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

Severe Arm Pain and Physiotherapy

Neck pain is very common but, like sciatica in the leg, severe arm pain is uncommon but distressing for the sufferer. Nerve root conditions are caused typically by compression or inflammation from a disc protrusion near to the nerve exit in the spinal column or by bony encroachment on the same areas in older people. Patients complain of severe pain in the arm, often worse below the elbow and into the hand, with a surging quality which is very unpleasant. Typically patients are not able to sleep with this so appear tired and miserable due to the loss of sleep and constant severe pain.

Physiotherapy management starts with a careful assessment of the neck and arm but this may be severely limited by the severity of the pain and the irritability, the ease by which the condition can be stirred up by minimal input. Initial treatment is aimed at pain relief with analgesia, restriction of aggravating activities and a collar at night to restrict neck movements. Once the pain begins to settle the patient is encouraged to start gentle exercises or the physiotherapist performs mobilisation techniques to put mechanical stresses through the joint to start the process of restoring the area's capacity to cope with stress.

Staying Active after Whiplash

Part of the art of recovering from whiplash injury is to keep as active as possible without aggravating the pain too severely. Resting for a few days in the presence of severe pain is reasonable but longer periods of rest can be counterproductive and disabling. Most activities can be performed without the neck having full movement so the patient should get on and do what they can. Static postures should be avoided for too long and the patient encouraged to change positions and keep moving regularly. The movements should be progressed steadily every day to push the joints a little bit further each time.

When sitting the chair should be the right height and the person get up very regularly to vary the neck position. Office work can be much easier with a well adjusted chair and the computer monitor and keyboard in optimal positions. Driving should be for short periods with regular stops to get out and move around. Pacing general activities by splitting them up into shorter time slots is a very useful strategy, allowing the patient to continue activities or restart them again without causing a significant worsening of pain.