Is Bracing Effective?

Lateral epicondylitis, or tennis elbow, is one of my least favorite injuries.  It can be disabling, nagging, and sometimes even relentless!  A commonly recommended treatment involves the use of a tennis elbow strap.  There has been some support in the literature regarding these orthotics, however results in the literature have varied. A nice new study published in a recent issue of JOSPT assessed the efficacy of these devices in a group of 52 subjects with lateral epicondylitis.  The study examined the amount of pain-free grip strength and maximum grip strength is subjects with a variety of...
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Elbow Bursitis- What is it and What can i do about it?

The elbow contains a large, curved, pointy bone at the back called the olecranon, which is covered by the olecranon bursa, a small fluid-filled sac that allows smooth movement between the bone and overlying skin. Inflammation of this bursa leads to a condition called olecranon bursitis. The causes of elbow bursitis may include trauma or a hard blow, excessive leaning on the elbow, infection through puncture wounds or insect bites, or conditions such as gout and rheumatoid arthritis. People in certain occupations such as plumbing or air conditioning technicians which involve a lot of crawlin...
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Golfers Elbow

Eccentric training of the wrist extensors has been shown to be effective in treating chronic medial epicondylalgia. A study conducted by Tyler and others in 2014 studied the efficacy of adding eccentric exercise to standard physiotherapy consisting of ultrasound, cross-frictional massage and self-stretching, heat and ice. The specific isolated eccentric wrist flexor strengthening exercise performed by the patients involved twisting a rubber bar (Flexbar, Hygenic Corportation, Akron OH) with concentric wrist flexion of the non-involved arm and releasing the twist by eccentrically contracting...
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What’s the Latest with Tennis Elbow Strengthening?

Load Management   Load management and activity modification are vital in the rehabilitation of tennis elbow. From the elite athlete to the weekend warrior this can often feel like the end of the world. This can be achieved by reducing the aggravating activities within possible occupational and recreational limits. Through use of appropriate education and communication the athlete can be   Tendon disorders have been closely studied in Australian physiotherapy circles. Researchers have found the following exercise protocol to be the most effective avenue to successfully recover ...
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What Is Tennis Elbow?

What is it? Tennis Elbow, also known as lateral epicondylitis is an overuse injury of the forearm and the wrist extensors tendons, primarily the extensor carpi radialis brevis and common extensor tendon typically presents as progressive pain over the lateral aspect of the elbow. It is primarily due to repetitive strain from tasks and activities that involve loaded and repeated gripping and/or wrist extension. It historically occurs in tennis players but can result from any sports that require repetitive wrist extension, radial deviation, and/or forearm supination. Relating to occupationa...
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Rehabilitation of Peroneal Tendinopathy

  1) Strengthening As soon as it is comfortable to do so, you should start strengthening the Peroneal muscles. Strengthening helps the collagen fibres within the tendon to realign and also helps develop the strength needed for running. Start with isometric exercises which are static contractions. An easy way of doing this is to sit on the ground with the legs out straight on the insides of a chair. Position the front two chair legs on the outsides of the feet. Push outwards with the feet, into the chair legs so there is no movement, but the muscles are contracting. Hold for 5 sec...
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What is a Peroneal Tendinopathy?

  You have currently been training for a full marathon. In preparation for you marathon in a few months time you have been increasing your training regime more rapidly. After your most recent 10km training session at a higher intensity you have started to experience a dull pain around the back and outside of your ankle. Upon presenting to your local physio and after reviewing your symptoms it appears that you have a Peroneal Tendinopathy.   So what exactly is a Peroneal Tendinopathy?     Typically it has been found that individuals which undertake repetit...
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Here are 5 home remedies for you to reduce pain and discomfort on your ankle

Icing        your ankle may respond better to an alternating hot-and-cold therapy. Use two gel packs. One should apply heat for 20 minutes. Follow it with a cold pack for 20 minutes. Alternatively, you can  prepare ice packs. Apply the ice pack on your swelling ankle to reduce the amount of swelling will reduce your discomfort. Ensure that the ice rests directly on the swollen area. If the cold is too intense, place a small rag between the skin and the ice pack. Herbal Remedies Home remedies such as coconut and garlic oil help reduce pain and swelling when they soak directly into the...
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What is Proprioception / Balance of the Ankle?

Proprioception is also known as the Joint Position System (JPS).  JPS is a system that allows the joints to send a continuous stream of information to the brain about muscle use, joint position and movement.  This allows us to know subconsciously where our limbs are in space without looking and it’s also the sense that produces sudden reflex actions when we sense danger. For example, close your eyes..... do you know exactly how your hands are placed? Of course you do! That’s your proprioception at work. Co-ordination JPS is very important for co-ordinating all our movements and in ter...
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Are Ankle Braces Useful?

There is a lot of misinformation being circulated about ankle braces and their effect on the body and athletic performance. Why Use a Brace or Support? A support brace helps you by: Relieving your pain Resting the injured tissues by taking some of the stressful loads Protecting the injured structures from further injury Allowing for initial tissue healing Preventing future injury by support or joint stabilisation.   A hinged style ankle brace that allows full up and down ankle range of motion will not weaken the joint because the brace is allowing unrestricted...
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