[{"title":"\u003Cp class=\"MsoNormal\"\u003EBackhand Your Pain: An In-Depth Look at Tennis Elbow and How\nto Beat It\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Cp\u003E\u003Ciframe allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen=\"\" frameborder=\"0\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/IfP0F0ChHGM\" title=\"YouTube video player\" width=\"560\"\u003E\u003C\/iframe\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cem\u003E\u003Cspan style=\"font-size:9px\"\u003ESource: Shutterstock.com\u003C\/span\u003E\u003C\/em\u003E\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nDo you love playing badminton or any racket sports, but lately you've been experiencing discomfort around the outside of your elbow, especially when you hit your backhand? Don't worry, you're not alone! This is a common condition known as lateral epicondylitis, or more commonly, tennis elbow.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003ETennis elbow is a common condition that affects many people, especially those who engage in repetitive arm motions or gripping activities. In this post, we're going to take a closer look at the anatomy and pathophysiology of lateral epicondylitis, how it's diagnosed, and the differential diagnoses that should be considered. We'll also take a closer look at the treatment options available, including self-tests that can be done at home.\u003Cbr \/\u003E\r\n\u003Cimg alt=\"\" src=\"https:\/\/www.anti-dna.com\/regen\/management.file\/img\/202306058861549865.jpg\" style=\"height:409px; width:584px\" \/\u003E\u003Cbr \/\u003E\r\n\u003Cimg alt=\"\" src=\"http:\/\/www.flyboxstudio.com\/download\/img1.jpg\" \/\u003E\u003Cimg alt=\"\" src=\"http:\/\/www.flyboxstudio.com\/download\/img1.jpg\" \/\u003E\u003Cimg alt=\"\" src=\"http:\/\/flyboxstudio.com\/download\/img1.jpg\" \/\u003E\u003Cbr \/\u003E\r\n\u003Cspan style=\"font-size:9px\"\u003E\u003Cem\u003ESource: iStock\u003C\/em\u003E\u003C\/span\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EYour arm is made up of several muscles and tendons that allow you to move your wrist and fingers. The extensor carpi radialis brevis (ECRB) is a muscle in your forearm that helps to extend and abduct your wrist joint. Tennis elbow, or lateral epicondylitis, occurs when there is repetitive eccentric overloading of your ECRB tendon. This can lead to small injuries in the muscle and tendon, disrupting the production of collagen, which helps to make the tendon strong. Overuse and repetitive stretching of the muscle during activities like gripping or twisting can affect blood flow to the area and lead to the growth of new blood vessels, making the condition worse. This leads to inflammation, pain, and weakness in the forearm and wrist. Patients with lateral epicondylitis typically experience pain around the outside of the elbow, especially when performing activities that require wrist extension, such as a backhand swing in tennis or badminton.\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cbr \/\u003E\r\nTo diagnose tennis elbow, your doctor may perform a physical exam, which can include resisted wrist extension to recreate pain over the ECRB tendon. They may also use imaging tests such as X-rays or MRI to determine the extent of the injury.\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EOther conditions that can cause similar symptoms include PIN irritation, radial tunnel syndrome, posterolateral rotatory instability (PLRI), osteochondral defect, and Little League elbow. Your doctor may perform further testing to rule out these conditions and determine the best course of treatment.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u2022\u00a0\u00a0 \u00a0PIN irritation: Usually occurs in athletes who repeatedly exert grip strength with excessive pronation and supination movements. Symptoms include weakness of extensors (e.g., at the thumb) and a deep ache in the proximal forearm.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u2022\u00a0\u00a0 \u00a0Radial tunnel syndrome: This occurs when the superficial radial nerve is compressed by structures in or near the radial tunnel (ECRB and brachioradialis). Symptoms include pain and tenderness in the forearm, wrist, and hand.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u2022\u00a0\u00a0 \u00a0Posterolateral rotatory instability (PLRI): This is often caused by a complex injury to the lateral ulnar collateral ligament complex, resulting from a traumatic event such as dislocation of the radius on the capitellum. Symptoms include lateral elbow pain accompanied by mechanical symptoms such as clicking, snapping, or locking.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u2022\u00a0\u00a0 \u00a0Osteochondral defect (osteochondritis dissecans): This condition occurs in overhead throwing sports or those that require repetitive valgus stress or compressive forces on the elbow. It results in a separation of an osteochondral fragment, which can cause locking, catching, or an inability to fully extend the elbow.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u2022\u00a0\u00a0 \u00a0Little League elbow: This is a stress injury that occurs in young athletes who engage in throwing sports.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EBut don't worry, there's good news! With the right treatment, you can get back to enjoying your favourite activities pain-free. Here's how we can help:\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cstrong\u003EPhase 1\u003C\/strong\u003E\u003Cbr \/\u003E\r\nThis initial stage of rehabilitation focuses on relieving pain. Modalities such as TECAR\/shockwave, manual therapies such as massages or cross frictions, dry needling, or a combination of these methods can be used to reduce inflammation and improve blood flow to the affected area.