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The ACL Rehabilitation Protocol aims to reduce swelling and inflammation, regain range of motion (ROM), improve strength and neuromuscular control, and focus on gait training.

In the later stages of rehabilitation, the focus shifts to full strength and power restoration, sport-specific exercises, and reconditioning.

Patients need to be taught how to manage pain following each workout/session. Ice may be necessary if pain, inflammation, or swelling occurs.

Immediately after surgery, weight-bearing status is determined by any additional injuries, such as meniscal repair. Typically, isolated ACL reconstructions are treated with weight bearing as tolerated, using a brace and/or crutches until adequate quadriceps muscle strength is restored. We expect to remove both crutches and move to full weight bearing within the first two weeks.

The results of ACL reconstruction are generally good, but current techniques can present challenges and potential issues. These include decreased hamstring strength, anterior knee pain, and loss of proprioception. Additionally, there is significant evidence suggesting that ACL reconstruction does not prevent future osteoarthritis.

Return to Running (RTR):

RTR decisions should be individualized for each patient, as there is no universal timeline. Many patients may be ready to RTR around the 8th-16th postoperative weeks, provided there is adequate loading, pain <2 on the visual analogue scale (VAS), 95% knee flexion ROM, full knee extension ROM, and no effusion.

Clinicians may use a variety of tests for individualized clinical decision-making regarding RTR, including strength tests, qualitative performance-based assessments focusing on dynamic knee control, and quantitative performance-based assessments such as hop tests.

Post-operative ACL Rehabilitation Conclusion:

Various types of bracing have been evaluated, including knee immobilization, rehabilitation bracing, and functional bracing. No brace or duration of bracing has shown an advantage over another type or no bracing at all. Bracing does not provide any benefit and is not necessary.

Accelerated rehabilitation has shown no harmful effects and is likely safe for patients to begin immediate postoperative weight-bearing, move the knee from 0 to 90 degrees of flexion, and perform closed-chain strengthening exercises.

Eccentric quadriceps muscle strengthening and isokinetic hamstring muscle strengthening can be safely incorporated three weeks after surgery. They may be safe sooner, but further research is needed.

Home-based rehabilitation can be effective. Neuromuscular exercises are not likely to be harmful but have a small impact, making them unlikely to yield large improvements in outcomes or help patients return to sports faster. Neuromuscular exercises should not be performed to the exclusion of strengthening and range-of-motion exercises.

Neither supplemental vitamin C nor vitamin E appears to be beneficial. Postoperative hyaluronic acid injections may improve some measurable parameters, but their cost must be considered.

Single-leg cycling to maintain cardiac fitness may be beneficial. Continuous passive motion (CPM) is still not recommended. The studies focused on improving rehabilitation following ACL reconstruction aim to safely allow the expeditious return of mobility, strength, and ultimately sport participation.

However, few studies have measured the ability to return to sports and the timing following interventions. Availability of such data could strengthen study conclusions and should be considered in future research. Despite numerous randomized trials, further investigations into the timing of rehabilitation and supplemental exercises are needed to continue improving the care and function of patients following ACL reconstruction.

To learn more about ACL Injury, please visit our dedicated page here: ACL Injury Treatment Dubai

Lower back pain (LBP) is defined by the location of pain, typically between the lower rib margins and the buttock creases. It is commonly accompanied by pain in one or both legs and some people with low back pain have associated neurological symptoms in the lower limbs.

Guidelines recommend that laboratory tests and imaging should not be routinely used as part of early management, but rather reserved for patients for whom presenting red flags (findings derived from a patient’s medical history and the clinical exam that are usually linked with a high risk of having a serious disorder like an infection, cancer, fracture or rheumatoid disease).

For nearly all people presenting with LBP, the specific source of pain cannot be identified since is most of the time a combination of biophysical, social and psychological aspects. Therefore the majority of the cases is classified non-specific low back pain. One easy classification can be done through the time of the presentation of the symptoms.

