Patient questions & answers

Conditions, explained.

Clear answers about what a condition means, how it may feel and how care is usually approached.

These are general explanations, not a diagnosis or a list of services offered here. Your examination determines which care is appropriate. For Relief Plus services, see our treatment pages.

AC joint sprain

What is ac joint sprain?

  • An AC joint sprain injures the ligaments where the collarbone meets the top of the shoulder.
  • It often follows a fall onto the shoulder and ranges from a mild sprain to a separation.

What are the symptoms of ac joint sprain?

  • Pain and tenderness on top of the shoulder may worsen with reaching across your chest or lying on that side.
  • Swelling or a new bump can occur after a more significant injury.

How is ac joint sprain usually treated?

  • An examination determines the injury grade and whether imaging is needed.
  • Care may include short-term protection followed by comfortable movement and progressive strengthening.
  • Major separations or persistent problems may need orthopedic care.

Achilles tendinopathy

What is achilles tendinopathy?

  • Achilles tendinopathy is a painful problem in the tendon that connects the calf muscles to the heel.
  • It often develops when walking, running or jumping loads exceed what the tendon can currently tolerate.

What are the symptoms of achilles tendinopathy?

  • Pain or stiffness at the back of the heel or just above it is common, especially on the first steps in the morning or with activity.

How is achilles tendinopathy usually treated?

  • Care usually includes adjusting aggravating activity and gradually rebuilding calf strength with a tailored loading program.
  • A sudden pop with difficulty pushing off needs prompt assessment for a tendon tear.

Acute cervical torticollis

What is acute cervical torticollis?

  • Acute torticollis is a painful neck spasm that holds the head tilted or turned.
  • It can begin suddenly, but an examination is needed to identify the cause.

What are the symptoms of acute cervical torticollis?

  • The neck may feel stuck, and trying to turn it can be painful.
  • Tightness may extend into the shoulder or upper back.

How is acute cervical torticollis usually treated?

  • After excluding injury or other important causes, care may include gentle movement, comfort measures and treatment of muscle tension.
  • Do not force the neck into position.
  • Fever, significant trauma or new neurological symptoms require prompt medical assessment.

Acute low back pain

What is acute low back pain?

  • Acute low back pain describes a recent episode of pain in the lower back.
  • It is a symptom description, not an explanation of which tissue is causing the pain.

What are the symptoms of acute low back pain?

  • Pain, stiffness or muscle guarding may make bending, standing or getting out of a chair difficult.
  • Leg pain, numbness or weakness need separate assessment.

How is acute low back pain usually treated?

  • Care depends on the examination and often includes manageable daily activity, gradual movement and exercise.
  • New bladder or bowel control problems or numbness around the groin require emergency care.

Adductor strain

What is adductor strain?

  • An adductor strain is a stretch injury or tear of the inner-thigh muscles that help bring the legs together.
  • It can happen with kicking, cutting or a sudden change in direction.

What are the symptoms of adductor strain?

  • Inner-thigh or groin pain often increases when squeezing the legs together or stretching the inner thigh.
  • A larger tear may cause bruising and difficulty walking.

How is adductor strain usually treated?

  • Care progresses from protecting the injured area to comfortable movement and gradual strengthening.
  • Return to sport depends on strength and function, not simply a set number of days.

Adhesive capsulitis

What is adhesive capsulitis?

  • Frozen shoulder occurs when the capsule around the shoulder joint becomes painful and stiff.
  • Both moving the arm yourself and having someone else move it become limited.

What are the symptoms of adhesive capsulitis?

  • Reaching overhead, reaching behind your back and rotating the arm may become difficult.
  • Night pain is common, and stiffness can develop gradually.

How is adhesive capsulitis usually treated?

  • Treatment uses education, movement and stretching matched to the stage and irritability of the shoulder.
  • A medical provider may discuss injections or other options if needed.
  • Recovery varies and often takes months.

Axillary neuropathy

What is axillary neuropathy?

  • Axillary neuropathy is a problem affecting a nerve that supplies the shoulder's deltoid muscle and sensation over part of the outer shoulder.
  • Injury or compression can interfere with its function.

What are the symptoms of axillary neuropathy?

  • Symptoms may include shoulder weakness, fatigue with lifting overhead or a patch of numbness over the outer shoulder.
  • Pain is not always prominent.

How is axillary neuropathy usually treated?

  • Assessment checks nerve function and possible causes, especially after a dislocation or injury.
  • Care may include activity changes and supervised rehabilitation; persistent or worsening weakness may require specialist evaluation.

Benign paroxysmal positional vertigo

What is benign paroxysmal positional vertigo?

