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Achilles tendonitis is the pain and stiffness of the tendon that attaches your calf muscles to your heel bone. Pain and stiffness usually develops over time, is worse in the morning and after rest. Here are a few tips to help:-
1) Stretch (painfree range) and strengthen your calf muscles
2) Vary from high and low impact sports
3) Avoid activities such as hill-running and jumping activities
4) Avoid or limit running on hard or slippery surfaces
5) Ensure your trainers are suitable for your feet and have good shock absorption
6) Increase the distance, duration and frequency of your training by no more than 10 percent each week.
If your injury does not resolve, Physiotherapy and or Acupuncture will speed up your recovery and help you to return to full activity.
The Achilles tendon is a strong fibrous cord that connects the muscles in the back of your calf to your heel bone. If you have an Achilles tendon rupture, you might feel a pop or snap, followed by an immediate sharp pain in the back of your ankle and lower leg that usually affects your ability to walk properly. The tendon can rupture completely or just partially. If you feel you have ruptured your Achilles tendon, you should go straight to A&E.
The ligaments on the outside of the ankle are more vulnerable than those on the inside. The severity of injury can vary:
First degree: is pain to touch and on movement
Second degree: severe pain, swelling and pain on walking
Third degree: extreme pain, a lot of swelling and unable to walk. A possible dislocation must be excluded.
If you are unable to take 4 steps, a fracture should be suspected and an x-ray should be carried.
Ankylosing spondylitis, is a form of arthritis, with pain, stiffness and chronic inflammation of the joints and ligaments of the spine and hips. The disease may also have systemic effects i.e. affecting various organs of the body. The exact cause of ankylosing spondylitis is unknown but there appears to be a genetic connection. Early symptoms of ankylosing spondylitis mimic other conditions.
Anterior Knee Pain is a common cause of knee pain in young athletes. When the knee bends and straightens, the kneecap normally glides in a groove in the lower end of the thigh bone. In Anterior knee pain, the kneecap rubs against the side of this groove causing inflammation and pain around the front or side of the knee. Pain develops gradually, but increases with sudden movements and is aggravated by kneeling, squatting, prolonged sitting and going downstairs.
There are over 100 different types of arthritis. Osteoarthritis (OA), the most common arthritis, usually develops gradually and affects a number of different joints. The cartilage lining the bones in the joint breaks down and when more advanced the underlying bone begin to erode. This results in inflammation, swelling, joint stiffness and pain. With Physiotherapy you can you manage your arthritis and lead an active life.
An avulsion fracture is when a tendon or ligament pulls away a piece (fragment) of the bone. They occur more common in certain joints such as pelvis, finger and knee. They are more frequent in children than adults and usually heal well without surgery.
Back pain affects most people at some point in their life and is one of the most common conditions that we see in Physio Extra. Pain often is due to: –
1) Muscle or ligament strain
2) Bulging or ruptured discs
5) Facet joint dysfunction
Pain is aggravated by poor posture, bending or sitting awkwardly and lifting incorrectly. Moderate activity, such as walking and day-to-day activities will speed up recovery. Physiotherapy treatment and advise will enhance up your.
is a fluid-filled cyst that causes a bulge and a feeling of tightness behind your knee. The pain can get worse when you fully flex or extend your knee or when you’re active.It is usually the result of a problem with your knee joint, such as arthritis or a cartilage tear. Both conditions can cause your knee to produce too much fluid, which can lead to a Baker’s cyst. Although a Baker’s cyst may cause swelling and make you uncomfortable, treating the underlying problem usually provides relief.
Balance problems include a wide range of symptoms, from dizziness to light-headedness. Your muscles, bones and joints, visual senses, hearing, central nervous system, and blood and heart vessels must work normally for you to have normal balance. When these areas aren’t functioning well, you may experience balance problem symptoms. Most balance problems result from problems in your inner ear (vestibular system).
Bell’s palsy is the paralysis of the facial muscles which comes on quickly. It is essential to protect the eye in particular. There is often a significant improvement within 10 days and it usually resolves completely. Bell’s palsy can affect the eye and mouth making it difficult to eat and drink, smile and close the eye. You may also be more sensitised to noise. Physiotherapy and acupuncture can be helpful in treating Bell’s Palsy. Prompt treatment help to speed up recovery.
is one of the most common causes of vertigo. Symptoms can vary from mild to intense dizziness. It is triggered by specific head movements, lying down, turning or sitting up in bed, but you may also feel out of balance when standing or walking.
Significant improvement are often achieved during the first physiotherapy visit.
A broken wrist is usually a fracture to the radius, ulna or scaphoid. If there is a lot of pain, bony deformity, swelling or an inability to use the wrist following a fall onto an outstretched hand, then a fracture should be suspected. An X-Ray will confirm or rule out a fracture.
A bunion is the enlarged and deviated big toe. It can become swollen, red and painful. Walking, flat feet, tight shoes or poor foot aligment can increase the pain. As Chartered Physiotherapist, we will assess and prescribe orthotics/ insoles if required.
