Andries Lodder biokineticist in Fourways
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ILIOTIBIAL BAND FRICTION SYNDROME

Posted on April 3rd, 2012 by Andries

Iliotibial Band Friction Syndrome

By Andries Lodder

 

As a Biokineticist, I know that one of the most commonly occurring injuries among athletes injuries is Iliotibial Band Friction Syndrome (ITBFS).

What is it really?

The ITB is the connective tissue band that runs down the lateral side of the thigh and attaches on the lateral surface of the tibial condyle (side of knee). The ITB originates from the Tensor Fascia Latae (TFL) muscle that originates on the side of the hip.  

ITBFS is an overuse injury that produces pain on the lateral knee during running and cycling. Pain is generally caused by an unusually tight ITB, the undersurface of which frictions over the lateral femoral condyle. This process leads to friction and inflammation causing the pain.

What causes it?

Typical causes include repeatedly running on the same side of a sloped road, anatomical problems such as bowed legs and differences in leg length or even excessive pronation (flat feet) of the foot and ankle. Lateral tilting of the pelvis and weak or tight gluteal or quadricep muscles are also common culprits.

How can I prevent it?
Make sure that you gradually increase your training load by no more than 10% each week. Alternate training in the form of core stability or cross training on rest days.

For a warm up you can start by stretching the Gluteus Medius and Tensor Fascia Latae muscles. This is very helpful as a preventative measure.

The type of foot wear is just as important. Foot type and motion has an effect so your shoe type needs to be correct. Increased pronation or supination can lead to increased tension in the ITB when running. Check the wear on your shoes and consider orthotics to control motion.

What treatments can I use?

Initial treatment. Because this is inflammatory in nature, ice packs are the effective treatment in the early stages. Apply ice packs to the knee for 15-20 minutes, 3-4 times a day.

Orthotics. Critical to long term resolution is to have an assessment of your posture and lower limb alignment. A correction of a leg length discrepancy is highly effective and can be combined with a foot orthotic to correct either supination or pronation.

Foam rollers. Use a foam roller to roll the outer side of the leg to massage the ITB and surrounding muscles. Specific stretching and strengthening exercises are crucial in treating the underlying cause of the problem. Use the roller against muscle knots with your own body weight to generate pressure.

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WEIGHT TRAINING WITHOUT THE BULK

Posted on April 2nd, 2012 by Andries


Weight Training Without the Bulk
 By Andries Lodder for TheJogBlog.co.za

As a guy, it gives me great pleasure to write this piece on weight training for the ladies without them getting bulky. Not all guys out there like girls that have a better physique than what they do. The majority of us like the opposite sex to be small and feminine with a hint of some well-toned muscles, just like most magazines portray their cover models to be. Maybe with a little more meat on them will make them more natural and almost perfect. I say ‘almost’ because you can’t see, by just looking, if they are a gourmet chef or not. Just kidding ladies. Back to the topic, before I put my foot too deep in it.

Most women rely solely on cardiovascular exercises and their diets to try and change their body and think that weight training will make them bulky, unfeminine or some other terrible thing. The truth is the only real way to change your physical shape without drastic plastic surgery is through weight training.

Weight training exercises increase bone density and strengthens your joints and decreases the risk of osteoporosis. It also boosts the metabolism helping to reduce body fat quicker and easier. This is due to the intensity and workload your body comes under, causing you to burn more calories, as your body needs more fuel than normal. The increased muscle size also assists with jump-starting your metabolism as they consume more energy. The other important factor to muscle size is all to do with your weight training diet. You will gain muscle and lose fat through weight lifting, but unless you start eating more your body weight will remain the same. Therefore it is more than just a means of sculpting a lean body, it will also give you the confidence to be your best and live your life to the fullest, and look good naked too, obviously.

