A compressive dressing that you apply around your ankle, and

Size: px
Start display at page:

Download "A compressive dressing that you apply around your ankle, and"

Transcription

1 Ankle Injuries & Treatment The easiest way to remember this is: R.I.C.E. Each of these letters stands for: Rest. Rest your ankle. Do not place weight on it if it is very tender. Avoid walking long distances. Ice. Ice helps to decrease pain and swelling. Ice therapy is also known as crytherapy or cold therapy. Do not apply ice directly to your skin for more than five (5) minutes as it can cause burns. Use Clingfilm around the foot first then the ice pack to cool your foot, ankle and heel, this can be used for longer periods, as long as you carefully follow the directions and discontinue its use if you have pain or a burning sensation. Compression. Compression involves using a wrap of some sort to help manually squeeze out the fluid from your ankle; this helps relieve pain and improve function. A compressive dressing that you apply around your ankle, and Be sure not to apply any compressive device too tightly and discontinue use if you are experiencing worsening of symptoms. Elevation. Elevate the ankle above the level of your heart to help reduce the fluid in the ankle after a sprain. Just like the old bad joke about the patient that told the doctor, "Doc, every time I do this, my knee hurts" and the doctor replies, "Well, don't do that!" Although this may seem humorous, there is some truth to the joke. Avoid such activities as squatting, kneeling, heavy lifting, climbing, and even running. Listen to your body and make a list of activities or movements that increase your pain and DON'T DO THESE THINGS. Also, make a list of activities and movements that reduce your pain and DO THESE THINGS. For example, many doctors recommend the following (be sure to check with yours to make sure he/she agrees). DON'T DO these if you have an ankle sprain: Avoid walking with poorly designed shoes Avoid walking on uneven surfaces such as beaches, trails and lawns. Avoid using the stairs, ladders, or any unprotected heights where you must balance yourself on one foot. Avoid allowing your ankle to hang down below your knee as this may increase swelling and pain.

2 DO these if you are recovering from a sprain: Keep you ankle elevated above your heart level. For example, lie on your back and elevate your ankle on a few pillows to keep it above your heart. Keep your ankle stable with an ace wrap. Keep your ankle cool with an ice bag, frozen vegetables (peas work best) After your swelling is reduced, do the exercises instructed by your Doctor or physiotherapist to help regain the motion of your ankle. Wear proper fitting, well-constructed shoes Have a positive attitude. Remember that most people with acute ankle pain recover within 2-6 weeks. Rehabilitate your ankle The key to this step is to remember controlled motions. This means you have complete control of these motions through a structured rehabilitation program. Most rehabilitation programs can be done in the convenience and privacy of your own home. The basic philosophy of rehabilitation for a simple ankle sprain is to strengthen and gently stretch the muscles around your ankle to help support the injured or strained muscles, tendons or ligaments. This may include stretching your heel cord and gently moving your ankles in and out to expedite the healing of your ankle ligaments. Remember that keeping your ligaments absolutely still for a prolonged period of time will actually starve your ligaments of the nutrition they need to repair themselves. In specific cases, your doctor may prescribe formalized physical therapy, with a therapist or trainer. The keys to rehabilitation include: Motivation to actually do the exercises. Correct exercises for your problem. See your doctor or physical therapist if you need advice in this regard. Proper equipment. This equipment can either be at your therapist's office; at your health club; or items that you purchase for use at home. We have found that people who do their exercises at home are much more likely to benefit from the program as they more frequently perform the exercises.

3 Sprained Ankle Injury Explained A sprained ankle is one of the most common injuries caused by participation in sports. It refers to soft tissue damage (mainly ligaments) around the ankle, usually caused by an inversion injury (where the ankle is twisted inwards) or an eversion injury (where the ankle is twisted outwards). Because of the position of the bones around the ankle, the inversion injury is far more common. This injury causes damage to the lateral ligaments on the outside of the ankle. The most commonly injured ligament is the Anterior Talo Fibular (ATF) ligament which, as the name suggests, joins the fibular and talus bones together. If the force to the ankle is more severe, the Calcaneo Fibular ligament (between the Calcaneus and Fibula) is also damaged. The Posterior Talo Fibular (PTF) ligament is very rarely damaged in comparison to the other two ligaments. In the case of an eversion injury the damage occurs on the medial (inside) of the ankle. The ligament on the inside of the ankle is called the Deltoid ligament and is very strong. It is so strong in fact that the bone on the inside of the ankle can be pulled off, in what is called an avulsion fracture, before the ligament is damaged. As well as damage to the ligaments, the capsule which surrounds the ankle joint is also damaged. The damage causes bleeding within the tissues and the ankle begins to swell up and can be extremely painful.

