Lateral epicondylalgia, or tennis elbow as it is often called is a common sports medicine condition. Pain usually felt at the outer side of the elbow and is aggravated by gripping or lifting movements. The pain associated with tennis elbow usually arises gradually 2-3 days after unaccustomed activity involving repeated bending of the wrist or gripping hand movements or activities. Examples include sports (usually racquet-based) and occupational and leisure pursuits (carpentry, bricklaying, sewing and knitting, computer use). This condition can affect any age group but is most common for those between the ages of 40 and 50.
A few weeks ago I attended a further education course on shoulder pain & dysfunction and how best to manage this from in a chartered physiotherapy setting. My aim in attending this course was to learn how to better treat shoulders, helping my clients recover more quickly from injury.
Here are ten highlights:
What is Cognitive Functional Therapy in Physiotherapy and how may it help me?
What is CFT?
CFT is a pain management approach that focuses on the patient and targets their beliefs, fears and associated behaviours (both movement and lifestyle). This approach has been devised by Professor Peter O’Sullivan and his research team. Peter is a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005) and Professor of Musculoskeletal Physiotherapy at Curtin University. Internationally recognised as a leading clinician, researcher and educator in Physiotherapy, he has published more than 100 research papers, been keynote speaker at 60 national and international conferences and taught in 22 countries on the diagnosis and management of persistent pain disorders
Studies have shown that of the patients presenting with headaches to private practice chartered physiotherapy, approximately one third are neck related cervicogenic headaches, one third are muscular tension type headaches and another third are migraine headaches.
Cervicogenic headache is a headache whereby the cause of the headache is a neck disorder, usually felt on one side. In other words the muscles, joints and nerves of the neck may not be functioning correctly resulting in referred pain to the head region. Common causes are sustained faulty postures, certain neck movements resulting in injury to the neck for example while lifting or carrying and sometimes stress.Typically clinical findings with this type of headache include musculoskeletal impairments such as muscular trigger points, restricted neck movements and reduced strength and endurance in the deep neck flexor muscles.
Why is the warmup and cooldown so important?
The warm-up prepares the body for exercise and should be tailored for the specific exercise that will be undertaken. For football, both general and specific exercises should be performed.
The warm up may involve
- General exercise jogging or cycling for 5-10 minutes to warm the muscles and enhance circulation in preparation for stretching
- Gentle static stretching of key muscle groups such as the hamstrings, calves and hip flexors which are held for 20-30 seconds and repeated 2-3 times. It is also important to stretch/mobilise the spine gently, especially the ‘twisting’ movement.
- Low level resistance exercises to ‘wake up’ important core stabilising muscles which will help support the back, hips and legs during training.
- Once the muscles are well warmed up, more vigorous dynamic stretches can be performed carefully under supervision of the coach so as to avoid injury.
The cool down is important to safely restore the body back to its resting state. This may include: