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

Physiotherapy for Osteoporosis

Osteoporosis is an increasingly common condition, mostly but not exclusively occurring in women after the menopause when hormonal changes mean the bone density drops steadily with time. Those women who have good bone density to start with and whose density does not drop at a high rate may never reach the risky category. If osteoporosis is present then the incidence of fractures is higher, with vertebral body fractures and fractured neck of femur being the most common, both requiring intervention and causing distress and expense. Physiotherapists are involved in the assessment and management of people with low bone density.

Physios assess patients for their lifestyle, refer them for dietary advice if appropriate, generally advise on management, warn against inappropriate functional activities and prescribe exercise routines to maintain independence and maximise bone health. Physios may advise that lumbar flexion to pick up weights is inappropriate as the front aspects of the vertebral bodies are vulnerable in this activity to crush fractures. General and weight bearing exercises are taught as weight bearing stimulates bone maintenance and growth due to the jarring involved. Swimming and cycling are good aerobic exercise methods but do not have the bone stimulating effect of walking or doing exercises in a gym.

Treatments for Acute Neck Pain

A collar used to be recommended for neck injuries but are only suggested now if the injury is very severe or the spine is unstable. Keeping the neck in collar over a long period can increase the stiffness and pain, although wearing a more flexible .beanie. type collar at night only may improve a patient.s sleep. Overall, collars are to be avoided for the best chances of a quick recovery. Using cold on the area over the first forty eight hours or so may be useful to reduce pain, with the best technique to use a packet of frozen peas inside a wet tea towel for ten minutes or so, repeated regularly.

Placing a frozen object on the skin could give a cold burn so a wet tea towel should always be used between the cold and the skin. After 48 hours heat can be used for pain relief and to relax muscles, and many people prefer this at any stage, using a hot water bottle or heat pack or having a bath. Heat can burn the skin so the same precautions should apply, putting something between the object and the skin if needed, and limiting the time initially.