched over back which is important to return to a healthy posture during your everyday lifestyle. “The incidence of rounded shoulder posture (RSP) and forward head posture (FHP) within a group of healthy individuals comprises an average age of 20 to 50 years. It was found that 66% of them suffered from forward head posture (FHP), on the other hand, 77% of them experienced right rounded shoulder and a figure up to 66% experienced left rounded shoulder” Stats stated out by Dalia Mohammed Mosaad et la (2020). In addition to the rounded shoulders, there is also the upper crossed syndrome. Do you know what the upper crossed syndrome consists of? The upper crossed syndrome refers to the imbalance that occurs in the muscle groups of the upper part of the trunk. It is a postural alteration in which a group of muscles is shortened and hypertonic while their antagonists are weakened. This results in a posture in which the shoulders are elevated and anterior and the head in a forward position. “It has been indicated that an average rate of 28% amid laundry workers have experienced upper crossed syndrome this is due to abnormal posture for long periods, the trigger symptom was neck painfor this and many other reasons it is imperative to have a postural awareness”. Junaid Chandsaheb Mujawar and Javid Hussain Sagar (2019).  This posture already described due to upper crossed syndrome influences the adjacent joints, being the craniocervical joint the most predisposed to injury due to the forward position of the head, which can cause neck pain, dizziness. “The recurrence of upper crossed syndrome amongst university medical students accounted for 37.1%” Iqra Mubeen et la (2016). The next joint is glenohumeral, which, due to the position of the shoulders already described, causes injuries to the rotator cuff of the shoulder and bursitis. This postural alteration also affects the dorsal spine producing blocked areas of movement, so the last cervical vertebrae have an excess of movement to compensate, having a high risk of generating herniated discs at that level. “A study related to the prevalence of upper crossed syndrome amongst IT professionals has stated that 38,3% of the upper crossed syndrome subjects displayed having a positive pectoralis major contracture test and 41,7% of them featured a positive trapezius weakness test”. Jyothi Seshan et la (2020). Whatever your case, whether it is rounded shoulders or superior crossed syndrome, it is essential that you put your case in the hands of the experts, since only they will be able to diagnose and provide you with the best treatment to correct any problem and treat it effectively. It can be a physical therapist/ sports physio Manchester. The specialised cares necessary to address and treat this type of alterations are provided in our sports rehabilitation centre located in the city of Manchester where you will be cared for by our health professionals/physiotherapy specialists where you can receive physiotherapeutic treatments such as; acupuncture, deep tissue massage, sports massage, manual therapy, and any other that is necessary to restore your quality of life. “Investigation results have shown that a combined treatment incorporating manual therapy and stabilising exercises reported better results than stabilising exercises alone. Sports physiotherapy management is highly recommended and beneficial in rounded shoulders syndrome, upper crossed syndrome, and the management of chronic neck pain. It enhances any postural alteration and the upper limb function.” Malihe Hadadnezhad et la (2019). Resuming the postural alteration known as rounded shoulders you might wonder what inflicts it. Does the rounded shoulders syndrome affect my body posture only? There are different rounded shoulders causes one of them is emotional nature that can cause us to tend to a certain posture. This postural alteration is one of the main causes of back pain, as it is closely linked to body posture and the discomfort it can cause if it is not correct. “Research outcomes indicated that there is a close interaction amongst forward head position, rounded shoulder syndrome, neck pain, and impairment. Besides, proper posture habits and posture training exercises which must be indicated by sports physiotherapy practitioners are recommended to prevent postural deformities, postural pain syndrome, and dysfunction.” Issued by Eun-Kyung Kim et la (2016). Otherwise, sometimes it also influences the psychological health of the patient, reducing their self-esteem and motivating the onset of depression. “Broadly, research outcomes showed that sports physiotherapy treatments and manual therapy incorporating joint movements’ maneuvers are more feasible and effective than just soft tissue techniques because bring out positive results in diminishing the patients’ anxiety and depression levels.” Gemma Espí et la (2016). Under this premise, what aspects are behind the rounded shoulders syndrome? What causes rounded shoulders? According to experts in this area such as sports physiotherapists, rounded shoulders syndrome is a direct consequence of a sedentary lifestyle and the excessive and continued use of electronic devices that force or push you to adopt an inappropriate posture. Walking while looking at the mobile phone or working every day in front of a computer are two of the actions that cause this problem. What should you do to solve this problem? How to correct rounded shoulders through physiotherapy exercises, self-massage, and stretching. First of all, you have to try to maintain an upright posture both at rest and in movement, that is, place your shoulders perpendicular to the waist. “Rounded Shoulders physiotherapy exercises have proven to be beneficial to lengthen and strengthen the pectoralis minor, and also rounded shoulders sports physiotherapy exercises routine makes possible the activation of the lower and middle trapezius and serratus anterior which it’s vital to improve the body posture and fix the postural alteration induced by rounded shoulders condition”. Kiana Fathollahnejad et la (2019). On the other hand, although the ideal is to go to  physiotherapy counseling to advise you on the most appropriate treatment and to help you carry it out, some very simple rounded shoulders exercises can support this procedure. Which are? ·      The first is to bring your shoulders back and then try to get your shoulder blades as close as possible. Once this posture is achieved, you must hold it for about a minute, and repeat it several times. ·      You can also lie down on a mat and, on your back, bring one of your knees close to your chest. Stay like this for a few seconds and switch legs. ·      Keep lying on the floor, but this time you should stretch your arms over your head. Then lift one arm and the opposite leg at the same time and alternate. With 3 or 4 sets of ten repetitions, it will be enough. ·      Another very interesting exercise is to place a tennis ball between your lats and try to hold it while leaning your back against the back of a chair. You must remain in this position for half a minute and repeat it six or seven times. How to correct upper crossed syndrome through sports physiotherapy management. ·      Dorsal extension. It is a physiotherapy exercise to make the dorsal area more flexible in extension. With a point of support in the chosen area of the dorsal area, perform flexion-extension movements slowly and smoothly. Hold until you notice relaxation of the tissues. ·      Dorsal extension and opening of the anterior chain. Gently work the extension with a semi-inflated ball or foam rolling, place your hands on the cervicals. Once the area is relaxed, rest your head back and bring your arms progressively back. Maintain the position and stretch of the anterior chain. ·      Posterior musculature toning. With the back straight and the cervicals maintaining a corrected position towards the double chin, perform these two exercises with an elastic band. ·      Protraction-retraction The elbows are kept extended and the movement that we must carry out is as if the scapulae were together towards the midline (hold the contraction for a few seconds (8-10) and relax. ·      Low row. This time we flex the elbows and do a shoulder extension. Hold back position (8-10 sec). The elbow goes beyond the position of the body backward. Perform 10-15 repetitions 2-3 sets.           REFERENCES ·       Iqra Mubeen et al, Prevalence of upper cross syndrome among the medical students ofuniversity of Lahore. International Journal of physiotherapy, June, 2016; 3(3): 381-384. · ·       Vijay mohan et al, Prevalence of complaints of arm, neck, and shoulders among computer professionals in Bangalore: A cross- sectional study. Journal of family medicine and primary care, October 1, 2019. ·       Muscolino, J. Upper crossed syndrome. Journal of the Australian Traditional-Medicine Society.2015; 21(2),80-85. ·       Mujawar JC, Sagar JH. Prevalence of Upper Cross Syndrome in Laundry Workers. Indian J Occup Environ Med. 2019;23(1):54-56. doi:10.4103/ijoem.IJOEM_169_18. ·       Kim EK, Kim JS. Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture. J Phys Ther Sci. 2016;28(10):2929-2932. doi:10.1589/jpts.28.2929. ·       Espí, Gemma & López-Bueno, Laura & herrero, maria teofila & Martinez-Arnau, Francisco & Monzani, Lucas. (2016). Efficacy of manual therapy on anxiety and depression in patients with tension-type headache. A randomized controlled clinical trial. International Journal of Osteopathic Medicine. 22. 11-20. 10.1016/j.ijosm.2016.05.003. ·       Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskelet Disord. 2019;20(1):86. Published 2019 Feb 18. doi:10.1186/s12891-019-2438-y. ·       Gupta BD, Aggarwal S, Gupta B, Gupta M, Gupta N. Effect of deep cervical flexor training vs. conventional isometric training on forward head posture, pain, neck disability index in dentists suffering from chronic neck pain. J Clin Diagn Res. 2013;7:2261–2264. ·       Fredin K, Loras H. Manual therapy, exercise therapy or combined treatment in the management of adult neck pain-a systematic review and meta-analysis. Musculoskelet Sci Pract. 2017;31:62–71. doi: 10.1016/j.msksp.2017.07.005.

WHAT IS THE CORRECT SLEEPING POSTURE? – EVERYTHING YOU NEED TO KNOW FOR HEALTHY SLEEP HYGIENE & PAIN PREVENTION. Did you know that sleeping well is as important to our health as having a good diet and exercising regularly? That is why in this My Sports Injury Clinic’s article regarding correct sleeping posture and healthy sleep hygiene you will know the reasons why it is essential to have a sleeping good posture and how to correct sleeping posture. Thus, avoid a bad rest that has negative consequences on our body and mind, favoring the development of diseases, disorders, and injuries of all kinds. Not having a sleeping good posture can make the back pain, shoulder suffer, as well as neck area. Avoid circulatory problems and discomfort caused by poor posture, by the hardness of the mattress; these are elements that cannot be left lightly. “Taking into account the effects of poor sleep quality, such as daytime sleepiness, extreme tiredness, and depression. All this can be caused by poor posture when sleeping, the existence of sleep disorders is likely to make complex the treatment for low back pain, and also the disorders when sleeping can lead to poor results in your sports performance and overall in the quality of lifestyle. It was accounted that 58,9% of the patients who sought assistance to their low back pain, stated that their LBP was disturbing their sleep quality.” Promulgated by Saad M. Alsaadi et la (2011). “An analysis of different parts of the body showed that sleep problems can cause the onset of neck pain, particularly it was shown that the female gender is more likely to suffer this.” Stated out by Alessandro Andreucci et la (2017). “Different types of sleeping postures, can you identify what are the correct ones?”“A fact: people who sleep less than five hours continuously have a 12% higher risk of mortality.” Can Sports physiotherapy treatments help to solve my sleep disturbance? – Are they beneficial? “Physical therapy and physical exercise prove to be feasible as an alternative or supplement to existing treatments for sleep disturbance i.e. middle-aged and elderly people who are constantly active practising or carrying out a sports program have moderate positive results in their quality of life, this means that physiotherapy is beneficial for sleeping problems.” Pei-Yu Yang et la (2012). It is proven that both muscle discomfort and insomnia problems can be improved by using the appropriate rest equipment. We already know that to have a restful sleep we must have a good sleeping posture, which is key to the performance of any individual in their day-to-day life, but especially for elite athletes. “Sleep is an important part of welfare and good physical condition and has a major impact on cognitive performance, physical development, emotional regulation, and quality of life. Evidence showed that extending athletes’ sleep time and enhancing sleep quality are linked to upgraded performance and higher likelihoods to succeed in the competition. Moreover, better sleep thanks to good sleeping posture can diminish the risk of athletes’ illness and injuries” Issued by Andrew M Watson (2017). Keep in mind the top 5 tips for healthy sleep hygiene. §  “Sleep only when you are sleepy. If you are not sleepy, get up and do other things until you are sleepy. §  Regular bedtime habits can assist to relax and prepare for sleep, for example, a warm bath and reading. §  Get up at the same time each morning including days off and weekends. §  Try to keep a full night’s sleep every single night, and avoid daytime naps as much as possible. §  Stay away from high-intensity exercise before going to bed.” According to Kenneth C. Vitale et la (2019). What are the disorders that are generated by sleeping without having a correct sleeping posture? The following are the musculoskeletal disorders that are caused by poor sleeping posture and the reasons why each of them occurs: §  Pain in the joint capsule of the elbow due to sustained elbow hyperextension. §  Disorders of the spine due to torsion of the body. §  Pain in the knees from pressure maintained one on the other. §  Hip disorders (snapping hip, trochanteritis, amongst others) due to closure of the angle of the femur. “A multidisciplinary team such as physical therapists in mild cases who implement a non-surgical treatment such as physical therapy, steroid injections, and stretching and orthopedic physicians are required in severe cases to assess and treat this kind of condition. Around 5-6% of counted citizens are impacted by snapping hip syndrome.”  Matthew Varacallo and Sierra R. Musick (2020).    §  Paresthesia in the arms due to decreased circulation. Have you ever wondered, what is the most efficient way for your sleep to be tremendously restful and for your body to have a good sleep posture and healthy sleep hygiene that does not overload any system or cause disorders and discomfort when getting up? What is the correct sleep position? You can sleep on your back or lying on your side since they are the positions that generate the least disorders. Never face down because the feet generate a flexion that generates disorders in the posterior myofascial chain and the head is always turned to breathe in the same direction and the arms are raised to be more comfortable, this causes poor adaptations in the cervical spine and paresthesias in the hands due to decreased blood flow. “The outcomes of the study displayed that the amount of younger patients who sustained nighttime paresthesias was higher in comparison to the carpal tunnel syndrome patients, this occurred due to their sleeping posture making them prone to experience subclinical compressive neuropathy. Paresthesias patients on an early onset can be perfectly treated with a conservative approach such as night splints, physical therapy, tips for healthy sleep hygiene, and a correct sleeping posture.”A study published by Carrie L. Roth Bettlach et la (2019). Next to damage to the musculoskeletal system, surgery, or an injury, meet a cozy posture when sleeping may be grueling. Our team of physios Manchester at My Sports Injury Clinic will provide you some recommendations on how to improve sleeping posture and encourage easing sleeping posture back pain. For those patients suffering from knee, shoulder, neck, or back pain due to bad sleeping posture, our staff of sports physiotherapy specialists will recommend you the following indications for comfortable sleep. On many occasions, patients schedule an appointment and attend to My Sports Injury Rehabilitation Centre or contact our physical therapy physicians for home inquiries. These patients generally are going through orthopedic/ sports rehabilitation or other types of sports therapy services. When they arrive at Manchester City Rehabilitation Centre, they discuss having issues finding a correct sleep position favorable to healing. Sometimes, their most-liked sleeping posture starts to produce extra discomfort and pain, upsetting any opportunity of having a placid snooze. Whether you endure a sports injury or feel sore every day, here are the best sleeping positions for coping with discomfort: What are the best sleeping postures for coping with discomfort and soreness? ·      Sleeping posture for back pain: If back pain due to poor posture when sleeping prevents you from falling asleep, there are sundry sleeping postures that can assist, according to our physical therapy Manchester experts: Sleep on your side: Let one side of your body lays on the bed taking into account the shoulder to be in contact with the mattress and place a pillow between your knees. Sleep on your back: You’ve got to put a pillow under your knees; this sleeping posture may be the best alternative for pain in the back. To increase support, you could also situate a small rolled towel beneath your back. ·      Sleeping posture for neck  pain: Sleep on your back: Sleeping in this position will keep your cervical vertebrae straight. Good posture always helps your rest and your health.Avoid using a rigid and hard pillow at all costs; this will cause stiffness and pain in the morning. Sleep on your side: If the position is more comfortable to support your neck in better conditions, and make sure to use a pillow that is lower beneath your head and higher beneath your neck, this will keep your cervical spine aligned.  ·      Sleeping posture for shoulder pain: If it is the source of shoulder pain, attempt to lie on the side that is without pain and bend your legs a bit. The best thing is that you sleep on your back. If you want to sleep on the side of the shoulder that does not hurt, another option is to place a pillow from your chest to your face, so that you hug the rest of the pillow with your arm. ·      Sleeping posture for knee pain: At night, when the joints swell up due to the absence of exercise, the knee joint pain usually aggravates. The pillow provides comfortable support and helps relieve pressure from the knees. Back sleepers can place the pillow under their knees, while side sleepers can put the pillow between their knees. ·      Proper body alignment for good sleep: It makes no odds which sleeping position you choose, correct body alignment is key. To achieve this, concentrate on adjusting the alignment of your hips, shoulders, and ears, and fill out the gaps with pillows. Recall moving the whole body at the same time when turning around in bed. Are you undergoing shoulder, neck, or back pain when sleeping? Drop us a message for our physical therapy Manchester practitioners to give you the guidance to live life pain–free. What are the sleeping postures to avoid? – Sleeping face down, the less recommended posture. In our modern era, medical professionals / physical therapists agree that this position is the least suitable. This is because, when sleeping on the stomach, we are forcing our body to maintain a forced posture for several hours. In this position, not only is excessive pressure exerted on the entire body; the cervical area (muscles, tendons, nerves, and bones) is subjected to great stress due to excessive rotation of the spine that can lead to back and cervical problems (tendonitis, low back pain, neck pain). On the other hand, a bad position at night can lead to health problems, especially if they are maintained over time. In milder cases, abnormal neck or back posture can cause us to wake up with neck or lower back pain. "In the case of the cervical spine, it is important that the pillow seeks a relationship (alignment) of the position of the head and neck similar to what we would have while standing." Said Juan Pareja (2020). In his opinion, neither should one sleep with the arms stretched out to the sides of the body, or bent over the body: "They should be prevented from protruding from the edge of the bed to avoid compression on the nerves of the upper extremities." Pareja added, "A typical compressive paralysis is that of the radial nerve due to the sustained support of the arm on the edge of the bed." References ·      Watson AM. Sleep and Athletic Performance. Curr Sports Med Rep. 2017 Nov/Dec;16(6):413-418. doi: 10.1249/JSR.0000000000000418. PMID: 29135639. ·      Vitale KC, Owens R, Hopkins SR, Malhotra A. Sleep Hygiene for Optimizing Recovery in Athletes: Review and Recommendations. Int J Sports Med. 2019;40(8):535-543. doi:10.1055/a-0905-3103. ·      UCSD Center for Pulmonary and Sleep Medicine. Sleep Hygiene Patient Information Handout [Brochure]. San Diego, CA: University of California San Diego; 2017. ·      Van Ryswyk E, Weeks R, Bandick L, O’Keefe M, Vakulin A, Catcheside P, Barger L, Potter A, Poulos N, Wallace J, Antic NA. A novel sleep optimisation programme to improve athletes’ well-being and performance. Eur J Sport Sci 2017; 17: 144–151. ·      Gaspar MP, Kane PM, Jacoby SM, et al. Evaluation and management of sleep disorders in the hand surgery patient. J Hand Surg Am. 2016;41(10):1019-1026. ·      McCabe SJ, Gupta A, Tate DE, et al. Preferred sleep position on the side is associated with carpal tunnel syndrome. Hand (N Y). 2011;6(2):132-137. ·      Roth Bettlach CL, Hasak JM, Krauss EM, et al. Preferences in Sleep Position Correlate With Nighttime Paresthesias in Healthy People Without Carpal Tunnel Syndrome. Hand (N Y). 2019;14(2):163-171. doi:10.1177/1558944717735942. ·      Alsaadi SM, McAuley JH, Hush JM, Maher CG. Prevalence of sleep disturbance in patients with low back pain. Eur Spine J. 2011;20(5):737-743. doi:10.1007/s00586-010-1661-x. ·      Alessandro Andreucci, MSc, Paul Campbell, PhD, Kate M Dunn, PhD, Are Sleep Problems a Risk Factor for the Onset of Musculoskeletal Pain in Children and Adolescents? A Systematic Review, Sleep. ·      Yang PY, Ho KH, Chen HC, Chien MY. Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. J Physiother. 2012;58(3):157-63. doi: 10.1016/S1836-9553(12)70106-6. PMID: 22884182. ·      Musick SR, Varacallo M. Snapping Hip Syndrome. [Updated 2020 Aug 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448200/

PAIN AND NUMBNESS CAUSED BY NEUROPATHY IN THE UPPER EXTREMITIES - EVERYTHING YOU NEED TO KNOW ABOUT THE PRONATOR TERES SYNDROME / CARPAl TUNNEL. The Pronator Teres Syndrome (PTS) is a reasonably rare injury it is important to be assessed and diagnosed by a specialised team of sports physiotherapists with high expertise at our Sports Rehabilitation Centre - My Sports Injury Clinic located in the city of Manchester, in which it is provided to each of our patients, whether elite athletes or businessmen, a comprehensive assessment and an accurate diagnosis to continue with the necessary treatment and rehabilitation programs implemented by our sports physios in Manchester to address and treat in the most appropriate way these types of injuries called nerve compression, also known as neuropathies in the upper limbs. In this case, we will elaborate on the pronator teres syndrome insight that is often confused with carpal tunnel syndrome. My Sports Injury Clinic Blog discusses the biomechanics, symptoms, anatomy, and different treatments of this condition carried out by the sports therapist practitioners. Also, it presents follow-up guidelines and shares some ideas on how sports physical therapists can deal with this rare injury. Before explaining the injury and its entire approach, we must know what the anatomical structure known as the pronator teres consists of and its main functions. What does the pronator teres consist of? The pronator teres is a prominent muscle that belongs to the epitrochlear muscles and that crosses from the inner part of the elbow to the outer edge of the radius bone. Hence, it is due to the position it has that it can perform a rotational movement that involves the two bones of the forearm.     Muscles are found in many parts of the body, which is why they have different sizes and arrangements of their fibers. For example, in the forearm, the pronator teres and the pronator quadratus, the palmaris longus, the flexor carpi radialis longus, and the ulnar anterior are located on the anterior face. What does the pronator teres do? – What movement does the pronator teres muscle perform? Thanks to the arrangement of its muscle fibers, it is a tissue capable of rotating the bones of the arm, which ends up bringing the thumb in a medial direction. This is known as pronation, supination being its opposite movement. Besides, some authors point out that he also flexes the elbow. What injuries affect the pronator teres? “Many injuries of muscular origin can affect the muscle ( tears, contusions, strains, etc.), but specifically there is one known as the pronator teres syndrome, which affects the median nerve with greater predominance as it passes through this place. Causing characteristic symptoms such as pain, loss of strength, and difficulty in moving the area.” Marine Dididze et la (2021). What causes pronator teres syndrome? Pronator Teres Syndrome broadly originates from reiterative motion, which causes a lot of tension in the muscles of the forearm. If your daily activities incorporate any activity that demands continuous rotation of the forearm muscles such as cleaning fish, repeated use of screwdrivers, and hammering those repetitive movements can lead to overuse of the muscle known as Pronator Teres. “The causes of pronator teres syndrome may be related to trauma to the upper limb, with the formation of a hematoma or bone deformity, as well as congenital anomalies and due to hypertrophy of the pronator teres muscle and fascia. The presence of a mass, such as a lipoma, can also cause extrinsic pressure on the nerve. More cases in the literature have described the presence of a fibrous band between both heads of the pronator teres muscle, as the main compression site, and this leads to variable symptoms with limitation of function.” As stated by Jon A Jacobson et la (2010).                         Graphic representation of forearm pain due to pronator teres syndrome | MYO shows you how to relieve it. In which sports are you more likely to suffer from pronator teres syndrome? Forearm aches due to pronator teres syndrome. This is an uncommon situation for elite athletes, whose exercise requires a firm grasp in the posture of forearm pronation, such as bodybuilders, tennis practitioners, baseball batters, cricket, and rowers. The symptoms can simulate be more like carpal tunnel syndrome which is more common.  A firm grip in pronation position by rowers. Common symptoms and signs experienced by pronator teres syndrome athletes include: ·       Aching discomfort (39%). ·       Weakness (49%). ·       Numbness (58%). ·       Paresthesia (25%). At My Sports Injury Clinic Rehabilitation Centre, we have undergone rigorous training to treat this condition. We are an interdisciplinary sports physiotherapy clinic in Manchester City, providing sports massages / deep tissue massage therapy, myofascial release, chiropractic, rehabilitation exercises, manual therapy, personal training, physical therapy, and acupuncture. Using these different types of services we can help the patients and the customers achieve the best results and best conditions to live pain and limitations free. How can you treat pronator teres pain? - What is the conservative treatment for pronator teres syndrome? “Some authors suggest a period of immobilization, although a regimen that includes movement and rest of the flexor muscles of the forearm, stretching exercises, mild activity, modification of the activity that produces pain for a minimum of six months has been more recommended, accompanied treatment with anti-inflammatory drugs.” Mackinnon and Novak (2011) “Other authors comment that in a patient with arm pain with occasional paresthesia, supportive measures are recommended, such as analgesics, periods of ice / heat, rest splint, and activity modification. And they also cite that, without the necessary evidence to support the efficacy of surgical decompression of the median nerve in patients with scattered symptoms in pronator syndrome. They are in favor of conservative treatment.” Norris et la (1976). “Conservative treatment is effective in 50% to 70% of patients. Corticosteroids have also been shown to be effective. Morris and Peters found that corticosteroid therapy in the pronator teres, combined with activity modification, resulted in a subjective improvement of symptoms in five of the seven patients studied.” “The implementation of electrical stimulation and ultrasound has been displayed to be beneficial in the treatment process of other neuropathies, and their implementation may be favorable in the pronator teres syndrome’s treatment. A study showed that 50% of pronator syndrome patients informed relief of symptoms within four months of starting care.” LaTayo et la (2004). Is surgical treatment effective? “When an occupying injury is present and conservative management fails, surgery may be indicated. The success rate with surgery in the treatment of pronator syndrome is close to 90% in the literature, although there is no consensus on how long a conservative treatment should be followed before surgical intervention.” How is pronator teres syndrome diagnosed? – How do you test for pronator teres syndrome? The convalescent individual stands with an elbow flexed at 90 degrees. Then, the sports clinician/ physiotherapy practitioner is going to place one hand on the patient's elbow to stabilise it, and the other one will hold the hand in the handshake position of the individual in pain. When the practitioner tries to turn into a supination position on the patient's forearm, the patient will maintain this position, causing the patient to contract the muscles of the forearm. While maintaining resistance to internal rotation, the clinician will stretch the patient's elbow.If the discomfort or the pain of the patient reappears there is the possibility of the existence of compression of the median nerve by the pronator teres i.e. pronation activity exacerbates symptoms. How is Pronator Teres syndrome treated? – How to strengthen the pronator teres. Possibly the most significant aspect of the treatment process is to avoid reiterative strong grasps. Determined massage techniques can help to ease the tenseness of your injured forearm in this way reducing your median nerve compression. These techniques can lengthen the pronator teres muscle and they are known as “releasing” the pronator teres, these types of sports massages must be carried out by sports physiotherapy clinicians. Even though upper limb exercises can relieve symptoms once they have been started, regular stretching exercises can also help control and possibly prevent PTS.   ·       Pronator teres stretching. When bending your elbows, hold a heavy object (5-10kg) with your hand. Place heavy objects so that most of the heavy objects face the thumb side. Keep stretching for 30 seconds each time and repeat five times. “EXERCISES ROUTINE TO STRENGTHENING THE PRONATORTERES”.                          ·       Strength exercises routine to focus on supinator teres. For the disequilibrium between the supinator and the pronator teres, direct supination intensity work is required: 1.     Grab a weighted stick or a hammer with just one hand. 2.     Maintain the elbow straight, so that one end of the counterweight turns the arm into an internal rotation position (this makes the supinator eccentric). 3.     Put back the stick or the hammer to the vertical position. 4.     Execute three series of fifteen repetitions.      REFERENCES 1.     Jacobson JA, Fessell DP, Lobo Lda G, Yang LJ. Entrapment neuropathies I: upper limb (carpal tunnel excluded). Semin Musculoskelet Radiol. 2010 Nov;14(5):473-86. doi: 10.1055/s-0030-1268068. Epub 2010 Nov 11. PMID: 21072726. 2.     Lee MJ, LaStayo PC. Pronator Syndrome and Other Nerve Compressions That Mimic Carpal Tunnel Syndrome. J Orthop Sport Phys Ther 2004;34:601-609. 3.     Gessini L, Jandolo B, Pietrangeli A. Entrapment neuropathies of the median nerve at and above the elbow. Surg Neurol. 1983;19:112-116. 4.     Hartz, C R, R L Linscheid, R R Gramse, and J R Daube. “The pronator teres syndrome: compressive neuropathy of the median nerve.” The Journal of Bone and Joint Surgery. American Volume 63, no. 6 (July 1981): 885-90. 5.     Morris, H H, and B H Peters. “Pronator syndrome: clinical and electrophysiological features in seven cases.” Journal of Neurology, Neurosurgery, and Psychiatry 39, no. 5 (May 1976): 461-4. 6.     Eversmann WW. Proximal median nerve compression. Hand Clin. 1992;8:307-315. 7.     Nebot-Cegarra J, Perez-Berruezo J, Reina de la Torre F. Variations of the pronator teres muscle: predispositional role to median nerve entrapment. Arch Anat Histol Embryol. 1991;74:35-45.  8.     Tulwa N, Limb D, Brown RF. Median nerve compres- sion within the humeral head of pronator teres. J Hand Surg [Br]. 1994;19:709-710.  9.     Howard FM. Compression neuropathies in the anterior forearm. Hand Clin. 1986;2:737-745. 10.  Institute for Integrative Healthcare Studies; Techniques for Releasing the Pronator Teres; N. Cutler, L.Ac.; October 2009  

