Does my child have Sever’s?
- Children complain of heel pain that is usually worse after activity
- Pain that lasts more than 1 week
- Noticing them walking on tip toes
What is Sever’s?
- Typically it occurs during or immediately following a growth spurt around the ages of 9-14yrs
- Sever’s is a condition where the growth plate at the heel is put under strain by the Achilles
- There is no damage occurring at the time but the condition can be quite painful
- Common when there is an increase in weight-bearing activity
- Pain on activity can last anywhere from 6 to 12 months
How do you treat it?
- DON’T STRETCH!!! (Your Physio will tell you when)
- Treatment consists of conservative management initially to reduce inflammation
- Activity modification – reduction of weight-bearing activities for between 2 – 8 weeks
- Heel lift /tape/heel cup and/or orthotics as well as appropriate and supportive footwear
- Stretches and exercises must be graduated to ensure effective recovery
- Each case of Sever’s is individual and professional PHYSIO4ALL guidance is essential for complete recovery
Speak to our physiotherapists today on advice on Sever’s, or about any concerns. Give us a call on 9922 2212!
- The typical structure that is sprained is the ATFL a ligament that holds your outside ankle stable on the rest of the foot
- Other structures can involve ligaments on the inside of the ankle, across the front and intricate ligaments that stabilise the tarsals(small bones) of the foot.
- Fractures are possible and can vary from very small fragments of bone, hairline fractures and those requiring a rigid boot and/or surgery
- The amount of damage done depends on the number of fibres snapped in the ligaments affected
- Even simple ankle sprains should be thoroughly assessed by PHYSIO4ALL to prevent further injury
How long does it take?
- Every ankle sprain is different, most will heal in 2-4 weeks
- BUT every sprain needs to be properly rehabilitated otherwise repetitive sprains and what feels like a “weak ankle” will ensue
- Most people (not all) that wear strapping or braces just need to go through the correct series of exercises!
How do you fix it?
- Your physiotherapist will firstly assess the ankle, reduce swelling, massage and friction the affected ligaments to break up scar tissue and strap.
- A very strict regime of stretches, strength, co-ordination and balance exercises will be prescribed over the course of the recovery period.
- In most cases both the good and bad ankles will be more stable than before the sprain!!!!!
Speak to our physiotherapists today on advice on how to improve your ankle strength, or about any concerns. Give us a call on 9922 2212!
- Pain is the body’s alarm system that alerts you to danger and protects you. It is an essential part of life and makes you move differently, think differently and behave differently, which also makes it vital for healing.
- This alarm system has sensors scattered all over the body which picks up messages that are sent to the brain.
- The brain processes these messages and, if it concludes you are in danger and need to take action, it will produce pain.
Everyone experiences pain differently
- Messages evaluated by your brain involves complex memory, reasoning and emotional processes
- Age, gender, culture all influence how we experience pain.
PAIN experience does not necessarily relate to the amount of tissue damage
- When pain persists, the danger alarm system becomes more sensitive.
- Sensitisation means the brain is being told that there is more danger at the tissues than there actually is.
- Thoughts and beliefs become more involved and start contributing to the problem. Any increase in adrenaline and changed cortisol levels from increased stress will sensitise the alarm system, reduce healing and can increase the sensation of pain
Modern Management Models
- Make sure that any injury or disease which requires urgent medical attention is dealt with. All ongoing pain states require a medical examination.
- Make sure any prescribed help makes sense to you and to the understanding of your problem.
- Have ALL your questions answered satisfactorily.
- Avoid total dependence on any practitioner. YOU must take control.
- Always have goals that are understood by both you and your clinician. These could be physical, social and work goals which allow some quantifiable way of measuring progress.
Current research strongly supports the use of exercise to help manage chronic pain. Group exercise is even better and therefore we strongly recommend our Clinical Pilates Program. Speak to our physiotherapists about a specific exercise program to help with your pain. Give us a call on 9922 2212!
- Increased activity rates in higher sports such as soccer, AFL and even skiing.
- Girls <15yrs at higher risk due to delayed development of co-ordination
- Males far more prevalent between 15-24yrs due to increased velocity and impact sports
- The playing surfaces of Australia are considerably harder due to:
1. Climate much drier
2. Type of grass (too much traction…)
3. Playing surface (e.g. netball, tennis)
4. Picking up sports at later ages delays co-ordination, as opposed to playing a sport your whole life
5. Increased number of jumping sports with challenging landing patterns (AFL, soccer, rugby)
How do ACLs occur?
- Most ACL tears stem from sudden twisting of the knee e.g. landing from a jump involving deceleration at the foot and knee
- Often a loud ‘pop’ is heard, but not always. This is accompanied with swelling usually within hours.
- An absent ACL creates instability in the knee on twisting movements and sudden stopping.
So how do we prevent ACLs?
- Specific PLYOMETRIC and PROPRIOCEPTIVE exercises have shown to significantly decrease the incidence of ACL ruptures.
- e.g. jumping with cones, sprints with change of direction, challenging your capacity to land with control.
- There are specific programmes for each sport available such as the PEP program.
How to fix an ACL
- An active adolescent or adult will usually require reconstructive surgery.
- Where a person wants to return to a low level of activity, or a low knee impact sport then it is possible to continue without an ACL
- If you suspect an ACL or any knee injury, you should consult PHYSIO4ALL as soon as possible. Call us now on 9922 2212.