Doctor insights on:
Rehab For A Soleus Injury
Careful: Depends on the ligament. It is very important to get your motion back first after a ligament injury. Range of motion exercises (wall slides, etc.) and biking without resistance can accomplish this. Then if you are treating the ligament nonop, strengthening exercises are begun. For example- PCL injury, the quad is very important.Ask your doctor for specific goals for your specific ligament injury. ...Read more
Protection: There are two tendons if one ruptures then you will have a weakness in that arm from now on. Surgical replacement of the ruptured tendon is sometimes possible and you should see an orthopedic surgeon for this. Gradually and slowly strengthing the remaining tendon with low weight exercises may help prevent its rupture in the future. Always avoid lifting very heavy objects to prevent rupture. ...Read moreSee 1 more doctor answer
Pitcher: They both can be equally impairing, especially if the require surgery. With both areas if it is not a surgical problem it is important to evaluate the throwing motion and the whole body kinetic chain to decern if a deficit is the cause of your shoulder or elbow pain. Important to not just focus on the area with symptoms but also focus on why you got the symptoms from throwing. ...Read more
Be careful: I am assuming you had surgery, if this is the case be very careful because depending where you are in the healing process the exercises will be different. Speak to your surgeon. ...Read more
Both.: They are both serious injuries. A torn patellar tendon results in a knee that doesnt function. An ACL tear results in an unstable knee, that can give out on you. The patellar tendon always requires surgical repair. The ACL usually requires surgical repair. ...Read moreSee 2 more doctor answers
For rehab on a medial malleolus fracture that has had orif surgery is it better to see a physiotherapist or a podiatrist?
Motion , ice, agilit: It can vary based on the severity of the sprain. Typically, rehab involves range of motion (sprains tend to stiffen the affected joints), ice (to relieve swellilng), strengtheing of the joing and, in the case of leg or ankle sprain, agility and balancing work ...Read moreSee 2 more doctor answers
Variable: This isn't a one answer fits all kind of question. Not all knee injuries are created equal. Acl tears, post surgery rehab, knee replacements, sprains, etc. All require highly specific range of motion and strength maneuvers. Your orthopedist and associated physical therapists are best equipped to address your unique circumstance. ...Read more
Is it possible to have a soleus injury that a MRI or US just won't detect for some odd reason? If that is the case, what might be the next step?
Soleus pain: Muscle pain in the lower extremity may not be due to a problem within the muscle itself. In some instances the physician needs to assess that the problem may be extending from a nerve root that innervates the soleus muscle. EMG and NCV studies can help rule out these problems. A neurologist can evaluate and request these studies. Good luck. ...Read more
Is there a time where ultrasound might be better to diagnose an injury of the Achilles or Soleus rather than MRI?
In an emergency: Ultrasound (US) is more portable & takes less time to obtain than an MRI. For a big Achilles tear or gastroc (soleus) tendon strain, an US can often get u the diagnosis in the ED (if ED physician is trained). For more subtle strains or tears, an MRI is better but takes about 1-2 hours to perform, & u need to be scheduled. US is (debatedly) used to heal strains as well, so may have addl benefit. GL ...Read more
Is there achilles, soleus, gastrocnemius, tendon injuries/degeneration that are hard to see on MRI? Hardness alongside Achilles but MRI is normal
Mri may not show it: MRi primarily identifies soft tissue problems, muscle, tendon, fascia, etc. Calcifications are more difficult to identify. Plain radiographs and CT show calcifications to better advantage.Your physician who referred you for these studies should explain your options if this calcification is symptomatic. Calcifications in achilles tendon are often related to spur. ...Read more
Why would severe tenderness (like 10 on 1-10 pain scale) due to injury of the soleus muscle not show up on the mri?
Differences in anatomy: is it possible to have a tri or bi-partite soleus muscle? (so that ankle can withstand > range of lateral motion w/o injury?
Huh?: Yes it's possible to have a deformity of the soleus muscle, but it that muscle doesn't address lateral range of motion. Ankle ligaments are what helps to withstand increased range of motion and the peroneal muscles also help withstand greater accidental range of motion laterally. The soleus muscle is in the back of the leg, so the whether it has 2 or 3 corresponding parts has no affect laterally. ...Read more
Can an MRI reveal scar tissue deep in the calf caused by overuse injury of the soleus/tibialis posterior?
Yes: One should be able to see scar tissue if it is present. Though, I am not sure an overuse injury would cause scar tissue. ...Read more
Depends: As usual, it depends on the injury. If we're talking about just contusion without fracture, then just time, perhaps warm compresses to help resolve bruising, and pain relievers. If there are fractures, typically it's just time and stabilization. Fractures involving the mandible and maxilla, or dental fractures require a lot more care and rehabilitation. ...Read moreSee 1 more doctor answer
Depends on injury: It depends on the injury. Pilates is especially helpful to regain core strength and stability after a back/spine injury once cleared by your doctor. It can also help with recruitment of previously injured atrophied muscles, nerves, and help with balance. Best to see a primary cares sports med, pmnr or ortho doc to see if it's appropriate for you. ...Read more
Any severe injury: Can benefit from rehabilitation. Rehabilitation is not just getting back to normal function after the injury, but also helping avoid further injury later on. Any muscle, tendon, ligament or bone injury can benefit from rehabilitation. ...Read more
What tips do you have for people going through rehabilitation programs after getting a serious injury?
Depends: recommendations might vary depending on the kind of injury sustained. For instance, a spinal cord injury patient is prone to venous thrombosis so dvt prophylaxis should be in place. They also have neurogenic bowel and bladder so proper training and use of medications at times is needed. They have to be teached on repositioning to avoid decub ulcers, etc. If other problem like tbi then tx varies ...Read more
2-4 weeks: Your doctor will tell you exactly how long but it depends on the type of injury and the part that is injured and the treatment involved, studies have shown that you can maintain your fitness level even if you need to change or cut back on your exercise for several months. In order to do so, you need to exercise at about 70 percent of your vo2 max at least once per week. Stay fit by crosstraining. ...Read moreSee 1 more doctor answer
Strengthening: Allow several days of relative rest after an injury, then gradually and progressively strengthen the muscles that form the rotator cuff. These muscles are those that turn your forearm in and out when your elbow is held in a fixed location. Elastic bands are very useful for this type of rehab. ...Read moreSee 2 more doctor answers
Yes, but....: A 'normal' diet is critical for proper healing and rehab. The answer to needing a protein supplement is probably no. Just be certain to eat a balanced diet and you should do well. If you have a diet that does not incorporate meat proteins or a decreased protein intake then you may need to supplement. Have fun and get better. ...Read moreSee 1 more doctor answer
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