SHOULDER LIMITATIONS: DYSKINESIA, GIRD AND SCAPULOHUMERAL RHYTHM AND ITS INFLUENCE FOR SPORTS PERFORMANCE Upper back pain and scapular pain could be produced by overuse, muscle strain, uncoordinated movements of the involved joints or injury to the muscles, ligaments, and discs that support the spine. Bad posture is one of the upper back pain causes as well. Compression on the spinal nerves from certain problems, such as a herniated disc, these causes of upper back pain on the right side, upper back pain on the left side, and scapular pain can lead to further abnormalities such as shoulder limitations and limitations to scapular movement like dyskinesia, glenohumeral internal rotation deficit. The coordinated movement between the glenohumeral joint and the thoracic scapula is known as the scapular humeral rhythm. When flexo-abduction of the shoulder is performed at 180 °, this movement immediately intervenes in the displacement of the scapula because this singular bone piece is an important part in stabilising the upper limb and the upper back sides; of the 180 ° mentioned above, 120 ° have occurred in the glenohumeral joint while 60 ° have occurred in the scapulo-thoracic joint, which is known as the Scapulo-Humeral Rhythm. “The impact of sporting-related practices on the scapular resting position and the scapulohumeral rhythm and its quantitative relation 75 subjects were included in this research that they were fifteen volleyball practitioners, fifteen table tennis practitioners, fifteen handball athletes, and fifteen non-sports individuals. It was found that the static position of the scapular bone between the main and non-main shoulders of each group did not have asymmetry in upward/downward rotation, but the main shoulder of the handball player had a larger downward ratio than the main shoulder of the non-athlete in the resting position.Besides, in the five groups, the shoulder-brachial rhythm ratios of different abduction angles are significantly different, because the scapular kinematic behavior ratio of table tennis players and non-athletes is larger than handball players. To summing up, even though, some healthy athletes from different sports and non-athletes may not have asymmetry in the up/down rotation, exercise-related activities may affect the scapulohumeral rhythm” By Seyed Hossein Hosseinimehr (2020). The interrelatedness of these structures is essential for ideal mobility of the shoulders when the regular location of scapular bone relative to the humerus changes. It may lead to scapulohumeral rhythm dysfunction. Changes in the regular position are also called scapular dyskinesia. “In this sense, the proposed ratio for this scapular humeral rhythm, according to Inman et la (1994), is 2: 1, that is, for every 3 degrees that occur in shoulder elevation, the second occurs at the expense of the joint glenohumeral and 1st by the action of scapular rotation.” The lifting movement of the arm is carried out in a continuous, coordinated manner, during which for every 15º of movement, 10º lie in the glenohumeral and 5º in the scapular rotation, maintaining a ratio of 2: 1. In which sports situations is it necessary to have an optimal stabilisation and functioning of the shoulders? Different positions of the shoulder in contact sports situations where joint stability is required. These sports are football, rugby, basketball, amongst others. Different sports gestures where the great amplitude of shoulder movement is required for a more effective resolution. These sports are javelin throw, volleyball. Different sports gestures where mobility and stability are required. What is dyskinesia /scapular dyskinesia according to My Sports Injury Clinic Clinicians? First of all, we must know that our physical therapists of MY SPORTS INJURY IN MANCHESTER CITY CLINIC CENTRE will explain to you that dyskinesia is abnormal involuntary movements that mainly affect the limbs, trunk, or jaw and that occur as a manifestation of an underlying pathological process. According to the experts of MY SPORTS INJURY CLINIC, scapular dyskinesia is described as observable alterations in the position and movement of the scapula concerning the rib cage, which can generate alterations in the kinematics of the scapulohumeral, that is, this scapular dyskinesia most likely generates consequences in the gleno-humeral joint due to their intimate relationship in the movement. Why does dyskinesia occur? “Compared with non-overhead athletes, the prevalence of scapular dyskinesia in overhead athletes is higher, about 61% within sports like baseball, volleyball, basketball, American football, and cricket”. Under Yamaguchi and Cols (2000) “There are several factors that can cause this alteration/ shoulder-scapula limitations. The most frequently encountered are Postural alterations that promote this pathology, such as in a resting position with excessive thoracic kyphosis and an increase in cervical lordosis, which can result in excessive scapular protraction and acromial depression, which increases the potential to produce impingement”. Other factors associated with scapular dyskinesia stem from muscle dysfunction, specifically an alteration in muscle coordination. “For scapular stabilisation, co-contraction of the upper and lower trapezius and rhomboids with serratus anterior is required. For scapular elevation, co-contraction of the serratus anterior and lower trapezius with upper trapezius and rhomboids is required. If these muscular couplings do not occur, the production of scapular dyskinesis is possible. In the serratus anterior muscle, a decrease in its activity has been demonstrated in patients with subacromial impingement during loads and their phases” Ludewig and Cook (2000). What are the different types of Dyskinesis that you could suffer from? ·      Inferior dysfunction. ·      Medial dysfunction. ·      Superior dysfunction. Another limitation of shoulder/scapular movement discussed in this article is GIRD (Glenohumeral Internal Rotation Deficit) which will be described below. Visit My Sports Injury Clinic Rehabilitation Centre for An Appointment In MY SPORTS INJURY CLINIC located in Manchester City, we offer a huge variety of high ends rehabilitation programs focused on the well-being of the patient, and life without limitations. How can be defined GIRD? GIRD can be defined as the loss of degrees of glenohumeral internal rotation. This limitation tends to occur more frequently in pitchers of cricket and baseball, especially in the throwing shoulder compared to the non-throwing shoulder. Loss of glenohumeral internal rotation on the skillful side compared to the other limb. This is a characteristic alteration of overhead sports. “The main content of non-surgical treatment of GIRD patients is still posterior capsule stretching. A comprehensive treatment plan should also focus on the entire dynamic chain, including the lower limbs, core, and shoulder bones. For symptomatic throwers who cannot undergo extensive non-surgical treatment, shoulder arthroscopy can be performed. It is important to realise that not all patients with GIRD can be diagnosed with internal impingement.”  Michael B Rose and Thomas Noonan (2018). To conclude this article we share some conclusions: ·      A retraction of the posterior capsule could be a risk factor for developing rotator cuff friction syndromes. ·       Dysfunction of the scapulohumeral rhythm, either due to poor location, or an altered scapular movement, can result in a dysfunction in the scapulohumeral joint and the consequent increase in the risk of injury   What has been developed so far can serve as a starting point in the analysis of possible treatment approaches for impingement injuries or subacromial friction syndrome. This represents the irritation and wear generated by friction in the structures below the acromion and related to them.                               References ·      Kibler WB, Kuhn JE, Wilk K, et al. The disabled throwing shoulder: spectrum of pathology – 10-year update. Arthroscopy. 2013;29(1):141–161. e126. ·      Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology – part I: pathoanatomy and biomechanics. Arthroscopy. 2003;19(4):404–420. ·      Kibler WB, Sciascia A, Thomas SJ. Glenohumeral internal rotation deficit: pathogenesis and response to acute throwing. Sports Med Arthrosc Rev. 2012;20(1):34–38. ·      Ken Yamaguchiand col. Glenohumeral motion in patients with rotator cuff tears: A comparison of asymptomatic and symptomatic shoulders. Journal of Shoulder and Elbow Surgery Volume 9, Issue 1, January–February 2000. ·      Paula M Ludewig and Thomas M Cook. Alterations in Shoulder Kinematics and Associated Muscle Activity in People With Symptoms of Shoulder Impingement. Physical Therapy March 2000. ·      Struyf, F., Scapular positioning and movement in unimpaired shoulders, shoulder impingement syndrome, and glenohumeral instability, Scandinavian Journal of Medicine and Science in sports, jrg20, nr3, 2011, p352. ·      Rundquist P, Anderson DD, Guanche CA, et al. Shoulder kinematics in subjects with frozen shoulder. Arch Phys Med Rehabil 2003; 84:1473–1479. ·      Codman EA: The Shoulder,Boston: G.Miller & Company,1934. ·      Hosseinimehr, Seyed Hossein & Anbarian, Mehrdad. (2020). The effects of activities related to sports on scapular resting position and scapulohumeral rhythm ratio. Sport Sciences for Health. 16. 10.1007/s11332-020-00647-1.

Sports Physiotherapy scope to treat and prevent baseball injuries.   On some occasions, there are game situations where the professional baseball players suffer a muscle injury or slight pain, due to impacts/ trauma with other players, wild pitches (when the batter is hit by a ball thrown by the pitcher) or collisions with fences, etc. Sports physiotherapists / physical therapists / sports massage specialists, who work with the teams, must always be very attentive to any situation. They are the specialists in their area and responsible for the physical health of the players, but the most important thing is that they must always keep the manager and pitching coach posted of the physical condition of the players and pitchers. Cricket is also known as a sport that has similar strains injuries to baseball due to its very similar body movement patterns across game situations i.e. hamstring strains can be the result of many different actions like running between wickets, fast bowling. In general, hamstring strains are yielded by rapid direction changes and “out of the blue” movements. Cricket players are predisposed to sustain strains owing to the fact that they are standing still for a long time before sprinting, and in other positions the strains are caused as a result of overuse. “According to stats acute-on-chronic rated 16% to 22.8%, on the other hand, chronic injuries accounted 8% to 22%, but acute ones are the most common reaching 64% up to 76%. The most frequent injury in modern cricket is hamstring strain, and the most serious is the stress fracture of the lumbar spine in young fast bowlers.” Dinshaw N Pardiwala et la (2018).   During the baseball season there are a certain number of injuries, which, treated properly and on time, are quickly eliminated. There is an invariable rule that must be followed when these appear. If the injury is of a minor nature and the sports physiotherapist, coach or manager is qualified to treat it, they must do so and, if not, the injured elite baseball player / big leaguer must be onward referral to a specialist physician. My sports injury clinic is a rehab Centre located in Manchester city which offers high-end sports massages treatment options and allows every individual live pain / limitations free. In this article you are about to find every baseball related injury and how physical therapy / manual therapy / sports massages help to deal with them and avoid them.   What are the baseball positions that most predispose to a high incidence rate of suffering an injury? - How often do baseball related injuries occur?   “Qualifying criteria of the study, to be a pro baseball player in the Major Leagues (MLB), the American sport journal of sports medicine reported that it was observed that the players’ average put on the DL (it means disabled list) was high reaching a figure of 438.9 per each year/ season. The results of the study showed that of every 1000 (AE) athlete exposures, 3,61 of them got injured and were included on the list. There was not any variance between (NL) national league and the (AL) American league regarding injury rate. Statistically, the overhead throwing positions as Pitchers were more prone to suffer injuries obtaining a concurrence rate of 34% comparing field players. Also, it was found that upper body injuries represented a figure of 51.4% while lower limb injuries reported 30.06%. Spine and core muscle tissue injuries estimated for 11.7%, and other injuries and diseases represented 6.3% of the total number of the incoming injured players on the list. Overall, 55.6 days was the average of the players within that list.” Issued by Matthew Posner et la (2011).     The different types of injuries and the correct way to treat them will be described below, what are those kinds of injuries?   ·      Muscle aches; improve your physical condition, start the work from low to high and increase it as your body feels able to do it with more intensity. Rest, heat treatments and sports massages are advised, as the case may be. The player must take the heat treatment and sports massages methodically, but never without stopping training, although decreasing the intensity of the work, while the muscular pains last. “The repeated throwing and hitting moving patterns in baseball put mechanical stress on the lumbar spine, which may yield into (LBP) low back pain. A current finding displayed that more of 70 percent of abdominal muscle core strains take place on the opposite side of the dominant pitching side. Numerous stabilisation schemes and core stretching programs turned out to be effective to treat LBP reaching up to 80% of success i.e. it’s essential to know that these kinds of rehabilitation treatments must be performed by qualified sports massage practitioners / physical therapy clinicians / competent and responsible physiotherapists.” Stated by Joseph G. Wasser et la (2017).   ·      Throwing arm pain; rest is the best medicine, accompanied by heat treatments in any form: diathermy, hot packs, sports massages, etc. Maintaining the treatment until the pain disappears completely. Rest should only be for the throwing arm, because any attempt to work on the arm will aggravate the injury. Bursitis, rotor and shoulder muscle injuries, in addition to elbow pain (Tommy John injury), should be treated by a specialist doctor, since they are serious injuries, cause a lot of pain, they demand special care and at the end surgical procedures is the best management option.   “Baseball pitchers’ arm injuries are common atevery tier of the sportdue to the inclusion of professional pitchers on the handicapped list, an estimated annual loss record of $500 million. Moreover, throwing arm injuries in baseball reported to be almost 50% of all kinds of disabilities in the big show, 25% of the whole throwing injuries were arranged as grave in college athletes”  Cristine E. Agresta et  la (2019).   “According to reports, four professional pitchers suffer from resistant shoulder or bursa bursitis and require surgical removal of the thickened bursae. The average duration of symptoms before the surgery approach was 18.8 months. Conservative treatments include shoulder exercises, rest, deep tissue massages, manual therapy, NSAIDs, sports physiotherapy and cortisone jab. These were not enough to relieve pain and solve the bursitis problems so non-conservative process had to be involved.  Resistant scapular bursitis should be surgically removed.”  By D J Sisto, F W Jobe.   “The recovery time for mild bursitis is nearly 14 - 21 days if it is treated with sports physiotherapy/ physical manual therapy and the recovery time for the surgical operation of this injury is approximately 48 - 54 days” Published by the official website of MLB.   ·      Charley horse; it is the tearing of the fibers of the muscular tissues, breaking of blood vessels, due to a violent contraction of one or more muscles. As soon as this injury is reported, the first thing to do is to make sure if it is truly a charley horse and if so, immediately proceed to an application of ice for thirty minutes to constrict the blood vessels and eliminate the possibility of an internal spillage of blood. Rubbing the ice on the damaged part eliminates the pain. After ice, any form of heat can be used. Gentle, slow, rhythmic massages / sports massages / sports physiotherapy lasting 15 to 20 minutes, together with rest, is what will help the player to recover completely. “Exercise related muscle cramps also known as charley horse is described as spasmodic, painful, and non-voluntary shrinkage of musculoskeletal tissue that happens immediately after the exercise / routine or during sporting competition. Stats displayed that there is a high evidence of incidence amongst elite athletes that play endurance sports.  Charley horse most efficient primary treatment methods are passive stretching indicated by sports physiotherapy and rest. The key to preventing Charley horse is to diminish premature muscle fatigue’s risk.” Pointed out by Malcolm Collins et la (2008).   ·      Other injuries, baseball players can sustain and present symptoms of diseases of a respiratory, lumbar, neurological, visual, allergic nature and infectious processes of the skin or feet, as well as with bone-type ailments. Neurological problems, body misalignment and muscle pain may be treated by sports physiotherapists perfectly. Conversely, in severe cases must be referred by the sports clinicians and authorised personnel, to a specialist doctor. “Superior labrum anteroposterior lesions, proximal humeral epiphysiolysis, rotator cuff dysfunction and glenohumeral instability are some common injuries stemmed by the practice of baseball in young athletes due to skeletal immaturity, inadequate of throwing arm movements, fatigue and overuse.”  Brian J Krabak and Jason L Zaremski (2012).     Can truly physical therapy / sports massages / manual therapy assessment and treatment procedures provide relief in baseball related injuries / disabilities recovery?   “Baseball players who exhibit insufficient shoulder range of motion (ROM) have an increased risk of arm injuries. As a matter of fact, there is a paucity of evidence what the best treatment choice for this injury is in order to allow the shoulder’s range of motion be wholly competence, so, here it’s the thing.   What’s the relevancy of stretching and manual therapy / sports physiotherapy in baseball?    Compared with stretching alone, the manual therapy alongside self-stretching function meaningfully minimise the risk factors of ROM for baseball players with limited arm motion. Other manual therapy’s benefits are that sports manual therapy can support to play down ROM deficiency in clinical scenarios where stretching has not been effective at all.” Ellen Shanley et la (2017).     “Repeated overhead throws place huge demands on the shoulder joints of overhead throwing athletes. Therapist practitioners, sports clinicians, sports physiotherapists, manual therapy practitioners and medical staff are responsible for steadiness and mobility stabilisation to maximise and achieve the required physical performance.” Cited from the study of Omidreza Jalali et la (2018).         REFERENCES ·       Posner M, Cameron KL, Wolf JM, Belmont PJ Jr, Owens BD. Epidemiology of Major League Baseball injuries. Am J Sports Med. 2011 Aug;39(8):1676-80. doi: 10.1177/0363546511411700. Epub 2011 Jun 27. PMID: 21709023. ·       Wasser JG, Zaremski JL, Herman DC, Vincent HK. Assessment and rehabilitation of chronic low back pain in baseball: part II. Res Sports Med. 2017;25(2):231-243. doi:10.1080/15438627.2017.1282362. ·       Wasser, Joseph G et al. “Assessment and rehabilitation of chronic low back pain in baseball: part II.” Research in sports medicine (Print) vol. 25,2 (2017): 231-243. doi:10.1080/15438627.2017.1282362. ·       Agresta CE, Krieg K, Freehill MT. Risk Factors for Baseball-Related Arm Injuries: A Systematic Review. Orthop J Sports Med. 2019;7(2):2325967119825557. Published 2019 Feb 25. doi:10.1177/2325967119825557 ·       Sisto DJ, Jobe FW. The operative treatment of scapulothoracic bursitis in professional pitchers. Am J Sports Med. 1986 May-Jun;14(3):192-4. doi: 10.1177/036354658601400302. PMID: 3752357. ·       Schwellnus MP, Drew N, Collins M. Muscle cramping in athletes--risk factors, clinical assessment, and management. Clin Sports Med. 2008 Jan;27(1):183-94, ix-x. doi: 10.1016/j.csm.2007.09.006. PMID: 18206574. ·       Bailey LB, Thigpen CA, Hawkins RJ, Beattie PF, Shanley E. Effectiveness of Manual Therapy and Stretching for Baseball Players With Shoulder Range of Motion Deficits. Sports Health. 2017 May/Jun;9(3):230-237. doi: 10.1177/1941738117702835. Epub 2017 Apr 12. PMID: 28402756; PMCID: PMC5435155. ·       Zaremski JL, Krabak BJ. Shoulder injuries in the skeletally immature baseball pitcher and recommendations for the prevention of injury. PM R. 2012 Jul;4(7):509-16. doi: 10.1016/j.pmrj.2012.04.005. PMID: 22814728. ·       Stone, Michael & Jalali, Omidreza & Alluri, Ram & Diaz, Paul & Omid, Reza & Gamradt, Seth & Tibone, James & Weber, Alexander. (2018). NONOPERATIVE TREATMENT FOR INJURIES TO THE IN-SEASON THROWING SHOULDER: A CURRENT CONCEPTS REVIEW WITH CLINICAL COMMENTARY. International Journal of Sports Physical Therapy. 13. 306-320. 10.26603/ijspt20180306.  

HOW TO PERFORM A REMARKABLE GOLF: KEYS TO A TOP ELITE PERFORMANCEEven though golf is considered as a non-high-impact sport, it can cause a variety of injuries. A wide array of golf related injuries are yielded by overuse/ monotonous movements/  poor golf swing techniques / mechanics. Most common golfing injuries are experienced in the lumbar back area, in others common injured zones by bad practices of golf basics are included shoulder, elbow, hand and wrist. It is extremely important to take into account and know how to perform a quality golf swing, so in this way not give away any type of advantages at the time of competition, whether elite competition or beginner/ amateur practice. In this MY SPORTS INJURY CLINIC blog post you will allow yourself to dig out everything you need to know about. MY SPORTS INJURY CLINIC GOLF INJURIES AND RGIHT WAY TO MAKE A GLOF SWING - FEMALE GOLF COMPETITION LOWER BACK PAIN - HOW MY SPORT INJURY IN MANCHESTER CITY CAN HELP TO ANY GOLF INJURY RECOVERY  “When there are injuries produced by golf practice hardly ever they are given the same acknowledgment as contact sports, combat sport. Nevertheless, golfing injuries are befallen more frequently than you thought. A scientific research was carried out where the aim was to review the profile of the golf female players’ discomforts. A statistic of five hundred twenty two (522) female golf practitioners were included in the study where (35,2%) of them presented having experienced an injury due to practice golf within a period of time of twelve months before the Women's Pennant Competition in Victoria, Australia. It was indicated lower back as the most frequent injured zone and strains were pointed out as the most common source of injuries representing a figure of 67, 9%. Around of 184 injuries informed 154 of them were treated by a health care professional provider. Likewise, it turned out that sports physicians / physiotherapists / physical sports clinicians were the most consulted and sought after to handle these kinds of injuries.Statistically 69, 7 % of the golfers could not be performing in their competitions properly due to the injuries causing competition games and practices to be missed, reaching up to an amount of 78, 9% of affected performance”. As per A J Fradkin et la (2005). [RH2]  Muscle Strains & Back Pain - What are the treatment options? Physical therapy in Manchester City - Book an appointment at MY SPORT INJURYBack Strains Injuries - How can sports therapy be beneficial to fix strains? MY sports injury clinic based on Manchester City Centre“Pitcher’s elbow, golfer’s elbow or medial epicondylitis is a regular tendinopathy which is yielded by overload/ repetitive movements of the elbow area, also known as repetitive strain injury (RSI). It could be produced by playing American football, baseball, golf and tennis and many other sports where a racquet is required. The medial epicondylitis is way less frequent than the lateral one. Thus, it comprises a number of 10% to 20% of the whole epicondylitis injuries. In accordance of the research the occurrence is 0, 4% amongst of global population i.e. is not a common injury, Physical therapy is mainstay management approach which seeks to relieve patients’ pain and avoids surgical intervention. Considering the non-conservative treatment in serious golfer elbow injuries, both treatments conservative and surgical have proven effectiveness. ” Kimberly Kaiser and John Kiel (2020). You already know that the movement we make to hit the ball when making the stroke is called swing. If you are starting to play golf as a past time, you have wondered more than once how to make a good swing. Although practice on the ground is essential, we are going to explain some keys to you regarding the swing. My sports injury clinic located in Manchester city recommends you to follow the guidelines below.   Before we get down to work we must not forget that what you want to achieve with the swing is to maximise the speed of the clubhead at the moment of hitting the ball to reach the maximum distance and making use of a good alignment of the body is also key as if you don’t control your body you will be spraying ball to any course except for the targeting one wanted for the golfer. Stages of golf swing / Thoracic vector in golf coordination / Essentials for the ball contact in golf by MY SPORT INJURY CLINIC “In this review it was highlighted that there were three frameworks and they were used to calculate the horizontal plane alignment of the upper body; cardan angles, chest vector and the last one is inter acromion vector. Then, it used the intra-class correlation and 95% agreement to limit the agreement between the evaluation methods. Outcomes found displayed that thorax/ chest vector can be employed to give precise estimation of thoracic alignment in every phase of the swing.” Published by C E Milner, T Vernon and J S Wheat (2007). Learn how to get a good upper body alignment posture while practicing golf - MY SPORT INJURY CLINIC RECOMMENDS THESE STEPS. An outstanding swing will depend a lot on our position (stance / good alignment) and on how we hold the club (grip), which must be done by keeping the shaft as close as possible to the base of the fingers. What is the correct position during the swing performance? The first thing you have to know to make a swing is that to have a good position we must open our legs to the width of the hips. Just like the photo below. Proper stance in golf swing / Correct posture during ball contact in golf sporting events / My sport injury advices. If we do not adopt the necessary techniques to make a swing when we practice golf, it is very likely that we will get an injury. “The prevalence showed in the study was that golf players linked with lesions in the lower back area varies from 15 % (fifteen percent) up to 34% (thirty four percent) in non-professional golf players, on the other hand, a figure of 22% (twenty percent) up to 24% (twenty four percent) in professional/ elite golf practitioners. Overall, the incidence within male golfers group is 25% and it can reach up to 35%” meanwhile within female golfers group is 22% and it can encompass up to 27%.” Cited from the research made by  Andrew J. McHardy et la (2007). We bend slightly from the hips forward and bend our knees. The arms must have width so that they remain straight during the blow. The ball must be in the centre, but slightly displaced to the left, although it will depend on the chosen club. As we mentioned the knee is essential to perform a good stance, but, Can I injure my knee while playing golf? “The incidence of sustaining knee injuries in professional golf athletes and amateur golf ones is ranging from 3% to 18%, and the assessment measure on skill level or gender is not evident. Although, older golfers presented higher risk of having knee injuries” Research issued by Matthew L. Baker et la (2017) How to start off a good swing. You must be aware that the first part of the swing begins by separating the head of the club from the ball. You have to do it gently and with your arms outstretched. The movement must end with the stick over the shoulder and parallel to the ground. “In short, the injuries of professional golfers are usually linked to their swings, According to reports, various acute and chronic injuries include, median neuropathy, ulnar nerve neuropathy, wrist fractures, eye injuries, skin rashes and tendinitis.  Repetitive swings cause the most damage to men and women; areas such as the lower back, left hand and left wrist get injured commonly, collecting an average of two injuries for every professional golfer. ” Study named as the price golf players have to pay by Terence J Gioe and John R McCarroll (1982). Wrist Pain - Wrist injury - Wrist injury fitter golfers - Tendinitis in professional golfers - What do i need to do to treat it? Sports therapy / Physical therapy recovery   Golf Wrist Injuries and Hand Physiotherapy in Manchester city sports therapy centre. Can physical therapy / spinal manipulation improve my swing performance? “Comparing muscle stretching alone to chiropractic therapy related to muscle stretching looks like it is tied in to the improvement of golfers' full swing performance i.e. spinal manipulation / physical therapy will give better results than a solo stretching workout” Soraya M.V. Costa and others (2009).[RH3]  What is the right way to hit the golf ball? Once this movement is finished, we move on to the change of direction of the swing which we are going to hit the ball. The lowering of the stick begins with a hip movement which we reverse the turn of our body while lowering the head of the stick. This movement must be done with controlled force. When we hit the ball, far from finishing the swing, we must continue with the movement. How to finish your golf swing smoothly. Given the movement we have made previously and the force which we have hit the ball, it will be difficult for us to stop. So we continue to slow down little by little. The golf club will continue to draw an arc around our body. When this movement ends, the club should be above our head. To make a good swing it is necessary to practice and have an expert player who teaches you that is vital to achieve it. Most common golf injuries / Knee injury / Lower back pain in golf players / What the experts of My Sport Injury Clinic in Manchester City think References ·       Fradkin AJ, Cameron PA, Gabbe BJ. Golf injuries--common and potentially avoidable. J Sci Med Sport. 2005 Jun;8(2):163-70. doi: 10.1016/s1440-2440(05)80007-6. PMID: 16075776.   ·       Wheat JS, Vernon T, Milner CE. The measurement of upper body alignment during the golf drive. J Sports Sci. 2007 May;25(7):749-55. doi: 10.1080/02640410601113213. PMID: 17454543.   ·       McHardy A., Pollard H., Luo K. Golf injuries: a review of the literature. Sports Med. 2006;36:171–187.     ·       McHardy A., Pollard H. Lower back pain in golfers: a review. J Chiropr Med. 2005;4:135–143.   ·       Gosheger G., Liem D., Ludwig K., Greshake O., Winkelmann W. Injuries and overuse syndromes in golf. Am J Sports Med. 2003;31:438–443.     ·       McCarroll J.R., Gioe T.J. Professional golfers and the price they pay. Phys Sportsmed. 1982;10:64–70.   ·       McCarroll J.R., Retting A.C., Shelbourne K.D. Injuries in the amateur golfer. Phys Sportsmed. 1990;18:122–126.     ·       Cabri J, Sousa JP, Kots M, et al. Golf-related injuries: a systematic review. Eur J Sport Sci. 2009;9:353–366. doi: 10.1080/17461390903009141.   ·       Gatt CJJ, Pavol MJ, Parker RD, et al. Three-dimensional knee joint kinetics during a golf swing: influences of skill level and footwear. Am J Sports Med. 1998;26:285–294. doi: 10.1177/03635465980260022101.     ·       Marshall RN, McNair PJ. Biomechanical risk factors and mechanisms of knee injury in golfers. Sport Biomech. 2013;12:221–230. doi: 10.1080/14763141.2013.767371.   ·       McCarroll JR, Gioe TJ. Professional Golfers and the Price They Pay. Phys Sportsmed. 1982 Jul;10(7):64-70. doi: 10.1080/00913847.1982.11947272. PMID: 29267100.   ·       Seaman D. Golf and chiropractic: a natural combination. Dyn Chiropr. 1999;17(17) .