4 Ankle sprains can be classified as follows: First degree, where only a few ligament fibres are damaged Second degree sprain refers to more extensive damage to the ligament with associated swelling Third degree sprain refers to a complete rupture of the ligament with swelling and a possible joint dislocation In the more severe injuries there may be associated bone injury and it is wise to get an x-ray to determine whether there is a fracture. Sprained Ankle Injury Signs & Symptoms With a first degree sprain there is pain when turning the foot in or out and also pain when the damaged area is touched. With a second degree sprain the pain is more severe, there is swelling all around the area and it is painful to walk. With a third degree sprain the pain is excruciating and walking is impossible. There is gross swelling and there may be deformity if the ankle is dislocated. Sprained Ankle Injury Treatment In the first hours following the injury it is important the follow the PRICE protocol - protection, rest, ice, compression and elevation (never apply ice directly to the skin). Ice Packs for a period of twenty minutes every couple of hours may help with the pain but pain-relieving medication may also be necessary. The Aircast Ankle Cryocuff is the most effective method of providing ice therapy, whilst protecting the injured tissues from further damage, and is the professional's choice. It can provide continuous ice cold water and compression for 6 hours and significantly reduce pain and swelling. It is important not to put too much weight on the damaged ankle, so walking should be avoided if possible. Ankle injuries can be protected using a Reusable Plastic Cast Walker and these are regularly used by Premier League football players. Where a fracture is suspected an x-ray should be carried out at an accident and emergency department. If a fracture is found or a Grade Three sprain is diagnosed, the advice of the attending doctor should be followed. It should be borne in mind that some hairline fractures do not show up on x-ray until about days after the injury, so if the pain persists medical attention should be sought. What you can do In the case of a Grade Two sprain, crutches should be used to protect the injured ankle. However, it is important not to be on the crutches for longer than necessary and as soon as the pain allows the patient should begin to gently put weight through the ankle by walking. Reusable Plastic Casts can be very helpful as they protect the injured area and help to resolve ankle swelling.

5 In the early stages of the injury, ultrasound treatment is effective in encouraging the healing process and encouraging the formation of scar tissue to repair the ligament. Ligament Damage and Repair Explained Once the player is able walk on the ankle, more active rehabilitation can be started. In ankles that have been repeatedly sprained there is an inherent weakness which may require surgery. This can now be done arthroscopically where a camera is inserted into the ankle and flakes of bone and excess scar tissue can be removed. Sprained Ankle Injury Prevention What you can do Ankle instability is characterised by ankle weakness and giving way, even though the ankle ligaments are intact and the joint is mechanically stable. It is due to an impairment of proprioception, which leads to a lack of balance and ankle joint position sense. Proprioception is the mechanism by which nerve receptors in skin, muscle, ligament and joint tissue relay information to the brain about body position sense, where this information is quickly processed and movement strategies are formulated and executed using nerve signals to muscles. This mechanism can help you 'catch yourself' when you are about to turn your ankle. In the unstable ankle these receptors may have been damaged directly during an ankle sprain. This impaired proprioceptive ability may, therefore, lead to a delay in protective muscle activity and the resultant loss of postural awareness and stability around a joint. This may explain why recurrent ankle sprains are so common. The Wobble Board together with Ankle Braces is commonly used in the rehabilitation of ankle instability. Wobble Boards are designed to assist the re-education of the proprioceptive system by improving sensory receptor function. Previous research has also shown that wobble board training improves single leg stance ability and balance; while other studies have suggested that patients with ankle instability who underwent wobble board training experienced significantly fewer recurrent sprains during a follow-up period than those who did not follow the training programme. Taping and Bracing the ankle can also help to reduce recurrent ankle injury. Previous research has shown the injury incidence in students with taped ankles was 4.9 ankle sprains per 1000 participant games, compared with 2.6 ankle sprains per 1000 participant games in students wearing ankle braces. This compared with 32.8 ankle sprains per 1000 participant games in subjects that had no taping or bracing.

SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS)

SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS) SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: SPRAINED ANKLE PROGRAM NUMBER: 82 SUBJECT: PATHOLOGY, CAUSES, DIAGNOSIS, TREATMENT, PREVENTION OF SPRAINED ANKLES

More information

Self Management Program. Ankle Sprains. Improving Care. Improving Business.

Self Management Program. Ankle Sprains. Improving Care. Improving Business. Ankle Sprains Improving Care. Improving Business. What is an ankle sprain? Ligaments attach to the ankle bones and allow for normal movement and help prevent too much motion within the joint. Ankle sprains

More information

.org. Ankle Fractures (Broken Ankle) Anatomy

.org. Ankle Fractures (Broken Ankle) Anatomy Ankle Fractures (Broken Ankle) Page ( 1 ) A broken ankle is also known as an ankle fracture. This means that one or more of the bones that make up the ankle joint are broken. A fractured ankle can range

More information

Knowing about your Ankle Sprain

Knowing about your Ankle Sprain Knowing about your Ankle Sprain Knowing about ankle sprain Ankle sprain is a common injury amongst sports such as netball, basketball, rugby and soccer. Sprains can also happen with everyday activities

