Category: Injuries

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Carpal Tunnel Syndrome (CTS)

Presentation: Pins and needles into fingers and hand, weakness into hands, numbness into fingers and wrist, pain in forearm (non hairy side). Tendency to drop objects and sore wrist. Treatment: USS to reveal cross sectional area of medium nerve (needs to be over 10mm2 to be classed as CTS). If the cross-sectional area of the […]
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Plantar Fasciitis

Presentation Pain is in your arch of the foot and or in your heel. Very difficult to walk when you first get up in the morning. Difficult and painful after increased sitting tasks are performed. Treatment X-ray to exclude calcaneal spurs, osteoarthritis and stress / avulsion fractures. Ultrasound to confirm plantar fasciitis, tears in the […]
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Calcaneal Spur or heal pain

Presentation Pain in heal, pain is worst in the morning. You have a history of developing spurs in other parts of your body. Long history of pain in the heal ( > 3 months). You have worked on hard surfaces for > 3 months. Treatment X ray to reveal size of spur. USS to reveal […]
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Ankle Sprain / ATFL Tear

Presentation Bruising on the outside of ankle means grade 3 tears of the ligaments (can take up to 10 days for bruising to show), swelling > 0.5cm, unable to weight bear fully and hurts to move ankle. You must see Dr to get referral for Ultrasound to possibly reveal (tear) and x-ray (avulsion fracture). Grade […]
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Achilles

Presentation Pain and or tenderness on the Achilles tendon. Thickening or visible lump on Achilles tendon. Feeling or hearing a popping sound after stressful movement. Treatment USS and x-ray to reveal retrocalcaneal bursitis, thickening of Achilles tendon, tears, calcification at insertion, spurs and tendonitis. Day 1 – day 7 Anti-inflammation cream (see video) – can […]
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Tennis Elbow

Presentation Unable to extend (straighten) elbow, tender on palpation of lateral (outside) elbow, hurts to grip objects and swelling around lateral elbow. Forearm soreness (hairy side of arm). Dropping light objects, driving is difficult, sharp electric shocks into lateral elbow, unable to open handles and doors without pain. Treatment Ultrasound and x-ray (referral from doctor) […]
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