THE MAGNITUDE OF A GOOD POSTURE: THE NEW RULES OF POSTURE WORK FROM HOME Keeping a healthy posture during daily occupations not just helps to put a stop to waist, back and neck pain but helps out to avoid these issues from getting worse over time as well. “Studies have confirmed that optimisation in posture cognisance are lengthwise tied in to the fact of easing patients pain/ ache particularly patients with pain located over shoulder and spinal region” Cited from Postural consciousness and the connections to soreness of Holger Cramer et la (2018). WHAT A GOOD POSTURE IMPLIES? Although we often think that posture has to do only with the position of the back in relation to the support of the head, actually posture is the position in which we support our body while standing, sitting or lying down. Good posture is the correct alignment of the body parts supported by correct breathing and muscle contraction that helps to keep the spine in line. “State of the art rehab-science has pronounced according to the investigations that it’s noticed that breathing workout possesses a transcendent sway in the steadiness and the competence of move of the spine on patients with lumbar unsteadiness who have changed their breathing methods and in general body posture. In the face of the impact of breathing on mental and physical healthiness it is necessary to conduct continuous clinical research about breathing in patients with abundant persistent musculoskeletal conditions” Byoung Kwon Lee et la (2018). Usually we do not worry about having a normal posture; this is the direct work of certain muscles that act without us having to think about it directly. Various muscle groups; mainly the postural muscles, they are critically important to maintain good posture. While ligaments help to hold the skeleton together, these postural muscles, by working properly, prevent the forces of gravity from pulling us forward. Postural muscles keep up our balance during movement and posture as well. “In the medical observation, convalescent individuals who experience long-standing back pain in general perform extra movements to make up to and hold up posture and equilibrium of the spine under outer loads. The countervailing gestures not just impair the waist area but the neck, shoulder and sternum zones as well. At the same time, the increase in contractility and muscle strength can reduce abdominal pain, and stabiliSe the function in daily life by improving trunk muscle strength and core muscles. The repercussion of the outcomes prove that the throughput of forced breathing practices for patients sustaining low back pain with the need of up and running enhancement and spinal steadiness i.e. they showed that this physical therapy can effectively improve trunk stability and occupation of daily living in chronic LBP patients the stabilisation therapy schedule was executed for about a month and a half for a period of 45 minutes twice a week. ” Chul Ki et la (2016). HOW CAN A PROPER POSTURE BE WORTHWHILE? It initially helps us stand, walk, sit, and lie down in positions that put the least effort by supporting the muscles and ligaments during movement and weight-bearing activities. Proper posture gives us a hand in order to keep our joints and bones in the spot on alignment thereby our muscles perform correctly, reducing atypical wear and tear on joint surfaces that could ensue into degenerative arthritis and joint pain. WHAT ARE THE IMPLICATIONS OF WRONG POSTURE? Poor posture can lead to excessive tension in our postural muscles and can even cause them to relax, when they are held in certain positions for long periods of time the immediate result can be to develop intense back pain, the more the postural muscles weaken, the body will be more prone to get injured and back pain. The most common factors that contribute to poor posture are weakness of postural muscles, overweight, stress, anxiety, gestation process, high-heeled footwear and irregularly tight muscles, as well as mistaken work posture. CAN I CORRECT MY OWN POSTURE ? Certainly yes, however, long-lasting postural problems will usually take longer to rectify as the joints have often adapted to your poor posture for a long time. The first step is to become aware of your own posture and to know which posture is correct. Once you have learned that you have poor posture, it is necessary to re-educate the brain to make it aware and be willing to involve a lot of practice in order to make a significant change. For these and many more reasons it is imperative to seek professional assistance like the one we feature at MY SPORT INJURY & physiotherapy clinic in Manchester which offers high–ends Manual therapy techniques and the guidance you need that will allow you to set you free pains and impairment you’ve been suffering from. It is highly recommended to take a yoga class, any type is good because all yoga classes aim to motivate the body's own function supported by breathing, each time this discipline is practiced, and this will be a reminder of the work that your body is able to return to a healthy posture. HOW CAN YOGA HELP TO IMPROVE BREATHING? – IS PRANAYAMA BENEFICIAL? Pranayama, or techniques for learning to breathe properly, has innumerable benefits: ·      It increases lung capacity, so the lungs can get the air they need in fewer breaths, unlike people who cannot take deep breaths, and have complications derived from it. ·      You have more stamina to perform physical efforts. Observe people who breathe badly. They get tired quickly with little effort, such as walking up stairs. “After the implementations of pranayama yoga physical therapy sessions, solely reached a figure 33% of the evaluated individuals belonging to the experimental group met a high evidence of anxiety before evaluation, and this proportion was almost twice that of the checkpoint group obtaining 66.7%. Pranayama has an air of being a positive method on test performance and test anxiety, for both elite athletes and regular students.”Azadeh Nemati (2013).   ·      Generates tranquility and peace of mind. A slow and sufficient breathing is the natural state of the body, without tension, which also causes fatigue and mental fatigue. ·      Revitalizes the body. After exercising, you regain a normal heart and breathing rate. For what is this? Because you need less air than you've been using. Therefore, if your lung capacity increases, you feel better and more willing to move, go out for a walk, do physical exercise, etc. ·      Slow, deep breathing reduces the strain on the heart, which becomes more efficient and strong, works better, and lasts longer. ·      In a moment of stress or anxiety, it manages to reduce it considerably and even eliminate it. Another option is to consult a chiropractic practitioner / physical therapist / chiro clinician; they have spinal alignment techniques that can help you obtain the correct posture, including the recommendation of exercises to strengthen the main postural muscles. A chiropractic doctor can help you choose appropriate postures during your activities, helping to reduce any risk of injury. “Given the moderate evidence from studies, it is indicated that chiropractic management for lower back pain is as effective as physical therapy. There was little evidence in which chiropractic treatment was compared with medical care and physiotherapies in which it is indicated that these approaches and management have the same conclusion, there was not an outstanding difference in terms of the results obtained after the treatment of different injuries sports” Marc-André Blanchette et la (2016). Only few people have a real understanding of the importance and necessity of good posture. Thinking of involving time and effort in something that we consider we have earned and free as posture can be a mistake, because sooner or later the inevitable consequence of back pain will appear and the more damaged our body is, the more difficult it will be to restore it. If you already have a chronic back pain problem, seek professional assistance; attend to your nearest Health-Care Centre is the first step to take to allow you to get rid of your impairments / afflictions.           REFERENCES ·       Stanos S, Mogilevsky M, Rader L, McLean J, Baum A. Physical medicine approaches to pain medicine. In: Smith HS, editor. Current therapy in pain. Philadelphia: Elsevier; 2009.   ·       Kauffman TL. Bolton MA: Posture. In: Kauffman TL, Scott RW, Barr JO, Moran ML, editors. A comprehensive guide to geriatric rehabilitation. 3. Edinburgh: Churchill Livingstone; 2014.   ·       Massion J. Postural control system. Curr Opin Neurobiol. 1994;4(6):877–887. doi: 10.1016/0959-4388(94)90137-6.   ·       Laskowski ER. Proprioception. Scient Princ Sports Rehab. 2000;11:323–340.   ·       Bradley H, Esformes J. Breathing pattern disorders and functional movement. Int J Sports Phys Ther. 2014; 9(1):28-39.   ·       Chaitow L, Bradley D, Gilbert C. Multidisciplinary approaches to breathing pattern disorders. New York. Churchill  Livingstone. 2002.   ·       Comerford MJ, Mottram SL. Movement and stability dysfunction--contemporary developments. Man Ther.  2001;6(1):15-26.   ·       Stevens VK, Bouche KG, Mahieu NN, et al. : Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord, 2006, 7: 75.   ·       Akuthota V, Nadler SF: Core strengthening. Arch Phys Med Rehabil, 2004, 85: S86–S92.   ·       Hodges PW, Moseley GL: Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol, 2003, 13: 361–370.   ·       Selami A, Yavuz F, Yesilyurt S. Sosyal Bilimler Dergisi. 2009:146–60.   ·       Spielberger CD. Manual for the state- trait anxiety inventory. Palo Alto, CA: Consulting Psychologist Press; 1983. ·        Huberty TJ. Test and test performance. Principal performance. 2009.

DRY NEEDLING VERSUS ACUPUNCTURE While in acupuncture the needles are applied at certain points that are located in meridians, which do not have to be close to the injured area, in dry needling the needle is applied directly to the trigger point. Both are invasive methods used to treat pain disorders and can be used for myofascial trigger points. The two methods use similar needles that pierce the patient's skin and both dry needling and acupuncture therapies have proven to be very useful in clinical practice. “Some studies showed some low – quality to medium-quality evidences that dry needling therapy sessions carrying out by a professional physical therapy practitioner is way more efficient than sham dry needling, no treatments, and other treatment alternatives for relieving aches and getting a better pressure of pain threshold in convalescent patients exhibiting musculoskeletal soreness within a follow-up of eighty four days.” Eric Gattie et la (2017)“In case of suffering pain located in the lower back there are researches that displayed that acupuncture solo treatment tenders better outcomes i.e. specifically giving a short- term ache relief comparing to no treatment choices and acupuncture plus other management approaches" Stated by Lizhou Liu et la (2015)IS DRY NEEDLING AS A PHYSICAL THERAPY TREATMENT OPTION? Dry needling is an innovative physiotherapeutic technique that uses acupuncture needles to treat certain ailments, especially myofascial pain syndrome, but its similarity to acupuncture ends here, these two techniques should not be confused. It is defined as a semi-invasive technique because the needles penetrate the skin in search of the trigger point which is the cause of myofascial pain in order to press it, deactivate it and end the pain. To find it, the stimulation, comprehension, contraction, stretching, of the muscle is vital, since if pain occurs this suggests that there is a trigger point.Lin liu et la (2015) pointed out that “In the short and medium term, dry acupuncture physical therapy method is recommended and suggested to reduce MTrP (Myofascial trigger point) pain found out in neck and shoulders areas, but in the medium term, wet acupuncture is observed to be more effective than dry acupuncture in reducing MTrP pain in the neck and shoulders.” To understand exactly what dry needling is for, we must delve into myofascial pain syndrome and, for this, we must define its causes; trigger points. Trigger points are areas of the muscle that are weak and with great sensitivity to palpation. They occur when the sarcomeres (areas of the muscle fibers where the muscle contracts) are permanently contracted by the continuous release of acetylcholine, which prevents the relaxation of the fibers and decreases blood flow.“Acupuncture and how beneficial it is, for a one-month period of intense competition for four international women's volleyball players. Perform dry acupuncture of the shoulder and brachial muscles. Evaluate the range of motion, intensity, and pain before and after treatment, and perform functional evaluation of pain immediately after competition and overhead activities. All scores improved after treatment and athletes were able to continue their daily activities. Previous studies have shown that myofascial trigger points may cause significant functional weakness and reduced range of motion, accompanied by pain. Trigger point dry acupuncture has successfully treated athletes with myofascial pain and impingement symptoms, but it only improved subjectively, not during the competition phase. It can help maintain the balance and strength of the rotator cuff, decreasing further pain and injury.” Nichola J Osborne and Ian T Gatt (2015).Trigger points can be caused by many different causes, practicing combat/contact sports, repetitive movements, tackles, cold currents that directly affect the muscle, keeping the muscle in a shortened position for a long time, blows, injections, etc. There are many types of trigger points: Active: Always painful, they respond to pressure with local spasms. Latent: It only hurts when palpating. Core: Located near the center of the muscle fiber. Key: It is responsible for the activation of one or more trigger points. Satellite: Activated by the key trigger point. Primary: It is activated by a repetitive movement, acute or chronic overload; it does not mediate another muscle in the activation.WHAT ARE THE INDICATORS FOR DRY NEEDLING?The indications to perform the Dry Needle are multiple and varied, always remember to attend to health care premises where you’ll find the professional practitioners like physical therapists, sports massage clinicians and others to carry on your Dry needling treatment  under maneuvers backed up and warranted by science, the most frequent are: Patients with any shoulder pathology. For example: 1.    Frozen shoulder. 2.    Hemiparesis. 3.    Subacromial syndrome (inflammation of the shoulder muscles, it means of the rotator cuff). ·     When there are muscle problems.· Low back pain such as sciatica. ·Radiculopathies and neck pain. ·Pain due to whiplash.·When there is hip pain. ·When there is knee pain. ·Plantar fasciitis (inflammation of the fascia of the foot, the pain is located in the sole of the foot).“A steroid jab can relieve plantar pain swiftly, but dry needling can feature more above standard outcomes in patients presenting plantar fasciitis in the long term.” Contrast between dry needling treatment and steroid injection by Shirvan Rastegar et la (2018). ·Tendinopathies, such as Tennis Elbow or Golfer's Elbow, that is to say any type of tendinitis. “In fact, a recent study found that 80% of patients with elbow extensor (tennis elbow) tendinitis had excellent results after using dry needling. Similarly, 72% of patients with patellar (knee) tendinitis had great to excellent results after using dry needling” ·It is also indicated in some headaches and migraines. ·Fibromyalgia. ·Joint pain in general.WHAT IS A PHYSICAL THERAPY ACUPUNCTURE SESSION TREATMENT? Acupuncture is made up of thrusting very thin needles into the skin at cautious and strategic zones over the human body. Acupuncture, a key component of traditional Chinese medicine, is frequently used to treat pain from practicing sports. Its use is increasingly common to improve general well-being, for example, to manage stress. “According to the outcomes of every case report, it was confirmed that acupuncture was used to treat distinct types of sports injuries that elite athletes experience. Acupuncture can help relieve short-term pain and recover from dysfunction and is used as a very useful non-surgical and non-invasive treatment for sports injuries such as acetabular hit, lateral meniscus rupture, sports hernia and ganglion cysts. In addition, acupuncture has been suggested as a treatment method worth trying for conditions such as muscle aches and delayed-onset muscle soreness.” Ji-Won Lee et la (2020).WHAT ARE THE INDICATIONS FOR ACUPUNCTURE? The indications to perform an acupuncture treatment are not only for sports injuries, it can also be performed for different conditions, pathologies, ailments, muscle aches and others, such as: “The entire number of athletes taken into account within the evaluation is 211, of which 119 (56.4%) are men. The age of the athletes is 8 to 77 years the average is 24.8 yo. Among 211 sports injuries within sports like basketball, football, golf, running, ice hockey, track and field, swimming, etc. Musculoskeletal system and connective tissue diseases scored for the highest proportion of the main symptoms reported in each case report/series 46.4%. The most injured parts were knees (medial collateral ligament injury (19 cases), knee jumping (8 cases), meniscus injury (1 case)), followed by elbows, tendinopathies, and shoulders (rotator cuff injury - 2 cases). In addition, studies on various musculoskeletal diseases are reported, including tendon syndrome with chronic pain in multiple body parts (22 cases).” Ji-Won Lee et la (2020). ·      Respiratory and pulmonary disorders. ·      Respiratory diseases. ·      Digestive and intestinal disorders ·      Eye, ear, mouth and throat diseases. ·      Gynecological disorders, menstrual pain. ·      Joint diseases and pain. ·      Neurological disorders.·      Sudden acute disorders. ·      Skin diseases. ·      Urinary and reproductive disorders. ·      Treatment to stop smoking. ·      Weight loss treatment. ·      Treatment for stress, respiratory and lung disorders.“Based on the data collected from ten fortuitous trials showed that there is evidence where, needle treatment is an efficacious method to treat pain and physical dysfunction linked to knee osteoarthritis. There is insufficient evidence to show whether acupuncture affects other factors related to knee arthritis” Terry Kit Selfe et la (2008).“There was an investigation where it was vouched that acupuncture keeps to initiate the production of BDNF (Brain derived neurotrophic factor), and the enhancement of TrkB (tropomyosin receptor kinase B) expression activates downstream signal transduction pathways to restore neurological deficits, thereby providing more molecular mechanisms for understanding traditional acupuncture therapy.” Xiaohong Li et la (2017).REFERENCE   ·       Kochanek P. M., Clark R. S. B. Traumatic brain injury research highlights in 2015. The Lancet Neurology. 2016;15(1):13–15. doi: 10.1016/S1474-4422(15)00339-7.   ·       Kline A. E., Leary J. B., Radabaugh H. L., Cheng J. P., Bondi C. O. Combination therapies for neurobehavioral and cognitive recovery after experimental traumatic brain injury: is more better? Progress in Neurobiology. 2016;142:45–67. doi: 10.1016/j.pneurobio.2016.05.002.     ·       Zhao Z., Zhang W., Xing J., Yan X. Modern research progress regarding effect mechanism of acupuncture on post-traumatic stress disorder. Zhongguo Zhen Jiu. 2015;35(10):1085–1088.   ·       Guccione AA, Felson DT, Anderson JJ, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. American Journal of Public Health. 1994;84(3):351–358.      ·       Lawrence RC, Helmick CG, Arnett FC, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis and Rheumatism. 1998;41(5):778–799.   ·       Warburton D.E.R., Bredin S.S.D. Health benefits of physical activity: A systematic review of current systematic reviews. Curr. Opin. Cardiol. 2017;32:541–556. doi: 10.1097/HCO.0000000000000437.     ·       Pedersen B.K., Saltin B. Exercise as medicine—Evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand. J. Med. Sci. Sports. 2015;25:1–72. doi: 10.1111/sms.12581. ·       Petridou A., Siopi A., Mougios V. Exercise in the management of obesity. Metabolism. 2019;92:163–169. doi: 10.1016/j.metabol.2018.10.009.   ·       Parkkari J., Kujala U.M., Kannus P. Is it possible to prevent sports injuries? Review of controlled clinical trials and recommendations for future work. Sports Med. 2001;31:985–995. doi: 10.2165/00007256-200131140-00003.

MMA or Mixed Martial Arts is the fusion of different styles of traditional martial arts. The best aspects of disciplines such as kickboxing, boxing, wrestling, muay thai, Brazilian jiu jitsu, karate and judo, mixed all in one to form an effective and complete fighting style, where two mixed martial arts professional athletes face each other in a cage under right rules that protect them from severe damage, but at the same time allow so much action that they have made MMA the fastest growing unarmed combat sport worldwide. Radio Salil et la (2013) pointed out that “90% of injuries are yield by training itself, which is one of the prime conclusions of the study carried out on sports injuries, their prevention and recovery. According to this study, the most affected zones by lesions are the knee, thigh and ankle.”IS THERE ANY DIFFERENCE BETWEEN UFC and MMA? UFC is the abbreviation of Ultimate Fighting Championship, the main organization of MMA in the world, created in the United States. The popularity of this organization is what has made people relate directly to the sport. “A study of 9 weight divisions of UFC was made, in which it there were 291 injuries over 285 fights i.e. the injury average of athletic exposure was 51 per 100 fighters/ athletes. Males fighters (fifty-four injuries per one- hundred athletic exposures) had a higher average of suffering an injury than female ones” Stated out by Joseph A. Abboud et al (2018).WHY IS PHYSICAL THERAPY SO VITAL DURING PRE AND POST TRAINING / COMPETITION? The risks of not following preventive protocols can lead to problems such as muscle inflammation or rupture, delayed muscle damage, or fibrillar micro tears. For this reason, the work performed by the sports physiotherapist / physical therapy specialist in Manchester city in the pre and post training phase allows the prevention of muscle injuries and optimal muscle recovery. As part of these prevention assignments, MY Sports Injury | Manchester injury specialists recommend applying a topical anti-inflammatory before and after sports activity, because thanks to its heat effect, it helps to prepare the muscles and joints. WHAT ARE THE MOST COMMON INJURIES IN MARTIAL ARTS? Martial arts can lead to a wide variety of injuries. The type of injury often depends on the particular martial art form of being performed. Many forms of martial arts are non-contact and are characterised by overuse injuries. Contact martial arts vary widely in their techniques, standards, and protective equipment and these factors affect the type and rates of injury. “A figure of 55 martial arts practitioners with an age average (18-39 years) was included in the research that showed 207 injuries, in which high belt ranks had significantly fewer injuries compared to low belt ranks and Amateur fighters showed fewer severe injuries than Professional fighters. Most frequent parts of the body impaired were face, neck and head obtaining 38, 2% of prevalence, in second place was found the lower limbs 30, 4 % of recurrence, upper limbs 22, 7% of incidence, trunk region 8, 2 per cent and groin area presented 0, 5 per cent.  Injuries in specific areas such as toe, nose and shoulder displayed to be the most common with 6, 3% all of them. Contusions with 29, 4% continued by strains with 16, 2% of prevalence, next, sprains with 14, 9% of frequency and finally abrasions 10, 1%, they were the most frequent injuries found in the study” Lt. Charles E. Rainey (2009).THE MOST FREQUENT INJURIES IN CONTACT MARTIAL ARTS. Concussion; common symptoms of concussion include headache, dizziness, nausea, balance problems, concentration difficulties, and memory problems. Martial arts that use kicks and blows to the head are more prone to causing concussions.   Face / eyes / ear / nose; kicking or punching can result in minor injuries such as cuts, bruises and lacerations. These types of injuries can be minimized by selecting the martial arts style, coupled with proper training and the correct use of protective equipment.   Neck; minor neck injuries, such as bruises and abrasions, are the most common. However, some forms of martial arts, such as jiu-jitsu, judo, and mixed martial arts, do allow the choking techniques that can result in loss of consciousness. It is important to understand the risks of different forms of martial arts and always train under proper supervision.   Extremities; limb injuries include cuts, bruises, sprains, and strains. Joint fractures and dislocations are less common, but can occur, particularly in styles that use joint locking techniques.“The injuries mainly occurred in MMA are muscle contusions. In Judo, Karate, Taekwondo, Aikido, Fight, muscle contusion is the main sports injury. After monitoring more than 5000 competitors, 65% of them have suffered a muscle contusion. Being this the cause that is repeated the most times regardless of the category or gender of the competitors.”“Throughout the course of 2008 and 2012 Olympic Games within judo/ martial arts matches, it was observed that the average number of sports injuries due to the practice of martial arts was about 11% i.e. musculoskeletal contusions, tears, cramps and sprains represented the most frequent injuries usually affecting shoulders, fingers and the knee” Gerhard Ruedl et al (2013).“Throughout the course of 2008 and 2012 Olympic Games within judo/ martial arts matches, it was observed that the average number of sports injuries due to the practice of martial arts was about 11% i.e. musculoskeletal contusions, tears, cramps and sprains represented the most frequent injuries usually affecting shoulders, fingers and the knee” Gerhard Ruedl et al (2013).Muscle injuries can be classified according to many factors: mechanism of production, time of evolution, location of the injury. LET’S CLASSIFY THEM ACCORDING TO THE PRODUCTION MECHANISM: Extrinsic (factors outside our body): muscle contusion. Intrinsic (factors related to our own movement): muscle tear, elongation, strain, muscle cramps. To know the extent of a muscle injury it is necessary to use diagnostic tests such as ultrasound or magnetic resonance imaging. Only through this type of test we can get to know how the tissue is. The recovery time will depend on the amount of muscle tissue that is affected, the place of production, age of the subject and the assistance of your health care provider in this case musculoskeletal clinicians / physical therapy practitioners. “Magnetic resonance imaging has been widely used to accurately assess and diagnose musculoskeletal injuries. MRI has been well received and accepted as a diagnostic method by trauma physicians and specialist physiotherapists due to its accuracy, emphasizing its use in conditions caused by accidents and sports-related injuries” Conveyed by A L Deutsch, J H Mink (1989). A term widely used in rehabilitation and one of the most frequent injuries in sports, we refer directly to the musculoskeletal system, since this is where these common injuries occur. Within sports we are subjected to a lot of impact, jumps, changes of direction, over efforts, which together can cause the muscle to begin to damage, generating adhesions at the muscular level. But when the intensity exceeds the limits of resistance at the muscular level, inflammation or muscle contusion occurs, generating a lot of inability to execute certain types of movements and in turn a lot of pain when pressing the damaged muscle, thus confirming a muscle contusion. HOW CAN PHYSIOTHERAPEUTIC MANAGEMENT ASSIST TO TREAT MUSCLE CONTUSION? The treatment is conservative since the athlete is asked to continue executing movement during the treatment as well as therapeutic isometric work; physical agents are applied to the injured area. Within this type of pathologies, the use of invasive techniques such as dry needling is recommended. Some of strategies and treatment choices during a physiotherapeutic / soft tissue therapy session to return to the prior level of proficiency are: Ice. Anti-inflammatory drugs. Interferential electrotherapy.  Laser therapy. Isometric exercise. Proprioceptive exercise. Dry Needling Acupuncture.“A huge variety of non-surgical strategies to treat acute and severe injuries and musculoskeletal disorders are utilised i.e. the main focus is to minimize and avoid future damage to the injured area, decrease edema and haemorrhage, ease spasm and pain, and encourage healing. Moreover, muscle injuries due to its nature demand a functional approach from acute stage until the aim of returning to sport, conservative management is highly effective for these muscle contusion injuries  and one of its immediately treatment options is RICE which means rest, ice, compression and elevation” Research made by  L. Baoge et al (2012). Rest after activity is an extremely important component of any treatment program once an anatomical structure is injured, the healing process begins immediately. If the injured structure is not allowed to rest and it receives external pressure and stress, the healing process has no chance to start. Rest does not mean that the athlete does nothing, the term rest concerns the part of the body injured during this period, the athlete must continue to work on their cardiovascular capacity and perform strengthening and flexibility exercises in other parts of the body that have not been affected.  REFERENCES ·       Woodward TW. A review of the effects of martial arts practice on health. Wisconsin Medical Journal. 2009;108(1):40–3.   ·       Bahr R, Holme I. Risk factors for sports injuries – a methodological approach. British Journal of Sports Medicine. 2003;37:384–392.   ·       Pate RR, Pratt M, Blair SN, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273:402–7.   ·       Surgeon General's report on physical activity and health. From the Centers of Disease Control and Prevention. JAMA. 1996;276:22.   ·       Border WA, Noble NA. Transforming growth factor β in tissue fibrosis. The New England Journal of Medicine. 1994;331(19):1286–1292.   ·       Järvinen TAH, Järvinen TLN, Kääriäinen M, Kalimo H, Järvinen M. Muscle injuries: biology and treatment. American Journal of Sports Medicine. 2005;33(5):745–764.   ·       Arrington ED, Miller MD. Skeletal muscle injuries. Orthopedic Clinics of North America. 1995;26(3):411–422.   ·       Buse GJ. No holds barred sport fighting: A 10 year review of mixed martial arts competition. British Journal of Sports Medicine. 2006;40:169–172.     ·       Poliakoff MB. Combat sports in the ancient world: Competition, violence, and culture. New Haven, CT: Yale University, 1995:54–7.

