Physiotherapists in Stoke On Trent treat many different conditions including the issues profiled below.

Disc Pain

It is not possible to diagnose discogenic pain by clinical examination of a patient as there are no specific examination techniques for this condition. Various physiotherapy techniques, such as testing centralisation and peripheralisation, show some connections with having disc-related problems, but do not go as far as to solidly diagnose disc pain. The accepted way of diagnosing this type of problem is to attack the disc itself with techniques such as discography. Discography involves inserting a needle right into the disc and injecting a contrast material which will show up on x-ray examination. The most important point is that the test is only positive if it brings on the typical pain the patient is normally complaining of.

The injected material allows the shape of the nucleus to be seen inside the disc and whether there any problems with it. The discs nearby are also tested and they should be negative if there is to be sufficient confidence in the findings from the symptomatic disc. Internal disc disruption (IDD) is quoted as the underlying pathology responsible for lumbar pain of disc origin, where the internal structure of the disc is altered by fissures occurring radially from the centre towards the outside.

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.