Knee Pain Warwickshire-Treatment

Specific Knee Pain, Injuries, Diseases and Conditions, the List include; Common knee problems, Runners Knee  Iliotibial Band Friction Syndrome, Prepatellar Bursitis (knee Bursitis),Patellar Tendonitis (Jumper’s Knee),Goosefoot (Pes Anserine) Bursitis of the Knee,Tendonitis and Treatment,Meniscus injury, Meniscal  Tears, Meniscus Tears and Treatment, Symptoms of Knee Injury, Knee Ligament Injury,  Medial Collateral Ligament (MCL),Anterior Curciate Ligament (ACL),Posterior Cruciate Ligament (PCL),Lateral Collateral Ligament (LCL),Ligament Injury and Treatment, Knee injury Diseases and Conditions ,Chondromalacia , Pellegrini-Stieda syndrome, Baker cyst, Arthritis.

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The knee  its function.

The knee is a joint with three parts: The thigh bone (femur) meets the large shin bone (tibia) forming the main knee joint. This joint has 2 cpmpartments : an inner (medial) and an outer (lateral).  The kneecap (patella) joins the femur to form a third joint, called the patellofemoral joint.

The knee joint is surrounded by a capsule and ligaments strapping the inside and outside of the joint (collateral ligaments) as well as crossing within the joint (cruciate ligaments). These ligaments provide stability and strength to the knee joint.

The meniscus is a thickened cartilage pad between the two joints formed by the femur and tibia. The meniscus acts as a smooth surface for the joint to move on. The knee joint is surrounded by fluid-filled sacs called bursae, which serve as gliding surfaces that reduce friction of the tendons. Below the kneecap, there is a large tendon (patellar tendon) which attaches to the front of the tibia bone. There are large blood vessels passing through the area behind the knee (referred to as the popliteal space). The large muscles of the thigh move the knee. In the front of the thigh, the quadriceps muscles extend the knee joint. In the back of the thigh, the hamstring muscles flex the knee. The knee also rotates slightly under guidance of specific muscles of the thigh.

The knee functions to allow movement of the leg and is critical to normal walking. The knee flexes normally to a maximum of 120 degrees and extends to 0 degrees. The bursae, or fluid-filled sacs, serve as gliding surfaces for the tendons to reduce the force of friction as these tendons move. The knee is a weight-bearing joint. Each meniscus serves to evenly load the surface during weight-bearing and also aids in disbursing joint fluid for joint lubrication.

Knee Pain

Knee pain can be caused by injury, degeneration, arthritis and, rarely, by bone infections or tumours. The knee joint is the most commonly involved joint in rheumatic auto immune diseases that affect various tissues of the body including the joints to cause arthritis.

Ligaments within the knee (cruciate ligaments) and on the inner and outer sides of the knee (collateral ligaments) can be sprained or torn.

Surgical repair of ligament injury can involve suturing, grafting, and synthetic graft repair. Routine x-rays do not reveal ligament or meniscus tears, but can be used to exclude other problems of the bones and other tissues.

Injury and Symptoms

Injury can affect any of the ligaments, bursae, or tendons surrounding the knee joint. Injury can also affect the ligaments, cartilage, menisci (plural for meniscus), and bones forming the joint. The design of the knee joint and that it is an active weight-bearing joint are factors in making the knee one of the most injured joints of the human body

(View our  cold/low level laser therapy section ).

Ligament Injury and Treatment

Trauma can cause a severe injury to the ligaments on the inner (medial) portion of the knee  (medial collateral ligament), the outer (lateral) portion of the knee (lateral collateral ligament), or within the knee (cruciate ligaments). Injuries to these areas are noticed as immediate knee pain, but are difficult to localize. Usually collateral ligament injury is felt on the inner or outer portion of the knee and presenta as tenderness over and around the area of the ligament involved. Cruciate ligament injury is felt within the knee. It is sometimes noticed with a “popping” sensation with the initial trauma.  Injuries to the ligamnts of the knee would cause swelling of the joint with pain being aggravated by knee flexion, weigh – bearing or even walking.  The severity of the injury can vary from minor stretching or tearing of the ligament, such as a sprain to severe and complete tear of the ligament the knee can have more than one area injured in a single traumatic event.

