A very real concern for patients! Good video!
IS YOUR OR YOUR PATIENT'S KNEE CRACKING??? THEN YOU NEED TO WATCH THIS VIDEO!!!
We have learned from Robertson et al. (2017) that knee crepitations can lead to ...worrying, anxiety and eventually to fear-avoiding behaviour. Research shows that most health professionals don't properly assess or ignore their patient's questions about it, which can send them into a negative downward spiral!
Therefore, it's important that we as health professionals are able to re-assure our patients and to properly explain our patients the meaning of their knee crepitus!
Ideally, just show them this video!!!
TAG A FRIEND WHO NEEDS TO SEE THIS!!!
Today, we will be finishing up our 10 part series on common football injuries. We will be discussing concussions, otherwise known as a mild traumatic brain injury. Concussions are usually caused by blows to the head, such as a "helmet to helmet" contact in football. The effects are usually temporary, but they can exhibit headaches and problems with memory, focusing, and balance/coordination. Also, not all concussions cause you to lose consciousness, so its possible to hav...e a concussion and not realize it. A few common symptoms include: slurred speech, fatigue, confusion, delayed response to questions, and amnesia. Symptoms can last for days, weeks, or even longer. Regarding athletes, they should never return to play or vigorous activity while signs/symptoms of a concussion are present. Treatment of a concussion includes rest, including physical and mental rest, which is a very important aspect of recovery! Usually your symptoms will gradually diminish, and your doctor will clear you for sports!
Today is number 9 on our 10 part series on common football injuries. Today, we will be discussing the injury called "turf toe." Turf toe involves injury to the main joint of the big toe. It happens when the big toe is forcibly bent up into too much extension such as when an athlete pushes off the ball of his foot into a sprint! These injuries most often occur with American football players who play on artificial grass, aka, "turf." The RICE protocol is usually implemented for treatment of turf toe in addition with NSAIDs and physical therapy. Most cases of turf toe addressed early typically heal without the need for surgery. Physical therapy can help get the player back to normal sports activity, but certain long term complications could become present. Complications include, lack of push-off strength, stiffness, and bunions.
We are getting close to the end of our 10 part series on common football injuries! Today we will be discussing muscle contusions. A muscle contusion is defined as an acute muscle injury caused by blunt trauma with associated hematoma(pooling of blood due to damaged blood vessels). This injury is very common in football, and one of the most common spots are the quadricep muscles. A helmet could directly come into contact with the quadricep muscle causing a contusion. Pret...ty much any part of the body that is susceptible to direct blows are subject to muscle contusions. Acute management after this injury includes the "PRICE" protocol. "P" stands for protect. "R" stands for rest. "I" stands for ice. "C" stands for compression. "E" stands for elevation. After the acute stage of recovery, physical therapy can be implemented to promote movement and begin to improve muscle function. Ongoing rehabilitation will help get the athlete back to sport specific/functional training and back to their sport! Muscles have good blood supply and receive good nutrients, therefore a contusion usually takes 2-3 weeks, depending on the severity of injury, to recover from.
Ahhh, I'm sure nearly everyone has heard of a hamstring strain. They are very common injuries in sports. A hamstring strain is an injury to one or more of the muscles on the back of the thigh. The hamstring muscle group is comprised of 3 separate muscles, and they start from the bottom of the pelvis and cross the knee joint. They function to extend your thigh back, and they also bend your knee. Hamstring strains are grouped in 3 grades. Grade 1 would be considered a ver...y mild injury, and grade 3 would be considered a complete tear of the muscle. Muscle overload(when a muscle is stretched beyond its capacity or challenged with a sudden load) is the main cause of hamstring strains. Risk factors include tight muscles, poor endurance, muscle fatigue, and muscle imbalances. Symptoms of a hamstring strain include swelling, pain, muscle weakness, and possibly bruising/discoloration. Treatment for a hamstring strain is dependent on the type and severity of the injury. Most hamstring strains heal very well with simple non-surgical treatment. Treatment includes rest, ice, compression, elevation, and physical therapy with a focus on increasing flexibility. Most people who injure their hamstrings fully recover to full function after completing a rehabilitation plan.
In this 6th part of this 10 part series, we will be going over meniscus tears. Your menisci(plural for meniscus) are two wedge shaped pieces of cartilage between your thighbone and your shin bone that act as "shock absorbers." They help to cushion the joint and help keep the joint stable. There are two meniscus in each knee. One is called the medial meniscus(on the inside of the knee), and the other is called the lateral meniscus(on the outside of the knee). There are de...generative tears, and there are sudden tears. Older people are more likely to develop degenerative tears due to the natural aging process. Cartilage weakens and wears thin over time. On the other end, you can develop sudden tears which are what you see in sports. Players may squat and twist the knee a certain way causing a tear. Symptoms of a sudden meniscus tear include: pain, stiffness/edema, the feeling of your knee "giving out", and also the athlete may feel a pop at the time of injury. Over the next 2-3 days, your knee will slowly become more stiff and swollen. After discussing your symptoms with your MD, he will examine your knee through special test and imaging. How your meniscus tear will be treated will be up to you and your MD. Non surgical treatment includes physical therapy, rest, ice, and NSAIDs(Advil, Ibuprofen). If your symptoms persist and do not improve, your MD may suggest surgical treatment. Depending on the type of surgery you have will determine the timeframe an athlete can return to play! Usually its anywhere from 4 weeks to 3 months. Meniscus injuries are very common injuries in the sport of football, and with proper diagnosis, treatment, and rehab, patients often return to normal pre-injury abilities.
