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

Physiotherapy for Fractures of the Humeral Head and Neck

Fractures of the upper part of the upper arm, the neck or head of the humerus, are common in older people who have fallen onto the arm but can occur in younger people who fall hard on the upper arm. The surgeon determines if the fracture is stable and not likely to require intervention. Physiotherapy checks difficulties with the hand, wrist and elbow and gives instruction in maintaining the ranges of motion of these joints. The ranges of the shoulder joint can be maintained in more stable fractures by the performance of pendular exercises, where the patient leans on their good hand and bends over at the waist, allowing the arm to hang forward like a pendulum and to swing back and forward gently as instructed.

At around three weeks from fracture the exercises are progressed to active assisted movements where the other arm is used to bring the arm up into flexion, and usually before six weeks the arm can be raised actively on its own to begin to restore strength into the shoulder muscles. Rotatory movement behind the back and behind the neck are also practiced to restore the vital rotation movements of the shoulder.

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.