Patellar tendonitis (PT) is a chronic overuse injury, associated with anterior knee pain sustained during activity, and is a result of the patella tendon becoming overstressed and inflamed (Kettunen et al., 2002). A tendon is defined as a dense, fibrous tissue which is made up of collagenous fibres and attaches muscles to other body parts; usually bones. The patella tendon is located on the anterior aspect of the knee, and is a continuation of the quadriceps tendon and attaching on to the patella and the tibial tuberosity (Kuntzman and Tortora, 2010) and is the main structure by which the knee straightens. When the quadriceps muscles contract, the patella tendon is pulled, and in turn this pulls on the tibia, causing the leg to straighten. …show more content…
Providing the injury is managed correctly, and the appropriate treatments are implemented, an athlete should be able to return to sport within 6 months for a mild or moderate injury, and between 9 and 12 months for a severe injury. The appropriate treatments for PT vary depending on the stage at which the injury is at; whether it be the inflammatory response phase, the fibroblastic repair stage or the maturation remodelling stage. Each one of these stages plays a crucial part towards the repair of an injury, and they all have their own individual characteristics and time scales throughout the process, however it is not a linear process, and an injury can move backwards and forwards throughout the …show more content…
In order to produce this tissue, fibroblasts are sent to the site of the injury where they begin to construct a new collagen matrix, which acts as a framework for which the new tissue cells can grow on to, and into which a new network of blood vessels form, a process known as
There are two different options you have after a torn ligament in the knee has occurred, you can undergo surgery or let the ligament heal naturally. Some reasons that you may go the natural route are the following: Partial tears in the ligament, young children with open growth plates, stability is not an issue and not involved in any activities that rely on your ACL daily (Cluett 26). It may be the best option to stay away from surgery if you are not involved in heavy physical activities and take care and rest your leg on its own. How this is done is with rest, ice, compressing and elevation, which is commonly referred to as RICE (Zelman 2). You can rest byy using crutches and laying down to take the weight off the injured leg, and ice should be applied every two hours for twenty minutes at a time while awake.
Osgood-Schlatter Disease Osgood-Schlatter disease is an inflammation of the area below your kneecap called the tibial tubercle. There is pain and tenderness in this area because of the inflammation. It is most often seen in children and adolescents during the time of growth spurts. The muscles and cord-like structures that attach muscle to bone (tendons) tighten as the bones are becoming longer. This puts more strain on areas of tendon attachment.
This injury may be caused by: A hit to the knee. Firmly pointing the foot outward and bending the knee with the thigh turned inward. This can happen when twisting or pivoting. RISK FACTORS This injury is more likely to develop in people who certain kinds of sports, including: Contact sports, such as soccer.
It is commonly caused by sudden stretching, repeated and overused a tendon with strain of a particular movement over time which injures the connection between the tendon and its bone or muscle. In the majority of cases, tendinitis develops in people whose jobs or hobbies involve repetitive movements; aggravating the tendons. There are several tendons in the shoulder that can be overused or stretched, and usually a shoulder will have more than one injury at a time which can also contribute to elbow and arm problems when its moved. Some people may find it painful to lie on the affected shoulder at night. Achilles tendinitis may also be caused by ill-fitting shoes, or those that do not properly support the foot.
Make sure you do physical therapy and go slow into your return to sports. If you return too early it will put you at a greater risk for reinjury which could further lead to bad knee problems like osteoarthritis. Osteoarthritis can cause your life to be very
While lifting onto the toes during backwards marching many muscles are used. The flexor digitorum longus is a muscle in the leg that extends from the posterior surface of the tibia to the foot, and assists the leg in plantar flexion of the foot. Originating in the lateral condyle of the tibia and the head and shaft of the fibula, and has an insertion of the tarsal and metatarsal bones. The flexor digitorum longus divides into four parts upon insertion, connecting to the terminal bones of the four lateral toes. The tibialis posterior is located on the posterior side of the leg just as the flexor digitorum longus is, this muscle is the deepest of the muscle on the back of the leg.
