Author: Dr Dharam

Thumb Pain That Slows You Down : De Quervain’s Tenosynovitis

Posted on by Dr Dharam

Introduction

  • Thumb and wrist pain can silently affect daily tasks and sports performance. One common cause is De Quervain’s tenosynovitis. At Elite Physiotherapy and Sports Injury Centre, we manage this condition with precision and advanced care. Our approach focuses on pain relief, tendon healing, and safe return to activity.

What Is De Quervain’s Tenosynovitis?

  • Wrist tendon inflammation is known as De Quervain’s tenosynovitis. The tendons of the extensor pollicis brevis and abductor pollicis longus are involved. These tendons pass through the first dorsal compartment of the wrist. Inflammation makes thumb movements more painful and increases friction.

Causes of De Quervain’s Tenosynovitis

  • Tendon loading is increased by a number of reasons.
  • Repetitive thumb and wrist motions are common reasons.
  • Nowadays, the extended use of mobile phones is a significant factor.
  • Frequent lifting of infants might also cause problems.
  • Risk is increased by manual labor, weight training, and racquet sports.
  • Tendon stress is exacerbated by poor wrist biomechanics.

Clinical Features and Symptoms

  • Usually, symptoms appear gradually.
  • The thumb side of the wrist starts to hurt.
  • Gripping or pinching activities exacerbate pain.
  • It is possible to see swelling close to the radial styloid.
  • Weakness with lifting is a common complaint from patients.
  • You can feel crepitus when you move your thumb.

Special Physiotherapy Tests

  • Finkelstein’s Test
    • The patient clenches their thumb into a fist.
    • Gently shift the wrist into ulnar deviation.
    • Positivity is indicated by sharp pain across the radial wrist.
  • Eichhoff’s Test
    • The patient bends the thumb into the palm.
    • The examiner deviates the wrist ulnarward.
    • Pain reproduction supports the diagnosis.

Physiotherapy Management at Elite Physiotherapy

  • Physiotherapy is the gold-standard conservative treatment. We provide individualized, goal-oriented care. Our main goals are to reduce pain, heal tendons, and restore function.

Pain and Inflammation Control

  • Thumb spica taping reduces tendon strain.
  • Cryotherapy is used for acute pain control.

Advanced Electro-Physical Modalities

Manual Therapy Techniques

  • Soft tissue mobilization reduces tendon adhesions.
  • Myofascial release improves local circulation.
  • Joint mobilization restores wrist biomechanics.
  • These techniques reduce mechanical stress on tendons.

Dry Needling and Cupping Therapy

  • Dry needling targets myofascial trigger points.
  • It reduces muscle overactivity around the wrist.
  • Cupping improves blood flow and tissue nutrition.
  • Both techniques support faster pain reduction.

Therapeutic Exercise Program

  • Exercise forms the core of rehabilitation.
  • Isometric thumb exercises begin early.
  • Progressive resistance training follows gradually.
  • Eccentric loading strengthens tendon fibers.
  • Grip strengthening restores hand function.
  • Proprioceptive drills improve movement control.

Why Choose Elite Physiotherapy and Sports Injury Centre?

  • We deliver evidence-based physiotherapy care.
  • Each program is data-driven and customized.
  • Faster recovery is possible by advanced modalities.
  • Sports and work-related injuries are among our areas of expertise.
  • We prioritize long-term outcomes over short-term respite.

Conclusion

  • Expert physiotherapy works well for De Quervain’s tenosynovitis.
  • Early management can prevent chronic pain and disability.
  • We effectively restore pain-free thumb function at Elite Physiotherapy.
  • Make an appointment for your evaluation to advance more quickly and effectively.

TFCC Tear: The Hidden Cause of Ulnar Wrist Pain

Posted on by Dr Dharam

Introduction

  • Ulnar-sided (Pinky finger side) wrist pain often limits grip, push, and rotational activities. One common yet overlooked reason is a TFCC injury.
  • At Elite Physiotherapy and Sports Injury Centre, we specialize in precise diagnosis and advanced physiotherapy-led recovery.

What Is the Triangular Fibrocartilage Complex (TFCC)?

  • On the ulnar side of the wrist, the TFCC is a strong fibrocartilaginous structure.
  • When the forearm rotates, it keeps the distal radioulnar joint stable.
  • Additionally, it relieves pressure between the carpal and ulna bones.
  • As a result, it is essential to wrist performance and stability.

Causes of TFCC Injury

  • Trauma or degeneration are the causes of TFCC damage.
  • A fall on an outstretched hand is one of the common reasons.
  • The TFCC can also be harmed by sudden wrist twisting when playing sports.
  • Risk is increased by repetitive loading in weightlifting, wrestling, and gymnastics.
  • Furthermore, compressive stress is increased by positive ulnar variance.

Types and Classification of TFCC Injuries

  • TFCC injuries are broadly classified into two groups.
  1. Traumatic TFCC Tears
  • These result from acute injury.
  • They are common in athletes and active individuals.
  1. Degenerative TFCC Tears
  • These develop gradually with age or repetitive stress.
    They are common in manual workers and veteran athletes.

Clinical Features and Symptoms

  • Patients typically complain of ulnar wrist pain.
  • When squeezing or rotating the forearm, pain intensifies.
  • It’s typical to report clicking or catching feelings.
  • Reduced load tolerance and wrist weakness are common symptoms.
  • In acute situations, there may be swelling.

Special Physiotherapy Tests for diagnosis

  1. TFCC Compression Test:
    • Ulnar deviation with axial loading reproduces deep ulnar wrist pain.
  2. Supination Lift Test:
    • Pain occurs when lifting against resistance with supinated forearm.
  3. Press Test:
    • Pain appears while pushing up from a seated position.
  • Positive findings guide targeted physiotherapy planning.

Physiotherapy Management of TFCC Injury

  • Physiotherapy is the cornerstone of conservative TFCC management.
  • Our approach is personalized, progressive, and evidence-based.

Phase 1: Pain and Inflammation Control

  • Our first goal is to lessen pain and swelling.
  • The healing TFCC is protected by activity modulation.
  • External support is provided by wrist bracing or tape.
  • High Intensity Laser Therapy accelerates tissue healing.
    • It reduces inflammation and improves microcirculation.
  • Super Inductive System (SIS) decreases pain and muscle guarding.
    • It also improves neuromuscular activation safely.

Phase 2: Mobility and Stability Restoration

  • Controlled mobility starts as soon as the discomfort subsides.
  • We progressively regain range of motion in the wrist and forearm.
  • Painless movements are emphasized.
  • Exercises for stabilizing the distal radioulnar joint are presented.
  • Joint awareness and control are enhanced by proprioceptive training.

Phase 3: Strengthening and Load Progression

  • Strengthening focuses on forearm rotators and wrist stabilizers.
  • Eccentric and isometric exercises are carefully progressed.
  • Grip endurance training restores functional capacity.
  • Shock Wave Therapy may be used in chronic degenerative cases.
    • It stimulates tissue regeneration and pain modulation.