Bursa are sacks of synovial fluid which reduce friction between muscles, tendons and bones throughout the body. Bursitis is the inflammation of a bursa and is usually as a result of an overuse injury. The inflamed bursa is compressed when the overlying muscle contracts or is stretched. The bursa can become infected. Signs of infection would include: localized redness, localised increased heat, an open wounds and generally feeling unwell such as fevers, chills, and sweats. If you have any sign of infection you should alert your doctor immediately.
A Calf strain are common sports injury and they vary in severity.
Grade 1 cramp, tightness or mild pain when the muscles are stretched or contracted.
Grade 2 immediate pain, tender to touch, on walking and on stretching
Grade 3 immediate burning or stabbing pain, inability to walk without pain, a depression in the muscle bulk. Unfortunately, surgery may be needed to repair this injury.
We can perform the test very quickly and organize an onward referral if required. A bruise will appear within a few days below the site of injury for grade 2 and 3 tears. Start the PRICE regime (Protect, Rest, Ice, Compression and Elevation to the injury) immediately to speed up your recovery.
There are two menisci in your knee, medial and lateral meniscus. The menisci are made of tough cartilage. The two most common causes of a meniscus tear are due to either trauma or wear and tear. The main symptoms are knee pain and swelling which is worse on weight-bearing. Another typical complaint is locking of the joint (unable to straighten the leg fully) or a sensation that the knee is giving way. Surgery is frequently required. Meniscal injuries can be detected on routine Physiotherapy assessment but may require an MRI.
There over 100 different types of headaches that affect 90% of the population at some stage of their lives. Cervicogenic headache are successfully treated with physiotherapy and can ease within a treatment session.
– Headache on one side or both sides, but does NOT change from side to side.
– Headaches aggravated with neck movement
– Neck stiffness
– Tenderness in the upper neck on touch
– Females are more frequently affected
– It is not uncommon to have a history head/neck trauma
– Pain is moderate to severe, non-throbbing and non-lancinating, usually starting in the neck. The generic headache symptoms of nausea, phonophobia, photophobia, dizziness and blurred vision may be present but are usually less severe than those experienced with a migraine-type headache.
Children’s Physiotherapy covers a wide range of services for babies and children of all ages which include:
– Flat feet/ high arches
– Knock knees or bow legged
– Foot Problems
– Muscle & joint pain
– Sports Injuries
– Hip Pain/Perthes Disease
– Juvenile Arthritis
– Knee Pain
– Osgood Schlatter Disease
– Back Pain
– Development delay
– Neck pain & stiffness
– Torticollis/ Wry neck
– Limb length discrepancy
– Advice regarding training programmes
– Advice regarding footwear
– Advice regarding school bags
If you have any queries please speak to one of our Chartered Physiotherapists.
Anterior Knee Pain is a common cause of knee pain in young athletes. When the knee bends and straightens, the kneecap normally glides in a groove in the lower end of the thigh bone. In Anterior knee pain, the kneecap glides over the outside border of this groove causing inflammation and pain. Common symptoms include:
– Pain around the front or side of the knee
– Pain generally develops gradually, but can increase with sudden movements
– Dull ache and/or a sharp pain
– Aggravated by kneeling, squatting, prolonged sitting and going downstairs
– Females are more frequently affected.
It is successfully treated with Physiotherapy and rarely requires an ortho referral.
can be acute or chronic injury. Injuries most often occur in the feet & ankles but they can occur anywhere in the body. Minimise your risk of injury with:-
– Proper training and technique and adequate rest
– Maintain energy levels with a healthy diet and hydration.
– Conditioning and strengthening of the muscles of the leg & feet.
– Try to avoid dancing on hard or uneven surfaces.
– Adopt new training schedules slowly and vary your workout.
– When possible wear supportive footwear.
– Stop activity if pain or swelling occurs.
If the pain persists after a few days rest then seek physiotherapy treatment.
is a painful condition affecting the tendons on the thumb side of your wrist. It is aggravated on turning your wrist, grasp anything or make a fist. Repetitive hand or wrist movement — such as gardening, lifting your baby, golf or racket sports can make it worse. If the pain continues to interfere with your daily life or activities you should seek treatment.
Bulging or ruptured discs is one of the causes of back or neck pain. Discs act as cushions between the individual bones (vertebrae) in your spine. Sometimes, the soft material inside a disc may bulge out of place or rupture and press on a nerve. However, many people have been found to have a bulging or ruptured discs and do not have back pain. Disc problems can be very successfully treated with physiotherapy, but a very small number of patients will require surgery.
is when the head of the humerus (arm bone) pops out of its socket, it occurs most commonly in contact sports such as rugby and football. It is characterised by severe shoulder pain and the shoulder is obvious out of place. It is very important that a shoulder dislocation is seen quickly by a doctor who is trained in manipulating the shoulder joint back in its socket, to reduce any damage to the nerves and blood vessels surrounding the shoulder joint.
