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

Shin Splints

Shin splints (also called medial tibial stress syndrome) is the name given to a complaint of pain and disability in the calf area, especially the anterior and lateral area, during sport or other heavy activity. Runners commonly exhibit this problem and the diagnosis of a stress fracture in the area needs to be excluded. This appears to be a chronic exertional syndrome related to compartment syndromes, where the relatively inextensible anatomical compartments in the leg suffer increased pressure due to increased vascular input. The exact reasons why this process leads to pain on activity have not been discovered.

Patients with shin splints complain of pain or tightness in the calf during exercise, with the pain being aching, burning or cramping. The affected part of the leg may feel full and this feeling gradually increase as the activity continues, being related to the degree of exertion or the length of time it is maintained for. Pain typically settles with rest and the person thinks the problem may then go away, but then it reoccurs when the activity is returned to. The leg may feel weak and under less obvious control, with pins and needles or other abnormal feelings possible in the region supplied by an involved nerve.

Ankle Sprain

The ankle is one of the most commonly injured joints in falling, twisting, slipping or in sport such as football. This joint is very vulnerable as it is at the end of series of long levers and takes the whole weight of the body in sometimes fast and violent movements. The ankle is a mortise type joint made up of the talus (ankle bone) and the bottom ends of the tibia and the fibula. Most of the joint surface is made from the tibia and the talus moving against each other, with the fibula on the outside. Powerful ligaments bind the ankle together on both sides to give stability.

When the foot goes over the ankle ligaments are sprained or torn, in some cases there may be a complete rupture. Mild sprains can be treated by ice, anti-inflammatory and a reduction in activity for a while. More severe sprains may need more rest and an ankle brace for a few weeks. Very severe sprains or rupture may require immobilisation in plaster of Paris or an Aircast boot until the ligament has healed well enough for weight bearing without protection to be restarted. In rare cases surgery is required if healing is not satisfactory.