Phase 4: Advanced Modalities and Soft Tissue Care

  • Dry Needling reduces myofascial tightness around the wrist and forearm.
    • It improves movement efficiency and pain tolerance.
  • Cupping Therapy enhances local blood flow and fascial mobility.
    • It supports recovery in chronic and overuse presentations.

Phase 5: Return to Sport and Prevention

  • Sport-specific drills are gradually introduced.
  • Load management strategies reduce reinjury risk.
  • Technique correction improves long-term wrist health.
  • Return-to-sport decisions are criteria-based, not time-based.

Why choose Elite Physiotherapy and Sports Injury Centre for TFCC injury?

  • We combine advanced technology with expert clinical reasoning.
  • Each TFCC case receives individualized attention.
  • Our focus remains on complete recovery and performance optimization.
  • We treat athletes, professionals, and active individuals alike.

Conclusion

  • TFCC injuries demand early diagnosis and expert physiotherapy care.
  • Ignoring symptoms can lead to chronic wrist instability.
  • With advanced modalities and structured rehabilitation, recovery is achievable.

Swollen Tip of the Elbow: Understanding Olecranon Bursitis

Posted on by Dr Dharam

What Is Subcutaneous Olecranon Bursitis?

  • Inflammation of the bursa over the point of the elbow is known as subcutaneous olecranon bursitis.
  • This bursa is located between the olecranon process and the skin.
  • It typically lessens friction when moving the elbow.
  • On the other hand, inflammation results in swelling and fluid buildup.
  • Pain and functional limitations may consequently arise.
  • The condition is often treated conservatively at Elite Physiotherapy and Sports Injury Centre.
  • Early physiotherapy guarantees a quicker recovery and guards against recurrence.

Causes of Subcutaneous Olecranon Bursitis

  • Stress that occurs frequently or suddenly might cause olecranon bursitis.
  • Typical reasons consist of:
    • Frequently resting on your elbows when working or training
    • Direct injury or an elbow fall
    • Extended pressure while performing floor workouts
    • Overuse in contact sports and throwing
    • After a skin abrasion, infection
    • Associated conditions like gout or rheumatoid arthritis
  • For tailored physiotherapy care, determining the precise etiology is crucial.

Clinical Features and Symptoms

  • Firm or soft, variable swelling
  • Pain that is mild to moderate
  • Palpable local tenderness
  • In acute situations, warmth and redness
  • limited flexion of the elbow because of edema
  • Elbow pain when leaning or loading
  • Elbow range of motion, however, typically stays full.

Special Tests and Examination Techniques

  • Testing for Elbow Range of Motion
    • The majority of movement is still painless.
    • Pain increases with compression, not movement.
  • Bursal Compression Test
    • The symptoms are replicated with little pressure over the bursa.
    • Superficial bursal involvement is confirmed by this.
  • Resisted Muscle Testing
    • There is no pain associated with triceps resistance.
    • This distinguishes tendon pathology from bursitis.
  • Observation While Performing Functional Tasks
    • When bearing weight via the elbows, pain intensifies.

Detailed Physiotherapy Management

  • Physiotherapy remains the cornerstone of treatment.
  • Treatment focuses on inflammation control, load modification, and prevention.

Phase 1: Pain and Inflammation Control

  • Initially, reducing swelling is the priority.
  • Activity modification is advised immediately
  • Elbow padding prevents further compression
  • Cryotherapy helps reduce inflammation
  • Compression taping supports the bursa
  • Gentle active range exercises maintain mobility
  • At this stage, aggressive loading is strictly avoided.

2nd Phase: Advanced Electro-Physical Modalities

  • Elite Physiotherapy uses advanced technology for faster recovery.
    • High Intensity Laser Therapy
      • This reduces inflammation at the cellular level.
        It accelerates tissue healing and fluid resorption.
    • Super Inductive System (SIS)
      • SIS improves circulation and lymphatic drainage.
        It also reduces pain without direct contact.
    • Shock Wave Therapy
      • Shock waves stimulate tissue regeneration.
        They are useful in chronic, non-resolving bursitis.
        However, intensity is carefully controlled.
  • These modalities significantly shorten recovery time.

Phase 3: Manual Therapy and Soft Tissue Care

  • Manual techniques are applied once the pain reduces.
  • Gentle myofascial release around the elbow
  • Soft tissue mobilization of the triceps region
  • Skin and fascia mobility restoration
  • If indicated:
    • Cupping Therapy
      • Cupping improves local blood flow.
        It reduces tissue congestion and stiffness.
    • Dry Needling
      • Dry needling addresses surrounding muscle tightness.
        It helps normalize loading patterns around the elbow.
  • These techniques are always applied judiciously.

4th Phase: Strengthening and Load Re-education

  • Once swelling subsides, strengthening begins.
  • Progressive triceps strengthening
  • Forearm flexor and extensor conditioning
  • Scapular and shoulder stability exercises
  • Kinetic chain strengthening
  • Importantly, load tolerance is rebuilt gradually.

5th Phase: Functional and Sport-Specific Training

  • Finally, functional retraining is introduced.
  • Weight-bearing tolerance training
  • Technique correction during sports skills
  • Ergonomic advice for workplace activities
  • Return-to-sport criteria followed strictly
  • This phase prevents recurrence effectively.

Why Choose Elite Physiotherapy and Sports Injury Centre?

  • Elite Physiotherapy delivers evidence-based and personalized care.
  • Every program is athlete-centric and goal-oriented.
  • Advanced modalities are integrated with manual therapy.
  • Return-to-sport decisions are data-driven and safe.
  • As a result, outcomes are faster and long-lasting.

Prevention Tips

  • Avoid prolonged elbow pressure
  • Use protective padding during training
  • Correct faulty techniques early
  • Maintain upper limb strength and balance
  • Seek early physiotherapy assessment
  • Early care prevents chronic complications.

Conclusion

  • Subcutaneous olecranon bursitis is a common but manageable condition.
  • Timely physiotherapy ensures complete recovery.
  • Advanced modalities enhance healing significantly.
  • At Elite Physiotherapy and Sports Injury Centre, care is precise and personalized.
  • Therefore, ignoring elbow swelling should never be an option.

Radial Collateral Ligament (LCL) of Elbow Injury

Posted on by Dr Dharam

Understanding the Radial Collateral Ligament of the Elbow

  • An important factor in joint stability is the elbow’s Radial collateral ligament.
  • It shields the elbow from undue varus strain.
  • Additionally, it keeps the forearm rotating smoothly during everyday and athletic tasks.
  • We regularly treat Radial elbow instability in athletes and active people at Elite Physiotherapy and Sports Injury Centre.

What Is the Radial Collateral Ligament of the Elbow?

  • The Radial collateral ligament complex lies on the outer side of the elbow.
  • It joins the ulna to the Radial epicondyle of the humerus.
  • It provides both static and dynamic stability by collaborating with the surrounding muscles.
  • During pushing and weight-bearing activities, it stops the elbow from opening abnormally.