There are an extensive number of elite athletes, amateur sports players and general population who have or suspect to have a herniated disc. In this article it will cover all the important matters about spine pain disc compression in various sports environments, and how Manual physical therapy approach can benefit.WHAT IS THE TRIGGER TO A HERNIATED DISC? A herniated disc is a disease in which part of the intervertebral disc goes over towards the root of the nerve and squeezes it. Usually due to wear, this can occur throughout on the spine, and can irritate any nearby nerve. Depending on the location of the herniated disc, it can cause weakness in a leg or arm, neurological deficit, numbness, pain, disability and intense discomfort. Gibson JA et la (2007) stated that “Lumbar disc prolapse (herniated disc / herniated disc) accounts for less than 5% of lower back problems, but is the most common cause of nerve root inflammation pain (sciatica).A comparative point of view between a normal disc anatomy structure and a herniated disc. In most cases, this pain resolves with conservative treatment without surgery. However, approximately 10% of them will require surgical intervention for their treatment. “The highest incidence rate of grown-up patients with herniated disc is up to thirty – fifty years, and a derivation of the herniated disc is lumbar herniation which is the most common reason for radiculopathies reaching a figure of up to 90%” Stated by Mohammad Reza Pourahmadi et la (2016).HOW OFTEN DO ATHLETES GET A HERNIATED DISC CONDITION? In the literature, football injuries predominantly affect the ankle, knee, thigh and calf muscles. The most common types of injuries are strains, sprains, and contusions. Although the prevalence of disc herniated condition in footballers is not that high comparing other injuries / performance deficits / pain and ailment sources amongst high impact sports. The published statistics of low back pain in athletes range from 1% to 30% and are influenced by the type of sport, gender, intensity and frequency of training, and technique. Back problems / injuries can also occur predominantly in the lumbar spine, which decrease or limit the quality of life of the athlete. “Professional Football Players of National Football league USA (NFL), specifically defensive and offensive ones are highly prone to suffer herniated disc located in the lumbar area” Kunal Shah (2018). “A herniated disc confirmed via MRI study displayed that the occurrence of this condition amongst pro beach volleyball players is 76 percent” Research made and released by Fabrice A. Kulling et la (2014)If the herniation is voluminous and compresses all the nerves it encounters, it can cause what is called a cauda equina or cauda equina syndrome, which is a surgical emergency. Assessment & diagnosis from a professional certified clinician / sports physiotherapist with high expertise and experience is compulsory in order to assess the herniated disc and obtain the follow-up steps to treat it in an early onset, the sooner the better!WHAT ARE THE SYMPTOMS PRODUCED BY HERNIATED DISCS, DEPENDING ON ITS ANATOMICAL LOCATION?   Depending on the level at which the hernia is, it determines where herniated discs will be causing affectations. There are some hernias that have contact with the sciatic nerve causing pain on the outer side of the leg or pain in the hip. Some lumbar hernias cause pain in the legs. Sometimes the problems go beyond pain, and a loss of sensation or tingling may appear and in more severe cases, paralysis in the foot or knee. Akshay Gadia et la (2018) pointed out on their study findings that “LDH presented in elite sports athletes obtains an outstanding clinical result following whether non-surgical management or operatively process, regardless the sports which the elite athlete performs” On the other hand, if the hernias are cervical the symptoms will show up as cervicalgia (pain in the upper extremities), from the arm to the fingers, tingling, pricking, loss of sensitivity or paralysis in either the upper limbs.DOES THE HERNIATED DISC ACTUALLY WEAR OFF ON ITS OWN? The appearance of these herniated discs is usually associated with physical effort, and it is essential to be conscious of that although this information may seem alarming but you have to know that the vast majority of herniated discs symptoms vanish on their own for a while but it doesn’t mean that the condition is healed, on the other hand more than 80% of herniated discs heal without surgery. “Around 30% of every elite athlete has experienced pain/ailments in the lower back during their pro sports career at least once” Abhay Nene et la (2018). MY SPORTS INJURY PHYSIOTHERAPY CLINIC IN MANCHESTER CITY provides an advanced physiotherapy set guidelines specially designed for back problems. The most important thing, even if it is physiotherapy, is to have a precise diagnosis and based on this fact. Then we know whether or not physiotherapy management is going to be appropriate for the patient in order to provide an optimal treatment approach.HOW CAN WE AVOID FROM HAVING A DISC HERNIATION?Do exercises, strengthening the trunk muscles stabilises and supports the spine.Maintain good posture, this reduces pressure on the spine and discs. Keep your back straight, primarily when you are sitting for extensive periods.Maintain a healthy weight; over-weight puts more pressure on the spine and discs, making them more susceptible to herniation. WHAT ARE TREATMENT OPTIONS INDICATED TO DISC HERNIATION? Above all a conservative treatment modifies routines to dodge movement that produces pain and stop from taking pain medication. It can reduce symptoms in most people within weeks or a few days. “Overall, the conservative approach of herniated disc condition management in elite athletes possesses an extraordinary rate of success having up to 90% and more” Affirmed by Kunal Shah, Akshay Gadia and Abhay Nene (2018). Ice and heat therapy to lighten pain. ·      Physical Therapy it helps to reduce the pressure laid on the nerve, physical therapists can show positions and exercises designed to minimise the pain of a herniated disc. Exercises and very slight stretching. NSAID medicine administration. Epidural injections.Deep tissue massages. Surgery is required in severe cases (microdiscectomy or lumbar fusion).Manipulation such as chiropractic. Serafin Leemann et la (2014) made a study of 148 individuals’ lumbar herniated disc confirmed via MRI producing back and sciatic nerve pain “79 of them were dealing with chronic LHD with an average duration longer than three months and the rest of them (37 patients) had this condition for less than 4 weeks duration at the beginning of the investigation, all the patients were being treated with chiropractic adjustments and customised care. 70% of the participants were having meaningful progress as regard as inability and pain after two weeks of non-operative treatment, later on three months 90% they were presenting sizeable amelioration.”WHAT SPINAL MANIPULATION CONSISTS? – CAN IT TRULY HELP TO THE PATIENTS TO RELIEVE THE PAIN? The prime aim of this particular procedure, also called as spinal manipulation, is to improve and increase spinal movement and enhance physical function. “You can improve the symptoms of functional disability and pain considerably from the herniated disc duly confirmed by the study of magnetic resonance by passing the five sessions of lumbar manipulation technique” Fahimeh Kamali et la (2018). HOW A HVLA MANIPULATION BENEFITS ME TO EASE DISC COMPRESSION PAIN? You might have found that high velocity and short amplitude manipulation techniques (HVLA) and mobilization techniques described by chiropractors, osteopaths and manual therapists, with the intention of generating a general effect in all tissues through the vascular system and the nervous system providing to the patients: Bone articulation improvement. Disc pressure reduction. Recovery of mobility. Reduction of pain and disability. “HVLA techniques have more scientific evidence supporting their effectiveness, both applied to the dorsal and cervical regions, although they are associated with rare neurovascular risks. The mobilizations are also effective for this purpose. Both manipulations cervical - back/dorsal and mobilizations achieve analgesia, and improve mobility of the cervical spine and patient gratification, as well as their disability in the short, medium and long term, compared to the use of medications. Manipulation has a greater effect, at least in the short term, on neck pain” Gogorza Arroitaonandia Kristobal et la (2013).REFERENCES Auvinen JP, Tammelin TH, Taimela SP, Zitting PJ, Mutanen PO, Karp-pinen JI. Musculoskeletal pains in relation to different sport and exer-cise activities in youth. Med Sci Sports Exerc. 2008;40:1890-1900.2. Bartolozzi C, Caramella D, Zampa V, Dal Pozzo G, Tinacci E, BalducciF. The incidence of disk changes in volleyball players. The magneticresonance findings. Radiol Med. 1991;82:757-760.The Orthopaedic Journal of Sports Medicine The Lumbar Spine of Professional Beach Volleyball Players 5 by guest on May 8, 2015. Bono CM. Interspinous process devices in the lumbar spine. J SpinalDisord Tech. 2007;20:255-261.Bono CM. Low-back pain in athletes. J Bone Joint Surg Am. 2004;86-A:382-396. Herniated disc. American Association of Neurological Surgeons. https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Herniated-Disc. Accessed Aug. 20, 2019. AskMayoExpert. Herniated disc. Mayo Foundation for Medical Education and Research; 2019. Levin K, et al. Acute lumbosacral radiculopathy: Treatment and prognosis. https://www.uptodate.com/contents/search. Accessed Aug. 20, 2019. Herniated disk. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/herniated-disk/. Accessed Aug. 20, 2019. FAQs before EDX testing. American Association of Neuromuscular & Electrodiagnostic Medicine. https://www.aanem.org/Patients/FAQs-before-EDX-Testing. Accessed Aug. 20, 2019. Herniated disk in the lower back. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/herniated-disk-in-the-lower-back/. Accessed Aug. 20, 2019. Shelerud RA (expert opintion). Mayo Clinic. Aug. 26, 2019.

HOW SPORTS PHYSIOTHERAPY l MY SPORTS INJURY CLINIC MANAGEMENT CAN ASSIST COMMON PERONEAL NEUROPATHIES WITH EVIDENCE BASED CLINICAL STUDIES Peroneal Entrapment neuropathies are common in sports injuries, which involve a rapid change in direction, high-impact sports, or endurance sports such as Running, Football, Rugby, Hockey, Baseball, or Tennis. This Article gives an overview of Common Peroneal Nerve dysfunction or / entrapment the occurrence and when there is damage over the peroneal nerve causing loss of movement or sensation in the lower leg / foot. Most of the symptoms of the patients who actually get to MY Sports Injury | Physiotherapy Clinic in Manchester are characterised by: Foot drop, lower leg discomfort and numbness and reduced range of movement at the foot & ankle / or knee Joint. Pain is not a distinctive feature of this dysfunction (CPN) but may be latent when a peroneal neuropathy takes place as an outcome of trauma/collision/tackles/slide or sudden change of direction in high intensity sports activities. It would be essential to visit a professional certified practitioner to help diagnose CPN whether attending a Physical therapy clinic in Manchester or your local sports injury clinic to help identify the source of pain, measuring the extent of injury and examining any internal soft tissue damage amongst other limiting factors to prevent the injury worsening. MY Sports Injury provides pain management services with clinical expertise in manual therapy treatment & active release therapy to help cure identify & cure nerve disorders / musculoskeletal dysfunction that may prevent the individual from partaking activities of daily living or limit their sports performance. “Peroneal nerve injuries in professional hockey players, a clinical study based on 26 back to back hockey player cases stemmed by traumatic impact showed that 19,2% of them had a full recovery with physical therapies and 26.9% displayed partial return within 15.5 months as the ultimate time to recover” Periphereal nerve injuries related to Hockey by Greg Strange Et la. (2002). HOW CAN BE A COMMON PERONEAL NERVE DYSFUNCTION CAUSED?   “Peroneal nerve injury can record up to Fifteen percent (15%) amongst all the mononeuropathies in grown-up patients” Dtsch Arztebl Int. (2019)   This type of dysfunction requires a multidisciplinary team that diagnoses it in an early onset, taking into account experienced sports injury therapists, sports physicians, sports physiotherapist, which will assess and tackle the patients’ issues.  WHAT IS A COMMON PERONEAL NERVE ENTRAPMENT EXACTLY? The entrapment of this nerve occurs as it passes through the neck of the fibula, when it is introduced below the fascia of the peroneus longus muscle, forming an osteofibrous tunnel. “There are several atraumatic and traumatic sources of CPN injury: Injury to the knee (dislocation), traumas in general, laceration, direct impact, fractures of the fibula, habitual leg crossing, tight splint, prolonged bed rest and other causes. Common Peroneal Nerve injury can reach up to forty percent (40%) of patients” Published by Bradley Lezak ET la (2020). Compressive neuropathy of the common peroneal nerve may be more common than described and is very common to be confused with a lesion in the lumbar spine, such as radiculopathy due to a stenosis (narrowing of the nerve root) or a herniated disc. WHAT IS THE CONDITION? – WHAT DOES CPN ENTRAPMENT LEAD TO? Common Peroneal Nerve (CPN) Common fibular nerve dysfunction are most commonly referred most often leads to foot drop, when we discuss about foot drop, we are referring to the weakness for the dorsiflexion of the foot, which causes the inability/discomfort to stand on the heels, permanently caused by stenosis narrowing of nerve root acute cases and reduced supply of blood in severe cases. As a consequence, when walking, the patient  over-flexes the knee and hip to allow withdrawal of the affected limb to compensate. WHAT IS ITS PREVALENCE WITHIN SPORTS ACTIVITIES?  “CPN is also known as the commonest neuropathy found out in the lower extremities. A report of young patients such as elite athletes (football) and older patients (car accidents survivor) are frequently diagnosed with CPN entrapment after a traumatic event, and the patients who have Knee dislocations will be prone to sustain CPN with a rate of incidence of 16% to 40%” Reported by Matthew Varacallo ET la (2020). WHAT ARE NEUROPATHIES INJURIES? - WHY DO THESE INJURIES OCCUR? The entrapment neuropathies constitute a lesion where the peripheral nerve is compressed in its course, either in its passage through the bone, around the long muscles or through the fibrous tissue structures. Imprisonment can be the result of extrinsic body compression such as tight clothing, inadequate sleeping position, prolonged contact with hard surfaces, application of tourniquets, and muscle hypertrophy from exercise. It is more common to find this type of affections when there are previous systemic alterations. WHAT TREATMENTS ARE BENEFICIAL TO CURE PNE? – REHABILITATION PROGRAMS In rehabilitation, as in any other medical specialty, a medical history should be taken directed to the affected segment by your sports phyisiotherapist / physiotherapist / healthcare provider that include: Reason for consultation: for conservative or post-surgical management, type of surgical approach identified with the orthopedic joint specialist Good questioning: emphasis on type of work, and how to reduce sensitivity to pain ·      Physical Therapy Treatment & Strength Rehabilitation Program aimed at reducing sensitivity of the nerve, or nerve gliding mechanisms. Electromyography. “An extent practice of sports activities such as football, which is an endurance sports brought about a significant delay in the parameters of the nerve conduction study, which it is considered as a nerve entrapment injury diagnosis” Published by Gowthaman, G (2018) about a Study of nerve conduction in footballers’ lower limbs. MY SPORTS INJURY | Sports Physiotherapy clinic is an established clinic Located in Manchester City Centre, our Sports Injury Clinic offers high end Manual physical therapy, soft tissue massage, sports injury rehabilitation and myofascial active release therapy. Treatment aims to improve joint mobility and restore independence. Identifying the causes of neuropathy before providing adequate treatment plans / rehabilitation programs. Some initial guidance can be beneficial by placing knee pads or knee supports to prevent further damage when crossing your legs, while also stability to the legs. In some more complex cases, corticosteroid injections into the area can reduce inflammation and pressure on the nerve. You may need surgery if: The disorder does not go away and presents trouble with movement. Surgery to relieve pressure on the nerve can reduce symptoms if the disorder is caused by pressure on the nerve. Over-the-counter or preion pain relievers may be needed to control pain. If the pain is severe, a physio specialist in this field can help you explore all options for relief. Physical therapy exercises can help you keep muscle strength up. Orthotic devices can improve the ability to walk and prevent contractures. They may include splints, orthopedic shoes, or other equipment. Vocational counseling, occupational therapy, or similar programs can help maximize mobility and independence and home self-management techniques. HOW LONG DOES PERONEAL NERVE ENTRAPMENT INJURY TAKE TO HEAL? – WHAT’S THE PROGNOSIS? Patients generally see small signs of PNE recovery within 3-6 months after surgery along post-surgery physical therapy care, according to MY Sports Manchester Therapy Clinic. In most cases, the return of movement takes 6 to 12 months in more severe cases of PNE. “A study of the effectiveness of non-conservative management of Common Peroneal Nerve Entrapment was made and the result displayed a rate of 62% of neurological functions recovery, in the other hand 38% of patients assessed in the study had a full return at 12 months after surgery” Dustin H. Massel ET la (2020). If you do opt for Common Peroneal Nerve Entrapment treatment without surgery applied in acute cases, it is not known how long recovery will take. However, it is understood that as long as physical therapy exercises/assignments are practiced daily, the results will come faster than with inconsistent therapy. “Physical therapy for PNE dysfunction considers a scheme of balancing exercises, mobilization, icing, stretching, tapes/braces and manipulation which it’s completely beneficial and effective in order to manage this nerve entrapment injury and accomplish a thorough rehab.” Bradley Lezak; Dustin H. Massel; Matthew Varacallo (2020). (CPNE) recovery is a long process, so it is important to stay safe in the meantime. (CPNE) recovery can be a long process, so it is important to stay safe in the meantime. Wearing foot and ankle splints and home modification kits can help you get around. Good luck! REFERENCES ·       Hardin JM, Devendra S. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Aug 10, 2020. Anatomy, Bony Pelvis and Lower Limb, Calf Common Peroneal (Fibular) Nerve. ·      Garrett A, Geiger Z. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Aug 10, 2020. Anatomy, Bony Pelvis and Lower Limb, Superficial Peroneal (Fibular) Nerve. ·      Baima J, Krivickas L. Evaluation and treatment of peroneal neuropathy. Curr Rev Musculoskelet Med. 2008 Jun;1(2):147-53. ·      Poage C, Roth C, Scott B. Peroneal Nerve Palsy: Evaluation and Management. J Am Acad Orthop Surg. 2016 Jan;24(1):1-10. ·      Moatshe G, Dornan GJ, Løken S, Ludvigsen TC, LaPrade RF, Engebretsen L. Demographics and Injuries Associated With Knee Dislocation: A Prospective Review of 303 Patients. Orthop J Sports Med. 2017 May;5(5):2325967117706521. ·      Noble J, Munro CA, Prasad VS, Midha R. Analysis of upper and lower extremity peripheral nerve injuries in a population of patients with multiple injuries. J Trauma. 1998 Jul;45(1):116-22. ·      LaPrade RF, Terry GC. Injuries to the posterolateral aspect of the knee. Association of anatomic injury patterns with clinical instability. Am J Sports Med. 1997 Jul-Aug;25(4):433-8. ·      Gloobe H, Chain D. Fibular fibrous arch. Anatomical considerations in fibular tunnel syndrome. Acta Anat (Basel). 1973;85(1):84-7. ·      Marciniak C. Fibular (peroneal) neuropathy: electrodiagnostic features and clinical correlates. Phys Med Rehabil Clin N Am. 2013 Feb;24(1):121-37. ·      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.  

FOOT PAIN BY NERVE COMPRESSION: HOW TO TACKLE TARSAL TUNNEL SYNDROME: THE EFFECTIVENESS OF SPORTS PHYSIOTHERAPY TREATMENT & PREVENTIONA SPORTS PHYSIOTHERAPY BASED APPROACH ON LOWER LIMB INJURY & REHABILITATION. Sports injuries occur when you practice a sport or perform some type of physical exercise under high intensity, extended durations of competition or extreme speeds of movement, such acute injuries or overuse injuries can stem into more complex lower limb conditions. The most common body parts which sustain acute injuries are the pelvis, groin, and legAthletes are usually more likely to experience these types of injuries, most commonly are Abductors strains, Plantar Fasciitis, Shin Splints, Anterior Ankle Impingement, Hamstrings, Rectus Abdominal Muscle strain, Hip dislocation amongst others.  “Muscles strains injuries are the principal ones amid sports practitioners, representing up to 31% of patients who attend seeking help, and the Adductor muscle injuries represented the second most commonly injury sustained by European football players reaching up to 23% so letting the top spot to Hamstrings injuries which reach up to 37% of prevalence, in other study the results found were that adductor strain/pain accounted 9% to 18% of whole lower limb injuries in pro footballers” John Kiel; Kimberly Kaiser(2020). In which sports are more likely to go through those kinds of injuries? Cross fit, Rugby, Soccer, Martial Arts, Running, Basketball and Hockey. Although it is common for lower limb injuries to be sustained in these sports, injury can occur whether by practicing such activities or by doing regular day-to-day tasks during normal lifestyle, it’s completely usual to get injured without having practiced sporting activities too.Gürhan Dönmez, Savaş Kudaş ET la (2016) stated out on their article about Posterior Ankle Impingement in professional footballers that “Conservative management i.e Physical therapy modalities were greatly efficacious over 2/3 of this (PAI) syndrome among elite footballers, which means 69.2% (18 football players of 26) of reduced complaints treated by non-surgical process whilst the rest 8 individuals (five chronic cases and three acute cases) did not recover completely and surgical management was performed, in as much as posterior ankle arthroscopy is a gold standard procedure when a conservative management does not meet the expectations, every athlete put back to their prior level of proficiency” In this Case Onward referrals to orthopaedic surgeons or musculoskeletal joint specialist are essential in reducing the athletes return to sport. Lower limb pain within sports can be unbearable and debilitating, you always wonder how the extent of damage caused by such blow / tackle it makes you hesitate to decide what to do next? MY sports Injury | Manchester cityMY SPORTS INJURY | Sports Physiotherapy clinic is an established clinic Located in Manchester City Centre, our Sports Injury Clinic offers high end Manual physical therapy, soft tissue massage, sports injury rehabilitation and myofascial active release therapy.This blog manu encompasses all the follow-up steps and insights you need as with regards to nerve compression injuries in this particular case the tarsal tunnel syndrome. When the patients show up at MY Sports Injury | Manchester, have team of qualified sports injury professionals and experts in musculoskeletal disorders, efficient and capable sports physiotherapist & sports Therapist practitioners at your assistance to help get the pain away and impairments out to a manageable state in order to live a pain free unrestricted lifestyle and move around with ease.What's the structure of the tarsal tunnel? –This looks to be very interesting, let me explain to you briefly. The tarsal tunnel is a narrow space located within the ankle next to the ankle bones. The tunnel is overlaid by a thick ligament known as (flexor retinaculum) that protects and holds back the structures (nerves, arteries, tendons, and veins) inside the tunnel. One of those elements is the posterior tibial nerve, a primary focus to tarsal tunnel syndrome. To put it another way, what’s a tarsal tunnel syndrome about? – What does it appear like? Tarsal tunnel syndrome is the compression or the pinching of the posterior tibial nerve that produces symptoms anywhere to all the way down the nerve. The tibial nerve rear runs inside the ankle towards the foot. Tarsal tunnel syndrome is similar to carpal tunnel syndrome presented on the wrist. Both of these disorders arise from compression of a nerve in a limited space. Even though tunnel syndrome tarsal is not as well-known as the carpal tunnel syndrome, it is still a cause of foot and ankle pain in adults or elite athletes.“When the Carpal Tunnel Syndrome is tackled and diagnosed ere it becomes an advanced stage, a conservative management as an approach procedure would be prescribed and recommended because its effectiveness, at first moment, the patient has to be aware to stop wrist movements that caused symptoms pain, for example, to place the keyboard height on a sustainable and reasonable elevation and dodge the flexion, abduction, adduction and extension of the damaged hand at typing. The recommendation is to avoid unnecessary motion as much as possible, the use a wrist night-splint can be suggested as well, these advices and recommendations got to be attached to a hand therapist specialist counselling, besides turn up to manual physical therapy sessions, in the other hand in cases were the pain is not being eased a short string doses of non-steroidal anti-inflammatory drugs will be referred, last shot to get rid carpal tunnel syndrome off is surgical management which it’s effective, too” Cited from Matthew Varacallo, Justin O. Sevy (2020).What are the signs and symptoms of TTS? – How to recognise them. Patients suffering from the syndrome tarsal tunnel sustain one or more of the following symptoms:  • Burning, • Tingling, a sensation alike an electric shock.  • Numbness.  • Pain, even stabbing pain.Symptoms are generally perceived inside the ankle and / or on the sole of the foot. In some people the symptoms can be isolated and appear only in one place. In others, they can extend to the heel, arch, toes, and even the calf. Sometimes the symptoms of the syndrome come on suddenly. They are often caused or aggravated by abusive use of the foot, such as standing, walking or exercising for a long time, or starting a new exercise program.It is essential to start treatment early on at your local Manchester sports physiotherapy clinic if it occurs any of the symptoms of tarsal tunnel syndrome. If not treated, the condition progresses and can result in permanent nerve damage. Additionally, since the symptoms of (TTS) can be confounded with other conditions, an adequate evaluation is key to make a correct diagnosis.According to D L Jackson and B L Haglund (1992) “(TTS in runners) diagnosis method needs to be extremely accurate in order to stand out and evidence the difference from other similar conditions symptoms presented such as Achilles Tendinitis and Plantar Fasciitis, its treatment generally is a conservative management which normally is acutely successful and effective”What to know about the causes of TTS? – There’s a large variety of causes, such as:TTS is produced by anything that causes tightness of the posterior tibial nerve, for examples: · An injury, such as a sprain, a tackle, a blow can cause inflammation and swelling in or near the tunnel, resulting in compression of the nerve. ·An overweight person is prone to experience pressure on the posterior tibial nerve. ·Systemic diseases such as diabetes or arthritis can cause inflammation and thus compress the nerve.MY sports Injury | Manchester city provides a high quality level of expertise and experience within professional sports, allowing the sports player / patient to get an accurate clinical diagnosis. MY Sports Injury & physiotherapy clinic allows you to assist your tarsal tunnel syndrome to finally have a full sports recovery, enabling the patient to recover efficiently and safely in accordance to self-management protocols post tarsal tunnel syndrome condition.Can TARSAL TUNNEL SYNDROME go away on its own?Compression of the tibial nerve can occur when the ankle is fractured, due to rheumatoid arthritis, foot deformities or demanding physical exercise such as football, basketball, running, rugby and others. Same as Plantar fasciitis which is the inflammation of the fibrous tissue (plantar fascia), which covers the sole of the foot, from the heel to the toes. Prolonged standing, running, and excessive weight can damage the fascia. According to the (FHSQ) Foot Health Status Questionnaire a study was made about what is Plantar Fasciitis’ effect on the lifestyle’s quality of female and male patients, presented by Patricia Palomo-López, Ricardo Becerro-de-Bengoa-Vallejo ET la (2018) “One hundred patients were recruited 49 males and 51 females with (PF) inflammation, the results of the female patients showed greater vulnerability and worse quality of life than the results shown by the male patients related to foot function, foot pain, general foot health, physical activity, vigor and social capacity”. Rheumatic syndromes of the soft tissues of the lower limbs (tarsal tunnel syndrome and plantar fasciitis) are very common in people who are rather healthy. Sometimes they go away on their own over time. In most cases, the sports physiotherapy specialist practitioner can treat these types of disorders. Some athletes / patients will need to see a rheumatologist (a specialist in arthritis, rheumatic conditions, and related musculoskeletal conditions) for treatment.So What are its treatment choices? – Treatment options for TTS When it’s assessed, diagnosed and tackled at an early stage the treatment options for excellence indicated to this syndrome are rest, ice, compression, and elevation known by its acronym (RICE).Medicine without a preion such as (NSAID) non-steroidal anti-inflammatory drugs, ibuprofen and acetaminophen can be administered to decrease the pain and the symptoms will be more handle-able.   In some chronic pain severe cases, there are other ways to tackle the tarsal tunnel syndrome such as, corrective devices, physical therapy, sports physiotherapy in Manchester or sports massage clinics and in the worst cases must be an onward referral to an orthopaedic  surgeon fellow which will continue to perform a  non-conservative management.   “Tarsal tunnel syndrome incidence is undefined. This is an often undiagnosed and rare affection with a higher rate of prevalence amid female patients and could be sustained at any age. The non-conservative process success ranking varies from 46% to 96% of the cases and it’s indicated when the non-operatively management such as physical therapy, sports massage. Corrective devices shown to be less effective, it was proven that the outcomes were better in younger individuals who underwent minor symptoms and had a clear etiology and in those when the condition was treated at an early phase, and no prior ankle pathologies, so an early and accurately diagnosis is key” quoted from John Kiel; Kimberly Kaiser (2020).How long does TARSAL TUNNEL SYNDROME take to heal? – Shall be I back on the sports field /work soon? It’s a frequent question that our patients have in their mind.Non-severe cases can be treated with (RICE) and without preion medicine, (OTC) also known as over-the-counter medicine. These minor cases of Tarsal Tunnel Syndrome can get better within 48 hours meaningfully with the previous treatment options touched on.   Meanwhile, if you do not seek assistance when there are symptoms at a premature phase and let the time pass by then the nerve damage will be permanent.   “108 ankles distributed 72 patients were assessed; the rate age was forty-nine years. The symptoms of the previous surgical process had a 31 months recurrence.  Average time for return to an utterly and painless level of capacity was 9 months, every individual had a twelve months follow up” Pointed out by G James Sammarco, Laurette Changon (2003) Outcome, Follow-up and Outlook of Tarsal Tunnel Syndrome approached by surgical management.Tarsal Neuropathy and how is it caused? – Is there any difference between TTS and Anterior Tarsal Tunnel Syndrome?Anterior Tarsal Tunnel Syndrome is an uncommon and seldom entrapment neuropathy dysfunction of deep peroneal nerve situated beneath the extensor retinaculum of the ankle. Also called as (DPN) deep peroneal nerve entrapment brought about by the tight fascia band located in the anterior ankle.   “Yassin and others notified that twelve out of thirteen patients (92.31%) presented a greatly amelioration of DPN condition after carrying out the surgery” Michael D. Gibboney and Mark A. Deyer (2020).How do you fix TARSAL TUNNEL WITH SELF MANAGEMENT TIPS?As we mentioned it before the most common options to fix TTS are: RICE, OTC, Full immobilization as self-management tips but when pain starts to worsen you should be able to look for other possible treatments such as Injection therapy, Physical Therapy, Corrective shoes and Orthopaedic devices, Ultrasound Therapy, Reducing Foot Pressure, Acupuncture sessions at physical therapy centre, Taping or Bracing, Manual Therapy, sports massage / deep tissue massage.  Moreover, you can include some exercises to your self-management routine to enhance your TTS and relieve pain such as ankle pumps, eversion or inversion circles, balance exercises, pencil toe lifts, plantar fascia strength, and many more which will be explained in detail by sports physiotherapy specialist / physician practitioner at the moment you attend to your medical consultation at sports physiotherapy clinic in Manchester City Centre.“Achilles tendinopathy (AT) has a tremendous prognosis with an early initial driving, its management can be divided into two options: conservative and non-conservative. One of these chances must take into account depending of the pain scale whether acute or chronic, but when it’s whole torn there is not another way except for surgery management, conservative therapy is indicated in first line of management and add in the next recommendations: shortening of physical activity levels, preion of (NSAID), eccentric stretching exercises as a complementary tool of physiotherapy can reach up to 40% of pain reduction” Usker Naqvi and Miguel A. Medina Pabón (2020).How to identify nerve damage within the foot? – What are the tests to run in order to diagnose correctly TTS?   A meticulous assessment will be performed by your healthcare team providers such as manual therapy givers, sport massage practitioners, physical therapy clinicians and acupuncture practitioners at Manchester city physical therapy centre. MY sports Injury which team can assist in a clinical diagnose without any doubt your condition and to assess the nerve damage inner your foot. diagnostic tests will run, those are; nerve conduction velocity (EMG/NCV), magnetic resonance imaging or MRI, X-ray and electromyography which require an onward referral.REFERENCES ·Calvo-Lobo C, Painceira-Villar R, López-López D, García-Paz V, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Palomo-López P. Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study. J Clin Med. 2018 Dec 12;7(12) ·      Stødle AH, Molund M, Nilsen F, Hellund JC, Hvaal K. Tibial Nerve Palsy After Lateralizing Calcaneal Osteotomy. Foot Ankle Spec. 2019 Oct;12(5):426-431.·      Zuckerman SL, Kerr ZY, Pierpoint L, Kirby P, Than KD, Wilson TJ. An 11-year analysis of peripheral nerve injuries in high school sports. Phys Sportsmed. 2019 May;47(2):167-173. ·      Rinkel WD, Castro Cabezas M, van Neck JW, Birnie E, Hovius SER, Coert JH. Validity of the Tinel Sign and Prevalence of Tibial Nerve Entrapment at the Tarsal Tunnel in Both Diabetic and Nondiabetic Subjects: A Cross-Sectional Study. Plast Reconstr Surg. 2018 Nov;142(5):1258-1266. ·      Hong CH, Lee YK, Won SH, Lee DW, Moon SI, Kim WJ. Tarsal tunnel syndrome caused by an uncommon ossicle of the talus: A case report. Medicine (Baltimore). 2018 Jun;97(25):e11008. ·      Komagamine J. Bilateral Tarsal Tunnel Syndrome. Am J Med. 2018 Jul;131(7):e319. ·      Schuh A, Handschu R, Eibl T, Janka M, Hönle W. [Tarsal tunnel syndrome]. MMW Fortschr Med. 2018 Apr;160(6):58-59.·      Mansfield CJ, Bleacher J, Tadak P, Briggs MS. Differential examination, diagnosis and management for tingling in toes: fellow's case problem. J Man Manip Ther. 2017 Dec;25(5):294-299. ·      Tu P. Heel Pain: Diagnosis and Management. Am Fam Physician. 2018 Jan 15;97(2):86-93.

