Author: Dr Dharam

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.

Shoulder Instability: Glenohumeral Instability

Posted on by Dr Dharam

What is Glenohumeral Instability?

  • An irregular movement or displacement of the humeral head from the glenoid fossa is referred to as glenohumeral instability. When the ligaments, labrum, and rotator cuff muscles – the shoulder’s supporting structures – fail to maintain correct alignment, instability results. Feelings of looseness, slippage, or even total dislocation of the shoulder are possible manifestations.
  • Athletes, Nonathletes, and those who engage in repetitive overhead activities frequently appear with this condition at Elite Physiotherapy and Sports Injury Centre. Careful evaluation and structured physiotherapy management can restore shoulder stability and prevent recurrence.

Causes of Glenohumeral Instability

  • Trauma or Injury: Shoulder dislocation or ligament damage may result from an abrupt fall or impact.
  • Repetitive Overuse: Sports like baseball, volleyball, and swimming that require frequent overhead motions put stress on the stabilizing tissues.
  • Muscle Imbalance: A weak rotator cuff or poor scapular stabilizer strength fails to provide adequate support to the humeral head.
  • Congenital Laxity: Some people are born with loose ligaments, which can cause instability in multiple directions.
  • Post-surgical Weakness: Inadequate rehabilitation following shoulder surgery may lead to instability.

Types of Glenohumeral Instability

  1. Traumatic instability: Is brought on by a direct injury that causes subluxation or dislocation.
  2. Atraumatic Instability: Repetitive microtrauma or widespread joint laxity can cause atraumatic instability.
  3. Multidirectional Instability (MDI): Instability occurring in multiple directions—anterior, posterior, or inferior—is called multidirectional instability (MDI).
  4. Unidirectional Instability: This type of instability, usually anterior, is limited to one direction.

Clinical Features and Symptoms

  • Pain when throwing or performing overhead movements
  • Feeling of the shoulder “slipping out” or “giving way”
  • Diminished range of motion and strength
  • Shoulder strain from repetitive tasks
  • Frequent subluxations or dislocations
  • A popping or clicking sound inside the joint

Diagnosis and Examination

  • A thorough clinical evaluation is essential to confirm glenohumeral instability. At Elite Physiotherapy and Sports Injury Centre, assessment includes detailed history, posture observation, and specific orthopedic tests.

Special Tests Used

  1. Apprehension Test: Anxiety experienced when the arm is externally rotated at 90° abduction suggests anterior instability.
  2. Relocation Test: Applying posterior pressure that reduces anxiety confirms anterior instability.
  3. Load and Shift Test: The therapist evaluates the anterior or posterior translation of the humeral head using the load and shift test.
  4. Sulcus Sign: A palpable sulcus or groove beneath the acromion indicates inferior laxity.
  5. Drawer Test: Assesses translation both anteriorly and posteriorly in relation to the opposing shoulder.
  • Additional investigations, like MRI or ultrasound, may help visualize labral tears, capsule laxity, or rotator cuff damage.

Physiotherapy Management of Glenohumeral Instability

  • Physiotherapy plays a vital role in restoring shoulder stability, mobility, and functional performance. At Elite Physiotherapy and Sports Injury Centre, physiotherapists tailor every treatment plan to the patient’s biomechanics, sport demands, and injury mechanism.

1. Pain Relief and Inflammation Control

2. Muscle Activation and Neuromuscular Control

  • Physiotherapists work to reactivate proprioceptive control, scapular stabilizers, and the rotator cuff.
  • By supporting neuromuscular stimulation, the Super Inductive System (SIS) enhances joint control without causing joint strain.
  • Physiotherapists gradually introduce specific exercises such as proprioceptive neuromuscular facilitation (PNF) patterns, scapular retraction, and isometric internal and external rotations.

3. Strengthening and Dynamic Stability

  • Strengthening activities start as soon as the pain goes away.
  • Physiotherapists focus on strengthening the rotator cuff, deltoid, serratus anterior, and trapezius muscles.
  • Physiotherapists use closed-chain exercises such as resistance band training, plank stabilizations, and wall push-ups to restore functional stability.
  • Cupping therapy increases local blood flow and tissue flexibility, while dry needling helps release trigger points that limit shoulder mechanics.