Components and Classification

  • The Radial collateral ligament is a complex structure.
  • It includes several distinct parts.
  1. Radial Collateral Ligament
  2. Lateral Ulnar Collateral Ligament
  3. Annular Ligament

Causes of Radial Collateral Ligament Injury

  • Overload or trauma are the most common causes of Radial ligament injury.
  • The following are typical causes.
    • Fall on an outstretched hand with elbow extension
    • Repetitive pushing activities
    • Throwing sports with poor biomechanics
    • Elbow dislocations
    • Sudden varus stress during contact sports
  • At Elite Physiotherapy, we also see chronic injuries from improper training load.

Clinical Features and Symptoms

  • The intensity of the injury determines the symptoms.
  • Nonetheless, the following are typical clinical characteristics.
    • Pain in the lateral elbow
    • A sense of weakness or instability
    • Pain when pushing out of a chair
    • The sense of clicking or catching
    • Inadequate grasp strength
    • A decrease in self-assurance when participating in sports
    • When bearing weight on the hand, pain often worsens.

Diagnostic Methods and Investigations

  • Accurate diagnosis is essential for complete recovery.
  • At Elite Physiotherapy and Sports Injury Centre, we follow a structured approach.
    • Clinical Examination – Detailed history, Palpation, Range of motion, and functional tasks are assessed carefully.
    • Imaging Investigations- MRI provides a detailed visualization of ligament damage.

Physiotherapy Assessment Techniques

  1. Varus Stress Test
  2. Posterolateral Rotatory Instability Test
  3. Chair Push-Up Test

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

  • Physiotherapy is the first line of treatment in most cases.
  • Our management is individualized and sports-specific.

Phase 1: Pain and Protection

  • Initially, the focus is on pain control.
  • Activity modification prevents further ligament stress.
  • Cryotherapy and protective taping are used strategically.
  • Early gentle mobility prevents stiffness.

2nd Phase: Restore Mobility and Muscle Activation

  • Gradual range of motion exercises are introduced.
  • Forearm, wrist, and elbow mobility are restored carefully.
  • Isometric strengthening begins for pain-free activation.
  • Scapular stabilizers are trained simultaneously.

3rd Phase: Strengthening and Dynamic Stability

  • Progressive resistance exercises are introduced gradually.
  • Emphasis is placed on the wrist extensors and flexors.
  • The flexor-pronator and extensor-supinator groups are strengthened.
  • Closed-chain exercises improve joint co-contraction.
  • Proprioceptive drills enhance neuromuscular control.

Phase 4: Functional and Sports-Specific Training

  • Functional loading prepares the elbow for real demands.
  • Physiotherapists retrain throwing, pushing, or grappling patterns.
  • Kinetic chain integration reduces elbow overload.
  • Clinicians follow return-to-sport criteria strictly.

Advanced Physiotherapy Modalities Used

  • At Elite Physiotherapy, advanced technology enhances recovery.
  1. Shock Wave Therapy
  2. Super Inductive System
  3. High Intensity Laser Therapy
  4. Dry Needling and Cupping Therapy

Prevention and Long-Term Care

  • Prevention is essential for lasting elbow health.
  • Correct biomechanics reduce ligament stress.
  • Strength balance across the upper limb is crucial.
  • Regular mobility and recovery sessions prevent overload.
  • At Elite Physiotherapy, education is part of every program.

Why Choose Elite Physiotherapy and Sports Injury Centre?

  • We combine clinical expertise with advanced technology.
  • Physiotherapists personalize every program and focus it on clear goals.
  • Athletes receive sport-specific rehabilitation strategies.
  • Our focus remains on safe return to performance.

Final Words

  • You should never ignore Radial collateral ligament injuries.
  • Early physiotherapy ensures stability and confidence.
  • With expert care, full recovery is achievable.

Book your assessment at Elite Physiotherapy and Sports Injury Centre today.

Elbow Annular Ligament Injury: A Complete Physiotherapy Guide for Faster Elbow Recovery

Posted on by Dr Dharam

Introduction

  • Elbow mobility and stability are impacted by annular ligament injury. Athletes and active people are more likely to have the disorder. The annular ligament permits smooth forearm rotation while stabilizing the radial head. Everyday activities and sports become uncomfortable when one is injured.
  • For these kinds of problems, Elite Physiotherapy and Sports Injury Centre offers sophisticated evaluation and top-notch physiotherapy treatment. Our evidence-based methods guarantee a quick and secure recuperation.

What Is an Annular Ligament Injury?

  • The annular ligament surrounds the radial head. During pronation and supination, it maintains joint alignment. When a ligament tears or stretches, damage results. Pain and instability result from the elbow’s loss of smooth rotational control.

Causes of Annular Ligament Injury

  • Sudden pulling force on the forearm
  • Fall on an outstretched hand
  • Repetitive overhead activities
  • Forceful twisting of the forearm
  • Direct trauma to the lateral elbow
  • Poor lifting biomechanics during sports
  • Weak dynamic stabilizers around the elbow

Types / Classification

  1. Annular Ligament Sprain
    • The fibers stretch without structural disruption. Pain appears during movement.
  2. Partial Tear
    • Some fibers tear. Pain increases during rotation and lifting.
  3. Complete Tear / Radial Head Subluxation
    • The ligament fails to hold the radial head. A “pulled elbow” may occur.

Clinical Features / Signs & Symptoms

  • Sharp lateral elbow pain
  • Pain during pronation and supination
  • Tenderness over the radial head
  • Weak grip strength
  • Difficulty lifting objects
  • Clicking or catching sensation
  • Limited end-range elbow rotation
  • Mild swelling around the lateral elbow
  • Feeling of instability while rotating the forearm

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

  • Our centre uses the latest sports physiotherapy protocols designed for athletes and active individuals. We employ advanced technology and personalized care for optimal recovery.

1. Pain and Inflammation Management

  • We begin by reducing acute pain.
  • Cryotherapy aids in reducing edema.
  • Strain is lessened by gentle protection positions.
  • In the early stages, we steer clear of aggressive movement.

2. Manual Therapy

  • Manual techniques restore soft tissue mobility.
  • Joint alignment is improved by mild radial head mobilization.
  • Muscle guarding is lessened by soft tissue relaxation.
  • Circulation is enhanced by myofascial procedures.

3. High-End Modalities at Elite Physiotherapy

  1. Shock Wave Therapy
    • Tissue repair is helped by shock waves.
    • It promotes the production of collagen and lessens chronic inflammation.
    • In cases of chronic annular ligament irritation, it is effective.
  2. Super Inductive System (SIS)
    • Deep stabilizing muscles are activated by SIS.
    • It lessens pain and enhances neuromuscular control.
    • During rotation, it improves radial head stability.
  3. High-Intensity Laser Therapy (HILT)
    • Tissue regeneration is accelerated by HILT.
    • It lessens chronic pain and increases blood flow.
    • It relieves persistent ligament pain and partial rips.
  4. Dry Needling
    • Tight supinator and extensor muscles are released by dry needling.
    • It lessens the radial head’s protective spasm.
    • It swiftly recovers functional mobility.
  5. Cupping Therapy
    • The circulation surrounding the lateral elbow is enhanced by cupping.
    • It lessens stiffness and eliminates local congestion.

