Rotator Cuff Tears

A rotator cuff tear means that one or more tendons of a group of muscles stabilizing the shoulder – called the rotator cuff – is torn either partially or fully.

The rotator cuff consists of four muscles that help stabilize the humerus (upper arm bone), in the shoulder socket during arm movements.

The shoulder has great mobility but is prone to injury during falls or accidents, or in case of altered motor control.

A tear of the rotator cuff can cause but is not limited to, pain at the shoulder and sometimes the scapula, loss of strength and active range of motion, and sometimes localized swelling.

Pain or weakness is often felt when lifting the arm overhead or when lowering it from an elevated position. Pain may also be present at night. In more advanced cases, one may additionally feel pain during the day while at rest.

Relative rest is a good way to protect your shoulder and prevent further damage, but it’s important to avoid overprotecting your injury. A few days rest where you avoid pain-inducing movement and activities might be necessary. Returning to your activities of daily living, light cardiovascular exercise and specific mobility and strengthening exercises will allow better recovery.

Treatment of rotator cuff injuries consists of Acupuncture, Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Plantar Fasciitis

Plantar fasciitis is a lesion that generally occurs during significant and repetitive stress on the plantar fascia.

It can occur in people who perform activities or sports that involve jumping, running, or sprinting.

Typically, this injury occurs during a period in which training intensity or volume has been increased too quickly with inadequate recovery. The practice of a new activity, a change of training surface, and a rushed transition to another type of shoes can be risk factors.

Plantar fasciitis can produce, but is not limited to, pain on weight bearing and sometimes edema under the arch of the foot near the heel.

The pain is often characterized as a needle-like sensation. Symptoms are usually present upon waking up, particularly during the first few steps.

Treatment of plantar fasciitis consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Kneecap Pain

Patellofemoral syndrome is an irritation of the articular surface between the kneecap and the femur, your thigh bone, that causes pain under and around the kneecap.

Climbing stairs, running and walking for a prolonged period of time often increases pain. Pain can also be felt after sitting for a long time or squatting.

Patellofemoral pain is more prevalent among young women than men, and more prevalent in the active population.

Patellofemoral syndrome can cause, but is not limited to, pain at the front of the knee, difficulty with weight-bearing and squatting and sometimes swelling. Pain can also irradiate under and around the knee. Creaking or grinding sensations can occur during physical activity.

Treatment of Patellofemoral Syndrome consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Pain on the inside of the knee?

Pes anserine bursitis is the irritation of the bursa on the inside of the tibia, near the knee joint. This bony area constitutes an insertion zone for three muscles: the sartorius, the gracilis and the semitendinosus.

Sports and activities that require these muscles to be repeatedly contracted or stretched while running, hiking, or any other extended activity can cause irritation of the bursa and sometimes inflammation. Pes anserine bursitis may be associated with an injury to the tendons in that area. It can occur as a result of trauma directly to the knee. Muscle imbalance in the hip or knee may also contribute to the onset of symptoms.

Pes anserine bursitis can produce, but is not limited to pain on the inside of the knee, localized edema due to swelling of the bursa and reduced mobility in the knee. Symptoms are usually worse while running, walking on a sloping surface and climbing stairs.

Treatment of hamstring injuries consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Jumper’s Knee

Patellar tendinitis, also known as jumper’s knee, is an injury that usually occurs when the patellar tendon is subjected to significant repetitive or prolonged overload. This overload causes irritation of the tendon and it can become painful.

This condition mainly affects people who perform activities involving jumping, running, or speeding.

Typically, this injury occurs during a period where training intensity and/or volume has been increased too quickly with inadequate recovery.

The patellar tendon is the main structure involved in this condition. This tendon is a band of connective tissue whose function is to attach the lower part of the patella to the tibia. It is tensed when thigh muscles, such as the quadriceps, contract during activity, or in positions where the knee is bent.

Patellar tendinopathy can produce, but is not limited to, pain in the front of the knee, difficulty in weight bearing and squatting, and swelling.

Treatment of jumper’s knee consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Patellar Bursitis

Patellar bursitis is the irritation of the bursa in the front of the knee, just below the kneecap. It is covered by the patellar tendon that connects the kneecap to the tibia.

Sports and activities that require the quadriceps muscles to be repeatedly contracted or stretched while running, hiking, or any other extended activity can cause irritation of the bursa and sometimes inflammation. Patellar bursitis may also occur as a result of trauma directly to the knee.

Patellar bursitis can produce, but is not limited to, pain in the front of the knee, localized edema due to swelling of the bursa and reduced mobility in the knee. Symptoms are usually worse while running, walking on a sloping surface, climbing and descending stairs, and squatting.

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Big Bump On Your Knee?

Osgood-Schlatter disease is a common condition that affects the knee joint in growing, active children and adolescents.

It corresponds to an inflammation of the patellar tendon and the tibial tuberosity, where the tendon attaches to the tibia. Over time, this inflammation causes a bump under the kneecap and creates pain in the front of the knee. The pain is often increased with activity and usually improves with rest.

Osgood-Schlatter disease is a consequence of overuse, commonly seen in sports that require a lot of running, jumping and pivoting such as football, basketball and gymnastics.

This condition usually occurs in children and adolescents whose bones are not fully developed, most often in women between the ages of 8 and 13 and in men between the ages of 10 and 15.

This condition is most commonly seen in just one knee, but in 25% of cases it occurs in both knees.

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Olecranon Bursitis

Olecranon bursitis is irritation of the bursa in the elbow. This bursa is located directly between the skin and the bony tip of the elbow and its function is to protect the elbow mainly during acute direct or repeated trauma.

Activities and sports that require repetitive contraction or tensioning of the triceps muscle of the arm, or prolonged pressure on the elbow can cause bursa irritation and sometimes inflammation. Bursitis can also occur in the presence of an inflammatory condition such as rheumatoid arthritis.

Treatment of Olecranon #Bursitis consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area.

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Knee Arthritis

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Osteoarthritis of the knee is a condition that can cause pain and alteration of normal biomechanics. To date, the exact causes of osteoarthritis have not yet been fully identified. It is completely normal to have a mild level of osteoarthritis as you age. However, more advanced stages of osteoarthritis can affect the ability to perform physical activities, which may include activities of daily living.

An exacerbation of symptoms usually occurs during a period when the level of physical activity has increased drastically. Direct trauma to the knee can increase symptoms of osteoarthritis.

Treatment of Knee Arthritis consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Ischial Bursitis

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Ischial bursitis is the irritation of the bursa at the bony prominence behind the pelvis, called ischial tuberosity. This bony prominence represents an insertion zone for several muscles, including the hamstrings, and provides support in the sitting position.

Activities and sports that require the hamstring muscles to be repeatedly contracted or stretched during running, jumping or kicking can cause irritation of the bursa and sometimes inflammation. Ischial bursitis usually results from injury to the hamstring tendons. Prolonged sitting on a hard surface or falling on the buttocks can also aggravate the irritation.

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