Lower Back Pain classification

– Acute lower back pain is defined as LBP for less than 12 weeks and the management recommended in international guidelines are that individuals should be provided with advice and education about the nature of low back pain or radicular pain; reassurance that they do not have a serious disease and that symptoms will improve over time; and encouragement to avoid bed rest, stay active, and continue with usual activities, including work

– Persistent lower back pain is defined as LBP for more than 12 weeks and recommended physical treatments include a graded activity or exercise program that targets improvements and functionality and prevention of worsening disability. Since there is no evidence showing that one form of exercise is better than another, guidelines recommend exercise programs that take individual needs, preferences, and capabilities into account in deciding about the type of exercise.

Pharmacological treatment

Guidelines now recommend pharmacological treatment only following an inadequate response to first-line non-pharmacological interventions. Paracetamol was once the recommended first-line medicine for low back pain; however, evidence of absence of effectiveness in acute low back pain and potential for harm has led to recommendations against its use.

Health professionals are guided to consider oral non-steroidal anti-inflammatory drugs (NSAIDs), taking into account risks, including gastrointestinal, liver, and cardiorenal toxicity, and if using, to prescribe the lowest effective dose for the shortest possible time.

Guidelines generally suggest consideration of muscle relaxants for short-term use, although further research is recommended.

Interventional therapies and surgery

The role of interventional therapies and surgery is limited and recommendations in clinical guidelines vary.

Recent guidelines do not recommend spinal epidural injections or facet joint injections for low back pain but do recommend consideration of epidural injections of local anaesthetic and steroid for severe radicular pain.

Epidural injections are associated with small short-term (4-weeks) reductions in pain, do not seem to provide long-term benefits or reduce the long term risk of surgery, and have been associated with rare but serious adverse events, including loss of vision, stroke, paralysis, and death.

The benefits of spinal fusion surgery for non-radicular low back pain thought to originate from degenerated lumbar discs (known as discogenic) are similar to those of intensive multidisciplinary rehabilitation and only modestly greater than standard non-surgical management.

Surgery is also more costly and carries a greater risk of adverse events than non-surgical management.

UK guidelines for Lower Back Pain Dubai

The UK guidelines recommend that patients are not offered disc replacement or spinal fusion surgery for low back pain, and instead recommend offering fusion surgery only as part of a randomised trial.

Patients with severe or progressive neurological deficits require surgical referral.

Spinal decompression surgery can be considered for radicular pain when non-surgical treatments have been unsuccessful and clinical and imaging findings indicate association of symptoms with herniated discs or spinal stenosis. For a herniated disc, early surgery is associated with faster relief of radiculopathy than with initial conservative treatment with the option of delayed surgery, but benefits diminish with longer (>1 year) follow-up.

For symptoms associated with lumbar spinal stenosis, benefits of surgery over conservative care are not clear but some beneficial effects have been shown.

However, patients tend to improve with or without surgery and, therefore, non-surgical management is an appropriate option for patients who wish to defer or avoid surgery. To learn more about Lower Back Pain, please visit our dedicated page here: Lower Back Pain Dubai

Most people who get tennis elbow don’t play tennis! In fact, less than 5% of all tennis elbow cases occur in people who play the sport. Tennis elbow, also known as lateral epicondylitis, is

a type of tendinitis (swelling of the tendons) that causes pain in your elbow and arm. These tendons are bands of tough tissue that connect the muscles of your lower arm to the bone.

Tennis elbow can happen to anyone who repeatedly uses their elbow, wrist, and hand for their job, sport, or hobby. Physical therapists help people with tennis elbow gently heal the affected areas, build muscle strength, and avoid further injury. And, according to a new study, choosing physical therapy for tennis elbow outperforms steroid injections and is cost-effective.

The main symptom of tennis elbow is pain and tenderness in the bony knob on the outside of your elbow. This knob is where the injured tendons connect to the bone. The pain may also radiate into your upper or lower arm, and you can have tennis elbow in both arms. Although the tendon damage is in your elbow, you’re likely to feel pain when doing things with your hands.

Tennis elbow pain may be most intense when you:

• Lift something
• Make a fist or grip an object, such as a tennis racket
• Open a door or shake hands
• Raise your hand or straighten your wrist

Despite the name, you can get tennis elbow even if you’ve never been near a tennis court. Any repeated arm movement can inflame your tendons. Tennis elbow is the most common reason for elbow pain. It can pop up in people of any age, but it most hits people between ages 30

and 60. Tennis elbow usually develops over time. Repeated motions, like gripping a tennis racket during a swing, can strain your muscles and leave the work up to your tendons, causing them to become inflamed and ripe for microscopic tears.

