Diabetes and your Feet

Picture this : you're walking in the sunshine, whistling dixie and having the best day. All of a sudden you step wrong, and your ankle twists. Ouch! You've got yourself a ‘ simple ’ ankle sprain, right? Well, not so fast. What might seem like a minor injury can sometimes turn into a bigger problem than you'd expect. Here's the lowdown: An ankle sprain happens when the bands of tissue (ligaments) that hold your ankle bones together get stretched or torn. You might think r est , ice , and a bit of elevation will sort it out – and sometimes they do. But other times, there's more going on under the surface. Amazingly, Once you have injured your ankle for the first time, you have a whopping 47% chance of re-injuring that same ankle in the future! Not to mention 40% of first time ankle sprainers, go on to develop Chronic Ankle Instability (CAI)!

Do you get pain at the front of your knee? Walking downstairs? Sometimes you feel like you have to go down sideways ! When you’re hiking…… Especially when you have to go downhill? Playing sport…. Especially when you have to do a lot of short stop and start type movements?

So, you have done your ACL. You felt the pop, your knee collapsed and the pain was excruciating for the first 30 seconds. You hobble off the field, and thoughts start rushing through your mind… Oh no I'm going to need surgery! How much will it cost me? How long will I be ou t for?

Adhesive capsulitis , or frozen shoulder , is a condition that affects the capsule/lining of the shoulder joint. It occurs most commonly in people aged 40-60 and while it can result from an injury or surgery to the shoulder, in the majority of cases there is no obvious cause. The condition involves inflammation and scarring of the shoulder joint capsule. The inflammation causes pain, particularly at night, while the scarring results in reduced range of motion in the shoulder joint as the capsule tightens. Then if the shoulder is pushed into extreme positions, the scar tissue becomes irritated, causing more discomfort. While there is often no cause, adhesive capsulitis occurs more commonly in people with diabetes and other systemic inflammatory diseases, so it may be worth performing some blood tests if these haven’t been done previously. Imaging with an X-ray and ultrasound (or sometimes an MRI) is not always essential as adhesive capsulitis can be diagnosed based on symptoms and clinical tests, but may be performed to ensure there is not another diagnosis to explain the symptoms. Adhesive capsulitis has a natural history of resolution after typically 12-24 months. It is characterised by 3 phases: freezing, frozen and thawing phase. The freezing phase is often the most painful, as the inflammation causes progressive pain and loss of range of motion. The duration of symptoms is often unchanged by treatments, however the goal of management strategies is to reduce pain and improve function during the course of the condition.

Whether you're training for the Melbourne marathon, a dedicated athlete or just someone who enjoys staying active, the guidance of a sports physician can be a game-changer! Our very own Dr Jacob Jewson offers a unique set of skills and insights that can enhance your performance, prevent injuries, and keep you in peak condition. 

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