Pathologies of the leg

 

Totemopathies of the rotulian and quadricipital

What is it?

Pain in the patellar tendon. "knee of the jumper".

What possible origin does it have?

It can be due to trauma, degenerative problems such as osteoarthritis, muscle imbalance of the knee or various sports such as basketball, squash, fencing.

How do we treat it?

Cryotherapy (cold), discharge of the tendon and quadriceps muscles, eccentric exercises, mobilization, shock waves or EPI.

Muscle tear

What is it?

It is the excision or rupture of the small fibers that make up the muscle. Depending on the number of affected fibers we will speak of micro-rupture or grade I muscle rupture, partial rupture or grade II and complete rupture or grade III.

What possible origin does it have?

Muscle overload, muscle weakness, trauma during sports or daily life, imbalance between different muscle groups, myotendinous union weakness, open bone fracture, making explosive gestures, with sudden changes in direction or weight.

How do we treat it?

Through manual therapy of discharge, drainage, invasive therapy (EPI), shock waves, diathermy and the realization of a program of functional rehabilitation whose objective will be the strengthening of the injured muscles and the prevention of future injuries of the same type.

Rotulian condommacity

What is it?

It is a degenerative lesion that affects the cartilage of the articular surface of the patella.

What possible origin does it have?

In young people and adults responds rather to processes of overload or overpressure of the knee due to growth, muscle tensions, while in older people tend to be degenerative pathologies, such as arthrosis, causing the degeneration of articular cartilage.

How do we treat it?

Through osteopathic techniques, massage techniques of the muscles of the knee and stretching them as well as myofascial tissue release techniques. In more advanced phases we will introduce functional readaptation to improve proprioception and balance.

Tendinopathy of aquiles

What is it?

Inflammation of the Achilles tendon.

What possible origin does it have?

Due to the sport practice, the tread, overload of the twin / soleus, etc.

How do we treat it?

Through shock waves, EPI, muscle discharge, mobilization of the foot, release of the foot joints, stretching, cryotherapy and eccentric exercises.

Tendinitis

What is it?

It consists of inflammation of the tendon that presents with pain and limitation of mobility.

What possible origin does it have?

It can be due to various causes such as: age, osteoarthritis, genetic inheritance, metabolic alterations, direct traumatisms, bad gestures and even the continuous repetition of the same movement.

How do we treat it?

We have endless possibilities of treatment for this pathology. First, an evaluation of the tendon would be made through the ultrasound system and then, depending on the diagnosis, we would work on the lesion. Through dry puncture, EPI, shock waves, cyriax, neuromuscular bandage, joint manipulations, muscle energy, neurodynamic exercises, postural corrections, etc.

Tendinosis

What is it?

It is an avascular chronic tendonitis due to decreased blood flow in the area, which leads to an increased risk of tendon rupture.

What possible origin does it have?

It is usually caused by poorly healed or untreated tendinitis that degenerates. It is also common in people who request the tendon in the same movement repeated and maintained over time.

How do we treat it?

We treat this lesion through the application of shock waves and regenerative diathermy. We also use the osteopathic techniques of tissue mobilization and stretching of the affected region.

Recovery of the previous cross ligament

What is it?

The anterior cruciate ligament is a ligament that controls the movement of the knee backwards and forwards. His break involves the destabilization of the knee.

What possible origin does it have?

Quickly change direction, slowing down while running, landing incorrectly from a jump, through direct contact or collision, such as a football tackle, or a direct hit under the knee.

How do we treat it?

Through joint physiotherapy and readaptation work. Physiotherapy to unload and relax the musculature, cyriax in the scar and regenerative diathermy as well as to fix any muscle or joint imbalance produced in the pelvis or lumbar area due to the process of immobilization and walking with the crutches. The readaptation to work knee mobility, muscle tone gain, strengthening of certain muscles and work and proprioception and balance.

Femoropatelar syndrome

What is it?

External patellar hyperpressure syndrome or external patellar chondromalacia.

What possible origin does it have?

Valgus knee, foot pronation, internal femur rotation, tibial external rotation, direct or indirect trauma, quadriceps muscle atrophy, iliotibial band retraction and femoral biceps.

How do we treat it?

Balancing the muscles through exercises and manual therapy such as massage, manipulations and muscle energy. Diathermy.

