Ankle and Foot

Ankle and foot pain accounts for most sports injuries.
Common conditions include

Inversion sprains

Recurrent sprains

Plantar fasciitis

Achilles tendinitis

Heel spurs

 

Initial support and treatment following injury is essential to protect the injured tissue. This is essential to avoid further tissue damage and allow the body to heal in the correct position. When an injury has not healed correctly, there is an increased risk of recurrence. Strengthening exercises are also essential in the rehabilitation following an injury to prevent recurrences.
Your physiotherapist will be able to guide you through the process safely to optimise healing and minimise  time lost in recovery.

Back Pain

Back pain is the most costly medical problem in Australia. It is estimated that 70-90% people having back pain at some point in their life. With medical treatment and time off work, it can be a huge burden on society.

On a personal level, it can limit your quality of life, disrupt your daily living, cause relationship breakdowns, and the inability to go to work.

Back pain can start from an incident such as heavy lifting or more often, for no apparent reason at all. It is therefore essential that you seek the appropriate treatment so that it will have minimal impact on your life.

Treatment has come along way with ongoing research particularly in the prevention and evidence based practice.

Common problems we treat at Croydon Physiotherapy include

  • Postural abnormalities such as scoliosis
  • Acute and chronic back pain
  • Nerve root impingement
  • Spondylosis and spondylolisthesis
  • Weakness in core strength
  • Disc herniation or disc bulges
  • Pelvic dysfunction
  • Osteoarthritis

Elbow pain

Elbow pain can result from trauma such as falling, repetitive strain injury, or referred pain which is pain coming from the neck.

In the case of repetitive strain injuries, early diagnosis and correction of predisposing factors will most likely resolve the problem quite quickly. If left untreated, a repetitive inflammatory condition becomes a degenerative condition, which is a much more difficult problem, and can sometimes result in tears and much more prolonged pain and disability.

Common conditions include

  • Tennis Elbow
  • Golf Elbow
  • Nerve entrapment
  • Fractures
  • Dislocation
  • Bursitis
  • Osteoarthritis

Hip

The hip joint is one of the most stable joint in the body, and it is designed such way that it can tolerate huge stress and pressure in walking and running.
When it is working well, you can do almost anything. However, when there is a problem, it is usually poorly treated and often misdiagnosed. A thorough assessment of the entire lumbo- pelvic- hip region needs to be done to correctly manage hip pain. At Croydon Physiotherapy, a postural analysis and gait analysis is always done to determine where the dysfunction is originating.

Common problems to cause hip pain include
  • Osteoarthritis
  • Vascular insufficiency
  • Pelvic dysfunction
  • Hip dysplasia
  • Femoroacetabular impingement
  • Sacroiliac joint dysfunction
  • Tendinitis
  • Bursitis
  • Pinched nerve
  • Fracture

Knee

The knee consists of two joints: the femoro-tibial, and patello-femoral.
The primary weight bearing surfaces are between the femur (thigh bone) and the tibia (shin bone) with two menisci medial and lateral.
The patello-femoral joint is at the front of the knee and functions as an extension of the quadriceps muscle.

Injuries of the knee can arise from trauma, wear and tear, poor technique, or an imbalance of muscle pull.

  • Ligamentous injuries are often acute, related to trauma and presents with increased swelling. A fracture may need to be ruled out via X-ray if you are unable to weight bear. Depending on the severity, treatment may include taping, bracing, muscle retraining, or surgery. Most ligamentous injuries get better with physiotherapy, but for some surgery may be indicated. Often prior to any surgery, you may need to have a course of physiotherapy to maximise the outcome of the operation.
  • Patello-femoral dysfunction. These conditions are best treated conservatively with course of Physiotherapy. At Croydon Physiotherapy, an assessment will include the hip and ankle function to correctly as it may contribute to the cause of ongoing pain. If not treated correctly, there is a risk of permanent cartilage wear leading to early onset of osteoarthritis
  • Meniscal injuries are often with delayed or absence of swelling, intermittent locking, or can be recurrent. These will often respond well to arthroscopic surgery depending on the size and the direction of the tear. However, a preoperative course of physiotherapy will lead to better outcomes post surgery.
  • Knee pain can indicate a serious back problem especially if there is nerve symptoms such as pins and needle or numbness. Knee buckling and giving way can also be a sign of nerve damage and will require prompt assessment.

Neck Pain and Stiffness

Neck pain can be traumatic following a motor vehicle accident or can be a progressive condition. It is often associated with poor posture, scoliosis, poor work station, or sustained carrying/ lifting.

Neck pain is a common complaint for people who sit for prolonged periods of time. This includes but not limited to office workers, students, and drivers.

The pressure on the neck increases with the forward bending position, the poke neck position, and whether there is loading from the shoulder and arm.

Neck pain can come on over night or while doing a fairly ordinary task.

At Croydon Physiotherapy, we commonly treat the following
  • Postural abnormalities
  • Disc herniation
  • Nerve root impingement
  • Motor vehicle related neck pain
  • Osteoarthritis
  • Cervicogenic headaches
  • TMJ dysfunction

Repetitive Injuries

Repetitive injuries are injuries arising from overuse of the tendon structures leading to tears and ruptures.

It respond well to treatment if it is identified early and the loading can be decreased.

If it is recurrent and is chronic, treatment will take longer, and sometimes surgery may be indicated.

However, in instances where a large tear or rupture is left too long, the muscle will retract and will be impossible to correct.

It is often seen in the shoulder, elbow, wrist, thumb, ankle, pelvic regions.

For example:
  • Supraspinatus/ rotator cuff tear
  • Golf/ Tennis elbows
  • De Quervain’s at the thumb
  • Achilles tendinitis
  • Tibialis posterior impingement
  • Groin pain

Shoulder

The shoulder joint has the biggest range of motion in the body. This is achieved with the shape of the articular surfaces within the joint and the involvement of the shoulder blade.

For the same reason, it is also the least stable joint in the body.

It is surrounded by some very strong muscles that can lift tremendous weights and do handstands. The same strong muscles can pull the joint out of its socket if there is no counter pull.

It relies heavily on a system of rotator cuff, labral, ligament, large muscle groups for its range and strength.

When this support system fails, the result can be quite profound in that the slightest movement can have tremendous pain.

Physiotherapy can help correct some of these problems by retraining the rotator cuffs, improving range of motion, and safely re-introduce strengthening exercises.

Some common problems we treat at Croydon Physiotherapy include:
  • Rotator cuff tears
  • Labral tears
  • Dislocation
  • Subluxation
  • Bursitis
  • Impingement
  • Biceps tendinitis