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

Risk Factors for Low Back Pain

Studies of risk factors have not given clear indication of the risk factors for low back pain although about 70% of disc degeneration seems to be connected with genetic factors and around 60% of back pain overall. There is a strong association between genetic factors and osteoarthritis in the small facet joints which lie each side of the spine. General levels of fitness and the strength of back muscles seem to have little relevance as does differences in leg length. One study which was well conducted shows that a high risk of poor lumbar mobility and a long back exists in young people who work in health work and are encountering heavy work for the first time. This may be because taller people are exposed to higher mechanical forces to the longer limb and spinal levers they use when lifting weights.

Of little relevance seem to be height or weight, flexibility of the lumbar spine or straight leg raising, and fitness seems also to be not connected. X-ray and MRI examination findings have no connection to whether a person might suffer low back pain in the future. Overall the highest risk factor for future back pain is having had back pain in the past.

Internal Fixation for Fractures

Many fractures can be managed by immobilisation if not displaced or can be repositioned and maintained in position by a plaster cast. Some fractures cannot be maintained in position, slip out of position once re-positioned or cannot be immobilised because of the length of time required or the awkwardness of the anatomical location. In these cases internal fixation with plates, screws, wires or nails is considered. Internal fixation requires an operation which carries the usual risks including infection so is only performed when required from a clinical standpoint.

Fracture alignment is important to maintain the relative position of the nearby joints so that excessive forces are not thrown onto one part of a joint or another. Wrist fractures which do not remain in a good position can be plated then immobilised until healed. Fractures with many pieces may need re-assembling and maintaining in position by metalwork. Femoral shaft fractures cannot be immobilised except by traction and with the healing period being 12 weeks the decision is usually to place a nail down the femur and get the patient up and out of hospital in a few days. Complex fixation may be used to restore the structure of a badly damaged bone in some cases.