OTHER ORTHOPaEDIC Conditions
- Dequirvain’ s tenosynovitis
It is a painful condition affecting the tendons on the thumb side of your wrist. Although the exact cause of de Quervain’s tenosynovitis isn’t known, any activity that relies on repetitive hand or wrist movement — such as working in the garden, playing golf or racket sports, or lifting your baby — can make it worse.
-Pain & Swelling near the base of your thumb
-Difficulty in grasping or pinching
-A “sticking” or “stop-and-go” sensation in your thumb when moving it.
- Rheumatoid arthritis
It is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition can damage a wide variety of body systems, including the skin, eyes, lungs, heart and blood vessels. An autoimmune disorder, rheumatoid arthritis occurs when your immune system mistakenly attacks your own body’s tissues.
Signs and symptoms of rheumatoid arthritis may include:
-Tender, warm, swollen joints
-Joint stiffness that is usually worse in the mornings and after inactivity
-Fatigue, fever and loss of appetite.
3. Tennis elbow/golfers elbow
Tennis elbow (lateral epicondylitis) & golfer’s elbow(medial epicondylitis) are painful condition that occurs when tendons in your elbow are overloaded, usually by repetitive motions of the wrist and arm. Despite its name, athletes aren’t the only people who develop tennis & golfer’s elbow. People whose jobs feature the types of motions that can lead to tennis or golfer’s elbow include plumbers, painters, carpenters and butchers.
-The pain associated with tennis elbow may radiate from the outside of your elbow into your forearm and wrist. Pain and weakness may make it difficult to:
-Shake hands or grip an object
-Turn a doorknob
-Hold a coffee cup
4. Plantar fasciitis
It is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of each foot and connects the heel bone to the toes (plantar fascia). It commonly causes stabbing pain that usually occurs with your first steps in the morning. As you get up and move, the pain normally decreases, but it might return after long periods of standing or when you stand up after sitting pain from plantar fasciitis develops gradually over time. The pain can be dull or sharp. Some people feel a burning or ache on the bottom of the foot extending outward from the heel. After prolonged activity, the pain can flare up due to increased irritation or inflammation. People with plantar fasciitis don’t usually feel pain during the activity, but rather just after stopping.
5. Patellar tendinitis
It is an injury to the tendon connecting your kneecap (patella) to your shinbone. The patellar tendon works with the muscles at the front of your thigh to extend your knee so that you can kick, run and jump. Patellar tendinitis, also known as jumper’s knee, is most common in athletes whose sports involve frequent jumping — such as basketball and volleyball.
-Pain is the first symptom of patellar tendinitis, usually between your kneecap and where the tendon attaches to your shinbone.
-Initially, you may only feel pain in your knee as you begin physical activity or just after an intense workout. Over time, the pain worsens and starts to interfere with playing your sport. Eventually, the pain interferes with daily movements such as climbing stairs or rising from a chair.
6. Chondromalacia patella (anterior knee pain)
It is the softening and breakdown of the tissue (cartilage) on the underside of the kneecap (patella). Pain results when the knee and the thigh bone (femur) rub together. Dull, aching pain and/or a feeling of grinding when the knee is flexed may occur. The most important thing in chondromalacia patella is to rest the knee with Physiotherapy
Dull, aching pain that is felt Behind the kneecap
,Below the kneecap ,On the sides of the kneecap.A feeling of grinding when the knee is flexed may occur. This can happen doing knee bends,Going down stairs,Running down hill,Standing up after sitting for awhile.
7. Anterior cruciate ligament injury
An ACL injury is a tear /sprain to one of the strong bands of tissue that help connect your thigh bone (femur) to your shinbone (tibia). ACL injuries most commonly occur during sports that involve sudden stops or changes in direction, jumping and landing — such as soccer, basketball, football and downhill skiing.
-A loud pop or a “popping” sensation in the knee
-Severe pain and inability to continue activity,Rapid swelling,Loss of range of motion
-A feeling of instability or “giving way” with weight bearing
8 Posterior cruciate ligament (PCL)
It connects your upper leg to your lower leg. Even though your PCL is stronger and larger than your anterior cruciate ligament (ACL), it can still be injured. People with a PCL injury may have pain, swelling and other symptom
Pain that worsens over time. Swelling and inflammation. A feeling of instability in the knee. Stiffness. Difficulty walking. Trouble going down the stairs Ankle sprain. A sprained ankle is an injury that occurs when you roll, twist or turn your ankle in an awkward way. This can stretch or tear the tough bands of tissue (ligaments) that help hold your ankle bones together. Ligaments help stabilize joints, preventing excessive movement. A sprained ankle occurs when the ligaments are forced beyond their normal range of motion. Most sprained ankles involve injuries to the ligaments on the outer side of the ankle.
-It vary depending on the severity of the injury.
-Pain, especially when you bear weight on the affected foot tenderness when you touch the ankle,Swelling,Bruising,Restricted range of motion,Instability in the ankle,Popping sensation or sound at the time of injury.
9. Patellar maltracking syndrome
Patellar tracking disorder, also known as patellar maltracking, is a condition in which the kneecap (patella) moves sideways from its groove when the leg is bent or straightened.
Symptoms of patellar tracking disorder include pain, and possibly swelling, in the front of the knee, that increases when you squat, jump, kneel, run, or walk downstairs a popping, grinding, slipping, or catching feeling when you bend your knee, a feeling that your knee is buckling under you.