For the first 24 to 48 hours after acute onset of your pain, your Tennis Elbow Treatment may include:

• Resting the arm by avoiding certain activities and modifying the way you do others.
• Applying ice treatments to the affected area.
• Using elastic bandages or supports to take the pressure off the painful muscles.

Your physical therapist at Vitruvian Italian Physiotherapy Center will decide if a brace or support to protect your muscles will aid your healing.

After the First 48 Hours, a Tennis Elbow Treatment program specific to your needs to speed your recovery will begin. They may use treatments such as:

• Manual (hands-on) therapy.
• Special exercises to relieve pain.
• Ice or heat treatments, or both.

They also will design an exercise program to help correct muscle weakness that you can continue at home.

At Vitruvian Italian Physiotherapy Center your program will include:

Improving mobility. Your physical therapist may use manual (hands-on) therapy, such as massage or other techniques. This treatment helps to reduce tightness in the soft tissue and joints to enable your joints and muscles to move more freely with less pain.

Improving strength. Lack of muscle strength can lead to tennis elbow. Sometimes the weakness is in the muscles of the wrist and forearm. In many cases, the problem stems from weakness of the supporting postural, or “core,” muscles. In fact, you might find that you need to improve your overall level of fitness to help manage your elbow condition. Your physical therapist will work with you to determine the type and amount of exercise that is right for you.

Physical therapists prescribe several types of exercises during recovery from tennis elbow:

• In early treatment, when the pain is most intense, your physical therapist may perform gentle passive exercises for you. They will carefully move your wrist and elbow without straining the involved muscles.
• As your symptoms improve, you can begin to perform active exercises yourself, moving your wrist and elbow without assistance. Your physical therapist will guide you, to ensure your safety.
• As the muscles become stronger and your symptoms lessen, you may begin using weights or resistance bands to further increase your strength. Your physical therapist will carefully monitor your exercises to help you make progress and avoid reinjury.

Your physical therapist will help you stay active by teaching you how to modify your activities to avoid pain and injury. Sometimes it’s necessary to make changes at work, on the playing field, or at home. Your physical therapist can help you make changes to your work site, your computer setup, kitchen devices, sports equipment, and even your gardening tools to lessen the strain on your hand, wrist, and forearm. They will emphasize the importance of taking stretch breaks, so that your muscles get frequent rest from repeated movements and positions.

For an “acute” case of tennis elbow (one that arose in the past few weeks) it is important to get treatment as early as possible. If left untreated, tennis elbow can become chronic and last for months or even years. This is especially true if treatment focuses only on relieving pain and not on correcting the muscle weakness and bad habits that likely led to the condition.

Research has shown that physical therapy can help people with tennis elbow improve their pain and function. In a recent study, researchers calculated the economic impact of choosing physical therapy for tennis elbow over steroid injections. They found that doing so saves $10,739, including all the hidden costs of your time, pain, missed life events, and the dollars paid for services.

If your tennis elbow is severe, your physical therapist may recommend that you consult with another health care provider for more testing or additional treatment. In rare cases, a cortisone injection or surgery might be needed. Your physical therapist can help you determine whether you need a referral to another health care provider.

How long it takes to recover from tennis elbow depends on the extent of the damage to your tendon and your treatment.

But don’t rush the healing process. If you start pushing yourself to use your arm too early, you could make the damage worse.

You’re ready to return to your former level of activity when:

• Gripping objects or bearing weight on your arm or elbow is no longer painful.
• Your injured elbow feels as strong as your other elbow.
• Your elbow is no longer swollen.
• You can flex and move your elbow without any trouble.

To learn more about Tennis Elbow Treatment, please visit our dedicated page here: Tennis Elbow Treatment

Sciatica, a radiating pain that travels along the path of the sciatic nerve, can be a debilitating condition. The sciatic nerve, the longest nerve in the body, runs from the lower back through the buttocks and down the leg. When the sciatic nerve becomes irritated or compressed, it can cause a shooting, burning, or tingling pain that significantly impacts mobility and quality of life. While a “cure” for sciatica might not exist, there are several effective strategies to achieve fast relief and prevent future flare-ups. Here at Vitruvian Italian Physiotherapy Center, a leading physiotherapy center in Dubai, we understand the urgency of finding relief from sciatica. In this blog post, we’ll explore various approaches to expedite your recovery and empower you to manage sciatica effectively.

