Physiotherapists in Bristol treat many different conditions including the issues profiled below.

Total Hip Replacement

Total hip replacement was the first of the joint replacements to be developed and has not been practiced for over forty years. The results overall have been very impressive with great improvements in the quality of life of patients, placing the intervention near the top of the most effective medical treatments. Osteoarthritis, the most common joint condition throughout the world, is the main reason for hip replacement. As the joint wears it will show increasing stiffness, pain , loss of range of motion and increasing limitation of functional abilities such as walking and getting up from chairs.

Hip replacement is performed by removing the upper part of the thigh bone which bears the ball, drilling a cavity down into the thigh bone, filling this with cement and introducing a metal component which again bears a ball at the top. The socket is enlarged to receive a plastic socket which then articulates with the ball of the other component. Patients are mobilised into standing or walking the day after surgery by the physiotherapist and an assistant, and are taught range of motion exercises for the hip and correct gait. Once independent in mobility patients are discharged home at between three and five days post surgery.

Physiotherapy Ultrasound

Ultrasound therapy is one of the large number of treatment techniques available to physiotherapists in treating the variety of conditions their patients present with. The frequencies used are in the range of 0.8 to 3.0 Megahertz, with a metal head used to generate the ultrasonic waves and ultrasound gel used between the skin and the head to facilitate transmission. A crystal in the head generates the waves by high frequency vibration and the waves pass through the gel and into the patient.s tissues to cause their effects. A local deep heating effect can be generated but this is typically not desirable so the machine head is kept moving and the settings may be set to pulsed mode so the beam of ultrasound is not continuous. This allows cooling and prevents heat build-up.

The effects of ultrasound can be many, including increasing the local blood flow, breaking down scar tissue or inhibiting its formation, a reduction in local swelling and inflammation. The physiotherapist will determine the size of the area to be treated and its tissue depth, choosing the size of machine head and the frequency and pulsed mode as appropriate. Higher doses and longer times are used for more chronic cases with the reverse for acute inflammatory conditions.