Do I need to wear a wrist or thumb support?

It is unlikely this will improve your recovery as a support will often reduce movement at your joint and make it more prone to pain and stiffness. It can be helpful if it increases your confidence to get back to certain activities but this should only be used for a short period of time and then reduce how much you use the splint or support.

Have I broken a bone?

The best way to predict if a bone in the wrist or hand has been fractured (broken) is if you have experienced:

  • A trauma to the area
  • Immediate pain when you try to move your hand or wrist.
  • Immediate pain when you try to touch the area.
  • Immediate pain when you try to grip objects.

Click here for further guidance.
Certain people are more at risk of a broken bone (fracture), if you suffer from medical condition such as diabetes or osteoporosis, take certain medications such as steroids or are a smoker.

How can I have Tennis Elbow when I don’t play tennis?

Tennis Elbow is the common term for lateral epicondylitis. You don’t have to play tennis to get this condition.

Any repetitive wrist extension activities can cause the pain. It occurs when the tendon that produces wrist extension becomes irritated at the point it attaches to your elbow.

The pain from tennis elbow is usually on a very specific spot around the joint.

How can I have Golfers Elbow when I don’t play golf?

Golfers Elbow is like tennis elbow but occurs on the opposite side of your elbow. Golfers elbow is the common term for medial epicondylitis. You don’t have to play golf to get this condition.

Any repetitive wrist flexion activities can cause the pain. It occurs when the tendon that produces wrist flexion becomes irritated at the point it attaches to your elbow.

The pain from Golfers elbow is usually on a very specific spot around the joint.

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.
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