Ligament injuries are initially treated with ice packs and immobilization, rest and elevation. It is generally initially recommended to avoid bearing weight on the injured joint, and crutches may be required for walking. Some patients are placed in splints or braces to immobilize the joint to decrease pain and promote healing. Arthroscopic or open surgery may be necessary to repair severe injuries

(View our cold/low level laser therapy section. )

Meniscus Tears and Treatment

The meniscus can be torn with the shearing forces of rotation that are applied to the knee during sharp, rapid motions. This is especially common in sports such as football and other rapid motion activities. There is a higher incidence with aging and degeneration of the underlying cartilage. Several tears can be present in an individual meniscus. A meniscal tear may have a rapid onset of a popping sensation with a certain activity or movement of the knee. Occasionally, it is associated with swelling in the knee It is also associated with locking or an unstable sensation in the knee joint. X-rays while they do not reveal a meniscal tear can be used to exclude other problems of the knee. The meniscal tear can be diagnosed in one of three ways: arthroscopy,  or an MRI scan. Arthroscopy is a surgical technique by which a small diameter video camera is inserted through tiny incisions on the sides of the knee for the purposes of examining and repairing internal knee joint problems. Micro instruments can be used during arthroscopy to repair the torn meniscus.

An MRI scan is another radiological technique whereby magnetic fields and a computer combine to produce two- or three-dimensional images of the internal structures of the body. It does not use x-rays, and can give accurate information about the internal structures of the knee when considering a surgical intervention. Meniscal tears are often visible using an MRI scanner. MRI scans have largely replaced arthrography in diagnosing meniscal tears of the knee. Meniscal tears are generally repaired arthroscopic

(View our cold/low level laser therapy section).

Tendonitis and Treatment

Knee Pain and tendonitis of the knee occurs in the front of the knee below the kneecap at the patellar tendon (patellar tendonitis) or in the back of the knee at the popliteal tendon (popliteal tendonitis). Tendonitis is an inflammation of the tendon, which often occurs by a strain or impacted sport such as jumping. Patellar tendonitis also has the name “jumper’s knee.” Tendonitis  diagnosed is based on the presence of pain and tenderness localized to the tendon. It is treated with ice packs, and cold/low level  laser therapy {view our cold/low level laser section} cortisone injections which can be given for tendinitis elsewhere, are generally avoided in patellar tendonitis because there are reports of risk of tendon rupture as a result of corticosteroid treatment in this area. In severe cases, surgery can be required. A rupture of the tendon below or above the kneecap can occur. This may lead to bleeding within the knee joint and severe pain with knee movement. Surgery of the ruptured tendon is often necessary.

(View our  cold/laser therapy laser therapy section ).

Diseases or Conditions

Diseases or conditions that involve the knee joint, the soft tissues and bones surrounding the knee, or the nerves that supply sensation to the knee area can result in knee pain. In fact, the knee joint is the most commonly affected joint in rheumatic diseases, immune diseases that involve various tissues of the body including the joints to cause arthritis.

Arthritis is an inflammation within a joint. The causes of knee joint inflammation range from types of arthritis such as osteoarthritis, which is a degeneration, or wear and tear of the cartilages, to inflammatory types of arthritis (such as rheumatoid arthritis or gout). Treatment of the arthritis is directed according to the nature of the specific type with cold laser being one of the most effective types of treatment in managing the inflammation.

Baker cyst is another common cause of pain at the back of the knee resulting from swelling of the knee joint from arthritis leading to a localized collection of fluid accumulating in a cyst behind the knee.