  • BPPV is an inner-ear problem in which tiny crystals move into a balance canal where they do not belong.
  • Head-position changes can then trigger brief spinning sensations.

What are the symptoms of benign paroxysmal positional vertigo?

  • Spinning may occur when rolling over in bed, lying back, looking up or bending down.
  • Episodes are usually brief and can cause nausea or imbalance.

How is benign paroxysmal positional vertigo usually treated?

  • A clinician identifies the affected canal and uses an appropriate repositioning maneuver, such as the Epley maneuver for certain cases.
  • New dizziness with trouble speaking, double vision, weakness or difficulty walking needs emergency assessment.

Proximal biceps tendinopathy

What is proximal biceps tendinopathy?

  • Proximal biceps tendinopathy affects the tendon of the biceps near the front of the shoulder.
  • Repeated loading can make this tendon painful.

What are the symptoms of proximal biceps tendinopathy?

  • A deep ache at the front of the shoulder may worsen with overhead work, lifting or turning the palm upward against resistance.

How is proximal biceps tendinopathy usually treated?

  • Care usually involves modifying painful loads, restoring comfortable shoulder movement and gradually strengthening the arm and shoulder.
  • The examination also checks for associated rotator-cuff problems.

Carpal tunnel syndrome

What is carpal tunnel syndrome?

  • Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the wrist.
  • It can affect sensation and hand function.

What are the symptoms of carpal tunnel syndrome?

  • Tingling or numbness often affects the thumb, index and middle fingers and part of the ring finger, sometimes waking you at night.
  • Weakness or dropping objects can occur.

How is carpal tunnel syndrome usually treated?

  • Treatment may include a neutral-position wrist splint and changes to aggravating activities.
  • Persistent numbness, weakness or muscle loss needs medical assessment; injections or surgery may be considered depending on severity.

Cervical disc lesion

What is cervical disc lesion?

  • A cervical disc lesion is a problem in one of the cushions between the neck bones.
  • A bulge or herniation may irritate nearby nerves, although some disc changes cause no symptoms.

What are the symptoms of cervical disc lesion?

  • Symptoms can include neck or shoulder-blade pain.
  • If a nerve is affected, pain, tingling, numbness or weakness may extend into an arm or hand.

How is cervical disc lesion usually treated?

  • An examination checks strength, sensation and movement.
  • Many cases can be managed without surgery using appropriately selected activity and rehabilitation.
  • Progressive weakness or signs of spinal-cord involvement need prompt medical evaluation.

Whiplash

What is whiplash?

  • Whiplash is an injury caused by a rapid back-and-forth movement of the neck, often during a collision.
  • Muscles, ligaments and other neck structures may be affected.

What are the symptoms of whiplash?

  • Neck pain, stiffness and headaches may start immediately or develop over the following hours or days.
  • Other symptoms after a collision need assessment rather than automatically being attributed to whiplash.

How is whiplash usually treated?

  • After screening for serious injury, care commonly includes education, gentle movement and a gradual return to activity.
  • Treatment is adjusted to symptoms and examination findings; a fixed recovery timetable does not fit everyone.

Cervical radiculopathy

What is cervical radiculopathy?

  • Cervical radiculopathy means a nerve root in the neck is irritated or compressed.
  • Disc changes or narrowing around the nerve are possible causes.

What are the symptoms of cervical radiculopathy?

  • Pain can travel from the neck into the shoulder or arm, with tingling, numbness or weakness.
  • The pattern varies with the nerve involved.

How is cervical radiculopathy usually treated?

  • Care depends on the cause and neurological findings.
  • Rehabilitation may help selected cases, while worsening weakness or coordination problems need medical review.
  • New walking difficulty or loss of bladder or bowel control requires emergency assessment.

Cervical segmental joint restriction

What is cervical segmental joint restriction?

  • This term describes a neck joint that is not moving comfortably or as freely as expected on examination.
  • It does not mean a bone is dislocated.

What are the symptoms of cervical segmental joint restriction?

  • Local stiffness, tenderness and pain with turning or looking up may occur.
  • Symptoms alone cannot identify a particular joint as the cause.

How is cervical segmental joint restriction usually treated?

  • Care may combine comfortable movement, exercise and selected manual therapy after screening for contraindications.
  • Treatment aims to improve function rather than permanently put a bone back into place.

Cervical spinal stenosis

What is cervical spinal stenosis?

  • Cervical stenosis is narrowing of spaces in the neck that contain the spinal cord or nerve roots.
  • The significance depends on whether nerve tissue is affected.

What are the symptoms of cervical spinal stenosis?

  • Some people have no symptoms.
  • Others develop arm pain or numbness; hand clumsiness, weakness or balance changes may indicate spinal-cord involvement.