4. Functional and Sport-Specific Rehabilitation

  • Training advances to plyometric and sport-specific exercises as control increases.
  • To mimic actual activity, athletes engage in resistance rotations, overhead throwing drills, and reaction-based exercises.
  • To stop recurrence, the objective is to improve shoulder power, endurance, and coordination.

5. Postural and Ergonomic Correction

  • Maintaining long-term stability requires postural retraining.
  • To improve forward shoulder posture, exercises focus on scapular alignment and thoracic extension.
  • Stretching and manual therapy target taut muscles like the posterior capsule and pectoralis minor.

Conclusion

  • Glenohumeral instability can significantly affect performance and daily activities. However, patients can restore stability and self-assurance with an organized physiotherapy approach.
  • Our Team at Elite Physiotherapy and Sports Injury Centre provides a strong emphasis on evidence-based, individualized rehabilitation utilizing cutting-edge technology and practical treatment.
  • Physiotherapists design each rehabilitation program to help athletes and active individuals safely return to peak performance by restoring shoulder function and preventing future injuries.

Shoulder Pain: Subscapularis tendinopathy

Posted on by Dr Dharam

What is Subscapularis Tendinopathy?

  • The major internal rotator of the shoulder and the humerus is connected by the tendon of the Subscapularis muscle. Degenerative changes (tendinosis) or inflammation (tendinitis) of this tendon are referred to as tendinopathy or Subscapularis tendinopathy. Put another way, under load, the tendon becomes uncomfortable, inflamed, and unable to function correctly. Structural alterations over time may result in decreased strength and a higher chance of tearing.
  • We consider subscapularis tendinopathy to be a component of the spectrum of rotator cuff dysfunction at Elite Physiotherapy and Sports Injury Centre. We customize care by integrating cutting-edge physiotherapy techniques with customized rehabilitation programs.

Causes & Risk Factors

  • Overuse: The subscapularis tendon is subjected to prolonged strain with repetitive internal rotation or overhead arm motions, such as throwing, swimming, or overhead lifting.
  • Impingement: Anterior shoulder or subcoracoid impingement can compress the tendon and accelerate its degeneration.
  • Acute trauma: The tendon may sustain damage from an abrupt forced external rotation, a fall onto an extended arm, or a dislocated shoulder.
  • Poor mechanics and muscular imbalance: Poor posture (rounded shoulders), scapular dyskinesis, or weak cuff muscles transfer weight to the subscapularis.
  • Age-related degeneration: Tendons become less able to mend as they become older, which increases the risk of tendinopathy or rips.

Classification

  • Although there isn’t a single, widely accepted “grading system” for subscapularis tendinopathy, the following classifications are applicable:
  1. Tendinitis: Tendinitis is an active, frequently acute, and reactive inflammation of the tendon.
  2. Tendinosis:  Tendinosis is a long-term degenerative alteration of the tendon structure that is frequently observed under continuous strain and lacks obvious inflammation.
  3. Tear/Rupture: A partial or complete rupture of the subscapularis tendon, usually following an acute injury or at a later stage. Partial thickness, full thickness upper 25%, upper 50%, and complete rupture are the three categories for tears.
  • Instead of using a strict classification, we at Elite Physiotherapy & Sports Injury Centre assess each case according to its severity (pain, load tolerance, imaging if necessary) and customize the course of action.

Clinical Features

  • Anterior shoulder pain, particularly in the armpit area or deep to the front of the shoulder.
  • Pain when reaching behind the back or when rotating internally against resistance.
  • The shoulder’s internal rotation is weak.
  • Pain or soreness at night while lying on the afflicted side.
  • In more severe situations, there may be a clicking or catching sound at the front of the shoulder.
  • Diminished functional capacity: unable to move objects up, reach behind the back (for example, to tuck a shirt), or execute internal rotation tasks.
  • Our skilled therapist will identify subtle indicators of compensatory tendencies, rotation weakness, and changed scapular mechanics during your visit to Elite Physiotherapy.