Now lets get the misconception of weight training out of the way. High reps with very low weight do not tone. They do not strengthen. They pretty much just waste your time. Now get over any pictures of female bodybuilders you have seen and scared you out of the weight section. These women don’t look masculine because of strength training; they look masculine because they take male hormones. If you don’t want to look like them, don’t take androgens. It’s that simple.

When it comes to a weight training program for women, it is similar to a men’s one, consisting of lifting heavy enough weights to fatigue the muscles and stimulate proper growth. Working to muscle fatigue or failure means to the point where you are no longer able to physically lift the weight while maintaining proper form and technique for the exercise. Remember this is the only way you are going to achieve muscle tone and shape and get the full benefits of your weight training routines.

Okay, I’m not going to lie to you. If you are weak and have never done any real strength training, you will see some changes pretty quickly. For example, you’ll need stronger forearms just to hold onto enough weight. The gains you’ll experience will not continue forever. Do not freak out about them or trick yourself into thinking that you will turn into a gym monster overnight. Unless your parents were the weight lifting Olympic champions, the odds are far lower than you think.

Strength training exercises can fit into any lifestyle and don’t need to be complicated and take up all of your time. Improving muscle strength, definition and endurance happens quickly and takes as little as 20 – 30 minutes, 2 – 3 times a week for results to show. The exercises can easily be performed with a variety of equipment including free weights, machine weights and best of all, your own body weight.

It’s essential to workout all major muscle groups so muscular and postural imbalances don’t occur. Compound exercises like squats, bench press, deadlifts, shoulder press and push-ups are some of the best. These exercises target multiple muscles and joints at once, speeding up results. They are the foundation to any effective weight training program.

If you are a first timer, it is advisable to begin a simple full body workout no more than 3 times a week. This will give your muscles enough time to rest and recover from your workouts. Use a weight or resistance that creates muscle fatigue within around 8 – 12 repetitions, aiming for the recommended 1 – 3 sets per muscle group. It’s important that you maintain proper form and technique throughout each exercise to avoid injury and obtain the maximum benefits. Having an expert for the first month or so to take you through your paces and teach you correct techniques and show you a variety of exercises is well advised.

Remember, by staying weak because of how it might make you look is the same as staying uneducated for fear of appearing geeky. Now start hitting the weights!

About Me

My name is Andries Lodder and I am a Biokineticist in trade, and a sports junkie in nature and spare time. If I don’t participate in either cycling, running, swimming, squash, golf, tennis, rugby, cricket or xbox, I love watching ALL sports on TV. I started studying Physiotherapy and later changed to BSc in Exercise Physiology and HMS at WITS University where I had to do all sorts of jobs (like spinning classes, pilates, personal training, massaging, promotions and bartending) to pay myself through varsity and obviously have a great social life. After I passed I went to the student life capital of South Africa, Stellenbosch, where I somehow passed my Biokinetics Honors degree. After only 1 year is Stellenbosch, I moved back to Johannesburg where I started working as a Biokineticist. Along this road I was very fortunate to make some good acquaintances that gave me the opportunity in 2008 to become a fitness instructor for all the SAFA and CAF referees, which gave me the opportunity to travel to Egypt for a fitness instructors course. Later that same year I did the fitness testing of the African referees that qualified them for officiating at the Beijing Olympic Games. In 2010 I started my own Biokinetics practice in Design Quarter, Fourways, called BIO4Me, where I work with athletes, rehabilitating injuries or performance enhancement testing and training. I’m also part of the team ‘Ask an Expert’ for Modern Athlete Magazine and write articles on a monthly basis on exercise and sports specific training for TriAthleteSA Magazine. To be part of my world visit www.bio4me.co.za or check out facebook (Bio4Me) and twitter (AndriesBio4Me).


Visit there webpage for more great reads:   http://thejogblog.co.za/?p=484

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FUELLING: ENOUGH IS ENOUGH

Posted on April 2nd, 2012 by Andries

FUELLING

ENOUGH IS ENOUGH!

