Can Physiotherapy help tennis elbow or golfers elbow?
Yes – Please see the type and Self Help section. for further advice and exercises to treat these elbow conditions.
Can you get osteoarthritis of the elbow joint?
Yes. This is not a common site to get osteoarthritis, but it can happen.
It is usually associated with prolonged and repetitive stressful activities to the elbow or after a bony injury in previous years.
Osteoarthritis of your elbow joint may cause it to ache with some loss of movement too.
Can physiotherapy help olecranon bursitis?
Possibly – Olecranon Bursitis is a condition characterized by swelling, redness and pain at the tip of the elbow.
It can occur after a bang to the elbow, repetitive elbow movements or due to infection. It can also sometimes be due to gout or rheumatoid arthritis.
Treatment usually involves avoiding further trauma and non steroidal anti-inflammatories. If there are concerns regarding an infection, the fluid should be drained and sent to be tested. If an infection is then found antibiotics may be prescribed by your doctor.
A physiotherapist can advise on modification of your activity, and may also drain the bursa and possibly give a steroid injection to help settle the pain and inflammation.
My child has flat feet what should I do?
Normally, flat feet disappear by the age of six as the feet become less flexible and the arches develop. Only about 1 or 2 out of every 10 children will continue to have flat feet into adulthood.
For children who do not develop an arch, treatment is not recommended unless the foot is stiff or painful. Shoe inserts won’t help your child develop an arch, and may cause more problems than the flat feet themselves.
However, certain types of flat feet may need to be treated differently. For example, a child may have tightness of the Achilles tendon or calf muscle that can limit the motion of their ankle. This tightness can result in a flat foot, but it usually can be treated with special stretching exercises to lengthen the muscle and tendon.
Rarely, a child will have truly rigid flat feet, a condition that can cause problems. These children have difficulty moving the foot up and down or side to side at the ankle. The rigid foot can cause pain and, if left untreated, can lead to arthritis. This rigid type of flat foot is seldom seen in an infant or very young child. More often, rigid flat feet develop during the teenage years should be evaluated by your child’s GP, a podiatrist or physiotherapist.
Symptoms that should be checked by a medical professional include foot pain, sores or pressure areas on the inner side of the foot, a stiff foot, limited side-to-side foot motion, or limited up-and-down ankle motion.
Click here for more information on flat feet in children for parents and carers.
I have Achilles pain what should I do?
Achilles pain is very common especially in people aged between 40 – 60 years old.
Initially, ensure that you are wearing the most comfortable and suitable footwear for the activities you are undertaking.
Stretching of the calf muscle can alleviate tightness and doing this throughout the day can help reduce muscular pain in the calf.
Strengthening exercises to load the tendon are the recommended conservative management modality for Achilles pain so practising pushing up onto your tip toes and down is a good exercise to start with.
For further advice please see the Self Help section above. See Achilles Tendinopathy, for information and exercises that you can try for Achilles pain.
My doctor says I have plantar fasciitis, is there a cure?
Yes! Plantar fasciitis is a common foot complaint where you may have heel pain that can extend into the arch of the foot. It is often most painful when you first get out of bed in the morning or when you get up from a chair after sitting.
Treatment normally consists of calf stretching exercises, massage into the base of the foot, footwear modification and gel or soft heel cushions that can be inserted into shoes.
Wearing well cushioned footwear indoors and avoiding walking in bare feet can also help.
Please read the section on Plantar Fasciitis and check out the links for information and exercises that can help.
Could I have arthritis in my feet?
Yes, osteoarthritis can affect any joint in the foot.
It is a degenerative, inflammatory problem that can cause episodic pain and swelling in a joint or joints and can sometimes cause bone enlargement.
As we get older, osteoarthritis can be linked to changes in the shape of feet, which may cause pain. It is more common in people 40 years old and above, if you are overweight or obese, if you have had a previous foot or ankle injury or previous surgery in that area. It can also be genetic.
If you have pain associated with osteoarthritis in the feet the treatment and management is often around footwear advice, activity modification, strengthening any weak muscles and stretching any tight muscles.
Please see Self Help section for further information and exercises to try.
Why do I have a bunion?
Bunions are very common and are not always a cause of pain.
They are bony lumps that develop on the inside of the foot at the base of the big toe and may affect one or both feet. Sometimes as the bunions develop, the big toes may be pushed over towards the smaller toes.
If there is pain at the base of the big toe then the advice is often around modifying your footwear for comfort, pacing your activities and ensuring there is no rubbing or skin irritation.
Please see the Bunion section for further information.
My x-rays show I have osteoarthritis – does this mean it is bad?
There is a poor link between changes visible on x-ray and symptoms of osteoarthritis. You can be in lots of pain but have minimal changes on x-ray and vice versa. Changes seen on X-ray does not mean you have to stop being active – Keeping active can help hip pain.
Do I need an x-ray for my osteoarthritis?
An x-ray is not necessary to diagnose arthritis. It is only needed if you are going to have joint replacement surgery. An x-ray can be useful if it is not obvious if the hip joint is contributing to your symptoms and your symptoms are lasting longer than 3 months.
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