Diagnostic Methods / Tests / Examination

Special Physiotherapy Tests

  1. Belly-Press Test: The patient presses in while keeping the elbow forward by placing the palm on the abdomen. A positive result indicates subscapularis weakness or a lesion.
  2. Lift-Off Test: The patient flexes their elbow and places their hand behind their back or lumbar spine. Difficulty or pain while lifting the hand off indicates subscapularis involvement.
  3. Bear-Hug/Napoleon Test: (When appropriate) The hand is on the other shoulder; if the therapist is unable to remove it by external rotation, the integrity of the subscapularis is compromised.
  • Range of Motion and Strength Testing
  • Imaging & Investigations- Ultrasound, Ultrasound
  • At Elite Physiotherapy, we emphasise hands-on assessment first, reserving imaging for resistant cases or suspected tears that may require surgical referral.

Physiotherapy Management at Elite Physiotherapy & Sports Injury Centre

  • At our clinic, we design a phased, individualised rehabilitation programme for subscapularis tendinopathy. We combine conventional exercise therapy with advanced modalities—Shock Wave Therapy, Super Inductive System (SIS), High-Intensity Laser Therapy, Dry Needling, and Cupping—to optimise outcomes for athletes and active individuals.
  • Phase 1: Pain & Protection
  • Phase 2: Load Normalisation & Strengthening
  • Phase 3: Advanced Strengthening & Sports-Specific Training
  • Phase 4: Return to Sport / Maintenance

Personalised Approach for Elite Physiotherapy & Sports Injury Centre

  • As a sports-focused physiotherapist, our clinic specializes in athletes and active people. To maximize effective healing, we combine advanced modalities with hands-on and activity treatment. Physiotherapists manage each case of subscapularis tendinopathy uniquely, considering individual biomechanics, sport specificity, and load requirements. We monitor objective parameters (pain scale, internal rotation strength, and functional load) and modify the treatment as necessary.

Shoulder Pain : Acromioclavicular (AC) Joint Pathology

Posted on by Dr Dharam

Introduction

  • One of the body’s complex and dynamic joints is the shoulder. The Acromioclavicular (AC) joint is one of its structures that is essential for upper limb mobility and shoulder stability. Pain, weakness, and functional limitations may result from damage or degeneration to this joint, particularly in athletes and active people.
  • At Elite Physiotherapy & Sports Injury Centre, we specialize in the evaluation and treatment of AC joint disorders using cutting-edge physiotherapy modalities and evidence-based methods for a quicker and more long-lasting recovery.

What Is the AC Joint?

  • The clavicle and acromion, a portion of the scapula, are joined by the AC joint. During arm elevation, it permits regulated movement between the clavicle and scapula. The acromioclavicular and coracoclavicular ligaments support and stabilize the joint.
  • AC joint pathology, which includes inflammation, instability, and arthritis, can result from damage or degeneration of this joint.

Causes of AC Joint Pathology

  • Direct trauma to the shoulder, often from a fall or sports injury.
  • Repetitive overhead activities, seen in athletes such as weightlifters or throwers.
  • Degenerative changes due to aging or repetitive stress.
  • Postural imbalance and muscular dysfunction leading to altered biomechanics.
  • Previous dislocation or sprain that causes chronic instability.

Clinical Features / Symptoms

  1. Pain over the top of the shoulder.
  2. Palpable tenderness in the AC joint.
  3. Discomfort when doing cross-body or overhead motions.
  4. Deformity or swelling close to the joint.
  5. Weakness when it comes to pushing or lifting.
  6. Limited range of motion in the shoulder.

Physiotherapy Assessment and Special Tests

  1. Cross-Body Adduction Test – The therapist moves the arm across the body; pain over the AC joint indicates injury.
  2. AC Shear Test – Compression applied between the clavicle and scapula reproduces pain if the joint is involved.
  3. O’Brien’s Test – Differentiates AC joint pain from labral injuries.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

1. Pain and Inflammation Control

  1. Cryotherapy for inflammation control.
  2. Rest and avoidance of aggravating movements.
  3. Taping or support brace for stabilization.

2. Manual Therapy

  • Joint mobilization to improve AC and scapulothoracic rhythm.
  • Soft tissue release for upper trapezius, deltoid, and pectoralis tightness.
  • Scapular stabilization training to regain proper movement patterns.