Tennis & golfers elbow are the most common elbow injury that we treat, but it can also be due to arthritis or referred from the neck. Common symptoms associated with elbow pain include:
– Dull throbbing pain either on the inside or outside of the elbow joint
– Pain increases with twisting the arm, turning a key in a door
– Lifting heavy items causes pain and weakness to grip
– Pins and needles or numbness may be present in the forearm, wrist and fingers
– If the elbow pain is referred from the neck, it may often present as a hot burning feeling on the outer part of the elbow
Ergonomic involves looking at the person and their work environment. As the working life is changing with increased use of tablets and laptops, working from home and shared desks we are seeing an increase in work related injuries. The successful treatment of your injury will often require changes to your work station & work practice, postural advise and a general fitness evaluation to reduce your risk of injury into the future.
Bell’s palsy is the paralysis of the facial muscles which comes on quickly. It is essential to protect the eye in particular. There is often a significant improvement within 10 days and it usually resolves completely. Bell’s palsy can affect the eye and mouth making it difficult to eat and drink, smile and close the eye. You may also be more sensitised to noise. Physiotherapy and acupuncture can be helpful in treating Bell’s Palsy. Prompt treatment helps to speed up recovery.
Flat feet is when the arch of the foot collapses, with the entire sole of the foot coming into complete or near-complete contact with the ground. There is a functional relationship between the structure of the arch of the foot and the biomechanics of the lower leg. The arch should provide an elastic, springy connection between the forefoot and the hind foot. Good footwear, insole or orthotics and a strengthening programme can help reduce the impact of flat feet and allow to to enjoy a painfree active lifestyle. If you would like to discuss your options, please make an appointment with us.
Flat head syndrome or positional plagiocephaly is when babies soft skull appears flattened. It does not cause any pressure on the baby’s brain or effect their development.In mild cases, it is usually corrected once the child is old enough to change position itself while sleeping. If you have any concerns, speak to your GP or to see a physiotherapist who can give you advice on posture and specific exercises. You can encourage your baby to move by:
1) Tummy time while awake or place them in supported sitting.
2) Vary the baby’s head position during sleep
3) Encourage your baby to look to both sides with toys, light or music
Repeated kicking actions can cause the anklebone to hit the bottom of the shinbone, which can lead to a lump of bone developing. This bone spur may then begin to pinch the ligament and tendons on the front of the ankle, causing pain, inflammation and swelling. The condition is most common in footballers, hence the name.
Dropping of the forefoot happens due to weakness, damage to the common fibular nerve or paralysis of the muscles on the front of the lower leg. It is characterized by an inability to raise the toes or foot of the floor. Foot drop may be temporary or permanent, depending on the extent of muscle weakness or paralysis and it can occur in one or both feet.
There are many causes of foot pain and discomfort. A detailed assessment would determine the cause of you pain, they include: Flat Feet, Arch Pain, Plantar Fasciitis , Bunions, Rheumatoid Arthritis, Osteoarthritis, Haglund’s Deformity, Heel pain, Heel Spur, Stress Fracture, Metatarsal Pain, Morton’s Neuroma, Sprained Ankle and Tarsal Tunnel Syndrome.
A fractured wrist is the most common fracture in people under 65. The bones that are usually injured are the radius, ulna or scaphoid. If there is a lot of pain, bony deformity, swelling or an inability to use the wrist following a fall onto an outstretched hand, then a fracture should be suspected. An X-Ray will confirm or rule out a fracture.
Physiotherapy can begin immediately after the fracture has been stabilised to prevent shoulder or neck pain.
Bones are generally strong but if the external force is very big or your bones are weak, they may fracture. If the bone is less dense it will be more susceptible to injury. Children’s bones are more flexible and less likely to break. Symptoms associated with fractures: – Pain, Swelling, Bruising, inability to weight-bear, the bone sticking, cracking sound. It can be associated with becoming pale, clammy, feeling sick or light-headed.
Frozen shoulder or adhesive capsulitis is a disorder in which the shoulder capsule becomes inflamed and stiff. It can occur after trauma, but more often there is no apparent cause of the pain. The main symptoms of a frozen shoulder include: – Severe pain, Gradual onset, pain at night, Stiffness, especially putting hand overhead or behind the back. Normal daily activities are affected such as driving, dressing and sleeping. It can be caused by trauma, however often there is no known cause.
Golfers elbow is the sudden or gradual inflammation of the tendons on the inside of the elbow. Everyday tasks such as gripping, turning a door handle or shaking hands can cause intense pain. Common symptoms include : Pain, stiffness and weakness on the inside of the elbow and forearm. It is important that elbow injuries are treated promptly. Left untreated, golfer’s elbow can cause chronic elbow pain.
Groin strains mainly occur in sports where there is a lot of side to side movement of the legs (eg. football, soccer, hockey, rugby). A groin strain is graded according to its severity:
Grade 1 strain – Cramping, tightness or mild pain when the muscles are stretched or contracted. Running while possible is not advisable. Grade 2 strain – Immediate pain, pain on walking or running, tender to touch and pain when the muscles are stretched or contracted.
Grade 3 strain – Sharp immediate pain. There is a complete tear of muscle fibers. Walking and opening the legs is greatly limited due to pain. Bruising can appear in the groin.
