Common Injuries Archives - Lucas Massage Therapy

25

Mar

Achilles Tendon Pain

Achilles Tendinitis

The Achilles tendon crosses the black of the heel, which means it rides over the bone as the muscle contracts and stretches. Inflammation of the Achilles tendon can be very painful; all of the body’s weight is supported by this structure and footwear often presses against this area. Repetitive stress to the tendon can lead to inflammation that causes additional irritation and further inflammation.

Activities such as basketball, running, volleyball and other running and jumping sports can lead to Achilles tendinitis.

Repetitive contraction of the muscles in the calf and improper footwear or excessive pronation of the feet can lead to inflammation in the tendon.

Cause of injury

Repetitive stress from running and jumping activities. Improper footwear or awkward landing pattern of the foot during running. Untreated injuries to the calf or Achilles tendon.

Signs and symptoms

Pain and tenderness in the tendon. Swelling may be present. Contraction of the calf muscle causes pain; running and jumping may be difficult.

Complications if left unattended

Inflammation in the tendon can lead to deterioration of the tendon and eventual rupture if left untreated. Inflammation may lead to tightening of the tendon and attached muscle which could lead to tearing.

Immediate treatment

Rest, reducing or discontinuing the offending activity. Ice. Anti-inflammatory medication. Then heat and massage to promote blood flow and healing.

Rehabilitation and prevention

After a period of rest, usually lasting 5-10 days, gentle stretching and strengthening exercises can be initiated. Heat may be used on the tendon before activity to warm-up, along with strengthening and stretching exercises for the calves, will help prevent tendinitis of the Achilles tendon.

Long-term prognosis

Tendinitis seldom has lingering effects if treated properly. Tendinitis may take from five days to several weeks to heal but rarely needs surgery to repair it.

18

Mar

Rotator Cuff Tendinitis

 

Rotator cuff tendinitis results from the irritation and inflammation of the tendons of the rotator cuff muscles in the area underlying the acromion. The condition is sometimes known as pitcher’s shoulder though it is a common injury in all sports requiring overhead arm movements, including tennis volleyball, swimming and weightlifting.

Massage for Rotator Cuff

Local massage is indicated in the subacute stage to increase circulation to the surrounding tissues, reduce edema, break up fascial adhesions or scar tissue, and to reestablish range of motion to the joint affected.

Cause of injury

Inflammation of the rotator cuff tendons from tennis, baseball, swimming etc. Irritation of the subacromial bursa of the rotator cuff causing inflammation and swelling in the subacromial space. Pre-existing disposition including anatomical irregularity.

Signs and symptoms

Weakness or pain with overhead activities, such as brushing hair, reaching up etc. Popping or cracking sensation in the shoulder. Pain in the injured shoulder, particularly when lying on it.

Complications if left unattended

Rotator cuff tendinitis can worsen without attention as the tendons and bursa become increasingly inflamed. Motion becomes more limited and tendon tears can cause further and in some cases chronic pain. Prolonged irritation may result in the production of bone spurs which contribute to further irritation.

Immediate treatment

Application of ice and use of anti-inflammatory medication. Discontinue all athletic and other activity causing rotator cuff pain. Then heat to promote blood flow and healing. 

Rehabilitation and prevention

Following rest and healing of the injured shoulder, physical therapy should be undertaken to strengthen the muscle of the rotator cuff. Occasionally steroid injections are required to reduce pain and inflammation. Moderation of rotator cuff use, adequate recovery time between athletic activities and strength training can all help avoid the injury.

Long-term prognosis

Given proper rest as well as physical therapy and ( where needed) steroidal injections, most athletes enjoy a full recovery from this injury. Should a serious tear of the rotator cuff tissue occur, surgery may be required although recovery to pre-injury levels of activity is usually expected.