Physiotherapists in Welwyn Garden City treat many different conditions including the issues profiled below.

Lumbar Facet Joint Syndrome

The lumbar spine is a very complex structure made up of a large number of different anatomical structures, many of which can be sources of pain in different situations. One structure which is known to contribute to low back pain is the facet joint, the small synovial joint placed at each side of each disc level. The facet joints are made up of one facet from the vertebra above and one from the vertebra below, with a joint capsule lined with synovial membrane. The joint capsule is well supplied with nerve endings which could transmit pain. In normal backs the facet joints serve to control the movements permitted at the particular part of the spine in which they lie, but do not take large amounts of weight.

With degeneration of the discs the facet joints are pushed together more strongly and forced to take larger amounts of weight, leading to degenerative changes developing within them and then the transmission of pain. The facets are forced to take more weight than they are designed for. Patients with this syndrome particularly dislike extension of the spine which forces the facet joints together and elicits pain. Mobilisations and regular exercises can be helpful from a physio.

Total Hip Replacement

Total hip replacement was the first of the joint replacements to be developed and has not been practiced for over forty years. The results overall have been very impressive with great improvements in the quality of life of patients, placing the intervention near the top of the most effective medical treatments. Osteoarthritis, the most common joint condition throughout the world, is the main reason for hip replacement. As the joint wears it will show increasing stiffness, pain , loss of range of motion and increasing limitation of functional abilities such as walking and getting up from chairs.

Hip replacement is performed by removing the upper part of the thigh bone which bears the ball, drilling a cavity down into the thigh bone, filling this with cement and introducing a metal component which again bears a ball at the top. The socket is enlarged to receive a plastic socket which then articulates with the ball of the other component. Patients are mobilised into standing or walking the day after surgery by the physiotherapist and an assistant, and are taught range of motion exercises for the hip and correct gait. Once independent in mobility patients are discharged home at between three and five days post surgery.