MY SPORTS INJURY | Sports Physiotherapy clinic is an established clinic Located in Manchester City Centre, our Sports Injury Clinic offers high end Manual physical therapy, soft tissue massage, sports injury rehabilitation and myo-fascial active release therapy.   HOW MY SPORTS INJURY CAN IMPROVE PHYSIOTHERAPY BASED OUTCOMES - KNOW WHAT IT IS ABOUT   Sports physiotherapy can improve the performance of athletes through rehabilitation after suffering an injury or by strengthening muscles and joints that prevent possible reoccurrence of injury.   Athlete sports physiotherapy develops its activity in three different phases: MY Sports Injury & Physiotherapy provides the fundamental framework to excel athlete sports recovery & performance.·         Postural Correction approach to Rehabilitation of Soft Tissue Injuries: such as sprains, Joint mis-alignment, muscle tears, overloads, muscular imbalances etc.   ·         Rehabilitation Post operation: Through sports physiotherapy, a rehabilitation plan is designed based on the characteristics of the injury, the athlete and their particular needs.   ·         Injury prevention: The analysis of the athlete and their discipline allows us to detect possible improvements in their physical sports performance and enhance them through personalised exercises in accordance to their physiology and performance test indicators.   “The findings gathered from the studies made, have helped to guide variety of athletes and coaches concerning the benefits and advantages of sports physiotherapy , a study revealed that it was more specific to have sports massage and including this kind of therapy into competition and training” Holly Louisa Davis, Timothy James Ainsley Chico and Samer Alabed (2020) published: Effects of sports massage on recovery and performance sporting events. "In order to improve your sports injury you’ve got to build sustainable habits through gradual progression"   How does physical Manual therapy at My Sports Massages Injury Clinic in Manchester City Centre prevent future injuries?   Many injuries are caused by involuntary habits or gestures that damage our body biomechanics and we have not even noticed it.   ..But, Can we injure ourselves just by doing sports practice?   Sports activities, due to their physical demands, are one of the factors that most influence when suffering an injury; but in our day-to-day life, it is true that there are many occasions when it is easy to damage our body.   For a few years we can already say that a computer, a laptop or a smartphone are elements that are not lacking in many jobs, and that they are found in practically every home.   Some out of obligation, and others for fun, the truth is that we end up spending hours in front of these devices, and this can take its toll on our body. Some of the Most Common non-sporting injuries are: Back and neck injuries.Carpal tunnel syndrome. Repetitive Strain Injuries from the Mouse / keyboard / LaptopSports physiotherapy can find the factors that can lead us to suffer certain injuries and correct them to ensure good physical condition and improve sports performance.   Is physical Manual therapy job only to improve your contractures and overloads?   Sports physiotherapy is responsible for analysing what are the specific needs of each athlete and individual within their discipline to optimize their physical condition and prevent injuries or minor discomfort that may affect their performance. In this sense, physical manual therapy does much more than relieve contractures and overloads. Your sports physiotherapist or / Sports Injury Therapist in Manchester City Sports Massage Centre can help you correct postures, optimize movements and strengthen the muscle areas that the athlete needs to perform as well as possible.“Hamstring injuries often impact elite sports practitioners such as professional footballers and have high-rise reappearances rate. Through a thorough workup and comprehending its risk factors and how the injury works, physicians and physiotherapist specialists in the case would be able to make the decision how manage it with the most adequate and customised treatment approach. Appropriate rehab must tackle muscular strength, neuromuscular control, physical manual therapy, flexibility, sports physiotherapy, eccentric strengthening, lumbopelvic stability and neuromuscular control. These procedures have displayed to be essential therapeutic target to get back an athlete’s successful return, with a significant low risk of reappearance” stated by Gabriel Amorim Ramos, Moises Cohen, Diego Acosta Astur, Alberto de Castro Pochini, Gustavo Goncalves Arliani and Benno Ejnisman (2017).What do you need to do to prevent injuries?   There are rehabilitation and re-education treatments so that the athlete understands how his body works and how it needs to work so that his performance is optimal. This involves muscle power exercises, stretching, movements, and postures. Each element has its influence on the final result.   According to Bruno T. Saragiotto, Alexandre D. Lopes and Carla Di Pierro (2014)“ The principal factors notified by the athletes tied in to how often they injure were improper sport technique, improper nutrition, overtraining and aspects related to athletes’ behaviour. The principal strategies about injury prevention insights informed by the participants were, pre and post sporting event sports physiotherapy assessment, strengthening exercises, nutritional and orientation session counselling”   What are the most common causes of injuries in sports?   The most common causes of sports injuries are: lack of rest, not doing a good warm-up, bad posture for sports, overexertion and the use of inappropriate material such as footwear, clothing or protectors, for these reasons it is indispensable to attend to your physio sports injury or sports injury specialist so you can obtain correct guidance and recovery.HOW SPORTS MASSAGE CAN COMPLIMENT SPORTS PHYSIOTHERAPY TREATMENT   Sports massage is one more tool used by Sports physiotherapists to complement the treatment of certain pathologies.The use of Sports massage can be very useful to recover, rehabilitate or even prevent and combined with other techniques it will be the perfect ally for the elite athlete and the amateur.   This type of massage has purposes such as preparing and recovering the muscles, through this massage it is possible to increase sports performance considerably.   What are the main objectives?   To prevent possible future injuries by improving physical condition. To maintain proper body function. To treat muscle-type alterations and pathologies.   THE 5 KEY BENEFITS OF SPORT PHYSIOTHERAPY FOR ELITE ATHLETES   Whatever sport you play, a physical therapist will help to improve the toughness and robustness of your body.   Prevents injuries; at MY SPORTS INJURY CLINIC we offer personalised services according to the sport you practice. At first, the sports physiotherapy expert will study your strength, flexibility and joint flexion. We will use this information to design a routine that will help improve all your physical aspects. Sessions help reduce your chances of experiencing stress, tension, torn ligaments, and cramps.Improve the physical strength of the athlete; athletes use their physical strength while working. Sometimes they must tolerate punches like boxing, basketball, rugby and football. These activities tighten your muscles. Your bones, joints, muscles and ligaments will be strengthened, which will allow them to withstand the high physical stress that sport requires.   Helps the body relax; after a long day on the field or in training, athletes have to find their time to relax. Sport Physiotherapy helps you regain the energy in your body and thus perform efficiently the next day.   Sports injury treatment and rehabilitation; regardless of the amount of care and caution you may take when playing your sport, some accidents can happen. If you have suffered an injury or blow, we will evaluate your case and carry out a specific treatment for your injury or ailment. The recovery time for injuries as common as a sprain or dislocation is drastically reduced if they are treated with physical therapy for at least 30 minutes. Improves joint and muscle flexibility; athletes require a flexible and agile body to practice their sport. For example, swimming, football and tennis require a good flexibility of the bodies. Thanks to the physiotherapeutic treatment, we will gain flexibility and you will be guaranteed optimal performance to continue practicing your sport.   A very common injury sustained by young athletes and pro-football players is Chondromalacia patellae, in preparation to reach and facilitate a full recovery, what’s necessary.What’s the most effective treatment approach to address Chondromalacia patellar in athletes according to trials outcomes, Conservative vs non-conservative?   “An in-depth study and a controlled trial have been carrying through to determine the effective of chondromalacia patella injury conservative management over one-hundred successive athletes. 82% of athletes reached a success outcome and 18% of them needed a surgical management. It should be noted that eight of one-hundred athletes called for non-conservative treatment. The conclusion was that a non-surgical management like sports physiotherapy, physical manual therapy is highly effective in the majority of the cases” Indicated by P J Mayer, W A Dolan and K E Dehaven (1979).   " Every sport is different, so treatment and rehabilitation are different too! "     PHYSIOTHERAPY OR SPORTS THERAPY: WHAT'S THE KEY DIFFERENCE AND WHEN DO I NEED TO SEE ONE? WHAT IS BEST FOR YOU?   The key difference is that sports therapy focuses on if the athlete has gotten back or maintained the necessary physical level required for any sporting practice they perform. While, on the other hand physiotherapy tries to permit that patients feel and live pain free through their day to day lifestyle.   Their concepts are often mistaken because they usually overlap on their treatment practices and approaches based on their medical knowledge and sports backgrounds. Which one to attend?   If you are having some diseases, illnesses and respiratory or neurological problems, you better be willing to be assisted by a sports physiotherapy practitioner. Meanwhile, sports therapy practitioners can treat physical impairements related to musculoskeletal rehab and seek for preventing future injuries. Elite athletes usually look to sports therapy to prepare their body before every competition to enhance overall sports performance pre-competition or match. HOW PHYSICAL MANUAL THERAPY CAN IMPROVE SPORTS RELATED INJURIES   Manual therapy known as a “hands-on” approach used by physical therapy clinicians, has been employed to improve sports injuries in a greatly and satisfying way due to its managements by which may be utilised in several conditions, including sports related injuries because manual therapy purposes try to bring about the next effects: Modulate pain. Change muscle function. Reduce soft tissue swelling. Induce relaxation; and many others.   What are the manual therapy techniques used to get better sports related injuries?   Stretches (joints, muscle, neural tissue, fascia) Trigger Point Therapy. Active releases techniques.   Massages. Peripheral Joint Traction. Assisted active and passive range of motion. Joint mobilisation and manipulation.   MY SPORTS INJURY | 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. The reputation of our clinicians is such that they often treat calling on bands/ teams/ casts and production crews for the harmonic mix of entertainment & sporting venues in the city.        REFERENCES·      Malliaropoulos N., Isinkaye T., Tsitas K., Maffulli N. Reinjury after acute posterior thigh muscle injuries in elite track and field athletes. Am J Sports Med. 2011;39(2):304–310. ·      Ekstrand J., Hägglund M., Waldén M. Epidemiology of muscle injuries in professional football (soccer) Am J Sports Med. 2011;39(6):1226–1232. ·      Sherry M.A., Best T.M. A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. J Orthop Sports Phys Ther. 2004;34(3):116–125. ·      Meeuwisse WH, Tyreman H, Hagel B, Emery C. A dynamic model of etiology in sport injury: the recursive nature of risk and causation. Clin J Sport Med. 2007;17(3):215–219. ·      Van Tiggelen D, Wickes S, Stevens V, Roosen P, Witvrouw E. Effective prevention of sports injuries: a model integrating efficacy, efficiency, compliance and risk-taking behaviour. Br J Sports Med. 2008;42(8):648–652. ·      Silva AA, Bittencourt NF, Mendonça LM, Tirado MG, Sampaio RF, Fonseca ST. Analysis of the profile, areas of action and abilities of Brazilian Sports Physical Therapists working with soccer and volleyball. Rev Bras Fisioter. 2011;15(3):219–226. ·      Alonso JM, Junge A, Renstrom P, Engebretsen L, Mountjoy M, Dvorak J. Sports injuries surveillance during the 2007 IAAF World Athletics Championships. Clin J Sport Med. 2009;19(1):26–32. ·      Hughston JC: Subluxation of the patella. J Bone Joint Surg 50A: 1003-1026, 1968.·      Crosby E., Insall J.: Recurrent dislocation of the patella. Relation of treatment to osteoarthritis. J Bone Joint Surg 58A: 9-13, 1976.·      Dimon JH III: Apprehension test for subluxation of the patella. Clin Orthop 103: 39, 1974.

Neck Pain and symptoms associated with Cervical Radiculopathy Ask Yourself Why do we you get neck pain? A sports physiotherapy based management of Injury. Neck pain can be related with so many differential causes but in this informative article you will learn what is neck pain and how its associated by cervical radiculopathy. At MY Sports Injury Clinic in Manchester our clinical team of Sports Physiotherapy experts, provide you great knowledge and insight into this condition and how Sports Physiotherapy can improve acute neck trauma and pain management. What science says about Cervical Radiculopathy? What Exactly is it? Radiculopathy is linked up to symptoms that you are likely to bear when there is a spinal nerve root compression. The Nerve roots becomes irritated and inflamed resulting in neurological dysfunction for example the sensation of numbness, tingling, weakness or change in motor reflexes; this can radiate from the neck into the shoulders or forearm as far as the fingertips!  Let’s Dive a little a bit further into cervical radiculopathy The Are two common types of Cervical Radiculopathy which include: 1.    Cervical foraminal stenosis.   This is where the nerve root canal exits the vertebral spine and becomes narrower reducing the space between the vertebrae joint and nerve exit which irritates and inflames the joint. This can lead to cervical disc degeneration or osteoarthritis. 2.    Cervical herniated disc.    Cervical discs can also leak out fluid like substance which can further irritate and inflame Neighbouring nerves resulting in cervical radiculopathy. Disc herniations in the neck most commonly occur from a direct Injury i.e road traffic incidents, high intensity rugby tackles, boxing punch to the neck / head leading to cervical radiculopathy of pain down the forearm.Nerve compression is tied in to degenerative changes in the spine also known as Spondylosis or disc herniation may take place after a trauma or without a previous one. Our Sports Injury specialists will let you know one thing very clear and it is that not every disc herniation can yield pain or nerve compression.     Nerves in your neck give strength and sensation to your arms. On the other hand, nerves in your lower back give strength and sensation to your legs. Remember these takeaways.Indeed, some people have neck pain that can radiate to the shoulder and arm. This kind of pain is often generated by an injury near the root of a nerve in the spinal cord (spinal nerve). An injury to the nerve root is sometimes called a "pinched" nerve. How can we know that our neck pain is related to Cervical Radiculopathy?  What are the symptoms?In general radiculopathy is described as a condition in which the nerve is compressed as we mentioned it before. However the symptoms caused by this condition can be overlooked and be confounded with another neck aches and conditions, for this reason it is appropriately necessary to attend to a private healthcare Sports Injury Clinic. MY Sports Injury Clinic | Manchester provides free phone consultations to complex Injuries and can be treated by our team of professional health practitioners. Sports Physiotherapy treatment and intervention can help tackle this to firstly understand what are the symptoms and causes of cervical radiculopathy precisely, or further explore Neck Pain Acupuncture to obtain pain relief and self management aftercare.Acupuncture's Effectiveness for Cervical Radiculopathy?“Great outcomes were viewed over 90% of the cases; the prognosis is quite good on applying acupuncture treatment as a conservative management to relieve upper limbs and neck pain caused by Cervical Spondylotic Radiculopathy (CSR)” Motohiro Inoue, Hiroshi Kitakoji, Megumi Itoi and Miwa Nakajima (2013).What are the Cervical Radiculopathy symptoms and causes ins and outs? Tingling or numbness displaying leg/foot or arm/hand sensory changes.Bowel and bladder changes displaying incontinence and missing control of bowel and bladder function caused by the nerve compressed itself or for other anatomy structure.Pain that radiates down the arm, sometimes back to the scapula and definitely the neck area.Individuals who happen to have such symptoms, treatments such as sports massage, deep tissue treatments, physical manual therapy can be beneficial in reducing these on-going symptoms. Is it possible to have both sides (bilateral) pain over my neck? Yes, it is possible. In the setting, you may have bilateral pain but it is seldom when you are in bilateral neck pain. Overall, it is unilateral. It can aggravate sitting for long periods of time, sneezing or coughing. Do not wait anymore to take control over your condition and make the right choices which will impact your lifestyle. Attend Sports Injury Specialist Clinic in Manchester, what are you waiting for?How Sports massage can benefit your Recovery? Is it really effective? Warren Magnus; Omar Viswanath; Fassil B. Mesfin pointed out that “You can accomplish extraordinary results treating your Cervical Radiculopathy condition by non-surgical process such as sport massages in Manchester; studies have shown that closely to 85% of acute C.R patients can be addressed with unspecific and non-surgical process during a period of time nearby of 8-12weeks. In order to set a stepwise sports massage approach to acute cervical radiculopathy it is imperative to take into account anti-inflammatory drugs, Sports physical therapy and complementing sports massages treatments amongst further certisone steroid injections for more comples cases of injury” (2020) per source.What types of sports massage services are offered at MY Sports Injury Clinic Manchester? Here are some of your options: Deep tissue massage therapy or also called sports massage. Sports massage in Manchester city centre focuses deep tissue techniques to prime the soft tissues in their recovery process. This enhances the physiological state of the muscles tissues and help to prevent future injuries or symptom regressions.What are the physiological effects of sports massage on the human body? Creates favorable conditions for optimal recovery of sports injuries. Relaxes and removes tension from the muscular system. Sports massage favors the increase in the level of preparation, increases the development of physical qualities.  Recovers and increases the general and special work capacity for each part of the body and the entire organism. ·      Eliminate pain sensations caused by sports injuries. Prepare the athlete as well as possible for competition. Increases work capacity due to increased exchange in muscle. Calms discomfort and improves joint mobility. Muscle relaxation, all these physiological effects of sports massage are due to the implementation of based management sports injuries.Do you know the difference between sports massage and swedish massage? While Swedish massage focuses on improving lymphatic blood circulation and relaxing superficial muscles; deep tissue massage focuses on connective tissue, and the goal is to produce changes in freedom of movement and posture, that is the main difference. Do you prefer surgical treatment plus physiotherapy or only physical therapy to treat your cervical radiculopathy? Which is more effective?“A random study was made in a period of time from 5 to 8 years; results of surgical treatment against conservative treatment in patients sustaining cervical radiculopathy were that the anterior cervical decompression and fusion surgery compounded with sports massage and physical therapy reduced and improved neck disability and pain comparing to physical therapy and just sports massages the first one procedure showed effectively outcomes. Patient self-assessment about treatment results was higher in the surgery group, too. There were not significant discrepancies between both groups of patients regarding to health outcomes and aches related” (2017) study published by Bengt Lind, Markus Engquist, Ludek Vavruch, Håkan Löfgren, Anne Söderlund, Birgitta Öberg, Anneli Peolsson,  Anders Holtz. How can sports or deep tissue massage help with post recovery? A post recovery deep tissue massage or sports massage right after sports competition or training is designed to: ·      Help you recover from physical effort. ·      Eliminate lactic acid build-up. ·      Reduce pain after exercise. ·      Restore range of motion and blood flow to tight muscles. ·      It can also give the athlete a great psychological boost. ·      A post-event massage is administered on site during the end of the event for approximately 10-15 minutes.Why should you take sports massages sessions? Whether you are a professional athlete or an amateur athlete and you are looking to improve your physical condition, as well as improve your athletic performance, the ideal would be to include a deep tissue sports massage as part of your weekly training plan as a preventive measure against injuries and for rehabilitation and sports recovery.What is the frequency of sports massage treatment? How long should sports massages last? This type of massage lasts approximately one hour and a quarter when it comes to maintenance sports massage that has the purpose of maintaining or improving movement and muscle flexibility, the preparatory one lasts 30 minutes, which seeks to improve performance during the sporting event, and the recovery one that lasts approximately one hour, its primary function is to reduce muscle spasms and the metabolic increase that occurs with rigorous exercise, helping the athlete to recover to be able to return to training as soon as possible or to compete.How many days should you wait between every sports massages session at sports injury clinic Manchester?In the case of sports massages, it is highly recommended to do one massage at least every week, fore more active individuals who compete may require twice per week for pre-or-post recovery. The stress on the body during the training can be very strong. In addition, it is very beneficial because it relieves all muscle tension, prevents possible injuries, eliminates adhesions, helps in the recovery phase and increases physical performance.  REFERENCES ·     ·  Peolsson A, Peterson G, Hermansen A, Ludvigsson ML, Dedering Å, Löfgren H. Physiotherapy after anterior cervical spine surgery for cervical disc disease: study protocol of a prospective randomised study to compare internet-based neck-specific exercise with prescribed physical activity. BMJ Open. 2019 Feb 19;9(2):e027387.·      Hassan KZ, Sherman Al. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Jul 20, 2020. Epidural Steroids.·      Doughty CT, Bowley MP. Entrapment Neuropathies of the Upper Extremity. Med Clin North Am. 2019 Mar;103(2):357-370.·      Carlesso LC, Macdermid JC, Gross AR, Walton DM, Santaguida PL. Treatment preferences amongst physical therapists and chiropractors for the management of neck pain: results of an international survey. Chiropr Man Therap. 2014 Mar 24;22(1):11.·      Zhu LG, Wei X, Wang SQ. Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy? A systematic review of the evidence, and a meta-analysis. Clin Rehabilit 2016;30:145–55.·      Cui XJ, Yao M, Ye XL, et al. Shi-style cervical manipulations for cervical radiculopathy: a multicenter randomized-controlled clinical trial. Medicine 2017;96:72–6.·      Fong Seong K. Clinical study on non-operative composite therapy for cervical spondylotic radiculopathy. J Nanjing Univ Chin Med 2013.

