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

Simple Neck Exercises . Two

Performing routine simple neck exercises every day fulfils a number of functions. It moves the joints through their normal ranges of movement and to the ends of the movement each time, an area where movement can be easily lost without us being aware of it. Movement also stretches out and maintains the length of the annulus of the cervical discs, pulling on the collagen and cartilage fibres of the disc walls. Muscles normally shorten when they are contracting and moving the joints of our bodies and if they are called upon to contract a lot in a particular position they can become more permanently shortened.

Range of movement exercises fully in the opposite direction can stretch out over tight muscles and allow them and the joints to return to more appropriate postural positions as part of a therapy programme. Since much of the use of the neck muscles is to maintain static posture of the head and shoulder area this exposes the head and neck area to long periods in poor positions with unhelpful patterns of muscle contraction. Neck exercises can be done routinely such as three times a day for a certain period or can be done regularly throughout the day to correct poor posture.

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.