4. Corrective and Strengthening Exercises

  1. Phase 1: Early Activation
    • Isometric elbow flexion and extension
    • Isometric pronation and supination
    • Scapular setting exercises
  2. Phase 2: Dynamic Control
    • Theraband resisted supination
    • Controlled pronation strengthening
    • Wrist extensor strengthening
    • Radial head stabilization drills
  3. Phase 3: Functional Strengthening
    • Closed-chain weight-bearing drills
    • Forearm rotational endurance
    • Sport-specific patterns for athletes

5. Proprioception & Neuromuscular Retraining

  • Ball rotation drills
  • Elastic band perturbation
  • Eyes-closed rotational control

6. Return-to-Sport Rehabilitation

  • We ensure safe return to training.
  • Athletes undergo:
  • Functional strength testing
  • Throwing mechanics analysis
  • Grip and rotation endurance testing
  • Load progression for heavy lifts

When Surgery Is Needed

  • Physiotherapy helps most cases recover.
  • However, surgical repair may be necessary for total ligament rips accompanied by radial head subluxation.
  • In these situations, we offer post-operative rehabilitation.

Prevention Tips from Elite Physiotherapy

  1. Warm up before sports
  2. Strengthen forearm muscles regularly
  3. Avoid sudden pulling of the arm
  4. Use correct lifting mechanics
  5. Follow a recovery routine after heavy training

Conclusion

  • An annular ligament injury can restrict performance and everyday activities. On the other hand, early diagnosis and advanced physiotherapy ensure quick and secure healing. We employ state-of-the-art techniques and customized rehabilitation plans at Elite Physiotherapy and Sports Injury Centre for athletes and active people.
  • Our staff prioritizes full recuperation, long-term stability, and a return to optimal performance.

UCL Sprain: Modern Treatment, Better Recovery

Posted on by Dr Dharam

Athletes who engage in frequent overhead or throwing motions are susceptible to ulnar collateral ligament (UCL sprain ). The Lite Physiotherapy and Sports Injury Centre offers cutting-edge, research-based treatment for this distressing condition. To restore strength, stability, and performance, the clinic employs cutting-edge modalities and contemporary assessment techniques.

What Is a UCL Sprain?

A partial or total rupture of the ligament on the inside of the elbow is known as a UCL sprain. During valgus stress, this ligament keeps the elbow stable. Pain and instability arise when the ligament tears or overstretches. Throwers, wrestlers, weightlifters, Ballers in cricket and athletes participating in racquet sports are frequently affected by the injury.

Causes of UCL Sprain

  • Throwing repeatedly puts stress on the medial elbow.
  • Poor throwing mechanics increase the valgus load.
  • The ligament is strained by abrupt falls or direct impact.
  • Dynamic stability is diminished by muscle weakness.
  • Micro-trauma accumulates as a result of overtraining.

To guarantee precise treatment planning, we at Elite Physiotherapy pinpoint the precise cause.

Types or Classification of UCL Sprains

  • Grade I
    • The ligament is overstretched but intact. Pain is present but stability is maintained.
  • Grade II
    • A partial tear occurs. Pain increases and mild instability appears.
  • Grade III
    • A complete tear occurs. Instability is obvious during movement or loading.

Proper diagnosis is essential because management differs for each grade.

Clinical Features / Signs and Symptoms

  • Medial elbow pain during throwing
  • Pain during resisted wrist flexion
  • Tenderness along the UCL
  • Decreased throwing speed or power
  • A feeling of looseness in the elbow
  • Swelling around the medial joint line
  • Pain during valgus stress

Diagnostic Methods and Investigations

  • Clinical Examination
    • A thorough history pinpoints the injury mechanism, exercise volume, and symptoms.

Special Tests

  • Valgus Stress Test
    • In this test, the elbow is subjected to a controlled valgus force at 20 to 30 degrees. A UCL damage is indicated by increased pain or severe gapping.
  • Moving Valgus Stress Test
    • The examiner applies valgus stress while moving the elbow from full flexion to extension. UCL pathology is indicated by pain that ranges from 70 to 120 degrees.
  • Milking maneuver
    • To produce a valgus force, the clinician tugs the patient’s thumb. UCL involvement is suggested by medial discomfort.

Without citing any outside sources, these tests aid in confirming the diagnosis.

Imaging

  • Ultrasound, MRI, X-ray

Physiotherapy Management of UCL Sprain at Elite Physiotherapy and Sports Injury Centre

  • Physiotherapy remains the first-line treatment for most UCL injuries. At Elite Physiotherapy, we uses advanced techniques and high-end modalities to ensure fast and safe recovery.

1. Pain Reduction and Inflammation Control

  • Cryotherapy
    • During the acute period, cold treatment lessens inflammation.
  • Shock Wave Treatment
    • Shock wave therapy lessens persistent discomfort and encourages tissue regeneration.
  • High-Power Laser Treatment
    • This technique enhances collagen alignment and speeds up recovery.
  • System Super Inductive (SIS)
    • SIS rapidly lessens pain by promoting deep muscle activity.
  • Dry Needling
    • Dry needling lessens medial elbow strain and relaxes tense muscle bands.
  • Cupping Treatment
    • Cupping lessens fascial limitations around the elbow and increases blood flow.
  • These techniques promote quicker recovery and less pain.

2. Restoring Range of Motion

  • Elbow stiffness is lessened, and elbow movement is restored with gentle mobility exercises.
  • Flexion and extension of the elbow passively
  • Pronation and supination of the forearm
  • Drills for shoulder mobility to lessen compensatory tightness
  • Adhesive tissue development is inhibited by controlled movement.

3. Strengthening Program

  • Elite Physiotherapy employs a methodical approach to strengthening.
  • Phase 1: Strengthening Isometrically
    • Wrist flexor, extensor, and pronator pain-free isometrics start early.
  • Phase 2: Strengthening Dynamically
    • Light resistance bands strengthen the flexor-pronator mass.
    • Scapular stability exercises enhance shoulder mechanics.
    • Eccentric loading enhances tendon resilience.
  • Phase 3: Advanced Strengthening
    • Eccentric loading enhances tendon resilience.
    • Plyometric exercises prime the elbow for high-intensity sports.

4. Correction of Throwing Mechanics

  • The corrective procedure prevents recurrence.
  • Elite Physiotherapy examines throwing patterns and makes the following corrections:
    • Position of the arm slot
    • Mechanisms of trunk rotation
    • Pattern of follow-through
    • Distribution of force among joints
  • The corrective procedure prevents recurrence.