Physiotherapy treatment will focus on the injury and underlying caused of this overuse injury.
A ‘pulled hamstring’ is the overuse or excessive stretching of any of the 3 muscles at the back of the thigh (semitendinosus/ semimembranosus/ biceps femoris). Its function is to bend the knee and extend the hip and it is very susceptible to injury in sports involving sudden and abrupt movements such as hurling, soccer, basketball, football, rugby, hockey and sprinting. Symptoms include muscle spasm; Bruising & Swelling; A dent in the muscle; twinges on walking or standing. Start the PRICE regime (Protect, Rest, Ice, Compression and Elevation to the injury) immediately to speed up your recovery.
There over 100 different types of headache with 90% of the population suffer from headaches at some stage of their lives. Cervicogenic headache, Tension headache and Migranes are the most common headaches that we treat with physiotherapy & Acupuncture.
Cerviogenic Headache, is a moderate headache from the joints of the neck. The Headache on one or both sides, but does not change from side to side and is aggravated by neck movements. The neck is tender to touch, painful and stiff.
Tension Headache is a mild to moderate pain resulting from muscular tension of the neck which last typically for 4-6 hours. The pain can radiate from the back of the head, neck and eyes and usually on both sides. These Headaches often described as a constant pressure with muscle tightness and localised tenderness.
A healthy posture is so important in prevent injuries.
– Stand tall
– Shoulders relaxed
– Weight evenly on both feet
– Sit your bottom back into the chair with shoulders relaxed
– Feet on the floor
– Avoid sitting for prolonged periods
Carrying a bag
– Carry things close to your body
– Carry a rucksack on both shoulders, heaviest items closer to your spine
Daily activities & Hobbies
– Regular short breaks from forceful or repetitive work
– Gradually increase your activity
– Avoid prolonged activities with reaching or stretching
– Sleep on your side or back.
– Avoid tummy sleeping
– Good quality mattress
– Get help if you need to.
– Avoid lifting overhead
– Keep the weight close to you
– Bend your knees and keep your spine in neutral
An accurate diagnosis to determine the cause of your heel pain is essential for effective treatment. Common causes of heel pain include: Plantar fasciitis, Achilles tendonitis, Arthritis, Tarsal tunnel syndrome and occasionally a stress fracture.
Pain and stiffness in groin pain, outer hip, upper thigh, buttocks and knee can be signs that there is a hip problem. Causes of hip pain include: Osteoarthritis, Rheumatoid arthritis, Avascular necrosis, Fracture, Infection, Osteopenia, Impingement, Bursitis (trochanteric bursitis), Snapping hip (in adolescents), Sacroiliac disorders, Referred pain from lower back and Groin strain.
is one of the leading causes of lateral knee pain in runners and cyclist. The iliotibial band is a thick band of fascia on the outside of the knee, extending from the outside of the pelvis, over the hip and inserting just below the knee. The band is crucial to provide stability. The continual rubbing of the band over the outer aspect of the knee, combined with the repeated flexion and extension of the knee during running and cycling can cause this area to become inflamed. Addressing the underlying weakness is essential to fully rehab this injury.
Bladder dysfunction in women (and increasing more so in men)
– Stress incontinence when an increase in abdominal pressure, such as when you cough or run or do a star jump, overcomes the closure pressure in the urethra and a leak occurs
– Urge incontinence when a strong urge to go to the toilet precedes the leak and there isn’t enough time to get there
– Urgency when there are frequent strong urges to go to the toilet and they are difficult to control
– Frequency when there is a need to go to the toilet more than 8 times in a 24 hour period.
Bowel incontinence and dysfunction in women and men can also be successfully managed with physiotherapy.
Following a Biomechanical assessment you maybe prescribed off the shelf insoles or a casted orthotics if your foot requires more specific support. The off the shelf insoles are much cheaper and fortunately are all that most patients require.
It is important to understand the cause of the injury so prevent a re-occurrence. Common injuries include: Plantar Fasciitis, Shin Splints and Achilles Tendonitis. To avoid injury ensure that your shoes fit properly, do not tie your laces around your ankle and gradually increase and vary your training sessions. Hands on treatment will speed up recovery. also see dancing injuries.
Jumper’s knee or Patellar Tendinopathy is an overuse injury presenting as a gradual ache just below the knee cap. The maybe some swelling and it will be tender to touch. There will pain and stiffness after activity. The injury occurs especially in sports with many turning or jumping elements (basketball, volleyball, tennis, badminton and hockey) causes excessive loading and inflammation of the tendon.
Knee pain can be as a result of trauma or gradually. There are many causes which include:
– Fracture to any of the bones of the knee (patella, tibia, fibula, femur)
– Ligament sprain ACL/ MCL/ LCL/ PCL
– Tendon ruptures
– Quadriceps and patellar tendons
– Meniscal injuries
– Patellar dislocation
– Infection (or infectious arthritis)
– Patellofemoral pain syndrome
– Jumper’s knee
– Iliotibial band syndrome
– Runners knee
If you require a specialist opinion we will organise this for you.
