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

Physiotherapy for Femoral Shaft Fractures

Fractures of the femoral shaft in adults are overwhelmingly the result of considerable force such as a road accident or a fall from a height. Due to the force involved and the power of the surrounding muscles the bone ends often overlap, cutting into the soft tissues around them, and there is often a considerable amount of bleeding and pain. Initial treatment consists of pain control, maintaining the patient.s blood volume and applying some traction to the leg to bring the bones out towards their normal positioning. Treatment used to be skeletal traction for up to 12 weeks but this has been superseded by internal fixation with a nail down the femur to stabilise the fracture.

Initial physiotherapy concentrates on restoring the muscle activity to the quadriceps, often inhibited by the pain and direct injury, and regaining range of motion in the knee. Mobilisation with a physiotherapist is performed as soon as comfort allows and the patient is often permitted to partial weight bear with crutches as the fracture is typically stable with the fixation. Further physio treatment includes massage to the fractured area to disperse scar tissue forming in the area which could bind down the muscle and other soft tissues, limiting movement and strength.

Pain Management

Pain is a common and unwelcome symptom of many injuries and conditions, although there are some serious conditions and diseases which do not cause pain. Acute pain is typically secondary to injury and tissue damage, short term, easily treatable and very likely to settle with time back to normal. Chronic pain is long term, not well related to tissue abnormalities, not easily treated and does not settle down with time. It is for these more difficult types of pain that the discipline of pain management has become an important part of medical care.

Many types of pain are not directly treatable in terms of the underlying cause being treatable, or in many cases even understood. Pain management consultants concentrate on treating the pain itself as a pathological entity rather than any assumed underlying abnormality. They have a selection of specialised medications and can perform procedures such as nerve blocks and epidurals as well as referring to their therapy teams which typically include physiotherapists and clinical psychologists. Assessment of these patients is complex as physical, social, familial, work and psychological factors may all be important in explaining the levels of pain and disability suffered by the patient.