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Proximal Humeral Epiphysitis Physiotherapy



Also commonly called "little league shoulders" or "little leaguers shoulder", proximal humeral epiphysitis (PHE) refers to a painful shoulder injury of a throwing athlete who is still maturing physically.

Although the injury is most commonly seen in young baseball players, the injury can occur in any child participating in repetitive overhead throwing activities such as

  • cricket
  • basketball

With an increased participation and sports specialization at a very early age, shoulder and elbow injuries in young athletes are common. In fact, almost 10% of shoulder pain in pediatric patients can be attributed to athletic activities, such as throwing, and of these injuries, 26% are related to overuse and are preventable.

As movement experts, our senior physical therapists are uniquely qualified to

  • analyze an athlete’s throwing mechanics
  • evaluate muscle strength
  • evaluate movement patterns and
  • develop exercises to return the athlete to pain-free sports participation

Signs and Symptoms

With PHE, an athlete may experience:

  • Pain in the shoulder while throwing, or the day after a sporting event
  • Swelling in the upper arm
  • Increased shoulder pain associated with increased throwing
  • Decreased speed, velocity, or ability to control the ball during pitching
  • Restricted movement at the shoulder compared to the opposite side
  • Difficulty lifting the arm and shoulder

How Is It Diagnosed?

A sports medicine or orthopedic physician makes a proper diagnosis of PHE by conducting a complete physical exam of the entire shoulder complex. X-rays of the athlete’s shoulder will show the widening of the growth plate. If conventional x-rays are negative, a physician might elect to order additional imaging studies, including an MRI.

If a child sees our senior physiotherapists first, we will ask:

  • How are you feeling (signs and symptoms)?
  • How long have you been experiencing your current symptoms? When do your symptoms typically occur?
  • What sport and position do you play, and how often do you play (practice and games) in a typical week/month/year?
  • If you are a pitcher, when is the last time you threw a ball?
  • What types of pitches do you typically throw?
  • How much rest do you get between throwing events?

We will take this information and conducts a thorough physical exam to determine the root cause of the problem. We then

  • examine the athlete’s shoulder and elbow range of motion and
  • tests the strength of the muscles around the shoulder blade, trunk, pelvis, and hip

how our senior physiotherapists can help

The conditions caused by PHE, such as muscle weakness or lack of endurance, lack of range of motion, or poor throwing mechanics can all be addressed with shoulder physiotherapy.

We will work with the young athlete to:

  • Improve muscle strength and endurance at the shoulder
  • Normalize the shoulder's range of motion
  • Increase the athlete’s trunk, pelvis, and hip muscle strength and stability to provide a firm foundation from which to throw
  • Observe and correct pitching mechanics to reduce stress through the shoulder
  • Establish a schedule for the year with a proper amount of participation and rest
  • Establish a plan for a controlled progressive return to throwing, often called an interval throwing program, for a safe return to play

We will work with the athlete to develop an individualized treatment plan based on the initial evaluation and goals.



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book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



HAND THERAPY &  SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes



CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility, and breathing. It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



TRADITIONAL CHINESE MEDICINE (TCM)



DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and shorten downtime. It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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We appreciate you as our valued clients and want you to know that the #1 way we grow as a clinic/brand is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here