The purpose of this essay is to describe structure and function of the tendon, present a discussion on the process of pathophysiological Tendinopathy and provide a review of known intervention used to manage or treat both acute and chronic tendinopathies. Tendons act to serve a connective tissue linking muscle to bony attachment points and in the case of the intermediate tendons that will act to link a muscle belly to another (Benjamin and Kaiser, et al). Tendons are a uniaxial and assist in force transmission thus being able to withstand external forces from multiple planes and angles (Kannus, 2008). Tendons are also responsible for storage of power and changes in the mechanical energy of the body of which in turn reduces muscular work by
The damaged area then fades away gradually. The keloid scar forms because the skin gets too much collagen laid down on it after the damage. This heals the wound ‘too much’. Instead of then fading away like it should normally do, the tissue stays there.
In a world full of athletes a Physical therapist is a very viable asset to any athlete’s road to fame, because they provide support to the player, keep them healthy and in shape, and prepares them to get back on the field. As a Sports therapist you will work with athletes and exercise participants in order to help prevent, recognise, manage injuries and treat them if they should occur, and then rehabilitate the patient back to full fitness. Using the principles of exercise science, they incorporate physiological and pathological processes to make sure patients are training and competing safely and provide an immediate response when athletic related injuries occur. Work can be found in sports injury clinics or directly with a sports club or even as a personal therapist for an athlete, either professional or amateur.
ESC Biomarkers and their role in wound healing Wound healing involves a complex orchestration of processes that suppress infection and restore the dermal barrier. Healing begins immediately following the laceration to the epidermis with hemostasis, which includes initial vasoconstriction and thrombocyte clumping. Following is an influx of fibroblasts (which help clot the wound opening), and inflammatory macrophages. Next, granulation tissue creates a framework for forming permanent connective tissue. This last stage involves of matrix fiber reconstruction, angiogenesis, and cell differentiation and proliferation, and epidermal remodeling [1].
Platelets rich plasma for treatment of chronic plantar fasciitis Abstract Background Plantar fasciitis is a common cause of heel pain in adults. Many treatment options exist. Platelets rich plasma (PRP) is derived from autologous blood and con-tains high concentration of growth factors necessary for tis-sue healing. The use of PRP in the treatment of plantar fasciitis is a fairly recent and evolving concept.
The psychological response to injury can trigger serious mental health issues such as depression and anxiety. While physical response to injury can trigger such things as joint pain, knee pain or even pulled hamstring pain just name a few. While trying to recover from these injuries it puts a big strain on the body. The response to injury extends from the time immediately after injury, through to the post-injury phase and then rehabilitation to ultimately the return to activity. For most injuries or reoccurring injuries it’s important to address a health care provider such as physicians to know the constraints of the injury and how you should recover from it.
Wound healing Wound healing is an orchestrated biological process, which is a complex and dynamic biological process that involves cells, mediators, growth factors and cytokines (Yates et al., 2007). Wound healing is initiated by tissue injury and culminating in restoration of tissue integrity. There are five consecutive cascades of events in wound healing process. They are hemostasis, inflammation, migration, proliferation and maturation. The first stage includes hemostasis and inflammation, which occurs soon after the damage of skin.
Subsequently, neutrophils release cytokines, growth factors and proteases to amplify inflammation reactions, promote cell proliferation and degrade extracellular matrix as well as debris respectively. Second inflammatory cells that enter the injured tissues are the mature macrophages differentiated from the circulating monocytes. Among other functions, activated macrophages phagocytosed microbes, foreign materials, apoptotic neutrophils and dying tissues from the wound in preparation for repair. They also synthesize a multitude of pro-inflammatory mediators and cytokines to trigger and sustain inflammatory responses. Eventually, during the late-inflammatory phase, T-lymphocytes
Physical therapy is an important part of the healing process as it can help to alleviate pain and reduce any scar tissue (Therapeutic Health Organization,