5. Proprioception and Neuromuscular Training

  • Proprioceptive exercises improve dynamic elbow stability.
    • Drills using weight-bearing
    • Ball-catch exercises
    • Techniques for functional tapping
  • These workouts get the athlete ready for duties unique to their sport.

6. Return-to-Sport Programming

  • A methodical return procedure ensures safety.
  • Stage 1: Regulated Throwing
    • Athletes use low volume for light tosses.
  • Stage 2: Throwing Progressively
    • While keeping an eye on symptoms, intensity progressively rises.
  • Stage 3: Exercises Particular to Sports
    • Athletes restart competitive or fast-paced drills.
    • Physiotherapists at Elite Physiotherapy customize this path for every athlete.

7. Elite Physiotherapy’s Preventive Techniques

  • For long-term elbow health, prevention is crucial.
    • Frequent evaluations of strength
    • Monitoring the throwing load
    • Maintaining mobility
    • Soft tissue maintenance
    • Corrections for skill-based training
  • These methods ensure long-term performance and safety..

Conclusion

  • Although dangerous, a UCL sprain is treatable. Athletes can safely return to sport with the right diagnosis, cutting-edge physiotherapy, and contemporary techniques. At Elite Physiotherapy and Sports Injury Centre, we use cutting-edge technologies like Shock Wave, SIS, High-Intensity Laser, Dry Needling, and Cupping to provide individualized, evidence-based rehabilitation. Our methodical evaluation and rehabilitation process ensures long-term elbow stability and full recovery.

Therma Check Equipment: The Future of Advanced Physiotherapy Assessment at Elite Physiotherapy

Posted on by Dr Dharam

What is “Therma Check” Equipment?

  • The term “therma check” describes a family of devices used in physiotherapy to measure skin and tissue temperature. These devices are frequently based on thermography or thermal imaging.
  • These gadgets track variations in surface temperature that may be indicative of underlying physiological problems.
  • As a result, Thermacheck aids physiotherapists in identifying temperature distribution asymmetries, circulatory or neurovascular abnormalities, and inflammation.

Why Is Thermal Assessment Important in Physiotherapy?

  • A non-invasive, radiation-free method for assessing tissue health is thermal assessment.
  • As an early diagnostic tool, it can occasionally detect issues before typical symptoms manifest.
  • It facilitates objective monitoring, allowing therapists to evaluate changes in blood flow, inflammation, or muscle overload over time.
  • In summary, Thermacheck provides valuable information that enhances manual assessment and physical examination, leading to more individualized and effective treatment regimens.

How Does Thermal Imaging Work – The Science Behind It

  • In order to reflect its surface temperature, human skin naturally emits infrared radiation.
  • Therma Check devices use thermal cameras to detect minute temperature variations, ranging from 0.05 to 0.1 degrees Celsius.
  • The gadget creates a “thermal map” of the skin’s surface. Physiotherapists look for odd patterns or asymmetries on this map.
  • These patterns frequently point to underlying problems, such as neurovascular dysfunction, decreased circulation (lower temperature), or inflammation (higher temperature).
  • These features allow thermal imaging to identify conditions, including early inflammation, overuse injuries, nerve dysfunction, vascular difficulties, or joint overload, often even prior to the onset of discomfort or swelling.

Typical Applications of Therma Check in the Clinic

  • Therma Check equipment can assist in diagnosing and monitoring a range of conditions. Some common uses:
  1. Detecting inflammation in joints or soft tissue: Identifying soft tissue or joint inflammation, which is particularly helpful for early-stage tendinitis or arthritis.
  2. Evaluating soft-tissue or muscle injuries: Including micro-injuries brought on by repetitive stress, sports strain, or overuse.
  3. Monitoring rehabilitation progress: By keeping an eye on rehabilitation progress following surgery, an injury, or the management of a chronic ailment.
  4. Identifying circulatory or neurovascular disorders: Thermal asymmetries can be used to identify circulatory or neurovascular problems, such as vascular insufficiency, nerve-related temperature fluctuations, or autonomic dysfunction.
  5. Preventive screening: Allows for early management before overt symptoms manifest, particularly in athletes or professionals with a high physical load.
  • As a result, the apparatus becomes an effective monitoring and diagnostic tool that enhances conventional physiotherapy.

Advantages of Using Therma Check Equipment

  • Safe and non-invasive: No radiation, no contact, no discomfort.
  • Reproducible and objective data: Over time, thermal maps yield quantifiable and comparable outcomes.
  • Early problem detection: It identifies aberrant heat patterns or thermal asymmetries before symptoms like pain or edema appear.
  • Numerous applications: from sports treatment to vascular/neurological evaluation, from acute injuries to chronic problems.
  • Cost-effective and efficient: Thermal imaging is rapid, repeatable, and less expensive than sophisticated imaging (CT, MRI).
  • Therma Check is a useful complement to any contemporary physiotherapy practice that aims for precise, comprehensive patient assessment because of these benefits.

Why Elite Physiotherapy Should Include Therma Check

  • At Elite Physiotherapy, integrating Therma Check equipment can raise care standards in multiple ways:
    • Patients receive objective thermal images along with their therapy reports, which increases patient trust.
    • Instead of relying just on speculation, it allows for personalized treatment strategies based on real-time temperature data.
    • Therapists and patients can visually compare before-and-after thermal maps, which aids in scientific progress tracking.
    • It gives Elite Physiotherapy a competitive edge by presenting it as a cutting-edge, technologically advanced clinic.

Conclusion

  • Through thermal imaging, Therma Check equipment provides physiotherapy clinics with a potent, impartial, and non-invasive tool.
  • It aids in the early detection of soft tissue injuries, inflammation, and vascular or neurovascular disorders.
  • Therapists can provide more accurate, efficient, and individualized care by integrating thermal analysis with clinical evaluation and therapy.
  • Adopting Therma Check can greatly improve patient outcomes, diagnostic capabilities, and overall service quality for a progressive practice like Elite Physiotherapy.

Looking for an advanced physiotherapy assessment?

Preventive Physiotherapy for Athletes: A Comprehensive Guide

Posted on by Dr Dharam

Introduction

  • Although athletes put in a lot of training, prevention frequently triumphs over treatment. Preventive physiotherapy enhances performance while lowering the chance of injury. We at Elite Physiotherapy & Sports Injury Centre support a proactive, all-encompassing strategy. Our mission is to help athletes maximize lifespan, prevent downtime, and maintain optimal fitness.

Why Preventive Physiotherapy Matters

Reduces Injury Risk

  • Preventive physiotherapy identifies imbalance, weakness, and mobility restrictions. By addressing them, athletes avoid overuse injuries or sudden trauma.

Enhances Performance

  • With targeted exercises and correct movement patterns, athletes improve strength, power, and agility. This leads to better sport-specific performance.

Speeds Recovery

  • Even before an injury happens, preventive techniques boost tissue resilience. Thus, if microtrauma occurs, recovery is faster and more efficient.

Promotes Longevity

  • A body conditioned through prevention ages better. Athletes can sustain high-level training longer and with fewer setbacks.

