There are 206 bones in the human body. the biggest being the femur or thigh and the smallest is the stapes in the middle ear. We don’t have much to do with the stapes but we have a lot to do with the others.
Bone pain can often be a worrying sign, particularly without due cause like a whack or an injury such as osteoporosis, a stress fracture or actual break.
However, as most of our tendons attach to the bones via the surface fibrous coat called the periosteum there is scope for other issues as well. Further bone has a tendency to grow in response to stress, sometimes impinging on tendons and other structures.
Arthritic change impacts on the bones hugely, especially when the cartilage is worn completely away. Management of the strength and control around the joints plays a huge part in helping these issues alongside injections such as hyaluronic acid (lubricant), but eventually, where possible, joint replacement can be really good.
Sportsmen and women can develop issues with the bone called stress fractures where the bony structure reduces in its density in an abnormal response to load. These can be treated well by allowing the bone to heal and identifying the biomechanical reasons behind the bony overload. This is something we have huge experience in, especially in the female runner who is most susceptible.
Arthritis change leads to some bone growth around the edge of a joint. However, in the younger person stress from sport and life can cause other areas to grow.
For example, Haglund’s deformity develops in the heel and can impinge into the Achilles Tendon and bursa. Osgood Schlatter’s disease and Sever’s are bone issues common in young sportspeople. Further, around the hip, there are things like CAM deformities of the neck of the femur which pinch the front of the hip joint causing Femoro-Acetabular Impingement.
There is a lot we can do with bone issues and they play a huge part in our daily workload. Please let us help you with them!