Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Biceps Femoris Tendinitis ;- Its a Painful condition at the posterior aspects of the knee joint ,mainly sports persons are affected but bicep femoris tendinitis injury can be happen to any one above the age of 50 yrs
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Biceps Femoris Tendinitis ;- Its a Painful condition at the posterior aspects of the knee joint ,mainly sports persons are affected but bicep femoris tendinitis injury can be happen to any one above the age of 50 yrs
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
Introduction:-
Hoffa's pad syndrome also known as Infrapatellar fat syndrome is an intrinsic disease of Hoffa's fat pad and a problem of knee joint which causes the pain at the front of knee joint so this pain is known as anterior knee pain.
Hoffa's fat pad contains pluripotent cells that can differentiate into osteoblasts and chondrocytes.
Hoffa's pad becomes inflamed or Damaged by The crushing of the pad between the femur and tibia during extension, causes inflammation of Hoffa's fat pad.
Nerve supply of fat pad is excellent( It receives branches of the femoral , common peroneal and saphenous nerves) so if it occurs any injury ,causes a sharp anterior knee pain.
The infrapatellar fat pad is a pad of adipose tissue underneath or deep to the patella tendon and the top of the fat pad attaches to the lower part of patella (knee cap).
hoffa's pad is a shock absorber ,when there is a direct force on the patella can result in pinching of the fat pad between femur and tibial plateau. The tibial plateau is the proximal tibial surface on which the femur rests.
HFP is surrounded anteriorly by the patellar tendon and the joint capsule, superiorly by the inferior pole of the patella, inferiorly by the proximal tibia and the deep infrapatellar bursa, and posteriorly by the joint synovium .
The main function of the HFP is to reduce friction between the patella, the patellar tendon, and the deep skeletal structures. In addition, it prevents pinching of the synovial membrane and it facilitates the vascularization of adjacent structures.
Causes:-
cause is usually due to single or repetitive traumatic episodes.
when you extend your knee the fat pad act as a cushion and reduces friction between outer patella facets and quadriceps tendons .
when you flex your knee ,upper part of fat pad becomes tensioned, it moves backwards in the knee.
it develops gradually over time if you repeatedly move your knee.
This is when your knee is forced to move forward from its completely straight normal position.
You may have always been able to over straighten your knee, which is called knee hyperextension or genu recurvatum .
hyperextension sports such as basketball, volleyball or high jumping may also cause inflammation of Hoffa's pad.
Hoffa's disease is more frequent in young women and the symptoms are anterior knee pain when upstairs and downstairs.
Sign and Symptoms:-
Complaints of anterior knee pain occurs when playing hyperextension sports such as basketball ,volleyball or high jumping .effusion and inflammation may be occurs and decreases the ROM of joint , stair negotiation .
Symptoms may worsen if the knee is overly straightened or bent for too long a period. Complications may include an inability to fully straighten the knee.
Diagnosis:-
Hoffa's syndrome completely diagnosed by MRI .we have requirement of an experienced orthopaedics to diagnose it.
primary Assessment have to check the Active and Passive Range Of Motion(AROM/PROM) of Hip joint and Knee joint.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Presentation slides from our recent workshop on Myofascial Release. This workshop was delivered from our St John Street Clinic in Manchester on Saturday 17th March.
Introduction:-
Hoffa's pad syndrome also known as Infrapatellar fat syndrome is an intrinsic disease of Hoffa's fat pad and a problem of knee joint which causes the pain at the front of knee joint so this pain is known as anterior knee pain.
Hoffa's fat pad contains pluripotent cells that can differentiate into osteoblasts and chondrocytes.
Hoffa's pad becomes inflamed or Damaged by The crushing of the pad between the femur and tibia during extension, causes inflammation of Hoffa's fat pad.
Nerve supply of fat pad is excellent( It receives branches of the femoral , common peroneal and saphenous nerves) so if it occurs any injury ,causes a sharp anterior knee pain.
The infrapatellar fat pad is a pad of adipose tissue underneath or deep to the patella tendon and the top of the fat pad attaches to the lower part of patella (knee cap).
hoffa's pad is a shock absorber ,when there is a direct force on the patella can result in pinching of the fat pad between femur and tibial plateau. The tibial plateau is the proximal tibial surface on which the femur rests.
HFP is surrounded anteriorly by the patellar tendon and the joint capsule, superiorly by the inferior pole of the patella, inferiorly by the proximal tibia and the deep infrapatellar bursa, and posteriorly by the joint synovium .
The main function of the HFP is to reduce friction between the patella, the patellar tendon, and the deep skeletal structures. In addition, it prevents pinching of the synovial membrane and it facilitates the vascularization of adjacent structures.
Causes:-
cause is usually due to single or repetitive traumatic episodes.
when you extend your knee the fat pad act as a cushion and reduces friction between outer patella facets and quadriceps tendons .
when you flex your knee ,upper part of fat pad becomes tensioned, it moves backwards in the knee.
it develops gradually over time if you repeatedly move your knee.
