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

Lumbar Stenosis

There are many painful syndromes which involve the lumbar spine, with the discs, ligaments, joints, muscles and nerves all implicated in pain production. Older people can present with symptoms which indicate a stenosis of their vertebral canal. The vertebral or spinal canal runs down the back and carries the spinal cord, allowing the nerve roots to exit to the body at each spinal level (each disc level). The spinal canal can be congenitally narrow which increases the chances of developing spinal stenosis with age. As degenerative changes occur in the spinal structures the spinal canal can become narrowed and tight.

The symptoms of spinal stenosis typically do not include back pain but rather leg pain, often bilateral, and worsened by walking but better with sitting. Typically presenting in people of 65 years or older, spinal stenosis can also present as a nerve root irritation of a sciatic type due to stenosis of the exit for the spinal nerve root. Physiotherapy is not usually very useful and little is found on examination apart from a reduction in spinal extension and many people manage their symptoms over time as best they can, although surgical spinal decompression can be very successful in relieving the symptoms.

Medial Ligament Sprain

The knee is one of the largest joints in the body and is exposed to high levels of force as the large leg muscles move the body around at speed. As it does not having interlocking surfaces to give it stability it must rely on ligaments to perform that job. The medial collateral ligament is a wide band which travels across the inside of the knee from above downwards, preventing the knee joint from opening on the inside and collapsing. If a force is applied strongly to the outside of the knee, in a tackle by someone moving quickly, the knee is pushed hard into a knock knee position and the inside of the joint opens, spraining or rupturing the medial ligament.

Symptoms of a medial ligament sprain are immediate pain, swelling of the knee and if severe a feeling that the knee is unstable. Mild sprains are treated using a knee brace for a week or two and working at regaining joint movement and function as soon as possible. Severe sprains or ruptures may need immobilisation for 4-6 weeks in a plaster of Paris. Careful assessment is important as cartilage injury or anterior cruciate ligament injury can accompany this condition.