Shoulder Labral Tears
What is The Glenohumeral Labrum ?
A ring of flexible, fibrous connective tissue, known as the glenohumeral labrum, surrounds the shoulder joint. This labrum increases the stability of the shoulder while allowing for the required flexibility of one of the bodies’ most sophisticated joints.
One well-known muscle of the arm, the biceps, has an attachment directly into the labrum and is a common site of injury.
A labrum tear can occur in many locations, however the most common is at the point where the biceps tendon attaches to the labrum. Usually, this tear follows a typical pattern and is referred to as a superior labrum tear, anterior to posterior (SLAP tear).
What causes Shoulder Slap Tears ?
SLAP tears can be caused by trauma such as a fall onto an outstretched hand or a dislocated shoulder. Tears can also develop over time with repeated throwing actions or overhead activities as the labrum is weakened and eventually injured. Traumatic tears are more likely to be symptomatic than tears that develop slowly.
What are the symptoms Of A Shoulder Laberal Tear ?
When the tear occurs through a sudden action or trauma, symptoms can be more marked. Sufferers often notice pain deep in the shoulder joint with overhead shoulder movements, a feeling of weakness, loss of power and/or accuracy with throwing activities.
Some people may notice a popping or clicking sensation and occasionally the shoulder may give way. In severe tears, the shoulder might feel unstable and even be at increased risk of dislocation.
How Can Slap Tears Happen ?
As mentioned, SLAP tears can occur suddenly, through trauma or develop slowly through repeated stress. Often if the injury develops over time, patients can be unaware they have sustained a tear and the injury doesn’t have a significant impact on their pain or function. Preexisting SLAP tears can however, place more tension on the long head of biceps tendon, leading to overuse disorders as a secondary complication.
What Is a Slap Tear Explained ?
Can physiotherapy help With Shoulder Laberal Tears ?
Your physiotherapist is able to help diagnose a suspected SLAP tear and send you for further imaging if needed. SLAP tears are often graded by severity from I to IV as a way to guide treatment.
Physiotherapy is usually recommended as a trial for all tears before considering surgical repair and in many cases can effectively help patients return to their previous activities, symptom-free.
What If Physiotherapy Does Not Heal A Shoulder Laberal Tear ?
If physiotherapy is unsuccessful, surgical repair with a full rehabilitation program is recommended. Surgery will usually either repair the tear or reattach the biceps tendon to the humerus (tenodesis). Following surgery, a period of rest in a sling is required before rehabilitation can begin.
None of the information in this newsletter is a replacement for proper medical advice. Always see a medical professional for advice on your individual injury.
Posture and Good Health
Your posture is one of the first things other people notice about you and can affect so much more in your life than just spinal health. As one of the best physiotherapist in Sydney, we can gladly tell you that healthy posture has been linked to better respiratory health and has even been shown to affect your confidence. A healthy posture can help alleviate many health issues and avoid back physiotherapy treatments. In this article, we explore a few other surprising facts about posture and how to avoid the medics.
Does Good Good Posture Mean Having A Straight Back ?
Ideal posture doesn’t mean having a straight back. Many people think having good posture means standing as straight as possible with your shoulders pulled back.
This is actually a relatively unnatural posture and requires a lot of energy to maintain. Ideal posture, where the spine rests in it’s most comfortable and strongest position, is where the neck has a gentle curve backwards, the thoracic is curved gently forwards and the lower back curves back again.
These curves create an elongated ‘S’ shape and can be seen when viewing a person from side on.
What Is Proper Posture For A Healthy Spine ?
What Type Of Postural Patterns Are There From Person To Person ?
There are four common postural patterns other than ‘ideal posture’. For those who don’t have ideal posture, four common variations are seen, these are; kyphosis (excessive curve of the thoracic region), lordosis (excessive curve of the lower back), flat back (loss of the normal ) and sway back (where the pelvis is pushed in front of your centre of gravity and the upper body leans back to compensate).
Each of these postures is often accompanied by a typical pattern of joint and muscle stiffness that can require massage therapy and can lead to pain and injury. Your physiotherapist is able to assess your posture and identify any ways this may be contributing to your pain. They can also help you to change your posture with strategies to increase spinal mobility and strength.
Is Movement Important For Posture ?
Regular movement is just as important as your posture. While ideal posture has been shown to reduce the amount of stress and tension found in the spinal muscles, holding yourself rigidly in one position is also not healthy.
Ideally, our spines will be flexible and able to move through their full range without pain or stiffness. Regular movement is the key to healthy joints, including the spine.
If you finding yourself sitting or standing for long periods, try to find time to stretch as well as working on your posture.
Does Your Personality Effect Your Posture ?
Personality type has been linked to postural patterns. A study by S. Guimond and others in 2014 showed a surprising link between personality type and posture.