More information

Recent Injuries. www.physiofirst.org.uk

Recent Injuries. www.physiofirst.org.uk Recent Injuries www.physiofirst.org.uk A recent or acute injury can occur suddenly during any activity, from tripping over the kerb, to making the bed, to playing sport. In some cases, an acute injury

More information

UK HealthCare Sports Medicine Patient Education December 09

UK HealthCare Sports Medicine Patient Education December 09 LCL injury Description Lateral collateral knee ligament sprain is a sprain (stretch or tear) of one of the four major ligaments of the knee. The lateral collateral ligament (LCL) is a structure that helps

More information

Ankle Sprain. Information and Rehabilitation. Grade II. Grade I. Grade III

Ankle Sprain. Information and Rehabilitation. Grade II. Grade I. Grade III 514-412-4400, ext. 23310 2300 Tupper street, C-831, Montreal (Quebec) H3H 1P3 Ankle Sprain Information and Rehabilitation An ankle sprain is a stretch or a tear of the ligaments (bands of tissue that hold

More information

Sports Injury Treatment

Sports Injury Treatment Sports Injury Treatment Participating in a variety of sports is fun and healthy for children and adults. However, it's critical that before you participate in any sport, you are aware of the precautions

More information

BodyZone Physiotherapy for Ankle Welcome to BodyZone Physiotherapy's patient resource about ankle sprain and instability.

BodyZone Physiotherapy for Ankle Welcome to BodyZone Physiotherapy's patient resource about ankle sprain and instability. BodyZone Physiotherapy for Ankle Welcome to BodyZone Physiotherapy's patient resource about ankle sprain and instability. An ankle sprain is a common injury and usually results when the ankle is twisted,

More information

Rehabilitation after shoulder dislocation

Rehabilitation after shoulder dislocation Physiotherapy Department Rehabilitation after shoulder dislocation Information for patients This information leaflet gives you advice on rehabilitation after your shoulder dislocation. It is not a substitute

More information

UK HealthCare Sports Medicine Patient Education December 09

UK HealthCare Sports Medicine Patient Education December 09 Meniscus tear Description The meniscus is a C-shaped cartilage structure in the knee that sits on top of the lower leg bone (tibia). Each knee has two menisci, an inner and outer meniscus. The meniscus

More information

Elbow Injuries and Disorders

Elbow Injuries and Disorders Elbow Injuries and Disorders Introduction Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. There are many injuries and disorders that

More information

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Jeffrey R. Baker, DPM, FACFAS Weil Foot and Ankle Institute Des Plaines, IL Ankle Injury/Sprains

More information

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee A Patient s Guide to Post-Operative Physiotherapy Following Anterior Cruciate Ligament Reconstruction of the Knee Introduction The anterior cruciate ligament (ACL) is one of the main supporting ligaments

More information

Knee arthroscopy advice sheet

Knee arthroscopy advice sheet Knee arthroscopy advice sheet During an arthroscopy, a camera is inserted into the knee through two or three small puncture wounds. It allows the surgeon to look at the joint surfaces, cartilage and the

More information

Knee sprains. What is a knee strain? How do knee strains occur? what you ll find in this brochure

Knee sprains. What is a knee strain? How do knee strains occur? what you ll find in this brochure what you ll find in this brochure What is a knee strain? How do knee strains occur? What you should do if a knee strain occurs. What rehabilitation you should do. Example of a return to play strategy.

More information

Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament

Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament The anterior cruciate ligament or ACL is one of the major ligaments located in the knee joint. This ligament

More information

A Patient s Guide to Lateral Ligament Reconstruction of the Ankle

A Patient s Guide to Lateral Ligament Reconstruction of the Ankle A Patient s Guide to Lateral Ligament Reconstruction of the Ankle The Foot and Ankle unit at the Royal National Orthopaedic Hospital (RNOH) is a multi-disciplinary team. The team consists of three specialist

More information

Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction

Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction This protocol is designed to assist you with your preparation for surgery and should be followed under the direction

More information

Predislocation syndrome

Predislocation syndrome Predislocation syndrome Sky Ridge Medical Center, Aspen Building Pre-dislocation syndrome, capsulitis, and metatarsalgia are all similar problems usually at the ball of the foot near the second and third

More information

What Are Bursitis and Tendinitis?

What Are Bursitis and Tendinitis? Bursitis and tendinitis are both common conditions that cause swelling around muscles and bones. They occur most often in the shoulder, elbow, wrist, hip, knee, or ankle. A bursa is a small, fluid-filled

More information

George E. Quill, Jr., M.D. Louisville Orthopaedic Clinic Louisville, KY

George E. Quill, Jr., M.D. Louisville Orthopaedic Clinic Louisville, KY George E. Quill, Jr., M.D. Louisville Orthopaedic Clinic Louisville, KY The Ankle Sprain That Won t Get Better With springtime in Louisville upon us, the primary care physician and the orthopaedist alike

More information

1 of 6 1/22/2015 10:06 AM

1 of 6 1/22/2015 10:06 AM 1 of 6 1/22/2015 10:06 AM 2 of 6 1/22/2015 10:06 AM This cross-section view of the shoulder socket shows a typical SLAP tear. Injuries to the superior labrum can be caused by acute trauma or by repetitive

More information

A Patient s Guide to Guyon s Canal Syndrome

A Patient s Guide to Guyon s Canal Syndrome A Patient s Guide to DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or

More information

.org. Achilles Tendinitis. Description. Cause. Achilles tendinitis is a common condition that causes pain along the back of the leg near the heel.