The labrum is the ring of cartilage, that follows the outside rim of the socket of your hip joint. The labrum acts like a rubber seal to hold the hip joint securely in place. Athletes who participate in such sports as hurling, hockey, soccer, football, golfing and ballet are at higher risk of developing a hip labral tear. Structural abnormalities of the hip also can lead to a hip labral tear.
Lateral epicondylitis (Tennis Elbow) is the inflammation of the tendons on the outside of the elbow. It is associated with typing, playing a musical instrument, horse-riding and racquet sports. Sudden or gradual pain, stiffness and weakness on the outside of the elbow, forearm and fingers are the common symptoms. Other common causes of elbow pain such as referred from the neck or shoulder should be excluded.
Ligaments are tough, fibrous tissues that connect bones to other bones. A sprain is an injury that causes a ligament to be stretched beyond its capacity. PRICE regime should be started immediately to minimise tissue damage– protect, rest, ice, compression and elevation of the injured area. Physiotherapy treatment may include hands on treatment, Acupuncture and sometimes Electrotherapy. An exercise programme will be designed to prevent recurrence.
Back pain affects most people at some point in their life. B ack problems can present in different ways including muscular pain, stiffness, shooting or stabbing pain, pins and needles/ numbness, heaviness of the leg, buttock or leg pain, inability to bend and difficulty standing upright. The common causes of the back pain include: – Muscular, ligament or joint strain – Irritation of the disc – Arthritis of the spine – Sciatica – Facet joint dysfunction – Disc prolapse or protrusion – Nerve root compression You can attend for physiotherapy treatment without a GP referral.
Massage is a ‘hands on’ soft tissue treatment to promote tissue repair, restoring muscle length, improving function and reducing pain. Deep tissue massage relieves tension and pain, Sports massage enhances performance and recovery, Myofascial release relaxes the muscles and fascia and Trigger point massage alleviates muscle spasms and pain. We will tailor the massage to suit your needs.
Medial epicondylitis (Golfers elbow) is the sudden or gradual inflammation of the tendons on the inside of the elbow. Everyday tasks such as gripping, turning a door handle or shaking hands can cause intense pain. Common symptoms include : Pain, stiffness and weakness on the inside of the elbow and forearm. It is important that elbow injuries are treated promptly. Left untreated, golfer’s elbow can cause chronic elbow pain.
is when the ball of your foot becomes painful and inflamed. It is associated with activities that involve running, dancing and jumping. Poor quality and ill-fitting shoes can also cause this pain. Wearing proper footwear with shock-absorbing insoles or arch supports may be all you need to prevent or minimise future problems. Rest and Ice can ease the immediate symptoms. If the pain does not settle these tips, then you should book a physio appointment.
The menisci are tough cartilage, there are two menisci in your knee, one meniscus is on the inside (medial meniscus) and one on the outside (lateral meniscus). Meniscal injuries can be traumatic (twisted bent knee with a planted foot) or degenerative (wear and tear). The main symptoms are knee pain, swelling, locking of the joint and giving way sensation. Surgery is frequently required if there is a meniscal tear in adults, but not always necessary in children.
is a painful condition that affects the ball of your foot, most commonly the area between your third and fourth toes. Morton’s neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock. Morton’s neuroma involves a thickening of the tissue around one of the nerves leading to your toes. This can cause a sharp, burning pain in the ball of your foot. Your toes also may sting, burn or feel numb. High-heeled shoes have been linked to the development of Morton’s neuroma. Many people experience relief by switching to lower heeled shoes with wider toe boxes. Sometimes corticosteroid injections or surgery may be necessary.
Magnetic resonance imaging (MRI) is a technique that uses a magnetic field and radio waves to create detailed images of the organs and tissues within your body in cross-sectional images — like slices in a loaf of bread.
There are more than 600 muscles in the body. Muscles work together to perform a movement. A muscle imbalance is when these muscles are not coordinating correctly due to over training or poor training techniques. Physiotherapy treatment may involve: postural advice, muscle stretching & Strengthening, dry needling, Acupuncture or soft tissue and joint mobilisations.
Poor sitting posture, prolonged computer work, over-head activities and fatigue contributes to neck pain. Neck problems can present as muscular pain, stiffness, shooting or stabbing pain, pins and needles/ numbness, heaviness or pain of the arm. The common causes of the neck pain include: – Muscular, ligament or joint strain – Irritation of the disc – Arthritis of the spine – Facet joint dysfunction – Disc prolapse or protrusion – Nerve root compression You can attend for physiotherapy treatment without a GP referral.
Acute neck stiffness is usually caused by muscle spasm of the neck muscles. This is known as Torticollis or Wry Neck. Stiffness can also be a sign of other disorders of the neck such as arthritis, disc injury and other medical conditions.
