Musculoskeletal – MSK
Neck pain is increasingly common and can often be caused by bad posture while sitting at a desk for long periods or by sleeping in an awkward position.Injuries from falls or a traffic accident are a major contributory factor to neck pain that does not ease quickly or recede with paracetamol or ibuprofen. A physiotherapist can advise and administer treatments that relax the body and active physical therapy to restore strength and movement after assessing the site and extent of the pain and discomfort.
Deep tissue massage targets stressed tissue and techniques to stretch and mobilise the spine can be employed to reduce pain and restore function. TENS machines (which provide controlled electrical impulses to the muscles) can be used along with ultrasound which increases blood flow to affected areas, reducing stiffness and pain while enhancing the body’s natural healing process. Treatments can be passive, helping relax the body, or active, using exercise as a therapeutic tool.
Bad posture, particularly from office and computer screen based occupations, is a huge source of neck discomfort and injury. Our physiotherapists are skilled at assessing the root causes of complaints and devising exercises that work on restoring balance and encourage long term postural improvement. Stretches and manual manipulations can also be effective at easing pressure on the spinal vertebrae that are sensitive to prolonged pressure and trauma.
Shoulder pain is an increasing common condition that is caused by extended periods of slouching or leaning into awkward positions while working at a desk. It can also be brought on by falls, traffic accidents, sports and training injuries. Initial injuries can be treated with heat and ice applications, rest and painkillers to reduce any swelling before a detailed evaluation of the shoulder issue. The rehabilitation route is dictated by a comprehensive assessment of the musculature system of interconnecting tendons, ligaments and muscles that support the shoulders.
Deep tissue massage targets stressed tissue and techniques to stretch and mobilise the shoulder joints can be employed to reduce pain and restore function. TENS machines (which provide controlled electrical impulses to the muscles) can be used along with ultrasound which increases blood flow to affected areas, reducing stiffness and pain while enhancing the body’s natural healing process. Physical regimes can be passive, helping relax the body, or active, using exercise as a therapeutic tool. The aim is to recover a full range of motion safely and progressively through treatment tailored to the individual.
The physiotherapy department has an envied track record for treating professional sportspeople who need to return to their sport quickly and with no risk of relapse. The same standards of expertise are applied to all patients whether they are looking to return to sport or to remove pain, recover flexibility to go back to work or live a full, independent life. Advice on how to avoid repeating the pain or injury, through elements such as regular exercise and warm-up programmes to postural techniques to eliminate future issues are part of the physiotherapy service.
Regular stretches can also be designed to ensure bad postural habits are not repeated and that the shoulder joint, muscles, tendons and ligaments can move freely and maintain their stability.
Tendons are tough fibrous connective tissue that come into play each time we move a part of our body. There is a conservative estimate of 1,320 tendons in the human body, each doing a crucial job of transferring force as muscles expand and contract. They come in many shapes and sizes, depending on their position and function in the body, and can be damaged with repeated stress and sudden impact injury.
A detailed an early assessment of the tendon’s condition is vitally important as each injury is specific to an individual. Some injuries, such as ruptures, may require surgery and the rehabilitation pathway needs to well-structured and disciplined over a prolonged period. The exercises will concentrate on building strength and mobility.
Tendonitis – when a tendon becomes inflamed from repeated stress – is a common complaint and initial treatment can be pain-killers and rest while a comprehensive assessment is made.
Tendons are less responsive than muscles so deep tissue massage can take time and ultrasound is often used to penetrate deep into the damaged zone of the tendon.
Stretching and strengthening exercises follow a carefully guided route to ease recovery. Patients can also be advised on ergonomic changes at work to minimize the risk of a repeat injury or inflammation. Our physiotherapists have a wealth of experience repairing the tendons for elite athletes and apply the same protocols and care to all patients.
Regular home stretching and exercises compliment more detailed workouts and early sessions can include treadmills, static bikes and swimming to reduce the pressure on the tendons during rehabilitation. In stubborn and more acute injuries, steroidal injections can be employed but these are always discussed with the patients and form part of a wider rehabilitation programme.