Assessment and Treatments


Each patient is assessed thoroughly to determine the cause of the problem. This involves a comprehensive subjective examination and a clinical examination. We use detailed assessment and clinical tools to determine the most effective treatment program for each individual.

Common conditions and treatments

 

Back pain is very common - approximately 4 in 5 people experience some level of back pain within thier life time. You can get back pain at any age, but its most common in people between the ages of 30 - 60.

Symptoms of back pain include:

  • Pain, soreness or stiffness localised to the back or pain referred into the leg
  • Muscle spasm
  • Loss of range of movement
  • Pins and needles, numbness, altered sensation into the leg
  • Reduced function

Causes of back pain include:

  • Standing, sitting or bending for long periods of time
  • Lifting, carrying, pushing or pulling loads that are too heavy, or lifting incorrectly
  • Tripping or falling
  • Weakness in the core muscles
  • Poor posture
  • Pregnancy
  • Arthritis

Physiotherapy treatments for back pain include:

  • Exercises to maintain and improve mobility
  • Postural advice and correction
  • Soft tissue massage
  • Joint mobilisations
  • Electrotherapy
  • Acupuncture
 

Neck pain is very common and most people have 1 or more episodes of neck pain at some point in their life. Physiotherapy has an important part to play in the management of neck pain.

Symptoms of neck pain include:

  • Neck pain +/- shoulder, arm and chest pain
  • Headaches
  • Pins and needles, numbness or altered sensation in the arm
  • Muscle spasm
  • Reduced range of movement

Causes of neck pain include:

  • Trauma or injury
  • Worry and stress
  • Falling asleep in an awkward position
  • Altered or poor posture
  • Prolonged use of a computer key board

Physiotherapy treatments for neck pain include:

  • Exercises to maintain and improve mobility
  • Postural advice and correction
  • Soft tissue massage
  • Joint mobilisations
  • Electrotherapy
  • Acupuncture
 

Whiplash is a term that is used to describe a neck injury caused by a sudden movement of the head forwards, backwards or sideways. Whiplash is a common injury that often occurs following a road traffic accident when a collision (often from behind) jolts the head backwards before it then 'whips' forward.

Symptoms of whiplash include:

  • Neck pain +/- shoulder, arm and chest pain
  • Headaches
  • Pins and needles, numbness or altered sensation in the arm
  • Muscle spasm
  • Reduced range of movement

Physiotherapy treatment for whiplash includes:

  • Exercises to maintain and improve mobility
  • Postural advice and correction
  • Soft tissue massage
  • Joint mobilisations
  • Electrotherapy
  • Acupuncture
 

Headaches - Tension headaches are the most common type of headache amongst adults and adolescents. The muscle contraction headaches cause mild - moderate pain and come and go over a long period of time.

Symptoms of tension headaches include:

  • Pain at the side or front of your head
  • Pain that get worse when you move
  • Nausea +/- vomiting
  • You may feel extra sensitive to light
  • Pain and tightness in the muscles around the neck and shoulders

Physiotherapy treatment for headaches includes:

  • Exercises to maintain and improve mobility
  • Postural advice and correction
  • Soft tissue massage
  • Joint mobilisations
  • Electrotherapy
  • Acupuncture
 

Vertigo (Benign Paroxysmal Positional Vertigo) causes short episodes of dizziness when you move your head in certain directions. It is thought to be caused by tiny fragments of debris in the inner ear.

Symptoms of vertigo include:

  • Intense dizziness for 10-20 seconds, no longer than 1 Minute
  • Dizziness with a change in head position eg, getting out of bed, rolling over in bed and looking up towards the ceiling
  • Nausea

Treatment for Vertigo:

  • The eply manoeuvre - this simply manoeuvre carried out by the qualified physiotherapist involves a series of movements of the head and neck, after each movement the head is held in the same place for 30 seconds. This dissipates the bony fragments from within the inner ear.

Some studies report that the eply manoeuvre is successful in stopping symptoms in about 8 in 10 cases with just 1 treatment. If the 1st treatment does not work, there is still a good chance that it will work in a repeated treatment session a week or so later.

 

Soft Tissue Injuries - playing sport and doing regular exercise can sometimes lead to sport injuries.

