Arthritis is a general term meaning “joint inflammation”. The most common type of arthritis is osteoarthritis (OA). There are several causes for OA, such as a trauma as a child or young, adult, postural imbalance, repetitive stress, and heavy manual labor to name a few. Physio Logic is successful at treating this condition with numerous conservative treatment options.
Bursitis is the inflammation or irritation of the bursa. The bursa is a sac filled with lubricating fluid, located between tissues such as bone, muscle, tendons and skin, that decreases rubbing, friction, and irritation. Bursitis is most often caused by repetitive, minor impact on the area, or from a sudden, more serious injury. Age also plays a role. As tendons age they are able to tolerate stress less, are less elastic, and are easier to tear. Overuse or injury to the joint at work or play can also increase a person’s risk of bursitis. Incorrect posture at work or home and poor stretching or conditioning before exercise can also lead to bursitis.
ITB SYNDROME: Iliotibial band syndrome (ITBS or IT band syndrome) is an overuse injury of the tissues located on the outer part of thigh and knee. It causes pain and tenderness in those areas, especially just above the knee joint. Iliotibial band syndrome is more common in runners and bicyclists.
The iliotibial band is a thick band of tissue that begins at the iliac crest in the pelvis, runs down the outer part of the thigh, and crosses the knee to attach into the top part of the tibia or shinbone. The iliotibial (IT) band helps stabilize the outside part of the knee through its range of motion. When the knee is flexed, the IT band is located behind the femoral epicondyle, a bony outcropping of the femur or thighbone at the knee. The IT band moves forward across the condyle when the knee is extended. There is a sac or bursa that allows the band to glide across the condyle, but should inflammation occur in this area, the increased friction from repeatedly rubbing the iliotibial band across the bony condyle can cause pain, especially along the outer (lateral) aspect of the knee joint.
If the symptoms are ignored, the inflammation can continue and scarring can occur in the bursa, decreasing knee range of motion and causing increasing pain with decreasing activity.
Joint pain is discomfort that arises from any joint — the point where two or more bones meet. Joint pain is sometimes called arthritis or arthralgia. Joint pain can be mild, causing some soreness each time you move your joint. Or joint pain can be severe, making it impossible to use your joint.
A sprain is a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in your joints.
Nerve entrapment is the repeated and long-term nerve compression in nerves near joints that are affected by inflammation or swelling. Symptoms may be discomfort and weakness, and sensations of numbness, tingling or burning.
Tendinitis is inflammation or irritation of a tendon — any one of the thick fibrous cords that attaches muscle to bone. The condition causes pain and tenderness just outside a joint.
A strain is a stretching or tearing of muscle or tendon. A tendon is a fibrous cord of tissue that connects muscles to bones.
Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain). The piriformis muscle is a small muscle located deep in the buttock under the gluteus maximus muscle. It starts at the lower spine and connects to the upper surface of each femur (thighbone) and functions to assist in rotating the hip and turning the leg and foot outward. It runs diagonally, with the sciatic nerve running vertically directly beneath it (although in some people the nerve can run through the muscle). The exact causes of piriformis syndrome are unknown. Suspected causes include: Muscle spasm in the piriformis muscle, either because of irritation in the piriformis muscle itself, or irritation of a nearby structure such as the sacroiliac joint or hip; tightening of the muscle, in response to injury or spasm; swelling of the piriformis muscle, due to injury or spasm; or bleeding in the area of the piriformis muscle.
Any one or combination of the above problems can affect the piriformis muscle (causing buttock pain) and may affect the adjacent sciatic nerve (causing pain, tingling, or numbness in the back of the thigh, calf, or foot).
Pain at the front of the hip may be due to a Hip Flexor muscle strain. The Iliopsoas muscle is most commonly affected. The Iliopsoas muscle is comprised of the Iliacus and Psoas muscles. The Iliopsoas sits deep down, in front of the hip joint, its main job being to flex the hip (bringing the leg out in front of the body) as when kicking a ball.
The Iliopsoas attaches to the thigh bone via the Iliopsoas tendon. In between this tendon and the hip joint lies the Iliopsoas bursa (a small sac of fluid). Iliopsoas Syndrome is the name given to a condition in which the tendon and/or the bursa become inflamed and irritated.
A person suffering from Iliopsoas syndrome may have pain in the hip and thigh region, as well as hip stiffness and in some cases a clicking or snapping hip. Treatment aims to settle the condition down and then improve the strength and flexibility of the hip muscles.
Common Iliopsoas Syndrome signs & symptoms are: Pain when lifting the knee up, pain when attempting to kick, and pain during hip flexor stretch.