#on a sprained ankle and recently dislocated knee

[ineloquent-tumbling]

Sometimes. Having a high pain tolerance. Is bad. 😓

[joes-sha-la-la-la-girl]

As most of you know I have been struggling with my health recently. This is my experience of HSD. Each person with the condition is affected differently and no two people are exactly the same with it. Just as a pre-warning I will be attaching photos at the end of injuries I have had but there is no blood. They are just dislocations and subluxations I’ve had. I also talk about some of the injuries as well. I am not writing this for sympathy but more as an explanation as to why I sort of disappear every so often. 

Hypermobility Spectrum Disorders or HSD is a range of conditions that affect joint hypermobility. Often people are referred to as ‘bendy’, ‘flexible’ or ‘double jointed’. It is fairly common in children and young people but only 20% of people never lose the flexibility in their joints. More information about this condition is on The Ehlers-Danlos Society website.

This is my personal experience with the condition. Some people with HSD will experience these problems and others won’t.

When I was nine I had my first dislocation when my brother accidentally stood on my hand. I was taken to hospital by my parents and they sorted it pretty quickly with no alarms raised. However, when I was fourteen it got progressively worse. I kept having subluxations in my pinky finger on my right hand. A subluxation is an incomplete or partial dislocation of a joint. When I kept going to hospital they told me that it was a result of the injury when I was nine and they taught me how to manipulate it back into place. This happened almost everyday for two years at least.

The next year I dislocated my right thumb. Due to a medical error they missed the dislocation and the fracture on the x-ray and left it a week before noticing their mistake. I went back in to have it relocated a week after the injury. This is when I found out that I am immune to local anaesthetics so I had no pain relief when they did this. Due to a very observant doctor after my thumb dislocated inside of a plaster cast I was diagnosed with Joint Hypermobility Syndrome (the previous name for HSD). 

After this I started having more subluxations and dislocations including in my ankle, both knees, my hip, my shoulder and my first and middle finger on my right hand. 

Earlier this year I went to A&E with a swollen finger and they suspected rheumatoid arthritis. However, when I went to rheumatology I found that I was dislocating my finger in my sleep. That’s when my diagnosis name was changed to HSD. I scored a 6/9 on the Beighton Score. It is a system to measure joint flexibility. 0-3 is normal and 4-9 is when there is potentially a problem. I can hyperextend most of my joints and often I don’t notice when I am doing so.

I have now been receiving occupational therapy and I am on the waiting list for hypermobile physiotherapy. 

My main symptoms include:

Fatigue but unable to sleep

Pain and stiffness in joints

Frequent strains and sprains

Frequent dislocations and subluxations

Poor balance

Bladder and bowel problems

I also suffer from scoliosis which I have had no treatment for and cluster headaches.

HSD is incurable and the only things I can do to help is have pain relief, hot baths, hot water bottles and hand warmers and use heat rub creams. 

This condition affects my life quite severely. I haven’t got the worst symptoms someone can have but I am struggling to do daily tasks and even get out of bed some mornings. I use multiple types of joint supports as well as pen grips and back supports in my chair.

I am open to talking about this and will answer any questions about it.

[nvrcmplt]

random question time! has hanazaki ever focused on his tics too much and gotten stuck in a loop with his condition? has hanazaki ever suffered any injuries from his condition?

He has! Though it’s mostly from a recognition effect.

Hanazaki knows he has tics, he grew up with them from a young age, however, it only happens worse when it’s [ POINTED OUT ] either by - crowding, staring, vocal drops and mirrors. Hanazaki’s fell into several loops in the past, as a kid moreso than adult, from the lack of understanding of his own body and brain issues.

When a 10-year-old is smacking himself and humming extremely loud, it turns heads. It makes people stop and stare, it makes them film, point, gossip and laugh - mimicking him which is horrifying to a child. His first triggers tic-loop was in a supermarket, where his body just didn’t remember it was human and not a pretzel. His mother screamed, in fear of what was happening which in turn caused more and more attention to be put onto him and in turn made Hanazaki cry, scream and hum in several volumes of alarm - just not knowing what the actual heck was happening to his body.