.org. Achilles Tendinitis. Description. Cause. Achilles tendinitis is a common condition that causes pain along the back of the leg near the heel. Achilles Tendinitis Page ( 1 ) Achilles tendinitis is a common condition that causes pain along the back of the leg near the heel. The Achilles tendon is the largest tendon in the body. It connects your

More information

PLANTAR FASCITIS (Heel Spur Syndrome)

PLANTAR FASCITIS (Heel Spur Syndrome) PLANTAR FASCITIS (Heel Spur Syndrome) R. Amadeus Mason MD Description Plantar fascitis is characterized by stiffness and inflammation of the main fascia (fibrous connective [ligament-like] tissue) on the

More information

FRONT PAGE HEADING. AFTER INJURY PRACTICAL GUIDELINES Janine Gray BSc (Physio), BSc (Med)(Hons) Exercise Science) MAIN HEADING.

FRONT PAGE HEADING. AFTER INJURY PRACTICAL GUIDELINES Janine Gray BSc (Physio), BSc (Med)(Hons) Exercise Science) MAIN HEADING. FRONT PAGE HEADING MAIN HEADING Sub Headings Body Copy Body Copy + Bold Body Copy + Bold + Italic Body Copy + Normal + Italic PHASES Style Body for tables OF REHABILITATION STYLE HEADING FOR TABLES AFTER

More information

Ankle Sports injuries. Ben Yates

Ankle Sports injuries. Ben Yates Ankle Sports injuries Ben Yates Common Extra-articular Conditions Lateral collateral ligament sprains (grades 1,2,3) Functional instability Mechanical instability Achilles tendonopathy (Achillodynia) superficial

More information

Adult Forearm Fractures

Adult Forearm Fractures Adult Forearm Fractures Your forearm is made up of two bones, the radius and ulna. In most cases of adult forearm fractures, both bones are broken. Fractures of the forearm can occur near the wrist at

More information

Knee Microfracture Surgery Patient Information Leaflet

Knee Microfracture Surgery Patient Information Leaflet ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 Knee Microfracture Surgery Patient Information Leaflet Table of Contents 1. Introduction

More information

Sports Injuries of the Foot and Ankle. Dr. Travis Kieckbusch August 7, 2014

Sports Injuries of the Foot and Ankle. Dr. Travis Kieckbusch August 7, 2014 Sports Injuries of the Foot and Ankle Dr. Travis Kieckbusch August 7, 2014 Foot and Ankle Injuries in Athletes Lateral ankle sprains Syndesmosis sprains high ankle sprain Achilles tendon injuries Lisfranc

More information

Ankle Fractures - OrthoInfo - AAOS. Copyright 2007 American Academy of Orthopaedic Surgeons. Ankle Fractures

Ankle Fractures - OrthoInfo - AAOS. Copyright 2007 American Academy of Orthopaedic Surgeons. Ankle Fractures Copyright 2007 American Academy of Orthopaedic Surgeons Ankle Fractures "I broke my ankle." A broken ankle is also known as an ankle "fracture." This means that one or more of the bones that make up the

More information

Chapter 5. Objectives. Normal Ankle Range of Motion. Lateral Ankle Sprains. Lateral Ankle Sprains. Assessment of Lateral Ankle Sprains

Chapter 5. Objectives. Normal Ankle Range of Motion. Lateral Ankle Sprains. Lateral Ankle Sprains. Assessment of Lateral Ankle Sprains Objectives Chapter 5 Assessment of Ankle & Lower Leg Injuries Review the following components of injury assessment related to the ankle and lower leg Stress tests Special tests Normal Ankle Range of Motion

More information

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Labral Tears

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Labral Tears Labral Tears The shoulder is your body s most flexible joint. It is designed to let the arm move in almost any direction. But this flexibility has a price, making the joint prone to injury. The shoulder

More information

ACL Reconstruction Physiotherapy advice for patients

ACL Reconstruction Physiotherapy advice for patients Oxford University Hospitals NHS Trust ACL Reconstruction Physiotherapy advice for patients Introduction This booklet is designed to provide you with advice and guidance on your rehabilitation after reconstruction

More information

What are Core Muscles?... 2. A Healthy Lumbar Spine...3. What is Low Back Pain?...4. Rehabilitation...6. Stages of Rehabilitation...

