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

Neck Pain

Neck pain is very common indeed in the adult population and can be very troublesome in terms of personal distress and loss of functional ability. However, the underlying cause is very rarely serious and permanent injury or damage to the neck is rare. In acute pain (pain of recent onset) the typical course is for it to settle over a period of days or weeks, with minimal interruption in normal activities of daily living after the initial severe few days. Neck pain and neck ache can last for some day or settle down and then recur again at some unpredictable time.

Initial management of the acute pain is very important as resting for a day or so makes sense but any longer than this may delay recovery or increase the possibility of long term pain and disability. Our necks are designed to be moved and to recover from pain or injury they need to be moved regularly and through large movements. Staying as close to normal activity as possible is one of the most important strategies for recovery. The presence of pain inhibits our willingness to move but keeping the neck still may be counterproductive.

Tennis Elbow

Tennis elbow is a troublesome pain condition affecting the outer part of the forearm around the elbow. It is common is people who do repetitive forearm activities in work or hobbies and while it mostly occurs in people who do not play tennis, it can occur in tennis players too. In the acute stage tennis elbow can be very disabling as it interferes significantly with the function of the arm and hand and can produce high levels of pain. A more gradual onset of pain over the outer part of the elbow may be more common, with difficulty gripping and holding objects or performing repeated actions.

Physiotherapy examination consists of palpating the musculotendinous junction of the extensor muscles of the forearm for tenderness and pain, testing resisted forearm extension and the ability to grip strongly. An abnormality of the tendon, a tendinosis, is thought to contribute to the pain of this condition. Physiotherapy treatment consists of reducing the stresses by activity modification and use of an epicondylitis brace, ultrasound, deep frictions and eccentric exercises to the forearm extensors. Local injections of corticosteroid or even a surgical tendon release can be used in difficult cases.