Hanazaki was sedated by nurses from a called ambulance. After wetting himself, biting his tongue and spraining his shoulder from flailing so hard and bruising his eye from a mishap smack. He felt like a freak and broke down even more with his solitude in what he was and what he caused his Mother to go through.

It was a terrifying feeling for the whole family in all honesty and Hanazaki still has nightmares about it, enough to wake him each time, sometimes even wetting the bed from reliving that loss of full control. Thankfully now, when they are triggered it’s because he is constantly thinking about that time in the supermarket, it’s a one-track loop that makes him go, and then he is gone. But it took him around 12 years or so to get pass that loop with his own loop. Singing to himself really makes his head split in two in a sense. One side of his demented obsession makes him try and recite the lyrics perfectly, the other relapsing into his memory.

Over-all, it’s a hard gamble on which side wins, but over the recent years, he feels like he has mastered that coping mechanism to get himself out of a bad situation. Otherwise, he hopes that people are kind enough to call an ambulance once he is on the ground from his body just quitting in functioning normally for him.

He has indeed, injuries have bounced between;

Bruising upon his forehead from hitting himself too hard.

Sprained his ankle and wrist from over self-adjusting.

Neck-ache / whiplash from head twisting.

Bite a chunk of his tongue off from sneezing, grinding teeth and coughing all in one motion.

Dislocated two fingers from drumming his car door at a sharp angle.

Burned / Scolded his hand on hot items from ritual OCD fuelled touching. EG; moms hair straighteners, the iron on the ironing board, a boiling saucepan side.

Tripped himself up plenty of times from missing a step. Plenty of scrapped knees and hands.

Hanazaki is accident-prone, but it’s commonly due to his habit of just not registering what he is doing around himself. Touching things he knows are hot and painful, are just pushed aside, because if he doesn’t touch the saucepan’s hot-ass fuck handle for the second, third, fourth time to adjust it on the stove. He is going to have a fucking meltdown.

Over time Hanazaki’s got better at controlling the urges via moving onto another thing to get distracted, even if he still comes back to that thing, but he’ll do his best to divert his attention. It’s just constantly on his mind and his Mom often helps him regulate his breathing, thoughts and helps him in any way possible. ( EG; turning off the flame so he can touch, adjust and readjust the saucepan before moving on. )

[radley-writes]

Hello there I hope you are well. I might have EDS but also think it might all be my head. I want to try and seek a diagnosis but I want to be sure first. Do you have any advice? Thank you and please no pressure to answer if it is a stressful question.

First off: I have so much empathy. You're exactly where I was at this time last year - aka, in my 'constantly annoying family/friends by asking "Hey is this thing I've been doing my entire life abnormal, actually?"' phase.

By this point, I have been professionally diagnosed. I also have a close friend who thought she had EDS but wound up being diagnosed with HSD, which affects fewer parts of your body. She has received pretty much the same amount of help that I have - so even if it turns out that you don't have EDS, there's still a good chance of accessing care!

...I also, sadly, know multiple people who have been treated abysmally while seeking a diagnosis and have received no help whatsoever. So much depends on which health professionals you speak to.

Whether or not you receive a diagnosis at the end of the day, remember that your struggles are real and are valid, and that you deserve support. I truly hope that you find it, and my inbox is always open should you wish to chat. x

Second off: check out this link for the official diagnostic checklist.

[more under cut...]

Remember to think carefully about skin & internal organ issues, as well as just the Beighton criteria.

I hit a 9 on the Beighton scale when I was diagnosed (full marks, yay!) even though most days I'm a 7. However, a surprising amount of people - I think as much as 25%? - meet the official criteria for 'generalised joint hypermobility'. It's really not that uncommon, and in the vast vast vast amount of cases, it's either unsymptomatic or only causes minor problems with sprains and pain.

However, most people do not regularly dislocate or subluxate joints (This can look different to what you expect! I only recently realised that 'numerous joints get stuck at painful and unnatural-looking angles, so I have to very gently manouevere them until the bone clunks back into place' is actually not an experience everyone has, lol.)

Most people do not have recurring hernias or prolapses.

Most people do not have difficulty walking or climbing stairs because of recurrant sprains and dislocations of the ankles/knees/hips.

Most people do not struggle to swallow, randomly spurt solid food out of their nose, or have frequent accidental vomiting episodes.

