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

Physiotherapy Mobilisation Techniques

Physiotherapists use a large number of treatment techniques to manage the variety of conditions their patients present with. Joint problems make up a large proportion of a physio.s caseload and to treat these a number of treatment approaches have been developed which go under the general umbrella of mobilisation techniques. Joint mobilisations are a technique of stressing the joint manually by moving it through a proportion of its range and with a specific amount of force. Manipulation, meaning work done with the hands, includes the more vigorous manoeuvres which are commonly referred to as manipulation.

Initially a physiotherapist will fully assess the joint for the type of problem which is present such as primarily pain, pain and stiffness or primarily stiffness with little pain. Mobilisations for pain will be gentle and rhythmic to avoid aggravating an already irritable joint. If the pain is less severe and there is some stiffness the joint can be pushed a little harder. If stiffness is the main problem in the absence of pain then the joint may tolerate being pushed repeatedly to the end of its available movement in an attempt to increase its range of motion. Training is required to assess and treat a joint safely and effectively.

Sciatica - Physiotherapy Management

True sciatica is uncommon and occurs in less than 5% of people who suffer from low back pain problems. It is characterised by severe leg pain of a surging nature, typically worse in the lower leg and foot and with sitting or bending. Physiotherapists exclude red flag causes for the pain and examine the patient carefully to avoid aggravating the situation. Initial treatment might be explanation, the finding of a comfortable resting position to relieve the nerve root and taking analgesia appropriately because more active treatment would be too painful. Once the patient's pain has settled to a degree then more active treatment can be started.

Spinal mobilisation techniques may be used to mobilise the spinal segments and put mechanical input into the area where the nerve root is being compromised. This can start the process of moving the inflamed area and allow the patient to perform regular mobilising exercises within comfort. Exercises are progressed to put greater and greater mechanical stresses through the back as the patient improves and mobilisation techniques may be continued to open the nerve exits and continue the process of encouraging the nerve to settle down. Neural mobilisations may be prescribed once the pain has settled well to prevent adhesions developing.