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Illiotibial Band Friction Syndrome

October 4, 2017 By Chevron Island Physio

Definition
Pain and inflammation on the outside of the knee, where the iliotibial band (a muscle on the outside of the thigh) becomes tendinous, and results in a friction syndrome by rubbing against the femur (thigh bone) as it runs alongside the knee joint.

Symptoms:
Initially, a dull ache 1-2 kilometres into a run, with pain  remaining for the duration of the run. The pain disappears soon after stopping running. Pain is worse on running downhill, or on cambered surfaces. Pain may be present when walking up or down stairs.

Causes:
Anything that causes the leg to bend inwards, stretching the ITB against the femur.  For example over pronation (feet rotate too far inward on impact), tightness of the ITB muscle, lack of stretching of the ITB, incorrect or worn shoes, excessive hill running (especially downhills) and running on cambered surfaces.

Treatment of Illiotibial Band Friction Syndrome:

* Rest – activity should be limited to those which are unlikely to aggravate the injured site such as swimming and cycling.

*Ice – ice will help reduce inflammation in to the area and will also help to reduce pain involved with the injury.  Ice should be applied for 10 minutes 3 times per day for the first 72hrs or following
activity.

* Anti-inflammatory medication – will reduce the pain and inflammation associated with the injury and will speed up recovery. Anti-inflammatory medication can be purchased over the counter from your chemist (Neurofen).

* Strapping – helps to rest the injured site without limiting your activity.  Strapping is also used to temporarily correct any mechanical abnormality in foot function.  If strapping has reduced the
amount of heel pain then an orthotic can be uses as permanent measure.

* Stretching & Strengthening – stretching of the iliotibial band helps to relieve the tension on the iliotibial band, which will reduce the amount of discomfort.

* Orthotics –  used when there is a mechanical deformity in the bony structure of the foot (usually rolling in).  Orthotics balance the foot which allows it to function more efficiently.  This will in turn relieve the amount of force that travels through the iliotibial band.

* Physiotherapy – some cases of iliotibial band friction syndrome require physiotherapy treatment in order to fully recover.

* Surgery – is used when all of the above treatments have failed to relieve the pain.  This usually involves a cortisone injection into the ITB, or surgery to release the ITB may be indicated.

Recovery

Your recovery will depend your individual health.  If you are suffering with iliotibial band friction syndrome, it normally takes about 4 to 6 weeks for a healthy individual to recover.  This of
course depends on the duration the condition has been untreated for.
If you have any questions or require treatment we have highly qualified Podiatrists and Physiotherapists available for consultation.

 

Wade Ellis, Podiatrist

Filed Under: Podiatry Tagged With: knee pain, physio gold coast, podiatrist, podiatrist gold coast, podiatry, podiatry chevron island, podiatry gold coast, podiatry surfers paradise, running injuries, running injuries gold coast, running pain, treatment for knee pain

What does a Physio do?

April 26, 2017 By Chevron Island Physio

Often people are unsure exactly why they might need to see a Physiotherapist or what they can do to help them. Physiotherapists are highly qualified health professionals who work in partnership with their patients to help people get better and stay well. Physiotherapists also work closely with GPs and other health clinicians to plan and manage treatment.

Using advanced techniques and evidence-based care, physiotherapists assess, diagnose, treat and prevent a wide range of health conditions and movement disorders. Physiotherapy helps repair damage, reduce stiffness and pain, increase mobility and improve quality of life. They do this using a variety of techniques including soft tissue massage, muscle re-education, joint mobilisation, exercise, taping, ultrasound and tens machine application.

 

Common reasons people seek help

All Australians can benefit from physiotherapy at some point in their lives. While it is well-known that physiotherapists treat injuries, increasing numbers of Australians are coming to physiotherapists when they want to take control of their health and stay well.

 

Some of the needs our physiotherapists address include:

Pain – manages or prevents pain and its impact on function in patients using a psychologically informed and interdisciplinary approach.

Sports – prevents, diagnoses and treats musculoskeletal and sporting injuries among all types of people, from professional athletes to everyday Australians.

Continence and women’s health – manages and prevents incontinence and pelvic floor dysfunction in men, women and children. Physiotherapists work in areas including pregnancy, birth, post-partum care, breastfeeding, menopause, bed wetting, prolapse and loss of bladder or bowel control. Chevron Island Physio has two Physiotherapists with a special interest in Women’s Health.

Supporting older Australians – uses evidence-based care to promote healthy and active ageing among older Australians. Chevron Island Physio has its own Balance and Falls Prevention class twice per week as well as a senior’s Yoga class that helps to benefit mind and body.