Most people do not have all of the following: hyperextensible skin that bruises like a peach, and arms that are significantly longer than they are tall, and arachnodactyly, and fat that herniates through the skin of their heels, and a high arched palette, and a ridiculous amount of stretchmarks that have been there since pre-puberty.

Most people do not regularly faint for no obvious reason.

Most people are not in constant pain.

I have all of the above signs for EDS. It took me years to recognise that these were all connected to a single disorder, and weren't just 'in my head'. So I'm not going to give you some bullshit about 'well, if you had EDS, you would know about it'.

I would encourage you to go to the doctor and pursue a diagnosis if all of this is sounding in any way familiar - or even if not, but you'd still like the assurance! There is no shame in wanting to just talk your experiences over with a health professional and see what they think. And I truly hope that they listen.

Best of luck on your journey, nonnie.

[kidsorthopedic]

Understanding Joint Pain and Swelling in Minors: Causes, Diagnosis, and Treatment

Introduction

Joint pain and swelling in minors are concerning symptoms that can significantly impact a child's daily activities and overall quality of life. While joint issues are often associated with adults, children and adolescents can also experience these problems. This article aims to provide a comprehensive overview of the causes, diagnosis, and treatment of joint pain and swelling in minors, helping parents and caregivers better understand and manage these conditions.

Common Causes of Joint Pain and Swelling in Minors

Joint pain and swelling in children can arise from various conditions, ranging from minor injuries to serious medical disorders. Some of the most common causes include:

1. Juvenile Idiopathic Arthritis (JIA)

Juvenile Idiopathic Arthritis (JIA) is one of the most common chronic rheumatic diseases in children. It is an autoimmune condition where the body's immune system mistakenly attacks the joints, leading to inflammation, pain, and swelling. JIA can present in several forms, including oligoarticular, polyarticular, and systemic JIA, each with distinct characteristics and patterns of joint involvement.

2. Infectious Arthritis

Infectious arthritis, also known as septic arthritis, occurs when a joint becomes infected with bacteria, viruses, or fungi. This condition can result from infections elsewhere in the body spreading to the joint or from direct injury to the joint. Infectious arthritis typically causes severe pain, redness, swelling, and fever, requiring prompt medical attention.

3. Injury or Trauma

Injuries such as sprains, strains, fractures, and dislocations are common causes of joint pain and swelling in children. These injuries can occur during sports activities, play, or accidents. In such cases, the pain is usually localized to the affected joint and is accompanied by swelling, bruising, and difficulty in movement.

4. Growing Pains

Growing pains are a common, benign cause of joint pain in children, typically affecting the legs. These pains usually occur at night and do not cause swelling or long-term damage. Growing pains are believed to be related to the rapid growth and development of bones and muscles.

5. Osteochondritis Dissecans

Osteochondritis Dissecans (OCD) is a condition in which a fragment of bone and cartilage separates from the joint surface, leading to pain, swelling, and limited joint movement. OCD commonly affects the knees, elbows, and ankles and can result from repetitive stress or trauma to the joint.

6. Reactive Arthritis

Reactive arthritis is a condition that develops in response to an infection elsewhere in the body, often in the gastrointestinal or urinary tract. This type of arthritis can cause joint pain and swelling, typically affecting the knees, ankles, and feet. It may also be accompanied by other symptoms, such as eye inflammation and skin rashes.

Diagnostic Approaches

Accurate diagnosis of joint pain and swelling in minors is essential for effective treatment. The diagnostic process typically involves a combination of medical history, physical examination, laboratory tests, and imaging studies.

1. Medical History

A detailed medical history helps identify potential causes of joint pain and swelling. The physician will ask about the onset, duration, and pattern of symptoms, as well as any recent injuries, infections, or family history of joint disorders.

2. Physical Examination

During a physical examination, the physician will assess the affected joint(s) for signs of inflammation, tenderness, warmth, and range of motion. They will also check for systemic symptoms such as fever, rash, and lymphadenopathy that may indicate an underlying condition.

3. Laboratory Tests

Laboratory tests can provide valuable information about the underlying cause of joint pain and swelling. Common tests include:

Complete Blood Count (CBC): To check for signs of infection or inflammation.

Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP): To measure the level of inflammation in the body.

