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BIOMECHANICS AND GAIT ANALYSIS

Physical Therapy - Pain Rehab Specialist - Fitness Mindfulness Training

SPORTS INJURIES

Some Common Sports Injuries:

Baseball

Bursitis
  • Bursitis is the painful inflammation of the bursa, a fluid-filled sac found in areas subject to friction. Bursitis is most often caused by repetitive movement.
Impingement Syndrome
  • Impingement syndrome is sometimes called swimmer's shoulder or thrower's shoulder. It's caused by the tendons of the rotator cuff becoming impinged as they pass through the shoulder joint.
Rotator Cuff Injury
  • A rotator cuff injury is an injury to any of the four rotator cuff muscles in the shoulder. These muscles are significant for stabilizing the shoulder joint.
Tendonitis
  • Tendonitis is inflammation of the tendon (muscle attachments to the bone or cartilage).
Little leaguer's elbow
  • leaguer's elbow is pain resulting from pitcher's with immature skeletal muscles.
Tennis elbow
  • Tennis elbow is inflammation of muscles, tendons, bursa, periosteum, and/or epicondyle.

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Basketball

Ankle Sprain
  • Ankle sprain results from over sretching of the ankle ligaments and/or muscles resulting in swelling.
Calf Muscle Tear
  • Calf Muscle Tear is an injury that results from a pulled or torn calf muscle.
Iliotibial band (ITB) syndrome
  • Iliotibial band (ITB) syndrome causes pain on the outside of the knee which is caused by friction of the iliotibial band on the side of the knee. It is also referred to as runner's knee.
Knee Ligament Injuries Plantar Fasciitis
  • Plantar fasciitis is inflammation of the plantar fascia due to small tears resulting from repetitive excessive forces.
Rotator Cuff Injury
  • A rotator cuff injury is an injury to any of the four rotator cuff muscles in the shoulder. These muscles are significant for stabilizing the shoulder joint.

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Cycling

IT Band Syndrome
  • Iliotibial band syndrome causes pain on the outside of the knee which is caused by friction of the iliotibial band on the side of the knee. It is also known as ITB syndrome or ITBFS and sometimes referred to as runners knee.
Patellofemoral Pain Syndrome
  • Patellofemoral Pain Syndrome (PFPS) also known as runners knee, chondromalacia patellae, anterior knee pain and patellofemoral joint syndrome: generic term used to describe pain at the front of the knee and around the knee cap.
Lower Back Pain
  • Acute low back pain is severe back pain and usually comes on suddenly caused by a movement such as bending or twisting. Pain in the lower back and buttocks may increase over a couple of hours as inflammation develops. Management of acute low back pain is to reduce pain as quickly as possible by getting the patient into a position of least pain which may be lying on the back, front or side.
  • Mild or moderate lower back pain is associated with chronic or long term back problems which are usually caused initially by an injury, usually to the joints in the back but over time other structures in particular soft tissue such as muscles contribute to the pain. A range of symptoms include dull aching in the lower back which may come and go, be on one side or across the lower back. There will be reduced range of movement, tenderness at points on the spine, muscle spasms and pain may radiate into the buttocks and hamstrings.
Sciatica
  • Sciatica is the term used to describe back pain which radiates down the leg. It can be caused by a number of factors although a prolapsed or slipped disc is one of the most common.
  • Symptoms usually but not always start with acute low back pain radiating down into the buttocks, back of the thigh and lower into the legs. Sciatic pain may be a sharp pain accompanied by tingling, pins and needles or numbness.
Hamstring Strain
  • A hamstring strain or pulled hamstring is one of the most common sports injuries. Symptoms of a hamstring strain include a sudden sharp pain at the back of the thigh usually while sprinting or a fast stretching movement or high kick. Hamstring strains are graded 1, 2 or 3 depending on how bad they are. A grade 1 injury may only be a slight twinge whilst a grade 3 can result in the athlete being unable walk with swelling and bruising developing soon after.
Handlebar Palsy
  • Handlebar palsy is a name given to a condition suffered by cyclists. The symptoms are caused by compression of the ulnar nerve at the wrist against the handlebar. Symptoms include numbness, tingling and weakness over the outside of the hand, little finger and outer half of the ring finger.
Pudendal Nerve Injury/ Pelvic Floor pain/ Coccyx Pain, Myofascial Pelvic Pain Syndrome (MPPS) or Chronic Pelvic Pain Syndrome (CPPS)
  • prolonged sitting on the small or hard bicycle seat can cause compression of pudendal nerve and cause pain in it's nerve path. Pain can be referred to the prostate and genitals. The pelvic floor nerve compression, which can be mistaken for prostate inflammation or pain.

