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

Spinal Cord Stimulation for Chronic Pain

The use of spinal cord stimulation for the treatment of chronic pain syndromes is taking an increasing part in the management of these complex and difficult problems. Scientific work support the usefulness of this therapy in the pain due to poor circulation in the legs, angina and neuropathic pain. SCS is a technological intervention and chronic pain is a multidimensional problem including physical and psychological aspects which bear on the likely success of the treatment. SCS aims to stimulate the large sensory nerves in the spinal cord which interfere with the transmission of pain towards the brain along the small pain nerves and it also has affects on the circulation although the exact mechanisms of action are not known.

When used to treat neuropathic pain the treatment can be given intermittently as then the pain relief may last for some hours afterwards, indicating that the stimulate causes changes in the nerve transmissions which can last for some time. SCS may also alter the behaviour of heart nerves and by various mechanisms reduce the pain of angina. Apart from the effects on circulatory problems there is good evidence for effectiveness in nerve root problems and complex regional pain syndrome.

Communication and Assertiveness

Communication is of vital importance to humans getting on with their lives, as it is the only way we can let other people know how we feel or what we want or ask them the same. We often communicate in less than optimal ways which can lead to misunderstandings, irritation, aggression or just not getting what we want. We can communication in broadly three major approaches, assertively, aggressively or passively (sometimes called non-assertively) and aspects of these are commonly confused. Assertive communication is characterised by respect for the other, is clear and open and the person is also listening to the other.s point of view.

Aggressive communication can take many forms but is characterised by being disrespectful, not listening, taking a one-up position, being dominant and unequal. Such a posture invites aggression back or people may avoid such a person. Passive communicators do not get across what it is they want and are often frustrated and angry inside as they feel like a doormat, always walked over by everyone. When pushed too far they may suddenly flip into aggressive mode and explode in a tantrum, causing widespread surprise and concern as it seems so out of character.