What are Core Muscles?... 2. A Healthy Lumbar Spine...3. What is Low Back Pain?...4. Rehabilitation...6. Stages of Rehabilitation... Table of Contents What are Core Muscles?... 2 A Healthy Lumbar Spine...3 What is Low Back Pain?...4 Rehabilitation...6 Stages of Rehabilitation...7 Pain Management....................... 8 Heat/Ice What

More information

ILIOTIBIAL BAND SYNDROME

ILIOTIBIAL BAND SYNDROME ILIOTIBIAL BAND SYNDROME Description The iliotibial band is the tendon attachment of hip muscles into the upper leg (tibia) just below the knee to the outer side of the front of the leg. Where the tendon

More information

.org. Lisfranc (Midfoot) Injury. Anatomy. Description

.org. Lisfranc (Midfoot) Injury. Anatomy. Description Lisfranc (Midfoot) Injury Page ( 1 ) Lisfranc (midfoot) injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The severity of the injury can vary from simple

More information

.org. Herniated Disk in the Lower Back. Anatomy. Description

.org. Herniated Disk in the Lower Back. Anatomy. Description Herniated Disk in the Lower Back Page ( 1 ) Sometimes called a slipped or ruptured disk, a herniated disk most often occurs in your lower back. It is one of the most common causes of low back pain, as

More information

KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION

KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION The purpose of this document is to provide written information regarding the risks, benefits and alternatives of the procedure named

More information

Neck Injuries and Disorders

Neck Injuries and Disorders Neck Injuries and Disorders Introduction Any part of your neck can be affected by neck problems. These affect the muscles, bones, joints, tendons, ligaments or nerves in the neck. There are many common

More information

Knee Arthroscopy Exercise Programme

Knee Arthroscopy Exercise Programme Chester Knee Clinic & Cartilage Repair Centre Nuffield Health, The Grosvenor Hospital Chester Wrexham Road Chester CH4 7QP Hospital Telephone: 01244 680 444 CKC Website: www.kneeclinic.info Email: office@kneeclinic.info

More information

Field Evaluation and Management of Non-Battle Related Knee and Ankle Injuries by the ATP in the

Field Evaluation and Management of Non-Battle Related Knee and Ankle Injuries by the ATP in the Field Evaluation and Management of Non-Battle Related Knee and Ankle Injuries by the ATP in the JF Rick Hammesfahr, MD Editor s Note: Part Three consists of ankle injury evaluation and taping. Part Two

More information

www.noc.nhs.uk Achilles Tendinopathy: Advice and Management Delivering Excellence oxsport@noc Department of Sport and Exercise Medicine

www.noc.nhs.uk Achilles Tendinopathy: Advice and Management Delivering Excellence oxsport@noc Department of Sport and Exercise Medicine www.noc.nhs.uk Achilles Tendinopathy: Advice and Management Delivering Excellence oxsport@noc Department of Sport and Exercise Medicine Are we speaking your language? If you would like information in another

More information

Calcaneus (Heel Bone) Fractures

Calcaneus (Heel Bone) Fractures Copyright 2010 American Academy of Orthopaedic Surgeons Calcaneus (Heel Bone) Fractures Fractures of the heel bone, or calcaneus, can be disabling injuries. They most often occur during high-energy collisions

More information

PHYSIOTHERAPY OF HIP AND KNEE AFTER SURGERY AND INJURY BY RACHEL GEVELL PHYSIOTHERAPIST

PHYSIOTHERAPY OF HIP AND KNEE AFTER SURGERY AND INJURY BY RACHEL GEVELL PHYSIOTHERAPIST PHYSIOTHERAPY OF HIP AND KNEE AFTER SURGERY AND INJURY BY RACHEL GEVELL PHYSIOTHERAPIST AIMS AND OBJECTIVES To demonstrate the use of physiotherapy assessment and treatment following: Hip Arthroplasty

More information

Hand Injuries and Disorders

Hand Injuries and Disorders Hand Injuries and Disorders Introduction Each of your hands has 27 bones, 15 joints and approximately 20 muscles. There are many common problems that can affect your hands. Hand problems can be caused

More information

ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE

ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE January 2005 Rationale of Accelerated Rehabilitation Rehabilitation after

More information

Herniated Lumbar Disc

Herniated Lumbar Disc Herniated Lumbar Disc North American Spine Society Public Education Series What Is a Herniated Disc? The spine is made up of a series of connected bones called vertebrae. The disc is a combination of strong

More information

INFORMATION FOR YOU. Lower Back Pain

INFORMATION FOR YOU. Lower Back Pain INFORMATION FOR YOU Lower Back Pain WHAT IS ACUTE LOWER BACK PAIN? Acute lower back pain is defined as low back pain present for up to six weeks. It may be experienced as aching, burning, stabbing, sharp

More information

By Agnes Tan (PT) I-Sports Rehab Centre Island Hospital

By Agnes Tan (PT) I-Sports Rehab Centre Island Hospital By Agnes Tan (PT) I-Sports Rehab Centre Island Hospital Physiotherapy Provides aids to people Deals with abrasion and dysfunction (muscles, joints, bones) To control and repair maximum movement potentials

