Clinical Pilates and lower limb injuries

Clinical Pilates and lower limb injuries Blog  Core Balance

The strength of your core muscles can be related to reduced core activation. as well as poor balance, hip flexibility and other imbalances. If the body’s core muscles aren’t activated and or working properly weight is then transferred to the legs in a different way which affects how the muscles react when are doing daily activities. This ends up putting strain on the lower body and we are less efficient in our movement. Exercising the core muscles reduces the body’s chances of lower limb injuries like sprains. Clinical Pilates focus on stability, neuromuscular retraining and agility. Now studies have been able to show evidence to support the fact that core training and stability training can reduce the chance of lower limb injuries supporting the idea that an injury can be the result of something wrong somewhere else in the body. Core strengthening is very important and should be added to your exercise routine to decrease the chances of lower body strain. Clinical Pilates is a great way to add this essential core strengthening to your training.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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