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cstrong\u003EPHASE 2\u00a0\u003C\/strong\u003E\u003Cbr \/\u003E\r\nWith the pain subsiding, the focus shifts towards addressing faulty mechanics during sports-specific movements. This could involve analysing your movement patterns during badminton or tennis and identifying areas where you may be placing excessive stress on your elbow.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cstrong\u003EPHASE 3\u003C\/strong\u003E\u003Cbr \/\u003E\r\nIn this phase, the focus shifts are towards strengthening and loading the wrist extensor muscles using weights and eccentric exercises. Eccentric exercises are effective in the treatment of lateral epicondylitis as they have been shown to promote collagen synthesis and remodelling of the tendons.\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cstrong\u003EPHASE 4\u003C\/strong\u003E\u003Cbr \/\u003E\r\nTreatment in this phase is centred around technique and power. Modifications of activities may be necessary to prevent re-injury. This involves optimizing form during racket sports and tennis, particularly the backhand stroke, and gradually increasing training intensity and duration while ensuring proper biomechanics.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cbr \/\u003E\r\n\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202306283689641570.png","imageSecond":"202306058861549865.jpg"},"link":{"1687852230102_123970969698":{"title":"Tennis Elbow","value":"https:\/\/youtu.be\/IfP0F0ChHGM"}},"id":"59","fid":"58","url":"p-class-msonormal-backhand-your-pain-an-in-depth-look-at-tennis-elbow-and-how-to-beat-it-o-p-o-p-p","date":"1\u003Csup\u003Est\u003C\/sup\u003E May 2023"},{"title":"Bunion: More Than Just An Aesthetics Problem","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Cp\u003E\u003Cspan style=\"font-size:9px\"\u003E\u003Cem\u003ESource:PodExpert\u003C\/em\u003E\u003C\/span\u003E\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u003Cstrong\u003EWhat causes bunion?\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EA bunion is essentially caused by either a\u003Cbr \/\u003E\r\ni)\u00a0\u00a0 \u00a0loose or uncontrolled big toe joint: Hypermobile, laxed and stretched joint or muscles necessary for stabilisation not working efficiently.\u00a0\u003Cbr \/\u003E\r\nii)\u00a0\u00a0 \u00a0stiff joint created by force of pull by certain muscle groups; e.g. adductor hallucis muscle. Certain muscle groups are overworking to find\/ create stability; resulting in the joint being pulled inwards leading to bunion formation. \u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cbr \/\u003E\r\n\u003Cstrong\u003EDoes the way I walk causes bunion?\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EYour foot mechanism matter. The big toe can be a victim of compensation from other parts of your feet not working efficiently; e.g. heel stiffness, collapsed arch (flat feet), leading to rocking and pivoting inefficiently over the big toe.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EOur heels should be able to rock and roll into different directions. Stiffness in the heel is problematic because it can lead to poor weight shifting and compensations, which can cause bunion formation. What you need is mobility and control of the heel.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cbr \/\u003E\r\n\u003Cstrong\u003EI have flat feet. Does that lead to bunion?\u00a0\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003ECollapsed inner arch or poor arch control can also lead to bunion formation. Our midfoot needs to have a stable base or arch support to enable rocking onto big toe. When the foot is flat, the big toe has no leverage and has a disadvantage pivot point to push off into propulsion, further stressing the big toe and causing bunion formation.\u00a0\u003Cbr \/\u003E\r\n\u003Cspan style=\"font-size:9px\"\u003E\u003Cem\u003E\u003Cimg alt=\"\" src=\"https:\/\/www.anti-dna.com\/regen\/management.file\/img\/202306066106580193.jpg\" style=\"height:704px; width:600px\" \/\u003E\u003Cbr \/\u003E\r\nSource: Depositphotos\u003C\/em\u003E\u003C\/span\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EHow does wearing tight shoes make my bunion worse?\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003ETight shoes cramp up the midfoot, which leads to a lack of stable base (either collapsed arch); and inability to form a rigid lever to supinate and rock onto big toe during propulsion, thus stretching further into the big toe joint.\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003Cimg alt=\"\" src=\"https:\/\/www.anti-dna.com\/regen\/management.file\/img\/202306063115086608.jpg\" style=\"height:320px; width:600px\" \/\u003E\u003Cbr \/\u003E\r\n\u003Cspan style=\"font-size:9px\"\u003E\u003Cem\u003ESource: Virtual Sports Injury Clinic\u003C\/em\u003E\u003C\/span\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003ESo, what should I do?\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EIs your big toe too loose or too stiff? Is your arch too flat, or is your heel not moving sufficiently? A consultation with a physiotherapist will be able to help you identify what is the root cause of your problem followed by a treatment tailored for your bunion.