Causes and Symptoms

The most common cause of sciatica is a herniated disc in the lower spine. When the soft cushion between the vertebrae bulges or ruptures, it can press on the sciatic nerve, triggering pain. Other potential causes of sciatica include:

• Spinal stenosis (narrowing of the spinal canal)
• Piriformis syndrome (muscle tightness in the buttocks compressing the nerve)
• Degenerative disc disease (wear and tear of the spinal discs)

The hallmark symptom of sciatica is pain that radiates along the path of the sciatic nerve, typically starting in the lower back and traveling down one leg, sometimes reaching the foot. The pain can be sharp, burning, or tingling, and might be accompanied by:

• Numbness or weakness in the affected leg
• Difficulty walking or standing for prolonged periods
• Pain that worsens with certain movements (e.g., sitting, bending forward)

Effective Options at Vitruvian Italian Physiotherapy Center

Following the initial pain management phase, our physiotherapists might recommend various sciatica therapies to promote healing and prevent future flare-ups:

• Physical Therapy: This forms the cornerstone of sciatica treatment. Our therapists will design a personalized program focused on:
  • Manual therapy techniques: Techniques like massage, joint mobilization, and neural gliding can help reduce inflammation, improve nerve mobility, and alleviate pain.
  • Stretching exercises: Stretching tight muscles in the lower back and legs can improve flexibility and reduce pressure on the sciatic nerve.
  • Strengthening exercises: Strengthening the core and gluteal muscles can improve overall spine stability and support, preventing future nerve compression.
• Spinal Decompression: This therapy utilizes specialized equipment to gently stretch the spine, creating space between the vertebrae and potentially relieving pressure on the sciatic nerve.
• Sciatica Pain Relief Massage: Our physiotherapists might incorporate targeted massage techniques to improve circulation, reduce muscle tension, and promote pain relief. However, this is usually not the first line of treatment.

In addition to the therapies provided by our team, there are steps you can take to manage your sciatica and expedite your recovery:

Maintain proper posture: Maintaining good posture while sitting, standing, and lifting objects can significantly reduce stress on your spine and sciatic nerve.

Apply heat or ice: Applying heat or ice packs to the affected area for 15-20 minutes at a time can help manage pain and inflammation.

Maintain a healthy weight: Excess weight puts additional strain on your spine and can aggravate sciatica symptoms.

Stay active: Regular physical activity, even low-impact exercises like walking or swimming, can promote healing and prevent muscle stiffness. However, avoid activities that aggravate your pain.

Sciatica doesn’t have to control your life. With a prompt diagnosis, personalized treatment plan, and commitment to self-care strategies, you can achieve significant pain relief and regain control. At Vitruvian Italian Physiotherapy Center in Dubai, we’re dedicated to helping you manage your sciatica effectively. Here’s what sets us apart:

Experienced and Certified Physiotherapists: Our team comprises highly qualified and experienced physiotherapists who stay updated on the latest advancements in sciatica treatment.

Evidence-Based Treatment Approaches: We utilize treatment methods supported by scientific research and proven to be effective in alleviating sciatica pain and promoting long-term recovery.

Personalized Care: We understand that every case of sciatica is unique. We tailor our treatment plans to your specific needs, severity of your condition, and lifestyle factors.

Patient-Centered Approach: We believe in clear communication and collaboration throughout your journey. Our physiotherapists will explain treatment options in detail, answer your questions, and involve you in the decision-making process.

Focus on Long-Term Well-Being: Our goal extends beyond immediate pain relief. We’ll equip you with the knowledge and tools to manage your sciatica effectively and prevent future flare-ups.

To learn more about Sciatica Treatment, please visit our dedicated page here: Sciatica Treatment

The anterior cruciate ligament (ACL) is a crucial stabilizer in the knee joint, preventing excessive forward movement of the shinbone relative to the thighbone. A torn ACL, often a result of sports injuries involving sudden pivots or stops, can significantly impact mobility and stability. While surgery is a common treatment option for ACL tears, many people wonder: “Can an ACL heal without surgery?”