3. Strengthening and Functional Training

  1. Rotator cuff and scapular stabilizers (serratus anterior, lower trapezius).
  2. Closed kinetic chain exercises to enhance joint control.
  3. Proprioceptive and neuromuscular retraining for shoulder stability.
  4. Functional drills to prepare athletes for sport-specific demands.

4. Postural and Biomechanical Correction

  • Stretching of tight muscles (pectoralis major/minor).
  • Strengthening of weak muscles (rhomboids, mid-trapezius).
  • Ergonomic advice for daily and sports activities.

5. Advanced Physiotherapy Modalities at Elite Physiotherapy

  1. Shock Wave Therapy
  2. Super Inductive System (SIS)
  3. High-Intensity Laser Therapy
  4. Dry Needling and Cupping

6. Rehabilitation and Return to Activity

  • A safe return to everyday or athletic activity is ensured by a gradual increase of mobility, strength, and functional exercises. To improve performance and stop recurrence, athletes undergo rehabilitation strategies tailored to their particular sport.

When to Seek Professional Help

  • Immediate physiotherapy evaluation is necessary if shoulder pain persists, lifting is difficult, or there is a noticeable deformity over the joint. Early intervention guarantees the best possible outcome and avoids long-term issues.

Conclusion

  • If left untreated, acromioclavicular joint disease can have a major impact on daily functioning and sports performance. Every treatment plan at Elite Physiotherapy and Sports Injury Centre is tailored following a thorough biomechanical evaluation. We strive for a quicker, safer, and more durable recovery by utilizing cutting-edge modalities and contemporary physiotherapy procedures.
  • One session at a time, let’s restore your shoulder’s strength and range of motion. Your shoulder requires professional attention.

Shoulder Pain: Shoulder Impingement Syndrome

Posted on by Dr Dharam

What is Shoulder Impingement Syndrome?

Shoulder Impingement Syndrome occurs when the tendons or bursa within the shoulder joint are compressed during arm movement. Pain, inflammation, and limited motion are the results of this compression. Among athletes and active people, it is one of the most frequent causes of shoulder pain.

We specialize in treating shoulder impingement at Elite Physiotherapy and Sports Injury Centre using cutting-edge evaluation methods and contemporary physiotherapy treatments for a quicker recovery.

Causes of Shoulder Impingement

  1. Overuse from weightlifting, badminton, or swimming
  2. Shoulder rounding due to poor posture
  3. Weak scapular or rotator cuff muscles
  4. The subacromial space’s structural constriction
  5. Inappropriate lifting methods or biomechanics

Clinical Features and Symptoms

  • Severe pain when moving overhead
  • Sleeping on the afflicted side causes pain.
  • Weakness in reaching or lifting
  • A clicking or snagging feeling in the shoulder
  • Restricted range of motion in the shoulder

Diagnosis and Physiotherapy Assessment

A thorough clinical examination aids identification of impingement. Elite Physiotherapy’s physiotherapists conduct a thorough shoulder evaluation that includes:

  • Observation: Verifying muscular symmetry, scapular alignment, and posture
  • Palpation: Finding pain in the subacromial or rotator cuff area
  • Range of Motion (ROM): Evaluating shoulder mobility, both active and passive

Special Physiotherapy Tests

  1. Neer Impingement Test:
  2. Hawkins-Kennedy Test:
  3. Painful Arc Test:
  4. Empty Can Test:

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

When treating Shoulder Impingement Syndrome, physiotherapy is essential. Pain relief, mobility restoration, and shoulder complex strengthening are the main goals of treatment at Elite Physiotherapy.

1. Pain and Inflammation Control

  • Shock Wave Therapy: Promotes healing in the rotator cuff tendons and aids in the breakdown of calcific deposits.
  • Super Inductive System (SIS): Uses high-intensity electromagnetic fields to induce deep muscle activation and modulate pain. It significantly lowers inflammation and speeds up tissue repair.
  • High-Intensity Laser Therapy (HILT): Deep tissue heating and cellular regeneration are two benefits of High-Intensity Laser Therapy (HILT). It quickly lessens pain and improves blood flow.
  • Dry needling: Eases tension in the muscles surrounding the shoulder and scapula and relieves myofascial trigger points.
  • Cupping therapy:  Increases tissue mobility, decreases adhesions, and improves local blood circulation.