More information

Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery

Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery Amon T. Ferry, MD Orthopedic Surgery Sports Medicine Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery Amon T. Ferry, MD Orthopedic Surgery / Sports Medicine

More information

Frequently Asked Questions following Anterior Cruciate Ligament Reconstruction Surgery 1

Frequently Asked Questions following Anterior Cruciate Ligament Reconstruction Surgery 1 Frequently Asked Questions following Anterior Cruciate Ligament Reconstruction Surgery 1 Will my knee be normal after surgery and recovery? Unfortunately, even with an ACL reconstructive procedure, it

More information

CPR/First Aid. Lesson 12 Injuries to Muscles, Bones & Joints

CPR/First Aid. Lesson 12 Injuries to Muscles, Bones & Joints CPR/First Aid Lesson 12 Injuries to Muscles, Bones & Joints 1 Muscles Muscles are soft tissues. Your body has over 600 different muscles. Injuries to the brain, spinal cord or nerves can affect the muscles.

More information

Ankle Arthroscopy and Follow-Up Physiotherapy

Ankle Arthroscopy and Follow-Up Physiotherapy Ankle Arthroscopy and Follow-Up Physiotherapy Exceptional healthcare, personally delivered Following your consultation with a member of the Foot and Ankle team you have agreed that you might benefit from

More information

Ankle Fractures: A Guide to Recovery

Ankle Fractures: A Guide to Recovery Ankle fractures (breaks) are very common injuries that usually happen from a fall where the ankle is twisted or rolled or there is high energy trauma, like a car accident. There are two long bones in the

More information

.org. Shoulder Pain and Common Shoulder Problems. Anatomy. Cause

.org. Shoulder Pain and Common Shoulder Problems. Anatomy. Cause Shoulder Pain and Common Shoulder Problems Page ( 1 ) What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm from scratching

More information

Whiplash Associated Disorder

Whiplash Associated Disorder Whiplash Associated Disorder Bourassa & Associates Rehabilitation Centre What is Whiplash? Whiplash is a non-medical term used to describe neck pain following hyperflexion or hyperextension of the tissues

More information

Rehabilitation Guidelines for Lateral Ankle Reconstruction

Rehabilitation Guidelines for Lateral Ankle Reconstruction UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Lateral Ankle Reconstruction The ankle is a very complex joint. There are actually three joints that make up the ankle complex: the tibiotalar

More information

The Lateral Collateral Ligament Sprain. Ashley DeMarco. Pathology and Evaluation of Orthopedic Injuries I. Professor Rob Baerman

The Lateral Collateral Ligament Sprain. Ashley DeMarco. Pathology and Evaluation of Orthopedic Injuries I. Professor Rob Baerman 1 The Lateral Collateral Ligament Sprain Ashley DeMarco Pathology and Evaluation of Orthopedic Injuries I Professor Rob Baerman 2 The Lateral Collateral Ligament Sprain Ashley DeMarco Throughout my research

More information

Physiotherapy in Rheumatoid Arthritis. Information for patients Gina Wall Senior Physiotherapist

Physiotherapy in Rheumatoid Arthritis. Information for patients Gina Wall Senior Physiotherapist Physiotherapy in Rheumatoid Arthritis Information for patients Gina Wall Senior Physiotherapist What do Physiotherapists do? We conduct assessments by asking detailed questions about your symptoms, medical

More information

ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME

ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME ABOUT THE OPERATION The aim of your operation is to reconstruct the Anterior Cruciate Ligament (ACL) to restore knee joint stability. A graft,

More information

Physical & Occupational Therapy

Physical & Occupational Therapy In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be

More information

Musculoskeletal System

Musculoskeletal System CHAPTER 3 Impact of SCI on the Musculoskeletal System Voluntary movement of the body is dependent on a number of systems. These include: The brain initiates the movement and receives feedback to assess

More information

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) Introduction Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a phenomenon that more commonly affects older males. It is associated

More information

The Ankle Sprain That Won t Get Better. By: George E. Quill, Jr., M.D. With springtime in Louisville upon us, the primary care physician and the

The Ankle Sprain That Won t Get Better. By: George E. Quill, Jr., M.D. With springtime in Louisville upon us, the primary care physician and the The Ankle Sprain That Won t Get Better By: George E. Quill, Jr., M.D. With springtime in Louisville upon us, the primary care physician and the orthopaedist alike can expect to see more than his or her

More information

Plantar Fascia Release

Plantar Fascia Release Plantar Fascia Release Introduction Plantar fasciitis is a common condition that causes pain around the heel. It may be severe enough to affect regular activities. If other treatments are unsuccessful,

More information

Physical & Occupational Therapy

Physical & Occupational Therapy In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be

More information

Patient Guide. Sacroiliac Joint Pain

Patient Guide. Sacroiliac Joint Pain Patient Guide Sacroiliac Joint Pain Anatomy Where is the Sacroiliac Joint? The sacroiliac joint (SIJ) is located at the bottom end of your spine, where the "tailbone" (sacrum) joins the pelvis (ilium).

