Ruth Lira (Physio) in Brentwood Precision Physiotherapy
Located at 67 Cranford Avenue, Brentwood. Inside Brentwood Village Medical Centre
Sports Injuries Part 3
By Melissa Mongeal B.Sc. Physiotherapy, APAM.
Melissa works from East Fremantle practice Monday to Saturday.
Background: The hamstrings are a group of 3 muscles that run from the sitting bones (pelvis) to the back of the knee (leg bones). The hamstrings function to bend the knee joint, as well as straighten the hip joint. They enable us to walk, run, stand up from sitting and walk upstairs.
Symptoms: Hamstring strain results in sudden, minimal-to-severe pain located at the back of the thigh. A “popping” or tearing feeling may be experienced during some strains. Sometimes swelling and bruising can occur, however this may be delayed for several days after the initial injury.
Causes: Hamstring strains are common when running is combined with rapid starting and stopping such as sprinting and jumping, as well as in contact sports such as AFL and soccer, where quick contractions are regular. Many risk factors including poor flexibility, strength imbalance and fatigue have been proposed as risk factors for hamstring injuries.
Treatments: Surgical intervention is an extremely rare procedure after a hamstring strain. Only in cases of a complete rupture of the hamstrings is surgery recommended. The use of specific rehabilitation programs is more common.
Sports Injuries Part 1
By Dr. Aubrey Monie [B.Sc. Physio, Ph.D., M.M.T., M.Med.Sc., Grad.Dip. Sports M.T.]
Sports Injuries Part 2
Condition: Anterior Cruciate Ligament (ACL)Tear
By Phillip McShane B.Sc. Physiotherapy (Curtin), APAM.
Phillip works from our Manning practice Monday to Saturday.
Background: The Anterior Cruciate Ligament (ACL) connects the shin bone to the thigh bone, at the knee joint. Its role is to restrain the shin from shifting forwards on the thigh, and vice-versa. Injury to the ACL most frequently occurs during sport and males between the age of 18 and 25 are most at risk.
Symptoms: An audible pop or crack is often heard at the time of injury, as well as sharp pain initially. Swelling often occurs following a tear, but this is not always the case. Instability and episodes of knee buckling or “giving way” can be key signs of an ACL rupture.
Cause: The ACL is commonly ruptured during sport, in particular high-impact sports and sudden changes of direction. 70% of ACL ruptures occur without contact, often twisting or pivoting on a single planted foot.
Treatment: Grade III (complete) ACL tears are traditionally treated with an ACL reconstruction surgical procedure, where a section of hamstring or quadricep tendon is grafted and used to replace the ACL. A synthetic ligament (LARS) is also sometimes used as an alternative replacement. This is followed by a thorough rehabilitation program with a physiotherapist in order to regain strength, stability and function, with resumption of running usually around 3 months post-op and return to sport between 6 and 12 months.
Current Concepts for Anterior Cruciate Ligament Reconstruction: A Criterion-Based Rehabilitation Progression. Adams D, Logerstedt D, Hunter-Giordano A, Axe MJ, Snyder-Mackler L. J Orthop Sports Phys Ther. 2012 Jul; 42 (7) 601-614. Doi: 10.2519/jospt.2012.3871. PMID 22402434 PMCID: PMC357689