Treatment Flashcards
Treatment - Achilles Tendinitis
Eccentric exercise still is gold standard. Deep friction massage and stretching are helpful. Activity modification and orthotics may help as well.
Treatment - Achilles Tenovaginitis
Similar to Achilles tendinitis. Treat conservatively with eccentric exercises, massage techniques, cryotherapy, and a possible corticosteroid injection.
Treatment - Calcaneus Apophysitis
Options include low dose radiotherapy, cryoultrasound, low level laser, orthotics (night splints, heel inserts), footwear modification, activity modification.
Treatment - Peroneus Lesion
You can treat impairments based at stage of injury. Stretching, strengthening, mobilization, proprioceptive exercises, ankle bracing/taping, deep friction massage, ultrasound, etc.
Treatment - Flexor Digitorum Lesion
You can treat impairments based at stage of injury. Stretching, strengthening, mobilization, proprioceptive exercises, ankle bracing/taping, deep friction massage, ultrasound, etc.
Treatment - Tibialis Posterior Lesion
If completely ruptured, surgery is indicated. Conservative treatment of RICE and NSAIDS initially will help more minor lesions. PT interventions may include stretching and joint mobes for ROM, soft tissue massage, exercises for strength/flexibility/dynamic balance, activity modification, biomechanical correction, and a gradual return to participation.
Treatment - Flexor Hallucis Lesion
Activity modification is huge with a slow return to participation. Treatment should focus on edema reduction, protection of tendon, correction of mechanics, possible orthotics, ROM and mobilization activity to improve motion, taping.
Treatment - Achilles Tendon Rupture
Will involve either long-term immobilization (12 weeks) or surgery followed by immobilization. Will follow a slow progression as to not stress tendon too early. Begin with edema control, ROM activities, and gentle passive mobilizations. Can progress to active exercise then to resistive exercises. An eccentric exercise program should be initiated as it improves strength and function of the tendon.
Treatment - S1 Root Lesion
Good support for conservative treatment. Depends on cause and severity of cause to lesion. A big key is on lumbopelvic rhythm and maintaining spine curvatures. Want to stretch spinal extensors and strengthen abdominals all in an effort to centralize symptoms. Core stabilization exercise is very important. Postural training is key to symptom relief and improvement to more functional exercises.
Treatment - Tibialis Anterior Lesion
Goal is to speed up healing and reduce risk of reoccurrence. We can work to improve ROM of ankle/foot through stretching/mobilization. Strengthening for restoring imbalances. Taping, dry needling, and education on footwear, biomechanics, and activity modification all may benefit.
Treatment - Extensor Hallucis Lesion
Rest is important early to prevent the issue from becoming chronic. Cold therapy helps to reduce the swelling. Wearing appropriate footwear or training modifications can help in the short term. Joint mobes are possible with stretching to restore painfree ROM. Strengthening and dynamic stabilization can be approached once pain subsides.
Treatment - Extensor Digitorum Lesion
Rest is important early to prevent the issue from becoming chronic. Cold therapy helps to reduce the swelling. Wearing appropriate footwear or training modifications can help in the short term. Joint mobes are possible with stretching to restore pain free ROM. Strengthening and dynamic stabilization can be approached once pain subsides.
Treatment - Tenosynovitis of Dorsiflexors
Look to decrease the swelling. Find source of disorder and correct mechanics, shoes, or training program. Stretching and light mobes to restore motion. Strengthen and dynamic stabilization as pain subsides.
Treatment - Myosynovitis of Tibialis Anterior
Deep friction massage to the tibialis anterior is key as well as activity modification in the short term to give the tissue time to heal.
