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

Fatigue or Tiredness - Managing the Condition

Fatigue is difficult to manage as the underlying cause is not clear and the pattern of the condition can be unpredictable. Patients are taught to manage their tiredness via behavioural techniques such resting, planning activity carefully and pacing to avoid overdoing at any one time. They may often do nothing for a day before they know they have to accomplish some physical task such as a visit to hospital or a social outing. Patients may also prioritise their activity strictly and work at concentrating on the normal aspects of life to keep things as natural as possible.

Patients may also solicit the help and support of those closest to them to cooperate in getting as much done as normally as they can, but despite all these things patients typically report that they cannot manage well and that the tiredness remains as bad as ever. Fatigue is not well recognised as important by many health workers and patients may feel that insufficient notice is paid to this very disabling part of their musculoskeletal condition. As the condition is difficult to manage there may be few helpful suggestions even if the health professional does recognise the importance of the symptom.

Allodynia . An Abnormal Pain

Most of the pain we feel is .normal. in terms of being similar to what other people feel in similar situations of injury and damage. We get a standard pain after being injured which is the result of the tissue injury and the changes which automatically occur within the central nervous system in response to the incoming pain barrages. Our pains are proportionally related to the amount of unpleasant input we suffer and we only respond with pain to what we expect would be a painful stimulus. This is referred to as nociceptive pain and is the normal kind we suffer from in the way we expect to suffer in certain cases.

Allodynia is a painful response to a normally non-painful stimulus, such as touching, wind passing over a part of the body or the pressure of the water from a shower. Normally the result of a nerve injury but also occurring in pain syndromes such as fibromyalgia, allodynia is an abnormal pain response due to changes within the central nervous system. A heightened, amplified pain response is generated inside the spinal cord or brain, giving the sufferer a high level of very unpleasant pain in response to a trivial stimulus.