Tumours and Infections of the bone or joint can rarely be a serious cause of knee pain and have associated signs of infection including fever, extreme heat, warmth of the joint, chills of the body, and may be associated with puncture wounds in the area around the knee.

Pellegrini-Stieda syndrome is a calcification of the collateral ligament on the inside of the knee joint. With this condition, the knee can become inflamed and can be treated conservatively with ice packs, immobilization, and rest. Infrequently, it requires a local injection of corticosteroids.

Chondromalacia refers to a softening of the cartilage under the kneecap (patella). It is a common cause of deep knee pain and stiffness in young women and can be associated with pain and stiffness after prolonged sitting or climbing stairs. Treatment with anti-inflammatory medications, ice packs and rest may help. (See our Cold Laser Therapy Section under Inflammatory conditions.). Bursitis of the knee occurs on the inside of the knee (anserine bursitis) and the front of the kneecap (patellar bursitis, or commonly known as “housemaid’s knee”). Bursitis is generally treated with ice packs, immobilization, and anti-inflammatory medications or Cold laser therapy.

(View our Cold/low level laser therapy section.)

Knee ligaments; Knee Pain, Sports Injuries. Cold/low level Laser Treatment.

Knee Ligaments Medial Collateral Ligament(MCL), Anterior Curciate Ligament,(ACL) Posterior Cruciate Ligament(PCL) Lateral Collateral Ligament,(ACL).

View our Cold/low level laser therapy section for treatment for these injuries, under inflammatory conditions in our ”Treatments” section.

Cold/lowlevel Laser therapy accelerates the healing process, thus saving time and returning to your sport sooner than you normally would if you had taken normal medication. World class athletes and the military use this method of reducing both pain and injury time 

Ligaments

Ligaments connect one bone to another within the joins and contribute stability and flexibility of the joint. 

Medial Collateral Ligament (MCL).

This ligament is on the one on the inside of the knee and is taut when the leg is straight. The ligament itself is strong but can be sprained or completely ruptured by simultaneous twisting and straightening of the leg. 

Anterior Cruciate Ligament (ACL).

The anterior cruciate ligament or ACL runs from the outside of the back of the thigh bone to the inside of the front or anterior of the shin bone.  The two cruciate ligaments cross over each other; the ACL crosses in front of the Posterior Cruciate Ligament. Together they stabilize the front to back movements of the knee.

The ACL is half the strength of your Medial Collateral Ligament (MCL). This ligament is the most likely knee ligament to be injured during sporting activities.

Posterior Cruciate Ligament (PCL).

The Posterior Cruciate Ligament or PCL starts from the inside edge of your thigh bone and inserts to the back or posterior aspect of your shin bone.  

Lateral Collateral Ligament (LCL). 

The Lateral Collateral Ligament or LCL runs from the bottom of the thigh bone to the top of the shin bone on the outside of knee joint.

Other Soft Tissue Injuries.

The soft tissues around the knee can also be injured. 

Sports that involve twisting of the upper leg while the foot is planted on the floor may lead to a tear of the meniscus. The menisci are two crescent shaped discs of shock absorbing cartilage located between the bones of knee joint.

The patellar tendon is also known as the patellar ligament, and connects the kneecap to the thigh muscle. If the knee is bent too far back, this tendon may also tear.

Symptoms of Knee Injuries

The symptoms for most ligament injuries will be similar, these include:

  •    Pain 
  •    Swelling 
  •    Instability

Complete rupture of the ACL, may cause a popping sound which in turn may lead to a snap inside the knee, as if the knee has given way. 

Meniscus Injury will cause pain on either inside or outside of the knee joint. This will bring on swelling, the knee may lock or feel as if it’s catching or grinding.

Damage to the patellar tendon means the leg will be unable to straighten properly. This will then lead to knee pain, swelling and weakness. 

Causes of Knee Injuries 

If the knee receives an impact or a movement exceeding its usual range of movement, for example if you have a fall or land awkwardly this may lead to an injury.

