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

Hip Arthritis

The hip is one of the largest body joints, a ball and socket joint which is very deep and very stable. Large and powerful ligaments hold the joint together and large and powerful muscles, the buttocks, power the joint so we can walk, run and climb stairs. The joint surfaces are covered by articular cartilage, a coating of firm and slippery material which allows the loaded joints to move almost as easily as when they are not unloaded. Keeping our joints mobile and using them regularly maintains the health of the articular cartilage in our joints, making exercise important for long term joint health and independence.

Arthritic changes may occur after injury or overuse or the tendency for the cartilage to degenerate at a higher rate than expected can be genetically determined. The cartilage may soften and develop fissures and in severe cases it may wear completely away, allowing bone on bone contact in the joint. Hip, groin or thigh pain in common, with the development of a limp a common event. The muscles of the joint can weaken as the pain and the person's gait worsens and walking aids become necessary. Exercise, weight loss, painkillers and eventually hip replacement are the commonest treatments.

Physiotherapy Shoulder Exercises after Breast Cancer Operation

Breast cancer is the commonest cancer in women and in England there are over 36,000 people diagnosed yearly. Treatment is complex but surgery is common to remove the tumour and to remove four or more lymph nodes in the axilla or armpit. This is to work out what stage the cancer is at and prevent it recurring in the axilla. A side effect of this treatment is the development of swelling in the affected arm, known as lymphoedema, which can remain over time and cause physical and psychological problems. Physiotherapists routinely assess and treat patients with cancer, pre or post operatively, to manage the mobility and joint problems which develop after diagnosis and treatment.

Removal of the axillary nodes impacts upon movement of the shoulder as the tissues in the axilla are stretched by raising the arm above the head. A paper in Physiotherapy (December 2008) by Todd and co-workers compared two groups of post operative patients, with one group having unrestricted shoulder movement after 48 hours and the other with this delayed for seven days. The results showed that delaying the movement for seven days avoided the incidence of increased arm lymphoedema, an important consideration as the level of swelling can remain long term.