Musculoskeletal – prevents and treats clients with musculoskeletal conditions such as neck and back pain. Techniques include addressing underlying problems, preventing strain and injury, and prescribing exercises and other interventions to promote mobility. We are lucky enough to have a Physiotherapist who specializes in treating headaches!

Orthopedic – helps patients prevent or manage acute or chronic orthopedic conditions such as osteoarthritis, rheumatoid arthritis and amputations. Physiotherapists also help patients prepare for or rehabilitate from orthopedic surgery, or another orthopedic hospital admissions.

Acupuncture and dry needling – which helps to manage both chronic and acute conditions such as sprains and strains, spinal dysfunction, arthritis and neurological conditions.

 

A typical session with a physiotherapist –

A typical session with a physiotherapist is unique to a patient’s needs and their health condition. Treatment also depends on the scope of practice of the physiotherapist.

However, a ‘typical’ session may involve:

  • Assessing and diagnosing the patient’s condition and needs.
  • Working with the patient to set and attain goals—whether that’s maintaining mobility and independence in aged care to running a marathon
  • Developing a treatment or prevention plan that will take into account lifestyle, activities and general health
  • Hands on treatment utilising mobilization, massage, dry needling, exercise and stretching, ultrasound and tens machine among other techniques
  • Prescribing exercise and physical aides if required.

Our physios also run Pilates classes specific to each patient’s needs and concerns. This is a great way to rehabilitate injury, stay injury free and get fit! This is also claimable under private health insurance (extras).

Do you need a referral?

No you do not need a referral however if you have one please bring it along.

If you intend to claim under Medicare you do require an Enhanced Primary Care Program prescribed by your GP. This form is given to those who meet specific criteria.
To find out more contact us on 5504 7000 or visit our website here

 

Chevron Island Physio

21 Adori St, Chevron Island

Phone: 5504 7000

 

 

 

 

Filed Under: Physiotherapy Information Tagged With: back pain, back pain gold coast, dry needling, headaches, knee pain, neck pain, neck pain gold coast, physio, physio bundall, physio chevron island, physio gold coast, physio southport, physio surfers paradise, physiotherapy gold coast, sports injuries

Knee Osteoarthritis

September 23, 2014 By Chevron Island Physio

Osteoarthritis, commonly known as wear-and-tear arthritis, is a condition in which the natural cushioning between joints and cartilage wears away. When this happens, the bones of the joints rub more closely against one another with less of the shock-absorbing benefits of cartilage. The rubbing results in pain, swelling, stiffness, decreased ability to move and, sometimes, the formation of bone spurs.
Knee osteoarthritis a common and growing problem. Surgery including knee replacement is an option, but whilst generally safe and successful is certainly not a first line of treatment. Before considering surgery there are a few ideas that may help reduce the pain and impact of knee osteoarthritis.
1. Weight Management
A heavier person will place more load on their joints. There is a clear link between osteoarthritis and obesity. The Obesity journal states that “Even in people without arthritic change, those who were overweight (Body mass index of 25 – 30) reported 20% higher levels of pain. For those who were obese (BMI of more than 30) the reported pain levels were 68% higher, for those with a BMI of 35 – 40 it increases to 136% higher levels of pain and those with a BMI above 40 had a shocking 254% higher level of pain.” Even moderate weight loss will make a big difference.
2. Exercise
As well as helping with weight management, physical activity strengthens, lubricates and stabilises the joint. Your Physio can give you specific exercise that will work to strengthen the muscles around the joint providing stability.
3. Knee Brace
A range of knee braces are available to help relieve pain and provide stability. The type of knee brace required depends on a number of factors including the part of the knee which is affected by arthritis.
4. Electrical Stimulation
A neuromuscular stimulator can be used to help to strengthen muscle, whist a TENS machine provides drug free pain relief. TENS is an abbreviation of Transcutaneous Electrical Nerve Stimulation. Transcutaneous means “across the skin”. In simple terms, a tens machine stimulates your nerves via an electrical current through your skin.
5. Knee Injections for Osteoarthritis
There are two types of knee injections used for osteoarthritis. A corticosteroid injection can give short term pain relief and is useful at times of flare up. Viscosupplementation injections are proven to give longer term pain relief, up to one year, in knees with mild to moderate osteoarthritis. See your practitioner to discuss this option.
Your physiotherapist can help you develop a plan specific to your condition.

Filed Under: Physiotherapy Information Tagged With: knee exercises, knee osteo, knee osteoarthritis, knee osteoarthritis gold coast, knee pain, knee pain gold coast, osteoarthritis, physio chevron island, physio gold coast

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