How is cervical spinal stenosis usually treated?

  • Care is guided by neurological assessment and imaging when appropriate.
  • Spinal-cord symptoms require prompt specialist evaluation.
  • New walking problems, sudden loss of coordination or loss of bladder or bowel control require emergency care.

Cervical spondylosis

What is cervical spondylosis?

  • Cervical spondylosis describes age-related changes in the neck's discs and joints.
  • These changes are common and do not always cause pain.

What are the symptoms of cervical spondylosis?

  • Neck stiffness or aching may come and go.
  • Arm tingling, numbness or weakness can occur if a nerve is affected.

How is cervical spondylosis usually treated?

  • Care often focuses on staying active, comfortable neck movement and strengthening.
  • Treatment depends on symptoms, not an X-ray alone.
  • New walking or coordination problems need urgent medical assessment.

Cervical sprain or strain

What is cervical sprain or strain?

  • A neck sprain injures ligaments, while a strain affects muscles or tendons.
  • These injuries can occur together after excessive stretching or loading.

What are the symptoms of cervical sprain or strain?

  • Neck aching, stiffness or spasm may worsen with movement and extend into the upper shoulders.
  • Symptoms sometimes develop hours after the injury.

How is cervical sprain or strain usually treated?

  • After excluding serious injury, care commonly includes comfortable movement and gradual strengthening.
  • Treatment is adapted to the examination, and prolonged immobilization is generally avoided unless specifically needed.

Cervicogenic headache

What is cervicogenic headache?

  • A cervicogenic headache is head pain referred from structures in the neck.
  • Neck involvement should be assessed because not every headache with neck tension has this cause.

What are the symptoms of cervicogenic headache?

  • Pain may start near the upper neck or back of the head and spread forward.
  • Neck stiffness or particular neck movements may accompany the headache.

How is cervicogenic headache usually treated?

  • Care may include neck exercise and selected manual therapy after assessment.
  • A sudden, unusually severe headache or a headache with new neurological symptoms requires emergency care.

Cervicogenic dizziness

What is cervicogenic dizziness?

  • This term describes dizziness thought to be associated with a neck problem after other causes have been evaluated.
  • There is no single test that proves the neck is responsible.

What are the symptoms of cervicogenic dizziness?

  • Unsteadiness or a floating feeling may occur alongside neck pain or movement.
  • True spinning can have an inner-ear cause and should not automatically be blamed on the neck.

How is cervicogenic dizziness usually treated?

  • Assessment first considers inner-ear, neurological and other medical causes.
  • If neck involvement is supported, rehabilitation may address neck movement and balance.
  • Sudden neurological symptoms with dizziness require emergency care.

Chondromalacia patellae

What is chondromalacia patellae?

  • Chondromalacia means changes in the cartilage under the kneecap.
  • It can overlap with patellofemoral pain, but pain around the kneecap does not by itself prove cartilage damage.

What are the symptoms of chondromalacia patellae?

  • Aching around or behind the kneecap may increase with stairs, squatting, kneeling or running.
  • Clicking alone does not show how serious the problem is.

How is chondromalacia patellae usually treated?

  • Care often adjusts painful activity and builds hip and thigh strength while improving movement tolerance.
  • Persistent locking, significant swelling or giving way needs assessment.

Chronic discogenic low back pain

What is chronic discogenic low back pain?

  • Discogenic pain means a spinal disc is considered a contributor to back pain.
  • Chronic means the pain has persisted; a scan showing disc changes alone does not establish the pain source.

What are the symptoms of chronic discogenic low back pain?

  • Ongoing low back aching may vary with sitting, bending or loading.
  • These symptoms overlap with other causes and need clinical assessment.

How is chronic discogenic low back pain usually treated?

  • Care is based on function and examination and may include activity pacing, movement and progressive strengthening.

Chronic pain

What is chronic pain?

  • Chronic pain is pain that persists or keeps returning for more than three months.
  • Pain can be influenced by tissue health, nervous-system sensitivity, sleep and other factors; it is real even when a scan does not fully explain it.

What are the symptoms of chronic pain?

  • Pain may interfere with sleep, work, movement and daily routines.
  • Symptoms can fluctuate, and a flare does not always mean new tissue damage.

How is chronic pain usually treated?

  • Care may combine understandable pain education, paced activity, exercise and support for sleep and coping.
  • The goal is better function and quality of life, with medical care tailored to the underlying condition.

Clavicle fracture

What is clavicle fracture?

  • A clavicle fracture is a break in the collarbone, often after a fall or direct impact.
  • It requires medical assessment and usually imaging.

What are the symptoms of clavicle fracture?