They found that extroverted personalities were much more likely have an ‘ideal posture’ or excessive spinal curves than Introverted personalities and introverted personalities were more likely to have ‘flat’ or ‘sway back’ postures.
They were unable to determine if personality influenced posture, vice versa or there was a hidden third factor such as pain.
How To Improve Posture
Focus On Anterior Ankle Impingement
What is it?
Anterior ankle impingement, also known as anterior impingement syndrome, is a musculoskeletal condition where repetitive forces compress and damage the tissues at the front of the ankle, causing pain and stiffness. It is a common injury that can affect people of all ages, however is usually seen in athletes of sports involving repetitive or forceful upward movements of the ankle, such as sprinting, landing from long jump, uphill and downhill running.
What are the symptoms?
Pain at the front of the ankle is the primary symptom of anterior ankle impingement. This can be felt as an intense, sharp pain occurring with ankle movements or a dull ache in front of the ankle following periods of exercise. Pain can also be felt when putting weight through the ankle while standing, walking or running. Night-time aching, stiffness, swelling and reduced ankle flexibility are also common symptoms of anterior ankle impingement. If you are not sure, visit our sports physiotherapists in Sydney
How does it happen?
Anterior ankle impingement is caused by traumatic or repetitive compression to the structures at the front of the ankle as the tibia and talus move towards each other during ankle movements. The tissues that are affected become damaged and inflamed, causing the pain typical of ankle impingement. Chronic inflammation can lead to further stiffness, exacerbating the impingement process.
The most common risk factor for ankle impingement is a previous ankle sprain that was not adequately rehabilitated, as this can result in a stiff or unstable ankle. Another cause of impingement is the growth of small osteophytes or bony spurs around the ankle joint that press against the nearby soft tissues. These can be due to osteoarthritis or grow as a reaction to impingement itself. Training errors, muscle tightness, unsupportive footwear and a hypermobile ankle have also been shown to be risk factors for anterior ankle impingement.
How can physiotherapy help?
Depending on the cause, mild cases of anterior ankle impingement usually recover in one to two weeks with rest and physiotherapy intervention. For more severe impingement, the ankle may require up to six weeks of rest and rehabilitation to recover. In rare cases, surgical intervention will be required to remove any physical causes of impingement, such as osteophytes to restore impingement free movement of the ankle. Your physiotherapist will first
Tennis Elbow And What It is
Tennis elbow, also known as Lateral Epicondylitis, is a common condition characterised by pain at the outside of the elbow with movements of the wrist and hand. The pain is usually localized to the tendon of a small muscle of the forearm just below the elbow called Extensor Carpi Radialis Brevis (ECRB). This muscle is responsible for extending the wrist back into a “stop” position and is active when gripping and moving objects.
While the term ‘tennis elbow’ is used because this is a common injury for tennis players, anyone who performs repetitive tasks with their hands and wrists can be susceptible, including office workers and manual labourers. It is a very common sports and workplace injury complaint and a course of physiotherapy to cure tennis elbow can help alleviate the issue. Here at New Age, we can help treat your tennis elbow injury at our Sydney sports physiotherapy clinic
What Are The Signs and Symptoms Of Tennis Elbow?
The cardinal sign of tennis elbow is pain felt on the outside of the elbow, particularly when making wrist movements or when gripping an object. Symptoms may occur suddenly or appear gradually over time. In the early stages, pain may be present with activity and quickly go away with rest, however, as it progresses the pain may be more constant, lasting for longer and occurring with smaller movements. If pain has persisted for three months then it is considered to be a chronic condition. As with most injuries, the longer an issue has been present, the longer it usually takes to resolve. Other symptoms can include night pain, stiffness in the elbow and forearm, weakness, numbness and pins and needles. As symptoms progress, simple tasks such as lifting a cup can be painful, which can have a significant impact on your lifestyle.
What Causes Tennis Elbow ?
While tennis elbow was originally thought to be due an inflammation process, it appears that this is not the case, rather there is an increased sensitivity to the area along with changes to the blood supply and disorganization of the collagen fibres that make up the tendon. These changes are an adaptation to excess loading of the tendons attaching to the elbow, particularly the ECRB.
Most of the time, this happens because of small repetitive movements that are done with poor ergonomics or technique. If the health of the tendon tissue is compromised, this can also contribute to the development of tennis elbow. Poor nutrition, disuse, inflammatory diseases and aging can all mean that the tendon is less able to adapt to forces and are a risk factor for the development of tennis elbow.
How Can Physiotherapy Help Cure Tennis Elbow ?
Your physiotherapist will first confirm that you are indeed suffering from tennis elbow, which is an important step as some neck conditions can present with similar symptoms. Once the diagnosis has been confirmed, they will determine the severity and causes of your particular condition, likely testing your grip and individual muscle strength.