Holistic Wellness

  • Preventive physiotherapy is not just physical. It also supports mental well-being, as reduced injury anxiety lets athletes focus more on training.

Core Pillars of Preventive Physiotherapy

  • At Elite Physiotherapy, we base our preventive programs on several foundational pillars:

Assessment & Screening

  • We start with a thorough evaluation of the musculoskeletal system.
  • We check for joint stability, postural problems, and movement dysfunction.
  • We can identify risk regions early with the use of functional movement testing.

Biomechanical Correction

  • We employ corrective exercises and manual treatment.
  • To lessen negative compensations, we retrain movement patterns.
  • For sport-specific requirements, we concentrate on alignment, balance, and stability.

Strength & Conditioning

  • Strength training specific to the athlete’s sport is what we recommend.
  • To prevent overuse injuries, we distribute the strain throughout our muscles.
  • We incorporate exercises for flexibility, core stability, and plyometrics.

Neuromuscular Training

  • We focus on coordination and proprioception.
  • We employ exercises such as reactive tasks, agility ladder, and single-leg balance.
  • These exercises enhance joint control under pressure unique to a particular sport.

Flexibility & Mobility

  • Maintaining joint health requires regular mobility exercises.
  • We employ manual therapy, foam rolling, and dynamic stretching.
  • This flexibility reduces the possibility of sprains and strains.

Recovery & Load Management

  • We teach athletes how to recover, rest, and sleep.
  • We use objective measures and felt exertion to track training loads.
  • To avoid overload, we facilitate transitions between training phases.

High-End Modalities

  • At Elite, we leverage advanced tools like Super Inductive System (SIS), Class IV Laser, and Extracorporeal Shockwave Therapy.
  • These modalities enhance tissue health, boost recovery, and reduce micro-injury risk.

Sport-Specific Training

  • We create training exercises that replicate the demands of sports.
  • We combine neuromuscular work, strength training, and conditioning.
  • This guarantees a direct correlation between training and competition performance.

Education & Behavior Change

  • We instruct athletes on how to properly warm up, cool down, and take care of themselves.
  • We advise them to pay attention to their bodies and report any early discomfort.
  • We develop behaviors that promote long-term health and injury prevention.

Preventive Physiotherapy in Action: Elite’s Approach

  • At Elite Physiotherapy & Sports Injury Centre, our preventive physiotherapy program for athletes includes the following:
  1. Initial Consultation: We evaluate past injuries, weaknesses, and biomechanics.
  2. Tailored Program: We develop a strategy that incorporates neuromuscular, strength, and mobility training.
  3. Modern Tools: We employ shockwave therapy, high-intensity lasers, SIS, and more.
  4. On-Field Simulation: During physiotherapy sessions, we use drills tailored to particular sports.
  5. Frequent Re-Evaluation: We review and modify the plan every eight to twelve weeks.
  6. Education Workshops: We conduct workshops on self-monitoring, load management, recuperation, and warm-ups.

Real-World Benefits for Athletes

Fewer Downtime Days

  • Athletes who follow preventive physiotherapy sustain fewer injuries. Thus, they stay in the game.

Better Consistency

  • With fewer injuries and better load management, training consistency improves. This directly boosts performance.

Confidence & Mental Strength

  • When athletes know they have a support system, they feel more confident in pushing their limits.

Sustainable Career

  • Preventive care helps build resilience. This supports longer careers and peak performance even in later years.

Who Should Consider Preventive Physiotherapy

  • Preventive physical therapy is beneficial for:
  • Professional athletes who work out every day
  • Recreational athletes who want to reduce their risk of injury
  • Young athletes learning the fundamentals of movement
  • Athletes returning to sports who wish to prevent re-injury
  • Anyone with a history of musculoskeletal problems or overuse

Tips for Athletes to Maximize Prevention

  1. Warm-up smart: Always start with a quality, dynamic warm-up.
  2. Balance your training: Don’t ignore mobility or neuromuscular work.
  3. Prioritize rest: Sleep and recovery are your best injury prevention tools.
  4. Be consistent: Preventive exercises are not one-time—they must be regular.
  5. Seek expert help: Consult a physiotherapist for personalized advice.
  6. Use recovery modalities: Consider using SIS, laser, or other advanced tools.
  7. Track load: Use training logs or wearable data to monitor stress.

Why Choose Elite Physiotherapy & Sports Injury Centre

  • From “injury to peak performance,” our approach to recovery is comprehensive.
  • Strength, conditioning, and sport-specific training are all offered at our Sports Performance Center.
  • We provide cutting-edge treatments like hydrotherapy, shockwave, Class-IV laser, and SIS.
  • Experienced sports physiotherapists committed to performance, recuperation, and prevention make up our team.
  • We prioritize long-term athlete wellness over rehabilitation.

Conclusion

  • For athletes who wish to succeed, preventive physiotherapy is a need, not a luxury. You create a robust, high-performing body by integrating evaluation, biomechanical correction, strength training, neuromuscular work, and state-of-the-art modalities. To safeguard your current and future on the field, we at Elite Physiotherapy & Sports Injury Centre combine science, expertise, and passion. Invest in prevention now to ensure that you perform at your best tomorrow.

PRISM Pain Model & Modern Pain Science: Revolutionizing Physiotherapy Assessment and Treatment

Posted on by Dr Dharam

Understanding the Evolution of Pain Management in Physiotherapy

  • PRISM
  • Millions of people worldwide suffer from chronic pain. It causes major healthcare costs, interferes with everyday activities, and lowers quality of life. Conventional methods frequently concentrated only on anatomical anomalies and physical symptoms. But contemporary pain science shows that pain is much more complicated than previously thought.
  • Furthermore, the medical profession understands that pain is more than just tissue damage. Physiotherapists, therefore, require all-encompassing frameworks to handle this complex experience. This is where the ground-breaking PRISM Pain Model comes into play.

What is the PRISM Pain Model?

  • An innovative method of managing pain is the Pain Recovery and Integrative Systems Model (PRISM). A salutogenic, integrative, process-based cognitive-behavioral approach, PRISM was created for the training and practice of physiotherapists. This novel framework was created especially to overcome the shortcomings of earlier pain management techniques.
  • PRISM also goes beyond conventional biomedical thought. It acknowledges that pain entails intricate relationships between several bodily systems. Additionally, rather than concentrating only on pathology, the paradigm stresses fostering healing and developing resilience.

The Three Core Principles of PRISM

Salutogenic Focus

  • The salutogenic principle emphasizes the body’s inherent capacity to heal itself. PRISM encourages the creation of health rather than focusing on illness and dysfunction. As a result, even while patients are in pain, physiotherapists assist them in creating resources that promote well-being.
  • Additionally, this method modifies the therapeutic dialogue. Patients get an awareness of their innate abilities and qualities. As a result, individuals take an active role in their recovery process.