2. Manual Therapy and Joint Mobilization

Soft tissue techniques and joint mobilizations are used once pain has been managed.
To restore mobility, physiotherapists execute inferior and posterior glides of the glenohumeral joint.
Techniques for myofascial release and scapular stability are used to reduce tension and enhance movement patterns.

3. Strengthening Phase

  • External and internal rotations with resistance bands
  • Scapular retraction and depression drills
  • Prone Y, T, and W exercises for scapular stability
  • Closed-chain strengthening for shoulder control

4. Postural Correction and Biomechanical Training

A crucial component of rehabilitation is postural reeducation.
We concentrate on scapular alignment, thoracic extension mobility, and ergonomic adjustments for desk workers and athletes.
Athletes frequently employ video analysis and corrective exercises to maximize their movement patterns.

5. Functional and Sport-Specific Rehabilitation

Sport-specific exercises are incorporated after strength and mobility are restored.
This gives athletes the confidence to resume overhead exercises like lifting, swimming, and throwing.
For full functional rehabilitation, our physiotherapists combine proprioceptive and plyometric training.

Why Choose Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy, every shoulder impingement case is evaluated through a detailed biomechanical and functional assessment.
Our treatment blends evidence-based physiotherapy with advanced modalities like Shock Wave, SIS, HILT, Dry Needling, and Cupping for superior results.
We aim for faster, pain-free recovery and safe return to sport and daily activity.

Conclusion

Shoulder Impingement Syndrome can severely affect performance and daily function if not managed properly.
Through precise assessment, modern physiotherapy techniques, and personalized care, Elite Physiotherapy and Sports Injury Centre ensures complete recovery and long-term prevention.

Anterior Shoulder Pain

Posted on by Dr Dharam

Pain in the front of the shoulder joint is referred to as anterior shoulder pain. It frequently arises from irritation, inflammation, or damage to the structures surrounding the shoulder capsule, rotator cuff, or biceps tendon. Athletes, exercise fanatics, and even office professionals may experience this pain as a result of bad posture or repetitive strain.

At Elite Physiotherapy and Sports Injury Centre, we regularly treat athletes who suffer from anterior shoulder pain as a result of repetitive tension and muscular imbalance, particularly those who play overhead sports like badminton, swimming, and wrestling.

Causes of Anterior Shoulder Pain

Several musculoskeletal and soft-tissue conditions can lead to pain in the front of the shoulder, such as:

  • Biceps Tendonitis: Inflammation of the long head of the biceps tendon.
  • Subscapularis Tendinopathy: Overuse of the subscapularis muscle that causes discomfort is known as subscapularis tendinopathy.
  • Labral Tear (SLAP lesion): An injury to the superior labrum, where the biceps tendon attaches, is known as a labral tear (SLAP lesion).
  • Shoulder Impingement Syndrome: Compression of soft tissues during arm raising.
  • Acromioclavicular (AC) Joint Pathology: Pain radiating to the anterior aspect is known as acromioclavicular (AC) joint pathology.
  • Postural Dysfunction: Overload is caused by postural dysfunction, which includes a rounded shoulder position and scapular dyskinesia.

Clinical Features

Front shoulder pain, particularly while lifting or performing overhead tasks.

  • Weakness when flexing or rotating inside.
  • A catching or clicking feeling in the shoulder.
  • Nighttime discomfort, particularly when lying on the affected side.

Diagnostic Methods and Examination

A detailed clinical examination is essential for accurate diagnosis. Physiotherapists at Elite Physiotherapy perform a biomechanical assessment, posture analysis, and palpation to locate tenderness.

Special Tests Used:

  1. Speed’s Test: Evaluates the pathophysiology of the biceps tendon.
  2. Yergason’s Test: Verifies the biceps tendon’s integrity.
  3. The Hawkins-Kennedy Test detects impingement.
  4. Lift-Off Test: Identifies weakness in the subscapularis muscle.
  5. O’Brien’s Test: Labral involvement is evaluated using O’Brien’s Test.

