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

Back Pain - Yellow Flags for Disability and Work Loss

Low back pain is one of the most common and disabling musculoskeletal conditions prevalent in the population, causing high degrees of work loss, suffering and expense. Back pain sufferers are affected by a variety of physical and psychological issues which affect the severity, duration and outcome of the back pain episode. The ideas of yellow flags, to add to red flags which are an indication of serious spinal pathology, has been formalised by work in New Zealand under the title of .Yellow Flags . Indicators for Work Loss and Disability.. These psychosocial factors are important and they are much stronger predictors of how well the person is going to turn out with their back pain than any of the physical factors.

Physiotherapists ask yellow flag questions to find out what their patients are thinking and thereby to be able to target their interventions more closely to the presenting problems. Typical yellow flag positive indications might be the belief that activity is harmful, the belief that pain means there is damage going on in the back and the idea that work is harmful. These beliefs are important in holding some people back from going back to doing normal activities.

Examination of the Injured Wrist

Initial examination of a person with a wrist injury involves visual inspection of the wrist compare to the other one, as some people have relatively abnormal wrist structure and limited movements. Bruising and swelling may be present as may be one of the typical deformities due to fractures of the distal forearm bones. Palpation of the bony anatomy systematically allows a closer determination of the location of any acute injury such as a fracture. The typical deformity of a Colles fracture is the so-called .dinner fork. deformity where the end of the wrist is angled upwards and the fingers form the prongs of the fork.

In the Smith fracture where the end of the wrist is pushed downwards the deformity is known as a .garden spade. deformity. It is important to examine the remainder of the upper limb including the shoulder, elbow and wrist to exclude other injuries or fractures, with the patient's report of where they have pain a very useful guide. The patency of the arterial systems in the forearm and arm are also assessed as vascular damage can occur from fracture fragments. The three nerves which pass down the arm and supply the feeling and muscles of the hand should also assessed for damage.