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

Fitness

Fitness means different things depending on what we define as the characteristics of being fit, and typically includes a number of physical states and abilities. Aerobic fitness is the ability to maintain an activity (such as jogging) for twenty minutes or more whilst keeping one.s heart rate between 60 and 80% of maximum. We have to be aerobically fit to perform repetitive work moving our bodies about such as in running, swimming or cycling and these activities, along with fast walking, can be used to increase fitness. Muscular fitness is the ability to muscle to exert force against resistance and divides into the abilities of strength and endurance.

Muscular fitness can be trained against resistance in the gym and this kind of training needs to be undertaken to some degree even by those who almost exclusively wish to be fitter in the aerobic sense. It can be argued that two more things need to be added to make ultimate fitness in a person, stretching and core stability. Stretching can be performed after an activity to maintain muscle length but should be avoided before as it may increase the likelihood of injury. Evidence for stretching being therapeutically useful is not very good.

Slipped Disc

Slipped disc is the term used in normal speech to describe a severe back problem, particularly one which involves severe leg pain. However, it is a misnomer in that the disc is unable to slip anywhere so a slipped disc indicates a different kind of pathology. The disc outer covering (annulus fibrosus) is made up of multiple overlapping levels of tough material which encloses a more gel-like interior (nucleus pulposus). With time the layers of the annulus can become fewer or split along certain lines, leading in some cases to the material of the nucleus protruding to the outside of the disc.

This protrusion of part of internal gel through the outer layers of the disc is the so-called slipped disc, known more technically as a disc prolapse or disc protrusion. The protrusion may aggravate the nearby nerve root by compressing it or chemically irritating it, leading to pain in the part of the body supplied by that nerve. The commonest syndrome is sciatica, a severe leg pain usually below the knee which is caused by pressure on the one the lower lumbar nerves. Most attacks of sciatica resolve on their own but if not then discectomy is a highly successful operation.