The answer depends on the severity of the tear and your individual goals. At Vitruvian Italian Physiotherapy Center, a leading physiotherapy center in Dubai, we understand the challenges associated with ACL injuries.

Understanding ACL Tears: Severity Matters

ACL tears come in varying degrees of severity, ranging from minor microtears to complete ruptures. The extent of the tear significantly influences the potential for non-surgical healing.

Partial Tears: In some cases, the ACL might experience a partial tear. While still causing pain and instability, these tears have a higher chance of healing without surgery, especially with proper rehabilitation.

Complete Tears: A complete ACL tear disrupts the ligament entirely, significantly compromising knee stability. Complete tears usually require surgical intervention for optimal long-term outcomes.

Factors Affecting Non-Surgical Healing

Several factors influence the feasibility of non-surgical healing for an ACL tear:

Age: Younger individuals with a higher healing capacity might be better candidates for conservative treatment compared to older adults.

Activity Level: Individuals with lower activity levels and less demanding physical requirements might manage well with a non-surgical approach, focusing on regaining stability and function for daily activities.

Ligament Quality: The overall health and quality of the ACL tissue before the injury can influence its healing potential.

Extent of Associated Injuries: If the ACL tear is accompanied by damage to other knee structures like meniscus cartilage, surgery might be necessary for comprehensive repair.

Living an Active Life: Considerations for Non-Surgical ACL Treatment

While non-surgical treatment can be successful for some individuals, it’s important to understand the limitations:

Recovery Timeline: Non-surgical healing typically takes longer than surgical repair. Be prepared for a dedicated rehabilitation program that might last several months.

Activity Level: Non-surgical treatment might not be suitable for athletes or individuals with very active lifestyles that demand high levels of knee stability.

Long-Term Complications: There’s a higher risk of long-term knee instability with a non-surgical approach compared to surgery, potentially leading to future joint degeneration.

At Vitruvian Italian Physiotherapy Center, we believe in a collaborative approach to ACL injury management. Following a comprehensive evaluation, our physiotherapists will discuss the pros and cons of both surgical and non-surgical treatment options. We’ll consider your individual circumstances, activity level, and goals to recommend the most suitable approach for your recovery.

To learn more about ACL Injury, please visit our dedicated page here: ACL Injury Treatment

Tennis elbow, medically known as lateral epicondylitis, is a common condition causing pain and tenderness on the outer elbow. It’s often associated with repetitive motions that strain the forearm muscles that attach to the elbow bone. While the name suggests a connection to tennis players, anyone involved in activities that require gripping or forceful wrist extension can develop tennis elbow.

The good news? You don’t have to live with the discomfort. Here at Vitruvian Italian Physiotherapy Center, a leading physiotherapy center in Dubai, we understand the frustration tennis elbow can cause.

The repetitive motions that strain the forearm extensor muscles can lead to tiny tears in the tendons that attach these muscles to the elbow bone. This micro-tearing causes inflammation and pain, the hallmark symptoms of tennis elbow.

Here are some common activities that can trigger tennis elbow:

• Repetitive gripping motions (e.g., using screwdrivers, painting)
• Weightlifting (especially exercises that involve wrist extension)
• Certain racquet sports (tennis, badminton)
• Typing for extended periods

While there’s no magic bullet for a speedy recovery, several effective tennis elbow treatment options can significantly reduce pain and improve function. At Vitruvian Italian Physiotherapy Center, our experienced team will design a personalized treatment plan based on your specific needs and severity of your condition. Here are some common approaches we incorporate:

• Rest: Avoiding the activities that aggravate your symptoms is crucial for allowing the inflammation to subside. Our physiotherapists can advise you on activity modification techniques to facilitate healing.
• Ice Therapy: Applying ice packs to the affected area for 15-20 minutes at a time, several times a day, can help reduce pain and inflammation.
• Compression: Wearing a compression elbow brace can help support the injured tissues and minimize pain during activity.
• Pain Medication: Over-the-counter pain relievers like ibuprofen or acetaminophen might be recommended to manage discomfort.