Imaging tests like MRIs and ultrasounds are used if necessary to confirm the diagnosis and rule out more serious structural damage.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, physiotherapists provide personalized and evidence-based treatment for anterior shoulder pain. Our approach focuses on pain relief, restoring mobility, and improving shoulder stability through advanced physiotherapy techniques and modern modalities.

1. Pain Reduction and Inflammation Control

  • Shock Wave Therapy: Promotes tendon repair and breaks down scar tissue.
  • Super Inductive System (SIS):  Uses deep electromagnetic stimulation to improve blood flow and ease tense muscles.
  • High-Intensity Laser Therapy: Effectively reduces inflammation and encourages deep tissue repair.
  • Dry Needling and Cupping Therapy: Tight anterior shoulder muscles can have their knots released and their circulation improved with dry needling and cupping therapy.

2. Manual Therapy and Soft Tissue Mobilization

  • Glenohumeral joint mobilizations help relieve capsular tightness.
  • Myofascial release and trigger point therapy target overactive muscles like the pectoralis major and biceps.

3. Restoring Range of Motion (ROM)

Gentle stretching of the anterior capsule and strengthening of the posterior muscles restore balance.

Exercises include:

  • Pendulum swings
  • Shoulder external rotation with the theraband
  • Sleeper stretch
  • Scapular setting exercises

Progressive ROM work ensures pain-free functional mobility.

4. Strengthening and Stabilization

Rehabilitation focuses on the rotator cuff, scapular stabilizers, and core.
Key exercises include:

  • Resistance band external rotation
  • Prone Y, T, and W exercises
  • Scapular retraction drills
  • Closed-chain stability training (wall push-ups, weight shifts)

These exercises help build strength and prevent recurrence.

5. Neuromuscular Re-education

Retraining the shoulder’s movement pattern is essential once the pain subsides. We assist players in regaining shoulder control and stability during dynamic actions like grappling and throwing by using proprioceptive training and SIS.

6. Return to Sport or Activity

We create rehabilitation plans tailored to certain sports once full strength and mobility have returned. For instance, swimmers prioritize rotator cuff endurance and symmetry, whereas wrestlers concentrate on shoulder stability under load, and cricketers concentrate on overall shoulder integrity

Conclusion

If left untreated, anterior shoulder pain can severely restrict daily and athletic activities. In order to provide quicker, more durable healing, we at Elite Physiotherapy and Sports Injury Centre combine cutting-edge modalities like Shock Wave, SIS, High-Intensity Laser, Dry Needling, and Cupping Therapy with sophisticated diagnostic procedures.

Our individualized treatment programs help you return stronger and pain-free by addressing the underlying biomechanical reasons of your pain.

Visit Elite Physiotherapy and Sports Injury Centre right now for professional assessment and cutting-edge physiotherapy treatment if you’re dealing with chronic shoulder pain.

Tennis Elbow : Elbow Pain and its Management

Posted on by Dr Dharam

Introduction

Tennis Elbow, medically known as Lateral Epicondylitis, is a frequent overuse condition that affects the outside elbow region. It is brought on by microtears or repetitive strain in the extensor muscles of the forearm, namely the Extensor Carpi Radialis Brevis (ECRB).
Our goal at Elite Physiotherapy and Sports Injury Centre is to speed healing through accurate evaluation and individualized physiotherapy care with cutting-edge techniques.

What is Tennis Elbow?

Tennis Elbow is an inflammation or degeneration of the tendons attached to the lateral epicondyle of the humerus. In addition to tennis players, it frequently affects anyone who engages in repetitive wrist extension or gripping tasks, such as manual laborers, office workers, and fitness enthusiasts.
Pain starts off slowly and gets worse as you continue to strain.

Causes of Tennis Elbow

  • Repetitive motions of the forearm and wrist.
  • Poor technique in sports like squash, badminton, or tennis.
  • Excessive lifting or clutching when extending the wrist.
  • Overuse in occupations like carpentry or typing.
  • Muscle exhaustion or abrupt, unfamiliar exercise.