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Dance/ Snow boarding/ Surfing

Carpal Tunnel Syndrome- from using hands to push/ pull/ tug/ gripping/ catching self when off balance
  • Carpal Tunnel Syndrome is pain and burning or tingling sensation in the fingers and hand, sometimes extending to the elbow, due to compression of the median nerve in the carpal tunnel.
Lateral/Medial Epicondylitis Low Back Pain
  • Low back pain is severe back pain and usually comes on suddenly caused by a movement such as bending or twisting. Pain in the lower back and buttocks may increase over a couple of hours as inflammation develops. Management of acute low back pain is to reduce pain as quickly as possible by getting the patient into a position of least pain which may be lying on the back, front or side. (See Volleyball)
MCL/ACL Ligament Injury
  • MCL (median collateral ligament)/ACL (anterior cruciate ligament) injury – is often caused by sudden changes in direction, twisting, or bending while playing sports such as football or tennis.
Patellar Femoral Pain Syndrome
  • Patellofemoral Pain Syndrome (PFPS) also known as runner's knee, chondromalacia patellae, anterior knee pain and patellofemoral joint syndrome: generic term used to describe pain at the front of the knee and around the knee cap.
Rotator Cuff Injury
  • A rotator cuff injury is an injury to any of the four rotator cuff muscles in the shoulder. These muscles are significant for stabilizing the shoulder joint.
Shoulder Impingement
  • Impingement syndrome is sometimes called swimmer's shoulder or thrower's shoulder. It's caused by the tendons of the rotator cuff becoming impinged as they pass through the shoulder joint

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Football

Achilles Tendonitis
  • Achilles Tendonitis is inflammation of the heel cord resulting in swelling and pain.
Ankle Sprain
  • Ankle sprains are some of the most common sports injuries, often recurring again and again. In most cases the ankle is rolled outwards, resulting in damage to the ligaments on the outside of the ankle.
ACL/PCL tears
  • There's a lot of injuries in football due to the rigorousness of the sports. Foot planting into the field, followed by quick insult to sides of the knees will call torsional injury and tear.
Torn Menisci
  • A torn meniscus is a tear to the semicircular shock absorbing tissue in the knee joint. It is commonly injured through direct impact in contact sports or twisting but can also occur in older athletes through gradual degeneration.
Rotator Cuff Injury
  • A rotator cuff injury is an injury to any of the four rotator cuff muscles in the shoulder. These muscles are significant for stabilizing the shoulder joint.
Head Injury/ Concussion
  • A lot has been said in the news about real injuries to the head with delayed and immediate symptoms. Consult the physician if you see any signs of confusions, listlessness, abnormal behavior or judgment in an otherwise normal athlete.
  • We can help with decision making, establishment of routine and functional changes to help the athlete recover.
  • With permanent head injuries, we can help with establishing routines, behavior modification, functional conditioning to retrain and regain strength.
  • We also have an adaptive driving program to help the athlete return to independent driving – See Adaptive Driving

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Golfing

Golfer's Elbow
  • Golfer's elbow is inflammation of the medial epicondyle of the humerus.
Low Back Pain
  • Low back pain is severe back pain and usually comes on suddenly caused by a movement such as bending or twisting. Pain in the lower back and buttocks may increase over a couple of hours as inflammation develops. Management of acute low back pain is to reduce pain as quickly as possible by getting the patient into a position of least pain which may be lying on the back, front or side. (See Volleyball)
Plantar Fasciitis
  • Plantar fasciitis is inflammation of the plantar fascia due to small tears resulting from repetitive excessive forces.
Rotator Cuff Injury
  • A rotator cuff injury is an injury to any of the four rotator cuff muscles in the shoulder. These muscles are significant for stabilizing the shoulder joint.

