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

Hip Dislocation

The hip is one of the largest and strongest joints in the body, being a deep ball and socket joint with powerful ligaments holding it all together. This means that dislocation is rare and only occurs in the event of significantly violent events such as motor vehicle crashes. In an accident the thigh may be forced into a position where the hip is levered out of its socket, tearing its surrounding ligaments and remaining out of socket. This causes extreme pain and patients have to be anaesthetised to relocate the joint. Treatment is complicated by the potential threat to the blood supply to the head of the femur.

Dislocation can also occur centrally, where the head of the femur is driven through the socket, fracturing it and ending up inside the pelvis. This injury usually needs internal fixation and significant time non weight bearing until the fractures heal. Normal dislocations are also treated with a period of non weight bearing to ensure the blood supply to the head of the femur, which was disrupted by the dislocation, restores itself. Once weight bearing is allowed the physiotherapist can instruct the patient in normal gait and exercises to restore the strength of the hip muscles.

Fracture Treatment

Fractures occur in a huge variety of forms and in a wide variation of severity from the small flake pulled of a bone by a ligament to an open fracture with many pieces. Treatment for a fracture reflects this variety, encompassing a spectrum from a minor reduction in activity to amputation of the body part involved. An important first assessment is to decide whether the fracture is closed or open, meaning whether the skin is intact or there is an open wound leading down to the fracture. Open or compound fractures need thorough cleaning and removal of any dead tissue and treatment with antibiotics to prevent infection.

The next issue to decide is the matter of displacement. Many fractures occur through the body of a bone but the whole bone remains in its original alignment and there is no displacement of one part of the bone compared to another. Healing should occur in as close to the original anatomy as possible so treatment aims to .reduce. a fracture, i.e. to re-establish to original position of the bone by manipulation and then maintaining the position by immobilisation. Fractures are typically placed in Plaster of Paris or other materials to hold the position for a number of weeks.