  • Pain, swelling, bruising or a visible bump may follow the injury.
  • Moving the arm can be difficult or painful.

How is clavicle fracture usually treated?

  • A clinician determines whether a sling and follow-up are sufficient or orthopedic treatment is needed.
  • Do not try to reposition the bone.
  • An open wound, threatened skin or a cold or numb arm needs urgent care.

Coccydynia

What is coccydynia?

  • Coccydynia means pain around the tailbone at the base of the spine.
  • It can follow a fall, childbirth or prolonged pressure, and sometimes has no clear trigger.

What are the symptoms of coccydynia?

  • Pain often increases with sitting, leaning backward in a chair or rising from sitting.
  • The area may be tender.

How is coccydynia usually treated?

  • Care may include reducing pressure with suitable seating, activity changes and tailored rehabilitation.
  • Persistent pain or pain after a significant injury should be assessed to identify the cause.

Costovertebral joint dysfunction

What is costovertebral joint dysfunction?

  • This term describes pain or restricted movement at the joints where a rib meets the spine.
  • Chest and rib pain have other causes, so a joint problem should not be assumed.

What are the symptoms of costovertebral joint dysfunction?

  • Pain near the mid-back may extend along a rib and change with twisting, reaching or breathing.
  • These features do not rule out a heart or lung problem.

How is costovertebral joint dysfunction usually treated?

  • After important medical causes are excluded, care may use gentle mobility, exercise and selected manual therapy.
  • New unexplained chest pain, shortness of breath or chest pressure requires urgent medical care.

Cubital tunnel syndrome

What is cubital tunnel syndrome?

  • Cubital tunnel syndrome occurs when the ulnar nerve is irritated or compressed near the elbow.
  • Bending the elbow for long periods or leaning on it can aggravate the nerve.

What are the symptoms of cubital tunnel syndrome?

  • Tingling or numbness commonly affects the little finger and part of the ring finger.
  • More advanced problems may reduce grip strength or hand coordination.

How is cubital tunnel syndrome usually treated?

  • Care often reduces prolonged elbow bending and direct pressure; a clinician may recommend nighttime support.
  • Persistent numbness, weakness or muscle wasting warrants medical assessment.

De Quervain tenosynovitis

What is de quervain tenosynovitis?

  • De Quervain tenosynovitis is irritation around two tendons on the thumb side of the wrist.
  • Repeated lifting, gripping or twisting can make the area painful.

What are the symptoms of de quervain tenosynovitis?

  • Pain near the base of the thumb may worsen with gripping, lifting a child or moving the thumb.
  • Local swelling can occur.

How is de quervain tenosynovitis usually treated?

  • Care may include modifying painful tasks, temporary thumb support and a graded return to movement.
  • A medical provider may consider an injection or other treatment if symptoms persist.

Dysfunctional breathing

What is dysfunctional breathing?

  • Dysfunctional breathing describes an inefficient or irregular breathing pattern.
  • It may involve excessive upper-chest movement, breath holding or overbreathing, but breathlessness can also have a medical cause.

What are the symptoms of dysfunctional breathing?

  • A person may notice frequent sighing, upper-chest effort or difficulty settling into a comfortable breathing rhythm.
  • These symptoms alone do not establish the diagnosis.

How is dysfunctional breathing usually treated?

  • Once medical causes are addressed, guided breathing practice may be part of rehabilitation.
  • New or severe shortness of breath, especially with chest pain, needs urgent medical care.

Extension-biased low back pain

What is extension-biased low back pain?

  • An extension preference means an assessment finds that selected backward-bending movements reduce back symptoms or bring leg symptoms closer toward the back.
  • It is a movement response, not a separate structural diagnosis.

What are the symptoms of extension-biased low back pain?

  • Certain positions or repeated movements ease symptoms while others worsen them.
  • The useful direction cannot reliably be chosen from the location of pain alone.

How is extension-biased low back pain usually treated?

  • A clinician chooses tolerable exercises based on your response and monitors symptoms.
  • Do not keep forcing a movement that sends pain farther down the leg or causes new numbness or weakness.

Extension or retraction-biased neck pain

What is extension or retraction-biased neck pain?

  • This describes neck symptoms that improve with selected backward-gliding or extension movements during an assessment.
  • It does not mean everyone with neck pain should perform these movements.

What are the symptoms of extension or retraction-biased neck pain?

  • Neck or arm symptoms may improve in one direction and worsen in another.
  • A retreat of arm pain toward the neck can be a useful response during testing.

How is extension or retraction-biased neck pain usually treated?

  • Exercises are chosen and progressed according to the examination.
  • Stop a movement that worsens radiating symptoms or produces new neurological symptoms and seek guidance.

Femoroacetabular impingement

What is femoroacetabular impingement?

