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

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.

Simple Neck Exercises . Three

Whilst simple neck exercises are extremely valuable to correct postural abnormalities, lengthen shortened structures and relieve painful neck problems it is important to use the correct technique to get the best from them. Incorrect technique can make the exercises effectively useless or even worsen the problem or cause injury. There are four basic directions of neck exercises: front and back (flexion and extension); side to side (side flexion); rotation; retraction (tucking the head in a bit like a chicken does when it walks). All these movements need to be performed to put the cervical structures through their full movement.

The structures which make up the body do not respond well to fast movement or great forces applied in very short time periods. The aim with simple neck exercises is to get the joints to the extremes of their movement and give a gentle end range stretch to the anatomy. To achieve this the movement needs to be steady and slow, without jerking, and held at the end with a bit of extra effort for a few seconds. It is also useful to do just one movement at a time, the common behaviour of rotating the neck in large circles being both more likely to aggravate the joints and not getting the full movement of any of them.