BY ANDRIES LODDER for MODERN ATHLETE MAGAZINE APRIL 2012

 

All athletes around the world, no matter what endurance sport they participate in, always ask the same questions: Am I over or under fuelling during training and events? When and what must I eat before and during? How much should I consume? Is water good enough or should I use nutritional supplements?

All these questions are very important, because all athletes know that what they eat and drink before and during training and events will have an effect on their performance.

Lets separate the two different components: Eating and Drinking as Fuel.

FOOD AS FUEL

Many athletes put a lot of emphasis on eating before their event believing it is the key element to performance, but what many forget is that the food eaten throughout the training week is just as, if not more important. Consuming food and fluid before training should be seen as an opportunity to fine-tune carbohydrate and fluid levels and to ensure you feel comfortable and confident.

When you eat your meal before training, it only becomes useful once it has been digested and absorbed. This means you need to time your food intake so that the fuel becomes available during the training session. The time required for digestion depends on the type and quantity of food consumed.  Foods higher in fat, protein and fibre tend to take longer to digest and may increase the risk of stomach discomfort during training; therefore carbohydrate foods are the best. Food is also better tolerated during cycling than running, because of the gut being manhandled during running.

Carbohydrate containing foods have different effects on blood glucose levels. Foods with a low glycaemic index (GI) cause a slower, sustained release of glucose to the blood, whereas foods with a high GI cause a rapid, short-lived rise in blood glucose. It has been suggested that low GI foods could be useful in the pre training meal as they would result in a slower and more sustained release of glucose during exercise maintaining blood glucose levels for a longer period.

It is best to have a meal, e.g. baked potato and cottage cheese filling, baked beans on toast, breakfast cereal with milk, bread roll with cheese/meat filling, fruit salad with yoghurt, pasta or rice with a sauce based on low-fat ingredients, about 3-4 hours before exercise or a lighter snack about 1-2 hours, e.g. liquid meal supplement, sports or cereal bar, or fruit, before training. But it is not always practical to do so during your early morning training sessions. In this case you should opt for a light snack, e.g. a cereal bar or fruit, about an hour before training.

LIQUID AS FUEL

We have come back to the question of whether water is good enough as a replacer for fluid loss or should we have an energy drink instead?

Fluid requirements differ remarkably between athletes and exercise situations.

All this depends on a number of variables, such as genetics, where some people naturally sweat more than others. Body size plays a big role, where larger individuals tend to sweat more than smaller ones. The more fit you are, the quicker you start to sweat as well as in larger volumes. During hot humid days you will sweat a lot more than on cold winter mornings; as well as the greater the intensity you train at, the higher your sweat rate will be.

Prescribing a general fluid replacement plan is very important. More important though is that the rate at which you ingest fluids should not be more than the rate of sweat loss; therefore your weight should not be increased after your training session. Fortunately, it is easy to estimate your own fluid requirements by weighing yourself before and after exercise sessions. Each kilogram of weight lost is equal to about one litre of fluid. Adding on the weight of any fluid or food consumed during the training session will provide an estimate of total fluid loss for the session. For example, if you finish a training session 0.5 kg lighter and you consumed 1 litre of fluid during the session, your total fluid loss during the session was 1.5litres.

Once you know your individual sweat losses, you can achieve better fluid replacement in future training sessions. Fluid replacement plans will differ from person to person as well as the opportunities for drinking during your event. However, where possible it is better to begin drinking early in your exercise session and adopt a pattern of drinking small volumes regularly rather than trying to drink large volumes in one hit. Most athletes can stomach 200-300 ml every 15-20 minutes, but again this will depend on your exercise intensity.

For all training sessions shorter than 1 hour, it is ideal to consume only water. During this period the body looses mostly water and undergoes very little electrolyte loses. Therefore if your main goal is weight loss, drink only water. If it is performance based, drink an energy drink equivalent in volume to your sweat loss.

