Showing posts with label pain. Show all posts
Showing posts with label pain. Show all posts

Sunday, August 3, 2014

Hypermobility

As physiotherapists we spend ALOT of time working with people who have stiff joints, tight muscles, reduced movement….. All of these things present as a lack of mobility, which is, in most cases, resulting in pain (hence why they are sitting in my waiting room).

BUT sometimes we forget about the other side of the coin….. The hypermobile ones, those that have TOO much movement, their joints have more range than required, their muscles are too flexible.

This is actually a problem that exists far more commonly than one may think, often it is asymptomatic & people won’t even be aware that their body is a little more like an elastic band than their best friends, BUT in some cases joint hypermobility syndrome can cause pain.

Joint hypermobility is usually inherited; if your mum is super super flexible, chances you will be too. There is nothing you can do to change it or prevent it, unfortunately its due to a gene representation in the connective tissue (the glue that holds our bodies together) causing it to become more pliable& more stretchy allowing for excessive movement at certain joints.

People with hypermobile joints have a higher incidence of dislocation and sprains of involved joints. The hypermobility tends to decrease with age as we naturally become less flexible.

When it comes to being hypermobility some people just live with it, other people may suffer from certain related medical conditions such as Ehlers-Danlos Syndrome (EDS), Marfan Syndrome and Osteogenesis Imperfecta BUT the purpose of this blog isn’t to overload you with information related to these issues but rather to give you a little insight into a more common presentation which is ‘hypermobility syndrome’ or HMS and when you may need to seek a little professional advice.

Do you have HMS?

There is a great little series of tests that you can do right no on your living room floor. Give yourself a score of 1 for each of the following that you CAN DO.

Touch the floor with your palms flat without bending your knees
Can you bend your left elbow back past straight
The same for your right elbow
When lying flat on floor with your left leg straight out in front of you can you lift your left heel off the floor approx 1-2 inches without lifting your knee or upper leg
The same for your right leg
Can you bend your left thumb under so that it touches your forearm
The same for your right thumb
Can you bend your left little finger back past 90 degrees
The same for your left little finger

For each one you are able to achieve give yourself a point.

What was your score out of 9? If you were able to do any of the above you have are classed as hypermobile BUT you don’t necessarily have HMS.

In a clinical setting your score along with the prevalence of certain symptoms would categories you into either minor or major hypermobility syndrome. Some symptoms include joint pain, history of subluxation or dislocation of joints, being particularly tall & slim.



If your hypermobility is causing you joint pain make an appointment with a sports physiotherapist. They will be able to assess you and answer all your questions about what you can, can’t, should and shouldn’t be doing. There are exercises that can be done to help with the pain and also allow you to partake in all the activities you wish to. It’s also nice to be educated about the risks that certain sports may present to you as a ‘hypermobile’ individual; for example if you are desperate to play high intensity collision sports such as rugby you should be aware that the risk of you dislocating your shoulder is slightly higher than your team mates who are not hypermobile.

So you have HMS? DON’T PANIC. This doesn’t mean you need to start doing things differently. Yes you can exercise, in fact it’s recommended that you do; yes you can play sport (some may be advisable to avoid); yes you can go trampolining; yes you can ski; yes you can LIVE a normal life.



via- http://yoursportsphysioblog.com/2014/05/30/are-you-hypermobile/

Friday, July 4, 2014

The Nordic Hamstring Exercise

Here in this video, the Nordic Hamstring Exercise is explained. This is a hamstring strain prevention protocol for those involved in sprinting sports (soccer, football, rugby etc).

 http://www.youtube.com/watch?v=IbmuE4clhg4

Thursday, April 17, 2014

Regular Physiotherapy and Underwater Treadmill Treatment Gives Crippled Dog New Life

Regular Physiotherapy and Underwater Treadmill Treatment Gives Crippled Dog New  A disabled bulldog named Ronnie was given treatment of physiotherapy and submerged exercises so that he can walk as any other dog and lead a normal pain-free life.

Ronnie was just four-months-old when he was rescued from his earlier abusive owner and was admitted to veterinary hospital as he was unable to walk properly due to his under-grown front legs.

Ronnie used to feel constant pain in his paws because he has to crawl to move from one place to other. The problem is said to emerge due to having wrong meals given by his earlier master. But the poor dog has been loved by the vets at Cardiff who are nursing him with a complex rehabilitation program known as Carpal Flexural Limb Deformity, so that Ronnie can survive with his problem.

The dog is given yoga sessions followed by water therapy in which a life jacket is put on him and is placed on a underwater treadmill so that the his body weight can be put off his legs and he can walk in greater speed.

And after the workout, he is also given 20 minutes of acupuncture which helps relax his muscles. He is able to walk after three weeks of this treatment and doctors suggest that his body parts will be fully grown in 18 months after which he would be able to lead just the normal life. Abigail John, veterinary nurse at Croeso has shown interest in adopting him.

With ref. from- French Tribune.