  • sports combining running, jumping and stopping with quick change of direction such as football rugby, tennis etc.
  • pre-existing condition such as osteoarthritis.
  •  impact of the knee or Knees on the dashboard in a car accident will result in PCL damage and is called the “dashboard injury”. 

Diagnosis of Knee Injuries 

Chiropractors or Physiotherapists will examine the knee, only then will various tests will be undertaken to establish which ligament is injured.  

MCL injuries:  Chiropractors or Physiotherapists will find out how badly the ligament is damaged by testing the range of movement by moving the lower leg outwards while holding your upper leg still. There are three grades of knee injury. 

  • Grade 1 is a sprain.
  • Grade 2 is a partial tear 
  • Grade 3 is a complete tear

ACL integrity is tested by a chiropractor, by pulling the lower leg forward with the thigh held still and the leg bent.  An ACL tear usually occurs suddenly and is often accompanied by a “popping” sound. The tear will be accompanied by swelling of the joint that can last up to 1 hour. The movement of the knee will also be uncomfortable and joint would feel unstable. Physical examination performed by chiropractor would usually confirm the diagnosis.  Magnetic resonance image (MRI) scan can also be used. In case of complete tears, the anterior cruciate ligament cannot repair itself and thus the ligament function is lost.

If a Chiropractor suspect’s injury to a PCL, they will check the range of movement in the knee and lower leg. X-rays are valuable in diagnosis of this particular injury.

There are four major ligaments in the knee: the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL) and two collateral ligaments. These ligaments work together to stabilize the knee during motion. The most commonly injured ligament is the anterior cruciate ligament with tears occurring on twisting or sporting activities such as netball, basketball, tennis and football. This ligament can also get injured as a result of direct blow to the knee such as those that occur in football or rugby.

Meniscus injuries

There are two menisci in each knee. The menisci are the cartilages shaped like a crescent and positioned between thigh bone (femur) and knee bone (tibia). The menisci function as shock absorbers and stabilizers of the knee joint. The meniscus on the inside of the knee is medial meniscus and the outside of the knee is called lateral meniscus. The medial meniscus absorbs some of the load around 25% in the inner compartment and the lateral meniscus absorbs around half of the load in the outer compartment.

Meniscal Tears

The meniscal tear usually occurs when menisci are trapped between the moving bones of the femur and tibia. The menisci cartilage only gets blood supply to the outer third of the outer zone thus limiting ability to heal if torn. Most tears occur in the centre of the meniscus because this is the part of the meniscus that gets trapped between the moving bones. These inner tears and many of the outer tears do not heal.

Symptoms

Pain on the inside of the joint or behind the joint is the most common symptom of a meniscal tear. Meniscal tear can also be accompanied by catching and occasionally locking of the joint. Swelling always means there is something wrong inside the knee and is commonly associated with meniscal tears.

Runner’s Knee Explained

Runner’s Knee is the common term for Iliotibial Band Friction Syndrome. Runner’s Knee is a painful overuse knee injury that affects the outer part of the knee. It is common in runners and cyclists. It affects around 5% of all runners, while20%  of knee injuries in cyclists  are diagnosed as Runner’s Knee.

To understand this condition it is necessary to be familiar with the anatomy of the outer side of the thigh and knee. The Ilio Tibial Band is a tough length of fascia that attaches to the outer side of the pelvis (The Ilium), goes down the outer side of the thigh and inserts into the outer side of the shin bone (Tibia). The Ilio Tibial Band forms a length of taught fibrous tissue that connects the hip and knee.

The Lateral Epicondyle is a bony prominence that is the widest point of the thigh bone. When the knee is straight the Ilio Tibial Band is in front of the Lateral Epicondyle of the thigh bone and when the knee is fully bent the ITB is behind the Lateral Epicondyle of the thigh bone. During movements of the knee, the Ilio Tibial Band moves over the Lateral Epicondyle of the thigh, with maximum friction at 30 degrees of knee bend.