  • FAI syndrome involves symptoms associated with contact between the ball and socket of the hip during movement.
  • Bone shape can contribute, but a shape change on imaging does not always cause pain.

What are the symptoms of femoroacetabular impingement?

  • Groin or front-of-hip aching may worsen with deep bending, pivoting or prolonged sitting.
  • Some people notice catching or restricted motion.

How is femoroacetabular impingement usually treated?

  • Care may include modifying provocative movements and improving hip strength and movement control.
  • Persistent symptoms may need imaging or orthopedic review; rehabilitation does not reshape the hip bones.

Fibromyalgia

What is fibromyalgia?

  • Fibromyalgia is a condition involving widespread persistent pain and altered pain processing.
  • It is not simply a problem in one injured muscle or joint.

What are the symptoms of fibromyalgia?

  • Widespread tenderness, fatigue, unrefreshing sleep and difficulty concentrating can occur.
  • Symptoms vary and can flare.

How is fibromyalgia usually treated?

  • Care is individualized and may combine gradually paced activity, sleep support, education and medical treatment.
  • Goals focus on daily function and symptom management rather than a guaranteed cure.

Fibular head joint dysfunction

What is fibular head joint dysfunction?

  • This describes a movement problem at the small joint where the fibula meets the tibia just below the outside of the knee.
  • Other knee and nerve problems can cause similar pain.

What are the symptoms of fibular head joint dysfunction?

  • Pain or tenderness near the outer knee may worsen with weight bearing or pressure over the fibular head.

How is fibular head joint dysfunction usually treated?

  • An examination checks joint stability and nerve function.
  • Selected cases may benefit from movement, strengthening and manual therapy.
  • New foot weakness or persistent numbness needs medical assessment.

Flexion-biased low back pain

What is flexion-biased low back pain?

  • A flexion preference means selected forward-bending positions or movements ease back symptoms during an assessment.
  • It describes a response to movement, not a diagnosis by itself.

What are the symptoms of flexion-biased low back pain?

  • Some people feel better sitting or bending forward and worse with standing or backward bending.
  • This pattern alone cannot identify the cause.

How is flexion-biased low back pain usually treated?

  • Exercise is selected according to the examination and symptom response.
  • A movement should not be pushed if it sends symptoms farther down a leg or causes new weakness or numbness.

Flexion-biased neck pain

What is flexion-biased neck pain?

  • This term describes neck symptoms that improve with selected forward-bending movements during an assessment.
  • The best movement direction differs between people.

What are the symptoms of flexion-biased neck pain?

  • Certain neck positions may ease pain while others aggravate it.
  • Arm symptoms and neurological findings also guide care.

How is flexion-biased neck pain usually treated?

  • A clinician selects and progresses comfortable exercises.
  • Repeated bending is not automatically appropriate, especially if it worsens arm pain, tingling or weakness.

Foot hyperpronation

What is foot hyperpronation?

  • Pronation is the normal inward rolling motion that helps the foot absorb load.
  • Hyperpronation describes more of this motion than expected, but it is not automatically painful or harmful.

What are the symptoms of foot hyperpronation?

  • There may be no symptoms.
  • When relevant to a painful problem, foot, ankle and leg movement are assessed together rather than judging the arch alone.

How is foot hyperpronation usually treated?

  • Care is based on symptoms and function and may include footwear advice, strengthening or a trial of inserts.
  • Not everyone with a low arch needs correction or custom orthotics.

Shoulder dislocation

What is shoulder dislocation?

  • A shoulder dislocation occurs when the upper-arm bone comes out of its socket.
  • It is different from an AC separation at the top of the shoulder.

What are the symptoms of shoulder dislocation?

  • Sudden severe shoulder pain, an unusual shoulder shape and inability to move the arm may follow an injury.
  • Numbness can occur.

How is shoulder dislocation usually treated?

  • A suspected dislocation needs urgent medical care.
  • Do not try to put it back yourself.
  • After reduction and assessment, rehabilitation rebuilds movement, strength and stability.

Glenohumeral internal rotation deficit

What is glenohumeral internal rotation deficit?

  • GIRD describes reduced inward rotation at the shoulder, often seen in overhead athletes.
  • The amount of difference, total movement and symptoms determine whether it is a problem.

What are the symptoms of glenohumeral internal rotation deficit?

  • A thrower may notice shoulder stiffness, pain at the back of the shoulder or reduced throwing performance.
  • More warm-up may seem necessary.

How is glenohumeral internal rotation deficit usually treated?

  • Care may address shoulder mobility, strength and throwing workload.
  • Stretching should be individualized rather than forcing a painful shoulder to match the other side.