Your physiotherapist can also identify any muscle tightness, postural or ergonomic flaws and joints stiffness that may be contributing to your condition. Treatment may include, fitting of a brace, dry needling, strengthening with eccentric exercises and stretching. Depending on the cause of your tennis elbow, your physio may suggest a change in the setup of your desk, workplace, or grip technique of your racket or hand-held tool. Eccentric exercises load the muscles in a very specific way and research has shown that these exercises can help strengthen tendon tissues, reducing symptoms of tennis elbow. It is normal for tennis elbow to take a few weeks or even months to heal. If conservative management is not having a good effect, your physio can help you speak to your doctor about other management techniques. As tennis elbow is a progressive condition that generally does not resolve on its own, it is recommended to seek treatment sooner rather than later, as recovery is much faster when started early. None of the information in this article is a replacement for proper medical advice. Always see a medical professional for an assessment of your individual condition.
Baby boomers take note. If you struggle with this test it is time to get in and see us to kickstart your health and fitness.
If you have trouble performing this test, your life could be cut short.
It’s a question we often ponder, especially as we age: How many years do I have left? Well, thanks to Brazilian physician Claudio Gil Araujo, there’s now a simple test you can perform right at home, in just a few seconds, that could predict how many years you have left to live, according to Discover.
Araujo came up with the test after noticing that many of his patients, especially older ones, often have difficulty with simple feats of balance and strength, such as picking up something off the floor or getting up out of a chair. Since balance and conditioning problems are known to increase the risk of dangerous falls and accidents (and can also harm cardiovascular health), he wondered if a patient’s flexibility, balance and strength could be used as a measure of life expectancy.
His idea was that patients might be more motivated to get in better shape if they had a more tangible way of conceptualizing how their overall health was being affected by their conditioning. If a patient is simply told to get in shape, they’re not likely to change their behavior. But if they’re told “if you don’t get into better shape, you could be dead in five years,” they’re apt to take notice.
Of course, the test also needed to be simple. If it required expensive equipment or measuring devices, the test probably wouldn’t be accessible to many people. So Araujo and colleagues developed the sitting-rise test, or SRT. It requires no equipment whatsoever and can be performed in seconds.
In fact, you can grab a friend try the test out yourself right now. It’s recommended that you wear loose or comfortable clothing. Begin by standing upright in the middle of a room. Without using your arms or hands for leverage, carefully squat into a cross-legged sitting position. Once you’re comfortable, attempt to stand back up from the sitting position — again, without using your arms for help. A simple illustration (above), provided by Discover, can help you to visualize the steps.
The test is scored on a point scale between 1 and 10 (5 points for sitting, 5 more points for standing back up). Each time you use an arm or knee for help in balancing during the test, you subtract one point from 10 possible points. Half a point is subtracted each time you lose balance, or when the fluidity of the feat becomes clumsy.
It seems like a pretty rudimentary test of conditioning, but Araujo found that it could predict life expectancy with alarming accuracy. He tested it on more than 2,000 of his patients aged 51 to 80, and found that people who scored less than 8 points on the test were twice as likely to die within the next six years. Those who scored three points or less were five times more likely to die within that same time period. Overall, each point achieved in the test accounted for a 21-percent decrease in mortality.
Araujo’s study was only performed on patients older than 50, so the results won’t mean the same thing for younger individuals taking the test. But regardless of your age, the test should provide a useful benchmark for your overall health. If you’re younger than 50 and have trouble with the test, it ought to be a wake-up call. The good news is that the younger you are, the more time you have to get into better shape.
Gaitscan™ – Facts and Figures
- A person Walks an average of 8000 to 10000 steps per day
- The average person will walk over 100, 000 in their lifetime, or more than 4 trips around the world
- A person places 500,000 Kilos of pressure on their feet in a lifetime
- 25% of all of the bones in your body are in your feet
- More than 75% of people will experience foot problems in their lifetime
What Is Gaitscan™
Gaitscan™ is state of the art computer hardware and software that helps your Physiotherapist assess and analyze your feet. This analysis combined with the physiotherapists experience and knowledge, detects abnormal foot function which maybe affecting your feet or other parts of your body
Why is Gaitscan™ so important?
Your foot is in contact with the ground for about 0.8 of a second when walking and about 0.25 of a second when running. Imagine trying to assess normal/faulty foot function with the naked eye in a quarter of a second?
This is too difficult for even the most experienced practitioner.
The Gaitscan™ system records your timing sequences during Gait as you walk or run across the pressure plate. This enables your Physiotherapist to have a clear picture of your foot mechanics and determine whether your gait is the root cause of your pain.
What do my feet have to do with it?