\u00a0\u003Cbr \/\u003E\r\n\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202306066510416618.jpg","imageSecond":"202306063115086608.jpg"},"files":{"gallery":["202306066106580193.jpg"]},"id":"82","fid":"58","url":"bunion-more-than-just-an-aesthetics-problem","date":"3\u003Csup\u003Erd\u003C\/sup\u003E Mar 2023"},{"title":"Is Your Back to Blame for Your Agonizing Foot Pain?","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Cp\u003E\u003Ciframe allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen=\"\" frameborder=\"0\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/1qMSj3ucHA0\" title=\"YouTube video player\" width=\"560\"\u003E\u003C\/iframe\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EIn the world of fitness, pain is often associated with pushing oneself to the limit. However, when foot pain arises and affects a person\u2019s ability to balance, it's time to take a closer look. In this blog post, we delve into a real-life case of a fitness enthusiast experiencing lateral foot pain and balance issues. Join us as we explore the possible causes, discuss the importance of a timely diagnosis, and shed light on potential solutions.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cstrong\u003EThe Case:\u003C\/strong\u003E\u003Cbr \/\u003E\r\nRecently, a fitness enthusiast approached us with complaints of left-sided foot pain. Despite engaging in weightlifting, yoga, and running, she noticed a significant decline in her left leg's strength and balance. Furthermore, she experienced sharp shooting pain along the lateral border of her foot and occasional numbness upon waking up in the morning. The question arose: What could be the underlying cause of her symptoms? Could an MRI provide answers?\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cimg alt=\"\" src=\"https:\/\/www.anti-dna.com\/regen\/management.file\/img\/202306066546484010.jpg\" style=\"height:506px; width:765px\" \/\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EWhen a patient presents with complex symptoms, it is crucial to obtain a comprehensive understanding of their condition. Gathering information about the chronological order of symptoms, their development, and different areas of pain helps identify the primary source. In this particular case, the intense pain along the lateral foot border warranted further investigation.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cstrong\u003EExploring the Nerve Pathways\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003ETo unravel the mystery behind the foot pain, we examined the nerve pathways. The S1 nerve, which branches off from the lower back, plays a significant role in this scenario. The S1 nerve, along with the L5 nerve, merges to form the sciatic nerve, responsible for supplying the hamstring and calf muscles. We found that the patient had muscle wasting and difficulty recruiting the calf muscles, indicating nerve irritation in the S1 region.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u003Cimg alt=\"\" src=\"https:\/\/www.anti-dna.com\/regen\/management.file\/img\/202306060484461168.jpg\" \/\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EConsidering the patient's symptoms and muscle imbalances, we hypothesized that S1 nerve irritation in the lower back or the leg could be the culprit. The nerve entrapment could occur either in the lower back or further down the leg, contributing to the foot pain and balance issues.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nTo address the condition, we initiated lumbar spine mobilization to alleviate the nerve irritation. Additionally, the patient needed to consciously engage and strengthen the muscles associated with the affected nerve. Traditional strength training protocols were not suitable in this case, as neurological rehabilitation required a more mindful approach.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EWhile conservative management was implemented initially, we emphasized the importance of timely intervention and accurate diagnosis. If the patient's condition did not improve within two weeks, we planned to refer her to a neurosurgeon for an MRI. This step would help us gain a more comprehensive understanding of the underlying issues and guide non-surgical management.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u003Cimg alt=\"\" src=\"https:\/\/www.anti-dna.com\/regen\/management.file\/img\/202306061188444660.jpg\" \/\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EThe case of the fitness enthusiast experiencing foot pain and balance difficulties highlights the significance of proper diagnosis and timely intervention. By understanding the interconnected nature of nerves and muscles in the body, we can address the root cause of pain and imbalances. If you find yourself in a similar situation, seeking professional guidance, and ensuring an accurate diagnosis is paramount. Remember, with the right approach, rehabilitation, and treatment, you can regain your strength, overcome foot pain, and get back to your active lifestyle.\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202306065164107168.jpg","imageSecond":"202306066546484010.jpg"},"files":{"gallery":["202306061188444660.jpg","202306060484461168.jpg"]},"id":"83","fid":"58","url":"is-your-back-to-blame-for-your-agonizing-foot-pain","date":"15\u003Csup\u003Eth\u003C\/sup\u003E Feb 2023"},{"title":"OUTDATED: RICE and POLICE","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Cp\u003EEmbracing PEACE and LOVE: A Revolutionary Approach to Treating Soft Tissue Injuries\u003C\/p\u003E\r\n\r\n\u003Cp\u003ESoft tissue injuries, encompassing damage to muscles, ligaments, tendons, fascia, and cartilage, are common occurrences that can disrupt our daily lives and athletic pursuits. THese injuries can present as lower back pain, neck strains, knee issues, ankle sprains, or even traumatic accidents. Traditionally, the approach to managing such injuries has been guided by the R.I.C.E. method (Rest, Ice, Compression, Elevation). However, recent research, as highlighted by authors Blaise Dubois and Jean-Francois Esculier in their article \"Soft tissue injuries simply need peace and love,\" suggests that a new paradigm known as PEACE and LOVE may be more effective in promoting optimal recovery. In this article, we will explore the PEACE and LOVE approach, challenging conventional wisdom, and providing valuable insights into the cutting-edge management of soft tissue injuries.