Injuroes and conditions we can treat

We can treat a whole range of conditions including sport and work related injuries and back pain as well as post related surgery and disease associated pain.

 

Low Back Pain: Low back pain (LBP) is quite a common complaint and is experienced by a large percentage of the population at some time in their lives. The symptoms of LBP can vary, from central pain felt in the lower back, to pain either side of the back, to pain in the buttock region and even down the legs. The causes of low back can also vary, the most common causes being a muscle or joint sprain, some wear and tear or degeneration, or indeed the more significant sources of LBP such as disc problems or neural dysfunction. At ProHealth Physio, we will thoroughly assess this quite bothersome condition and decide on an appropriate treatment plan according to your signs and symptoms and diagnosis. Every patient will receive a highly individualised approach to their care according to the very latest research and developments in LBP care, with referral to the relevant health professionals for investigation if necessary. LBP need not be the disabling condition it is sometimes perceived to be and through a combination of manual therapy, exercise, advice and education- we can help.

 

Neck Pain: Neck problems can manifest themselves in lots of different ways and an accurate diagnosis is crucial. You may experience central pain in the neck, headaches, pain in the shoulders, or pain and pins and needles in the arm or hand. It can be caused by a sprained joint, a muscle strain or irritation of the nerves arising from the neck. It can often result from trauma such as a road traffic accident, altered posture, lifting or stress and anxiety. Physiotherapy can be very effective for all types of neck pain, and once an accurate diagnosis is made and a clear explanation given to the patient, treatment may consist of advice and education regarding management of your pain, stress relief and relaxation, postural re-education and if necessary, alteration of your workspace. Manual techniques such as mobilisation and soft tissue massage can be used to relieve pain and improve movement and you will be given a tailored home exercise programme to further improve and maintain the gains you have made in your physiotherapy session. You can be assured that all treatment approaches used are individualised to your specific condition and are based on the very latest evidence based research.

 

Joint and Ligament Sprain: Joint sprains are very common injuries in the sporting world, as well as in the general population. From a tackle that went wrong to a trip in a high heel, sprains can occur in almost any joint in the body and occur as a result of damage to the soft tissue surrounding the joint itself. Varying in severity, sprains can result in different symptoms and different times lost from sport and activities. Symptoms may include pain, swelling and inability to walk or perform daily activities. Your physio at ProHealth will assess the sprain, and whether its return to sport you’re concerned with or simply return to hobbies or daily activities, they will be able to give you a timeframe as to how much rehabilitation you’ll require and how long before your joint returns to normal. Your rehab will begin with decreasing pain and swelling and regaining movement, and will develop up to the later stages where you will undergo functional sports-specific rehab in our fully equipped gym. We will ensure you make a timely recovery to your baseline prior to injury.

 

Shoulder Injuries (frozen shoulder, rotator cuff dysfunction, fractures, Acromio Clavicular (AC) joint injuries): Shoulder injuries are among the most troublesome of injuries as they often impair your ability to lift and perform daily activities and chores. The problem may involve a combination of loss of movement, loss of strength and pain around the shoulder area, shoulder blade or arm. Shoulder injuries can result from trauma such as a fall or sporting injury, a lifting injury, or may occur spontaneously and out of the blue. Because of the anatomy of the shoulder and its ability to move very freely, it makes it very susceptible to injury- but physiotherapy is proven to help. It is important to receive treatment as soon as possible to prevent the problem becoming chronic but longstanding problems can also resolved. An accurate diagnosis according to your symptoms and a physical examination is essential and will be made by your physiotherapist. Amongst the most common diagnoses are rotator cuff strain/ tear, rotator cuff tendonopathy, frozen shoulder, and AC joint sprain. - All of which can be dramatically improved and resolved with physiotherapy. Treatment often includes manual therapy such as soft tissue massage and mobilisation, exercise therapy and advice and education on how to best manage your condition. Therapeutic exercise plays a huge role in shoulder rehabilitation and you will be provided with an appropriate home exercise programme to further aid your recovery and allow you to benefit fully from physiotherapy.

 

Arthritis: There are many different types of arthritis but the most common is Osteoarthritis (OA). OA occurs when the cartilage and shock absorption within the joints breaks down due to degeneration. This results in inflammation, swelling, pain and stiffness. The most common joints affected are the hips and knees but the neck, back, shoulder, ankle and joints of the fingers and toes can also be affected. Physiotherapy treatment in arthritis is aimed at decreasing pain and improving movement, thus improving quality of life and independence. Manual therapy and exercises improves movement whilst also strengthening the muscles surrounding the joint. We will also advise you on pain relief and management of the condition to allow you to lead as full and active a life as possible. Physiotherapy is also very effective for all other types of arthritis such as rheumatoid arthritis, juvenile arthritis and polymyalgia rheumatica.