During activities such as running and cycling, where there is repeated bending and straightening of the knee joint, the Ilio Tibial Band can ‘impinge’ upon the Lateral Epicondyle and the resultant friction can lead to inflammation of the tissues. If the Ilio Tibial Band is tight then the degree of friction is increased and a tight Ilio Tibial Band can predispose people to Runner’s Knee.

Between the Ilio Tibial Band and the thigh there is a sac of fluid, called a bursa, which is meant to prevent friction. However i  Ilio-Tibial Band is tight repeated knee bending will cause impingement of this bursa.  The bursa itself, as well as the Ilio Tibial Band, can become inflamed and painful.

Runner’s Knee Symptoms

Typically there is pain located on the outer side of the knee joint. This pain may radiate up the thigh or down the outer side of the shin and is exacerbated by running or cycling activities. Usually, the pain from Runner’s Knee is only present during activity and settles when the person rests. However, in some cases it can also be extremely uncomfortable going up or down stairs.

There is often severe tenderness when the Lateral Epicondyle of the thigh bone is palpated. There is usually maximum friction at the area of the Lateral Epicondyle when the knee is bent to around 30 degrees.

Bursa – what is it?    

A Bursa is a thin sac of connective tissue filled with the body’s own natural lubricating fluid. This lubricating sac allows various tissues such as muscle, tendon, and skin slide over the bone surfaces without catching. The Bursas are very thin but they do present a potential site that can become inflamed and irritated. This condition is called Bursitis. If inflammation of Bursa is associated with a break in the skin and trauma, the Bursa can become infected, this is called infected Bursitis.

In Bursitis the swelling of the knee is caused by swelling of the Bursa, not the knee joint itself. This swelling on the knee joint is commonly called “water on the knee”, but it is important to differentiate fluid accumulation within the Bursa versus fluid accumulation within the knee joint. These are two different conditions.

Knee Bursitis (Prepatellar Bursitis )

Prepatellar Bursitis, also known as housemaid’s knee, is a very common cause of swelling and pain on top of the kneecap. This condition is usually associated with carpet fitters because of the extended periods of time spent on their knees.

Symptoms of Prepatellar Bursitis are usually aggravated by kneeling.

Treatment of Prepatellar Bursitis (Knee Bursitis)

Treatment of Prepatellar Bursitis begins with rest and avoidance of activity that aggravates the condition. In some individuals, drainage or excision of the Bursa may be called for. In cases of infection, antibiotics are also prescribed. Bursa drainage can be performed by using a needle and a syringe. The fluid can then be analyzed to detect possible infection. If the fluid continues to accumulate, excising, or removing the Bursa, can be considered. This procedure is performed as an outpatient at the doctor’s surgery or local hospital. Laser therapy has proven to be extremely affective in management of prepatellar bursitis 

Patellar Tendonitis (Jumper’s Knee).

Jumper’s knee, also known as Patellar Tendinitis, is a condition caused by inflammation of the Patellar tendon, which connects the kneecap to the shin bone (Tibia). The condition is caused by overuse of the knee joint, for example – by frequent jumping onto a hard surface.

What are the symptoms of jumper’s knee

The symptoms of jumper’s knee may vary significantly among individuals. The symptoms may include:

  • Tenderness and pain around the Patellar tendon
  • Swelling
  • Pain with jumping, running, or walking or any leg movement.
  • Bending or straightening the leg will be painful.
  • Tenderness behind the kneecap

Diagnosis of Jumper’s knee

The diagnosis of jumper’s knee is usually based on a complete medical history and physical examination.
Sometimes the x-rays are performed.  