Rheumatoid Factor (RF) and Antinuclear Antibodies (ANA): To screen for autoimmune conditions such as JIA.

Joint Fluid Analysis: To detect infection or crystal deposits in the joint fluid.

4. Imaging Studies

Imaging studies help visualize the affected joint and surrounding structures, aiding in the diagnosis of joint conditions. Common imaging techniques include:

X-rays: To detect fractures, dislocations, and signs of arthritis.

Ultrasound: To assess soft tissue structures and detect fluid accumulation in the joint.

Magnetic Resonance Imaging (MRI): To provide detailed images of bones, cartilage, and soft tissues, useful for diagnosing conditions like OCD and soft tissue injuries.

Treatment Options

The treatment of joint pain and swelling in minors depends on the underlying cause, severity of symptoms, and the child's overall health. A multidisciplinary approach involving pediatricians, rheumatologists, orthopedic surgeons, and physical therapists is often necessary for optimal management.

1. Medications

Medications play a crucial role in managing joint pain and swelling in children. Commonly used medications include:

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): To reduce pain and inflammation.

Corticosteroids: To control severe inflammation in conditions like JIA and infectious arthritis.

Disease-Modifying Antirheumatic Drugs (DMARDs): To slow disease progression in autoimmune conditions like JIA.

Antibiotics or Antiviral Medications: To treat underlying infections in cases of infectious arthritis or reactive arthritis.

2. Physical Therapy

Physical therapy is essential for maintaining joint function, improving range of motion, and strengthening muscles around the affected joint. A physical therapist will design a personalized exercise program tailored to the child's needs, focusing on pain relief, flexibility, and strength.

3. Orthopedic Interventions

Orthopedic interventions may be necessary for certain conditions, such as fractures, dislocations, and severe cases of osteochondritis dissecans. These interventions can include:

Casting or Splinting: To immobilize the affected joint and promote healing.

Joint Aspiration: To remove excess fluid from the joint and relieve pressure.

Surgical Procedures: To repair damaged structures, realign bones, or remove loose fragments in the joint.

4. Lifestyle Modifications

Lifestyle modifications can help manage joint pain and swelling in children. These may include:

Adequate Rest: To allow the affected joint to heal and reduce inflammation.

Balanced Diet: To support overall health and reduce the risk of obesity, which can strain the joints.

Appropriate Footwear: To provide proper support and cushioning for the joints during physical activities.

Weight Management: To minimize stress on weight-bearing joints and improve mobility.

Preventive Measures

While not all cases of joint pain and swelling in minors can be prevented, certain measures can reduce the risk of developing joint issues. These include:

1. Promoting Safe Physical Activity

Encouraging children to participate in safe physical activities with proper techniques and protective gear can help prevent injuries. Parents and caregivers should educate children about the importance of warming up, stretching, and following safety guidelines during sports and play.

2. Early Detection and Management

Early detection and prompt management of underlying conditions, such as infections and autoimmune disorders, can prevent complications and minimize joint damage. Regular medical check-ups and monitoring of symptoms are essential for timely intervention.

3. Maintaining a Healthy Lifestyle

Promoting a healthy lifestyle with a balanced diet, regular physical activity, and adequate rest can support joint health and overall well-being. Educating children about the importance of maintaining a healthy weight and avoiding overuse injuries is also crucial.

Conclusion

Joint pain and swelling in minors can significantly impact their daily lives and development. Understanding the common causes, diagnostic approaches, and treatment options is essential for effective management and improved outcomes. By promoting early detection, safe physical activity, and a healthy lifestyle, parents and caregivers can help minimize the risk of joint issues and support their child's overall health and well-being. If a child experiences persistent joint pain or swelling, it is important to seek medical attention promptly to identify the underlying cause and initiate appropriate treatment.

[tjcrumpton]

Tarik Crumpton Georgia’s Injury Prevention and Rehabilitation Strategies

In the fast-paced world of basketball, injuries are an unfortunate reality that can sideline even the most talented athletes. In this comprehensive guide, we delve into the essential principles of injury prevention and rehabilitation strategies tailored specifically for basketball players, drawing insights from the expertise of Tarik Crumpton, a renowned sports medicine specialist based in Georgia. With a focus on safeguarding athletes' health and optimizing performance, this resource offers invaluable knowledge for players, coaches, and medical professionals alike.

