Sports Injuries

KNEE PAIN

Knee pain is pain arising from the anatomical region of the knee. It may follow a traumatic onset (eg. sports injury) or be related to age-related degenerative change.

Chiropractors treat knee pain using a package of care that may include manual therapies, acupuncture, exercise prescription and onward referral when indicated.

There is evidence to support this approach to patient care:

National Institute for Health and Clinical Excellence. Osteoarthritis: national clinical guideline for care and management in adults. Clinical guideline 59. February 2008

Pollard H, Ward G, Hoskins W, Hardy K. The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. J Can Chiroprac Assn 2008; 52: 230-242.


ANKLE & FOOT PAIN

Ankle pain and foot pain is defined as pain arising from the anatomical region of the ankle and foot. It may arise traumatically or from degenerative change, congenital conditions or inflammatory arthropathies.

Chiropractors treat ankle and foot pain using a package of care that may include manual therapies, electrotherapy, acupuncture, use of supports and onward referral when indicated.

There is evidence to support this approach to patient care:

Brantingham JW, Globe G, Pollard H, Hicks M, Korporaal C, Hoskins W. Manipulative therapy for lower extremity conditions: expansion of literature review. J Manipulative Physiol 2009; 32(1): 53-71

Van der Wees PJ, Lenssen AF, Hendriks EJ, Stomp DJ, Dekker J, de Bie RA. Effectiveness of exercise therapy and manual mobilisation in ankle sprain and functional instability: a systematic review. Aust J Physiotherapy 2006; 52(1): 27-37

SPRAINS

A sprain is defined as an injury to a joint where the ligaments are carried beyond their normal range of motion without dislocation or fracture. They can be graded depending on the degree of damage sustained to the ligament. Typically, joint sprains fall into the category of musculoskeletal injuries. Chiropractors, particularly those treating sports-related injuries, manage sprains in athletes and others using traditional manual therapies.

Chiropractors manage ligament sprains using a package of care that may include patient education, preventative strategies, manual therapies, acupuncture, exercise prescription and onward referral when indicated.

They are often involved in the process of rehabilitation and may work alongside other healthcare professionals in delivering effective care strategies.

There is evidence available to support this treatment approach:

Hepperets MD, Verhagen EA, van Mechelen W. Effect of unsupervised home based proprioceptive treaining on recurrences of ankle sprain: a randomised controlled trial. BMJ 2009 Jul 9; 339: b2684.

Handoll HH, Rowe BH, Quinn KM, de Bie R. Interventions for preventing ankle ligament injuries. Cochrane database Syst Rev. 200; (3): CD000018