Gymnastics /Sky Diving

Wrist Sprains
  • The wrist is subjected to forces that can exceed twice the body weight and is the most heavily used part of the body in gymnastics. This constant strain on the wrist can lead to sprains, tears or tendonitis.
Ankle Sprains
  • Ankle sprains usually occur during floor routines or falls from the balance beam or parallel bars. There are ligaments that connect the bones of the foot, ankle and lower leg. If the ankle rolls outward while the foot rolls inward, it can cause ligaments outside the ankle to stretch and tear.
ACL Injuries
  • An ACL injury can occur when a gymnast lands short or is over-rotated when tumbling, dismounting, or vaulting. The ACL supports the knee and provides stability; however it can rupture if it is twisted suddenly under high forces.
Achilles Tendonitis
  • The Achilles tendon is located just above the back of the heel and can be injured due to the repetitive stress of jumping and landing. A strain or injury to the Achilles tendon can result in Achilles Tendonitis where the tendon connecting the back of your leg to your heel becomes swollen and painful near the bottom of your foot.
Spondylosis
  • Gymnastics can lead to back injuries including sprains, strains and breaks. Spondylosis is a defect in a specific part of one or more vertebrae often caused by a stress fracture or due to repetitive extension and rotation.
Herniated Discs
  • Recurring trauma to the back is the prevailing reason for herniated disks—the lumbar segments become misaligned, putting pressure on the nerves of the spinal cord, causing debilitating pain.

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Hockey / Net fishing

MCL Injuries
  • A medial ligament sprain or MCL injury is damage to the ligament on the inside of the knee. It is often caused by twisting or an impact to the outside of the knee.
Meniscus Injuries
  • A torn meniscus is a tear to the semi circular shock absorbing tissue in the knee joint. It is commonly injured through direct impact in contact sports or twisting but can also occur in older athletes through gradual degeneration.
Groin Strain
  • A groin strain or a groin pull is a tear or rupture to any one of the adductor muscles resulting in inner thigh pain. A pulled groin muscle can range from very mild to completely debilitating. Symptoms of an acute groin strain typically include a sudden sharp pain in the groin area, either in the belly of the muscle or higher.
Hamstring Strain
  • A hamstring strain or pulled hamstring is one of the most common sports injuries. Symptoms of a hamstring strain include a sudden sharp pain at the back of the thigh usually whilst sprinting or a fast stretching movement or high kick. Hamstring strains are graded 1, 2 or 3 depending on how bad they are. A grade 1 injury may only be a slight twinge whilst a grade 3 can result in the athlete being unable walk with swelling and bruising developing soon after.
AC Joint Injuries
  • An AC joint separation or AC joint sprain is an injury to the ligament that holds the acromioclavicular joint together. It is usually caused by fall onto an outstretched arm.
Shoulder Dislocations
  • A dislocated shoulder is a traumatic and painful injury requiring immediate medical attention. A full rehabilitation program is essential if the athlete is to avoid re-injuring the shoulder. Shoulder dislocations are either posterior where the head of the upper arm bone or humerus dislocates out of the back of the joint or more commonly anterior where it pops out forwards.

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Running/Cross Country

Shin Splints
  • Shin splints is the common name often given to any shin pain at the front of the lower leg. The most common shin splints symptoms occur at the front inside of the shin bone and can arise from a number of causes.
IT Band Syndrome
  • Iliotibial band syndrome causes pain on the outside of the knee which is caused by friction of the iliotibial band on the side of the knee. It is also known as ITB syndrome or ITBFS and sometimes referred to as runners knee.
Achilles Tendinitis
  • Achilles Tendonitis or achilles tendinopathy which is probably a more accurate term is an overuse injury causing pain, inflammation and or degeneration of the thick achilles tendon at the back of the ankle.
Plantar Fasciitis
  • Plantar fasciitis is a very common condition resulting in pain under the heel which often radiates into the foot.
Ankle Sprain
  • Ankle sprains are some of the most common sports injuries, often recurring again and again. In most cases the ankle is rolled outwards, resulting in damage to the ligaments on the outside of the ankle.
Patellofemoral Pain
  • Patellofemoral Pain Syndrome (PFPS) also known as runners knee, chondromalacia patellae, anterior knee pain and patellofemoral joint syndrome is a generic term used to describe pain at the front of the knee and around the knee cap.

