Enhance Pyhsio Blog

Sever’s Disease - Heel pain in children
Sever's disease is a common condition that is also referred to as calcaneal apophysitis. It is an inflammatory condition that causes pain around the heel. Bones in children consist of growth plates which is essentially a layer of cartilage near the end of the bones. These growth plates are not as strong as the rest of the bone but allows for new areas of bone development. Eventually, growth plates will solidify and fuse around the age of 13-15 for girls and 15-17 for boys. Who can get it? In the... Read more...
Total knee replacement (part 2) – what to expect in the intermediate term.
One of the common clinical presentations we see in people who have recently undergone a total knee replacement is a limp on the affected leg.  This can be due to muscle weakness, ongoing functional difficulties, pain or a residual sub-conscious lack of “trust” in the knee that has been replaced due to the altered sensations around the knee post-operatively.  It is regularly reported to us that an area of numbness exists on the outer side of the knee, which is often due to the nerve travelling across the front of... Read more...
Frozen Shoulder
Frozen shoulder, also known as adhesive capsulitis, is a condition affecting the joint capsule of the shoulder. It is characterised by inflammation of the capsule, leading to pain and stiffness with shoulder movements.   Frozen shoulder is categorised as either primary or secondary. Primary frozen shoulder occurs for no clear reason, while secondary frozen shoulder develops following an injury or surgery of the joint. Frozen shoulder usually follows a typical pattern and can be separated into three stages, freezing, frozen and thawing. The pain begins in the freezing stage as... Read more...
Plantar Fasciitis
What is it? Plantar fasciitis is a common condition of the foot and heel affecting both athletes and members of the general public. The plantar fascia is a fibrous band of tissue that attaches to the base of the heel and supports the muscles and arch on the base of the foot. When the plantar fascia becomes chronically irritated, it is referred to as plantar fasciitis. What are the symptoms? Plantar fasciitis is characterised by pain at the base of the heel. The pain is usually noticed upon waking when... Read more...
Tennis Elbow - how do we manage when pain comes into play?
Tennis elbow, or lateral epicondylitis is a common condition that affects a large amount of the population, particularly those of working age. It comes as a result of repetitive movement or mechanical overuse in the wrist and forearm muscles. This overuse or overload places a lot of stress on the Common Extensor Origin (CEO) tendon in the outside of our elbow, which leads to microscopic changes in the tendon itself, eventually causing pain and reduced function. Symptoms of tennis elbow include reduced grip strength and lifting strength, radiating pain during... Read more...
Tendinopathies of the lower limb
Tendinopathies of the lower limb are particularly common among runners and running based sports. The nature of these sports expose our limbs to high repetitive loads; this can increase the risk of tendon overuse in the lower extremity. The most commonly affected tendons are - Achilles Tendon, Peroneal Tendon and Tibialis Posterior Tendon. All tendinopathies are primarily driven by excessive load. The amount of load placed on our tissues is determine by both intrinsic (within the body) and extrinsic (outside the body) factors. Common intrinsic factors may include; Poor muscle... Read more...
Spinal Stenosis
What is spinal stenosis? The spinal cord, nerves and arteries are housed by the spine, which acts as a hard-electrical casing to support and protect these vulnerable structures. The spine has a hollow column that allows the spinal cord to run from the brain to the rest of the body. At each spinal segment, nerves exit the spine and supply the tissues of the body. There is also an intricate network of small veins and arteries that provide blood to the spinal cord and vertebrae, providing them with the nutrients... Read more...
ACL Tears
What is an ACL tear and how does it occur? The ACL, or anterior cruciate ligament, is a strong piece of connective tissue, which attaches the thigh bone (femur) to your leg bone (tibia). The ACL provides stability to the knee joint as it prevents the tibia from sliding forward relative to the femur. ACL tears are a common sporting injury; however, can also occur from everyday activities. The most typical mechanisms of injury are landing awkwardly from a jump, twisting the knee, or suddenly stopping while running. The ACL... Read more...
MRI Scans for non-specific lower back pain – can they lead us down the wrong treatment path?
It is not uncommon in a clinical setting to have patients consult us with nonspecific lower back pain. This is the type of pain that may or may not have had a trigger and may or may not have consistently reproducible aggravating factors.  The type of pain is often a mild, moderate or severe ache and often doesn’t radiate down the legs.  Functionally, this pain can often reduce a persons ability to do their normal daily activities and their workplace activities.  One thing we are often questioned about as health... Read more...
Musculoskeletal Injury Screening for Cricket Players
As cricket season looms large on the sporting horizon, it is important that we are at our physical best to safeguard ourselves against injury. In many cases, risk of injury can be detected during a musculoskeletal screening process, that often occurs prior to season commencement or during the early part of the season. What is a musculoskeletal screening? Performed under the instruction of trained physiotherapists, a musculoskeletal screen is a battery of tests and assessments performed to assist in identifying areas of concern or deficit that may increase the risk... Read more...
Iliotibial Band Syndrome
Iliotibial Band Syndrome (ITBS) is an injury pain commonly occurs on the outside of the knee. Previously this injury was believed to be caused by friction of the ITB on its attachment site at the knee, hence being call ‘ITB friction syndrome’. However, in recent years this injury has been found to be less due to friction, but more by compression of the tissue and the fat-pad lying beneath the ITB attachment point. Although most common in runners, ITB syndrome can also present in other active populations. The ITB is... Read more...
Total knee replacement - what to expect post-surgery.
The choice to undergo a total knee replacement is one that is best planned collaboratively with your orthopaedic surgeon and physiotherapist. One of the main points that we like to get across is that the surgery itself will help the structure of the knee, but the real hard work starts the moment you wake up from surgery. Within the first 24 hours (assuming there are no other complications),the hospital physiotherapist will assist you to get up out of bedand sit in a chair. This will progress over the following days... Read more...

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