Joint and Muscle Pain

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Dr. Amir Neupane, MSK & SPORTS MEDICINE


Back
Most people will experience back pain at some stage in their life.
Unfortunately there is a lot of misunderstanding and misinformation associated with the source of back pain. So it’s really important to get a professional assessment as soon as possible. Manual therapy, mobilisation, strength and movement retraining are used to treat back pain.

Neck
Neck pain is a common disabling disorder. As with most spinal problems, neck pain can be successfully treated with the correct management.
Many factors can play a role in neck pain. Often there are underlying postural issues that can be easily corrected. They are often associated with headaches.
Treatment focus on restoring movement, improving posture and relieving pain.

Shoulder
Shoulder rehabilitation is a specialty at Aashas
Shoulder injuries are common. Whether it be work related, sports related or just general everyday activity, shoulder pain can be very restricting.
There are many types of shoulder injuries. These include repetitive strain/overuse, traumatic/acute injuries, post-surgical or occasional pinches of pain with certain activities.

Elbow
Elbow pain is often the result of trauma (fall) or repetitive overuse (tennis elbow, golfers elbow). It is also common in office workers, or in jobs requiring repetitive manual handling.
Elbow pain can be multi factorial and usually complete rest is not advised. To establish the best course of treatment it’s important you get a detailed assessment. The earlier this is done the better. Particularly if you’re worried about your tennis or golf game!

Hand & Wrist
Wrist and hand pain is very common and can be as a result of trauma or fractures, or just as commonly can be due to overuse or rapid changes in activity. Symptoms can often include pain, swelling, reduced strength and movement, with referred pain not uncommon. Common problems seen regularly
• Hand & wrist fractures
• De Quervains tenosynovitis
• Carpal tunnel syndrome
• Wrist instability including wrist cartilage pathologies
• Dupuytrens releases
• Mallet finger injuries

Hip & Groin
Hip pain can be due to osteoarthritis, femeroacetabular impingement or labral tears. Following an assessment our physiotherapist will provide you with an individual program to improve strength of the muscles around the hip, trunk and pelvis and correct am functional deficits. Treatment involves advice on load management, exercises to improve strength of the muscles around the hip, trunk and pelvis. Post op management following total hip replacements and arthroscopies.
Groin pain often occurs in sports that involve kicking and rapid changes of direction or acceleration/ deceleration, such as football, soccer and basketball. Multiple structures within or around the hip and groin can cause pain in this region. Common sources of pain are the adductors, hip flexors, joints of the pelvis (sacroiliac joints and pubic symphysis) and hip joint. Pain can also be referred from other regions including the lumbar spine.

Sciatica
The sciatica is one of the nerves that leaves from the lower back and travels down the back of the leg into the foot. When slightly compressed or when its ability to send ‘normal’ neurological signals is compromised it can send burning, tingling, pins and needles or other types of nerve pain down where it runs. Sciatica pain arises from many different sources and the treatment required to manage your symptoms is different based on your source of pain.

Knee
Knee injuries and pain are common and can be either acute (eg. fractures, ligament sprains) or chronic in nature (overuse, tendinopathies, patellofemoral, osteoarthritis). They can also occur from or during any activity such as on the sporting field or in the workplace or home.

Foot & Ankle
Injuries to the foot and ankle can occur in many forms. Acute injuries (eg. ankle sprains, fractures, Achilles tendon ruptures) can occur at any time. Overuse or degenerative injuries (eg. osteoarthritis, Achilles tendinopathy, and plantar fasciopathy) are also common.

Muscle Injury
Muscle strains are the most common type of muscle injury sustained. A strain occurs when the muscle is unable to withstand the load being put through it. There are 3 grades which depend on the severity of the strain, ranging from minor or grade 1 to more severe grade 3. Commonly injured muscles are the hamstrings, calf and quads and often occur in high speed running, during change of direction or with fatigue. If you sustain a muscle strain you may experience sudden onset of pain during episode of activity, bruising, weakness and pain with contraction or stretch of the muscle.
It is helpful to apply the RICER technique in the first 72 hours after injury to promote recovery and minimise pain and dysfunction.
• Rest
• Ice (15-20mins every 2 hours)
• Compression
• Elevation
• Recovery

Headaches
Headaches are often a by-product of muscle tightness and joint stiffness through the cervical (neck) area. This can be due to a multitude of factors; most commonly, headaches will be caused by; stress, jaw dysfunction, muscle tightness, workstation set-up (for office workers), postural issues, or injuries like whiplash.

For more information visit our website and can chat directly regarding your problems.