ORTHOPAEDIC PHYSIOTHERAPY

This is the branch of physiotherapy concerned with the treatment of injuries or disorders of the skeletal system and associated muscles, joints and ligaments. Orthopaedic Physiotherapy also includes pre and post-operative rehabilitation of hip, shoulder and knee. Orthopaedic Physiotherapy is a scientific approach to treatment following Evidence-Based Guidelines.

 

Initially, the physiotherapist will carry out a clinical assessment and this is followed by appropriate treatments. It is important to get to the source of the problem and prevent a re-occurrence.

 

The treatment goal of the orthopaedic physiotherapist is to provide pain relief, increase joint range, improve strength and flexibility and restore the patient to full function.

Orthopaedic conditions may include:

  • Ligament strain, sprain or tear

  • Fracture rehabilitation

  • Inflammation of tendons or bursa

  • Osteoarthritis

  • Rheumatoid Arthritis

  • Osteoporosis

  • Ankylosing Spondylitis

  • Scoliosis

  • Spondylolisthesis

  • Spondylolysis

  • Surgical Rehabilitation of hip, shoulder, knee and foot/ankle

Physio treatments of Orthopaedic conditions can include the following:

  • Manual therapy: This is a carefully graded system of moving the joints to reduce pain and restore normal mobility of the joints. It includes mobilization, manipulation and other related techniques.

  • Massage-Techniques: Vary from relaxing light pressure massage to deep friction massage to breakdown scar tissue in muscle or ligaments.

  • Ultrasound Therapy: An electrical machine which produces ultrasonic waves which are transmitted into the affected area using conducting gel. This, in turn, causes a micro-massage effect which promotes circulation, reduces pain and increases regenerative powers of tissues and helps muscle relaxation. It is very helpful in the treatment of soft tissue injuries.

  • Interferential Therapy: This is an electrical current delivered to the injured part via 2 or 4 electrodes. It can be used to relieve pain, reduce swelling and optimize the healing process.

  • Dry-needling: This is a western medical technique and involves the insertion of fine needles into dysfunctional muscles. Dry needling works by changing the way your body feels pain and by helping the body heal trigger points. Myofascial trigger points are tender nodules within taut bands of muscle. There are electrical and biochemical changes associated with dry needling that assist in the healing process.

  • Acupuncture: This is based on Traditional Chinese Medicine. It involves the insertion of fine needles. It can be used to treat a variety of conditions. In the area of orthopaedic physiotherapy, it is used to reduce pain and normalize movement. It compliments other physiotherapy treatments.

  • Taping for joint support/alignment: This will ease pain and facilitate normal movement.

  • Program of rehabilitation exercises: home exercises are scientifically designed to help your posture, improve the mobility of your spine and joints, stabilize and strengthen the muscles that support your bones.

 

NEUROLOGICAL PHYSIOTHERAPY

 

Neurological conditions are those affecting the brain, spinal cord and nerves, such as:

  • Acquired Brain Injury

  • Stroke

  • Multiple Sclerosis

  • Parkinson’s

  • Spinal cord injury

  • Balance and mobility Issues

 

Neurological Physiotherapy can provide hands-on therapy and exercise programs to help improve:

  • Balance and Coordination

  • Walking

  • Arm and Hand Function

  • Transfers from Bed to Chair

  • Trunk Stability and Sitting Balance

  • Exercise Tolerance and Condition

  • Promote Independence

  • Normalize Tone in the Affected Muscles

  • Strengthen Muscles

  • Prevent Contractures

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