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Pain in the butt! Gluteal Tendinopathy.

Posted by Terry Castelli on 12 April 2017

What is Gluteal Tendinopathy?

When tendons are repeatedly placed under more tension than they can deal with, they can have a failed healing response. This can cause changes to the structure of the tendon and is known as a tendinopathy. When this occurs in the tendons of the gluteal muscles it is referred to as gluteal tendinopathy.

The gluteal muscles are three large muscles located at the back of the pelvis that provide most of the muscle bulk of buttock region. These muscles work together to keep your pelvis level when standing and are responsible for many movements of the hip. They play an important role in standing, walking and running.

The two deepest gluteal muscles, gluteus medius and gluteus minimus, attach from the center of the pelvis (the sacrum) and insert into the bony outer region of the upper thigh, called the greater trochanter via the gluteal tendons.

What causes tendons to develop tendinopathy?

Tendons, like muscles, skin and bones are living tissues and their strength and elasticity is influenced by a variety of factors, including hormones, age, how often and how much they are used. Rapid changes in activity levels or simply performing the same tasks too often can place a tendon under more stress than it can tolerate and it begins to break town.

Recently it has been shown that tendon health is also negatively affected by compressive forces, which can occur from blunt trauma or even habits such as crossing the legs, or sleeping on your side on a hard mattress.

What are the symptoms of Gluteal Tendinopathy?

  • A typical pattern of sharp pain at the outside of the hip with specific movements.
  • Noticeable discomfort after prolonged periods of rest, ie sleep, working at desk, but pain seems to reduce once active.
  • The pain is usually worse with walking, going up and down stairs and running.
  • The pain can become quite severe, and eventually can impact day-to-day activities.

How can physiotherapy help?

A thorough assessment is required for an accurate diagnosis and once gluteal tendinopathy is confirmed, your physiotherapist will be able to identify which factors have contributed to your condition and help to address these. It has been shown that specific loading exercises and muscular retraining can stimulate the tendon to heal and remodel the collagen fibres into a more organized pattern again. Your physiotherapist can investigate any postural habits or activities are contributing and address these as required.

If you, or someone you know, are experiencing hip pain book an appointment with one of our physiotherapists at Albany Creek Physiotherapy. We can help you develop the appropriate rehabilitation program to keep you moving, reduce your discomfort and return to sport/exercise/activites pain free quickly.

Posted in: Training Clinic  

Growing Pains In Sporty KIds

Posted by Scott Smith on 27 February 2017

The Younger Athlete and Growing Pains
Young athletes are particularly prone to sports injury due to the changes their body experiences as they grow. Some factors include under developed co-ordination and skills, growth spurts and the fact that young sportspeople are training and playing at very frequent intervals with high intensity.
Children who are the same age can vary considerably in their growth characteristics.
Boys who mature earlier certainly have been shown to perform better when participating in sports involving strength and power.
Young athletes suffer many injuries that are similar to adults. But on the other hand there are certainly different type of injuries experienced by the younger athlete.
One interesting factor is that the tendon attachment sites onto bones is weak in the young. This can lead to injury.
Younger athletes are more likely to suffer bony injury( cartilage and bone) than have a major ligament sprain.
They are also more likely to injure the attachment site of the muscle onto the bone than suffer a tear of the muscle belly.
The bottom line is- there is evidence that rapid periods of growth, poor coaching,poor dynamic balance,previous injury, and heavier weight are associated with an increased risk of injury in youth sports.
There is evidence to suggest that using warm ups/neuromuscular drills and balance training can reduce the incidence of injury.
If you like to know more or book an appointment to see a physiotherapist at the ACE soccer grounds call 32643244.
Tuesday and Thursday evenings 530-730.

 

Posted in: Training Clinic  

Load before you Leap

Posted by Terry Castelli on 13 January 2017

2017 has started, motivation is high, the running shoes have been dusted off, and then you develop ankle, knee, hip or hamstring pain after the second or third run. You aren't the only one! This time of year it is a common to see patients walk through the clinic doors with tendon pain because they went to hard to soon.

Tendon injuries can be acute or chronic and is a common condition in sports people, recreational athletes and weekend warriors. More often than not patients have a sudden increase in the intensity, frequency and duration of activity and only allow a small amount of time for recovery. Studies have shown that people who have less than 2 rest days/week, have a 5 x increased risk of overuse injury and unfortunately this risk increases with age. Obviously, elite athletes require and have a greater tissue capacity than recreational players and weekend warriors.