Meniscal injuries

What is it?

Inflammation, fissure or tear of the meniscus.

What possible origin does it have?

Biomechanical origin, age, sports practice, biochemistry or direct trauma.

How do we treat it?

In the case of total rupture, the solution would be surgical. In the other cases we could opt for physiotherapy treatment through: cryotherapy, relative rest, passive mobility and work the tone of the muscles of the knee.

Fracture recovery

What is it?

It is a process by which we return to the affected structure (bone) and muscle that surrounds the elasticity and natural properties of these tissues.

What possible origin does it have?

It can be produced by direct trauma: falling or direct hit on a bone, spontaneously: demineralization due to osteoarthritis, overexertion or fatigue: rupture by repetition of an impact on bone. In children there is the terminology of "fracture in green stem", it is not a complete fracture or clean if not a "tear" of the bone that simulates the rupture of a green stem.

How do we treat it?

As for the treatment of edema and hemorrhage, techniques such as the application of draining diathermy, compression bandage with depletive effect, massage therapy, neuromuscular bandage with drainage effect, manual lymphatic drainage We will also have to take into account that, after the immobilization time that the patient will have, the sequels will have to be worked on. At the muscular level, there will be atrophy and decreased muscle tone due to inactivity, so we will have to do a progressive recovery work, working at the beginning with isometric contractions (static), then moving to concentric and eccentric contractions.

At the joint and tissue level, due to immobilization there will be rigidity, limitation of movement, and fascial restrictions. Therefore, the mobility of the capsule-ligament components will have to be worked on, improving the flexibility of the tissues, which will also improve their vascularization and irrigation. Once there is movement and capacity in the patient, a functional readaptation work must be done to the patient. Working mobility, proprioception, balance.

Knee or ankle sprains

What is it?

Distention or elongation of the ligament that generates pain to mobility.

What possible origin does it have?

Falling or stumbling that entails twisting of a joint sudden or untimely movement, badly cured anterior sprain, bad footing or wearing an inappropriate shoe.

How do we treat it?

The treatment will consist of cryotherapy, cyriax, shock waves or EPI (if necessary), mobilization, massage therapy, manipulation of the structures involved, neuromuscular bandages and proprioceptive exercises.

Knee prosthesis

What is it?

It consists of partial or total replacement of the joint, leading to rigidity of the area, muscular hypotonia due to lack of mobility and the appearance of possible adhesions of the scar.

What possible origin does it have?

Osteoarthritis, rheumatoid arthritis, gout, bone dysplasia (deformity of the knee), avascular necrosis (death of bone tissue due to lack of blood supply), trauma.

How do we treat it?

After the conservative treatment performed by the doctor we will move the affected joint, work the scar using cyriax to prevent the appearance of adhesions, strengthening of the hypotonic muscles as well as discharge of the rigid muscles and muscle stretching in the different planes of movement.

Fascitis plantar

What is it?

Plantar fasciitis is the most common condition of heel pain. This condition occurs when the fibrous ligament of the plantar fascia along the lower part of the foot causes tears in the tissues, and this produces pain and inflammation.

What possible origin does it have?

Due to an overload due to work or physical activity performed, Achilles tendon retraction, foot mechanics (poor support, flat foot, foot dig), incorrect or defective footwear, diseases such as arthritis or diabetes.

How do we treat it?

Through the relaxation of the plantar fascia, the application of shock waves or EPI (intratissular percutaneous electrolysis), draining diathermy, passive mobility of the hindfoot area, discharge of twins, active mobility of the ankle.

Calcaneous ram

What is it?

It is a bone formation in the heel that pains with pain to the foot support.

What possible origin does it have?

Age. Aging leads to the appearance of different alterations. The overweight. Excess weight produces more pressure in the plantar vault, generating continuous distensions of the plantar fascia. Rheumatic diseases (rheumatoid arthritis, gout) that favor the accumulation of substances. Postural problems (such as flat feet, inadequate footwear or gait alterations). Increased physical activity. Many athletes, due to repetitive activity, produce this alteration.

How do we treat it?

Through stretching, massages and mobilizations of the nervous system. Inclusively, the use of shock waves to break the spur and improve the circulation of the area, as well as diathermy as a draining and tissue regenerative therapy.