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goPhysio Joint Focus: The Shoulder

Posted on 25th March 2017 by

The shoulder joins the arm to the trunk and is the most mobile, yet unstable joint in the body.

The ‘shoulder complex’ is actually made up of 4 joints

  • The shoulder joint itself known as the Glenohumeral joint. This is a ball and socket type of joint between the head of the upper arm bone or humerus and the glenoid cavity of the scapula or shoulder blade.
  • The acromioclavicular (AC) joint is where the clavicle or collar bone meets the acromion of the shoulder blade.
  • The sternoclavicular (SC) joint is where the clavicle (collar bone) meets the chest bone or sternum.
  • The scapulothoracic joint is where the shoulder blade meets with the ribs at the back of the chest.

Shoulder anatomy

The shoulder joints rely on a complex, synchronised pattern of muscle and joint interaction to maintain stability and function of the whole arm.

This excessive mobility is its main weakness, causing it to become easily injured through trauma or overuse.

Common Injuries

Here are some of the most common shoulder area injuries and problems we tend to see

  • Rotator cuff injuries and tendonopathies
  • Shoulder impingement or subacromial impingement
  • Frozen shoulder or adhesive capsulitis
  • Muscle and ligament tears
  • Tendon problems such as biceps tendonopathy
  • Traumatic shoulder dislocation
  • Recurrent shoulder dislocation
  • Fractures of the humerus or collar bone
  • Acromioclavicular joint sprains
  • Sternocalvicular joint sprains
  • Bursitis

Shoulder injuries are often associated with certain sports such as swimming or tennis, where a large degree of shoulder flexibility is required, along with repetitive and large movements. The shoulder is prone to overuse injuries.

It can also suffer a wide range of traumatic injuries, such as fractures, dislocations, sprains and tears as a result of a fall, impact or collision during sport or every day life.

There are many physiotherapy treatments that can help with shoulder problems. We always start by carrying out a thorough assessment to find out exactly what’s going on with your shoulder. Once this is established, you’ll start a comprehensive rehabilitation programme. This may be a combination of hands on treatments such as soft tissue work, taping, trigger point release, mobilisations or acupuncture and a big focus on exercises to regain strength, flexibility and endurance in your shoulder. A crucial part of recovery from a shoulder injury is making sure all the joints and muscles are working well together, a key part in preventing any future problems.

If you’ve suffered a shoulder injury or are experiencing pain in your shoulder area, give us a call or book an appointment online at our Chandlers Ford Physiotherapy Clinic in Hampshire.

 

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Tennis Injuries

Posted on 2nd July 2016 by

We’re half way through the famous annual Wimbledon Tennis event. It’s such a popular event and Tennis injuries Chandlers Fordcertainly creates a buzz around the sport.

Tennis places huge physical demands on the professionals, which is understandable given the rigorous training and competition they take part in. Yet, for the novice tennis players out there, injuries can be just as problematic.

Common tennis injuries include:

  • Tennis elbow
  • Shoulder injuries such as rotator cuff tears or impingement
  • Low back pain
  • Wrist sprains
  • Calf muscle injuries
  • Ankle sprains
  • Knee injuries such as ligament sprain or tendon issues
  • Carpal tunnel syndrome

Mild to moderate soft tissue injuries can often be well managed at home using P.O.L.I.C.E. principles. However, many tennis injuries result from ‘overuse’ – so an injury that is from a sustained, repeated action, like a tennis grip or swing. If this is the case, you may need help identifying exactly where the problem is stemming from and what changes that are needed. Physiotherapy is an effective way of resolving all of the above common injuries.

The Chartered Society of Physiotherapy have written a summary of the common tennis injuries and how physiotherapy can help.

If injury’s stopping you from enjoying a game of tennis, then get is touch with us at goPhysio. We’ll provide an accurate diagnosis of your injury and a treatment programme that works to get you back in the game.


Recover from injury faster with POLICE

Posted on 30th June 2016 by

R.I.C.E. or P.R.I.C.E. principles are well known ways to help treat an acute soft tissue injury, such as a sprain, strain or bruise, in the early days. The acronym stands for rest, ice, compression, elevation.

However, what’s not so widely known is that in recent years, the R. (Rest) element has been replaced with O.L. (Optimal Loading).

Why the change? 

Some rest initially can be beneficial, immediately after suffering an injury, but only for a very short period of time. What research shows is that early mobilisation (loading) stresses tissues in the correct manner for full recovery, whereas rest can actually impair optimal recovery of soft tissue injuries. Too much rest and you’ll quickly develop joint stiffness and muscle weakness.

Some injuries may require some ‘Protection’ such as using crutches for a few days, just to take the weight off a severe ankle injury, or a splint or brace for a wrist, ankle or knee. This will help to unload the injury enough to avoid further aggravation but still allow tissue stress to help with healing. But use of such protection should be minimised as inevitably you won’t be loading the area if it’s totally protected.

The hard part of this is correctly identify what exactly constitutes ‘Optimal Loading’, as it is different for different tissues and body parts. You can often use common sense, don’t be afraid to move and use the injured area within your own limits of pain. A mild pain is to be expected but anything more and you’re probably doing too much. You need to make sure that you keep progressing what you are doing, as this will help your injury heal better and longer term help prevent re-injury.

This is where seeking help from a Physio is great. A physiotherapist will combine their knowledge of the stages of healing with what you should and shouldn’t be doing to ‘load’ your healing tissues. They will give you a tailored and progressive exercise programme to make sure the healing tissues are given the optimal chance of long term recovery.

POLICE Principle Injury Treatment

As with any injury, always seek medical advice if you are worried or concerned or want to get it checked out before starting any self directed management.

Some of the research: 

PRICE needs updating, shall we call the POLICE?

What Is the Evidence for Rest, Ice, Compression, and Elevation Therapy in the Treatment of Ankle Sprains in Adults?