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

Medial Ligament Sprain

The knee is one of the largest joints in the body and is exposed to high levels of force as the large leg muscles move the body around at speed. As it does not having interlocking surfaces to give it stability it must rely on ligaments to perform that job. The medial collateral ligament is a wide band which travels across the inside of the knee from above downwards, preventing the knee joint from opening on the inside and collapsing. If a force is applied strongly to the outside of the knee, in a tackle by someone moving quickly, the knee is pushed hard into a knock knee position and the inside of the joint opens, spraining or rupturing the medial ligament.

Symptoms of a medial ligament sprain are immediate pain, swelling of the knee and if severe a feeling that the knee is unstable. Mild sprains are treated using a knee brace for a week or two and working at regaining joint movement and function as soon as possible. Severe sprains or ruptures may need immobilisation for 4-6 weeks in a plaster of Paris. Careful assessment is important as cartilage injury or anterior cruciate ligament injury can accompany this condition.

Communication and Assertiveness

Communication is of vital importance to humans getting on with their lives, as it is the only way we can let other people know how we feel or what we want or ask them the same. We often communicate in less than optimal ways which can lead to misunderstandings, irritation, aggression or just not getting what we want. We can communication in broadly three major approaches, assertively, aggressively or passively (sometimes called non-assertively) and aspects of these are commonly confused. Assertive communication is characterised by respect for the other, is clear and open and the person is also listening to the other.s point of view.

Aggressive communication can take many forms but is characterised by being disrespectful, not listening, taking a one-up position, being dominant and unequal. Such a posture invites aggression back or people may avoid such a person. Passive communicators do not get across what it is they want and are often frustrated and angry inside as they feel like a doormat, always walked over by everyone. When pushed too far they may suddenly flip into aggressive mode and explode in a tantrum, causing widespread surprise and concern as it seems so out of character.