Treatment for jumper’s knee:

The treatment of choice for jumper’s knee is an avoidance of any activity that may cause or aggravating the condition until the injury is healed. Other treatment modalities may include:

  • Anti-inflammatory medications
  • Rest
  • Ice pack application.
  • Cold laser therapy is very successful and effective in reduction of swelling and promotion of healing (See also Cold laser therapy sections under conditions treated).
  • Stretching and strengthening exercises

Otherr common  knee problems

Many knee problems are can result from continual wear and tear and continued stress on the knee joint; other knee problems result from an injury or a sudden jolt or movement that strains the knee. 

Common knee problems include the following:

  • Sprained or strained knee ligaments.
  • Sprained or strained muscles.  A sprained or strained knee ligament or muscle is usually caused by a violent blow to the knee, or a sudden twist of the knee. Symptoms include pain, swelling, and difficulty in using the leg while walking. 
  • Torn cartilage  Trauma to the knee may tear the Menisci (the pads of connective tissue that act as shock absorbers and aid in joint stability). Cartilage tears will often occur with sprains. The wearing of a brace during an activity may protect the knee from further injury
  •  Tendonitis.  Inflammation of the tendons can result from overuse of a tendon during sporting activities such as running and general athletics. Tendonitis of the Patellar tendon is called Jumper’s knee.
  • Arthritis  Osteoarthritis is generally the most common type of arthritis that affects the knee. Osteoarthritis is a degenerative process where the cartilage in the joint gradually wears away, Osteoarthritis may be caused by excessive stress on the joint. Rheumatoid arthritis can also affect the knees by causing the joint to become inflamed and by destroying the knee cartilage.
  • Knee bursitis   Carpet fitters and other people who spend a lot of time on their knees often experience swelling in the front of the knee. The constant friction irritates the lubricating sac (Bursa) located just in front of the kneecap (Patella). The Bursa enables the kneecap to move smoothly under the skin. If the Bursa becomes inflamed, it fills with fluid and causes swelling at the top of the knee. This condition is known as kneecap (Prepatellar) Bursitis.

(View our Cold/low level laser therapy section ).

Symptoms.

 Pain with leg activity,

  • Swelling on the front of kneecap
  • Tender and warm to the touch

Treatment 

  • Apply ice regularly, 8 times a day for 15 minutes at a time. This should reduce swelling considerably if the knee is also rested.
  • Elevate the affected leg as much as possible.
  • Take an anti-inflammatory medication such as aspirin or ibuprofen.

Goosefoot (Pes Anserine) Bursitis of the Knee

Pain and tenderness on the inside of the knee, approximately 2 to 3 inches below the joint, are symptoms of Pes Anserine Bursitis of the knee. The Pes Anserine Bursa is a lubricating sac located between the shinbone (tibia) and three tendons of the hamstrings muscle insertion at the inside of the knee. Because the three tendons flare out on the front of the shinbone and look like the foot of a goose, Pes Anserine Bursitis is also known as Goosefoot Bursitis.

Risk factors

Pes Anserine Bursitis is common in athletes, especially runners. Several factors can contribute to the development of Pes Anserine Bursitis, including:

  • Poor training techniques, neglecting to stretch before starting exercising or running longer distances.
  • Tight hamstring muscles.
  • An out-turning of the knee or lower leg.
  • Osteoarthritis in the knee.
  • Medial meniscus tear.

The symptoms of Pes Anserine Bursitis:

  • Slow developing pain on the inside of the knee in the centre of the shinbone, approximately 2 to 3 inches below the knee joint.
  • Increased pain with exercise.
  • Symptoms may appear to be those of a stress fracture, so an X-ray is usually required.

Treatment

  • Discontinue all vigorous activity until the Bursitis clears up.
  • Injection – Your doctor may inject a solution of anesthetic and steroid into the bursa, which often provides prompt pain relief.
  • Anti-inflammatory medication – nonsteroids may ease the pain and reduce inflammation.
  • Ice application at regular intervals throughout the day, 8 times daily, for about 15 minutes each time.
  • Cold Laser Therapy should be used if you require an Effective and fast Treatment.

