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

Anterior Cruciate Ligament Injury

The anterior cruciate ligament is one of the four major ligaments of the knee joint and controls the forward and backward movement of the tibia on the femur as well as exerting rotatory control. It is a commonly injured structure especially in contact sports such as football or rugby but also in other activities where momentum is involved such as skiing. Injury usually follows an inward pressure on the knee combined with a rotation with the foot planted on the ground, with the sufferer often feeling or hearing a clear pop in the knee accompanied by significant pain.

Cruciate ligament rupture is almost always followed by the knee swelling up significantly in a few minutes as the injury bleeds into the knee. The acutely painful knee is managed by physiotherapists with ice, compression, bracing and gentle range of movement as soon as practical. Once the knee has settled from its acute stage it can be assessed for competence of the ligament. A cruciate deficient knee is usually unstable on rapid movement and turning and is often listed for reconstructive surgery. Physiotherapists rehabilitate the knee before the surgery to give the patient the best chance of coping with the long period of rehabilitation required post-operatively.

Period Pain could be helped by Acupuncture

A recent study conducted in South Korea has provided some evidence than acupuncture may be useful as a treatment for period pain. Previous studies have found differently, with real and sham acupuncture having very similar effects. Period pain can be a significant problem in some women with a large variety of unpleasant symptoms including pain and nausea, sometimes lasting for many days of each cycle and thereby being disabling to some extent. A review considered 27 studies of acupuncture in period pain, with a variety of techniques used from traditional to western to sham acupuncture.

The studies showed that acupuncture was more effective than drug treatments in relieving severe period pains, despite the fact that many of the studies had flaws and therefore could not be completely relied upon for a scientific conclusion. However they did feel there was promising evidence that acupuncture could be of use in this condition. In the UK the body charged with evaluating evidence for treatments, NICE, has supported acupuncture for low back pain against criticism that acupuncture is not yet a valid treatment for anything. As acupuncture does seem to have important cultural aspects this may indicate that the individual.s belief structure is important for a good outcome.