Ankle Sprain |
- Inversion injury, commonly affecting the lateral ligaments
- Occurs during sports or twisting of the foot
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- Pain, swelling, and bruising around the ankle
- Difficulty bearing weight
- Tenderness over the lateral ligaments
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- Clinical examination with stress tests (anterior drawer test, talar tilt test)
- X-ray if fracture is suspected (Ottawa ankle rules)
- MRI for severe cases or chronic instability
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- RICE (rest, ice, compression, elevation)
- NSAIDs for pain relief
- Physiotherapy for rehabilitation and strengthening
- Bracing or taping for return to sport
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Achilles Tendonitis |
- Overuse or repetitive strain, often in runners or athletes
- Inappropriate footwear or sudden increase in activity
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- Gradual onset of pain and stiffness in the Achilles tendon
- Tenderness and swelling along the tendon
- Pain worsens with activity, particularly running or jumping
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- Clinical diagnosis based on history and physical exam
- Ultrasound to assess for tendon thickening or partial tears
- MRI for chronic or refractory cases
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- Rest and activity modification
- NSAIDs for pain and inflammation
- Physiotherapy focused on eccentric strengthening exercises
- Injections (corticosteroid or PRP) in chronic cases
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Plantar Fasciitis |
- Overuse injury from prolonged standing, running, or walking
- Improper footwear or flat feet
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- Heel pain, especially worse in the morning or after prolonged rest
- Tenderness over the medial calcaneal tuberosity
- Stiffness improves with activity
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- Clinical diagnosis based on history and examination
- Ultrasound to evaluate thickening of the plantar fascia
- X-ray or MRI to rule out stress fractures or other causes
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- Rest, ice, and NSAIDs for pain relief
- Stretching exercises for the Achilles tendon and plantar fascia
- Use of arch supports or orthotics
- Corticosteroid injections in refractory cases
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Hamstring Strain |
- Acute overstretching or tearing of the hamstring muscle during activities such as sprinting or kicking
- More common in athletes
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- Sudden pain in the posterior thigh during activity
- Swelling, bruising, and tenderness along the hamstring muscles
- Difficulty walking or bending the knee
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- Clinical diagnosis based on history and physical examination
- Ultrasound or MRI to assess the severity of the tear
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- RICE (rest, ice, compression, elevation)
- NSAIDs for pain and inflammation
- Physical therapy for strengthening and flexibility exercises
- Surgical repair for severe or complete tears
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Iliotibial Band Syndrome (ITBS) |
- Overuse injury due to friction between the iliotibial band and the lateral femoral condyle
- Common in runners and cyclists
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- Lateral knee pain, worsened by running or cycling
- Tenderness over the lateral femoral condyle
- Positive Ober’s test (pain with adduction of the leg)
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- Clinical diagnosis based on physical examination
- Ultrasound to assess for thickening of the iliotibial band
- MRI for chronic or unresolved cases
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- Rest, NSAIDs, and activity modification
- Physical therapy focused on stretching and strengthening exercises
- Corticosteroid injections for persistent pain
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Patellar Tendonitis (Jumper’s Knee) |
- Repetitive stress on the patellar tendon from jumping or squatting
- Common in athletes such as basketball or volleyball players
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- Pain and tenderness just below the kneecap
- Worsened by jumping, running, or stair climbing
- Stiffness after activity or in the morning
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- Clinical diagnosis based on history and physical examination
- Ultrasound or MRI to assess for tendinosis or partial tears
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- Rest, NSAIDs, and activity modification
- Physical therapy with eccentric strengthening exercises
- Patellar strap to reduce tendon stress
- Surgical debridement in severe cases
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