Furthermore, electrolytes (energy drinks) should be included in fluids consumed during exercise lasting longer than 1 hour or by individuals during any event that stimulates heavy electrolyte loss. Greater than 1 hour training sessions elicits fatigue, and it is best advised to ingest carbohydrate, which will rapidly be converted to blood glucose (our fuel for energy), which will lead to an improved performance.

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WITS Exercise Physiology

Posted on March 15th, 2012 by Andries Lodder

New WITS Exercise Physiology Lab study in Cyclists

by Aletta Esterhuyse

The Wits Exercise Lab has a new and very exciting study on comparing energy drinks ingested during cycling to investigate differences in energy metabolism and of cause cycling performance. This study will help you to understand what is truly the best mix for your racing fuel.

We invite male cyclists or triathletes who match all of the following characteristics to participate:

  1. Competitive male cyclists who are highly trained and include at least 12 hours cycling training per week.
  2. Cyclists who are generally healthy, not on medication and are non smokers
  3. Cyclists aged 18 to 45 years old
  4. Cyclists who are able to visit our laboratory for 5 separate 3 hour visits on a weekday arriving at 10 am (once a week).

The study’s focus is on comparing energy drinks ingested during cycling to investigate differences in energy metabolism and of cause cycling performance. In fact, in our quick releasing energy drink (or high glycaemic index mix) we hope to use very recent updated scientific recommendations that has not as yet been applied to off-the-shelve products. This study will help you to understand what is truly the best mix for your racing fuel.

We intend comparing the following 5 beverages:

  1. Placebo flavoured water
  2. High glycaemic index carbohydrate only (maltodextrin+fructose), i.e. your typical energy drink but with slightly more fructose
  3. Low glycaemic index carbohydrate (isomaltulose), i.e. a sugar used in some drinks such as 32GI and even USN Epic Pro
  4. High GI carbohydrate with added milk protein, casein hydrolysate, i.e. energy drink #2 with added protein (Peptopro)
  5. High GI carbohydrate with added milk protein, whey hydrolysate, i.e. energy drink #2 with different protein source, used in USN Epic Pro

We are looking for ten highly competitive male cyclists to take part. Each cyclist will first will undergo standard performance testing, to determine VO2max, lactate thresholds and peak power output.  Each cyclist will then complete 5 separate experimental trial including a different energy drink during each trail. Each experimental trail will be separated by at least 1 week. During each trial you will cycle for 2 h at a fixed steady-state on our cycle ergometer for assessment of metabolism. This is immediately followed by a 16 km time trial on your own bicycle fitted to our Tacx ergometers that simulates a time trial route with real time video footage of the coarse. The programme we have chosen depicts you as an animated cyclist and looks similar to a play-station game only you have to pedal to get your character to move.

Please let us know if you are keen to be involved. We will start with performance testing mid-April and experimental trials soon after that.

You can either contact them directly or through Bio4Me and you will be provided with more details

Aletta: Aletta.esterhuyse@wits.ac.za

Tanja: oosthuyse@polka.co.za

Andries: send me an email

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Office New Look

Posted on March 12th, 2012 by Andries

Importance of VO2max and Lactate Testing

Posted on February 6th, 2012 by Andries

By Andries Lodder for TriathleteSA Magazine Dec|Jan 2012 Issue
TriathleteSA Front Page

Is your training weakening your aerobic metabolism?

Blood pressure (BP) and cholesterol are used as predictors of potential disease, whereas fitness is a predictor of health. The healthier you are, the less chances you have of cardiovascular or respiratory diseases. We get our BP and cholesterol checked regularly, what should athletes be doing to check their fitness levels? VO2max and Lactate Tests accurately measure fitness and provide constructive feedback to athletes looking to increase their performance.

Why is this important for a runner, cyclist or triathlete?

Keep reading and you’ll soon find out.


What is VO2max?

