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Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is an entrapment of the median nerve at the wrist where it passes through the carpal tunnel. This causes paraesthesia(abnormal sensations) pain, numbness, tingling and burning along the median nerve’s distribution(thumb, index finger, middle finger and half of the ring finger).

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De Quervain's Tenosynovitis

There are two thumb tendons, the Abductor Pollicis Longus (APL) and the Extensor Pollicis Brevis (EPB), that are involved in the onset of the condition known as ‘De Quervain's Tenosynovitis.’ Travelling side by side along the inside of the wrist they pass through a Synovial tunnel on the thumb side which helps to keep them in place. They glide back and forth freely to move the thumb because of a slippery coating called ‘Tenosynovium’ and when this and/or the tendon become inflamed it results in Tenosynovitis and when that inflammation restricts the movement of the tendons in the tunnel, the diagnosis is ‘De Quervain's Tenosynovitis.’

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Fibromyalgia

Widespread pain to the muscles of the body, unusually high levels of fatigue, tender points in multiple areas and great sensitivity to seemingly normal things, are all indicative of someone suffering from the disorder known as Fibromyalgia.

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Ligament sprains

‘Ligament sprains’ and ‘Muscle strain’ are often confused and usually written about in tandem, however they are in fact quite different. Muscle and tendon (joining muscle to bone) strains occur when there is a poor level of fitness or poor dynamic control within the muscles, whereas Ligaments join bone to bone and injuries occur when there is excessive movement forced through a joint...quite different and so we deal with them in separate articles.

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Musculoskeletal Pain

Musculoskeletal pain is pain caused by injury to the bones, joints, muscles, ligaments, tendons and/or nerves. The pain can be either acute or chronic and either localised or widespread. It is basically a summary of all the types of physical pain a person could suffer from.

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Neck–Arm pain

Also referred to as ‘Neck-Arm syndrome’, Neck-Arm pain encompasses a number of conditions that affect your neck or upper back, which include some arm symptoms. The most common form is the shoulder variety. Specific to problems that cause referred pain down the arm, Neck–Arm pain can also lead to a more advanced condition of ‘Abnormal Neural Tension.’

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Overuse injuries

Overuse injuries, as the term implies, are the result of the gradual, repetitive action and overuse of certain muscles, tendons or bones, as opposed to acute injuries, like a sprained ankle, which happen instantaneously. They can happen through sports, be work related, or through constant repetition of any physical activity. As they happen over a period of time, there are generally four stages to Overuse injuries which are:

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Pinched Nerve

When a nerve becomes entrapped or ‘pinched’, usually because of injury to structures next to the nerve, this is referred to as a ‘Pinched nerve’, where nerve pain, damage and associated symptoms can occur. Self-diagnosed pinched nerves rarely need to be operated on and even upon MRI diagnosis, the rehabilitation of the poor biomechanics (often the cause of your dysfunction) have been found to be an effective treatment option with a significantly lower risk profile. Symptoms could be created by muscle tension, so the nerve is often unaffected, even with feeling symptoms of tingling, pins and needles and pain. But don’t underestimate it, the perception of a pinched nerve can and should be comprehensively assessed by an experienced Physiotherapist. Should there be any damage beyond that with which a Physiotherapist can assist, you will be referred to a surgeon for a second opinion.

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Stress fractures

A stress fracture, which consists of tiny cracks, is the result of excessive, usually repetitive, force through healthy bone. Often sports related, they are common injuries amongst runners, where fractures occur in the feet and the shin bones, but they can also occur in other sports, for example, where lumbar spine stress fractures are found among gymnasts and fast bowlers in cricket, and stress fractures in the wrist can occur when you use your hand to stop a fall, during sports or otherwise.

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Tendinopathy

Tendinopathy encompasses tendon injuries and can develop in any tendon of the body. It includes Tendinosis and Tendonitis, which are different terms used for varying degrees of tendon injuries. Tendons are the tough fibres connecting muscles to bones. Tendon injuries generally occur near joints, like the shoulder, elbows, knees and ankles.

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Body Area

    Head
    Neck
    Shoulder and Arm
    Elbow and Forearm
    Wrist and Hand
    Upper Back and Chest
    Lower Back
    Hip and Thigh
    Knee and Leg
    Ankle and Foot

Treatments

  • Dry Needling
  • Ergonomic Desk Setup
  • Kinesiology Taping
  • Post-operative Treatment
  • Rehabilitation
  • Spinal Manipulations

Conditions

  • Ankle and foot pain
    Ankle and foot pain
  • Ankle sprain-Syndesmosis
    Ankle sprain-Syndesmosis
  • Arthritis
    Arthritis
  • Asthma
    Asthma
  • Bell's Palsy
    Bell's Palsy
  • Bronchitis
    Bronchitis
  • Bunions
    Bunions
  • Bursitis
    Bursitis
  • Carpal Tunnel Syndrome
    Carpal Tunnel Syndrome
  • Delayed Onset Muscle Soreness
    Delayed Onset Muscle Soreness
  • De Quervain's Tenosynovitis
    De Quervain's Tenosynovitis
  • Disc Hernia
    Disc Hernia
  • Fibromyalgia
    Fibromyalgia
  • Frozen Shoulder
    Frozen Shoulder
  • Groin Pain
    Groin Pain
  • Headaches
    Headaches
  • Hip Pain
    Hip Pain
  • Hip Impingement
    Hip Impingement
  • Hip Labral Tear
    Hip Labral Tear
  • Illiotibial band syndrome
    Illiotibial band syndrome
  • Ligament sprains
    Ligament sprains
  • Meniscus Injuries
    Meniscus Injuries
  • Muscle Tears or Strains
    Muscle Tears or Strains
  • Musculoskeletal Pain
    Musculoskeletal Pain
  • Neck–Arm pain
    Neck–Arm pain
  • Osgood Schlatter Disease
    Osgood Schlatter Disease
  • Overuse injuries
    Overuse injuries
  • Pes Anserinus Bursitis/Tendinopathy
    Pes Anserinus Bursitis/Tendinopathy
  • Pinched Nerve
    Pinched Nerve
  • Plantar fasciitis
    Plantar fasciitis
  • Rotator Cuff Syndrome
    Rotator Cuff Syndrome
  • Runner's knee
    Runner's knee
  • Sacroiliac Joint pain
    Sacroiliac Joint pain
  • Scheuermann's Disease
    Scheuermann's Disease
  • Sciatica
    Sciatica
  • Scoliosis
    Scoliosis
  • Sever's Disease
    Sever's Disease
  • Shin Splints
    Shin Splints
  • Shoulder dislocation
    Shoulder dislocation
  • Sinusitis
    Sinusitis
  • Spinal (Facet) joint pain
    Spinal (Facet) joint pain
  • Spinal stenosis
    Spinal stenosis
  • Stress fractures
    Stress fractures
  • Tendinopathy
    Tendinopathy
  • Tennis and Golfer's elbow
    Tennis and Golfer's elbow
  • TMJ disorder
    TMJ disorder
  • Whiplash
    Whiplash
  • Wry Neck
    Wry Neck
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396 Jan Smuts Avenue
Craighall Park
(Suggested parking off Marian Road, behind the centre, up the ramp)

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You must not rely on the information on this site as an alternative to medical advice from your physiotherapist or other medical practitioner. If you have any specific questions about any medical matter, you should consult directly with your physiotherapist or other medical practitioner. If you think you may be suffering from any condition, you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice or discontinue medical treatment because of information on our website.

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