Understanding Common Basketball Injuries

Basketball places unique physical demands on athletes, leading to a variety of injuries ranging from sprained ankles to knee ligament tears. In this section, we explore the most prevalent injuries encountered by basketball players, including their causes, symptoms, and risk factors. Drawing from Tarik Crumpton Georgia's expertise, we highlight the importance of injury awareness and early intervention in minimizing the impact of these injuries on players' careers.

Injury Prevention Strategies on and off the Court

Prevention is the cornerstone of maintaining peak performance and longevity in basketball. Here, we discuss proactive measures that players can take both during training and in everyday life to reduce the likelihood of injuries. From proper warm-up routines and conditioning exercises to nutrition and sleep hygiene, He emphasizes the holistic approach required to keep athletes injury-free and performing at their best.

Rehabilitation Protocols for Basketball-Specific Injuries

When injuries do occur, an effective rehabilitation program is essential for facilitating recovery and preventing future setbacks. This section outlines evidence-based rehabilitation protocols tailored to common basketball injuries, such as ACL tears and shoulder dislocations. Drawing upon Tarik Crumpton Georgia's expertise in sports medicine, we delve into the stages of rehabilitation, key exercises, and progression milestones to guide athletes through the recovery process.

Integrating Technology and Sports Science in Injury Management

In recent years, advancements in technology and sports science have revolutionized injury management strategies for basketball athletes. From wearable devices for monitoring workload and biomechanics to sophisticated imaging techniques for injury diagnosis, He explores the cutting-edge tools and methodologies available to support athletes' health and performance goals. We also discuss the role of data analytics in identifying injury trends and optimizing training programs to mitigate injury risk.

Mental and Emotional Rehabilitation Support

Injuries not only take a physical toll but can also impact athletes' mental and emotional well-being. In this final section, we examine the psychological aspects of injury rehabilitation and the importance of providing athletes with comprehensive support beyond physical therapy. Drawing upon Tarik Crumpton's holistic approach to sports medicine, we discuss strategies for maintaining motivation, managing stress, and fostering resilience throughout the recovery journey, ultimately empowering athletes to bounce back stronger than ever.

[divinecarephysio]

Elevate Your Performance with Youth Sports Physiotherapy 

Sports Physiotherapy focuses on athletic and sports-related injuries and prevention. Athletes require peak performance, and any disruptions can significantly hinder their participation. At Divine Care Physiotherapy in Langley, BC, our highly trained and experienced professionals specialize in treating such injuries.

Conditions commonly treated include ligament injuries, groin strains, rotator cuff injuries, ankle sprains, knee injuries, MCL/ACL/meniscus injuries, patellofemoral pain syndrome, Osgood-Schlatter disease, tennis elbow, golfers elbow, AC joint strain, Achilles tendon injuries, post-dislocation rehab, concussion, whiplash injuries, shin splints, and hamstring strains.

FAQ

Do I need a doctor’s referral? No, a referral isn’t necessary because if your physiotherapist identifies something requiring a doctor’s opinion, they’ll make a referral on your behalf.

What’s different in sports physiotherapy? Sports physiotherapy involves specific assessments tailored to your sports activities and customized exercise programs designed to get you back to your sport quickly. The special skills required for this field come from ample experience working with athletes of various levels.

How many sessions will I need? The number of sessions required for treatment varies based on your unique injury and body. Our experienced professionals at Divine Care Physiotherapy will create an effective plan to help you return to your sports activities promptly.

In the world of sports, injuries can be a common setback. However, with the right care and guidance, you can make a strong comeback. Our team at Divine Care Physiotherapy is dedicated to providing personalized, effective sports physiotherapy treatments that are tailored to your specific needs and goals.

Whether you’re a young athlete aspiring to reach new heights or a seasoned player looking to overcome a recent setback, Divine Care Physiotherapy is here to support you on your journey to peak performance. Remember, your path to recovery and enhanced performance starts here, at our leading sports physiotherapy clinic in Langley, BC.