Your feet have a direct impact on the rest of your body. Like the foundations of your house, your feet support everything above them. When a small problem develops in your feet, a subtle change in the way you walk will cause a chain reaction of adjustments in your posture and walking mechanics. This could be the root cause of pain in your feet, ankles, knees, hips, pelvis or lower back.
What will happen during my assessment?
The assessment takes 10 minutes and will involve the our Physiotherapist taking a thorough history, an analysis of your lower limb bio-mechanics and completion of the Gaitscan™. This will produce the information needed to ensure that the treatment plan is made specific to your needs.
What will the treatment involve?
The treatment will be specific to you, and could include home exercises, joint and soft tissue mobilisations or prescription orthotics.
What are prescription Orthotics?
Prescription orthotics look like insoles, but are bio-mechanical medical devices that are custom made to correct yourspecific foot imbalance. Orthotics work on your feet by reducing the stress and strain on your body by bringing your feet back in to proper alignment.
Orthotics fit in to your footwear as comfortably as an insole, but with the precision that makes them specific to you. There are a number of different styles to aid with different footwear and your physiotherapist will discuss these with you prior to ordering.
Where are the orthotics made?
Once the scan has been completed and if we decide that prescription orthotics are the correct form of treatment, the scan is sent electronically to Canada. They are milled to precision and returned for fitting in approximately 2-3 weeks. The physiotherapist will contact you once they have arrived and book you in for a fitting appointment to test and discuss the correct way to wear the orthotics over the initial few weeks.
CALL US TODAY FOR FREE FOOT ASSESSMENT THE CAUSE OF YOUR INJURY COULD BE RIGHT UNDER YOUR FEET…..
What is physiotherapy?
Physiotherapists are autonomous, primary health care professionals considered to be experts in movement. They are trained to assess and treat movement dysfunction in people of all ages from children right through to the elderly.
Today’s physiotherapist is well positioned to help with a whole spectrum of health challenges. As primary care practitioners a doctors referral is not required to see a physiotherapist in the private sector.
Physiotherapists are registered under the Allied Health Practitioner Registration Agency (AHPRA), an umbrella organisation which registers some 580,000 health professionals over a dozen health care professions including nurses, midwives, occupational therapists and dentists.
Physiotherapists can help to manage acute injuries such as ankle sprains, knee, hip or shoulder injuries and chronic conditions like arthritis, back pain, diabetes and heart disease. This list is by no means exhaustive, but gives an idea of the broad range of conditions that a physiotherapist may be able to assist with.
Education is an integral part of the work of a physiotherapist, and with the increasing epidemic of lifestyle diseases such as diabetes and obesity, health promotion and injury prevention are often the key focus of therapy.
A growing body of research supports physiotherapy for the management of many musculoskeletal and neurological conditions. In addition to a growing evidence base, high standards of tertiary education have paved the way for a work force of Australian physiotherapists that are well equipped to provide the consumer with the right treatment and advice.
When Should I See a Physiotherapist?
Whether you have back pain, neck pain, injury to the upper or lower limb, diagnosis of a chronic disease, incontinence or a history of falls, a physiotherapist can help you with your rehabilitation needs.
A course of physiotherapy treatment may help to reduce your pain, restore or maintain movement or strength, and improve mobility and function.
During the first consultation with your physiotherapist they will perform a thorough initial assessment and may look at range of motion and flexibility of your joints, muscle strength and recruitment, posture and alignment of your upper and lower limbs and spine.
Based on the assessment findings your physiotherapist will develop a customised, evidence based treatment program that is specific to your needs. Your physiotherapist will guide you through the rehabilitation process step by step to restore as much of your function as possible. No matter whether your injury is acute or more of a longstanding issue a physiotherapist can work with you to achieve the best possible outcome.
Even those without injury who are simply seeking to increase general health and fitness can benefit from physiotherapy. A physiotherapist can set you up with a home exercise program, facilitate community exercise sessions (or refer you to an appropriate service), teach Pilates exercise classes or guide you with your organised sport (netball, football, soccer) or gym program.
The modern age has created a somewhat sedentary workforce, with increasing numbers of people seeking physiotherapy services for posture-related injury caused by occupational hazards. Physiotherapists can help to optimise work place ergonomics, prescribe ‘pause’ exercises and provide manual therapy to help reduce pain and stiffness.
Taking the First Step….
Have you been suffering with back pain, neck pain or joint stiffness? There is no need to put up with it any longer! Call and speak to the friendly staff at Austral New Age Physiotherapy.
During your initial appointment you can talk to your physiotherapist about what services you need. You may require a ‘hands on’ manual therapy treatment, or a few simple but highly effective home exercises. They will work with you one on one to determine your goals, and help you to get back on track and feeling healthy in no time!