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EPEACE - Immediate Care:\u003C\/p\u003E\r\n\r\n\u003Cp\u003EP is for Protect:\u003Cbr \/\u003E\r\nThe first step in managing soft tissue injuries is to protect the affected area. This involves preventing further distension of injured fibers and minimizing the risk of aggravating the injury. While protection is crucial, prolonged rest is discouraged as it can compromise tissue strength and quality. Instead, pain signals should guide the appropriate timing for the cessation of protection, allowing the injured tissue to begin the healing process without unnecessary delay.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EE is for Elevate:\u003Cbr \/\u003E\r\nElevating the injured limb is a somewhat controversial aspect of the PEACE approach. However, the potential benefits outweigh the risks. Elevating the injured limb promotes the flow of interstitial fluid out of the tissues, reducing swelling and aiding in the healing process. Although further research is needed in this area, many experts believe that elevation can play a significant role in early recovery.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EA is for Avoid Anti-inflammatories:\u003Cbr \/\u003E\r\nContrary to the common practice of using anti-inflammatory medications or applying ice to the injured area, the PEACE approach advises against these measures. Ice and anti-inflammatories may disrupt the natural inflammatory response, hindering the healing process. They can delay important processes such as angiogenesis (formation of new blood vessels) and revascularization, and may also increase immature myofibers, ultimately impairing tissue repair and collagen synthesis.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EC is for Compression:\u003Cbr \/\u003E\r\nUtilizing external mechanical pressure through taping or bandages can help limit intra-articular edema (fluid buildup) and tissue hemorrhage. By reducing swelling and providing stability to the injured area, compression can aid in the early stages of recovery.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EE is for Educate:\u003Cbr \/\u003E\r\nEducation plays a crucial role in the management of soft tissue injuries. Patients need to understand that soft tissue healing takes time, and setting realistic expectations is essential for a healthy recovery process. By educating patients about the PEACE approach, they can actively participate in their own healing journey, making informed decisions and adhering to the best practices for recovery.\u003C\/p\u003E\r\n\r\n\u003Cp\u003ELOVE - Subsequent Management:\u003C\/p\u003E\r\n\r\n\u003Cp\u003EL is for Load:\u003Cbr \/\u003E\r\nAfter the initial PEACE phase, the LOVE phase comes into play. Mechanical stress should be gradually added to the injured tissue through appropriate exercises and activities. As symptoms permit, normal activities should be resumed, promoting repair, remodeling, and building the capacity of tendons, muscles, and ligaments through mechanotransduction - the process by which mechanical forces stimulate cellular responses.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EO is for Optimism:\u003Cbr \/\u003E\r\nA positive outlook plays a significant role in the recovery process. Optimism can boost the body's natural healing mechanisms and encourage patients to stay committed to their rehabilitation journey. Emphasizing the importance of mental well-being and fostering a positive mindset can be instrumental in achieving successful outcomes.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EV is for Vascularization:\u003Cbr \/\u003E\r\nPromoting vascularization, or the growth of new blood vessels, is crucial for the healing process. Blood vessels supply the injured tissue with oxygen and nutrients, supporting the repair and regeneration of damaged structures. Exercise and controlled loading, as mentioned in the LOVE phase, can stimulate vascularization, accelerating the healing process.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EE is for Exercise:\u003Cbr \/\u003E\r\nIn the LOVE phase, exercise takes center stage. Physical activity not only promotes vascularization but also strengthens the injured tissue, improves flexibility, and enhances overall functional capacity. A well-structured exercise program, guided by a qualified healthcare professional, is vital for achieving a full and robust recovery.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EConclusion:\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe PEACE and LOVE approach challenges conventional practices for managing soft tissue injuries, offering a revolutionary perspective based on the latest research. By following the principles of PEACE for immediate care and LOVE for subsequent management, individuals can achieve optimal recovery and regain their active lifestyles with newfound confidence. Remember, treating soft tissue injuries is not just about rest and passive recovery but rather an active journey towards healing, guided by peace and love for your body's well-being.\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202307263370453916.jpg"},"id":"129","fid":"58","url":"outdated-rice-and-police","date":""}]
