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Sunday, October 31, 2010

Top 100 Biomechanical Guidelines #9: Understand the symptoms related to the pain syndromes for the 5 Common Mechanical Problems

There are 5 Common Mechanical Problems
  1. Limb length Difference
  2. Poor Shock Absorption
  3. Forefoot Abnormalities
  4. Excessive Supination
  5. Excessive Pronation
Each of each produces common predictable pain syndromes. When you recognize the mechanical problem, and you recognize symptoms that match, you can be reasonably certain that treatment of the mechanical problem will not only help the injury heal faster, but will hopefully prevent re-occurrences. You will see that a certain injury may have more than one mechanical cause. You can also see how looking back at the injury pattern of a patient may show that the same mechanical problem has caused multiple injuries over time. Thousands of patients have had their injuries reduced, and been able to participate at a higher level, with the elimination of their major mechanical source of injuries.

The Pain Syndromes associated with these 5 common mechanical problems include (not complete list):

1. Limb Length Difference
  • Hip Pain
  • Lower Back Pain
  • Achilles Tendinitis
  • Iliotibial Band Tendinitis
  • Pronation problems on the side that over pronates (if occurs)
  • Supination problems on the side that over supinates (if occurs)
2. Poor Shock Absorption
  • Tibial Stress Fractures
  • Knee Pain
  • Calcaneal (heel) stress fractures
  • Metatarsal stress fractures
  • Heel Bursitis or Heel Bruise
  • Femoral Stress Fractures

3. Forefoot Abnormalities
  • Bunions
  • Metatarsalgia
  • Sesamoiditis
  • Neuritis
  • Tailor's Bunions
  • Hammertoes
  • Various Metatarsal Phalangeal Joint Capsulitis
  • Symptoms related to over pronation if forefoot abnormality produces over pronation
  • Symptoms related to over supination if forefoot abnormality produces over supination
4. Excessive Supination
  • Cuboid Syndrome
  • Lateral Ankle Sprains
  • Peroneal Tendinitis
  • Iliotibial Band Tendinitis
  • 5th metatarsal stress fractures
  • 4th metatarsal stress fractures
  • Tailor's Bunions
  • Medial Knee Joint Compression Syndrome
  • Symptoms related to Poor Shock Absorption caused by excessive supination
  • Hip Pain
  • Lower Back Pain
5. Excessive Pronation
  • Plantar Fasciitis
  • Chondromalacia Patellae
  • Piriformis Syndrome
  • Lower Back Pain
  • Morton's Neuromas
  • Bunions
  • Sesamoiditis or Sesamoid Fractures
  • Posterior Tibial Tendinitis
  • Anterior Tibial Tendinitis
  • Arch Strain
  • Hammertoes
  • Achilles Tendinitis
  • Tibial Stress Fractures
  • Lateral Ankle or Subtalar Joint Arthralgias
  • Sinus Tarsiitis
  • Iliotibial Band Tendinitis
  • Lateral Knee Joint Compression Syndrome
  • Hip Strain

Looking for Patterns
In summary, the pattern of movement presented by the patient combined with the pattern  of their present and past injuries can make logical sense in finding the mechanical cause(s) of injury. Correction of that mechanical cause of injury can not only speed up the healing of the present injury, but prevent further injuries from occurring. Good luck!!

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.