BACK AND NECK PAIN Manual Therapy (hands on) can be very useful in the acute stages of back and neck pain. Research has shown that more longstanding back and neck pain is best managed with an exercise based program. We may use a combination of both to help you reach the best possible outcome and enable you to manage your condition. At this practice we have a specific interest in persistent pain and have many strategies to help our patients manage their problems.
SPORTS INJURIES At this practice we see people with many different sporting injuries of all ages and levels. After the initial inflammation has settled it is helpful to have expert advice on a realistic and monitored rehabilitation program. We will analyse any issues with muscle imbalance, biomechanics, including foot posture, and have an excellent understanding of the demands of different sports. We have a running machine and can film you if needed and analyse the footage with you so you get a comprehensive gait analysis.
JOINT CONDITIONS Osteoarthritis is one of many joint conditions that can affect our body, and can be very painful and debilitating. We carefully assess the joint or joints involved and advise on how to manage the condition. For example, altering a person's foot posture can take a lot of the strain off the knee joint, and with exercises to strengthen the muscles the condition can be managed well.
SOFT TISSUE CONDITIONS Sprains to ligaments and strained muscles, frozen shoulder, tennis elbow, plantarfasciitis, teno-synovitis and tendinopathies are all conditions frequently seen by us and treated with success. We may use a combination of manual therapy, exercises, acupuncture and electrical treatments. In some cases taping the area or supporting it with a brace may be helpful.
ORTHOPAEDIC PROBLEMS Pre and post operatively we are happy to liaise with your consultant and plan a rehab program for you.
DIZZINESS (VERTIGO) Dizziness can be caused by a number of different structures. Careful assessment to see whether it comes from the neck or vestibular system ( BPPV- Benign Paroxysmal Positional Vertigo ) needs to be done first and then appropriate treatment started. Exercises are specific depending on what is causing the dizziness. If you are coming for treatment for dizziness please have a driver with you as it is not sensible to drive for the rest of that day after treatment. Please book with Beth for treatment of BPPV.
ACUPUNCTURE This is an ancient form of Chinese medicine which has become recognised within western medicine as studies have revealed that acupuncture can raise the levels of specific hormones such as prostaglandin. It is thought this allows the body to stimulate its natural healing response and raise natural pain relieving chemicals such as endorphin. Sara is a registered Acupuncturist and will often use Acupuncture in combination with other Physiotherapy treatments. Please book with Sara for Acupuncture treatments.
CHILDREN AND ADOLESCENTS Children and adolescents suffer injuries which are unique to them and need to be managed and treated differently to adults. The team at Street Physiotherapy Practice are all experienced at assessing and diagnosing these unique injuries having spent many years at Millfield and Millfield preparatory school. They will know when they can treat; develop a graded rehab program or when they may need to refer on. The most common areas we see are
- Knees - Patellofemoral problems, Osgood Schlatters
- Heels - Severs, Plantar fasciitis
- Back pain
- Shoulder pain
- Overuse injuries
At the initial visit we do a full bio-mechanical assessment to determine the cause of the problem and a mutually agreed plan is made. This may include stretching to address any tight muscles, strengthening exercises and specific exercises to address any muscle imbalances.
POST RECONSTRUCTIVE SURGERY Surgery following a mastectomy with or without a reconstruction can benefit from specific techniques of gentle massage and fascial release of the underlying tissues, particularly if there has been radiotherapy or chemotherapy involved in the treatment adding further changes in these muscles and other soft tissues. Some of the effects may include restriction of movement, pain, poor sensation, poor body awareness because of numbness, loss of confidence. At Street Physiotherapy we offer specific massage, stretching techniques and exercises to help restore normal joint movement, flexibility in the muscles and fascia around the operated site, as well as helping the circulation and recovery of function in this area.
CLINICAL PILATES 1:1 and Classes Exercises are gentle and subtle and have found to be very helpful in the management of long standing problems - in particular low back pain. The exercises help to improve muscle strength around the spine, improving posture and body awareness. Sports people also find it helpful to prevent injury and enhance performance. At this Practice we run classes all week. We have classes for all age groups and abilities. There are a maximum of 6 people in a class so that the exercises can be tailored to individual needs. They are fun and very popular. We use a variety of equipment using a combination of mat work, swiss ball, over ball, foam rollers, resistance bands and light weights. The Practice also offers individually tailored programs on a 1:1 basis if people prefer. Here we use much the same equipment as in a class with the added use of a Pilates reformer which is a specialised machine designed to exercise almost every muscle in the body.
FACIAL PARALYSIS ( BELLS PALSY ) Management of problems after facial paralysis such as Bells Palsy is also offered here. Whilst facial paralysis from Bell's palsy usually resolves on its own in most cases, if it persists for longer than 6 weeks, physiotherapy can be helpful in preventing more permanent loss of muscle tone.
TEMPOROMANDIBULAR JOINT Problems with locking, clicking, earache and decreased jaw movements can be assessed and treated here.
HEADACHES If these are musculoskeletal in origin they can be successfully managed with Physiotherapy.