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

Knee Arthritis

The knee is a large synovial joint formed between the large expanded end of the femur (thigh bone) and the top of the tibia or shin bone. The ends of the bones are covered with articular cartilage, a slippery and firm material which allows the almost friction free movement which our joints can provide even if there is a body weight load on them. On an x-ray this shows up as a dark space between the bony surfaces, known as the joint space. In time or after injury this cartilage can change as part of the process of osteoarthritis, although there is a significant genetic component which influences whether we get osteoarthritis or not.

Changes occur both in the cartilage and the bone of the joint during the osteoarthritic process and the process may begin with a softening of the cartilage from its firm, hard surfaces. Next, fissures can develop until the thickness of the cartilage wears down and in severe cases the underlying bone may be exposed, causing a bone on bone crunching and pain. Symptoms of osteoarthritis include pain, loss of joint movement, joint deformity such as knock knee or bow leg and difficulties with gait.

The Course of Low Back Pain

Low back pain is always described as being either acute, sub acute or chronic with acute pain lasting less than six weeks, sub acute pain from six weeks to twelve weeks and chronic pain lasting over the twelve week point. Most people were assumed to recover quickly and go back to normal with only a small number suffering longer term pain and disability. However, research has shown that it is an episodic and recurring condition and present for much longer than generally thought. 75% of patients with back pain in primary care still had symptoms a year later in one study, indicating back pain is more of a chronic picture overall.

Patients with chronic back pain are not uniformly severe or disabled but rather suffer a varying degree of pain and disability over time. Old views used to be that 80-90 percent of back episodes resolved completed but it is much more realistic to view it as a longer term grumbling problem. The main predictor for people having back pain in the future is having had it in the past and this supports the above idea of back pain as a continuing problem. For most people back pain is a common but limited irritation which recurs from time to time.