Signs and Symptoms of Tennis Elbow

  1. Discomfort across the humerus’s lateral epicondyle.
  2. Forearm pain that radiates.
  3. Tenderness over the root of the common extensor tendon.
  4. Discomfort when lifting, grasping, or extending the wrist.
  5. Hand grip strength weakness.
  6. Difficulty performing everyday tasks like holding a cup, turning a doorknob, or shaking hands.

Examination for Tennis Elbow

A thorough physical examination is necessary for a precise diagnosis. Evidence-based tests are used by the physiotherapists at Elite Physiotherapy to rule out other diagnoses and establish the problem.

Special Physiotherapy Tests include:

  1. Cozen’s Test: When the elbow is extended, the patient opposes wrist extension. A favorable outcome is indicated by pain at the lateral epicondyle.
  2. Mill’s Test: Pain is reproduced by passively stretching the wrist extensors by flexing the wrist and pronating the forearm.
  3. Maudsley’s Test: Pain is felt across the lateral epicondyle when the third finger is not extended.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, Tennis Elbow management focuses on pain relief, restoring function, and preventing recurrence.
Physiotherapists design each treatment plan after a detailed biomechanical assessment and functional evaluation.

1. Pain Relief and Inflammation Control

The main objective during the acute period is to lessen pain and inflammation.
Physiotherapists make use of:

  • Physiotherapists recommend rest and reduced activity to decrease tendon tension.
  • Using cold, or cryotherapy, can reduce inflammation early.
  • Stretching gently will preserve the range of motion without overtaxing the tendon.

2. Advanced Physiotherapy Modalities

For quicker recovery and pain relief, Elite Physiotherapy incorporates state-of-the-art physiotherapy technologies:

  • Shock Wave Therapy: Encourages collagen synthesis, lessens chronic pain, and speeds up tendon recovery.
  • Super Inductive System (SIS): High-intensity electromagnetic fields are used by the Super Inductive System (SIS) to improve muscle activation, promote tissue healing, and lessen discomfort.
  • High-Intensity Laser Therapy: Reduces inflammation, speeds up tissue repair, and improves blood circulation.
  • Dry Needling: Releases myofascial trigger points, decreases pain, and restores normal muscle function.
  • Cupping Therapy: Promotes tissue regeneration, eases tension, and increases local blood flow.

Physiotherapists combine these modalities based on each patient’s needs for a faster and longer-lasting recovery.

3. Manual Therapy and Soft Tissue Mobilization

  • Myofascial release, joint mobilization, and deep friction massage are examples of manual therapy procedures that increase tissue flexibility and reduce pain.
  • Physiotherapists use radial head mobilization and soft tissue manipulation around the forearm to improve joint mechanics and tendon healing.

4. Therapeutic Exercises

  • Stretching Exercises: To increase flexibility, perform mild wrist flexor and extensor stretches.
  • Eccentric Strengthening: The wrist extension’s controlled lowering motions increase the resilience and strength of the tendons.
  • Isometric Exercises: To preserve strength without causing tendon inflammation, start early.
  • Proprioceptive and Functional Training: Restores neuromuscular coordination for return to daily or sports activities.

5. Maintenance and Prevention

  • Maintenance Exercises aim to stop recurrence once pain has subsided.
  • Athletes are led through flexibility exercises, sport-specific conditioning, and a phased return to play.
  • Regular follow-ups ensure sustained improvement and prevent chronic tendinopathy.

Why Choose Elite Physiotherapy and Sports Injury Centre?

Precision, creativity, and patient-centered treatment are the cornerstones of rehabilitation at Elite Physiotherapy and Sports Injury Centre.
To accelerate healing, we integrate our physical expertise with cutting-edge technologies, including Shock Wave, SIS, High-Intensity Laser, Dry Needling, and Cupping.
Physiotherapists tailor every treatment plan to align with your specific activity goals, occupation, and pain level, ensuring a comprehensive and safe recovery.

Conclusion

If left untreated, tennis elbow can have a major negative influence on both performance and quality of life.
However, healing is quicker and more efficient at Elite Physiotherapy and Sports Injury Centre because of their superior physiotherapy care and evidence-based treatment.
Restoring function and avoiding recurrence requires early diagnosis, enough rest, and planned therapy.