Gluteal tendinopathy

What is gluteal tendinopathy?

  • Gluteal tendinopathy affects tendons on the outside of the hip that help stabilize the pelvis.
  • It is a common contributor to lateral hip pain.

What are the symptoms of gluteal tendinopathy?

  • Pain may increase with stairs, walking, standing on one leg or lying on the affected side.
  • Tenderness is often near the bony point of the outer hip.

How is gluteal tendinopathy usually treated?

  • Care typically manages tendon load, reduces sustained compression and progressively strengthens the hip.
  • A tailored plan may modify side-sleeping positions and activities that repeatedly provoke pain.

Greater trochanteric pain syndrome

What is greater trochanteric pain syndrome?

  • GTPS is an umbrella term for pain around the bony point on the outside of the hip.
  • Tendons and nearby tissues, sometimes including a bursa, can contribute.

What are the symptoms of greater trochanteric pain syndrome?

  • Outer-hip tenderness and pain with side lying, stairs or walking are common.
  • Numbness or symptoms far below the knee may suggest another cause.

How is greater trochanteric pain syndrome usually treated?

  • Care usually includes activity changes and gradual hip strengthening.
  • The examination identifies the likely contributors rather than assuming every case is bursitis.

Hamstring strain

What is hamstring strain?

  • A hamstring strain is an injury to muscles or tendons at the back of the thigh.
  • It often happens during sprinting or a forceful stretch.

What are the symptoms of hamstring strain?

  • Sudden back-of-thigh pain may cause limping or difficulty continuing activity.
  • Larger injuries can produce bruising or marked weakness.

How is hamstring strain usually treated?

  • Care progresses from protection to graded strengthening and running preparation.
  • A severe injury, extensive bruising or difficulty walking warrants assessment for a larger tear or tendon injury.

Hand osteoarthritis

What is hand osteoarthritis?

  • Hand osteoarthritis involves changes in cartilage and other joint tissues, often in the fingers or base of the thumb.
  • Symptoms and severity vary.

What are the symptoms of hand osteoarthritis?

  • Aching, stiffness, reduced grip and bony enlargement can occur.
  • Tasks such as opening jars or pinching may be uncomfortable.

How is hand osteoarthritis usually treated?

  • Care may include comfortable movement, hand exercise, joint-protection strategies and selected supports.
  • A medical provider can advise on pain treatment; exercise does not regrow lost cartilage.

Heel pad syndrome

What is heel pad syndrome?

  • Heel pad syndrome involves irritation or reduced cushioning in the fatty pad beneath the heel.
  • It is one possible cause of heel pain, distinct from plantar-fascia pain.

What are the symptoms of heel pad syndrome?

  • Pain often feels like a deep bruise under the center of the heel.
  • Barefoot walking or standing on hard floors may aggravate it.

How is heel pad syndrome usually treated?

  • Care commonly reduces pressure with cushioning, suitable footwear and activity changes.
  • Persistent heel pain should be examined to distinguish this from plantar fasciitis, a stress injury or another cause.

Hip abductor weakness

What is hip abductor weakness?

  • The hip abductors help control the pelvis when you walk or stand on one leg.
  • Weakness is an examination finding and may occur with several different conditions.

What are the symptoms of hip abductor weakness?

  • There may be difficulty maintaining pelvic control during walking, stairs or single-leg activity.
  • Weakness alone does not prove the cause of hip, knee or back pain.

How is hip abductor weakness usually treated?

  • Care usually involves progressive strengthening and practice of relevant movements.
  • Exercises are selected for the person's ability and symptoms, while the cause of significant weakness is assessed.

Hip osteoarthritis

What is hip osteoarthritis?

  • Hip osteoarthritis involves changes in the cartilage and other tissues of the hip joint.
  • It may cause pain and stiffness, but symptoms do not always match the amount of change on an X-ray.

What are the symptoms of hip osteoarthritis?

  • Groin, thigh or buttock aching and stiffness after rest are common.
  • Putting on socks, climbing stairs or walking may become harder.

How is hip osteoarthritis usually treated?

  • Care often includes exercise, activity adjustments and weight management when appropriate.
  • Medical options or joint replacement may be discussed when symptoms remain substantially limiting despite nonsurgical care.

Iliotibial band syndrome

What is iliotibial band syndrome?

  • IT band syndrome is an overuse-related problem involving tissues near the outside of the knee.
  • It commonly affects runners and cyclists.

What are the symptoms of iliotibial band syndrome?

  • Sharp or burning outer-knee pain may develop during repeated bending, running or cycling.
  • Symptoms often depend on workload.

How is iliotibial band syndrome usually treated?

