If you are searching for local County of Lancashire physiotherapy practices, the clinics below are recommended. Please click on the practice name links for detailed descriptions of each clinic and the conditions in which they specialise.
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Physiotherapists in Lancashire treat many different conditions including the condition profiled below.
Wrist Fractures
The wrist is the most commonly injured part of the upper limb with fractures of the end of the radius and ulna making up three-quarters of all wrist injuries. The wrist bones can be injured in isolation but this is much less common. The frequency of these injuries and the importance of the hand to normal dexterous functioning means that the assessment, diagnosis and treatment of these injuries is vital for the best eventual outcome and limitation of any longer term disability. In the wrist bones the scaphoid is more vulnerable than most to injury and fracture, with between 60 and 70 percent of all wrist bones fractures.
Scaphoid fractures are difficult to see on x-ray and a number cannot be seen on typical x-ray investigation, meaning that this fracture can be easily missed. However, missing a scaphoid fracture can have serious consequences for the future of a person's wrist due to the particular anatomy of the bone. The scaphoid has a waist where most of the fractures occur and blood flow occurs from one end of the bone to the other. A fracture can cut off the blood supply to one end of the bone, causing the bone to die, a condition known as avascular necrosis.
Total Knee Replacement
Joint replacement is one of the most successful medical technical interventions with the highest quality of life improvements of any treatments. The most common reason for having a knee replacement is the occurrence of osteoarthritis, the typical age related joint change which occurs in many millions of people around the world. Osteoarthritis causes joint pain, stiffness, gradually increasing loss of range of movement and difficulties with walking, climbing stairs and rising from sitting. If conservative treatments are not successful and there is significant disability associated with continual pain and difficult sleeping then joint replacement may be considered.
In knee replacement the joint surfaces are replaced by stainless steels components and a plastic liner is inserted between them and on the back of the patella. The operation takes up to two hours and the person is typically seen and mobilised up into standing or walking the next day by the physiotherapist and an assistant. Rehabilitation with the physios is now very important, with exercise practice, gait supervision and functional activities. Length of stay in hospital varies between three and seven days with routine referral to physiotherapy on discharge to work on range of movement and strength.
Physiotherapists in Lancashire have contributed some of the many articles on this site such as the one extracted below.
The effect on the function of the hip joint of a difference in the length of the legs has been mentioned previously in an article in this series. The longer of the two legs will attempt to keep the head level by flexing slightly at the hip and knee, leading to a lack of movement into extension of the hip as we walk. Rotation of the hip and pelvis is required to achieve a more normal gait pattern if extension is not fully achievable. This may be a small change in joint movement, but on repetition thousands of times per day this can set up difficulties in joint movement and over time a painful joint condition.The hip can give problems and deteriorate into a severely painful joint very quickly after a traumatic event such as a fall, strain or jar. However, this is less common on average as hip problems usually come on slowly over a long period. A small event can set off a painful process which starts with some muscle spasm and a reduction in the extension range typically used in walking. ...
