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

Physiotherapy for Acute Neck Pain

Some physiotherapists perform manipulations on patients with acute neck pain and the evidence supports manipulation as a useful treatment for acute neck pain in that it reduces the time of pain and disability. A few sessions of this kind of treatment should kick start the process of improvement and long term treatment with manipulation is not recommended. Mobilisation techniques, a less forceful form of manipulation, are frequently employed by physiotherapists as part of a treatment programme which might include massage and exercises. Massage is used less often now but can be useful to reduce muscle spasm and give a feeling of release to the soft tissues.

Physiotherapists or other therapy practitioners may employ other treatment techniques such as electrical therapy, acupuncture or other more alternative treatments. While individuals may claim these help them it is not clear whether they are useful and improvement should be clear after a short course of treatment, with extended treatment again not recommended. Physios will give advice to reduce aggravating activities, pace things to prevent overdoing and progress as quickly as possible towards normal. Treatment is intended to get the process of recovery started and reduce the likelihood of the patient adopting habits which will hinder their recovery.

Sciatica - Physiotherapy Examination

Sciatica is also known as nerve root pain, nerve root irritation, nerve root entrapment and slipped disc pain in the leg. True sciatica occurs when one of the nerve roots exiting the spinal canal is compromised, usually by a disc protrusion. The pain is typically severe, radiates down the leg beyond the knee, is worse in the lower leg or foot, has a surging quality and is worse with sitting or bending and better lying down. Physiotherapy examination starts with a history of the pain location and aggravating or easing factors and what were the precipitating factors for the pain problem.

The physio will examine the patient carefully as it is easy to aggravate the pain. Muscle power (as able), sensibility and reflexes will be tested to check the conduction of the nerve root involved and this should fit in with the area of pain reported. With the patient lying supine the affected leg will be raised with the leg straight to stretch the nerve and evaluate any changes in the pain reported. This neural tension test must provoke the typical pain to be positive. Palpation of the patient's spine may be performed in prone to evaluate the mobility or stiffness of the spinal segments.