Your nervous system is involved in everything your body does, from regulating breathing to moving and sensing hot and cold. There are three types of nerves in the body: Autonomic nerves – control the involuntary actions of your body, including heart rate, blood pressure, digestion, and temperature regulation. Motor nerves – control your movements and actions by passing information from your brain and spinal cord to your muscles. Sensory nerves – relay messages from your skin and muscles to your spinal cord and brain. The information is then processed by the brain to let you feel pain, hot, cold and other sensations. As Physiotherapist, we treat the motor and sensory nerves dysfunction. Damage to motor nerves may produce weakness, muscle wasting, twitching and paralysis. Sensory nerve damage can produce pain, sensitivity, numbness, tingling or prickling, burning or poor positional awareness.
describes a loss of sensation or feeling in a part of your body. Numbness can occur along a single nerve, or it may occur on both sides of the body in a symmetrical pattern. Numbness often is accompanied by other changes in sensation, such as a pins-and-needles, altered feeling, burning or tingling. A full assessment would help to determine the underlying cause.
is a painful lump on front of the shin bone, just below the knee. It is due to the repeat stress on the patellar ligament as its inserts onto the bone. Osgood–Schlatter is: – More frequent in boys than in girls – Usually between 9–16 years of age – Coincides with growth spurts – Pain is mild and intermittent initially – Local impact can be very painful – Pain increases with running, jumping, squatting, kneeling and stairs. Kids can often exercise as pain allows. Ice and rest are useful during a flare up. Exercises and insoles can be helpful.
Bone tissue has a honeycomb structure for strength but without weight. With osteoporosis the density of bone is reduced, leading to weakness of the skeleton. There is an increased risk of fracture, particularly of the spine, wrist, hip, pelvis and upper arm. Physiotherapy is important in the prevention and reversal of osteoporosis. Exercise like walking, climbing stairs and lifting weights helps to strengthen bones.
Children’s Physiotherapy covers a wide range of treatments for babies and children. Physiotherapists look after: – Foot Problems including Flat/ high arches, Muscle & joint pain, Sports Injuries, Hip Pain e.g. Perthes Disease, Juvenile Arthritis, Knee Pain e.g.Osgood Schlatters Disease, Neck & Back problems, Developmental delay, Torticollis/ Wry neck, Scoliosis, Information on training programmes, Recommendation on footwear & school bags.
Please note that all children under the age of 16 MUST be accompanied by an adult.
Pain is an unpleasant sensation to discomfort to agony. Pain sensation is the result of a combination of the pain message and the brains interpretation of that message. For example, we might not realise how serious a cut is until we look at it. Acute pain are often a warning that something is wrong. The pain prompts you to take action and will ensure that you rest until it has healed. In Chronic pain the warning system can go into overdrive and sends out repeated pain signals which do not reflect the extent of the tissue damage. In on-going pain, there is a problem with how nerve messages are processed. Stress or depression can amplify the pain message, while Exercise such as walking can ease pain.
Patellar Tendinopathy (Jumper’s knee) is an overuse injury presenting as a gradual ache just below the knee cap. The maybe some swelling and it will be tender to touch. There will pain and stiffness after activity. The injury occurs especially in sports with many turning or jumping elements (basketball, volleyball, tennis, badminton and hockey) causes excessive loading and inflammation of the tendon.
Pelvic Girdle pain (PGP) is a common pregnancy problem which responds well to physiotherapy. It can begin from 12 weeks pregnant and continues into the postnatal period. It tends to recur in subsequent pregnancies. Symptoms of PGP include: – Pubic, groin or upper thigh pain. Pain or stiffness in the back, Getting in and out of bed, moving from sit to stand, stairs, walking and getting in/ out of the car is difficult.
is a pricking, burning, tingling or numbing sensation that is most commonly felt in the arms, legs, hands or feet. Pins and needles, also known as paraesthesia, is often temporary, but it can sometimes be long-lasting (chronic). Most people have temporary pins and needles from time to time. It happens when pressure is applied to a part of the body, which cuts off the blood supply to the nerves in that area. If the Pins and needles are not resolving, then an assessment will help to determine the cause and a treatment plan can be implemented.
Pilates is form of body conditioning that strengthens your deep abdominal muscles and improves your muscle tone, flexibility, posture, body awareness, balance and breathing. Pilates is suitable for anyone from the keen sports person, the weekend warrior, those who are not so fit and those people recovering from serious illness. What are the benefits of Pilates? – Better posture – Increased flexibility – Improved muscle tone & strength – Stress management – Stronger spine & bones – Injury Prevention – Improved energy levels All our Pilates instructors are Chartered Physiotherapists. They can guide you through a Pilates programme to speed up your recovery after an injury and reduce the risk of recurrence. Pilates is a great form of exercise for people returning to activity after chemotherapy and surgery.
The plantar fascia is the thick fibrous tissue from bottom surface of the heel and extending along the sole of the foot towards the toes. Plantar fasciitis (PF) is the painful inflammation of this tissue. The pain is usually felt on the underside of the heel and is worse on the first steps of the day. It is an overuse injury commonly associated with long periods of weight bearing and much more prevalent with flat feet and in people who are over-weight. increases in activities, weight or age.
