Osteoarthritis occurs in a joint when there is more degeneration of the joint cartilage than regeneration of the joint cartilage. Cartilage is a soft tissue on the ends of bones.  Cartilage provides a smooth surface to allow free movement of joint, provides a cushioning, and for joint stability.  Cartilage tissue is poorly designed for repair…

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Tendon problems are a common diagnosis at Achilles, knee (patellar tendon), shoulder (rotator cuff), and elbow (tennis elbow) pain.  Interestingly though, pain on the side of the hip is commonly thought to be an inflammation of bursa. Recent investigation has shown that pain on the side of the hip commonly thought to be trochanteric bursitis,…

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  Osteoarthritis is primarily a degeneration, or wear and tear, of the hyaline cartilage that covers the end of the joint surfaces. Osteoarthritis occurs as a result of “the parents you choose” (genetic influence) or as a sequel to a prior joint trauma or injury. There is a great deal of information dealing with the…

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A middle aged male adventure racer who had been struggling with right knee pain for six months sought my assistance. Adventure racing involves competing over multiple days, ultra-distance walk/running combined with other activities such as mountain biking, swimming, kayaking, and rock climbing. His knee pain was focused to the anterior lateral aspect of the right…

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How hard a walker or runner impacts the ground can be described with several biomechanical terms, including vertical impact loading rate, braking impulse force, and shock. Scientists have determined it is not the magnitude of force, but the rate at which the force is transmitted from the ground to the foot and leg that is…

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The term shin splints refer to a painful condition that develops in the lower leg, usually along the tibia bone, in response to exercise or activity. Shin splints are a common problem for novice runners, dancers, field hockey, basketball, baseball and tennis players, and even walkers. Shin splints can be classified into different problems including: tendonitis,…

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There is a growing body of evidence among healthcare professionals to suggest the way we run contributes to the risk of a repetitive use injury, and that gait retraining is an effective intervention for managing repetitive use injuries. There is less consensus and much debate on which movement faults are more important. Common movements that…

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