Move Physiotherapy | Sports Physiotherapy East Fremantle, Attadale & Bicton
Sports Physiotherapy is for anybody that is injured and wants to stay active. Regardless of whether you are looking to return to playing 9 holes of golf or competing in the next ultra-marathon; we have the expertise and capabilities to enhance your musculoskeletal well-being.
At Move Physiotherapy, our physiotherapists understand the requirements of most sports and are experienced in rehabilitating these injuries. We ensure each athlete receives a thorough physical examination, evidence-based treatment and comprehensive rehabilitation program utilising our fully equipped rehabilitation gymnasiums.
Our physiotherapists work with athletes young and old to prevent and treat injuries. We aim to have you following your sporting pursuits with enhanced strength, movement and vigor!
Move Physiotherapy East Fremantle proudly offers quality sports physio care to local residents in East Fremantle & surrounding areas including Bicton and Attadale.
COMMON SPORTS INJURIES IN PHYSIOTHERAPY
The sprained ankle is probably the most common injury in sports that involve rapid changes in direction or unstable surfaces, but adequate rehabilitation is often overlooked.
Swelling and periods of immobilisation can restrict your ankle range of movement, and if left untreated can create biomechanical asymmetries which can lead to further lower limb injuries. It is also important to fully regain strength and proprioception following these injuries.
ACL Injuries are an unfortunate reality in sports and can lead to a lengthy rehabilitation process. Although occasionally sustained through traumatic incidents, the majority of these injuries are non-contact and involve uncontrolled changes in direction. The incidence of ACL injuries is greater in female athletes compared to males.
Physiotherapy is a vital component in recovery from an ACL injury. Prior to the operation, your physiotherapist can guide you through acute management of your injury and if necessary, preparation for surgery. Following your surgery your physiotherapist will guide your rehabilitation to return you to sport without risk of reinjury.
Rotator cuff injuries are common in sports that involve repetitive upper limb movements such as tennis, golf and swimming. These injuries are generally predisposed by training and technique errors, too faster increases in training load and biomechanical abnormalities.
COMMON INJURIES IN RUNNERS
Patellofemoral Knee Pain Syndrome or ‘Runner’s Knee‘ is the most common cause of knee pain in the active population. The condition is often simply referred to as a patellar or knee cap maltracking disorder.
In this condition, the kneecap tracks slightly laterally to the patellofemoral groove where it should normally sit. When repetitively loaded through activities such as walking, running and even climbing stairs, it creates a friction between the underside of the kneecap on the underlying femur. This creates pain and inflammation.
The contributing factors in this condition include tightness through the quadriceps and ITB, weakness through the hamstrings, gluteal muscles and quadriceps and biomechanical faults during running. To address tightness, your physiotherapist may employ techniques such as massage or dry needling. A period of exercise rehabilitation is almost always required.
After knee pain, shin splints is the second most common lower limb complaint in the running population. This condition is characterised by a burning pain often experienced in the lower 2/3rds of the inner part of the shin. It is highly prevalent in persons who are increasing their training load or returning to running after a period of inactivity.
Treatment of this common injury often requires a comprehensive lower limb biomechanical analysis. Contributing factors often include poor foot posture (overly flat or arched feet), tightness through the calf muscles and weakness through the calves, hamstrings and gluteals.
To address this tightness your physiotherapist may utilise techniques such as massage and dry needling, in conjunction with a foam rolling home exercise program. Weaknesses can be addressed through a targeted rehabilitation program. A period of de-loading and running restriction is often required as you address these contributing factors.
Heel pain and plantar fasciitis is another common complaint in those who are increasing their training load.
NB: It is also common in those who spend a prolonged period of time on their feet throughout the day!
Risk factors for plantar fasciitis include abnormal foot posture, tightness through the calves and weakness though the posterior chain. Particularly, gluteal weakness can create a chain reaction causes internal rotation of your femur and tibia and flattens the foot during the weight bearing stage of running.
As plantar fasciitis is an overuse condition, treatment often requires a period of de-loading whilst the contributing factors are addressed. Your physiotherapist may even recommend orthotics.
COMMON INJURIES IN ROWERS
Due to the high technical nature of the sport in conjunction with continuous repetitive motion, injuries are common in the rowing population. Depending on the study, lower back pain is estimated to affect between 6 and 25% of rowers. The incidence of back pain episodes is 1.67 episodes of back pain per 1,000 hours of rowing.
Risk factors for developing back pain in the rowing factors include technique faults, restriction in hip range of movement which can prevent an athlete from achieving full compression of the hips in the catch position and thereby load up the lower back muscles. Furthermore, weakness and decreased endurance through the core muscles, gluteals and lumbar extensors can also predispose lower back pain in this population.
Your physiotherapist will utilise techniques such as joint mobilisation, massage and dry needling to restore any mobility restrictions. A comprehensive exercise rehabilitation program is also required. Your physiotherapist will also work in conjunction with your rowing coach to ensure proper technique.
Furthermore, stress fractures through the ribs are a commonly reported overuse injury in rowers. The burden of this injury is that is often requires 6-8 weeks of rest, meaning it is often season ending if sustained.
The risk factors leading to this injury are not well understood, but are suggested to include training errors, rapid increases in training load and low bone mineral density. They are also more common in female athletes than their male counterparts.
It is important to be aware of the early signs of rib fractures which commonly include pain in the chest wall, pain with coughing, sneezing and deep breathing and pain on palpation. It is highly important to not ‘push through’ this type of pain. If detected early, stress fractures can be avoided.
The repetitive wrist motion in rowing can also lead to forearm and wrist injuries including medial and lateral epicondylalgia… or quite simply, Golfer’s and Tennis elbow!
Tendinopathies are overuse or repetitive strain injuries. We have outlined the tendon pain pathology in a separate article here. These injuries will often common require a period of de-loading in addition to treatment of tight muscles which can increase compressive load onto the tendon. A strengthening program is then required to increase the load tolerance of the tendon to meet the demands of your training.
Technique faults such as gripping the oar too tightly also contribute to the development of these conditions.