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

Total Knee Replacement

Joint replacement is one of the most successful medical technical interventions with the highest quality of life improvements of any treatments. The most common reason for having a knee replacement is the occurrence of osteoarthritis, the typical age related joint change which occurs in many millions of people around the world. Osteoarthritis causes joint pain, stiffness, gradually increasing loss of range of movement and difficulties with walking, climbing stairs and rising from sitting. If conservative treatments are not successful and there is significant disability associated with continual pain and difficult sleeping then joint replacement may be considered.

In knee replacement the joint surfaces are replaced by stainless steels components and a plastic liner is inserted between them and on the back of the patella. The operation takes up to two hours and the person is typically seen and mobilised up into standing or walking the next day by the physiotherapist and an assistant. Rehabilitation with the physios is now very important, with exercise practice, gait supervision and functional activities. Length of stay in hospital varies between three and seven days with routine referral to physiotherapy on discharge to work on range of movement and strength.

Chronic Neck Pain

The risk of long term neck pain and disability has been the subject of much investigation to try and stop this disabling, painful and costly condition developing. The warning signs which indicate a risk of developing this condition are known as yellow flags and are mostly to do with our understanding and emotional state. Physical factors are much less important unless they are very high levels of pain after an injury. Yellow flags include believing that the neck pain is due to serious injury or damage to the neck tissues; avoiding activity or movement due to fear of causing damage; resting excessively; waiting for a cure for the pain instead of working on it themselves; developing depression and becoming withdrawn; not improving over a couple of weeks; believing that hurt equals harm and that disability is likely.

These symptoms and attitudes can sneak up on someone so it is important to work at getting mobile and back to normal as soon as possible after injury or an episode of neck pain. It is useful to analyse how the recovery is going and take steps to fix any of the problems that the patient or an adviser identifies as relevant.