Joint Stiffness
Stiffness is a symptom that is caused by many injuries and conditions. Stiffness episodes can vary in length, from thirty minutes to the duration of the day. This symptom can have many effects on the individual, including.
- Increased pain
- Reduced mobility
- Decreased confidence with normal activities
- Reduced range of movement
Physiotherapists can provide exercises that can help improve joint movement and reduce stiffness. These exercises are generally designed to either increase the range of motion of the joints or to increase the flexibility of body muscles, nerves and connective tissue. Exercises that improve the range of motion in joints include hip rolls, hip swings, trunk rotation exercises, shoulder rolls, side bends, among many others. Stretching exercises, particularly those focused on the lower extremities, tend to increase flexibility. In addition to exercise prescription physiotherapists use a range of techniques to improve joint stiffness. This includes joint manipulation and mobilisation or massage and dry needling to improve muscle flexibility.
Spot Pain Relief
Therapeutic ultrasound is often used by physiotherapists to reduce pain, increase circulation and increase mobility of soft tissues. Additionally, the application of ultrasound can be helpful in the reduction of inflammation, reducing pain and the healing of injuries and wounds.
Muscle Spasm
A spasm may be a twitch in the muscle or may feel tight or hard, like a knot. After the contraction stops, the muscle can feel sore and tender. Sometimes severe spasms can be incapacitating.
stretches for back spasms:
Tennis ball stretch:
- Lie down on the floor or on a bed with a tennis ball (or another small ball) under the area with the spasm for a few minutes.
- Try to relax and breathe normally.
- Move the ball to an adjoining spot and repeat.
Foam roller stretch:
- Lie on the floor with a foam roller perpendicular to your spine.
- Move your back over the roller, up to your shoulder blades, and down to your belly button.
- Keep your arms crossed on your chest.
Exercise ball stretch:
- Sit on an exercise ball and lie back, so that your back, shoulders, and buttocks are stretched out on the ball, with your feet flat on the floor. Do this near a chair or couch so that you can hold on if you lose your balance.
- Lie stretched out for a few minutes.
Calcific bursitis
Calcific bursitis is the inflammation of bursa, a synovial fluid-filled pouch present around joints that reduces friction between bones during movement. Bursa is mainly present in the shoulder and hip joints. Calcific bursitis is caused due to deposition of calcium in the joints.
Calcific bursitis does not have any specific cause but the individuals with a history of gout, diabetes, calcific tendinitis and rheumatoid arthritis are at the risk of developing this condition. Frequent joint injuries and/or bacterial infection lead to accumulation of fluid and inflammation of bursa. The untreated bursitis builds up deposits of calcium in the soft tissues.
The first sign of calcific bursitis is inflammation of the joints.
Other Symptoms
- Stiffness of the affected joint
- Persistent joint pain
- Lack of movement
Myositis
Myositis is a general description for chronic, progressive inflammation of the muscles. Some types of myositis are associated with skin rashes.
This rare disease can be difficult to diagnose, and the cause is sometimes unknown. Symptoms can appear rapidly or gradually over time. Primary symptoms may include muscle pain and soreness, fatigue, trouble swallowing, and difficulty breathing.
Types of myositis
The five types of myositis are:
- Dermatomyositis
- Inclusion-Body Myositis
- Juvenile Myositis
- Polymyositis
- Toxic Myositis
Capsular Tightness
The shoulder joint capsule refers to the group of ligaments that encapsulate the shoulder's ball-and-socket joint. These ligaments connect the humerus (the upper arm bone) to the glenoid (the shoulder's socket) and stabilize the joint.
This technique allows for the elongation of capsular joints across all planes. It is especially useful when dealing with articulations that have been used very little and have lost their elasticity, beginning to harden.
Tightness the capsular joints stimulates the synovial glands to produce a liquid lubricant which facilitates the sliding movements of the articular joints.
Capsular joints are prone to calcification with age, causing pain and difficulty of movement. This kind of treatment can slow the aging of the joints, in turn slowing this physiological process.
Capsular Tightness exercises can help to reduce intra-articular pressure and facilitate separation of the articular surfaces.
These treatments are often used to treat disorders that cause shoulder pain, especially those affecting the posterior portion of the capsular joint.
Typically, the rehabilitator will help the patient to stretch at first before the patient later learns to stretch unassisted.
Capsulitis
Adhesive capsulitis (AC), often referred to as Frozen Shoulder, is characterized by initially painful and later progressively restricted active and passive glenohumeral (GH) joint range of motion with spontaneous complete or nearly-complete recovery over a varied period of time.
Common names for AC include:
- Frozen Shoulder
- Painful stiff shoulder
- Periarthritis
Scar Tissue Healing
Scars are the normal and unavoidable outcomes of tissue healing where the fibrous tissue replaces normal tissue as a part of the remodeling phase of wound healing. The collagen synthesized initially is random and constituting bulky fibers, which eventually remodels along the lines of tension. As this normal process occurs there is a risk of adhesions in the adjacent tissues. Eventually, these collagen fibers are replaced with stronger and more organized collagen, representing a smoother dan flat scar which is paler in appearance.
A scar that stays within the boundaries of the original wound is a firm scar.
Keloid
Scars that progressively encroach on the surrounding area of skin tissue resulting in a cosmetic and emotional distress. They frequently develop in areas rich in blood supply like the ear lobe or the presternal area.
Hypertrophic scars
Prolonged inflammation causes excessive collagen deposition with an increased adhesiveness and contractility of the scar. The resulting scare is red, vascular, immobile and raised. This can adversely affect range of motion and cause functional limitations when present around a joint.
Lingment Sprains :
A sprain is a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in your joints. The most common location for a sprain is in your ankle.
Initial treatment includes rest, ice, compression and elevation. Mild sprains can be successfully treated at home. Severe sprains sometimes require surgery to repair torn ligaments.
The difference between a sprain and a strain is that a sprain injures the bands of tissue that connect two bones together, while a strain involves an injury to a muscle or to the band of tissue that attaches a muscle to a bone.
Lateral Epicondylitis
Lateral epicondylitis, also known as "Tennis Elbow", is the most common overuse syndrome in the elbow. It is a tendinopathy injury involving the extensor muscles of the forearm. These muscles originate on the lateral epicondylar region of the distal humerus. In a lot of cases, the insertion of the extensor carpi radialis brevis is involved.
Sinus And Rhinitis Treatment
Sinusitis is the inflammation and or infection of your sinuses. It can cause mild to major discomfort and can have varying symptoms. The sinuses are air-filled spaces within the bones of the face. They are located in the cheeks (maxillary), forehead (frontal) and around the eyes (ethmoidal). Most people have experienced acute sinusitis with a cold or flu, however the symptoms should resolve within a few days to weeks. Chronic sinusitis is when cavities around nasal passages (sinuses) become inflamed and swollen for at least 12 weeks, despite treatment attempts.
Symptoms
- Pressure and “heaviness” feeling in face
- Nasal blockage
- Pressure changes with head movement
- Headache
- Possible pain around jaw and the TMJ (temporomandibular joint)
- Loss of the senses of smell and taste
- Coloured mucusRunning nose and coughing
- Running nose and coughing
- Feeling unwell and run down
Chronic Sinusitis
If you experience frequent sinus issues/ infections or ongoing symptoms similar to the ones mentioned above, you may be experiencing chronic sinusitis. Chronic sinusitis can be caused by many factors and seeking assistance from your GP is recommended. Chronic sinusitis can linger for weeks or even months at a time that can go on to cause secondary issues and further complications such as middle ear infections, excessive post-nasal dripping, coughing and bad breath.