Tennis Elbow Therapies: Advanced Options at Vitruvian Italian Physiotherapy Center

In some cases, depending on the severity of your condition and how long you’ve been experiencing symptoms, our physiotherapists might recommend additional tennis elbow therapies:

• Ultrasound Therapy: Ultrasound waves can promote healing and reduce inflammation in the affected tissues.
• Laser Therapy: Low-level laser therapy can stimulate tissue healing and pain relief.

Preventing a Comeback: Tips to Keep Tennis Elbow at Bay

Once you’ve recovered from tennis elbow, it’s important to take steps to prevent it from returning. Here are some tips from our team at Vitruvian Italian Physiotherapy Center:

• Maintain proper form: Ensure proper technique during activities that involve gripping or forceful wrist extension. A physiotherapist can guide you on proper form and recommend modifications if needed.
• Warm-up and cool-down: Always warm up your forearms and wrists before engaging in activities that might strain them. Similarly, cool down with gentle stretches after strenuous activities.
• Strengthen your forearms: Regularly incorporating forearm strengthening exercises into your routine can help prevent future injuries.
• Listen to your body: Pay attention to any pain you experience during activities. Take breaks and modify your intensity if necessary to avoid aggravating the condition.

Here’s what you can expect during your initial consultation at Vitruvian Italian Physiotherapy Center:

• Detailed assessment: Our physiotherapist will conduct a thorough evaluation, including a physical examination and discussion of your symptoms, medical history, and activities that might have contributed to your tennis elbow.
• Diagnosis and treatment plan: Based on the assessment, the physiotherapist will diagnose your tennis elbow and create a personalized treatment plan tailored to your specific needs and severity of your condition.
• Open communication: We believe in clear communication throughout your treatment journey. Our physiotherapists will explain the treatment plan in detail, answer any questions you might have, and involve you in the decision-making process.
• Education and self-care: We empower you with knowledge and self-care strategies to manage your condition effectively. You’ll receive guidance on activity modification, proper form during exercises, and techniques to prevent future flare-ups.

Don’t let tennis elbow hold you back from enjoying your activities. Contact Vitruvian Italian Physiotherapy Center in Dubai today to schedule an appointment and take the first step towards a pain-free and active life.

We look forward to helping you overcome tennis elbow and achieve optimal health and well-being.

To learn more about Tennis Elbow Treatment, please visit our dedicated page here: Tennis Elbow Treatment

At Vitruvian Physiotherapy Center, we recognize the impact that lower back pain can have on your quality of life. In this blog post, we will delve into the common causes of lower back pain and why Vitruvian Physiotherapy Center is your go-to destination for effective Lower Back Pain treatment in Dubai.

1. Understanding Lower Back Pain:

Lower back pain is a prevalent issue affecting people of all ages, stemming from various factors such as muscle strain, poor posture, injury, or underlying medical conditions. Understanding the root cause of your lower back pain is essential for developing an effective treatment plan.

2. Why Choose Vitruvian Physiotherapy Center for Lower Back Pain Treatment in Dubai:

Vitruvian Physiotherapy Center stands as a beacon of relief for those seeking Lower Back Pain treatment in Dubai. Our team of highly skilled physiotherapists is committed to delivering personalized care that targets the source of your pain, promoting long-term recovery and a return to an active, pain-free lifestyle.

3. Comprehensive Assessment for Tailored Treatment:

The journey to relief begins with a comprehensive assessment at Vitruvian Physiotherapy Center. Our experienced physiotherapists conduct a thorough evaluation to identify the specific factors contributing to your lower back pain. This in-depth understanding allows us to design a personalized treatment plan tailored to your unique needs.

4. Targeted Physiotherapy Interventions:

Vitruvian Physiotherapy Center employs evidence-based physiotherapy interventions to address lower back pain effectively. From targeted exercises to manual therapy techniques, our programs are designed to alleviate pain, improve mobility, and enhance the strength and flexibility of the lower back muscles.

5. Patient Education for Long-Term Wellness:

Beyond immediate relief, Vitruvian Physiotherapy Center places a strong emphasis on patient education. Our physiotherapists provide guidance on proper ergonomics, posture correction, and home exercises to empower you with the knowledge and tools needed for long-term lower back wellness.