 

Orthopaedic Surgery (total hip replacement, total knee replacement, implants following a fracture): A joint replacement such as a hip or knee replacement is sometimes required following trauma such as a fall, or following severe degeneration or Osteoarthritis. Following your surgery, you will require rehabilitation to regain your range of movement, strength and mobility of the joint. Physiotherapy post-joint replacement will take you from the early stages after surgery right up to the point you achieve full independence again, through exercise rehabilitation, advice and education. We will monitor you progress to ensure you are achieving the appropriate goals in the correct timeframe, and liase with your GP and surgical team as necessary. With physiotherapy and rehabilitation, a joint replacement can provide a new lease of life.

 

Knee Pain (ligament damage/ repair, cartilage tears, patellofemoral joint problems, Osteoarthritis, Runner’s knee): Knee pain can be a significant source of time lost from sport and disability. There are many types of knee injuries from muscle strains and kneecap pain, to ligament and cartilage damage. They often result from trauma, during a sports game or fall, or can occur spontaneously for no apparent reason. They can also occur due to overuse or abnormal biomechanics.  While some more severe knee injuries such as anterior cruciate ligament tear may require surgical intervention, your specialist sports physiotherapist at ProHealth will be able to advise you on the best course of action and put you in contact with the relevant sports medicine practitioners. More often than not however, knee pain can be treated successfully with physiotherapy. You may experience pain in the front, back or sides of the knee, with or without some limitation in movement. You may also notice some instability or giving way, or some clicking or locking at the knee joint. Your physiotherapist will make a diagnosis according to your symptoms and a physical examination and decide if further investigation such as a scan is required. Depending on the diagnosis and cause of your knee pain, your treatment may then consist of manual therapy, exercise therapy and functional and sports-specific rehabilitation. If you have had knee surgery such as an arthroscopy (scope), ACL repair or meniscal repair. ProHealth will provide you with the rehab programme necessary for a successful return to sport. Our sports physiotherapists have ample experience in this area and will monitor your progress and ensure you are meeting all your goals according to the appropriate timeframe. We will liase with your surgical team and GP as required. An approximate timeframe for return to sport following ACL repair is 8 months, during which time you will have built up the required movement, strength and sports-specific skills to return to your sport.

 

Tennis Elbow: Tennis elbow is a condition that causes inflammation, pain and soreness on the outside (lateral) side of the upper arm near the elbow, and you need not play tennis to suffer from it! The part of a muscle that attaches to a bone is called a tendon. Muscles in your forearm attach to the bone on the outside of your elbow. Repetitive use of these muscles can sometimes lead to irritation around the tendons, thus leading to tennis elbow. Symptoms include elbow pain that gradually worsens, pain radiating from the outside of the elbow down the forearm when twisting or gripping and a weak grip. Physiotherapy can help with tennis elbow through advice and education regarding decreasing inflammation and pain and through soft tissue therapy and exercise therapy. You will be provided with home exercise programme to help strengthen the forearm muscles and your grip, subsequently reducing the pain and discomfort. A less common but similar condition to tennis elbow is golfer’s elbow, where the pain is felt on the inside (medial) aspect of the arm. This condition responds equally well to physiotherapy.

 

Fracture or Dislocation: A fracture or dislocation can be a very traumatic experience and requires considerable recovery time and rehab. Depending on the fracture, the time spent in plaster of Paris can vary from 3 weeks to 10 weeks. This time spent immobilised in a cast can result in considerable joint stiffness and loss of strength. Some bones that are more commonly fractured are the radius and the humerus in the arm and the tibia or ankle in the leg. Fractures of the fingers or toes are also common. The most common sites for dislocation are the fingers and the shoulder. Physiotherapy following fracture or dislocation is aimed at restoring movement and strength to allow you to return to your baseline prior to injury, through mobilisation and exercise. Our fully equipped gym provides an ideal area for your rehabilitation to take place, with a structured exercise programme provided by your physiotherapist.

 

 

Other conditions:

- Work-related Arm Pain or Repetitive Strain Injury
- Muscle Tears/Strains
- Post Fracture or Dislocation
- Foot/Ankle Sprains
- Tendon Injuries
- Post Surgery
- Pelvic Floor Problems (Incontinence in Men and Women)
- T.M.J. (Jaw Pain)