Conditions that I treat regularly include:
Lower Back Pain
A huge subject ranging from simple mechanical pain due to stiffness to acute disc prolapses and sciatica. You need to understand the exact nature of your back pain to manage your recovery properly, advice on the internet or from well-meaning friends who will tell you what worked for them can make you worse. Lower back pain is often a reflection of your lifestyle for example sitting at computers all day or heavy manual work. Every day ‘niggles’ are often a warning sign of a bigger episode to come. A combination of settling the acute symptoms, followed by specific mobilization and hands on treatment, and user friendly ‘core’ exercises and postural/ergonomic work can ensure that you get on top of your back pain and get on with your life.
Related headaches, shoulder and arm pain: hands on techniques can be extremely effective at freeing up stiff joints combined with stretches and postural awareness exercises.
These often involve pain under your shoulder blade and on twisting. Hands on treatment is often to key to becoming pain free.
Often involving tendon injuries and ‘impingement’ pain. Including swimming and rock-climbing injuries as well as ‘gardening/DIY’ injuries!
Sprains, strains, cartilage/meniscal injuries, muscle tears, rehabilitation after kneecap dislocations (I have personal experience too of this one!) chondromalacia patella/’maltracking’ of your knee cap.
Foot and ankle injuries
From ligament sprains, tendon injuries such as Achilles injuries which can easily become chronic if managed poorly, pain in the underside of your heel (plantar fasciitis), repeated episodes of ‘going over’ on your ankle,
Osteoarthritic joint pain
We all get some degree of ‘wear and tear’ in our joints as time goes by, resulting in stiffness and aching. Properly managed we can minimise the impact on our lives. Proactive management strategies can help keep on top of things so that the effect on your lifestyle is limited. Thorough assessment of your painful hip, knee or ankle can determine whether ‘conservative’ Physiotherapy management can maintain your lifestyle, but I would always advise if I felt it was time for an X-ray with a view to hip or knee replacement both of which can lead to an excellent increase in quality of life with a great Orthopaedic surgeon and great post-operative Physiotherapy.
Getting your ‘Core’ muscles working for you after the birth of your baby
Life after the birth of your baby involves (amongst many other things!) a host of activities that can put a strain on your joints in particular your lower back and neck, from awkward lifting positions to sustained bending. All of this at a time when your ligament are a little lax, and you certainly don’t have time or energy for a formal activity programme. A user friendly, gentle and gradual approach to waking up and gradually strengthening those core muscle can make a big difference to taking the strain away.
‘Whiplash’ injuries after road traffic accidents
Badly managed these can lead to long term problems, my experience from treating injuries at the acute stage and undertaking research in A&E at QMC Nottingham in 1990’s is that the earlier you tackle the problem the better the outcome.
After knee and hip replacements, shoulder operations/decompressions, spinal operations, knee anterior cruciate repairs: there is always a tricky balance post operatively between settling the initial pain, inflammation and swelling down whilst at the same time regaining movement and strength. Individual assessment and an individual rehabilitation programme, plus hands on treatment will always get the best results.
Rehabilitation after fractures e.g. wrist/ankle/shoulder or after removal of metal work
After coming out of plaster with the fracture healed it often comes as rather a shock to you that things have not returned to normal, that your joint is incredibly sore and stiff, and that all you have to go on is a sheet of exercises with no guidelines how far to push things! A few individual sessions with the addition of hands on mobilization can make all the difference to life getting back to ‘normal’ as quickly as possible.
Runners, tri athletes, football injuries, golfers, rock climbers, gymnasts, dancers, netball, hockey, equestrian injuries and rehabilitation. As an ex half marathon runner and after 15 years of taking rock climbing very seriously I know how important it is to get good quality healing and return to your sport or activity as soon as possible. The temptation to carry on and try to work through pain because you love your chosen sport so much really doesn’t work!
Tendon Injuries e.g. Achilles/tennis elbow/golfers’ elbow
You may have ‘rested’ after your injury for 2 weeks so for example with an Achilles tendon injury you no longer feel pain when walking. You decide to go back to running – the
problem comes straight back. Often people will continue in this cycle for weeks and months whilst their injury becomes more and more chronic. The quality of healing of tendons is crucial to how they work, great results can be achieved by proactive management, deep massage and ultrasound therapy.
Mobility and balance
As we get older it is so worth investigating the factors that may be contributing to lack of mobility, strength or unsteadiness when you are walking. It can be frustrating that sometimes it is assumed that just because you are a certain age ‘nothing can be done’ or it’s ‘just your age’! Older patients that I see want to be as active as they possibly can be, and in my strongly held view that assessment and treatment needs to be as individual and effective for them as with any other age group!
Foot drop and Bell’s Palsy
The use of a Neuro – stimulator machine which stimulates the muscle whilst the damaged nerve is recovering can limit atrophy of the muscles that the nerve would normally supply, depending on the damage. My experience is that this is a very worthwhile option to explore.