Many women present during pregnancy complaining of aches and pain. Physiotherapy and Acupuncture can relieve pain without the need for medication and can be tailored to each stage of pregnancy. Healthy back tips: – Stand with weight equally on both feet – Avoid prolonged standing – Sit upright with weight evenly on both hips, changing positions often – Pilates, swimming and walking will improve your posture – Minimise lifting and overstretching – Avoid high heels.
Pregnancy is an exciting time and your body will experience many changes. Many women sail through pregnancy without any problems, others will struggle. Physiotherapy and Acupuncture relieves pain without the need for medication. Here are the common pregnancy aches and pain that we see. Shoulder blade pain and stiffness is related to postural changes & can increase when sitting and even on deep breathing. Treatment to the stiff joints and tired muscles is very effective. Postural re-education is essential to recovery. Rib Pain As the ribcage expands during pregnancy pressure build up on the ribs and can result in pain. Low Back pain: Postural changes, Poor abdominal support, Ligament laxity, Sciatica and Pelvic dysfunction can all contribute to back pain. Pelvic Girdle pain (PGP): is a significant problem with many women suffering unnecessarily. It can begin at 12 weeks and continue into the post natal period. For more information see Pelvic Girdle Pain. Carpel Tunnel Syndrome is the tingling, numbness, burning sensation, pain usually affecting both hands in latter stages of pregnancy. It usually goes away after birth. Wrist splints can help in the management of the symptoms.
Rest is more important initially and many of us find that doing the exercises in the bath is most comfortable in the early days.
Vaginal Delivery– Commence your pelvic floor exercises after 24 hours as advised.
Caesarean Section When you want to cough, bend your knees, support your wound with your hands (or a pillow) take in a deep breath and then cough. When doing your tummy exercises, start them gently and within your level of comfort.
Care of your back Always sit with your back well supported. Hold your baby head with your arms (not hands) and use a pillow when feeding. Be aware of your posture when changing your baby. Draw your lower tummy in when going from sitting to standing and vice versa. Avoid lifting or pushing heavy weights for the first few weeks.
Unfortunately some injuries will require surgery. Following surgery, physiotherapy often starts while you are in the hospital. We have good relationships with our local surgeons and we work with them to plan your rehabilitation programme. Common surgeries include:- – Spinal (Back & neck) surgery – discectomy, for spinal stenosis – Knee surgery – total knee replacement, meniscal repair, ACL repair, etc. – Hip surgery – total hip replacement, labral tears – Shoulder surgery – rotator cuff repair, manipulation under anaesthetic, etc – Wrist- carpal tunnel release – Post-fracture fixation Getting a head start on your exercise programme in the 6-10 weeks before your surgery will significantly speed up your recovery.
Reflex sympathetic dystrophy (RSD) is a chronic pain condition that mostly affect the hands and feet. It is the malfunction of the sympathetic nervous system and results in widespread burning, unrelenting pain and altered sensation. There is no obvious injury to the nerve tissue. A minor incident, such as an ankle sprain, can result in pain that is out of proportion to the initial injury. Patient’s present with burning pain, swelling, stiffness, discolouration of the area affected and muscle wasting of the area.
Repetitive strain injury (RSI) refers to the micro trauma is caused by repetitive movement resulting in tendinitis, carpal tunnel syndrome, tennis elbow and golfer’s elbow to name a few. Computer users and musicians are frequently affected. First signs of a RSI are power loss and discomfort in the arm or hand at rest and increase with activity. As it progresses, numbness, tingling, poor coordination, stiffness, pain and muscle cramps are present. General fitness, posture and work station set-up can also contribute to the occurrence of the injury.
The rotator cuff are the muscles and tendons hold the shoulder joint in place. Injury to the four muscles (supraspinatus/ infraspinatus/ teres minor/ subscapularis) can occur after trauma or repetitive movements. It is common injury with swimmers, tennis players and after a fall. Common symptoms include: – Pain and tenderness with reaching for car park ticket, putting on jacket, closing bra – Sleeping on either side can increase pain – Shoulder weakness & stiffness
Runners’ knee refers to pain around the kneecap from abnormal tracking of the kneecap. It often occurs with increased mileage with an underlying muscle imbalances or bio-mechanical issues. Symptoms include: – Gradual, vague soreness around or behind the knee cap – Pain increases with repeated hill running or running up the stairs – Initially, pain will settle between runs and return when you stop As it progresses, the pain will prevent you from running.
The sacroiliac joint (SIJ) is were the tailbone (sacrum) and the rest of the pelvis meet. The joint is held together by strong ligaments. Symptoms of Sacro-iliac joint dysfunction include: – Low back, buttock or thigh pain. It is described as a dull ache, is usually on one side and is increased with Walking, standing up and turning in bed.