To learn more about Lower Back Pain, please visit our dedicated page here: Lower Back Pain Treatment

At Vitruvian Physiotherapy Center, we understand the impact that tennis elbow can have on your daily activities. In this blog post, we will explore effective Tennis Elbow Treatment options available in Dubai, and why Vitruvian Physiotherapy Center stands out as a premier destination for rehabilitation.

1. Understanding Tennis Elbow:

Tennis elbow, or lateral epicondylitis, is a common condition characterized by pain and inflammation on the outer part of the elbow. Contrary to its name, this condition is not exclusive to tennis players and can affect anyone engaging in repetitive arm and wrist movements. Understanding the underlying causes is crucial for an effective treatment approach.

2. Why Choose Vitruvian Physiotherapy Center for Tennis Elbow Treatment in Dubai:

Vitruvian Physiotherapy Center is a leading provider of rehabilitation services, specializing in Tennis Elbow Treatment in Dubai. Our team of experienced physiotherapists is dedicated to delivering personalized care that addresses the root cause of your tennis elbow, promoting a speedy and sustainable recovery.

3. Comprehensive Assessment and Diagnosis:

The first step towards effective Tennis Elbow Treatment at Vitruvian Physiotherapy Center begins with a thorough assessment. Our experienced physiotherapists evaluate the extent of your condition, identifying contributing factors such as muscle imbalances, overuse, or improper technique. This comprehensive approach ensures a tailored treatment plan that addresses your specific needs.

4. Individualized Physiotherapy Programs:

At Vitruvian, we believe in the power of individualized care. Our physiotherapy programs for Tennis Elbow Treatment are designed to target the specific impairments identified during the assessment. From targeted exercises to manual therapy techniques, our programs are crafted to alleviate pain, restore function, and prevent recurrence.

5. Education and Prevention Strategies:

Beyond providing treatment, Vitruvian Physiotherapy Center is committed to empowering our patients with knowledge. Our physiotherapists educate you on proper ergonomics, stretching exercises, and preventive strategies to minimize the risk of tennis elbow recurrence. This proactive approach is key to ensuring long-term joint health.

To learn more about Tennis Elbow Treatment, please visit our dedicated page here:

To learn more about Tennis Elbow Treatment, please visit our dedicated page here: Tennis Elbow Treatment in Dubai

What is Femoroacetabular Impingement? In recent times the hip joint has been recognised as a significant cause of hip and groin pain in the athletic population. It accounts for approximately 12% of soccer related injuries and is the third most common injury in the Australian Football League.

Groin pain is frequently reported in those with hip pathology attending for arthroscopy, evidenced by 92% of patients with labral tears. The most common site of pain referral in people with labral tears has been reported as the central groin region. Hip pain often coexists with other groin-related pathologies, including pubic and adductor symptoms, which can make tears, most likely due to impingement of the labrum between the bony components of the hip.

Which are the causes of Femoroacetabular impingement syndrome?

Femoroacetabular impingement syndrome (FAIS) is caused by premature contact of the femur and acetabulum during hip motion. The 3 classifications of FAIS are cam, pincer and Mixed impingement. Aspherical deformation of the femoral head occurs with cam deformity, whereas pincer deformity presents with excessive prominence of the outer rim of the acetabulum Mixed is the combination of the 2 types of deformity.

Repetitive abutment of hip structures may damage the labrum and contribute to the early onset of osteoarthritis.

The Physiotherapist assist patients with FAIS using nonoperative or postoperative exercise strategies. Both approaches demonstrate key exercise pillars: postural control (also known as postural positioning), core stabilization (also known as core strength), hip strength (also known as hip strength and motor control), and mobility (also known as functional range of motion [ROM])

Patients with symptoms that lasted 12 to 24 months or longer had worse surgical outcomes. This suggests that surgical intervention may be needed if symptoms have not resolved with nonoperative treatment within 3 to 6 months

Return to sport

Patients who pursue nonoperative approaches often have the same goals as patients who choose surgery: to return to the preinjury or sport performance level after an intervention.

