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

Fracture Treatment

Fractures occur in a huge variety of forms and in a wide variation of severity from the small flake pulled of a bone by a ligament to an open fracture with many pieces. Treatment for a fracture reflects this variety, encompassing a spectrum from a minor reduction in activity to amputation of the body part involved. An important first assessment is to decide whether the fracture is closed or open, meaning whether the skin is intact or there is an open wound leading down to the fracture. Open or compound fractures need thorough cleaning and removal of any dead tissue and treatment with antibiotics to prevent infection.

The next issue to decide is the matter of displacement. Many fractures occur through the body of a bone but the whole bone remains in its original alignment and there is no displacement of one part of the bone compared to another. Healing should occur in as close to the original anatomy as possible so treatment aims to .reduce. a fracture, i.e. to re-establish to original position of the bone by manipulation and then maintaining the position by immobilisation. Fractures are typically placed in Plaster of Paris or other materials to hold the position for a number of weeks.

Treatments for Acute Neck Pain

A collar used to be recommended for neck injuries but are only suggested now if the injury is very severe or the spine is unstable. Keeping the neck in collar over a long period can increase the stiffness and pain, although wearing a more flexible .beanie. type collar at night only may improve a patient.s sleep. Overall, collars are to be avoided for the best chances of a quick recovery. Using cold on the area over the first forty eight hours or so may be useful to reduce pain, with the best technique to use a packet of frozen peas inside a wet tea towel for ten minutes or so, repeated regularly.

Placing a frozen object on the skin could give a cold burn so a wet tea towel should always be used between the cold and the skin. After 48 hours heat can be used for pain relief and to relax muscles, and many people prefer this at any stage, using a hot water bottle or heat pack or having a bath. Heat can burn the skin so the same precautions should apply, putting something between the object and the skin if needed, and limiting the time initially.