  • Care typically changes the aggravating training load and builds hip strength and movement control.
  • Rehabilitation aims for a gradual return to activity; aggressively pressing on a painful spot is not a necessary treatment.

Ischiofemoral impingement

What is ischiofemoral impingement?

  • Ischiofemoral impingement involves irritation of a deep hip muscle in the space between the pelvis and upper thigh bone.
  • It is one possible cause of deep buttock pain.

What are the symptoms of ischiofemoral impingement?

  • Deep buttock or hip pain may occur with certain walking or hip movements.
  • Symptoms can overlap with back, tendon and nerve problems.

How is ischiofemoral impingement usually treated?

  • An examination and sometimes imaging help establish the diagnosis.
  • Selected cases are managed with activity changes and tailored hip rehabilitation; persistent symptoms may need specialist review.

Knee osteoarthritis

What is knee osteoarthritis?

  • Knee osteoarthritis involves changes in cartilage and other joint tissues.
  • It can affect walking and daily activities, but does not inevitably worsen at the same rate in everyone.

What are the symptoms of knee osteoarthritis?

  • A deep ache with activity, stiffness after rest and reduced movement are common.
  • Swelling may come and go.

How is knee osteoarthritis usually treated?

  • Exercise and strengthening are central to care, with activity adjustments and weight management when appropriate.
  • Other medical treatments or surgery may be considered according to symptoms and function.

Collateral ligament knee sprain

What is collateral ligament knee sprain?

  • This injury stretches or tears a stabilizing ligament on the inner side of the knee, the MCL, or outer side, the LCL.
  • It often follows a sideways force or sports injury.

What are the symptoms of collateral ligament knee sprain?

  • Pain and tenderness occur on the affected side of the knee.
  • Swelling, limited movement or a feeling of instability may follow.

How is collateral ligament knee sprain usually treated?

  • Assessment checks the ligament and associated injuries.
  • Protection, sometimes bracing, and progressive rehabilitation are common; severe instability or associated damage may require orthopedic care.

Lateral ankle sprain

What is lateral ankle sprain?

  • A lateral ankle sprain injures ligaments on the outside of the ankle, often when the foot rolls inward.
  • Severity ranges from a mild stretch to a major tear.

What are the symptoms of lateral ankle sprain?

  • Pain, swelling and sometimes bruising develop around the outer ankle.
  • Walking may be difficult, and the ankle may feel unstable.

How is lateral ankle sprain usually treated?

  • Care includes appropriate protection followed by progressive movement, strength and balance training.
  • Inability to bear weight, marked bone tenderness or deformity needs prompt assessment for fracture or a more serious injury.

Lateral epicondylopathy

What is lateral epicondylopathy?

  • Tennis elbow is a painful tendon problem on the outside of the elbow where wrist-extending muscles attach.
  • It can develop from work, hobbies or sport, not just tennis.

What are the symptoms of lateral epicondylopathy?

  • Gripping, lifting or extending the wrist against resistance may provoke outer-elbow pain.
  • Grip can feel weaker because it hurts.

How is lateral epicondylopathy usually treated?

  • Care usually adjusts aggravating loads and progressively strengthens the forearm.
  • Selected manual therapy or supports may help symptoms, but recovery time varies and improvement can be gradual.

Leg length discrepancy

What is leg length discrepancy?

  • A leg length discrepancy means the legs differ in measured length or appear different because of position or movement.
  • Small differences are common and do not always need treatment.

What are the symptoms of leg length discrepancy?

  • Many people have no symptoms.
  • A clinically important difference may affect walking, but pain cannot automatically be attributed to unequal legs.

How is leg length discrepancy usually treated?

  • Assessment distinguishes a true bone-length difference from an apparent difference.
  • A lift or other treatment is considered only when the measurements and symptoms support it.

Little League elbow

What is little league elbow?

  • Little League elbow describes overuse injuries on the inner side of a growing athlete's elbow.
  • Repeated throwing can stress the growth area and surrounding tissues.

What are the symptoms of little league elbow?

  • A child or teenager may develop inner-elbow pain with throwing, reduced performance or difficulty straightening the arm.
  • Pain should not be played through.

How is little league elbow usually treated?

  • Stop painful throwing and arrange a medical assessment.
  • Return to throwing follows recovery, rehabilitation and an age-appropriate workload plan; a sudden pop or marked loss of motion needs prompt evaluation.

Long thoracic neuropathy

What is long thoracic neuropathy?

  • This nerve problem can weaken the serratus anterior, a muscle that helps hold the shoulder blade against the rib cage.
  • The shoulder blade may become unusually prominent, called winging.

What are the symptoms of long thoracic neuropathy?