VO2max is the maximum rate of oxygen consumed in millilitres one can use in one minute per kg of body weight. It is an important test for evaluating the cardiovascular capacity of an athlete and is the maximum capacity to transport and utilize oxygen during incremental exercise. It is also known as aerobic capacity, which reflects the physical fitness of a person. With an increase in oxygen consumption, you see cascades of positive events that all serve to increase the fuel economy of an athlete. Highly trained athletes generally have a higher VO2 max than untrained individuals.

Article

What is Lactate?

Lactate Threshold testing is considered to be the single most important determinant of success in endurance related activities. Training at the right intensity is important to help prevent over or under training. During the demands of high intensity exercise, the cells utilise a substantial amount of glucose and glycogen (stored glucose). The by-product of the glucose breakdown is lactate. This increase in lactate coincides with an increase in blood and muscle acidosis, therefore lactate is an excellent indirect marker of muscular cellular fatigue or the “burn” sensation or that feeling of hitting the wall.

Why are both tests important?

Both VO2max and lactate turnpoint are valuable and independent physiological markers for your current state of fitness, in addition the gas analysis measurements will allow you to determine the point at which your body is using fat as the primary energy source as opposed to carbohydrates. The threshold calculations are crucial for development of accurate heart rate zones and training parameters. Utilising information from the VO2max and lactate tests can identify the most appropriate training intensity and type of training for you specifically rather than a handed down program from a mate or a predetermined heart rate zone program designed for the “general” population who are just interested in getting fit, but not focused on improving their best time or getting to the top of their game.

Athletes who make the common mistake of engaging in training structures that are much too intense are subject to reduced aerobic efficiencies. It is always a shocking discovery for any athlete to be confronted with the fact that their training has actually led to a systematic weakening of their aerobic metabolism. In other words, because they were unaware that the majority of their training was done in excess of their lactate threshold, there has been little stimuli for the body to increase its oxygen consuming abilities.

Because the data from a Vo2max and Lactate test will provide a detailed outline of whether fat or carbohydrates are being used most readily and to what extent, it is possible to determine, to the calorie, how many grams of carbohydrates are necessary to continue fuelling at a given intensity and avoid complete muscle glycogen deficit.

If you would like to improve your ability to deal with lactate or to work in a zone that will primarily use fat as an energy source, this test can provide the accurate parameters needed.

If you are a runner, you should be tested whilst running, if you are a cyclist, you should be tested on your own bike. If you are triathlete, you should be tested on both the run and cycle as the information between the two efforts will vary in some cases by quite a margin.

From the tests you will identify:

VO2 max (ml/kg/min)

  • Anaerobic threshold (measured by gaseous exchange)
  • Lactate threshold and lactate turnpoint
  • Energy usage for any given heart rate
  • Fuel mixture for any given heart rate
  • Oxygen consumption at a range of exercise intensities
  • Calculation of INDIVIDUALIZED training zones
  • Following the test you will receive structured feedback and training suggestions which can be integrated into you regular programme.

Final words

The question is not what will I gain from doing these tests? The question is really by how much am I crippling myself by not doing these tests!

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Ask an Expert: Backwards Running

Posted on February 6th, 2012 by Andries

By Andries Lodder for Modern Athlete Magazine Feb 2012 Issue

Backwards Running: Fact or Fiction?

Question:

I have heard so much about Backwards Running, but I’m not even sure what it is and if it is a fact or fiction.

Answer:

During locomotion the most involved joint of the lower body is the patello-femoral joint. Forming part of this joint is the patella, which is a sesamoid bone which reduces patello-femoral stresses, as well as increases the lever arm of the quadriceps muscles. The quadriceps muscle is the dynamic stabilizer of the patello-femoral joint. This joint is also the most common site for anterior knee pain, contributed by weakness of the quadriceps muscle.