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Soccer

Achilles Tendonitis
  • Achilles Tendonitis is inflammation of the heel cord resulting in swelling and pain.
Ankle Sprain
  • Ankle sprains are some of the most common sports injuries, often recurring again and again. In most cases the ankle is rolled outwards, resulting in damage to the ligaments on the outside of the ankle.
Iliotibial band (ITB) syndrome –
  • Iliotibial band (ITB) syndrome causes pain on the outside of the knee which is caused by friction of the iliotibial band on the side of the knee. It is also referred to as runner's knee.
MCL/ACL Ligament Injury
  • MCL (median collateral ligament)/ACL (anterior cruciate ligament) injury – is often caused by sudden changes in direction, twisting, or bending while playing sports such as football or tennis.

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Swimming / Deep Sea Diving

Rotator Cuff Injury
  • A rotator cuff injury is an injury to any of the four rotator cuff muscles in the shoulder. These muscles are significant for stabilizing the shoulder joint.
Tendonitis
  • Tendonitis is inflammation of tendons or muscle attachments.
Low Back Pain
  • Low back pain is severe back pain and usually comes on suddenly caused by a movement such as bending or twisting. Pain in the lower back and buttocks may increase over a couple of hours as inflammation develops. Management of acute low back pain is to reduce pain as quickly as possible by getting the patient into a position of least pain which may be lying on the back, front or side. (See Volleyball)
Spondylosis
  • Spondylosis is degeneration of the spinal column.
Swimmer's Shoulder
  • Impingement syndrome is sometimes called swimmer's shoulder or thrower's shoulder. It is caused by the tendons of the rotator cuff becoming impinged as they pass through the shoulder joint.

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Tennis

Carpal Tunnel Syndrome
  • Carpal tunnel syndrome s probably the most common cause of wrist pain. Symptoms include a dull ache in the wrist and forearm with pain which may radiate into the hand and fingers, often worse with overgripping and holding the tennis racket in the wrong position. It is caused by compression of the median nerve in the wrist which supplies the hand.
Tennis Elbow
  • Tennis elbow or lateral epicondylitis is a common injury causing pain on the outside of the elbow.
Rotator Cuff Tears
  • A rotator cuff strain is a tear to any of the four rotator cuff muscles in the shoulder. These muscles are important for stabilizing the shoulder joint.
Impingement Syndromes
  • Impingement syndrome is sometimes called swimmer's shoulder or thrower's shoulder. It is caused by the tendons of the rotator cuff becoming impinged as they pass through the shoulder joint.
Sprained Ankle
  • Ankle sprains are some of the most common sports injuries, often recurring again and again. In most cases the ankle is rolled outwards, resulting in damage to the ligaments on the outside of the ankle.
Patella Tendonitis
  • Jumpers knee or patellar tendonitis is pain in the tendon which attaches the kneecap or patella to the top of the shin bone or tibia. It is usually an overuse injury caused by repetitive strain.