 (View  our Cold/low level laser therapy section for  Prepatellar Bursitis or (knee Bursitis) including  Tendonitis).

Cold /low level laser therapy/Treatment

The lasers used  are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

ColdLaser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Cold Laser Therapy is a treatment where by a cold laser is utilized to treat chronic and acute pain. Cold laser therapy may be used for patients suffering from back and neck pain, musculoskeletal pain, joint pain associated with arthritis, fibromyalgia, tendonitis, bursitis, neuropathy, Achilles tendonitis, migraine headaches, sprains and strains, carpal tunnel syndrome and other associated pains. Cold laser therapy also treats conditions such as TMJ, reflex sympathetic dystrophy (RSD) and other inflammatory and scarring conditions. By increasing serotonin levels, cold laser therapy contributes to the body’s own healing process. Non-thermal and non-invasive, cold laser therapy involves a combination of cold laser and electric stimulation and is one of the most effective healing therapies. Completed in ten to twelve sessions, cold laser therapy can significantly reduce treatment time and costs.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

  • Athletic and sports Injuries, Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas
  • Lower leg (calf pain) inflammation, Shin splints, Hamstring, Achilles tendonitis, Bursitis, conditions and disorders
  • Ankle sprains, injury, and fractures, inflammation conditions and disorders
  • Heel and foot injury, pain, Bursitis, Achilles Tendonitis, Plantar fasciitis, conditions and disorders
  • Knee pain, injuries, tears, ligament, Tendon injury, ruptures, Runners Knee, inflammation, Bursitis, conditions and disorders
  • Shoulder injury, pain, Shoulder tears, fractures inflammation, Tenosynovitis ,Tendonitis, Bursitis, conditions such as frozen shoulder, and disorders
  • Neck injury, Neck Pain, Neck sprain, Whiplash injury.
  • Back Injury,   Lower back pain, Sciatica, slipped discs, prolapsed disc, herniated /r bulging discs, Trapped nerves, and inflammation.
  • Elbow, Wrist and Hand injury, Tendonitis, inflammation, fractures, conditions and disorders, such as Tennis Elbow,(Golfers Elbow) Carpal Tunnel Syndrome,
  • Hip injury and pain, Sacroiliac Joint inflammation, groin and thigh strain (pull), sports hernia, Hip Bursitis/Tendonitis, Trochanteric Bursitis, conditions and disorders
  • Muscle sprain and spasms, Cramps, Joint Pain and stiff Joints.
  • Pain Relief, including Arthritic pain relief.
  • Wound Management including Skin Ulcers, Pressure Sores and Burns, Skin infections
  • Chronic pain such as Trigeminal Neuralgia and Chronic Neck  and Back pain.

Chiropractic Treatment

Chiropractic addresses the function of central nervous system which is the “master system” of the body controlling ad regulating function of all other subsystems including musculoskeletal system. Properly aligned skeletal system would improve performance, reduce the risk of injury and improve healing of existing injuries.

Chiropractors specialize in the non-drug treatment of musculoskeletal problems, including joint sprains and disc injuries. To some extent, the chiropractic approach to sports injuries is similar to that of traditional medical care.

Usually chiropractor’s initial examination would include standard orthopaedic and neurological tests to diagnose whether a particular pain is due to a strain, sprain, or disc problem. X-ray examination is also performed to screen for fractures and other bone disorders, such as osteoporosis.  

Chiropractic management of sports injuries often includes widely used physical therapies such as ice, Cold laser therapy to reduce swelling and inflammation, or electronic muscle stimulation for muscle strains and spasms. 

Importance of Restoring, Structural Body Balance.

Chiropractic management of sport injuries has an emphasis on adjustment and improving function of spinal and other joints through manipulation as well as restoring overall structural balance of the body. Chiropractor assess the effect of the muscle injury on the rest of the body as it would cause tightening of other muscle and joints in order to maintain general balance. Chiropractic adjustments help to restore the natural balance that was present before the injury.

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