PHYSIOTHERAPEUTIC APPROACH TO LOW BACK AND LEG PAIN ORIGINATED BY SACROILIAC JOINT DYSFUNCTION (HIP PAINS) Whether you are undergoing and going through low back and lower limbs pain, this article is made up for you. There could be many causes of leg and low back ailment but in here you are about to read Sacroiliac joint dysfunction looking at the relationships and physiological function, the so called Sacroiliac joint pain, and how it can be assessed, diagnosed, and treated by your Sports physiotherapist at “MY sports Injury Clinic” based in Manchester City, sports massages centre.  At first instance, you must know. What is a Sacroiliac joint and how it works? The sacroiliac joints are located between the sacrum and iliac crest or the pelvis; both of them together perform as shock absorbers settled as a fundamental function, it is usually described as a slightly motion joint, strengthen by powerful ligaments and muscles like the piriformis muscle and the gluteus maximus which provide support and help to have a suitable function of the joint, and it is a true diarthrodial joint.You must be asking yourself, what is a diarthrodial (synovial) joint, right? They are connections between skeletal components in which the elements implicated are separated by a narrow joint cavity. Both ends of bone are covered with thin layers of cartilage & joint synovial capsules which secrete fluid to lubricate the joints. Keeping these concepts in mind, let's follow the order of ideas. When there is pain in these joints, it is due to hyper-mobility, which means there is excess movement in the joints, or hypo-mobility, which means there is limited movement in the joints; we can say there are two main sources of the low back and leg pain originated by sacroiliac joint dysfunction. Such as: Ø  Instability or Hyper-mobility. Ø  Fixation or Hypo-mobility. Now that you know a little bit about anatomy, function and sources of the pain having a thorough assessment and examination at your local Physio / Sports Injury Therapy Centre; physical testing of this issue can be provided through sports physiotherapy sessions following the recommendations and “to do list” “ Rehabilitation Programs “given by certified physio Musculo-skeletal practitioners and Strength & Conditioning experts in Manchester. (SI Joint) is a term used to describe the place where the sacrum and the iliac bones meet and Sacroiliitis is the inflammation of one or both sacroiliac joints, This Results in Hip Pains. it is very important to be clear with these terms. How does inflammation of the joints affect our body? Sacroiliitis can yield pain in the buttocks or lower back, which can spread to one or both legs. Climbing stairs or standing for a long while can worsen the pain. Sacroiliitis can be tough to diagnose because it can be mistaken for other reasons of lower back pain. It has been linked to a group of diseases that cause inflammatory arthritis in the spine. Treatment may imply medications and physical Manual therapy or specific Joint Mobilisations. Moreover, it is not just the inflammation of the joints (SACROILIITIS) which can be mistaken with other diseases, sacroiliac joint dysfunction (SI JOINT DYSFUNCTION) as well; remember there are two main sources of (SI JOINT DYSFUNCTION).Moreover, it is not just the inflammation of the joints (SACROILIITIS) which can be mistaken with other diseases, sacroiliac joint dysfunction (SI JOINT DYSFUNCTION) as well; remember there are two main sources of (SI JOINT DYSFUNCTION). Let’s get inside the sources of sacroiliac joint dysfunction, which are they? Ø  Hyper-mobility in the sacroiliac joint can yield unsteady pelvis sensation which generates pain, whenever there is pain due to a lot of movement it is overall experimented as a low back pain or hip pain. Also felt over the groin area.   Ø  Hypo-mobility in the sacroiliac joint can yield strong pain, muscle tension and most of the time impedes mobility, whenever there is pain due to little movement it is generally experienced over buttocks and just one side of the low back. Also felt down the back of the leg too alike to sciatic pain, this one of the reasons why so many times it is kind of difficult to diagnose the source of the pain. “There are many similar pains related to lower back and leg pain and it is essential an accurate diagnosis of your Injury by a Physical Therapy practitioner that will assist you with a diagnostic physio-    therapeutic approach.” Do you happen to know, which are the symptoms of sacroiliac joint dysfunction? Do you happen to know, which are the symptoms of sacroiliac joint dysfunction? According to Steven Yeomans’ release (2018) “The most common symptoms include: Ø  Lower back pain can be rank up from mild to acute, felt on one side or both sides. Ø  Pain that spreads to several zones like the groin, buttocks and the hips. The buttocks, upper back and side of the thigh are highly known as recurring areas of sacroiliac joint pain. Felt it either one side or both sides. Ø  Worsened pain; jogging or running, lying or putting excessive weight on one side and climbing stairs can worsen the pain by adding great effort and pressure on the sacroiliac joint. Ø  Sciatic-like pain in the backs of the thigh and buttocks also can include numbness and tingling.  Ø  Instability; in the pelvis or lower back makes it feel like it's going to fade and can cause discomfort in simple movements like standing and walking. Ø  Stiffness; this means that there is a limited ability to specifically move the lower back, groin, hips, and pelvis. This makes it difficult to perform ordinary actions like bending over and climbing stairs.”There are several risk factors and causes that can increase the chances of sacroiliac joint pain.  The following are examples of these risk factors: Ø  Aging the older a person is, the more likely they are to develop sacroiliac joint pain due to the degeneration that comes with aging. Over time, ligaments and muscles will deteriorate, and movement can easily cause joint swelling and pain. Ø  Obesity is simply unhealthy for the body, and even for the sacroiliac joints. The sacroiliac joints are joints that support the weight of the upper body. Weight gain can result in increased pressure on the joints, which can eventually cause inflammation and degeneration. Ø  High impact sports athletes who participate in contact sports are more likely to develop sacroiliac joint pain due to trauma. If you are a high impact sports athlete keep reading this, it gets more interesting. The following are examples of causes: Ø  Pregnancy, it is a common cause due to weight gain, hormonal changes, and pelvic changes. After pregnancy, ligaments sometimes remain loose and can cause pain in the sacroiliac joint.Ø  Injury, the injury that causes torn ligaments can cause pain in the sacroiliac joint. It can be a one-hit spinal trauma, such as high-impact sports, in which an athlete falls on their buttocks or due to repetitive stress on the joints from labor-intensive jobs, such as sitting for a long time. Ø  Previous lumbar surgery, sacroiliac joint pains have been shown to be more likely after lumbar spinal fusion surgeries due to limited movement in the lumbar spine and therefore increased movement in the joints. Ø  Aging as a person gets old, the joints deteriorate. In fact, in a 30- or 40-year-old person, joint changes occur such as the formation of cracks and clumping of cells in the ligaments. Eventually, later in the years, there will be erosions. These changes can yield limited movement in the joints, which can produce pain in the lower back and lower limbs. Ø  Overweight; obesity can put more pressure on the joints because the sacroiliac joints are responsible for supporting all the weight of the upper body. The increased pressure can cause inflammation and degeneration. This will also cause limited movement in the joints due to degeneration.In order to get an accurate diagnosis there are multiple tests that must be taken into account. What are they? As we already know (SI joint pain) acts pretty similar to other conditions, such as lumbar herniated disc (leg pain) along with others. During the physical exam, your physio may try to identify the cause of the pain by pressing on different parts of the hips and buttocks. You could move your legs in different positions to put light pressure on the sacroiliac joints. Also a thorough physical examination includes questions that will be made by your physiotherapist in Manchester like: ·      How is your diet based on? How are your sports/physical habits?      Do you sleep tight at night?       Have you been through any recent surgeries? The necessary physiotherapy maneuvers to diagnose (SI joint pain) are: Got to look back on that every individual is neither the same nor has the same symptoms or pain level (could be mild or acute), some of the procedures used by your physio to find the source of the pain are: ·      Sacral thrust test. ·      Distraction test. ·      FABER test. ·      Palpation test. Gold standard process to diagnose sacroiliac joint dysfunction is a sacroiliac joint injection.What is a sacroiliac joint injection? Named sacroiliac joint block as well, overall it is an injection of lidocaine that goes directly into the joint; if the pain fades away we will be talking about a sacroiliac joint dysfunction confirmed as diagnosis. Although the diagnosis may be accompanied with imaging tests like MRI, CT scans and X-ray to rule out other causes of the pain.   Backgrounds encountered of sacroiliac joint dysfunction in cases reported by Shuji Hamauchi and others (2010) “Three patients, 38 years old and 24 years old men and 32 years female were diagnosed with (SJD) by using sacroiliac joint injection, MRI scans and one finger test. All of them were presenting slightly degenerated lumbar lesions in their MRI scans. They were having leg pain and two of them were showing tenderness over the groin area specifically the iliac muscle right after the application of the injection, it was an improvement symptom. The men got back to work and have not recurred pain, on the other hand the female patient has been recurring pain every 2-3 months requesting regular sacroiliac joint injections to relieve the pain, it is important to know that she has a daily lifestyle as a housewife. Around 10% of low back pain is the prevalence of (SIJ) dysfunction.”Options treatments “best scenarios”, what are the effectiveness of these therapies? You have to know that most of the sacroiliac joint pain cases are effectively treated without using unnecessary surgical procedures and the primary goal is to relieve pain and get back normal function of the joint.  When you are being treated of (SIJD) you may experience many procedures at therapy sessions like a trial to try to find the best treatment options for your condition because there is not just a single way to manage it. Which are the most effectiveness non-surgical treatments to tackle sacroiliac joint pain? Established treatments to approach it are:  ·      Short rest period. ·      Applying heat or ice. ·      Pain medication. ·      Manual medication. You can view on this blog info about it (add link). ·      Braces or supports. ·      Sacroiliac joint injections.What Modalities are indicated to treat (SIJ) dysfunction/pain by Physical therapy approach? Every patient is different so the physical therapy has to be customized to their pain, the assignments are: ·      Stretching, to reduce muscle tension on the affected areas. ·      Stretching exercises, to get a better support of the sacroiliac joint and low back.  ·      Aerobic exercise, includes water aerobics, stationary cycling and running on an elliptical. “Surgical and nonsurgical treatments to manage the pain sacroiliac joint dysfunction incorporate osteopathic manipulation, physical therapy, nonsteroidal anti-inflammatory drugs, corti costeroid injections and surgery in the worst scenarios. Individuals may respond to a combination of them or just one is good enough to relieve pain” aforementioned from Phys Sportsmed (2008) authors Robert E Poley, James R Borchers.         References ·       Cohen SP, Chen Y, Neufeld NJ. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Rev Neurother. 2013 Jan; 13(1):99-116. McGrath C. Clinical considerations of sacroiliac joint anatomy: a review of function, motion and pain. Journal Osteopathic Medicine 2004; 7(1):16-24.   ·      Guan F, Sun Y, Zhu L, et al. Risk Factors of Postoperative Sacroiliac Joint Pain for Posterior Lumbar Surgery: ≥2-Year Follow-up Retrospective Study. World Neurosurg. 2017.  Bise CG, Piva SR, Erhard R. Manual Therapy. In: Orthopaedic Physical Therapy Secrets. Elsevier; 2017:85-94. doi:10.1016/b978-0-323-28683-1.00012-6.Frontera WR. Sacroiliac joint dysfunction: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation.  Navallas M, et al. Sacroiliitis associated with axial spondyloarthritis: New concepts and latest trends.Ledonio CG, Polly DW, Swiontkowski MF, Cummings JT. Comparative effectiveness of open versus minimally invasive sacroiliac joint fusion. Med Devices (Auckl). 2014;7:187 93.   Kube RA, Muir JM. Sacroiliac Joint Fusion: One Year Clinical and Radiographic. Results Following Minimally Invasive Sacroiliac Joint Fusion Surgery. Open Orthop J. 2016;10:679-689.    

Manual Physical therapy has been a widely used Treatment Method to treat patients with back and neck problems such as disc pathology, hypomobility, muscle spasms arthritic post-surgical pain’s Individuals looking to turn up a physical manual therapy consultation may experience a series of physical assessments or joint examinations leading to soft tissue or joint mobilizations  in order to relieve muscles ailments. These are usually carried out by certified sports physiotherapists; in numerous instances there is something that sports therapists totally agree alongside treatment; thus, exercise is wholly and deeply necessary to bring back natural function movement of the muscles and live a pain free, unrestricted day - to - day lifestyle.   Nevertheless, Sports Injury therapists working alongside Physiotherapists currently tackle the restoration of proper function from many different points of view. Thus, their concerns would be why muscles are working improperly and take a look back on exercises not as a way to do it but as Manual therapy's complement, physical therapy goes beyond just stretching and working out.   Manual physical therapy is a specialised way to perform neither device nor machine physical therapy. This means just manual hand-work. The Manual therapy consists that the practitioners make only use of their upper limbs like hands to put on pressure over muscle tissue and handle joints to give it a try to reduce back pain induced by joint dysfunction, muscle tension and muscle spasm. Manual Physical therapy is not a gold standard benchmark procedure for back pain Meanwhile any and every physiotherapist might have the opportunity to draw on manual therapy in their praxis most of them do not expend the suitable time to do the research to become a hard-core in this area. It is highly known that physical manual therapy technique is not as familiar as other techniques among patients, and it's not pretty much considered by doctors, that's the reason it is not mainly prescribed. Moreover, a lot of conditions treated by physios making use of Manual physical therapy may not be reimbursed because it is not diagnosed running tests or imaging studies it is most likely to be diagnosed by treatment and motion testing. Effectiveness of manual physical therapy in UK research   Likewise, manual therapy procedures and techniques carry through to assist patients soreness performed by healthcare people such as physiotherapists for treating some illnesses like chronic, subacute and acute low back pain in grown up which are treated by making use of spinal manipulation, acute and subacute neck pain is indicated to tackle by thoracic spinal manipulation, when exercise is compounded with cervical spinal manipulation turns out highly effective at treating  chronic neck pain and acute whiplash associated disorders.   Outcomes of the effectiveness application of manual physical therapy have made evident that massages according to the techniques by professional physios can really ease chronic back pain and chronic neck pain. On the other hand, the evidence established that results were not as effective as expected for myosfacial pain syndrome, fibromyalgia and knee osteoarthritis. Research made and published by Gert Bronfort, Mitch Haas, Roni Evans, Brent Leininger and Jay Triano (2010). The benefits of making use of Manual physical therapy Manual physical therapy is known as a manual handwork used to approach the treatments of dysfunction and musculoskeletal pain in afflictions such as joint stiffness, bad posture, soft tissue and muscles pain in order to reach the mainly aim what it is to relieve patients pain and regain total motion, at Manchester city physio centre these procedures are made by using specialised and customized techniques for each individual. It is good to know, Manual therapist includes manual therapy to help patients thrive out and restore mobility, reducing pain, and improving efficacy of motion. If you are having issues with these abilities better you should try on Manual therapist and start to request an appointment. This is the reason why passive and assisted functional movement, lymphatic drainage, joint mobilization and manipulation, and soft tissue massage are some of the specialised techniques of manual physical therapy implemented by hand therapists.  It is not only about the specialised treatment skills but the capabilities of connections and physical touch by the physiotherapist also make it counts at the moment of healing. Consequently, the blend between physical touch and skilled techniques is the best way overall to boost a quality lifestyle of a patient. Previously at starting any kind of physical therapy, physio generally runs a completely appreciation of the nerve and blood supply of the area, and a muscle and bone assessment as well, so, it assists to make a decision whether or not there is any hazard by enforcing any manual physical therapy practice techniques. Relying on the outcomes of the previous assessments will be provided the procedure and techniques to follow-up. Next, manual physical therapy types will be indicated to perform according the patient needs, such as. Robert Daul (2006) pointed it out. Soft Tissue Mobilization. Strain-Counterstrain. Joint Mobilization. Muscle Energy Techniques. High Velocity, Low Amplitude Thrusting. Maintaining Back Pain Relief Long-Term. Do you happen to know to be interested about learning more of manual physical therapy? Hit us up and get further information.

You may be wondering what is scoliosis about? Well you might find all the answers to your concerns and doubts about this condition, including, diagnosis, treatment, Manchester Sports Injury & osteopathy the types of scoliosis, and more, after read this article it is important that you take action looking for professional assistance, better if you make a call and book an appointment with a Sports physiotherapist in Manchester or Postural specialist. Direct bookings can be made online or visiting MY Sports Injury | massage Manchester City Centre. What happens with my body when I am suffering scoliosis? Scoliosis is an abnormality that occurs when the spine is curved sideways and becomes rotated; it is an unknown cause condition, as well as it is called idiopathic scoliosis. Meanwhile idiopathic scoliosis tends to run amid relatives. Although, genes have not been identified yet and there could be others factors besides genetics. People think that sleeping on the side or carrying heavyweight backpacks are reasons to suffer scoliosis, and that is not the case here. Studies have been made and almost 3% of the population around the world has idiopathic scoliosis, some more severe cases and other more acute cases; reference Ali Baaj (2017). Therefore, Scoliosis involves a deviation of the spine. Our vertebrae are arranged around the spine forming a curved structure from the neck to the pelvis. This vertical curvature is natural. But when the spine deviates laterally in the shape of an "S" or "C" it is very possible that we suffer scoliosis.   Is scoliosis an asymptomatic or a symptomatic condition? Scoliosis involves an alteration in the arrangement of the spine. Even though it is perceived as a symptomatic pathology, it usually is not. As a general rule, it does not cause pain in patients. The most visible symptom is observed from outside. The shoulders and hips are often not at the same height, and the back is lopsided. However, it can lead to more serious conditions, reducing our mobility or impairing the functions of organs such as the heart or lungs. Candidates for conservative treatment with osteopathyare those that do not exceed 30 degrees of deviation. The best recommendation is to attend a Sports Physiotherapist in Manchester where you will be treated with professionals. From these degrees, the generally recommended treatment is the use of a corset and if it exceeds 45 degrees, the orthopedic surgeon can evaluate the surgery. Which are the types of scoliosis? There are several types of scoliosis: ·     Congenital scoliosis. ·     Neurogenic scoliosis. ·      Myogenic scoliosis. ·      Scoliosis based on metabolic or systemic diseases. ·      Idiopathic scoliosis. According to Sergio Vazquez (2018) the most common of all is idiopathic scoliosis (85%), which is of unknown cause, hence we will refer to it. Accordingly to the age at which it is diagnosed, it is classified into three types: ·      Childhood idiopathic scoliosis (0 to 3 years). ·      Juvenile idiopathic scoliosis (4 to 9 years). ·      Idiopathic scoliosis in adolescence (10 years to the end of adolescence). How is determined the severity of scoliosis? The severity of scoliosis is determined by the angulation of its curves (Cobb angle): ·      Mild scoliosis 0º to 25º (Sports Physiotherapy and Postural Re-education treatment Program / Pilates) ·      Moderate Scoliosis 25º to 50º (Sports Physiotherapy treatment + Corset + Pilates) ·      Severe Scoliosis> 50º (surgical treatment + Orthopedic Spinal Review ) Considering the symptoms, at first scoliosis does not cause pain, but it predisposes to suffer back pain, lumbar pain, etc. In moderate and severe cases, it can generate other types of complications, such as respiratory problems. How can scoliosis be diagnosed? The first imaging study we need to diagnose scoliosis is an X-ray of the spine. With it, the specialist will tell us the degree of scoliosis according to the angle formed by the terminal vertebrae of each curve; the diagnostic evaluation includes dynamic and static imaging, also invasive diagnostic procedures like facet blocks, immobilization tests, epidural and root blocks, and discograms. Those tests can have correlation with the pathomorphological findings and the clinical may also offer the most rational and the least invasive treatment for the individual. By M Aebi - European spine journal, (2005). Can osteopathy help to treat scoliosis? Indeed, Osteopathy can help to treat scoliosis and it is the best procedure to follow up if you are in early stages of scoliosis.  It is very important to diagnose scoliosis early, and start a Physiotherapy treatment at sports Physiotherapy Manchester as soon as possible to slow its progress and even manage to correct it, totally or partially, avoiding surgical treatment. We put into practice manual therapies on the spine. Depending on the type of curvature, our osteopaths Sports Therapists, sports physio's, medical doctors in Manchester will act on a specific area to reduce the deviations of each patient. This can be combined with physical activities such as Pilates, completing the physiotherapeutic and osteopathic treatments. Sports physio Manchester puts at your disposal a wide range of disciplines and therapies to alleviate the effects of scoliosis. If you are looking for a physiotherapy centre where you can take care of your back. How can osteopathy help? Osteopathy treatment for scoliosis helps by mobilizing the thoracic and lumbar spine, to increase the range of motion in those areas. Giving the pelvis mobility helps equalize the length of the legs, while seeking to straighten the lower back of the spine. The main goal of osteopathy for scoliosis is to help maintain the facet joints (connections between the vertebrae in the spine), providing relief from the pain experienced by patients with scoliosis; in accordance to Wolfgang Gilliar (2001). The holistic approach used in osteopathic therapies, releases the restrictions of the spine and surrounding tissues, improving posture and regulating the direction and range of movements of the patient. The use of osteopathy has shown significant and essentials improvements in patients with scoliosis. The best ways of scoliosis treatment Physiotherapy offers several types of treatments, which will be combined with orthopedic treatment (corset) in some cases: ·      Global Postural Reeducation: it is possibly the most effective Sports Physiotherapy treatment for scoliosis. It consists of global stretching poses. The treatment is gentle, progressive and active.   ·      MYofascial Induction: It can be defined as a combination of sustained pressures, specific positioning and very gentle stretching. ·      Orthopedic and Osteopathic Manual Therapy: Set of methods and acts with therapeutic and preventive purposes, which is applied manually on the muscular, bone, connective, nervous and visceral tissues in order to succeed with Manchester deep tissue massage and sports massage Manchester that will obtain directly or reflexively, physiological reactions that will balance and normalize the alterations that the individual presents. ·      Klapp method: It is based on the belief that scoliosis is pathology of standing. For this reason, it develops a work system to unload the spine; it is made up of a series of quadrupedic postures and movements. ·      Classic physiotherapy: Stretches and exercises that will try to make the spine more flexible and strengthen by increasing its proprioception.·      Exercise in the pool. Therapeutic Swimming.   Some Osteopathic techniques may help to improve your lumbar strength and posture. ·      Positional release technique, It is a therapeutic technique that relies on a comfortable position of the body, its appendages and its tissues to resolve alterations in vertebral alignment.As a result of scoliosis, tissues often kink or knot, resulting in pain, involuntary spasm, and a loss of range of motion. The positional release technique unties the tissues like a knotted cord would, gently twisting and pushing the tissues in order to remove the tension from the knot, producing profound pain relief.   ·      Myofascial release technique, the myofascial release technique focuses on releasing muscle shortness and stiffness. Many patients seek myofascial treatment when they begin to lose flexibility and experience back pain from scoliosis.The myofascial release technique can help prepare scoliosis patients for more aggressive musculoskeletal strengthening therapies, or provide pain relief for those with restricted flexibility and movement, allowing a return to normal movement.   ·      Muscle power technique, is a treatment used by physiotherapists and osteopaths, which includes alternating periods of muscle contractions and assisted stretching.Basically the joint of the affected area with scoliosis is bent, a little beyond the point where the muscular resistance to movement begins and is supported by forcing the patient to resist gently. After a few seconds the pressure is released. The osteopathic will insist once again by taking the joint even further in order to improve mobility. Ron Miller (2019) indicates that exercise is an outstanding way to keep your back flexible, strong and a healthy posture. Some of these exercises are: ·       Arm/leg raise, strengthen your core and lower back muscles, which support your spine. ·       Pelvic tilt, aids to strengthen your abdominal muscles.   ·       Cat/cow, this exercise stretches the tendons and muscles that support your spine.                       REFERENCES Mistovich RJ, Spiegel DA. The spine. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 699. Negrini S, Di Felice F, Donzelli S, Zaina F. Scoliosis and kyphosis. 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 153. Sure DR, LaBagnara M, Smith JS, Shaffrey CI. Pediatric spinal deformities and deformity correction. In: Steinmetz MP, Benzel EC, eds. Benzel's Spine Surgery. 4th ed. Philadelphia, PA: Elsevier; 2017:chap 158. Scoliosis in children and adolescents. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/scoliosis. Accessed May 3, 2019. Introduction to scoliosis. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/introduction-to-scoliosis. Accessed May 3, 2019. Kliegman RM, et al. The spine. In: Nelson Textbook of Pediatrics. 21st ed. Philadelphia, Pa.: Elsevier; 2020. https://www.clinicalkey.com. Accessed May 3, 2019. Scherl SA. Adolescent idiopathic scoliosis: Clinical features, evaluation and diagnosis. https://www.uptodate.com/contents/search. Accessed May 3, 2019. Ferri FF. Scoliosis. In: Ferri's Clinical Advisor 2019. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed May 3, 2019. Scherl SA. Adolescent idiopathic scoliosis: Management and prognosis. https://www.uptodate.com/contents/search. Accessed May 3, 2019. Shaughnessy WJ (expert opinion). Mayo Clinic, Rochester, Minn. June 5, 2019. Shands AR. End result of the treatment of idiopathic scoliosis. Journal of Bone and Joint Surgery. 1941;23:963. Morrow ES Jr. Alls EPSi. Mayo Clinic, Rochester, Minn. Jan. 21, 2019.

THORACIC OUTLET SYNDROME AND FROZEN SHOULDER A frequent reason to visit MY SPORTS INJURY CLINIC is shoulder pain, generally referred as a shoulder injury. There are many different types of shoulder injuries such as frozen shoulder, scapula dysfunction, dislocated shoulder, shoulder labral tears and thoracic outlet syndrome, the last one is accompanied with neck pain as well. Others common shoulder injuries are rotator cuff injury and shoulder impingement. When you feel pain it's essential to attend a professional specialist consultation with our team at MY sports physio in Manchester. Common shoulder injuries are treated at MY Sport Injury & Osteopathy in Manchester City Centre with certified and trained specialists. Sports Injury physiotherapists in Manchester can solve your needs, Using the Online Booking platform to book an appointment to treat and heal your shoulder injury once and for all! In this article you can know, How to treat a shoulder injury when you attend Sport Massage Manchester? ·  Sports Physiotherapy Manchester sessions : We can suggest some kind of suitable yet specific stretches and exercises to carry out at home in order to speed up the treatment and healing process. They may also offer viable advice about a patient’s lifestyle and Nutrition within their diet. ·  Yoga For Shoulder injuries : Coral García Travesí (2014) indicates that yoga postures help athletes' shoulder injuries, Such as: Cow Face Pose, variation (Gomukhasana) sitting in a comfortable position with crossed legs, raise the right arm to the right, parallel to the ground. With palm up, rotate the arm and bring it behind the torso so that the forearm rests on the lower back; move your forearm up. Raise your left arm to the left with the palm of your hand facing up. Bend your elbow and try to reach out and take your right hand. You can do this pose with the help of a towel or a rope behind your back if you cannot hold your hands. Lateral Plank Pose, variation (Vasisthasana) stand on your forearms with your elbows below your shoulders and your feet together. Roll onto the ball of your right foot and rotate your right forearm 45 degrees inward. Raise your torso and stretch your left arm up. Hold for 30 to 60 seconds and repeat on the other side. ·Mental Health services coping with a Shoulder Injury. The role of MY Sports Injury & Physiotherapy Manchester in improving mental health, not all of the physical therapists believe that mental health is the whole thing about physical therapy. Good mental health is fundamental to the well-being of families, communities and individuals, poor mental health is related as one of the significant causes of disability, poor quality of life and reduced productivity, it has been documented that physical activity can improve quality of life for people with serious mental illness. The Physio Manchester experts always say “NO HEALTH WITHOUT MENTAL HEALTH”. A condition that causes neck and shoulder pain is thoracic outlet syndrome (TOS), it occurs when the nerves or blood vessels just below the neck are compressed or tight. Compression can occur between the neck and shoulder muscles. Treatment includes physical therapy as shoulder injury exercises, pain relievers and in severe cases, surgery. In accordance with Michael Rubin (2019) its pathogenesis is often unknown, but it sometimes involves compression of the lower trunk of the brachial plexus (and perhaps the subclavian vessels) but this condition is unclear. Thoracic outlet syndromes are more common among women and usually develop between age 35 and 55. Compression can be caused by: ·      A cervical rib. ·      Abnormal first thoracic vertebra. ·      Abnormal position or insertion of the scalene muscles. ·      Poorly consolidated clavicle fracture Signs and symptoms Michael Rubin (2019) also says “Pain and paresthesias usually begin in the neck or shoulder and extend to the medial aspect of the arm and hand and sometimes to the adjacent anterior chest wall. Many patients have mild to moderate sensory impairment in the C8 to T1 distribution on the painful side; a few have prominent vascular-autonomic changes in the hand (cyanosis, swelling). In even fewer, the entire affected hand is weak. Rare complications include Raynaud syndrome localized to the affected arm and distal gangrene.”   There are several types of thoracic outlet syndrome, including the following: ·      Neurogenic (neurological) thoracic outlet syndrome. This most common type of thoracic outlet syndrome is brought about by compression of the brachial plexus.   ·      Vascular thoracic outlet syndrome. This type of thoracic outlet syndrome occurs when one or more of the veins (thoracic venous outlet syndrome) or arteries (thoracic arterial outlet syndrome) below the clavicle become compressed.   ·      Nonspecific thoracic outlet syndrome. This kind of injury is also called disputed thoracic outlet syndrome. Some doctors do not believe it exists, while others say it is a common disorder. Symptoms of thoracic outlet syndrome can vary depending on which structures are compressed. When the nerves are compressed, the signs and symptoms of neurological thoracic outlet syndrome include: ·      Numbness or tingling in the arm or fingers. ·      Pain or discomfort in the neck, shoulder, or hand. ·      Weakening of grip. Signs and symptoms of vascular thoracic outlet syndrome may include: ·      Discoloration of the hand (bluish color). ·      Swelling and arm pain, possibly due to blood clots. ·      Weak pulse in the affected arm. ·      Cold fingers, hands or arms. ·      Arm fatigue with activity. Causes of (TOS) The causes of compression vary and can include the following: ·      Anatomical defects. ·      Bad posture. ·      Trauma injury. ·      Repetitive activity, doing the same thing repeatedly can, over time, wear down body tissue. ·      Pressure exerted on the joints, obesity can put too much pressure on your joints. ·      Pregnancy, because joints loosen during pregnancy, the signs of thoracic outlet syndrome may first appear while you are pregnant.   Diagnosis of thoracic outlet syndrome (TOS) Diagnosing thoracic outlet syndrome can be difficult because symptoms and their intensity can vary greatly between people who have this disorder. ·      Imaging studies and nerve studies, X-rays, ultrasound, CT scan, magnetic resonance imaging (MRI), angiography,arteriography and venography, electromyography,nerve conduction study. To diagnose thoracic outlet syndrome, your doctor or physical therapist can review your symptoms and medical history and perform a physical exam. ·      Physical exploration, a physical examination will be done to look for external signs of thoracic outlet syndrome, such as slumped shoulders, swelling or paleness in the arm, abnormal pulses, or reduced range of motion. Among the most characteristic tests for (TOS) pathology are those who put in compromise the different gorges through which neurovascular bundle runs.Adson test, costoclavicular maneuver or Falconer and Weddell test and Wright hyper abduction, according to J. A. Pujante Guirado (2009). Treatment of (TOS) How to heal a shoulder injury like Thoracic Outlet syndrome, in most cases, a conservative treatment modality is effective if your condition is diagnosed early. Shoulder injury treatment may include: ·      Physiotherapy, if you have neurogenic thoracic outlet syndrome, physical therapy at sports massage Manchester city Centre may be the treatment service of choice. You will learn with your Sports physio in Manchester how to perform exercises to strengthen and stretch the shoulder muscles, thereby, opening the thoracic outlet and improving range of motion and body posture. These exercises, over time, can relieve pressure on the blood vessels and nerves at the (TOS).Medication, prescribed by your doctor such as anti-inflammatory pain relievers, or muscle relaxants to decrease inflammation and promote muscle relaxation. If you are diagnosed with thoracic outlet syndrome, your doctor or physical therapist will instruct you to do exercises at home, such as practice relaxation exercises, deep breathing, meditation, gently massage the shoulders and thoracic outlet, yoga for shoulder injury stretching to strengthen and support the muscles around the thoracic outlet and also help to have a good mental health and an acceptable mental health statistics, to finally get a full shoulder injury recovery. In general, to avoid unnecessary stress on your shoulders and the muscles around the thoracic outlet, you should do the following: ·      Maintain good posture. ·      Take often breaks at work to move and stretch. ·      Avoid mental health crisis. Wait, surely you must be thinking, what is mental health? Mental health includes the emotional, psychological and social well-being of people. It affects the way we think, feel, and interact. Understanding this, mental health in UK is an extremely important point; we must keep in mind mental health and become aware of. ·      Keep a healthy weight. ·      Avoid carrying heavy bags over your shoulder. ·   Avoid activities that make symptoms worse or find ways to adapt activities so they don't cause symptoms. ·    Create a work area that allows you to maintain good posture and does not make symptoms worse. ·      Apply a heating pad to the area of Injury to relax surrounding muscles. As a result of shoulder pain and loss of motion due to inflammation, we are talking about a condition that it is called frozen shoulder. In order to Pietro Tonino (2016) people who have frozen shoulder often experience shoulder pain, stiffness, and decreased range of motion. Everyday activities such as getting dressed or reaching for something can be challenging. The shoulder joint is a ball and socket joint, made up of three bones: the humerus, the shoulder blade, and the clavicle. Signs and symptoms ·       Pain; a dull, fixed and continuous pain that occurs more at night and causes decreased arm movements. More is produced in the first stage. ·       Stiffness; greatly limiting arm movements such as fastening the bra or combing hair. ·       Decreased mobility of the arm; there is decrease in both active and passive arm mobility. Causes of frozen shoulder The capsule of the shoulder joint has ligaments that attach the shoulder bones to each other. When capsule inflammation occurs, these bones are unable to move freely in the joint. Most of the time, there is no cause for the inflammation. Risk factors include:   ·      Diabetes. ·      Thyroid problems. ·      Changes in your hormones, such as those what happen during menopause. ·      Shoulder injury. ·      Mental health problems. ·      Shoulder surgery. ·      Open heart surgery. ·      Cervical disc disease of the neck. Diagnosis of Frozen shoulder It is usually done with a good medical history and physical examination. On physical examination, the patient is asked to raise the arms with the palms of the hands up, arms forward (wanting to push something forward), spread the arms to the sides, and bring the hands behind the back. If any of these movements present difficulty, you should think of frozen shoulder. Sometimes doctors and physio Manchester ask for additional studies such as an X-ray or an MRI, this serves to rule out other types of injuries. Treatment of frozen shoulder The main treatment is non-steroidal anti-inflammatory drugs, steroid injections and physical therapy.   When the treatment is not effective, surgery is performed. Physiotherapeutic treatment should always be carried out after surgery; recovery varies from 6 weeks to 3 months. Physiotherapy Manchester ·      Heat; the heat applied at the beginning of the treatment helps to loosen the shoulder before mobilizations and stretches. ·      Shoulder mobilizations; your physio Manchester must perform gentle mobilizations. ·      Stretching. ·      Gentle massages of all the muscles. ·      Acupuncture. ·      Cryotherapy at the end of the therapies. Physio exercises for the frozen shoulder patient. ·      “Spiderlings”, facing a wall with your hands extended on it, climb with your fingers up as if it were a spider, go up until you feel tension in your shoulder, lower and rest your arm, do this 10 times.   ·      Codman exercises; recommended at the beginning of therapy and at the end of it. Perform circles with the arm hanging on the table.     ·      With a stick lying down and seated, perform the movements of flexion, rotation, abduction and adduction of the arm, helping you with the good arm.   ·      In the frame of a door, place the arm at 90º of flexion and put the hand on the edge of the door, turn the body to cause external rotation at the shoulder.     ·      Self-assisted arm lift. Positioned supine on the table, bring the arm up and from below the elbow; help with the hand of the good arm to force the movement.   ·      Cross the outstretched affected arm to the other side passing under the chin and increase the stretch with the hand of the good arm. This can be done on the back with the help of a towel grasped by the ends with both hands and pulling to the right or left to search for internal or external rotation. References American Academy of Orthopaedic Surgeons website. Frozen shoulder. Orthoinfo.aaos.org/en/diseases—conditions/frozen-shoulder. Update March 2018. Accessed December 10, 2018. Finnoff JT. Upper limb pain and dysfunction. In: Cifu DX, ed. Braddom’s Physical Medicine and Rehabilitation. 5th ed. Philadelphia, PA: Elseveir; 2016: chap 35. Harris JD, Griesser MJ, Jones GL. Stiff shoulder. In: Miller MD, Thompson SR, eds. Delee and Drez’s Orthopaedic Sports Medicine: Principles and Practice. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 55. Miller RH, Azar FM, Throckmorton TW. Shoulder and elbow injuries. In: Azar FM, Beaty JH, Canale ST, eds. Campbell’s Operative Orthopaedics, 13th ed. Philadelphia, PA: Elsevier; 2017: chap 46. Ferri FF. Thoracic outlet syndrome. In: Ferri's Clinical Advisor 2020. Philadelphia, Pa.: Elsevier; 2020. https://www.clinicalkey.com. Accessed July 19, 2019. Frozen Shoulder. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00071. Last reviewed January 2011. Accessed May 19, 2016. Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med. 2008;1(3-4):180-9. Adhesions in the Shoulder. PubMed Health website. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0025850/. Accessed May 22, 2016. Page P, Labbe A. Adhesive capsulitis: use the evidence to integrate your interventions. N Am J Sports Phys Ther. 2010;5(4):266-73. Andary J.L, Petersen S.A.The vascular anatomy of the glenohumeral capsule and ligaments: an anatomic study. J Bone Joint Surg Am. 2002; 84-A: 2258-2265. Buller LT, et al. Thoracic outlet syndrome: Current concepts, imaging features, and therapeutic strategies. The American Journal of Orthopedics. 2015;44:376. AskMayoExpert. Thoracic outlet syndrome. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2019. Grunebach H, et al. Thoracic outlet syndrome. Vascular Medicine. 2015;20:493.          