From a physiotherapist point of view, we explain to the patients they have exceeded their tissues capacity, which resulted in cellular changes, and eventually a pain response. Think of two pieces of rope, one thin (unconditioned) and one thick (conditioned) that are separately suspending 100kg each. The thin rope maybe able to hold the weight, but most likely it will stretch, and rarely will it snap. But the thick rope could hold onto the 100kg all day. We view tendons like these ropes, people who are unconditioned (weekend warriors) have not conditioned their "ropes" to be able to handle the same amount of load of people who have conditioned "ropes" (athletes).

The aim of rehabilitation is to gradually increase the tendons ability to tolerate higher loads. By increasing the load tolerance slowly you will increase your capacity to sustain the increasing demands you place through the tendons while exercising. There are studies that support rehabilitation that targets strength and limb biomechanics will produce promising clinical outcomes in the long term. 

If you, or someone you know, are experiencing tendon pain after starting or increasing exercise book an appointment with one of our physiotherapists at Albany Creek Physiotherapy. We can help you develop the appropriate rehabilitation program to keep you moving, reduce your discomfort and return to sport/exercise pain free quickly.

References
- Ristolainen. L, et al, 2014. Training-related risk factors in the etiology of overuse injuries in endurance sports, J Sports Med Phys Fitness; 54(1):78-87

- Rio. E, et al, 2015. Tendon neuroplastic training: changing the way we think about tendon rehabilitation" a narrative review, Br J Sports Med;0:1-8

- Malliaras, P., Understanding mechanisms to improve exercise interventions in tendinopathy, Physical Therapy in Sports (2017), doi:10.1016/j/ptsp.2016.12.006

- Cook. J, Docking. S, 2015. "Rehabilitation will increase the 'capacity' of your ...insert musculoskeletal tissue here..." Defining 'tissue capacity': a core concept for clinicians, Br J Sports Med, doi10.1136/bjsports-2015-094849
 

 

Posted in: Clinic  

Physio Bike Fits Now Available

Posted by Scott Smith on 15 November 2016

A Physiobikefit involves a cycling physiotherapist assessing your body, your bike, your cycling technique. Physiobikefit can help you move well and ride better.
Scott Smith is a very keen cyclist who has been riding for a number of years. He regularly  competes in mountain biking races but trains as much on the road bike.
He recently came third in the teams section at the Epic mountain bike event held each year at Hiddenvale. This race has over 500 entrants.
We have the clinical skills and bike-fit expertise to evaluate why you might be experiencing

  • Lower back & neck pain
  • Mid Back pain
  • Knee and sit bone pain
  • Hand tingling and numbness
  • Inefficient pedaling
  • Everyone's body moves differently. Physiotherapist are specialists in assessing movement. This will involve a specific bike screening procedure looking at exactly how your body moves, muscle strength of specific cycling muscles and the joint range of motion required to be efficient on a bike.

A bike fit will also be performed to look at how your bike is set for you.

 

The Physiobikefit involves:

  • Taking a detailed history of any injuries / cycling history / possible reasons why injury may have occurred
  • Specific measurements of lower limb range of motion / strength and  muscle activation
  • Bike dimensions assessment and how you sit and function on the bike
  • Video assessment of you on the bike
  • Emailed report of how to improve performance/ reduce pain and dysfunction


FAQ

  • Why a Physiobikefit- It is paramount to assess the cyclist's physical capability as well as the cyclist on the bike. A bike fit that does not have all this information is not able to  make accurate decisions.
  • What should I bring? Bring your bike, cycling shoes and shorts/knicks. The assessment is done with no top off and a few texta marks. We will change over your rear skewer if required or you can bring your own for attachment to a MagTrainer.
  • How long will it take? Your appointment is for 1 hour, with reports emailed to you within 24 hours.
  • What will occur during the session? We will initially talk about any soreness, injury or concerns, as well as your cycling history, training and your bike. We will then assess and measure your body and your bike, and video you on the bike under various conditions. We will then analyze the findings and together plan for bike changes, exercises, treatment or cycling technique correction as required to optimize your cycling performance and experience.
     

 

 

Posted in: Training Clinic  

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