10. Calcaneal spur
A heel spur is a calcium deposit causing a bony protrusion on the underside of the heel bone.
-Sharp pain like a knife in the heel when standing up in the morning.
-A dull ache in the heel throughout the rest of the day.
-Inflammation and swelling at the front of the heel.
-Heat radiating from the affected area.
-Small, visible bone-like protrusion under the heel.
11. Frozen shoulder/adhesive capsulitis
A condition characterized by stiffness and pain in your shoulder joint. Signs and symptoms typically begin gradually, worsen over time and then resolve, usually within one to three years.
-Frozen shoulder typically develops slowly, and in three stages. Each stage can last a number of months.
-Freezing stage : Any movement of your shoulder causes pain, and your shoulder’s range of motion starts to become limited.
-Frozen stage : Pain may begin to diminish during this stage. However, your shoulder becomes stiffer, and using it becomes more difficult.
-Thawing stage: The range of motion in your shoulder begins to improve.
Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body. Sciatica most commonly occurs when a herniated disk, bone spur on the spine or narrowing of the spine (spinal stenosis) compresses part of the nerve. This causes inflammation, pain and often some numbness in the affected leg. Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica. You might feel the discomfort almost anywhere along the nerve pathway, but it’s especially likely to follow a path from your low back to your buttock and the back of your thigh and calf. The pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating pain. Sometimes it can feel like a jolt or electric shock. It can be worse when you cough or sneeze, and prolonged sitting can aggravate symptoms. Usually only one side of your body is affected. Some people also have numbness, tingling or muscle weakness in the affected leg or foot. You might have pain in one part of your leg and numbness in another part.
13. Piriformis syndrome
A disorder in which the piriformis muscle in the buttocks irritates the sciatic nerve.
Symptoms include pain, tingling or numbness in the buttocks and down the leg, which may worsen after sitting for a long time, climbing stairs, walking or running.
14. Scapular dyskinesia
Scapular rotation is important for proper shoulder function. The Scapula (shoulder blade) also serves as a stable base for rotator cuff activation and functioning. Any bony or soft tissue injury around the shoulder can alter the roles of the scapula in motion or at rest. Scapular dyskinesis (which may also be referred to as SICK scapula syndrome) is an alteration or deviation in the normal resting or active position of the scapula during shoulder movement. For most people, the scapula moves in abnormal ways due to the repetitive use of the shoulder. These changes, though sometimes asymptomatic, can increase the chances of injury.
Common Signs and Symptoms:
-Pain and or tenderness around the scapula when using the arm overhead or carrying heavy objects with the arm at the side.
-Snapping or popping sensation around the scapula with shoulder movement
-Loss of strength with shoulder and arm use.
-Asymmetrical posture (effected side usually sits lower)
-Winging of the scapula
-Instability of the shoulder (feels like it moves out of place)
15. Prolapsed intervertebral disc
A herniated disc in the spine is a condition during which a nucleus pulposus is displaced from intervertebral space. It is a common cause of back pain. The patient’s who experience pain related to a herniated disc often remember an inciting event that caused their pain. Unlike mechanical back pain, herniated disc pain is often burning or stinging, and may radiate into the lower extremity. Furthermore, in more severe cases, there can be associated with weakness or sensation changes. In some instances, a herniated disc injury may compress the nerve or the spinal cord causing pain consistent with nerve compression or spinal cord dysfunction, also known as myelopathy.
Herniated Disc’s: Can be very painful. Within a few weeks, most cases of painful disc herniation heal. In many instances, the herniation of the disc does not cause that patient any pain. Herniated discs are often seen on MRI of asymptomatic patients (MRI is the imaging modality of choice). The management of disc herniation requires an interprofessional team. The initial treatment should be conservative, unless a patient has severe neurological compromise. Surgery is usually the last resort as it does not always result in predictable results. Patients are often left with residual pain and neurological deficits, which are often worse after surgery. Physical therapy is the key for most patients. The outcomes depend on many factors but those who particpate in regular exercise and maintain a healthy body weight have better outcomes than people who are sedentary.
16. Baker’s cyst
fluid-filled cyst behind the knee. A Baker’s cyst is usually the result of knee-joint conditions, such as arthritis or torn cartilage, that cause the knee to produce too much lubricating fluid.
Symptoms, when they occur, may include a bulge and tight feeling behind the knee.
17. Pes anserine bursitis
It’s an inflammatory condition of bursa of the conjoined insertion of the sartorius, gracilis and semitendinosus. We can locate this at the proximal medial aspect of the Knee, two inches below the medial knee joint line between the pes anserinus tendons.
Pes Anserine bursitis causes pain on the inside of the knee (mostly during running or taking stairs). The patient may experience spontaneous anteromedial knee pain on climbing or descending stairs and tenderness at the PA . As well, the region around the bursa will be swollen or tender to touch
inflammation of one or both of your sacroiliac joints — situated where your lower spine and pelvis connect. Sacroiliitis can cause pain in your buttocks or lower back, and can extend down one or both legs. Prolonged standing or stair climbing can worsen the pain.
pain associated with sacroiliitis most commonly occurs in the buttocks and lower back. It can also affect the legs, groin and even the feet. Sacroiliitis pain can be aggravated by:
-Bearing more weight on one leg than the other
-Taking large strides