psFootComments Off on Achilles Tendon Injury Specialist
The tendon can become sore, thickened and tender to touch at the back of the ankle or just above, on one or both legs. The condition is called Achilles tendinitis, meaning inflammation in the paratenon. It is an overuse problem which happens mainly to teenagers and adults, but can happen to very young children.
What you Feel When you Have Achilles Tendon Injury
Symptoms may appear gradually or suddenly. vFirst thing in the morning there is stiffness in the tendon, which wears off as you move around. There is no pain at rest. The tendon might hurt if you go up and down on your toes barefoot, but in the early stages this pain eases with repetitions. Going up and down on your toes wearing shoes usually causes pain. In the later stages, the tendon hurts when you walk and when there is any kind of pressure against it, for instance if you sit with your ankles crossed.
What are the Causes for Achilles Tendon Injury
If you feel the pain when you wear certain shoes, but not barefoot, the cause is friction from the back of the shoe. Most sports shoes have raised backs, known as heel tabs, as do many normal shoes. It may look low, but if the tab is any higher than the level of the ankle it puts pressure on the Achilles tendon. Boots with stiff seams do the same. Once the problem starts, any shoes which touch the Achilles tendon make it worse.
Other causes or aggravating factors of this type of pain include overtraining; faulty foot mechanics, especially overpronation; pain referred from the hip; poor circulation caused by sitting too long in tight clothing or with your ankles crossed; and hormonal changes in females.
Treatment for Achilles tendon Injury
Any faulty shoes must be discarded or modified by cutting the heel tabs back to the right level. In some cases this solves the problem immediately.
Some specialists offer injections into the painful tendon: if you choose this option, make sure your specialist is an expert, otherwise there is a strong risk of tendon rupture a few weeks later. A more drastic option in chronic cases is surgery to strip the tendon clean of inflammatory material.
psFootComments Off on Achilles Tendon Insertion Strain Specialist
The tendon can be strained or suffer a minor tear at its attachment to the calcaneus. Sometimes the bursa between the tendon and the upper part of the bone becomes inflamed. In a chronic problem, spurs may form on the calcaneus. A spur can become detached, forming a focal point of pain. Achilles insertion problems can occur at any age. In children it is often linked to Sever’s disease.
What you Feel When you Have Achilles Tendon Insertion Strain
Pain usually comes on gradually, although it can happen suddenly. You feel pain on tiptoeing or running. The heel is tender when you press on it. In the early stages the pain may wear off when you are warmed up, but recurs later during your exercise. The tendon gradually tightens. There is little or no pain at rest unless there is direct pressure on the heel.
Causes for Achilles Tendon Insertion Strain
There is usually excessive strain on the calf in extreme ranges of movement, for instance when you run uphill as fast as you can. Shoes contribute if they have rough, uneven linings round the heel; if the heel counter is soft, tight or not the right shape for your foot; if the sole is hard; or if the heel has worn down unevenly.
Treatment for Achilles Tendon Insertion Strain
Check your shoes and discard any which chafe, if padding does not help. You may benefit from orthotics. Your doctor or specialist may offer you an injection.
Sudden spasm in the calf muscles is a common problem in sporting and non-sporting people alike, at any age. It can happen during activity, rest or sleep. Severe leg cramp after sports sometimes called a ‘charley horse’.
What You Feel During Calf Cramp
The effects of calf cramp range from a mild tension in the muscles to severe tightness and agonising pain.
Causes of Calf Cramp
Because of their close association with the circulatory system, the lower leg muscles reflect any adverse changes in the blood flow. Calf cramps, especially at night, happen most often because of dehydration, sometimes combined with overexercising. In very hot humid climates, loss of minerals can be a factor. Females can become prone to calf cramps related to the menstrual cycle or pregnancy, and are more vulnerable if they are dehydrated or mineral-deficient. Other contributory factors include stress, raised cholestrol, varicose veins and certain medicines. Soleus muscle strain can cause cramping in the calf, especially when you walk to try to run.
Treatment for Calf Cramp
Calf cramps are usually treated with physiotherapy and oral medicines. No surgery is necessary. If you suffer cramps often, and not sure why, you should consult a doctor.
The gluteus medius is one of the main buttock muscles that are responsible for holding the pelvis stable and supporting your body on your legs when standing, walking, or running. It also helps control the sideways movement of your legs. If the gluteus medius is strained in some way, it can become tender and tight and less able to function normally.
Causes for Gluteus Medius Dysfunction
Stress or tension alone, if it continues with some intensity over a long period of time, can make your gluteus medius tighten up. Apart from the pain this causes, the muscles may become shortened and less flexible. In addition, referred pain from the spine or hip can cause dysfunction in the muscle. However, the most common cause of injury to the gluteus medius is overworking or stretching them beyond their normal range. Athletes, particularly runners, hurdlers, and long jumpers, frequently overuse their gluteus medius and soometimes cause them to tear from failing to adequately stretch or warm up before any activity, particularly in cold weather. A less common cause of gluteus medius trauma is a direct impact, such as a heavy fall onto the buttocks, which usually leads to bruising and irritation of the underlying bursa (a protective fluid-filled sac).
Symptoms and Diagnosis for Gluteus Medius Dysfunction
Apart from buttock and hip pain on one or both sides of your body, and possibly leg pain, you may feel stiff, be slightly unstable when standing, and find moving your hip awkward. Your doctor will carry out a physical examination to establish the cause of your problems.
Risks and Recovery for Gluteus Medius Dysfunction
Minor strains and bruises will usually heal on their own within a few weeks, but if action is not taken fairly promptly to rehabilitate overtight or stretched muscles, recovery may be slower. Muscles held in a state of tension for too long will fail to regain their former range of movement and response.
Call +65 64712674 for an appointment to treat Gluteus Medius Dysfunction today.
psSpineComments Off on Coccydynia Treatment Specialist
Pain or soreness occurring in and around the coccyx – the three to five fused vertebrae at the base of the spine that are often referred to as the tail bone – can vary from general discomfort to bouts of sudden sharp or nagging pain. Also known as coccygeal pain, this condition tends to be brought on or made worse by sitting down.
Causes for Coccydydynia
A number of very different sets of circumstances appear to be responsible for trigger episodes of tenderness and pain in and around the coccyx region. Muscle spasms that have been brought on by prolonged tension and stress might be a trigger, for example, as might a damaged ligament that has been caused by a heavy blow or fall. In a large number of cases, coccydynia is he result of sitting in more or less one position for a very long period of time. Many women also suffer bouts of pain around the coccyx after giving birth. It is always important to have these symptoms checked by a doctor.
Symptoms and Diagnosis for Coccydynia
You will find it uncomfortable and often very painful to sit down, with the pain getting worse the longer you stay in one position. There may also be some inflammation and bruising in the coccyx area. Occasionally, bowel movements can be painful. Your doctor will make a diagnosis by performing a physical examination, and may order X-rays if he suspects you have broken bones.
Risks and Recovery for Coccydynia
Coccyx pain can be difficult to treat, so it needs an expert eye and awareness of the full range of related conditions that can occur; as such, the main risks stem from inadequate treatment. If your pain persists for several months and is consistently severe enough to make daily life difficult, a local injection of cortisone may reduce any inflammation and alleviate your symptoms. In extreme cases, where a fall or blow has damaged the coccyx, you may need surgery to remove any loose bone fragments and possibly the last few segments of the coccyx, but this is usually a last resort.
Call +65 64712674 for an appointment to treat Sacroiliac Strain today.