Integrative Approach

  • PRISM recognizes that social, psychological, and biological elements all contribute to pain. Treatment must therefore take into account each of these factors simultaneously. Physiotherapists are able to develop thorough, individualized therapy regimens thanks to this integration.
  • Additionally, the integrative nature guarantees that no facet of pain is missed. Physiotherapists take into account social and emotional contexts in addition to physical limitations. Patients receive genuinely holistic care as a result.

Process-Based Methodology

  • Process-based therapies concentrate on individual-specific, evidence-based mechanisms of transformation. Instead of using universally applicable interventions, PRISM pinpoints the precise mechanisms that propel pain healing. Every patient’s path contains distinct mechanisms that need for focused care.
  • This approach also acknowledges that healing is dynamic and ever-changing. As patients move through various phases of recovery, treatment changes.

The Six Domains of PRISM

  • Person context, purpose, pain literacy, pain attitude, physical activity, and physiology are the six essential domains that make up PRISM. Each domain denotes a specific area in which physiotherapists assist patients in recovering from pain.

Domain 1: Person Context

  • Each patient’s unique circumstances and personal variables are included in the person’s context. This encompasses environmental influences, societal determinants of health, and individual resources. It also acknowledges that experiences of interior suffering are shaped by external situations.
  • Physiotherapists need to be aware of the individual histories of each patient. Pain is influenced by socioeconomic circumstances, family relationships, and employment position. Consequently, investigation of these contextual factors is necessary for thorough evaluation.

Domain 2: Purpose

  • Making meaning and leading a life based on ideals are addressed by purpose. Research demonstrates that resilience traits and a feeling of purpose can improve habituation to unpleasant stimuli. Patient participation rises dramatically when they relate treatment objectives to their basic beliefs.
  • Furthermore, living with purpose goes beyond managing symptoms. Physiotherapists assist patients in determining what is most important to them. Treatment then corresponds with these important objectives.

Domain 3: Pain Literacy

  • The information, attitudes, beliefs, and behaviors required to overcome pain are all part of pain literacy. Pain neuroscience is taught to patients in easily comprehensible ways. By empowering people to actively engage in recovery, this education lessens stigma.
  • Furthermore, people who are pain literate are better able to comprehend the complex nature of pain. They understand that tissue damage does not always equate to pain. As a result, this information encourages adaptive responses and lessens fear.

Domain 4: Pain Mindset

  • Pain mindsets can be classified as either fixed or fluid in the literature. Pain is seen as everlasting and unalterable by those with a fixed perspective. On the other hand, adaptive reactions to painful situations are made possible by flexible thinking.
  • Physiotherapists use psychological flexibility and mindfulness to develop adaptable pain mindsets. Instead of reacting instinctively to pain, patients learn to respond appropriately. Additionally, this adaptability makes it possible to maintain motivation throughout the healing process.

Domain 5: Physical Activity

  • The practice of physiotherapy still revolves around physical activity. PRISM, on the other hand, takes a biopsychosocial rather than just biomechanical approach to movement. Exercise recommendations take individual preferences, social support, and psychological obstacles into account.
  • Furthermore, PRISM involves more than just stretching and strengthening exercises. It consists of functional movement training, graduated exposure, and pacing techniques. As a result, patients regain faith in their bodies’ powers.

Domain 6: Physiology

  • The biological mechanisms underpinning pain perception and modulation are included in physiology. This covers sleep, metabolic health, circadian rhythms, and nutrition. Comorbid conditions like diabetes and heart disease also have a big impact on how people experience pain.
  • Physiotherapists use lifestyle medicine techniques to treat these physiological problems. Stress reduction, dietary advice, and sleep optimization become essential therapeutic elements. As a result, patients enjoy both pain relief and gains in general health.

PRISM’s Influence on Treatment Planning

  • Assessment insights directly inform treatment planning within the PRISM framework. Physiotherapists create individualized roadmaps addressing each patient’s specific needs.

Multimodal Treatment Integration

  • Multiple therapy techniques are included in PRISM treatment programs. Cognitive-behavioral techniques, exercise recommendations, and manual treatment all complement one another. Furthermore, the basis for all interventions is pain neuroscience education.
  • Physiotherapists explain how each treatment component addresses specific PRISM domains. Patients comprehend not only what they are doing but also its significance.

Collaborative Goal Setting

  • Together, the patient and therapist set reasonable and doable goals for pain relief. Reducing pain, improving function, and improving well-being are among the objectives. Additionally, goals are in line with patients’ values and life goals.
  • This cooperative approach increases the patient’s ownership of their care. As a result, engagement and adherence greatly increase.

Building Self-Management Skills

  • PRISM gives patients the tools they need to take an active role in their pain management. Physiotherapists teach self-management approaches such as pacing, relaxation techniques, and cognitive reframing. Outside of therapy sessions, these abilities help patients properly manage their pain.
  • Additionally, self-management lessens the need for ongoing medical care. Patients gain self-assurance in managing changes in pain on their own.

Clinical Applications of PRISM

  • PRISM applies across diverse pain conditions and patient populations. Its flexibility allows adaptation to various clinical contexts.

Chronic Low Back Pain

  • The most common cause of disability worldwide is low back pain. Physical deconditioning, fear-avoidant attitudes, and lifestyle issues are all addressed in PRISM-based treatment. Patients rebuild their functional ability while learning topics related to pain neurobiology.
  • Treatment also looks at social support networks and work-related issues. This all-encompassing strategy produces better long-term results.

Neck Pain and Headaches

  • Headaches and neck pain frequently have complicated, multiple causes. Sleep difficulties, stress reactions, and postural variables are all identified via PRISM examination. Stress management methods, ergonomic education, and manual therapy are all integrated into the treatment.
  • Additionally, patients learn adaptive coping mechanisms and pain triggers.

Sports Injuries and Performance

  • When it comes to pain and injury, athletes experience particular psychological pressures. PRISM tackles identity issues, performance anxiety, and fear of reinjury. While encouraging tissue repair, treatment preserves athletic conditioning.
  • Additionally, for athletes, meaning-making and purpose become very important. During times of recuperation, physiotherapists assist in maintaining a connection to sports.

Chronic Regional Pain Syndromes

  • PRISM is quite beneficial for complex illnesses like fibromyalgia and chronic spreading pain. Emotional regulation, sleep disruption, and central sensitization must all be addressed. Multi-domain intervention significantly improves function and quality of life.

Benefits of PRISM for Patients

  • Patients experience numerous advantages when physiotherapists employ the PRISM framework.

Reduced Pain Intensity

  • People with PRISM can experience a significant reduction in pain intensity. Treatment results in significant symptom reduction by concurrently addressing several underlying causes. But PRISM is more than just pain management.

Improved Functional Capacity

  • Improvements in physical function allow one to resume important activities. Patients are able to resume their hobbies, jobs, and exercise. As a result, there is a significant improvement in the overall quality of life.

Enhanced Emotional Wellbeing

  • PRISM’s emphasis on cognitive behavioral strategies aids patients in controlling pain-related negative thoughts and feelings. Hope and optimism rise while anxiety and depression decline.

