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

Disc Nutrition and Posture

The supply of nutritional substances to the inner parts of the discs is in general poor and a lack of this supply is connected with degenerative disc changes. Large differences in the compression forces inside an intervertebral disc can be generated by relatively small changes in posture. These changes have correspondingly large effects on fluid flow out of and into discs and on diffusion of metabolic agents into the disc. The effectiveness of the transport of these materials depends on how far they have to travel from the nearest blood vessel which is usually in the vertebral endplate (top or bottom of the disc).

When bending, the back of the disc walls is stretched and the fronts are compressed, with stretching making the wall thinner and therefore more easily crossed by nutrients. This brings more food supply into the central area of the rear of the disc, the area which receives least nutrition. Compression from movement also squeezes water from the disc and as it returns when the pressure is relieved the incoming water brings nutrients along with it. Changes from a lordosis to a flexed position regularly increase the fluid flow in and out of the disc, encouraging the transport of nutrients.

Physiotherapy for Acute Neck Pain

Some physiotherapists perform manipulations on patients with acute neck pain and the evidence supports manipulation as a useful treatment for acute neck pain in that it reduces the time of pain and disability. A few sessions of this kind of treatment should kick start the process of improvement and long term treatment with manipulation is not recommended. Mobilisation techniques, a less forceful form of manipulation, are frequently employed by physiotherapists as part of a treatment programme which might include massage and exercises. Massage is used less often now but can be useful to reduce muscle spasm and give a feeling of release to the soft tissues.

Physiotherapists or other therapy practitioners may employ other treatment techniques such as electrical therapy, acupuncture or other more alternative treatments. While individuals may claim these help them it is not clear whether they are useful and improvement should be clear after a short course of treatment, with extended treatment again not recommended. Physios will give advice to reduce aggravating activities, pace things to prevent overdoing and progress as quickly as possible towards normal. Treatment is intended to get the process of recovery started and reduce the likelihood of the patient adopting habits which will hinder their recovery.