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

Physiotherapy Ultrasound

Ultrasound therapy is one of the large number of treatment techniques available to physiotherapists in treating the variety of conditions their patients present with. The frequencies used are in the range of 0.8 to 3.0 Megahertz, with a metal head used to generate the ultrasonic waves and ultrasound gel used between the skin and the head to facilitate transmission. A crystal in the head generates the waves by high frequency vibration and the waves pass through the gel and into the patient.s tissues to cause their effects. A local deep heating effect can be generated but this is typically not desirable so the machine head is kept moving and the settings may be set to pulsed mode so the beam of ultrasound is not continuous. This allows cooling and prevents heat build-up.

The effects of ultrasound can be many, including increasing the local blood flow, breaking down scar tissue or inhibiting its formation, a reduction in local swelling and inflammation. The physiotherapist will determine the size of the area to be treated and its tissue depth, choosing the size of machine head and the frequency and pulsed mode as appropriate. Higher doses and longer times are used for more chronic cases with the reverse for acute inflammatory conditions.

The Shoulder

The human shoulder is a design of great functional ability and ingenuity, designed entirely around placing our hands in the places we want them to be. The hand is the tool with which we connect with the world and we need to be able to place it in a great variety of positions so we can manipulate objects. The shoulder contributes to a very large extent to our ability to do this and to achieve this goal it has an extremely large range of motion permitting great flexibility. However, in satisfying the requirement for flexibility it sacrifices stability.

To allow the large range of motion the shoulder is designed with a relatively small socket and a very large ball, the head of the arm bone. The shoulder capsule, the fibrous ligamentous bag which surrounds and supports the joint, is relatively lax and contributes little to stability. The nervous and muscular systems have the job of keeping the large humeral head balanced on the small glenoid cavity (shoulder socket). The large shoulder muscles are more concerned with gross movements of the shoulder, and it is the rotator cuff muscles which perform much of the stabilising work of the joint.