Joint Pains

 

Common shoulder injuries and causes of shoulder pain:

  • Rotator cuff muscle strains, tears
  • Shoulder impingement syndrome
  • Joint instability, subluxation or dislocation
  • Joint stiffness, or stiffness of the capsule
  • AC (acromio-clavicular) joint injuries
  • Biceps tendonitis
  • Referred symptoms from the neck or upper back
Common knee injuries and causes of knee pain:

Acute:

  • Ligament strains or tears (ACL, PCL, LCL, MCL)
  • Menisci tears
  • Injury of articular cartilage
  • Patella dislocation or subluxation
  • Tendon rupture
  • Fat pad impingement
  • Knee bursitis
  • Patellofemoral pain
  • Patella tendinopathy

Chronic:

  • Osteoarthritis
  • Patella tracking dysfunction

Acute ankle injuries

  • Ligament strain or rupture (lateral, medial, ant )
  • Fractures
  • Dislocation of ankle
  • Tendon rupture or dislocation
  • Sprained syndesmosis

Initial management is RICE treatment

  • Rest
  • Ice
  • Compression
  • Elevation
  • Reduction of pain and swelling
  • Release muscle spasm and tightness
  • Restoration of full range of motion
  • Muscle conditioning – active strengthening exercises
  • Proprioception training
  • Functional exercises – jumping , hopping, twisting, figure of eight running
  • Return to sport

 

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