Backwards running has numerous benefits which include burning one third more calories than forward running, it also develops better balance and stamina, it works the quadriceps muscles more than forward running, improves flexibility, reduces risk of injuries to the patello-femoral joint, you can still run while you are injured, improve leg speed and better performance, improved posture as well as your senses will be enhanced. It’s also stated that the volume of muscle active per unit of force applied to the ground was 10% greater when running backward than forward.

Normal forwards running contracts your muscles (quadriceps and hamstrings) mainly concentrically (muscles shorten during the contraction for force production phase of running) and eccentrically (muscles elongates for muscle recovery phase) at specific points in your stride. Backwards running works your muscles concentrically (recovery phase) and mainly eccentrically (force production phase) at opposite points of your strides. Eccentric contractions cause more muscle damage and needs a longer time period for recovery, but increases the muscle mass and strength. The benefit of training eccentrically is that when you go back to the conventional forwards running, your stability will be improved because of the muscles being trained in the opposite way and therefore your opposing muscle groups will provide some contraction while they are supposed to be relaxed, to provide more support to the contracting agonistic muscle.

A study at Stellenbosch University showed that the technique of backwards running actually improved your cardiovascular fitness. They used female students over a six-week period, training three times a week compared with a female group that stuck with their normal training regimes. The findings of the study were that the backward runners were found to have significantly decreased their oxygen consumption, therefore improving aerobically and lost 2.5% body fat.

Dangers of backwards running also exist. One of them is that when running backwards you can’t see anything in front of you or in the way of your path. Turning your head around will reduce the chances of falling or loosing your balance, but could lead towards running much slower as well as increase neck strains.

Considering the benefits and the biomechanics behind the patello-femoral joint, backwards running would reduce the occurrence of patello-femoral joint pain due to the strengthening of the quadriceps and the increased flexibility, which corresponds to the rehabilitation for treatment of anterior knee pain including hamstring stretching and VMO (vastus medialis oblique) strengthening.

Therefore my final verdict is that it is more fact than fiction.

To read this article on the Modern Athlete webpage, follow link: Ask an Expert: Backwards Running or buy the Feb issue today

Plantar Fasciitis

Posted on February 2nd, 2012 by Andries

What’s that pain?

When your first few steps out of bed in the morning cause severe pain in the heel of your foot, you may have plantar fasciitis. It is one of the most common foot problems.

Plantar fasciitis is inflammation due to repeated overstretching of the plantar fascia ligament, usually at the point where the fascia is attached to the heel bone. This condition can also occur at the front of the foot. Tension develops in the plantar fascia both during extension of the toes and during depression of the longitudinal arch as the result of weight bearing.

When a patient has plantar fasciitis, the plantar fascia becomes inflamed and worn out; these abnormalities in return can make normal activities quite painful. The pain typically worsens early in the morning after sleep. This pain is the result of the foot resting in plantar flexion (toes pointing forward) overnight. This allows the fascia to shorten. When you wake up in the morning the shortened or contracted fascia is stretched by simple movements and pain occurs and that is why you’re first few steps out of bed in the morning is painful. As you begin to loosen the plantar fascia, the pain usually decreases, but often returns with prolonged standing or walking

A Couple of signs or symptoms are pain in the anterior medial heel, usually at the attachment of the plantar fascia to the calcaneus (heel), as well as pain during the first few steps in the morning or after a long period of sitting.

The risk of developing plantar fasciitis are people who are active in sport, people that are flat-footed, middle-aged or older people, overweight individuals, incorrect footwear as well as pregnancy.

Some treatments used:

  • Night splints. Use night splints to maintain a gentle, constant stretch across the plantar fascia.
  • Heel pads. Felt, gel, or synthetic heel pads spread and absorb shock as the heel lands easing pressure on the plantar fascia.
  • Decrease standing and stressful activities until heal pain is better.
  • PRICE – pressure, rest, ice, compression and elevation would reduce inflammation.
  • Stretch the heel cord and plantar fascia.
  • Massage area of pain, especially in morning after a warm bath or shower.
  • Tape to maintain arch and release tension off plantar fascia.