GROIN PAIN WHAT YOU NEED TO KNOW  / FEMORAL HIP IMPINGMENT The groin pain requires the common medical consultation, both at the level of general medicine, specialties physicians, professional Sports physiotherapists and sports therapists in Manchester. When the hip impingement causes the first symptoms, it might be announced as a hip impingement syndrome, the principal symptoms are pain in the groin zone, particularly at the moment when you flexing the hip or walking and it’s reduced the range of movement in the hip. Meanwhile, at first time you can just feel the pain when you move the hip close to its limits. (Jack Grealish: Aston Villa Midfielder – Copyright) There are different kinds of hip impingement CAM, PINCER AND FAI, they can also be treated at MY Sport Injury & Osteopathy | Manchester City Centre with the assistance of certified professionals, guaranteed specialists on www.mysportsinjury.co.uk The Team can assist in providing specialized treatment from a sports physio Manchester through conducting full medical assessment and customized approach to rehabilitation in the elite field of sports.   How could I know or suspect if I am suffering of a hip impingement? ·      Pain in the groin or gluteal region. ·      Sciatic and knee pain after sports. ·      Cracks in the hip with movement. ·      Limitation of hip movements. If you are feeling these symptoms first of all you may attend to a professional medical consultation, after a medical examination the procedure to follow and the treatment will be indicated with a customized sports injury rehabilitation program.   One of these plans of action could be to have direct sports therapy with a professional Sports physiotherapist including a sports therapy or sports massage in Manchester.         What happens with my body when a hip impingement occurs? Actually, hip impingement occurs when the ball and socket of the hip joint do not fit properly. Limited movement damages the cartilage and can lead to pain and arthritis in young adults. Furthermore, femoro-acetabular or hip impingement is an anatomical disturbances or hassle of the hip, brought about by a deformity or an abnormality of the femur bone, acetabulum or both that causes an unnatural contact between both structures during  motion and gliding of the joints.     Which other causes can inguinal pain be confused with?    It can be mistaken with several other causes such as facet syndromes, renal colic, hernias, etc. Patients at MY sport Injury & Osteopathy Manchester with this condition are generally young people or sports athletes with groin pain that may show up after a minor trauma.     Types of hip impingement PINCER It is the result of a linear contact between the acetabular rim and the femoral head-neck junction. The first structure to fail in these cases is the acetabular labrum. The continuous impact leads to degeneration of the labrum, and ganglions or ossification of the rim leading to a deepening of the acetabulum, worsening the over-coverage. Pinching "in pincers" has a frequency of 9% and is more common in middle-aged women with some degree of sports activity. CAM It is caused by entrapment of an abnormal femoral head with an increasing radius in extreme motion, especially flexion. The underlying cause for the abnormal morphology in cam pinching (cam) is not clearly understood. The resulting frictional forces lead to an outside-to-inside abrasion of the acetabular cartilage or avulsion of the labrum and subchondral bone in a relatively constant anterior superior area. Cam pinching, with a frequency of about 6%, is more common in young, athletic males. How to diagnose a hip impingement? Advances in recent years, especially in the study of images, have made it possible to identify anatomical abnormalities that until now had been underdiagnosed or unknown, such as those found in femoroacetabular impingement syndrome. Imaging studies The complementary study of images is very important for the identification of anatomical abnormalities associated with impingement and to rule out other pathologies. Plain radiographs remain the most accessible and widespread method for the diagnosis of this pathology and should always be the initial examination. Magnetic resonance imaging is very useful to evaluate the acetabular labrum and articular cartilage. Treatment of hip impingement In a palliative way, anti-inflammatories and kinesiotherapy at sports therapy Manchester can be prescribed with emphasis on exercises to strengthen the periarticular muscles. In the first instance, a kinesiotherapy program is recommended based on sports physio Manchester, especially in acute cases where there is no advanced damage. Having a Sports Massage is highly recommended to loosen the gluteal muscles around the hip joint which can be effective in treating the overall symptoms of the Hip. (Mykonos Performance: Kyle Walker Peters: Southampton Footballer Strength & Conditoning) Copyright   Rehabilitation focuses on improving hip stability and muscle management of the segment characterized by the presence of contractures or altered patterns. It is accompanied with activation exercises and stretching that seek to improve hip mobility.    In those cases where there is not response to the kinesiological treatment at MY sports therapy | Manchester or in those patients where there is an advanced pathological process, surgical resolution is indicated by means of a hip arthroscopy that seeks to restore normal morphology in the hip with an opinion by an orthopedic hip consultant. Physiotherapy treatment pre-medical operation The rehabilitation program must be developed in a specific and comprehensive way for each patient, and from a very complete analysis of the history, the operation, the clinical charts and evolution, all this to define the approach with appropriate methods and techniques by a Sports physiotherapist at MY Sports Injury & Osteopathy | Manchester city Centre. Kinesiotherapy Program ·      Isometric exercises, both quadriceps and glutes, the patient in a supine position with a towel in the popliteal region, the physiotherapist will ask the patient to press the towel and the tip of the foot upwards, so that they perform exercises isometric quadriceps holding a contraction for 6 seconds and relaxation for 3 seconds.                 ·      Isometric adductor exercises with a ball between the knees, the patient is asked to press the ball for 8 seconds, repeating the exercise 10 times, leaving 10 seconds of rest between contractions, the physiotherapist checks that there are no compensations.   ·      Likewise, it is important to know that there are certain devices to perform aerobic physical activity that imply greater stress on the hip and knee joints, being the cases of the stationary bicycle.   (Deli Ali & Kyle Walker Peters: Footballers Mykonos Performance Elite Sports)   ·      Patient in a standing position leaning on the stretcher will perform hip extension with resistance from the theraband, while the physiotherapist stabilizes hips avoiding compensations for medius gluteus (3 series of 10 repetitions each).   ·      Active ankle mobilizations both flexion-extension, abduction-adduction and inversion-eversion, the physiotherapist at sports massage Manchester city Centre applies resistance to each movement respectively. In addition, the patient will perform circumduction movements. Perform 3 sets of 10 repetitions each.   ·      Accelerate the learning process of rehabilitation, for a correct preoperative education consists of: carrying out functional activities, going up and down stairs, moving from your chair to the bathroom, transfers and independent ambulation. Physiotherapy treatment post-medical operation Kinesiotherapy Program ·      In a sitting position we will perform progressive quadriceps toning exercises, requesting the patient to perform knee flexion-extensions, hip elevation with knee in extension, triple reflection to tone anterior tibialis and psoas, with the placement of manual resistances by the physiotherapist.   ·      Isometric ankle exercises (no adduction and internal rotation).   ·      Isometric hip abduction-adduction exercises. It is considered the most important type of exercise (especially abduction), since they help the patient to walk without lameness, however, they should be avoided if the patient has undergone a trochanteric osteotomy.   ·      It is recommended to start doing them in supine position, with a ball between the knees, performing adductor isometrics and maintaining a contraction of the same for 3 seconds and relaxation for 3 seconds, while the physiotherapist controls that there are no compensations.   ·      Both active and assisted hip abduction exercises will be performed.   ·      Advanced training, specificity for return to sport.   High demand single limb dynamic lumbo-pelvic stability and optimize functional strength, endurance and power within the lower kinetic chain.           References Leunig M, Ganz R. Femoroacetabular impingement: a common cause of hip complaints leading to arthrosis. Unfallchirurg 2005; 108: 9-17.  Kassarjian A, Yoon L, Belzile E, Connolly S, Millis M, Palmer W.Triad of MR arthrographic findings in patients with Cam type femoroacetabular impingement. Radiology 2005; 236: 588-92.       Ganz R, Gill TI, Gautier E, Ganz K, Krugel L, Berlemann U. Surgical Dislocation of the adult hip: a technique with full access to femoral head and acetabulum, without the risk of avascular necrosis. J Bone Joint Surg Am 2001; 83: 1119-24.    Beall Dp, Sweet CF, Martin HD. Imaging finding of femoroacetabular impingement syndrome. Skeletal Radiol 2005; 34:691-701.      Jager M, Wild A, Westhoff B, KrauspeR. Femoroacetabular impingement cause by a femoral osseous head-neck bump deformity: clinical, radiological and experimental results. J Orthop Sci 2004, 9:256-263. Notzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J: The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br 2002; 84: 556-560. Blankenbaker DG, Tuite MJ. The painful hip: new concepts. Skeletal Radiol. 2006; 35 (6): 352-70. Schmid MR, Notzli HP, Zanetti M, Wyss TF, Hodler J. Cartilage lesions in the hip: diagnostic effectiveness of MR arthrography. Radiology. 2003; 226(2):382-6. Byrd JWT. Physical examination. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd edition. New York: Springer; 2005. p. 36-50.              

There are many benefits to allowing your children to play sports. They learn discipline, perseverance, how to work as part of a team and how to become leaders. Along with these benefits come serious risks and it is important that you know how best to reduce the chances your child will suffer long term consequences from a sports injury. While prevention is the most effective means of addressing this issue, it is impossible to prevent all sports injuries, so you need to be able to know how to reduce the severity of those injuries that are inevitable and how to respond when your child has been hurt.Sports Injuries Among Children are a Growing ConcernOver 38 million children are enrolled in sports programs every year, and almost 3.5 million children under fifteen years of age will receive medical treatment for an injury suffered while practicing or playing. While many parents believe that their children are most at risk during games, the reality is that children suffer more injuries during practice than when they are performing in a game. It is for this reason, children need to learn safe practices while on the field.While sprains are the most common injury reported among young athletes, traumatic brain injuries are the cause of the most casualties. For a long time, we did not fully understand the impact of repeated blows to the head on the function of the brain, but recent discoveries have brought the topics of concussions and chronic traumatic encephalopathy to the forefront.How to Prevent Sports InjuriesThere are a number of things that you can do to make sure your child has the best chance of avoiding serious injury during practice and play. Regular physical examinations are key to making sure that your child is physically fit to play and may reveal any problems that may increase the risk of an injury. In addition, you should make sure that your child is equipped with adequate safety equipment such as pads, a helmet and other equipment specific to his or her sport.Keeping children hydrated during physical activity is also key, as dehydration can be the cause of a number of sports injuries. Poor form is often attributed to the cause of many injuries, so it is important that children are taught how to make contact with other players while avoiding head to head contact or lowering their head into the hit. This kind of contact may result in concussions or traumatic injuries to the brain or spine.What is Chronic Traumatic Encephalopathy?CTE is a disease discovered among retired athletes that endured regular blows to the head over their careers. Research has found that amateur athletes can also suffer from this condition, which can result in the gradual loss of neurological function. There are four stages that an athlete may progress through when he or she suffers from CTE.The first stage may result from one of more concussions and carries with it many of the common concussion symptoms— headache, dizziness, confusion and mild memory loss.The second stage is exhibited through changes in the person’s behavior and social interactions. It is common for sufferers of CTE to show poor decision making skills, to experience mood swings and to suffer from memory loss.The third and fourth stages of CTE result in the loss of motor function, speech impairment, deafness, vertigo, dementia and mental illnesses such as depression, mania or anxiety.The sports that place children at greatest risk of CTE are those where players make direct physical contact, such as football, hockey, boxing and wrestling. If your child suffers one or more concussions, it is important to have a discussion with your doctor on whether it is safe for him or her to continue playing contact sports.Make Sure Coaches Promote Safe PracticesA number of the injuries children suffer while playing sports can be linked to the very practices their coaches teach. It is important that you know what it is that your child’s coach teaches and whether or not coaching staff is properly trained in first aid, CPR and sports safety. There is also a fine line between developing endurance and pushing children too far, so you should consider whether your child’s coach knows when it is appropriate to provide players with the rest that they need during practice and games.This article written by Jonathan Rosenfled is lifted from Rosenfeld Injury Lawyers. Published by MY Sports Injury & physiotherapy Ltd 

 Introduction to rowing Rowing is a very popular sport, however people seem to either know nothing at all or everything about it. Here are some of the basic facts: rowing is one of the oldest Olympic sports and is one of Team Great Britain most successful disciplines at the Olympics, winning a gold medal every year since 1984. Rowing is GB’s third most successful Olympic sport, after Athletics and Cycling, with 58 medals in total. A misconception about rowing is that it is “all in the arms”, quite the contrary is true with the arm muscles contributing very little. If done properly most of your power comes from your legs. When you put your blade into the water you squeeze your abdominal muscles and set your back muscles in a static contraction to connect the handle to your footplate. You then plantar flex your ankle and extend your knee joint using your quadriceps. When your knee is coming to the end of extension you use your lower back muscles and glutes to swing your torso backwards, finishing off the stroke by pulling the handle into your chest. There are two classes of rowing boat, a sculling boat in which the rowers have two blades each or a sweep boat where rowers use one oar each. Sweep boats can range in size from an eight to a pair and sculling boats range from a quad to a single. We also have two seasons: a head season which runs through the winter. These races usually range from 3 km to 8 km, boats start one after another and classic examples are the Oxford Cambridge Boat Race or The Head of the River Race. Regatta seasons generally runs from May to August, and the races are normally 2 km (the same as the Olympic distance) with multi-lane racing. The most famous regatta is Henley Royal Regatta in July where Olympians, students and amateurs from all over the world race each other.  Manchester University Boat Club (MUBC) is one of the oldest and largest sport clubs at UoM, with around 200 members every year. Founded in 1932, the Boat Club has since grown into a thriving group for both novice and senior athletes. We have an ergometer training room at the Armitage Sports Centre and our boat house is on the Bridgewater Canal in Sale. We train and compete throughout the whole of the academic year all over the country. A usual training week is 8 to 10 sessions, consisting of water outings, ergometer sessions, weights and circuits.Common rowing injuries The most common rowing injury is a rib stress fracture. This usually occurs in the lead up to head season when we are doing long distances on the water and ergometer to build our aerobic base. A normal session would be a 18km paddle or an hour on the ergometer. We try to combat this injury by training our cores often. The second most common area to injure in rowing is your lower back. As fatigue sets in a rower’s posture slumps and the back becomes more rounded, which puts more strain through the lower back. Teaching proper technique, increasing flexibility and core strength are important to prevent this injury, as well as many other injuries in our sport. The use of sports massage and sports physiotherapy also helps keep on top of all the aches and pains accumulated during our intense training. For this reason, we are looking forward to our new partnership with My Sports Injury Manchester. Our athletes are always in need of a sports rehabilitation clinic and we know their injury specialists will help us to keep achieving a high level of training and racing.

The intervertebral discs. The scapegoat of many a spinal dysfunction. I have heard many a patient, athlete, and fellow health professional refer to the infamous ‘slipped disc’, which to me always seemed misleading as, well, you cannot slip a vertebral disc. The implication that a vertebral disc can easily be slipped out of place has led to the popular misconception that they are easily mobile and fragile structures that are susceptible to injuries. This is simply not true. It is frustrating that an accurate idea of the anatomy, function and how these structures elicit pain is seemingly not yet entirely clear, or at least is not portrayed to patients. What is equally frustrating is the continued use of the term ‘slipped disc’ by health professionals who should know better, as this only adds to the problem and helps cement the inaccurate and wildly believed perception of intervertebral disks among the general public. Hopefully, I can quickly clear a few things up. So, firstly, let us talk anatomy. The spinal column is typically divided into four main regions: The Cervical (Neck), the Thoracic (Upper Back), the Lumbar (Lower Back) and the Sacral (Sacrum) regions of the spine. Each region is made up of various joined segments known singularly as vertebra and plurally as vertebrae. Intervertebral discs, as suggested by their name, lie between each vertebra. Every vertebra in the spine (except for C1 and C2) has an intervertebral disc. Each disc is made up of an outer fibrous ring called the Anulus Fibrosis and an inner gel like centre called the Nucleus Pulposus. The annulus fibrosus consists of fibrocartilaginous layers, or laminae, made of both type I and type II collagen. The type I is concentrated towards the edge of the ring, providing it with greater strength. The Nucleus Pulposus is made up of loose fibres suspended in a mucoprotein gel. Together the Annulus Fibrosis and the Nucleus Pulposus form a fibrocartilaginous joint, known as a symphysis. Symphysis fusions are extremely strong and robust joints that can withstand enormous amounts of force. Ok, so what do they do? The intervertebral discs separate the vertebrae, act as ligaments holding the vertebrae together and act as shock absorbers for the spine. How do they achieve this? Well, as discussed in the previous paragraph, the Nucleus Pulposus is made up of a mucoprotein gel. This allows for even distribution of pressure across the disc, preventing overly excessive forces on the vertebral endplates, while the endplates themselves hold the discs in place and provide an anchorage for the Annulus Fibrosis. Meanwhile, the stiff laminae allow for increased ability to withstand compressive forces. Combining all of this makes it PRACTICALLY IMPOSSIBLE for the disc to just “slip” out of place like a bar of soap! This does not mean however, that it is impossible to injure a disc! So, intervertebral discs do get injured? Of course. If they do will they heal? 100%. Ok, but why is it called a ‘slipped’ disk if you cannot slip a disk? For that I have no answer, the bottom line is, it shouldn’t. Well what should it be called? When medical professionals refer to a slipped disk, they are likely referring to a HERNIATED disk. This is not a herniation of the entire disk, but of just a small section. Herniations can happen when unbalanced mechanical pressures substantially deform the Annulus Fibrosus, causing part of the Nucleus Pulposus to obtrude either laterally or posteriorly. This reduces local muscle groups’ ability to function properly, putting pressure on nearby nerves. So, the disc does not ‘slip’, it BULGES. Such injuries can occur due to trauma through physical activity, mainly caused by shearing forces, or chronic deterioration typically accompanied with poor posture and can elicit symptoms typical of nerve root entrapment. Such symptoms include: Paraesthesia, numbness, acute or chronic pain, decreased muscle tone and decreased functional performance. These symptoms can occur either locally or anywhere along the dermatome served by the entrapped nerve. Therefore, we sometimes feel the referral of symptoms in other areas of the body such as our legs. Well then, there we have it. A summary of why you do not, nor ever will, have a ‘slipped’ disk. For any members of the public reading this, I hope I have helped you understand intervertebral discs a little better. For any fellow health professionals, I implore you, please, ban the term ‘slipped disc’ from your vocabulary. Continuing the use of inaccurate terms when describing pathologies only furthers misinformation. As we know, the language we use is proven to have lasting effects on patients. Therefore, it is our duty to paint accurate pictures of these lesions to our patients, who are less enlightened on the inner workings of the human body. If you are suffering from a herniated disc, any other spinal problems or non specific lower back pain, then come and visit the MY Sports Injury Clinic in Manchester. We have many health professionals including Sports Injury Specialists, Strength and Conditioning Coaches and Massage Therapists to help answer your questions and provide specialist treatment to improve way of life!

STRENGTH & CONDITONING IN SPORTS ELITE PERFORMANCEEarly on in our history, it became an evolutionary necessity for humans to be able to travel from A to B quickly. It became essential for survival, whether it was for chasing down prey or outrunning predators. Fast forward a couple of hundred thousand years however, this is no longer the case. We can simply shop for our food and the likelihood of needing to outrun potential predators has somewhat dwindled. That does not mean, however, that sprinting no longer bears any benefits. As a society we are unconsciously obsessed with the notion that the longer the distance we can run then the fitter we are. Think about it, whenever we aim to improve our fitness, we tend to go on long runs rather than complete a series of short, intense sprints. Though this notion may be true to an extent, fitness is about far more than just the distance you can run! I promise you, just because you can run mile after mile at a steady state does not for a second mean you will be able to breeze through a sprint endurance session!  Sprinting can result in various physiological and other health-related benefits when performed properly and regularly. So, here are a few such benefits… 1. You can do it anywhere! The financial benefit of sprinting is that you do not need to pay for specialist equipment or a gym membership to complete a sprint session. It can be done anywhere from your local park, your local street, your own back garden if it is big enough or you can even, if you have no other option, sprint on the spot in your home. It’s that easy. 2. It improves body composition. Body composition is our body’s fat-muscle ratio. Various studies have concluded that sprinting is far superior than steady state running in burning fat and building muscle. It causes adaptions at a cellular level. Such adaptions include improved protein and oxygen synthesis in the muscles, helping to build muscle, and a metabolic ‘afterburn effect’. This ‘afterburn effect’ is known as excess post-exercise oxygen consumption or EPOC. Simply put, our bodies continue burning calories even after we have finished the sprint session. 3. It improves cardiovascular fitness. Sprinting is considered to have many cardiovascular advantages over steady state running. This is because repeated high intensity intervals lead to an increase in glycogen stores of up to 20%, increase oxygen uptake and increases the body’s ability to remove waste products during exercise, leading to a 50% increase in muscle buffering capacity. 4. Improves glucose control. Research published in BMC Endocrine Disorders suggested that sprinting reduces the risk of high blood sugar levels and high blood pressure, as well as improves cholesterol levels, cut abdominal fat, and improves sugar metabolism; this reduces the risk of dangerous glucose build-ups which can lead to Type 2 Diabetes. 5. It improves speed. Muscle fibres are classified into three types: type 1 (slow-twitch) and types 2a and 2b (fast-twitch). Sprint training increases the volume and strength of the fast-twitch fibres thus increasing overall sprint speed. 6. It reduces risk of cognitive decline. Sprinting helps with mental quickness and reaction time: which, evidence suggests, reduces the risks of cognitive decline and conditions such as Alzheimer’s and dementia as we age. 7. It reduces stress. After a sprint session, Endorphins are released, causing adrenaline and cortisol levels to drop, and reducing stress and anxiety, subsequently leading to a decreased risk of mental problems such as depression.For more information about the benefits of sprinting and other forms of high intensity interval training, or to see how you can introduce sprinting into your fitness routine, get in touch with one of our strength and conditioning coaches at the MY Sports Injury Clinic in Manchester!

