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

Rehabilitation after Hip Replacement

Hip replacement is aimed at restoring the ability of a person with an arthritic hip to walk, rise from chairs, manage stairs and crouch. Pre-assessment starts the process with education of the patient about what they should expect so they can cooperate with the process. Exercises are taught to maintain the ranges of motion and keep up muscle strength around the joint. Gait correction is given and a walking aid provided as appropriate. The day after the operation the physiotherapist and an assistant will get the patient up into standing and walking. Gentle range of movement exercises to encourage hip flexion and the ability to move the leg in the bed is encouraged.

Once the patient is able to get up with assistance they are taught to get out of the bed independently and perform as natural as possible a gait pattern, within the weight bearing instructions of the surgeon and physiotherapist. Patients are encouraged to walk longer distances steadily to build up their stamina and taught to manage a set of stairs safely. If there is evidence of muscle weakness around the hip then exercises may be prescribed, but much of the necessary muscle power around the hip will be restored by normal activity.

Pes Cavus

This condition is also known as high instep or high arch and is a type of foot anatomy where the medial longitudinal arch (arch on the inner side of the foot) is significantly greater than normal. This is the opposite foot deformity to flat foot and may be without symptoms. However the limiting of weight bearing stresses to the heel and the metatarsal heads may put excessive stresses on the ball of the foot, causing calluses to form and a painful front foot problem. This can also go with hammer toes where the toes are flexed up in a clawed manner and take no part in contacting the ground in gait.

Pes cavus may cause difficulties in selecting suitable footwear as the height of the foot in the midfoot region is so much greater than normal, and some people may need insoles to support the arch and allow effective and painless walking. Pes cavus can be hereditary or can be secondary to a neurological or neuromuscular condition. Treatment is usually conservative such as physiotherapy for strengthening and stretching and the provision of custom insoles as surgery to treat foot pain of this cause is unpredictable in outcome.