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.

Achilles Tendinitis

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’.

Calf Cramps

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.

Gluteal Muscles

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.

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.

Taibone Pain (Coccydynia)
Taibone Pain (Coccydynia)

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.

Located on either side of your spine at the very bottom of the back, the sacroiliac joints link to your sacrum (the fused bones at the base of your spine) to your hip bones, forming the rear part of your pelvic girdle. They assist the twisting movements of your legs when you walk or run. Problems arise when they either become “locked”, restricting movement, or too mobile.

Sacroiliac Joint Anatomy
Sacroiliac Joint Anatomy

Causes for Sacroiliac Strain

Sacroiliac strain is usually the result of a sudden impact, such as a heavy blow or fall, which damages the ligaments supporting the joint. Sudden, unexpected twisting or bending movement, where your muscles are unprepared to take the strain and the pressure is absorbed by the ligaments, can have the same effect. 0

Symptoms and Diagnosis of Sacroiliac Strain

You will feel a sharp pain in the upper inner part of your buttock when you put your foot down, making walking or running very uncomfortable. There will also be dull pain radiating deep into your lower buttock; sometimes you will also experience referred pain in your legs. Movement of your legs may be restricted, which will also make walking difficult. Your specialist may use an MRI scan or X-ray to identify any inflammatory cause of your symptoms. If inflammation is present, you may be given a blood test to check if this is being caused by an infection.

Risks and Recovery

If you sit or lie down for a long time, you may feel stiffness and immobility. Ligaments take longer to heal than fractured bone, and may fail to heal completely. Injections may help with the symptoms.

Call +65 64712674 for an appointment to treat Sacroiliac Strain today.