In 6 weeks, the central goals should be to reduce pain in the affected hip to 0 to 2/10 (on a numeric pain scale), improve the range of motion and gradually reload the joint. In 12 weeks nonoperative Patients should be able to walk on varied terrain; jog for at least 30 minutes; and complete sport-specific tasks that involve cutting, jumping, and pivoting. Patients whom undergo for surgery may expect this goal at 13-16 weeks.

The timeline for return to play depends on the procedure performed and varies from patient to patient
Returning to sport is different from returning to the preinjury level of activity, which increases the difficulty of determining timelines for returning to sport. 

Appropriate rehabilitation exercise progressions specific to the patient’s goals and response to therapeutic interventions are needed.

In conclusion

The evidence supporting the best conservative management for FAI is limited. 
Given the rapid increase in interest in this condition, knowledge of appropriate rehabilitation programs will most likely grow in the coming years. 
Conservative management of symptomatic FAI focuses on decreasing adverse hip loads through the implementation of hip muscle strength programs and modification of external joint loads. This may result in a lessening of symptoms associated with this condition.

To learn more about Injury Prevention, please visit our dedicated page here: Injury Prevention Program

The ACL Rehabilitation Protocol has the aim to reduce swelling and inflammation, regaining Range of Motion (ROM) strength and neuromuscular control and gait training.

The later stage of rehabilitation includes full strength and power restoration, sport specific exercises and reconditioning.

The patient must be taught how to manage the pain following each workouts/session.

Ice may be need to be applied if pain, inflammation or swelling appears.

Immediately after surgery, weight bearing status is largely determined by concomitant injuries (e.g. meniscal repair). Isolated ACL reconstructions are typically treated weight bearing as tolerated, using brace and/or crutches until adequate quadriceps muscle strength is restored. We can expect to remove both crutches and move to full weight bearing in the first 2 weeks.

The results of ACL reconstruction are good, but current techniques do pose their own challenges and potential issues. These include decreased hamstrings strength, anterior knee pain and loss of proprioception. There is also significant evidence to suggest that ACL reconstruction does not prevent future osteoarthritis.

Return to run (RTR):

RTR decision-making should be individualized for each patient. No universal timeline to RTR exists.

For many patients, it might be reasonable to expect readiness to RTR around the 8th–16th postoperative weeks, provided there is adequate loading: pain <2 at visual analogue scale (VAS) , 95% knee flexion ROM, full knee extension ROM and no effusion.

The clinician may choose to use a battery of tests for individualized clinical decision-making regarding RTR including; strength tests, qualitative performance-based assessments, with focus on dynamic knee control, and quantitative performance-based assessments such as hop tests.

Post-operative ACL Rehabilitation conclusion:

Multiple types of bracing were evaluated, including knee immobilization, rehabilitation bracing, and functional bracing. Overall, no brace or length of brace wear demonstrated an advantage over another type of brace, another duration of bracing, or no bracing at all. Bracing does not provide any benefit and is not necessary.

Accelerated Rehabilitation has shown no deleterious effects, and it is likely safe for patients to begin immediate postoperative weight-bearing, move the knee from 0 to 90 of flexion, and perform closed-chain strengthening exercises.

Eccentric quadriceps muscle strengthening and isokinetic hamstring muscle strengthening were safely incorporated three weeks after surgery; they may be safe sooner, but further research is needed.

Home-based rehabilitation can be effective. Neuromuscular exercises are not likely to be harmful to patients; however, their impact was small, making them unlikely to yield large improvements in outcomes or help patients return to sports faster. Neuromuscular exercises should not be performed to the exclusion of strengthening and range-of motion exercises.

Neither supplemental vitamin C nor vitamin E appears to be beneficial. Postoperative hyaluronic acid injections may improve some measurable parameters, but their cost must be kept in mind.

Single-leg cycling to maintain cardiac fitness may be beneficial. Continuous passive motion (CPM) is still not recommended. The studies presented in this paper focused on improving rehabilitation following ACL reconstruction, with a goal of safely allowing expeditious return of mobility, strength, and ultimately sport participation.

However, few studies actually measured the ability to return to sports and its timing following the interventions. The availability of such data could strengthen the conclusions of studies and should be considered in future research. Despite the large number of randomized trials, further investigations of the timing of rehabilitation and supplemental rehabilitation exercises are needed to continue to improve the care and function of patients following ACL reconstruction

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