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

Stress and Neck Pain

Neck pain causes problems in life, reducing our ability to do things, interrupting comfortable postures and interfering with our concentration. This causes stress and anxiety , a very typical response, and which can increase muscle tension and increase pain. The tension caused by stresses can increase the contraction levels in neck muscles and this spasm contributes towards muscle pain in all the overactive muscles. Figuring out what the stresses are and taking action to reduce them at this stage is very important and may help recovery. Mindfulness, controlled breathing and relaxation techniques may all be useful.

Mindfulness is a technique of placing yourself in the here and now with yourself and not judging yourself and the situation you are in, you just accept and experience it. Relaxation techniques are often practised lying down with a pillow under the knees to relax the low back area. Contracting each set of muscles from the feet up and then letting them go will provide a relaxation, with a guide from a relaxation CD or tape a useful adjunct. Controlled breathing by allowing the abdomen to rise as the diaphragm is used to inhale air in a slow rhythm can also be very relaxing.

Inflammatory Disease of the Entheses

Mechanical factors are thought to be important in inflammatory conditions of the ligament or tendon insertions so addressing these matters may be useful. Physiotherapists can assess the problem and prescribe corrective or cushioning insoles as needed. Local injections of corticosteroids can be useful to treat the pain of enthesitis in a single area. For more widespread inflammation the new biological agents (known as anti-TNF agents) have been shown to be of some use, particularly if the legs are affected as this is so disabling. Typically enthesitis is likely to settle with time so the prognosis is reasonable.

Physiotherapy treatment of this problem includes assessment of joint ranges for restrictions which are developing and the design of an individual exercise regime to maintain the ranges of motion of all the affected joints. Hydrotherapy is a very useful treatment medium for most of the arthritic diseases as it allows the performance of joint movements in a warm and supported environment, minimising the forces on the joints, until the patient is able to progress comfortably to exercises in air. Patient education is important with the physio stressing that the exercise programme, targeted at specific difficulties for each patient, and needs to be maintained daily over the long term.