Increased Self-Efficacy

  • PRISM gives patients tools for self-management and helps them feel in control of their pain. Increased self-efficacy and confidence result from this. Patients believe they can handle difficulties on their own.

Reduced Medication Dependence

  • By offering efficient non-pharmacological substitutes, PRISM tackles the opioid issue. Patients’ opioid dependence has significantly decreased by 40% as a result of implementation. This safer method lowers the risk of drug dependence and negative effects.
  • Elite Physiotherapy and Sports Injury Center is still dedicated to using PRISM and other evidence-based strategies. Our clinicians continuously train in comprehensive assessment methods and modern pain science. As a result, patients receive the best possible care that addresses every aspect of their discomfort.
  • PRISM-based physiotherapy provides hope and practical solutions for complicated pain disorders, sports injuries, and chronic back pain. To start your path to complete pain recovery, get in touch with Elite Physiotherapy right now.

Calcific Tendinitis

Posted on by Dr Dharam

What is calcific tendinitis?

  • A disorder known as calcific tendinitis occurs when calcium-based deposits, usually hydroxyapatite crystals, develop inside a tendon, most frequently in the shoulder’s rotator cuff.
  • This is seen by the Elite Physiotherapy and Sports Injury Centre as a tendon-metabolic condition in which tendon tissue goes through phases of calcification, remodeling, resorption, and degeneration. These deposits may cause pain, decreased range of motion, and even serious malfunction by irritating the tendon and adjacent structures.
  • Unlike simple tendinitis, which involves tendon inflammation, calcific tendinitis develops crystal deposits and follows a more complex staging process.

Causes & Risk Factors

  • A tendon cell-mediated process that results in calcium crystal deposition and fibro-cartilaginous metaplasia.
  • Decreased oxygen flow or tendon vascularity which may make calcification more likely.
  • Risk may be increased by endocrine or metabolic conditions like diabetes or hypothyroidism.
  • Although it is not exclusively an overuse condition, repetitive usage of the shoulder, particularly overhead exercise, may increase tendon stress and initiate the process.
  • Age: more common in women and middle-aged people (30–60 years).

Clinical Features

  1. Shoulder pain that develops suddenly or subtly, frequently without significant damage.
  2. Lying on the afflicted shoulder during the night frequently makes the pain worse.
  3. Reduced range of motion and shoulder movement, particularly overhead and internal rotation, exacerbate the pain.
  4. Either a strong pain or a mild discomfort during the resorptive phase.
  5. Clicking, catching, or impingement sensations when the deposit is beneath the acromion are examples of potential mechanical symptoms.
  6. On physical examination, there may be scapular dyskinesis, a painful supraspinatus region, a reduced active range of motion relative to passive range of motion, and positive impingement tests.

Diagnostic Methods

History & Clinical Examination

  • A thorough history of the development of pain, things that aggravate or relieve it, sleep disturbances, and demands from work or sports.
  • Certain orthopaedic examinations are helpful, such as the Hawkins-Kennedy Test for impingement and the Empty Can Test for supraspinatus.
  • In particular, we could carry out:
    • The empty can test: involves the patient abducting their arm around 90 degrees in the scapular plane with their thumbs down. The therapist applies downward force, and any pain or weakness indicates supraspinatus disease.
    • Hawkins-Kennedy Test: the examiner rotates the arm internally after flexing the shoulder and elbow to 90 degrees; pain indicates involvement of the sub-acromial impingement location.
    • Painful Arc Test: abduction pain between around 70 and 120 degrees indicates sub-acromial involvement.
  • At Elite, we combine these clinical tests with imaging to increase confidence and help direct our suspicions.
  • Other Investigations: Plain radiographs, Ultrasound, MRI / CT

Physiotherapy Management at Elite Physiotherapy & Sports Injury Centre

  • With modern modalities and an evidence-based exercises program that emphasizes structure, function, and return to sport/work demands, we at the Elite Center customize care. Our physiotherapy treatment approach for calcific tendinitis is shown below.

Initial Phase – Pain Reduction & Restoration of Movement

  • Relative rest: To lessen tendon overload, decrease aggravating activities (particularly overhead lifts and repetitive rotation).
  • Pain management techniques include, for instance, using heat or ice as needed and teaching patients how to sleep to reduce pain at night.
  • Electro-modalities: Class IV High Intensity Laser Therapy is used to improve microcirculation, lessen pain, and accelerate healing. At Elite, we use this when movement is restricted due to acute or subacute discomfort.
  • Super Inductive System (SIS): We employ this high-energy electromagnetic therapy early in the rehabilitation protocol to reduce pain and promote exercise uptake. It also enhances tendon metabolic activity and deep tissue stimulation.
  • Extracorporeal shock wave therapy: There is evidence that shock wave therapy can reduce deposit size and improve results for deposits that are refractory or in the resorptive phase.
  • Dry needling and cupping: To ease myofascial constraints and improve local perfusion, we may use dry needling or therapeutic cupping in cases of peri-tendinous pain or related muscular tension (supraspinatus, infraspinatus, posterior cuff, scapular stabilisers).
  • Mobilization: to preserve joint mobility and avoid secondary stiffness, perform mild pendulum exercises and actively aid shoulder mobilization (flexion, abduction, internal/external rotation).

Mid Phase – Strengthening & Loading

  • We implement targeted rotator cuff and scapular stabilizer strengthening, which is essential for preventing recurrence and enhancing function, as pain decreases and range increases.
  • Take care of your posture, kinetic chain, and scapular dyskinesis: Since shoulder mechanics affect tendon load, we at Elite focus on thoracic posture, scapula-humeral rhythm, and core/trunk stability.

Late Phase – Return to Function & Sport-Specific Loading

  • We use sport/job-specific exercises like overhead catching/throwing, wrestling overhead lifts (if an athlete), shoulder conditioning, and eccentric cuff loading once fundamental strength and mechanics are restored.
  • At this stage, we use functional outcome measures (such as DASH and SPADI) to monitor and guarantee a pain-free return to the prior workload and sport.

Why Choose Elite Physiotherapy & Sports Injury Centre for Calcific Tendinitis?

At our centre, we bring:

  • First of all, Due to advanced physical therapy techniques (SIS, Shock-Wave Therapy, Class IV Laser)
  • Customized treatment programs depending on your employment, sport, and way of life
  • comprehensive evaluation with specific tests and objective measurements
  • Pain management, mobility restoration, strength/loading progression, and return to function are all part of an integrated program.
  • Proven results for calcific kinds of shoulder tendinopathies

Conclusion

  • When properly managed, calcific tendinitis is a difficult but very manageable illness. At the Elite Physiotherapy & Sports Injury Center, we guide you from pain and limited motion to full functional recovery by combining accurate assessment, cutting-edge modalities, and customized training regimens. Make an appointment for an evaluation with us if you have shoulder pain, difficulty sleeping, diminished overhead function, or suspect calcific deposits. Our team, led by will conduct a thorough evaluation and create a customized rehabilitation plan for you.