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

Physiotherapy for Fractures of the Humeral Head and Neck

Fractures of the upper part of the upper arm, the neck or head of the humerus, are common in older people who have fallen onto the arm but can occur in younger people who fall hard on the upper arm. The surgeon determines if the fracture is stable and not likely to require intervention. Physiotherapy checks difficulties with the hand, wrist and elbow and gives instruction in maintaining the ranges of motion of these joints. The ranges of the shoulder joint can be maintained in more stable fractures by the performance of pendular exercises, where the patient leans on their good hand and bends over at the waist, allowing the arm to hang forward like a pendulum and to swing back and forward gently as instructed.

At around three weeks from fracture the exercises are progressed to active assisted movements where the other arm is used to bring the arm up into flexion, and usually before six weeks the arm can be raised actively on its own to begin to restore strength into the shoulder muscles. Rotatory movement behind the back and behind the neck are also practiced to restore the vital rotation movements of the shoulder.

Exercise for Neck Pain

Exercise is a good choice to manage neck pain and is a safe way to treat the neck. Simple neck exercises are useful and help reduce pain and maintain the ranges of motion of the joints. It is important to stretch out the muscles, joints and other structures in the neck which might be tight and stiff. A degree of discomfort and soreness is to be expected after beginning to exercise and this should not be a cause of concern. Concentration on repeating the movements until full range is achieved is the key and with this a reduction in pain is likely.

No particular exercise suits everybody.s neck problems so a bit of experimentation is often necessary to find the right combination for any individual. Neck exercises should be performed slowly and steadily to get the right result as quick movements may cause injury or aggravate the pain. All exercises should be performed to the end of the range of movement available with a steady push to go a bit further held for a few seconds each time. The neck itself is an obvious choice for exercises but the shoulder and the shoulder girdle are involved in the function of the area and should also be included.