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Physios are able to help with a wide range of ailments and physical problems. There are four main areas that they work on: musculoskeletal, neuromuscular, cardiovascular, respiratory. Musculoskeletal refers to the bones, joints and soft tissue in the body. Neuromuscular is the brain and the nervous system, cardiovascular is the heart and blood circulation, and respiratory refers to any part of the body which are used to help you to breathe, such as the windpipe and lungs. Some physio clinics in Tuas are able to help in these areas:
• Mental health
• Intensive care
• Long-term conditions
• Orthopaedics and trauma
• Workplace health
• Elderly care
• Education and health care promotion
• Womens problems
Once the physiotherapist has seen the effects of repeated movements on your pain picture and tested the neurological status of your affected body part they will have a more detailed idea of which structures need more detailed examination to clarify the exact nature of the problem. It is time for the individual muscles, joints and ligaments to be stressed to assess their reaction and add to the understanding of what is going on. The physio may just feel and grip the area firmly first to get an idea of the state of the tissues. Are they very sensitive? Is there muscle spasm, thickened tissues, or pain?
During your physiotherapy session the therapist will often put you on your side and move your spine backwards and forwards as they feel the movement occurring between the individual spinal levels. After this you may be placed on your front as the physiotherapist palpates (prods and pokes) your spinal levels with varying degrees of force but often quite firmly to see if any particular level reacts by bringing on the pain you normally complain of. All the tests for pain in your neck, back, elbow, knee or ankles will help diagnose the issue.
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Cervical spine pain and disability is one of the commonest problems for which people consult a physiotherapist. The first part of the examination is to find out the cause of onset of the pain and how it has behaved since then. The cause of the pain is clear in about half of all cases but the rest can give no good idea why the pain came on. Where the pain is and how it behaves gives indications to the physio about where the underlying pathology might be found and what treatment approach might be
The first investigation of the physiotherapist will be into the location and kind of pain. It is vital to understand if the pain is specific to one spot or whether it also affects other parts of the body. For example, if the pain is intense and specific the physiotherapist would surmise that the cause may be poor posture or a kind of degenerative problem; on the other hand, a referred pain may suggest a pinched nerve or a problem elsewhere.
Because neck pain could be an indicator of various pathologies the physio will ask all the special questions such as general health, past medical history, weight loss, bladder and bowel control, quality of appetite and sleep and medication usage. The objective examination begins by getting the patient to take their upper body clothes off and looking at the posture of the trunk, neck, shoulders and arms. A humped thoracic spine with rounded shoulders and a poking chin are a common postural abnormality which can lead to pain.
Cervical ranges of movement are tested to elicit important information about what is going on in the neck. The response to movement testing will help the physio understand the kind of neck pain problem and how to start treating it. Cervical rotation, flexion, extension, side flexion and retraction are all assessed to try to pinpoint the problem. Muscle strength, sensation and reflexes are tested to ascertain that the nerve conduction to the arms is working well.
Manual therapists such as physiotherapists learn mobilization techniques and to assess the spinal joints manual palpation of the cervical spine is used. Using their thumbs or the heel of the hand, the physio presses down on the spinal processes or side joints of the cervical spine. This allows some specific conclusions to be drawn when the pain symptoms come on at one particular spinal level and not another. Treatment will be aimed at these levels.
Mobilization techniques are a core manual skill for physiotherapists and abnormal joint mechanics, known as dysfunctions, can be identified by palpation of the main spinal and facet joints by the physio. Treatment can use repetitive small movements to relieve pain an encourage normal motion, to more forceful manipulations which take the joints beyond their typical ranges and restore movement. Any increases in movement gained by treatment is maintained by home exercises.
Typical physio treatments are exercise programmes, nerve mobilizing techniques, correction of poor posture, pacing technique, trunk segmental mobilization and strengthening of the deep flexor muscles of the cervical spine. Nerve root compression of a cervical nerve root can cause severe arm pain, loss of sleep and distress from a cervical slipped disc. Cervical traction can decrease the pressure on the affected segment and reduce pain enough to allow recovery to start, either by physio treatment or autotraction from a home traction kit.
Physiotherapy, many people have discovered, is great when it comes to healing or managing a variety of bodily aches and pains. Increasingly more athletes are also using the services of sports physiotherapists nowadays. Given the rise in the number of appearances sports stars have to make these days, as well as the tough competition, many succumb to injuries often. Here are some benefits to be derived from seeing a physiotherapist specializing in dealing with sports injuries.
First of all, these are individuals highly knowledgeable and skilled as far as the body in motion is concerned. Anyone that's physically active on a daily basis increases the chances of picking up injuries, even if it's the odd twisted ankle or pulled hamstring. So, seeing such a professional is apt to help sports people especially adopt lifestyles that are healthier, given the new awareness of posture and movement.
These specialist physical therapists are ideal to assist coaches and trainers in taking care of athletes. The expertise of the body's mechanics as it involves movement is something coaching staff would do well to make use of. So, aside from helping to manage injuries, information on how to leverage gravity and posture in improving performance and staying injury-free are priceless.
These are also the best people to consult with on how to avoid bodily injuries. Sometimes the wrong approach to warm-up exercises contributes to the pulling of ligaments and bruising of muscles during training or performance. Consulting a sports physiotherapist for advice about such routines might help to avoid such incidences.
It's advisable to make an appointment with these individuals prior to picking up an injury. It is perfectly legitimate and wise to go for such consultation, without having to wait for a painful body to justify a visit. This is an excellent way to stay injury-free.
Everyone, no matter what age, that's physically active stands to benefit from these visits. Coaches and trainers of various sporting codes would do well to call on the expertise of these professionals from time to time. The fresh and new perspectives physical therapists bring to the job are likely to benefit everyone involved.
Being proactive about steering clear of actions that might contribute to bodily harm is a wise approach to adopt. At times one might be troubled by injuries from the past, and wouldn't know where it comes from or where exactly the trouble is internally located. Some of the people best able to offer expert diagnosis and advice in such cases would be sports physiotherapists.
Developments in the field are taking place rapidly, and the findings of new research are added to existing expertise. This in turn benefits the daily practice, as well as the clients coming for consultation. The best thing any physically active person can do is to make an appointment to see a sports physiotherapist as soon as possible. There is much to be learned about how best to take care of the body and draw benefit from the power of its movements.