This is when your knee is forced to move forward from its completely straight normal position.
You may have always been able to over straighten your knee, which is called knee hyperextension or genu recurvatum .
hyperextension sports such as basketball, volleyball or high jumping may also cause inflammation of Hoffa's pad.
Hoffa's disease is more frequent in young women and the symptoms are anterior knee pain when upstairs and downstairs.
Sign and Symptoms:-
Complaints of anterior knee pain occurs when playing hyperextension sports such as basketball ,volleyball or high jumping .effusion and inflammation may be occurs and decreases the ROM of joint , stair negotiation .
Symptoms may worsen if the knee is overly straightened or bent for too long a period. Complications may include an inability to fully straighten the knee.
Diagnosis:-
Hoffa's syndrome completely diagnosed by MRI .we have requirement of an experienced orthopaedics to diagnose it.
primary Assessment have to check the Active and Passive Range Of Motion(AROM/PROM) of Hip joint and Knee joint.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Presentation slides from our recent workshop on Myofascial Release. This workshop was delivered from our St John Street Clinic in Manchester on Saturday 17th March.
Overuse Bone and Tendon Injuries - Science and Theories of TomorrowSteve Pribut
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Osteitis pubis
1. fredric carson
Jr mora
osteitis pubis
1
I. Injury or condition - Osteitis pubis is an overuse injury characterized by tissue
damage and inflammation to the pelvis at the site where the two pubic bones join
(pubic symphysis), resulting in groin pain.
a. Causes:
i. Overload (and training errors)
1. Overload (or training errors).
2. Exercising on uneven ground.
3. Exercising on hard surfaces, like concrete.
4. Increasing exercise intensity or duration too quickly.
5. Beginning an exercise program after a long lay-off period.
6. Exercising in worn out or ill fitting shoes.
I. Biomechanical Inefficiencies
1) Muscular imbalances;
2) Leg length differences.
3) Poor running or walking mechanics;
4) Faulty foot and body mechanics and gait disturbances.
5) Tight, stiff muscles in the hips, groin and buttocks;
I. Mechanism of injury or etiology - 25 year old male plays in amture soccer
leauges. Complained of pain while performing a soccer push pass, tackling, and
directing the soccer ball. Doctor took MRI and said it was osteitis pubis.
II. signs and symptoms -
A. Signs:
i. Local tenderness would be the big one.
ii. Palpable or audible click over area
iii. Adductor spasm leading to reduced hip abduction
B. Symptoms:
i. Symptoms may occur 1 to 8 weeks after the triggering event. The
primary symptom of pain varies in severity and duration.
ii. Pain in the pelvic region with extension to the inner thighs – may
be abrupt onset .
iii. aggravating factors could include coughing, sneezing, micturition,
defecation, walking, sitting, getting up to standing, and stairs.
iv. May “waddle” from pain and a sensation of tightness in adductors.
2. fredric carson
Jr mora
osteitis pubis
2
III. management plan -
IV. Phase1 -
A. Goals: reduce inflammation and pain
B. Estimated length of time of phase (ELT): 72hrs
i. Soft Tissue Rehabilitation:
1. R.I.C.E.
V. phase2-
A. Goals: Encourage relaxation in abs and hip adductors.
B. Estimated length of time of phase (ELT): 2 weeks
i. Soft Tissue Rehabilitation:
1. Massage clockwise around abs.
2. Petrasauge adductors
3. Skin rolling on adductors
4. Continue crowding
Focused muscles- rectus abdominis and external and internal
oblique muscles, pectineus, adductor longus, adductor brevis,
adductor magnus, gracilis.
VI. Phase 3
A. Goals:
B. Estimated length of time of phase (ELT):
i. Soft Tissue Rehabilitation:
1. Massage clockwise around abs.
2. Petrasauge adductors
3. Skin rolling on adductors
4. Pin and stretch
5. Static pressure of abs
6. Trigger point
7. Stretch adductors
8. ROM adductors
9. Iliopsoas release
10.glute release
11.crossfiber, liner, circular friction
12.striping
3. fredric carson
Jr mora
osteitis pubis
3
13.thomas stretch
Focused muscles- abdominal muscles (rectus abdominis and external and
internal oblique muscles) attach distally to the inguinal ligament, conjoined
tendon, and pubic symphysis, whereas the adductor muscles (pectineus,
adductor longus, adductor brevis, adductor magnus, gracilis) arise from the
superior and inferior rami of the pubis. obturator externus and internus
C. exit criteria
D. Sustain balance bilaterally
E. Complete ROM
F. 90% strenght in affected muscles
VII. work cited
A. http://www.physioadvisor.com.au/10474150/osteitis-pubis-pubic-
symphysitis-physioadvisor.htm
B. http://physioworks.com.au/injuries-conditions-1/osteitis-pubis
C. http://injuryfix.com/archives/osteitis-pubis.php
D. http://painmuse.org/?p=291