  • Weakness or fatigue with pushing, pulling or overhead activity can occur.
  • A winging shoulder blade has several possible causes and needs assessment.

How is long thoracic neuropathy usually treated?

  • Care depends on the cause and may include activity changes and supervised rehabilitation while recovery is monitored.
  • Persistent or progressive weakness may need nerve testing or specialist care.

Lower crossed syndrome

What is lower crossed syndrome?

  • Lower crossed syndrome is a descriptive pattern of muscle tightness and weakness around the hips and trunk.
  • It is not a diagnosis that can be confirmed from posture alone.

What are the symptoms of lower crossed syndrome?

  • An examination may identify limited hip movement or difficulty controlling the trunk and pelvis.
  • The pattern can exist with or without back pain.

How is lower crossed syndrome usually treated?

  • Care targets the person's actual movement and strength findings through exercise and, when appropriate, manual therapy.
  • The goal is comfortable function rather than achieving one perfect posture.

Lumbar disc lesion

What is lumbar disc lesion?

  • A lumbar disc lesion involves a cushion between the lower-back bones.
  • A bulge or herniation may irritate a nerve, but disc changes can also be present without pain.

What are the symptoms of lumbar disc lesion?

  • Back pain may occur with or without leg pain.
  • Nerve irritation can cause tingling, numbness or weakness into a leg or foot.

How is lumbar disc lesion usually treated?

  • Many cases are managed without surgery using activity advice and tailored rehabilitation.
  • Progressive weakness needs prompt review; new bladder or bowel control problems or groin numbness require emergency care.

Lumbar facet syndrome

What is lumbar facet syndrome?

  • Lumbar facet syndrome describes pain thought to come from small joints at the back of the lower spine.
  • These joints help guide spinal movement.

What are the symptoms of lumbar facet syndrome?

  • Pain may be felt in the lower back, buttock or upper thigh and change with standing, twisting or backward bending.
  • Symptoms overlap with other back problems.

How is lumbar facet syndrome usually treated?

  • Care may include movement, strengthening and selected manual therapy after assessment.
  • Persistent symptoms may need further medical evaluation; numbness or weakness suggests checking for nerve involvement.

Lumbar radiculopathy

What is lumbar radiculopathy?

  • Lumbar radiculopathy means a nerve root in the lower back is irritated or compressed.
  • It can produce leg symptoms often described as sciatica.

What are the symptoms of lumbar radiculopathy?

  • Pain may travel down a leg with tingling, numbness or weakness.
  • The pattern and strength or reflex findings help identify the nerve involved.

How is lumbar radiculopathy usually treated?

  • Care is based on the cause and neurological examination, often starting with suitable nonsurgical options.
  • Progressive weakness needs prompt assessment.
  • New bladder or bowel control problems or saddle-area numbness require emergency care.

Lumbar segmental joint restriction

What is lumbar segmental joint restriction?

  • This describes a lower-back joint that moves less comfortably or freely on examination.
  • It does not mean that a vertebra has come out of place.

What are the symptoms of lumbar segmental joint restriction?

  • Local stiffness or aching may vary with sitting, standing, bending or lifting.
  • Pain may also refer into the buttock or thigh.

How is lumbar segmental joint restriction usually treated?

  • Care may combine exercise, activity changes and selected manual therapy.
  • Progress is judged by movement and daily function rather than an assumption that repeated realignment is required.

Isthmic spondylolisthesis

What is isthmic spondylolisthesis?

  • Isthmic spondylolisthesis is forward slipping of a vertebra associated with a defect or stress injury in a small bony bridge called the pars.
  • It differs from age-related degenerative slipping.

What are the symptoms of isthmic spondylolisthesis?

  • Some people have no symptoms.
  • Others develop activity-related lower-back pain, sometimes with leg symptoms if nerves are affected.

How is isthmic spondylolisthesis usually treated?

  • Care depends on whether there is an active stress injury, the degree of slipping and symptoms.
  • Activity changes and supervised rehabilitation may be appropriate; young athletes or progressing slips may need specialist care.

Degenerative spondylolisthesis

What is degenerative spondylolisthesis?

  • Degenerative spondylolisthesis is forward slipping of a vertebra associated with age-related changes in the supporting joints and discs.
  • A slip on imaging does not always cause symptoms.

What are the symptoms of degenerative spondylolisthesis?

  • Back aching may occur, and accompanying narrowing around nerves can cause leg pain, heaviness or difficulty with prolonged standing or walking.

How is degenerative spondylolisthesis usually treated?

  • Treatment depends on symptoms and nerve findings and may include tailored exercise and activity changes.
  • Persistent limiting symptoms or neurological problems may need specialist review.
  • Exercise aims to improve function, not push the vertebra back into place.

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