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

Examination of the Injured Wrist

Initial examination of a person with a wrist injury involves visual inspection of the wrist compare to the other one, as some people have relatively abnormal wrist structure and limited movements. Bruising and swelling may be present as may be one of the typical deformities due to fractures of the distal forearm bones. Palpation of the bony anatomy systematically allows a closer determination of the location of any acute injury such as a fracture. The typical deformity of a Colles fracture is the so-called .dinner fork. deformity where the end of the wrist is angled upwards and the fingers form the prongs of the fork.

In the Smith fracture where the end of the wrist is pushed downwards the deformity is known as a .garden spade. deformity. It is important to examine the remainder of the upper limb including the shoulder, elbow and wrist to exclude other injuries or fractures, with the patient's report of where they have pain a very useful guide. The patency of the arterial systems in the forearm and arm are also assessed as vascular damage can occur from fracture fragments. The three nerves which pass down the arm and supply the feeling and muscles of the hand should also assessed for damage.

The Development of Chronic Neck Pain

Long term neck pain and disability is a difficult and perplexing problem, leading to high degrees of pain, suffering and loss of function in some patients. There are a serious of beliefs which may go with a higher risk of developing chronic pain after neck injury such as: the belief that the pain is due to a serious injury or tissue damage; resisting reassurance; equating hurt with harm and believing the pain will lead to disability; avoiding activities and movement due to the fear of damage; resting and remaining inactive whilst waiting for the pain to settle; expecting someone to cure the pain rather than taking on the responsibility oneself; withdrawing from social contact and becoming depressed.

These tendencies are referred to as .yellow flags. and predict to some extent the likelihood the person will suffer work loss and disability from their pain condition. These problems may develop steadily and without the person being aware of them, so they need identifying and dealing with as soon as possible. If a person is off work for a month with their neck pain then there is a risk of developing long term problems and a ten percent chance of still being off in a year.