Whether training as a professional, as an amateur boxer or just for fitness, you transmit a considerable and repetitive force through your hand and wrist when boxing. By hitting with great force, or just repetitively, it can be sufficient to cause instability within the hand and compromise functional use of one or both hands.
This Christmas our Practice will be running a Christmas drive for the charity – Support The Girls Australia.
Support The Girls helps homeless and disadvantaged women from all cultures across Australia are in DESPERATE need of bras and personal hygiene products and toiletries. One of the goals of Support The Girls Australia is to ensure that they empower and encourage self-esteem and well being in women and girls by supplying them with the crucial items that they require to facilitate their overall health.
If you are able to help you can drop off suitable items at our Penrith, Blacktown or Norwest practice to help the Team help others this Christmas.
More details about the program can be from at https://www.supportthegirls.com.au/
Knee Arthroscopy Procedure
Knee arthroscopy is a procedure performed through small incisions to repair injuries to tissues such as ligaments, cartilage or bone within the knee joint area with the use of a camera. Whether or not surgical treatment is the best intervention depends on a variety of factors, including age, degree of injury, and whether this is acute or of a chronic nature. Even though this procedure is not open surgery, all surgeries carry risks, such as blood clots, infections and injury risk to nerves, arteries or veins.
Are you tired of that shoulder pain that won’t let you sleep through the night? Did you do some spring cleaning on the weekend and now have an irritating ache in your shoulder? Or perhaps you’ve had a little niggle that just won’t go away. You might have Rotator Cuff Related Shoulder Pain (RCRSP).
Do you experience shin pain during running or exercise? Have you been told ‘its just shin splints’ and you will be alright? Shin pain during exercise can be a frustrating and painful condition for anybody from recreational runners to professional athletes. Most people have experienced themselves, or know somebody who has experienced shin pain but are unaware that there can be multiple causes that need to be treated differently.
Medial tibial stress syndrome, otherwise known as ‘shin splints’ is generally the most common cause of shin pain during running with 13.6-20% of runners experiencing some form in their lifetime. If left unmanaged, this condition can impede greatly on your sports performance, health and fitness so it is important these are managed correctly to get you back to doing what you love without pain. However, these symptoms can present similar to multiple other conditions including stress fractures, muscles strains, nerve/artery entrapments and more. One of the most common causes in which most people are unaware of is chronic exertional compartment syndrome (CECS).
What Is CECS?
CECS is pain caused by a build-up of pressure within your leg muscles whilst running. A normal muscle is supposed to expand during physical activity to allow adequate blow flow to supply the working muscles. In some cases, the muscle fascia is too thick and resilient which stops it from expanding during exercise. If your muscle does not expand correctly, then this causes a pressure build-up and results in pain and potential damage to the nerves and blood vessels in that compartment. This is why CECS must be firstly identified and secondly managed differently to other forms of running pains. Although it’s not well heard of, CECS is quite common with it being primary the cause of 14-27% of peoples lower leg pain.
Chronic Exertional Compartment Syndrome will present similar to much other running pain or shin pain, however, there are a few key differences which your health professional will help you determine. The most common symptoms are:
- No pain at rest
- increasing pain in your leg during physical activity or running
- usually occurs in both legs
- Resolves within several minutes of rest after running
- Occasionally pins and needles if pushing through pain
What should you do?
If you have any lower leg pain during physical activity you should seek assistance from a health professional such as a physiotherapist. They will assess your condition and if CECS is suspected, will initially manage your symptoms with multiple strategies including:
- Running assessment and correction of biomechanics
- Deep tissue therapy/needling
- Progressive load management
- Advise on appropriate footwear and running style
This is always the initial management strategy, however, it is important to note that in some individuals with more severe cases, conservative management may not fully relieve your pain or symptoms. In these cases, your physiotherapist (in conjunction with a Sports & Exercise Physician) will advise you on the possible options of surgical management which are shown to have an 80-90% success rate. Following this, they can assist you with your rehabilitation process and get you back to running and enjoying your sports without any pain.
Regardless of what specific condition you may have, if you are experiencing any shin pain it is beneficial to have it examined at by a health professional. Physiotherapists are highly skilled in differential diagnosis and will be able to confirm your diagnosis and assist you in getting back to doing what you love pain-free.
- Brukner, P. (2016). Brukner & Khan’s clinical sports medicine. North Ryde: McGraw-Hill.
- Lopes, A. D., Hespanhol, L. C., Yeung, S. S., & Costa, L. O. P. (2012). What are the main running-related musculoskeletal injuries?. Sports medicine, 42(10), 891-905.
- Schubert, A. G. (2011). Exertional compartment syndrome: review of the literature and proposed rehabilitation guidelines following surgical release. International journal of sports physical therapy, 6(2), 126
- West, R., Ferguson, J., & Butler, A. (2016). Chronic Exertional Compartment Syndrome. In Endurance Sports Medicine(pp. 113-125). Springer, Cham.