More information

Physical Therapy for Shoulder. Joseph Lorenzetti PT, DPT, MTC Catholic Health Athleticare Kenmore 1495 Military Road Kenmore, NY 14217

Physical Therapy for Shoulder. Joseph Lorenzetti PT, DPT, MTC Catholic Health Athleticare Kenmore 1495 Military Road Kenmore, NY 14217 Physical Therapy for Shoulder and Knee Pain Joseph Lorenzetti PT, DPT, MTC Catholic Health Athleticare Kenmore 1495 Military Road Kenmore, NY 14217 Physical Therapy for Shoulder and Knee Pain GOALS: Explain

More information

TIPS and EXERCISES for your knee stiffness. and pain

TIPS and EXERCISES for your knee stiffness. and pain TIPS and EXERCISES for your knee stiffness and pain KNEE EXERCISES Range of motion exercise 3 Knee bending exercises 3 Knee straightening exercises 5 STRENGTHENING EXERCISES 6 AEROBIC EXERCISE 10 ADDITIONAL

More information

PHASE I ANKLE REHABILITATION EXERCISES

PHASE I ANKLE REHABILITATION EXERCISES PHASE I ANKLE REHABILITATION EXERCISES SWELLING CONTROL S REST: Keep your standing and walking activities to a minimum while swelling is a problem. ICE: Use an ice pack in a moist towel for 10-15 minutes

More information

Ankle Stabilisation Procedure

Ankle Stabilisation Procedure Ankle Stabilisation Procedure Exceptional healthcare, personally delivered Following your consultation with a member of the Foot and Ankle team you have been diagnosed with an unstable ankle. This leaflet

More information

Why Brace?...2. Tape or Brace?...3. Types of Ankle Braces...4. Ankle Bracing Tips...7

Why Brace?...2. Tape or Brace?...3. Types of Ankle Braces...4. Ankle Bracing Tips...7 Table of Contents Why Brace?...2 Tape or Brace?...3 Types of Ankle Braces...4 Ankle Bracing Tips...7 References 1. Amoroso PJ, Ryan J, Bickley B, Leitschuh P, Taylor D, Jones B. Braced for impact: reducing

More information

Common Injuries in Bodybuilding

Common Injuries in Bodybuilding Common Injuries in Bodybuilding There is nothing that can slow you down like an injury. Sometimes it seems just when you are starting to make progress in your workouts, you suffer a nagging injury that

More information

Arthritis of the hip. Normal hip In an x-ray of a normal hip, the articular cartilage (the area labeled normal joint space ) is clearly visible.

Arthritis of the hip. Normal hip In an x-ray of a normal hip, the articular cartilage (the area labeled normal joint space ) is clearly visible. Arthritis of the hip Arthritis of the hip is a condition in which the smooth gliding surfaces of your hip joint (articular cartilage) have become damaged. This usually results in pain, stiffness, and reduced

More information

Shared Decision Making

Shared Decision Making Deciding what to do about osteoarthritis of the knee This short decision aid is to help you decide what to do about your knee osteoarthritis. You can use it on your own, or with your doctor, to help you

More information

.org. Posterior Tibial Tendon Dysfunction. Anatomy. Cause. Symptoms

.org. Posterior Tibial Tendon Dysfunction. Anatomy. Cause. Symptoms Posterior Tibial Tendon Dysfunction Page ( 1 ) Posterior tibial tendon dysfunction is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed

More information

Temple Physical Therapy

Temple Physical Therapy Temple Physical Therapy A General Overview of Common Neck Injuries For current information on Temple Physical Therapy related news and for a healthy and safe return to work, sport and recreation Like Us

More information

ANKLE STRENGTHENING INTRODUCTION EXERCISES SAFETY

ANKLE STRENGTHENING INTRODUCTION EXERCISES SAFETY ANKLE STRENGTHENING INTRODUCTION Welcome to your Ankle Strengthening exercise program. The exercises in the program are designed to improve your ankle strength, fitness, balance and dynamic control. The

More information

.org. Distal Radius Fracture (Broken Wrist) Description. Cause

.org. Distal Radius Fracture (Broken Wrist) Description. Cause Distal Radius Fracture (Broken Wrist) Page ( 1 ) The radius is the larger of the two bones of the forearm. The end toward the wrist is called the distal end. A fracture of the distal radius occurs when

More information

Knee Arthroscopy Post-operative Instructions

Knee Arthroscopy Post-operative Instructions Amon T. Ferry, MD Orthopedic Surgery Sports Medicine Knee Arthroscopy Post-operative Instructions PLEASE READ ALL OF THESE INSTRUCTIONS CAREFULLY. THEY WILL ANSWER MOST OF YOUR QUESTIONS. 1. You may walk

