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

Ligament Bone and Tendon Bone Inflammation . Enthesitis Symptoms

Inflammation of the entheses, the anatomical junctions (insertions) where the bone meets a ligament or a tendon, cause pain in the local areas, persistent stiffness around the joint and swelling of insertions such as where the Achilles tendon attaches to the heel. If there is obvious joint swelling and other relevant symptoms then the diagnosis of an arthritic condition known as a spondyloarthritis is moderately clear. If the extra symptoms are not present the diagnosis is more difficult and patients may be referred for consideration of more localised musculoskeletal conditions such as sports or overuse injuries.

The pain, stiffness and swelling which typically accompany enthesitis commonly occur at the Achilles tendon and patellar tendon insertions but may also be present in the sole of the foot near the heel, in the elbows where tennis elbow typically occurs, around other ligament insertions of the knee and in the spine. Joint swelling which gives an effusion (water in a joint) may occur to confirm the diagnosis. Despite inflammatory changes of an arthritic disease obviously occurring in some patients the blood markers of inflammatory processes may not be raised, making it easy to miss the diagnosis in the absence of confirmatory tests.

Performing Neck Exercises

Neck exercises should be performed steadily and slowly, attempting to get the end of the available range each time and pushing that bit further to try and increase the movement for a few seconds. Sitting or standing are the obvious starting positions but high levels of pain may mean that lying down is best for some people, or while they are having a shower due to the warmth. Most people perform the individual movements much too quickly and it is more useful to take up to five seconds for the complete movement in either direction.

Patients can often start with five movements performed three or four times per day, although lower number of repetitions or times per day may be necessary due to some pain problems. Doing smaller movements may also be necessary if pushing into the pain is not helpful, after which the movements can increase in size as the problem eases. Rolling the neck right around should be avoided as this can be aggravating to the neck joints and if exercises cause dizziness or symptoms in the hands they should be stopped and advice taken as to which exercises would suit the condition best.