What Is Rounded Shoulders Posture?If you are one of the people who spend a lot of time sitting in front of a desk in a hunched posture, you are surely looking for a more long term sustainable solution to your rounded back & shoulders. This puts undue strain on the neck muscles to hole up the craning head peering into the computer.What causes Rounded Shoulder? At the structural level the head and neck need support from the body to keep their movements fluid and effortless. The rounding of the shoulder and back cause over-straining of the neck muscles trying to support the head. My Sports Injury & Physiotherapy Clinic offers a sustainable solution to improve postural alignment and muscle imbalance amongst common desk workers.The position of rounded shoulders is that these are forwardly protruded and the back arched leading to excessive lumbar spine lordosis (hyper-lordosis) . In addition to this, the position of rounded shoulders is usually accompanied by the forward head posture, which makes it very important to work all these postural corrections together.The shoulder is composed of a set of joints, muscles, and ligaments that provide great mobility and stability. Occasionally, we maintain inadequate postures that put these structures in excessive tension, creating postural patterns such as rounded shoulders and forward head.Occasionally, rounded shoulders can cause pain in the shoulder or neck. Sunisa Chaiklieng and Maytinee Krusun (2015) found that a large number of office workers are exposed to the risk of ergonomics, which can trigger the position of rounded shoulders.To counteract the effects caused by this sustained posture, we compile some exercises recommended by physiotherapy experts to perform at home or in a gym. However, the best solution to improve this situation is to assist a physical health professional at MY Sports Injury Clinic | Manchester  Best exercises to fix rounded shoulders:Mobility ExercisesFor the first exercise, we must place ourselves in four points. Then, we place a hand behind our head and direct our elbow towards the ceiling so that we rotate our trunk. We perform 10 slow and controlled repetitions and make the same movement with the opposite hand.For the next exercise, you just need a chair. You put yourself back in four points, put your elbows on the chair and bring your buttocks towards your feet. You must repeat this movement at least 10 times.Strengthening exercisesFor the following exercises we must place ourselves face down on the floor (they can put a yoga mattress or a towel) we stretch our arms above the head. From this position, we should only take off the full arms and feet from the ground and stay for 3 seconds.We must repeat this movement at least 8 times.For the next exercise, we should lie on our stomachs just like the previous exercise. The difference in this exercise is that we must keep our arms at our sides. We must take off the arms from the ground and keep them off 3 seconds. Like the previous exercise, we must perform at least 8 repetitions.In the following exercise, we must place ourselves in a position of four points. From this position, we will lift one arm and the opposite leg of that arm, keeping them fully stretched we will hold that position for 3 seconds.We must perform at least 8 repetitions per side of this exercise.To these exercises, a training plan for core strengthening and postural reeducation exercises should be added. We recommend that these exercises must be supervised by a health professional / Physiotherapist. Get in touch with one of our health professionals at MY Sports Injury Manchester physiotherapy clinic, to verify that they are done correctly under the right supervision

Shoulder Pain Injury in the gym is common amongst weight lifters in the gym. When performing heavy lifting aching pain and discomfort in the shoulder occurs? There are many people who due to bad execution of an exercise or a shoulder injury suffer from pain. A very popular exercise is the Flat Bench Press.This exercise is focused on working the muscles of the chest, but activates in an accessory and stabilizing way the muscles of the arm and shoulder.2. Main causes of shoulder injuries when exercising.Have you ever suffered any shoulder pain while doing bench press?When the Bench Press is performed incorrectly, using an inappropriate technique, it causes tension in areas of the shoulder that is susceptible to injury to the Acromio-clavicular Joint (ACJ). Cervical neck nerve roots can also become compressed or irritated causing pain and numbness into the shoulder / forearm.3. Best Exercises to prevent shoulder injuries when working out.To improve the painful shoulder situation during the Bench Press, we have created together alongside some experts in sports physiotherapy a series of mobility, stretching and strengthening exercises. You can do them in the comfort of your home or in a training center.3.1. Stretching shoulder exercisesPlace your hand on the top of the back of a chair and take a step or two back, the arm should be fully stretched and you feel the tension in the biceps and chest. If you feel any discomfort during this exercise, keep stretching to where it does not cause pain.Place your hand on the elbow of your opposite arm and lift it up to the level of your face, then exert pressure towards the side. So that you feel that the lateral part of your shoulder is stretched.You must place your hand on the back of your neck and try to take your elbows as far back as you can, hold this position for 7 seconds and relax your arms. Each stretching exercise you should repeat between 5 to 7 times.3.2. Strengthening and Mobility Shoulder Exercises 3.2.1. Vertical flexionPush-ups on the floor can be complicated or impossible to perform because of shoulder pain, this option is a little softer and allows us to start with a strengthening routine where we gain strength progressively.Stand in front of a wall and support your hands on it leaving your arms fully stretched. In this position, you should only bring the torso forward by flexing the elbows and returning to the starting position.The experts of  Sports Injury Clinic recommend performing 4 sets of 8 to 12 repetitions during this exercise.3.2.1. Wall AngelsPlace your back fully against the wall, raise the arms so that the elbows are at shoulder height, the elbows and the back of the hand must be fully glued to the wall. From this position, you will slide your hands and elbows upwards without taking them off the wall and return to the starting position.credit image to: bostonbodyworkers.comDo 10 repetitions of this exercise. Remember that if you feel any discomfort during this exercise you should do it to a height that does not bother you.Lie on a bed or a mat on your back. Raise your hands so that they are shoulder height. Once you are in this position you must bring your hands up as if you wanted to touch the ceiling, hold this position for 5 seconds and then return to the starting position.You can do 12 repetitions of this exercise and gradually add weight.3.3. Mobility exercises with sticksFor the following exercises, it is necessary that you have a broomstick or a cane at hand.For the first, you must stand while keeping your back straight and your legs spread to the width of your shoulders. Take the ends of the stick with both hands and move it to the sides and stretch your arms as much as you can without feeling any pain.credit image by gymstick.com You can also make circles with the arms, always having the stick taken by the ends and passing it over the head.As you progress and the mobility of your shoulder improves, you can carry the club from front to back by passing it over the head.Each of these exercises you must repeat between 8 to 12 times. In addition to this series of exercises, you must take into account the technique when performing the Bench Press, in order to prevent a painful shoulder injury. Always go to a professional, be a qualified trainer or sports injury therapist at  Manchester MY Sports Injury Clinic so that you have an opinion and help from someone who has knowledge based on proven evidence based science journals. 

Football is the most popular sports watched across the world. This sport is full of high intensity exercise and aerobic endurance, it requires development of  coordination, agility, balance and a sense of teamwork.However, football players should be aware of the risk of soft tissue and bone injuries which can be sustained. A brief knowledge of most common football injuries is not only necessary for injury prevention, but also for the early diagnosis and prompt treatment of the affected area.According to a detailed study, researchers have determined the most common injuries in men’s soccer by reviewing injury surveillance data from the National Collegiate Athletic Association (NCAA). Over several years of the study, more than six thousand injuries from 62 ,000 practices and 6,281injuries from at least 22 ,000 football games were reported.Some general findings of the study include;The risk of injuries was 4 times higher during games than during practices.Injuries occurred during practice sessions were often non-contacted (25%), while 75% of the game injuries were often as a result of close contact between players (1).During both practices and games, more than 60% of injuries involve lower extremities.Game injuries often occurred during the last 15-20 minutes of the session2. What are the most common football injuries?, according to the percentage.Ankle SprainSprains and strains in the lower extremities are the most common football injuries, according to the study conducted by orthopedics and rehabilitation department of the University Of Rochester Medical Center (2).More specifically, an injury involving the ankle is by far the most common injury in football players according to the surveillance data from a study (3). It accounts for 17% of all injuries in both practices and games.Ankle sprain commonly occurs when you suddenly change your direction or make a sudden stop while running - causing ankle joint to twist in an unnatural position. This type of injury can be serious if not treated properly but can be effectively managed following the RICE protocol (rest, ice, compression, elevate) along with self management advice from a professional sports injury therapist.Ankles are vulnerable to re-sprains that have not healed properly. This study also reveals that the percentage of recurrent ankle sprains is quite high and may account for 24% of the total sprain injuries.It’s safe to start with some light exercise when the symptoms such as pain and inflammation have subsided. Riding a resistance bike, light jogging on a treadmill and aqua jogging are good physical activities, to begin with. You should not make the mistake of resuming football as soon as you are symptom-free. A lack of ankle stability, as you can expect after an ankle sprain injury, can lead to recurrent ankle sprains and chronic foot problems.A remedial massage therapist can improve swelling in the joint. It’s important to consult with a professional after an ankle sprain as he will be able to give you the best recommendations and support throughout your recovery. Our MY sports Injury clinic in Manchester provides a fully tailored rehabilitation program to ensure ankle stability is maintained throughout the season and a smooth recovery back to normal activities reducing any setbacks.Hamstring StrainAlso called pulled hamstring, it is one of the most common injuries across all sports, including football. Hamstrings are the group of three muscles that originate from the hip bone and run down the back of the thigh to be attached to the knee joint. Hamstring strain injuries account for 7.5 percent of all football injuries, according to data from the 2004/05-2008/09 seasons collected by the National Collegiate Athletic Association (NCAA). (4)Sudden sharp pain at the back of the thigh is the commonest symptom of a hamstring strain. It usually occurs whilst sprinting, kicking a football or performing a fast stretching movement. During such physical activities, the hamstrings muscle tissue may suffer a tear/s because of the forceful stretch beyond their limits.A tear in any muscle or group of muscles is referred to as a strain. Strains are generally classified as a grade I, II or III, depending on the severity. Minor tears in the muscles are categorized under Grade I strains, partial tears in the muscles are categorized under Grade II strains, and grade III strains are severe tears or complete rupture of the muscle. Depending on the grade of tears, you may experience local pain, muscle weakness, muscle tightness, bruising, swelling or difficulty walking and running.Consulting a physiotherapist can be helpful. Their expert opinion can help you heal and rehabilitate faster. He might use ultrasound, massage, and taping to boost recovery, and may also advise you a rehabilitation program, consisting of muscles strengthening and stretching exercises.ConcussionA concussion is classified under mild traumatic brain injuries. It commonly occurs after a whiplash-type injury or a solid impact on your head. The strong impact causes your head and brain to move swiftly back and forth.Although it can occur during a fall or a car accident, you have an increased risk of getting a concussion if you participate in impact sports such as boxing or football. They are usually not serious, but a strong impact is proportional to serious symptoms that may require immediate medical attention.A concussion injury affects your brain and its signs and symptoms are different from a contusion that results from bruises. Of note, a contusion (or bruise) can also occur on your head, however, it is not typically life-threatening and may resolve itself within several days.Depending on its severity, the symptoms of a concussion may vary from person to person. The common signs of a football impact on your head that may indicate an underlying concussion injury include:Drowsiness or feeling sluggishLoss of consciousnessBalance problemsConfusionDizzinessHeadacheNausea or vomitingDouble vision or blurred visionSensitivity to light or noiseMemory problemsGroin strainAfter ankle sprains and hamstring sprains, both concussions and groin strain injuries share similar percentage, i.e., 5.5% of all football injuries, according to the same study by the NCAA. (4)   A groin strain is also known as the pulled groin. It is less common than hamstring strains and occurs after the appearance of a tear in one of the groin muscles (adductor brevis, longus, magnus, pectineus, and gracilis). The first and typical symptom of a groin strain is a pain in the inner thigh. Other common symptoms may include sudden, sharp pain in the groin area and along the length of the groin muscles. A tear in the groin muscle occurs when kicking a football, rapidly changing direction or sprinting.If you experience a sharp and sudden pain in inner thigh after a forceful kick, you should stop the game and visit a nearby sports injury clinic for evaluation. Neglecting the symptoms may increase the tear length and can even exacerbate the condition.ConclusionSprains and strains of the lower extremities and concussion impact on the brain are the most common injuries in football players. They usually occur as a result of close player-to-player contact during practices or games. Depending on the severity, some of them are further categorized into grades.Although some minor football injuries can be treated by conventional treatment methods, consulting chartered physiotherapists for their expert advice is usually recommended. A physiotherapist is a sports injury specialist that might use various therapeutic and healing methods to speed up recovery and restore mobility.If you are in Manchester and experiencing one of these commonest football injuries, consult our sports injury Manchester team of professional Sports Injury Specialists, Manual therapists, Acupuncturists and chiropractors for a full injury diagnosis and custom treatment program, consisting of soft tissue massage therapy, sports taping, and stretching exercises along with educational advice on self recovery and maintance www.mysportsinjury.co.ukReferences1. Soccer Injuries - Sports Medicine Program - UR Medicine, University of Rochester Medical Center - Rochester, NY https://www.urmc.rochester.edu/orthopaedics/sports-medicine/soccer-injuries.cfm2. Soccer Injuries - Sports Medicine Program - UR Medicine, University of Rochester Medical Center - Rochester, NY https://www.urmc.rochester.edu/orthopaedics/sports-medicine/soccer-injuries.cfm3. Deive Epidemiology of Collegiate Women's Softball Injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 Through 2003–2004 B Morrey, 20084. Ncaa.orghttps://www.ncaa.org/sites/default/files/NCAA_M_Soccer_Injuries_WEB.pdf

1. What are the main symptoms ?The shoulder is a set of joints, muscles, and tendons called scapular waist. These sets of structures allow a wide range of movement in the shoulder. However, this mobility has its price. Sometimes, instability, compression of soft tissues, or bone structures produces loss of mobility and pain. There are some places to go when you have an injury like this, if you have severe pain you can go to a to a doctor or you can go to a sports injury & Physiotherapy clinic like MY sports injury in Manchester. According to Meislin RJ, Sperling JW, 2005. The persistent pain in the shoulder is a consequence of one or several underlying pathologies, the most common being rotator cuff disorders in 10%, adhesive capsulitis in 6%, and glenohumeral osteoarthritis from 2% to 5%.As mentioned previously, the shoulder is formed by a set of structures, mainly, the humerus, the scapula, and the clavicle. The head of the humerus coapts into a rounded cavity of the scapula, called the glenoid cavity. In addition, a combination of muscles, tendons, and ligaments keep the humerus centered in that cavity and provide the stability and mobility necessary to perform the activities of daily life without injury.2. What causes shoulder pain?In many occasions, the constant use of the shoulder required in some activities causes the structures to rub against each other and become inflamed. One of the structures that suffer most due to this are synovial bursas, these are small sacs filled with liquid located between the structures to prevent them from rubbing against each other or to separate compartments.In addition, excessive use with incorrect mechanics causes micro-ruptures in the tendons, thus creating tendonitis. The tendons that are commonly affected are the tendons of the rotator cuff and one of the tendons of the biceps. Altering thus, shoulder mobility and stability. One of the best treatments for this injury is the massage; some physiotherapist offers a great sports massage Manchester, if you’re looking for a good Sports physiotherapist Manchester MY Sports Injury Clinic.Another one of the injuries that causes a strong pain of shoulder are the tears of tendons. These are caused by acute injuries or degenerative changes. In the most extreme cases, the tendon is completely torn from the bone.According to Kibler, Ben W. 2003. Scapular dyskinesia increases the functional deficit in shoulder injuries. It alters the movements of the scapula during the movements of elevation of the arm, caused by the disorganisation or inhibition of the activation patterns of the muscles that stabilise the movements of the scapula.Also, compression injuries produce great pain and functional disability. In the shoulder, this injury occurs due to the pressure exerted by the acromion on the soft tissues that lie beneath it. This causes bursitis and tendinitis, causing pain and limitation of movement. Even with the pass of time, this compression can cause a tear of the rotator cuff, specifically of the supraspinatus muscle.3. How to treat a shoulder injury?On many occasions, shoulder pain is caused by inadequate postures or inadequate mechanical during our daily activities. We recommend that if you spend a lot of time sitting down, doing activities where you have to keep your arm above your head, or repetitive movements that require shoulder strength, you must do break intervals every hour or go to physiotherapy Manchester. This in order to relax the area of ​​the neck and shoulder, relax the muscles of the arms and prevent muscle spasms.On the other hand, if the pain is minimal, you don’t have to ask yourself, how to heal shoulder injury? Because in this case, it’s very simple, you should let the shoulder rest a little, and then you should make gentle movements to promote blood circulation and stimulate the relaxation of the shoulder muscles. It is not advisable to immobilise the shoulder completely because of the lack of movement weakens the muscles and causes the shoulder to become stiffer.If you have severe pain, you can apply ice to the painful area for 10 minutes (wrap the ice on a piece of cloth) or if you are in Manchester you can go to the nearest sports massage clinic in Manchester clinic to help you diagnose and fix this problem.We would suggest you to go to a physiotherapist or go to a sports injury & Physiotherapy clinic. A physiotherapist is a health professional that has the necessary knowledge of anatomy, physiology, and rehabilitation. He will perform an evaluation in which he will diagnose the exact cause of your shoulder pain. After this, it will determine the treatment that will be effective for you. Among them, massage, heat, cold, acupuncture, stretching, yoga or physio led pilates for shoulder injury, and exercises.We hope this information is valuable to you.If you need some support and you would like to check your shoulder injury

1. What is shin splints? and how to treat them?Are you a runner or maybe a triathlete and your shins hurt after day to day at the office? Well This could be the known cause of Shin Splints. The cause of this injury is the stress produced in the tibia (shin bone) and adjacent connective tissues, producing inflammation, pain, and inability to continue running or even walking! If you want an optimal recovery, a Sports Physio in Manchester is what you need. Shin Splints refer to the inflammation of the periosteum. The periosteum is a vascular layer of connective tissue that covers the bone and serves as an insertion for some tendons and fascial connections. The pain has been described as burning in the tibia when starting to run and decreases when the activity ceases.In addition, the pain occurs on the inside of the tibia and sometimes radiates throughout the front part of the leg. This injury does not have a specific recovery time; it can vary depending on its cause. However, the attention of a professional on time will have an important role in the recovery time. Sports physiotherapy is an excellent therapeutic alternative to reduce the time of return to activities in optimal conditions.According to Don E. Detmer in 1986, there are three types of chronic Shin Splints, which can be diagnosed by imaging. These are:Type I: Tibial microfracture, which is a reaction to repetitive bone stress.Type II: Tibial periostitis, this is produced by chronic avulsion of the periosteum, specifically in the periosteum-fascial junction, in the same way as a consequence of repetitive stress.Type III: Chronic compartment syndrome.   2. What causes shin splints?This classification of Detmer is accurate for chronic cases. In the most acute cases, this injury can occur for various reasons, such as:Muscle rigidity or shortening of the muscles of the leg.Traction of the fascia and tendons in its insertion area due to inadequate plantar support.Increased external tibial torsion and excessive rotation of the hip.Direct trauma in a constant way in the anterior part of the tibia.Changes in the surfaces on which it runs, such as hard surfaces, surfaces with high inclination or uneven terrain.Excessive training and lack of rest between workouts.In few occasions this injury requires surgery; generally the shin splints injury has a quick recovery if an appropriate sports therapy treatment is applied. That is why in MySportsInjury Clinic provides a thorough evaluation and assessment of such injury, with an individualised treatment plan aimed at correcting the problems that caused the injury.3. How to treat the Shin Splints Injury? There are some methods to relieve pain and try to improve the situation of this injury without going to a Manchester Sports Physio, however, we recommend assisting a health professional to assess the damage in your leg and plan an appropriate intervention.The intensity and load of training should be reduced as the pain appears, in some cases, the activity must be completely stopped in order to avoid further damage.To reduce the pain you can place ice for 10-15 minutes at the end of training and during the night.Similarly, many experienced doctors recommend the use of anti-inflammatories in the first week that you begin to experience pain.Sports massage, to unload the muscles of the leg and relax all adjacent tissues.Use silicone heel cups, they cushion the blows at the moment of running and adequately transmit the forces towards the tibia. These sills should be made to order, to avoid other foot injuries such as plantar fasciitis.During the visit to a specialist in musculoskeletal physiotherapy, you will get the attention of a body movement specialist, who will perform an analysis of your biomechanics, in order to improve any movement in your body that may cause an imbalance and cause an injury.In addition to this, a Sports injury clinic  will plan a training according to your injury, and will increase the demand of it progressively and as the condition of the injury improves.Also, you will receive a deep tissue massage, which aims to improve the elasticity of the tissues through the viscoelastic properties of the muscles.On the other hand, you will receive information and education about the movement, so that you can carry out your training and your daily activities in an appropriate way and, thus, reduce the incidence of injuries such as Shin Splints and other injuries.If you are suffering from any injury, our team of professionals from our Manchester sports injury clinic will be very happy to assess you and treat you to recover from it to be back to your best soon!

4 Simple At-Home Exercises to Relieve Your Neck Pain.1- Understanding Neck Pain and how to fix it.Whether you go out for work or you work from home, whether you are 25 years old or 65 years young- neck pain is something that we all have experienced at some point or another. There can be many reasons to trigger a neck pain, for instance- a poor sleeping posture or your neck being left at pause in the same posture for an hour at length or a more serious medical condition as Spondylosis. As a matter of fact, excessive mental stress can also be a reason causing pain in your neck and back. Neck pain, if not taken care at the right time, can aggravate and spread to your shoulders and spine too.2- the top 4  Exercises to relieve your Neck pain.Below are 4 simple at home exercises to help in loosening your muscles and alleviate you neck pain. A word of caution- practice these only if you have a heads-up from your doctor and as you do it, be gentle with yourself (/don’t be too aggressive) –Neck Tilt- From a sitting position looking straight ahead, tilt your head down slowly so that your chin touches your chest. Hold this position for five seconds then return to the starting position and repeat. Do this five times.Side-to-Side Neck Tilt- From the same sitting position as above, tilt you neck toward one shoulder, leading with your ear. Again, hold this position five seconds. Return to the starting position and repeat. Do this five times on each side.Neck Turn- Look straight at eye-level while being in sitting position. Next, turn your head to one side keeping your chin at the same level and hold for five seconds. Do this five times on each side.Neck Stretch- While holding the rest of your body straight, push your chin forward. You should be feeling a stretch in your throat as you do this. Hold this position for five seconds. Next, from the same starting position, push your chin backward and again hold for five seconds. Do the forward and backward stretch five times each.3- How to get rid of the neck pain in 6-8 weeks?You can modulate doing the above exercises anywhere between 5-8 times each, depending upon your comfort and ease. If you are just getting started, it is highly recommended that you start slow and go easy. Doing these simple exercises has shown proven results in loosening muscle stress and causing pain relief.Practising these exercises for two weeks can lead to significant relief in neck pain. With time, most likely within 6-8 weeks time, you will witness that the pain has subsided largely or has gone completely. But even after the pain leaves, you should not stop exercising as it will help in keeping your neck flexible and give those neck muscles, a much-needed regular stretch.A few points to note before you begin- firstly, you should not do these exercises if you have severe neck pain or weakness in your hands/ arms. Instead, you should visit a doctor for a medical check-up. Secondly, in case any of these exercises cause severe pain or weakness in your hands, arms or any other body part, stop right away and talk with your doctor.For a more elaborate guidance or any questions on this, you can contact us directly here4- Who can support you with your sports injuries in Manchester?Ray Ho, Sports Injury Specialist, Chinese Acupuncture for Neck / Back Problems 

What´s physiotherapy? The concept of Physiotherapy is unfamiliar to most due to their lack of exposure to it. Those who do understand it more than likely have experienced it first-hand. Physiotherapy may be warranted in a variety of situations such as different sports injuries, chronic diseases, trauma related injuries, etc. The list goes on and on. In a nutshell, physical therapy helps people maximize their functional capacity via different rehabilitative practices (restoring everyday life).What does a  physiotherapy do?In addition to understanding the purpose of physiotherapy, the next step is to understand why it works. In general, if one doesn’t have faith in something, he or she will never be able to receive the maximum benefit from it.1 In order for Physiotherapy to be effective, the patient must without a doubt believe it will be helpful. A negative mindset will yield negative results. Positivity is very important.5 Main Benefits of  Physiotherapy Treatment:  It helps  improve your motivation and health- As cliché as it may sound, a little bit of encouragement goes a long way. Physical therapists motivate their patients to overcome their current conditions, and to persevere despite the many obstacles they may face.2 Oftentimes patients believe they are capable of performing their own physical therapy, but usually fail to do so. Physical therapists are professionally trained motivators, and expert encouragers. Having a skilled motivator at your side will encourage you to continue on, though you may feel like throwing in the towel, especially when results occur slowly.Getting professional medical advice- Nothing beats receiving advice from someone who’s knowledgeable. Physical therapists are clinically trained and specialize in physical restoration and rehabilitation. The current educational requirement for a physical therapist is either a Masters or Doctorate of Physical Therapy. Physiotherapists spend years researching evidence-based treatment, interning for long periods of time, and studying their craft diligently. They are more than adequately equipped to provide patients with the care they require to improve their lives. No other profession is capable of rehabilitating the body the way a physical therapist can (occupational and speech therapists are also included in this category).Professional Supervision and support- If you want to ensure you’re performing a particular exercise properly with minimal risk for harm, you’ll want the supervision of a physical therapist nearby. After experiencing a major injury or status post-surgery, you’ll want to ensure you’re treating your body fairly. Nothing’s worse than performing aggressive activity too soon. You’ll harming or re-injuring yourself, and it’s not worth it. Be fair to your body and allow a physical therapist to ensure your safety. You won’t regret it.Research Based- Physiotherapists are trained to treat patients based upon factual evidence and clinical reasoning. Evidence/research-based practice minimises the potential for error, and maximizes results for patients. Besides, it’s considered unethical for a physical therapist to administer treatment without supporting evidence. It’s actually considered a form of malpractice. Therefore, most physical therapists aim to treat their patients based upon truth, and effective treatment approaches. Who wouldn’t want to treat in the best way? check out our team of physiotherapists in Manchester hereExperienced Professionals- Physical therapists are experienced in a variety of different treatment settings. They’ve also worked with a diverse patient population with various injuries, diagnoses, and ailments. From ankle and knee injuries, to strokes and leg amputations, they’ve witnessed it all. With such diverse experience, physical therapists are able to provide their patients with the best care possible. They know what works, and what doesn’t work. Patients don’t generally know the most effective way to treat their situation, therefore an experienced physical therapist is a must have!So, after reading the benefits of physiotherapy you might be wondering if you really need some support or not to improve your physical health.At Mysports injury our main mission is to hail you and make you live a healthier life, that why all our team of physiotherapists in our Manchester clinic are more than welcome to diagnose you first and then give you the best treatment that suits your needs

Everything you need to know about Sports Physical Therapy1.What's Physical Therapy?Manual physical therapy is a specialised form of physiotherapy conducted manually with a hands on approach opposed to a medical devices or machines. Manual hand therapy, techniques used by our clinical practitioners at MY Sports injury apply pressure through the hands towards muscle tissue and manipulate joints in an attempt to reduce back pains caused by muscle spasm, muscle tension, and joint dysfunction.2. How physical therapy works?Manual Physical Therapy provides Pain Relief for Acute / Chronic Back PainsManual therapy can be highly beneficial for the treatment of joints that lack adequate mobility and range of motion in Musculo-skeletal type conditions. This limitation can cause discomfort, pain, and an alteration in function, posture, and movement. Manual physical therapy involves restoring the human bodies mobility to stiff joints and reducing muscle tension in order to return the patient to normal activities of daily living and normal movement without pain to a pain free active lifestyle.Manual therapy may provide back pain relief both for patients with chronic back pain involving joint problems, such as Sacroiliac Joint dysfunction and also acute back pain from soft tissue injuries such as a back muscle strain or nerve root dysfunction.3. Which are the main physical therapy techniques?Physical therapy techniques are focused on relaxing tense back muscles and restriction in joints in order to decrease back or neck pains and increase flexibility in the soft tissues. In general, manual physical therapy techniques are used in the following types of movement:Soft tissue work, including massage, which applies pressure to the soft tissues of the body such as the muscles. This pressure can help relax muscles, increase circulation, break up scar tissue, and ease pain in the soft tissues.Mobilisation/Manipulation, which uses measured movements of varying speeds and oscillations (slow to fast), force pressure of hand (gentle to forceful), and distances (called 'amplitude') to twist, pull, or push bones and joints into position. This can help to loosen tight tissues around a joint as a distraction type technique and reduce pain in a joint and surrounding tissue, and help with flexibility and alignment. 4. How does physiotherapy works? Physiotherapy aims to reduce & eliminate physical forms of pain, and dysfunction in the body. More importantly it can help to reduce the possibility of pain or injuries becoming deep rooted & more severe. It also helps to prevent any re-occurrence of symptoms for longer term pain management.

At MY Sports injury & Osteopathy we focus on the physiological changes to tissues in the body during sports massage, these are important to influence longer lasting effects to your body.   Cellular soft tissue effects: focused on long lasting tissue changes. A deeper more firmer massage will help alter the tissue tone and improve elastic capabilities with physiological changes in tissue and cells.   Circulatory blood flow effects: Massage helps to improve the circulation of blood flow to increase oxygen to the cells, improving body temperature, and capillary blood vessels opening through increased blood flow whilst also helping to excrete toxin by-products clearing the body and removing any waste and tissue debris through lymphatic drainage system of the body. MY Sports Injury & Osteopathy is highly effective to speed up recovery rates and return back to playing sports.   Hormonal effects: Our Specialist Pain Practitioners combine Massage techniques to improve mental health and mood. Massage can release serotonin hormones in the brainhelpingto regulate mood improving mental state of well-being. This will benefit you overall making the body feel relaxed and put the mind in a better functioning mood throughout the day. Cortisol is another stress hormones which is reduced by having regular Massage by our massage therapists at MY Sports Injury.   Mechanical Effects: create changes in the body through firming massage techniques this helps push fluids throughout the body, improving tissue elasticity and helping breakdown of dense collagen fibres and trigger points which occur when damaged tissues repair itself Massage can reduce the overall symptoms of pain in the body resulting in improving range of movement and relaxation whilst working from home.