For more details or questions on this topic, don’t hesitate to contact me on 0834686544 or send me an email

Osgood Schlatters Disease

Posted on January 26th, 2012 by Andries

Osgood Schlatters Disease

Overuse injuries are increasing among young athletes. This type of injury is the result of an increasing load on the musculoskeletal structures. The problem develops over time due to repeated stress and can be very painful and frustrating that leads to a chronic problem.

Osgood Schlatter disease: Inflammation and swelling at the site of insertion of the main quadriceps tendon at the top of the tibia (the tibial tubercle) just below the knee. It is common in

adolescence and result from excessive physical activity. Most cases resolve with time and rest.

It occurs most frequently in the younger athlete, due to the differences in structure and anatomy of the growing bone compared with that of the adult leg. The structural differences between the adult and growing bone is as follows:

  1. The articular cartilage of growing bone is thicker than in the adult bone, and the ability to remodel.
  2. The tendon attachments seat to the growing bone consists of relatively weak cartilage plate, the incidence of avulsion fractures may be increased.
  3. The metaphysis of long bones in children is more elastic and flexible, which causes the incomplete fractures (“greenstick” fractures) occurring only in children.
  4. With rapid growth phases extending the leg faster than the muscle and tendon can stretch. This causes temporary coordination and movement problems.
  5. Because of these differences, the younger athlete is more prone to cartilage and bone injuries, or a complete avulsion of the apophysis.

Osgood Schlatter presenting as anterior knee pain, usually associated with overuse or activity. The pain is felt by the attachment of the patella tendon to the tibial tubercle. The athlete will complain of pain during activities such as running, jumping, kneeling, squatting and up and down of stairs. In a sitting position with the knee in 90 ° flexion, a bony enlargement of the tibial tubercle is observed. Local tenderness over the anterior proximal tibial tubercle on palpation is a positive sign. The repeated irritation causes swelling, bleeding and gradual degeneration of the apophysis, which causes impaired circulation.

An effective examination of the lower limbs should be done to determine the extent of movement, particularly the flexibility of the hamstring and quadricep muscles. Muscle tests should be made to the strength in the knee and hip testing. The feet should also be tested for movement patterns that can lead to malalignment of knee injuries. Typical findings are external hip rotation, abduction movements and poor flexibility in the hamstring and quadricep muscles. Extension movements against a resistance will cause pain. Biomechanical tests that can be done include walking pattern, single and double leg squat (squat).

This condition is usually due to overuse. Overuse injuries are completely preventable for most young athletes. It is the responsibility of the parents and the coach to make sure that the young athlete’s program is not too demanding.Treatment is usually conservative. The goal of treatment is to reduce pain, increase strength and flexibility. Pain should be the main guideline to dictate the amount of activity.

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Leg Length Inequality

Posted on January 25th, 2012 by Andries

By Dr. Bradley Waterer for Bio4Me

Is this leg longer?

Leg Length Inequality is extremely common. It may either be structural (where the bone in one leg is actually longer) or functional (where the problem is due to abnormal pelvic positioning).

Research indicates that Functional Leg Length Inequality (FLLI) exists in approximately 61% of the general population. Depending on the type and level of activity as much as 90% of an athletic team will have a Functional Leg Length Inequality. This condition predisposes people to acute and chronic recurring injuries involving ankles, knees, backs, necks and even shoulder and arm pain. One example of interest is that research found that 79% of people who experience lateral patella femoral pain have a Functional Leg Length Inequality. The condition almost always occurred in the “longer leg”.

If assessed correctly, Leg Length Inequalities can be identified to determine if a structural or functional abnormality is present. Once the problem is accurately identified the appropriate treatment you need can be administered.

For questions and enquiries contact Dr. Bradley Waterer (Chiropractor) on 0828029314 or visit http://www.sandtonchiropractic.com

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