physio

Physiotherapy

Mobilisation

  • Therapeutic mobilisation treatments involve the gentle, passive movement of joints and muscles.
  • For a joint to move correctly without producing pain it is required to have ‘accessory’ movements.
  • We are unable to recreate these accessory movements as individuals on ourselves.
  • Therapeutic mobilisation of a joint can restore the ability of the joint to move without the creation of pain.
  • Typical mobilisations involve gliding movements, shearing and rotational movements.

If you are in doubt as to whom you should see, what is involved or how much it might cost, why not call us directly using any of the numbers at the top of this page or click here and we will call you to discuss your concerns at a time that is convenient for you.

Manipulation

  • A therapeutic manipulation involves a low amplitude (small amount) end of range (at full stretch) thrust. It is commonly used to treat low back and mid back pain where the pain is being produced by a part of the body not moving correctly. The nudge that the manipulation gives helps the part of the body that is stiff move more freely without creating pain.
  • Manipulations are not used solely on backs they can be used on other tissues that are producing pain.
  • The term manipulation is also known as ‘putting the back in’ as if it were originally out but evidence does not suggest that any realignment takes place.
  • An audible click can sometimes be heard with a manipulation.
  • Following a manipulation pain free movement can be experienced. It is however generally short lived unless further corrections and management of the area of the body take place.
  • Research suggests that spinal manipulation is ineffective

Recent Evidence

For Neck Pain And Whiplash

Four systematic reviews have found that manipulation or mobilisation versus other treatments improve symptoms. One additional and one subsequent Randomised Controlled Trial (RCT) found no significant difference between mobilisation versus manipulation in pain. Rare but serious adverse effects have been reported following manipulation of the cervical spine

For Low Back Pain And Sciatica

  • Systematic reviews and additional RCTs have found that exercise versus other treatments improves pain and functional status.
  • Active physiotherapy versus passive treatment all significantly reduce pain.
  • Systematic reviews found conflicting evidence on the effects of spinal manipulation.

If you are in doubt as to whom you should see, what is involved or how much it might cost, why not call us directly using any of the numbers at the top of this page or click here and we will call you to discuss your concerns at a time that is convenient for you.

Acupuncture

We specifically use acupuncture for pain relief.

  • 70% of patients will respond to acupuncture.
  • Acupuncture is a comfortable and gentle treatment that can be used for any pain.
  • Acupuncture has the side effect that it can relax patients.
  • Evidence suggests acupuncture can help relieve with both long term and short term pain.
  • We use the Western approach.

If you would like to download our acupuncture patient information leaflet please press here you will require Adobe Acrobat reader. You can download Adobe Acrobat reader for free by pressing here.

If you are in doubt as to whom you should see, what is involved or how much it might cost, why not call us directly using any of the numbers at the top of this page or click here and we will call you to discuss your concerns at a time that is convenient for you.

Therapeutic Exercises

Therapeutic exercises are commonly used for most aches and pains.

  • They help you to gain control over your symptoms.
  • improve the speed at which you get better and
  • prevent recurrence.
  • These specific movements might be used to alleviate pain in the case of a slipped disc in the lower back or used as a compensation movement to allow you to move without causing pain.

Therapeutic exercises are generally small movements but highly specific and are carried out repetitively.

  • The movement will target a very specific structure or muscle
  • The movement aims to improve the strength of the muscle, the control and coordination.
  • Typical exercises for backs involve pilates type movements to improve the core stability that you might have and to prevent recurrence of your back pain.

If you are in doubt as to whom you should see, what is involved or how much it might cost, why not call us directly using any of the numbers at the top of this page or click here and we will call you to discuss your concerns at a time that is convenient for you.

Electrotherapy

Electrotherapy treatment includes the use of laser, interferential, TNS and therapeutic ultrasound.

  • Therapeutic ultrasound is commonly used in the treatment of ligament and tendon injuries where inflammation is present.
  • Evidence suggests that the use of ultrasound can improve the final strength of the damaged tissue as well as the speed that it gains its strength.
  • If a tissue heals strongly then it stands to reason that it is less likely to be damaged repetitively.
  • Interferential is commonly used to decrease the pain an individual may be experiencing by using a pain gate mechanism that switches off the nerve stimulation to the brain.
  • Interferential can also be used to reactivate muscles as they recover from being damaged.

If you are in doubt as to whom you should see, what is involved or how much it might cost, why not call us directly using any of the numbers at the top of this page or click here and we will call you to discuss your concerns at a time that is convenient for you.