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

Simple Neck Exercises

Neck problems are very common with neck, head, upper back, shoulder and arm pain all possibly referred from the cervical spine discs, joints, ligaments and muscles. The cervical spine is a long column with a heavy weight (the head) balanced at one end, a process that demands good movements and strong muscular control to achieve effectively without pain. Neck pain is commonly secondary to poor posture over a long period of time such as working at an office desk or kitchen worktop, where the neck has to maintain one posture for much longer than is helpful.

It can be helpful to perform simple neck exercises every day to maintain the ranges of motion of all the cervical joints and other structures within normal limits. Different parts of the cervical spine are specialised for different movements and it is important to make sure that the specific movements for each joint are practised daily. The upper neck vertebrae are specialised for rotation as moving the head round to look at something is a very important ability, and there is a small amount of a nodding movement here also. Further down the neck the focus is more on forward and back movements functionally adapted for looking up and down.

Supraspinatus Tendinitis

The supraspinatus muscle is one of the rotator cuff muscles of the shoulder and a vital part of a normally functioning shoulder. It originates in the supraspinatus fossa (anatomical depression) at the top of the scapula or shoulder blade and passes outwards towards the head of the humerus. Above the shoulder joint the muscle gradually becomes more tendinous until it passes over the top of the head of humerus and inserts onto the bony area called the greater tuberosity. The muscular action is to move the arm away from the side but a more important action is to hold the humeral head against the glenoid.

Due to the proximity of the tendon to the acromioclavicular joint above it can suffer compression and inflammation from repetitive overactivity, giving a sharp pain on lifting of the arm in many activities. Physiotherapy examination involves testing shoulder abduction with compression and tension stresses to change the impingement and palpation of the supraspinatus insertion on the humeral head whilst the patient's arm is behind their back. Treatment involves limiting aggravating activities, ultrasound to the tendon insertion and strengthening of the remainder of the rotator cuff muscles. Anti-inflammatory medication may also be useful.