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Volleyball

Rotator Tendinopathy
  • Rotator cuff tendonitis is a degenerative condition of any one, or a combination of any of the four rotator cuff tendons. The Supraspinatus and Infraspinatus are the most commonly affected. Rotator cuff tendinitis symptoms include pain in the shoulder when rotating the arm especially against resistance.
Suprascapular Neuropathy
  • Suprascapular neuropathy usually occurs as a result of traction damage to the suprascapular nerve causing an aching or burning pain at the back and or side of the shoulder joint. Aching or burning pain will be felt at the back and or side of the shoulder joint. The pain will come on gradually and feel like it is deep within the shoulder joint and may radiate through the arm. Weakness of the shoulder joint will be experienced by the patient when lifting the arm out to the side and rotating it outwards.
Hand Injuries/ strains/ sprains
  • Wrist and hand injuries are separated into acute wrist injuries, gradual onset or chronic wrist pain and hand and finger injuries.
  • Acute wrist injuries are caused by a sudden impact or trauma with immediate pain and often swelling.
  • Gradual onset wrist pain which comes on gradually through overuse but can also occur as a result of an acute wrist injury which has not been recognized or has failed to heal properly.
  • Hand and finger injuries which are caused either by over use or as an acute injury.
Patella Tendonitis
  • Jumpers knee or patellar tendonitis is pain in the tendon which attaches the kneecap or patella to the top of the shin bone or tibia. It is usually an overuse injury caused by repetitive strain.
Ankle Sprain
  • Ankle sprains are some of the most common sports injuries, often recurring again and again. In most cases the ankle is rolled outwards, resulting in damage to the ligaments on the outside of the ankle.
Back Injuries
  • Acute low back pain is severe back pain and usually comes on suddenly caused by a movement such as bending or twisting. Pain in the lower back and buttocks may increase over a couple of hours as inflammation develops. Management of acute low back pain is to reduce pain as quickly as possible by getting the patient into a position of least pain which may be lying on the back, front or side.
  • Mild or moderate lower back pain is associated with chronic or long term back problems which are usually caused initially by an injury, usually to the joints in the back but over time other structures in particular soft tissue such as muscles contribute to the pain. A range of symptoms include dull aching in the lower back which may come and go, be on one side or across the lower back. There will be reduced range of movement, tenderness at points on the spine, muscle spasms and pain may radiate into the buttocks and hamstrings.
  • Back Hyperextension strains and Hip injuries: due to the posture of the volleyball player: squatting, then lifting the arms, or high jumps to extend then hitting forward, diving and lifting shoulders. The spine can go into hyperextension (arching backward), and muscle strains, joint displacement in the spine and also in the hips can occur.

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Weight Lifting / Rock Climbing / Mountaing Climbing

Shoulder Impingement Syndrome
  • This injury is caused by an inflammation to the tendons around the rotator cuff in the shoulder. This is typically caused by any overhead weight lifting activities, such as lateral raises, bench presses and shoulder presses. Typically, the first signs of this injury are pain in the front of the shoulder and the side of the upper arm.
Rotator Cuff Tear
  • A tear to the rotator cuff may occur with the same exercises that could cause shoulder impingement syndrome. However, a tear is a much more serious condition that comes with intense pain immediately after the tear occurs. The arm will become weak and a snapping sensation may also be felt. Depending on the severity of the tear, surgery may be required in order to treat this injury.
Carpal Tunnel syndrome, Carpal joint dislocation, tendon tear and nerve palsies in the hand
  • These are from gripping, pulling, pushing, pressing, prolonged holding will stress the nerves and tendon in the wrists, fingers, hands.
Patellar Tendonitis
  • This injury involves inflammation to the tendon connecting the kneecap to the shinbone. It is often a result of the quadriceps muscles being too tight or overused. This adds stress on the kneecap, which causes the inflammation. The condition is marked by pinpoint pain at the base of the kneecap.
Back Sprains and Strains
  • Because many weight lifting exercises require the use of the back, strains and sprains in this area of the body are common. Sprains involve torn or stretched ligaments in the back, while a strain affects torn muscles or tendons. In both cases, pain, swelling and trouble moving the back easily are common symptoms.
Herniated Disk
  • This condition occurs when comes of the cushions between the vertebrae in the backbone either slips out of place or ruptures. This can be caused by trying to lift heavy weights with your back muscles rather than the muscles in your legs.
Muscle Strain (Muscle Pain)
  • A muscle can strain or tear. The most common muscle strains occur at high speed when your muscles are overloaded. The most common high speed muscle injuries occur in your hamstrings, thigh (quadriceps), calf, back and biceps. Muscle strains range from a mild muscle strain (grade one), moderate muscle strain (grade two) to a severe muscle strain or complete muscle rupture (grade three).

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