Causes of soft tissue injuries include:

  • Not warming up properly before exercise
  • Using inadequate equipment or using equipment incorrectly
  • Pushing your body beyond its physical limits
  • Trauma eg, a collision on the sports field or pitch

Symptoms of a sports injury include:

  • Pain
  • Swelling
  • Bruising
  • Restricted movement in the affected area
  • Muscle spasm
  • Loss of strength and stability in the muscle and joint

Physiotherapy treatment for sports injuries includes:

  • PRICE = Protection, Rest, Ice, Compression, Elevation
  • Sports massage, Friction massage, efflurage
  • Joint mobilisations
  • Electrotherapy
  • Specific exercise program of muscle strengthening, conditioning and increasing flexibility
  • Functional rehabilitation

 

Pregnancy related problems - back pain or discomfort is common during pregnancy. Back pain may be experienced during any point of pregnancy: however, it most commonly occurs later in the pregnancy as the weight of the baby increases.

Causes of back pain during pregnancy include:

  • An increase of hormones (relaxin) softening the ligaments of the pelvic area, loosening the joints therefore reducing the stability of the pelvis and lower back
  • Changes in posture
  • Stress
  • Additional weight gain

Symptoms of pregnancy related problems include:

  • Lower back pain
  • Pain at the front of your pelvis over the pubic bone (pubic symphysis disorder)
  • Rib pain (rib flare)
  • Muscle spasm
  • Movement restriction causing pain

Physiotherapy treatment includes:

  • Specific exercises that help strengthen the back and lower abdomen
  • Postural advice and correction exercises
  • Soft tissue massage to the back, neck and shoulders
  • Supply a pelvic support belt
 

Sports Massage - was originally developed to help athletes prepare their bodies for optimal performance, recover after a big event or function well during training. Sports massage emphasises prevention and healing of injuries to the muscle and tendon.

Benefits of soft tissue massage include:

  • Prevents injuries
  • increases and maintains flexibility
  • reduces muscle tension and increase circulation to the tissues
  • assists in the rehabilitation of injuries
  • relieves fatigue
  • Prepares the body for peak performance
 

Acupuncture - has existed as part of traditional Chinese medicine for thousands of years but its only in the past 30 years or so that it has become included into general medicine.

The way acupuncture works is being increasingly understood. Its based on the idea that acupuncture needles stimulate nerve endings which then release endorphins (your body's natural pain killers). Also by needling soft tissue this creates a micro bleed which increases the circulation to the tissues promoting healing. Acupuncture is used to treat a wide range of conditions including back and neck pain, headaches and chronic arthritic joint pain.

 

Electrotherapy Ultrasound is high frequency sound waves, greater that 20,000Hz. Therapeutic ultrasound is in the frequency range of 0.9 - 3 MHz. The utilisation of ultrasound has been a 20th century phenomenon.

Ultrasound is used to:

  • Break up scar tissue and adhesion's
  • Reduce inflammation, swelling and calcium deposits
  • Create a deep heat to a localized area to ease muscle spasm (much deeper than can be achieved with a hot pack - up to 5cm)
  • Increase soft tissue extensibility prior to stretching and exercise
  • Facilitate healing at the cellular level
  • Speeds metabolism and improves blood flow
  • Reduces nerve root irritation
  • At low intensities can speed bone healing

Interferential Currents in physiotherapy- IF uses the trans cutaneous application of alternating medium-frequency electrical currents, amplitude modulated at low frequency for therapeutic purposes.

The physiological effects include:

  • An increase in localised blood flow which can improve healing by reducing swelling and as a result helps remove damaged tissue and bring nutrients necessary for healing to the injured area
  • The stimulation of local nerve cells that can have a pain/anasthetic effect due to potentially blocking the transmission of the pain signals or by stimulating the release of pain reducing endorphins.
  • Relaxation of muscle spasm can be achieved through external application of an electrical current, overcoming some of the muscle inhibition often caused by local injury and swelling.
  • Increased permeability of the cell membrane which helps ion movement to and from cells thus promoting healing.

Interferential is used to:

  • Reduce muscle spasms and promote muscle relaxation
  • Reduce inflammation
  • Block pain
  • Stimulate circulation

To book your appointment call Vicky on: 07717210605, a rapid and effective way of reducing your pain.