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

Bone and Ageing

Bone loss occurs much more rapidly than the equivalent process in muscle tissues, with reductions in hormone production and in activity playing a part. After the menopause, the reduction in hormone production in women can result in lowered bone density which is initially termed osteopoenia and then osteoporosis when the bone approaches the levels where it will fracture easily during normal activity. Bone loss affects the trabecular honeycomb bone more than the denser outer cortical bone and also the vertical struts more than the horizontal ones. Once one of the struts is broken it does not repair.

Because they are made up of large amounts of trabecular bones, the spinal bones are often badly affected by osteoporosis, with the process eventually allowing a buckling of the upper and lower surfaces of the vertebrae. The fronts of the vertebrae are more vulnerable to fracture as the trabeculae lose more mass in this area. Physiotherapists teach weight bearing exercises to counteract bone loss and drug therapies can halt breakdown and even increase bone mass. Getting our bone mass up to a high level during younger years so that the steady loss with age does not become important may be the best strategy.

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.