Well, we are half way through our 10 post series on common football injuries! Today, we will be going over hernias, specifically sports hernias, also known as athletic pubalgia. Let's start with what a hernia actually is. A sports hernia is a strain or tear to any of the soft tissue(tendons, ligaments, or muscles) in the groin or lower abdomen. The soft tissues that are most vulnerable include the tendons that attach your oblique muscles and your thigh muscles(specificall...y your adductors) to your pubic bone. Sports hernias are usually caused when an athlete has their feet planted and twists with a lot of exertion thus putting strain on the oblique tendon attachments. The key symptom includes severe pain at the time of injury. One thing to note is that sports hernias do not cause a visible bulge in the groin compared to the more common inguinal hernia. After injury, your doctor will evaluate you with physical tests and imaging tests such as MRI/X-ray. Usually nonsurgical treatment including rest, physical therapy, and anti-inflammatory medication will suffice in the recovery of a sports hernia, but surgery is sometimes needed depending on the severity of the injury. If nonsurgical treatment is chosen, 4-6 weeks of physical therapy will resolve any pain and allow the athlete to return to sports; however, if an athlete chooses surgery, 6-12 weeks of physical therapy is needed. Some notable NFL players that have suffered from sports hernias include, Sammie Coates, Adrian Peterson, and Tyrod Taylor!
Let us continue with the football injury series today with AC sprains! The AC joint or acromioclavicular joint is where the shoulder blade meets the collarbone. It is a common site for injury regarding shoulder injuries in football. It is most commonly caused in football when a player is tackled. The direct impact or impact with the ground from the tackle can cause an AC joint injury. An AC sprain is graded 3 ways depending in the severity if the sprain as the below picture depicts. After injury, your MD will access the injury through physical examination and X-rays. Most AC sprains do not require surgery, and conservative treatment including rest, ice, NSAIDS, and physical therapy is usually recommended to return to sports.
Welcome to the 3rd part of this series. We will be going over the common ankle sprain, specifically the lateral ankle sprain. Lateral ankle sprains are the most common foot/ankle injury with regards to football players. During a lateral ankle sprain, the ankle rolls outward resulting to damage to the ligaments on the outside of the ankle. These sprains are more common with lineman and skill players who have to plant and pivot on their feet more often. The below picture d...epicts how a lateral ankle sprain happens. At the moment of injury, the player usually reports a "popping" feeling in their ankle. Common complaints of an acute lateral ankle sprain are usually pain, tenderness, swelling, and the inability to put all of their weight through their foot without limping. As with all sprains, they are categorized in 3 different grades: grade I, grade II, and grade III. Whether the player has a grade I,II,III lateral ankle sprain, physical therapy is usually always utilized to help return the player to play as soon as possible. After the player returns to play, usually preventative measures are taken to protect the injured ankle by ways of bracing and certain taping techniques performed by an athletic trainer.
On to the 2nd part of this 10 part series, which is the all to common MCL sprain! MCL stands for medial collateral ligament, which is the ligament on the inside part of your knee that prevents the knee from feeling like it is going to buckle inward. As with the ACL and all ligament sprains, they are categorized by 3 different grades: grade I, grade II, and grade III! The picture below depicts all 3 grades. As the below picture shows, the MCL is most commonly sprained from... a direct blow to the outside of the knee. Pain is usually the most common complaint along side swelling and stiffness. After injury, common physical therapy treatment includes exercises to strengthen the surrounding muscle groups of the knee, rest, and modalities such as ice, ultrasound, and electrical stimulation. Fortunately, most MCL sprains do not require surgery, but there are certain instances were surgery is recommended. Recovery may take up to several weeks and sometimes a few months depending on the severity of the sprain. After returning to play, a hinged brace is usually prescribed to the athlete to further give the knee extra support. Most of the time recovery after an MCL sprain will allow the athlete to return to all activities without any lasting effects.
Ah, the infamous ACL sprain! Well first, the acronym ACL stands for anterior cruciate ligament, and it is one of the 4 significant ligaments in your knee joint. It is a key ligament for knee stabilization while cutting, pivoting, side stepping, and other movements related to football. According to the American Orthopedic Society for Sports Medicine, around 150,000 ACL injuries occur in the US every year, and also according to the American Academy of Orthopedic Surgeons, 70%... of ACL injuries are non-contact in nature with the remaining 30% caused by contact with other players. As you can see in the below picture, there are 3 different grades of sprains with grade 3 being a complete rupture of the ACL. After the official diagnosis from an orthopedic doctor, you have two options for treatment including surgical treatment and non-surgical treatment. It is up to you and your doctor to collaborate with one another and find out which option is best for you. Whether you choose the surgical option or the non-surgical option, physical therapy plays a vital role in the rehabilitative process. Physical therapy's goal during rehabilitation includes edema/pain management, maintaining/increasing knee range of motion, and strengthening the quadriceps and hamstring muscles. With physical therapy, you can quickly be on your way to recovery , and we here at Cornerstone of Batesville would love to help you with your recovery process!