[bagelwithcreamcheeseandham]

medical issues dump

Every medical issue i can think of at the moment. This is mostly a vent post.

~~~~~~~~

I have hypermobility in my joints that causes pain mostly in my knees, hips, wrists, and to a lesser degree, my ankles, elbows, and shoulders (not really much back pain, thank god).

With my knees and hips, it can make it painful to walk. Most of the time I'm in no pain at all and I can walk/run/whatever perfectly fine. But when it hurts, I have to walk with a bit of a limp. There was only one occasion, though, where it was so bad I was scared to walk at all and I kinda limp-hopped around the house for a few days until it got better. I've considered getting a cane, but really I don't think I'm in enough pain that often to warrant one.

The issue with my wrists upsets me more, though. For background: I've dreamed of doing gymnastics/cheer since I was a kid but it was too expensive. It is one of my few life goals to do a back handspring. Finally in college, I joined the cheer team. And only a couple months in, I learned the hard way that hypermobility lends to easier sprains. I sprained both my wrists practicing (spotted) back handsprings. It takes a longer time to heal with hypermobile joints too. Even a year after that happened, I still felt the effects when I put too much strain on my wrists. This specifically really destroys me inside. But it's whatever. I don't care if I break both arms doing it, I'm gonna do a back handspring at some point.

The wrist pain is easier to play off in everyday life. The knee/hip pain though is a bit embarrassing. I try to limp discreetly cause I can't stand the idea of people seeing me limp. And what am I supposed to tell friends/acquaintances? "I have hip pain" What am I a fucking grandma?? It makes me cringe.

And that is why I've turned to whump to romanticize my pain. Whump makes me feel better about myself because it takes something I can't stand (haha literally) about myself, and spins it into something enjoyable. Also, seeing how people enjoy whump, it gives me this sense of hope that what I see as cringy and embarrassing for myself, at least some people won't see it that way. And I know this is probably not the best coping mechanism but it makes me feel a bit better about myself.

~~~~~~~~

About my other issues/ symptoms:

This is one of the most pressing issues right now. Recently I've had issues with getting too dizzy when I stand up. Sometimes I just feel a little dizzy, sometimes I'm very dizzy and find myself on the ground without losing consciousness, and sometimes I actually pass out for just a second. And sometimes I'm perfectly fine. It's weird and I don't know why it's happening. This is also something that makes me cringe imagining anyone seeing me like that. That would be so embarrassing, between the hip pain and the fainting, you'd think I'm 90 years old. But that hasn't happened yet, I can hide it pretty well by pretending to look at my phone and leaning against the chair.

I get really really heavy periods. Like, "Putting on a Maxi Extra Heavy Overnight pad and bleeding through my pants in 20 minutes", heavy. It's been so bad that sometimes I don't even bother going to class, because I know I'll either be in and out of the bathroom or bleed through my pants into the seat. And I'm lucky I only get normal cramps now, I used to get the worst cramps when I was younger. I've felt pain before. I've sprained both my wrists simultaneously. I've slammed head first into the ground from 8 ft in the air. My shoulders will sometimes partially dislocate. When I say period cramps are the worst pain I've ever felt, I mean it 100%. I remember being 13, in so much pain I was literally begging and praying for death. Not a fun time.

Around the same time that I started getting joint pain (abt 12 y/o), my hair started falling out a lot. Not in big clumps that make bald spots, but enough that my hair is very visibly thinning. I cut my hair to a short, almost bowl cut so I don't have to deal with as much mental distress combing out long hair and watching it all fall out.

I have Keratosis Pilaris, an overproduction of keratin that creates little bumps on my legs. I dont think i will ever experience having smooth legs and i know thats the least of my problems but really upsets me for some reason. also- possibly related to the hair thing?

I have Rumination Syndrome and have had it since I was young. Basically, it's hard sometimes for me to keep food down. Sometimes I regurgitate food back up. cool right :/

uhh what else

I have diagnosed ADHD

I have had bad anxiety since I was a kid, and still now, but am not diagnosed. Still bitter towards my parents seeing me struggle like that as a little kid and doing nothing.

Probably relating to anxiety, I have developed some sort of nervous tic that forcefully jerks my head to the side whenever I think of something embarrassing, stressful, or anxiety-inducing, which is pretty frequent. It feels like my brain is punching me in the face. It gives me headaches :(