The sciatic nerve emerges out from the spine, and out of the pelvis into the buttock and run down the back of the leg. Sciatica the compression of the inflamed Sciatic nerve. Pain, weakness, or altered sensation in the buttock, hamstring, calf or foot are common symptoms. Sciatica can be mild or severe and develop slowly or quickly. It can be caused by a Prolapsed disc (sliped disc) in the lower back or muscle spasm in the hip
Scoliosis is a sideways curve of the spine which can range from very mild to very severe and disabling. Scoliosis occurs mainly in the thoracic and thoraco-lumbar regions. There are two basic types of scoliosis: Structural (bony) scoliosis or Postural (muscular) scoliosis. Scoliosis are thought to be hereditary. Mild scoliosis is quite common and can be managed with exercises and postural & lifestyle advice. Severe scoliosis would require an orthopaedic review.
Shin Splints is an umbrella term to describe pain on the front of the shin (tibia). There are 3 main causes:
• Shin bone injury (tibial stress fracture) results in localised pain, usually quite sharp that gets worse when you stand or land on the leg.
• Shin pain of muscular origin (medial tibial stress syndrome) gradually starts at the lower end of the shin and will ease as you warm up.
• A compartment syndrome feels more achy and tight and gets much worse with exercise and eases with rest. If you have pins and needles and weakness you should seek urgent medical attention.
Shoulder Dislocation is when the head of the humerus (arm bone) pops out of its socket, it occurs most commonly in contact sports such as rugby and football. It is characterised by severe shoulder pain and the shoulder is obvious out of place. It is very important that a shoulder dislocation is seen quickly by a doctor who is trained in manipulating the shoulder joint back in its socket, to reduce any damage to the nerves and blood vessels surrounding the shoulder joint.
Shoulder pain can come on suddenly after trauma or gradually for no particular reason. Pain is often on the outside of the upper arm (Deltoid area). Common symptoms are: Pain, weakness, on lifting the arm and Difficulty putting on jacket and seat belt, drying hair, getting car park ticket.
A Soft tissue injury is the damage of any muscles, ligaments and tendons throughout the body. Common soft tissue injuries are ligament sprain, muscle strain from trauma or repeated use . Soft tissue injuries can result in pain, swelling, bruising and loss of function. Initially the aim is to minimise tissue damage with PRICE regime– Protect, Rest, Ice, Compression and Elevation. If the symptoms are very debilitating or not fully resolved with 48 hours you may benefit from a physiotherapy assessment and treatment.
Spondylosis is the stiffening of the spine, which can resulting pain, paraesthesia, or muscle weakness in the arm or leg. Neck: The most common symptoms of cervical spondylosis are neck pain, stiffness and headaches. More rarely, it can trap nerves in the neck leading to: pain radiating from the arms, pins and needles in the arms and legs, poor sensation. Back: The most common symptoms of lumbosacral spondylosis include pain and stiffness when you first wake up. Lifting, bending and sitting for long periods of time can increase pain, as these activities put pressure on the lower part of the spine.
It is great to see such an increase in physical activity. Sports injuries can be bruising, Muscle strains or tears, Ligament Sprain, Dislocation, or Fractures. Injuries can be from trauma, recurrent or from overuse. It is determine what factors have contributed to the injury such as- fatigue, dehydration, incorrect footwear, inappropriate training plan, lack of fitness, poor body conditioning etc, to prevent recurrence.
Tendonitis describe the painful inflammation of a tendon. Tendinopathy is the micro trauma or the gradual deterioration of a tendon as it connects to the bone. The most common tendon problems are: at the wrist, knee cap (patellar tendonitis), Achilles tendonitis, De Quervain’s tenosynovitis, trigger finger or thumb, superspinatus tendonitis, biceps tendonitis, tennis elbow, golfers elbow, etc. It can be an Acute or Overuse injury.
Tension headache is one of the most common causes of headaches. The pain can radiate from the back of the head, neck and eyes and usually is present on both sides of the head at once. The pain is often described as a constant pressure and is usually mild to moderate in nature and typical last for 4–6 hours but can last all day. The most common causes are Muscle tension, Poor posture, Stress, Fatigue, Poor sleep, Irregular diet and Eyestrain.
Tennis Elbow (Lateral epicondylitis) is the inflammation of the tendons on the outside of the elbow. It is associated with typing, playing a musical instrument, horse-riding and racquet sports. Sudden or gradual pain, stiffness and weakness on the outside of the elbow, forearm and fingers are the common symptoms. Other common causes of elbow pain such as referred from the neck or shoulder should be excluded.
Quadriceps muscles (Vastus Lateralis, Vastus Medialis, Vastus Intermedius and the Rectus Femoris) are the muscles on the front of the thigh and they contract to straighten the knee. Quads or thigh strain is the injury to this muscles and are common in with repeated kicking and high-speed activities such as track and field.
Whiplash is the term used to describe the hyperflexion and hyperextension injury to the neck. It is most common after a motor vehicle accident, but can also occur in contact sports. The pain can be:
– Local muscles
– Spinal joints of the neck or mid spine
– Ligaments of the neck
– Arm pain
is a quick, painless test that produces images of the structures inside your body, especially your bones. X-ray beams can pass through your body, but they are absorbed in different amounts depending on the density of the material they pass through. Dense materials, such as bone and metal, show up as white on X-rays. The air in your lungs shows up as black. Fat and muscle appear as varying shades of gray.
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