More information

Understanding. Heel Pain

Understanding. Heel Pain Understanding Heel Pain What Causes Heel Pain? Heel pain is a common problem that occurs when the heel is placed under too much stress. Heel pain is most often caused by walking in ways that irritate tissues

More information

Patellofemoral/Chondromalacia Protocol

Patellofemoral/Chondromalacia Protocol Patellofemoral/Chondromalacia Protocol Anatomy and Biomechanics The knee is composed of two joints, the tibiofemoral and the patellofemoral. The patellofemoral joint is made up of the patella (knee cap)

More information

Treatment of Spastic Foot Deformities

Treatment of Spastic Foot Deformities Penn Comprehensive Neuroscience Center Treatment of Spastic Foot Deformities Penn Neuro-Orthopaedics Service 1 Table of Contents Overview Overview 1 Treatment 2 Procedures 4 Achilles Tendon Lengthening

More information

.org. Plantar Fasciitis and Bone Spurs. Anatomy. Cause

.org. Plantar Fasciitis and Bone Spurs. Anatomy. Cause Plantar Fasciitis and Bone Spurs Page ( 1 ) Plantar fasciitis (fashee-eye-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition

More information

Premier Orthopaedic Pathway. Physiotherapy after dynamic hip screw (DHS)

Premier Orthopaedic Pathway. Physiotherapy after dynamic hip screw (DHS) Premier Orthopaedic Pathway Physiotherapy after dynamic hip screw (DHS) The surgery After a fractured hip a dynamic hip screw (DHS) is used to hold the bones in place while the fracture heals. It allows

More information

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can

More information

Foot and Ankle Injuries in the Adolescent Athlete

Foot and Ankle Injuries in the Adolescent Athlete Foot and Ankle Injuries in the Adolescent Athlete Kevin Latz, MD Children s Mercy Hospital Center for Sports Medicine Foot and Ankle Injuries Very common Influenced by the unique properties of growth plates

More information

Plantar Fasciitis. Plantar Fascia

Plantar Fasciitis. Plantar Fascia Plantar Fasciitis Introduction Plantar fasciitis is an inflammation of the thick band of tissue that connects your heel bone to your toes. This thick band of tissue is called the plantar fascia. Plantar

More information

AOBP with thanks to: Dawn Dillinger, DO Kyle Bodley, DO

AOBP with thanks to: Dawn Dillinger, DO Kyle Bodley, DO AOBP with thanks to: Dawn Dillinger, DO Kyle Bodley, DO Common maneuvers in some sports that can increase risk for injury Jumping Pivoting while running Sudden stopping while running Maneuvering a ball

More information

Hand and Upper Extremity Injuries in Outdoor Activities. John A. Schneider, M.D.

Hand and Upper Extremity Injuries in Outdoor Activities. John A. Schneider, M.D. Hand and Upper Extremity Injuries in Outdoor Activities John A. Schneider, M.D. Biographical Sketch Dr. Schneider is an orthopedic surgeon that specializes in the treatment of hand and upper extremity

More information

Wrist and Hand. Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Fractures of the Wrist and Hand: Carpal bones

Wrist and Hand. Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Fractures of the Wrist and Hand: Carpal bones Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Wrist and Hand Fractures of the Wrist and Hand: Fractures of the wrist The wrist joint is made up of the two bones in your

More information

Preventing & Treating Low Back Pain

Preventing & Treating Low Back Pain Preventing & Treating Low Back Pain An Introduction to Low Back Pain Low back pain is the number two reason that Americans see a health care practitioner second only to colds and flu. While most people

More information

ACL Reconstruction Rehabilitation Program

ACL Reconstruction Rehabilitation Program ACL Reconstruction Rehabilitation Program 1. Introduction to Rehabilitation 2. The Keys to Successful Rehabilitation 3. Stage 1 (to the end of week 1) 4. Stage 2 (to the end of week 2) 5. Stage 3 (to the

More information

Shoulder Replacement Surgery

Shoulder Replacement Surgery In What Activities May I Participate After I Recover? Shoulder Replacement Surgery After undergoing shoulder replacement surgery, it is important to have realistic expectations about the types of activities

More information

Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and

Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and Rotator Cuff Pathophysiology Shoulder injuries occur to most people at least once in their life. This highly mobile and versatile joint is one of the most common reasons people visit their health care

More information

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options.

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options. Herniated Disk Introduction Your backbone, or spine, has 24 moveable vertebrae made of bone. Between the bones are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep

More information

Patella Realignment Tibial Tuberosity Transfer with Lateral Release

Patella Realignment Tibial Tuberosity Transfer with Lateral Release Patella Realignment Tibial Tuberosity Transfer with Lateral Release Alan M. Reznik, M.D. The Orthopaedic Group, LLC The knee is made of three bones, the kneecap (patella), the shin bone (tibia) and thigh

More information

How to treat your injured neck

How to treat your injured neck How to treat your injured neck Exceptional healthcare, personally delivered Your neck is made up of a number of bones bound together by strong discs and ligaments. It is also protected by strong muscles.

More information