Physiotherapy is a clinical health science that uses physical treatments to promote optimal movement and function of the body. Physiotherapists use their expert knowledge in biomechanics and physiology to assess, diagnose, treat and prevent disease and disability.
Physiotherapists use real-time ultrasound imaging to assess and retrain the deep layer of stability muscles in the body. Using this technology patients can achieve a faster and more effective recovery through more targeted rehabiliatation.
It is particularly beneficial in the rehabilitation of lower back injuries and conditions relating to pelvic floor dysfunction such as incontinence.
On your initial consultation your physiotherapist will do a thorough physical assessment of your presenting condition. If it is suspected that your condition may be related to dysfunction in the deep stabilising muscle system an assessment of the function of these muscles using real-time ultrasound will be performed at your first session or at a follow up appointment.
For some assessments a full-bladder is required and you may be asked to refrain from going to the toilet for at least 2 hours prior to your consultation.
If dysfunction in these muscles is present and is related to your condition then your physio may use real-time ultrasound to help teach you how to correctly recruit the appropriate muscles. Feedback given from the visual on screen helps patients to achieve a better more accurate contraction and aids the overall rehabilitation process.
Women’s Health physiotherapy offers treatment and advice for both pregnancy (Obstetrics) and gynaecological conditions. Shockingly 1 in 3 women will experience a women’s health condition in their lifetime, but unfortunately many suffer in silence because they don’t know that help is available that doesn’t involve surgery.
Whether you are suffering with a musculoskeletal condition during pregnancy such as lower back pain and sciatica, pelvic girdle pain or neck pain or you have developed symptoms associated with pelvic floor dysfunction such as bladder and bowel incontinence, sexual dysfunction or pelvic organ prolapse, we can help you.
The treatments vary with the condition being treated but are non-invasive and often involve simple exercises to retrain certain muscles and specific advice about various lifestyle habits.
- Treatment of musculoskeletal pain and conditions that arise during pregnancy such as lower back and neck pain, shoulder pain, sciatica and carpel tunnel syndrome.
- Pregnancy pilates & yoga classes and advice about safe exercise.
- Preparation for labour including use of TENS, education about positioning, relaxation and breathing techniques.
- Pregnancy massage
- Treatment of musculoskeletal pain arising post-natally such as back, neck, shoulder and pelvic pain
- Practical advice regarding correct postures while carrying your baby and breastfeeding.
- Post-natal pilates & yoga classes
- Individualised and safe return to exercise programs
- Pelvic Floor retraining using real-time ultrasound scanning for incontinence, pelvic pain, and for perineal trauma following vaginal delivery.
- Abdominal muscle retraining following C-section delivery and for diastasis recti (abdominal separation) using real-time ultrasound scanning.
- Pelvic floor retraining for incontinence and pelvic organ prolapse using real-time ultrasound scanning, EMG biofeedback, muscle stimulation and support with technology apps such as “pelvic floor first’ and ‘squeezy’.
- Pre and post-operative management for gynaecological surgery including preparation exercises, bladder & bowel advice, post-operative abdominal exercises and travel advice.
- Manual therapy, massage and relaxation techniques for overactive pelvic floor muscles.
- Bladder training for overactive bladder syndrome
Manual therapy is a mainstay of physiotherapy treatment and involves manipulation and mobilisation of the joints and massage of the muscles and fascia to help alleviate pain, swelling and stiffness.
This hands on treatment technique will complement your rehabilitation plan or assist with managing pain in cases of chronic pain and disability.
Posture Assessment & Correction
Adopting an ideal posture is paramount to musculoskeletal health. Problems arise when we fail to sit and stand with proper alignment for long periods throughout the day. Over time this causes physiological and mechanical changes in the muscles and degeneration in the joints.
We can help you to improve your posture by first assessing any postural and muscular imbalances and prescribing exercises and treatments to correct them.
We will also give you specific advice regarding ergonomic adjustments that may be beneficial to maintaining good posture.
Incorrect sitting posture is responsible for many neck pain, headache and lower back pain episodes as well as many chronic shoulder injuries. Correcting and maintaining an ideal sitting posture is difficult without a proper ergonomic set-up both at home and at the office.
We can provide a thorough workstation assessment at your workplace or home and provide practical advice and modifications.
Our highly trained physiotherapists use the latest evidence based practice to deliver a high quality of treatment. As part of the management of musculoskeletal & sports injuries your physiotherapist will prescribe exercises specific to your injury and body.
Treatment aids such as braces and taping may also be prescribed as part of your rehabilitation.
Some of the more common injuries treated with physiotherapy include:
- Tendon and soft-tissue overuse injuries
- Acute joint sprains
- Acute muscle strains
- Lower back pain including muscular, disc and nerve impingements
- Neck pain & headaches
- Postural conditions such as scoliosis and kyphosis
- Sports injuries
- Pre and post surgery
Biomechanical & Muscle Balance Assessments
The way you walk and move in your daily life is influenced by your genetic posture type and the lifestyle habits you have adopted. An assessment of your walking and running style or your ‘biomechanics’ can reveal imbalances in your muscular system which may require specific retraining to enhance your performance and reduce overload of your joints and connective-tissue.
Following your detailed assessment your physiotherapist will prescribe an exercise program and advice to address any biomechanical impairments or muscle imbalances that may be present.
Exercise programs aimed at encouraging correct patterns of muscle activation and stretching and lengthening tight overactive muscles is the foundation behind ‘Prehab’, the latest buzzword in the health & fitness world.
Learning to use the correct muscles in the right way can significantly enhance your performance and will lower your risk of injury. Your physiotherapist will individually taylor an exercise program to address your specific muscle imbalances, taking into account your goals and activity levels and will review and progress your program as you improve.
This sports medicine treatment is used commonly by physiotherapists for alleviating musculoskeletal pain associated with muscle spasms and trigger points. The needles used are the same as in acupuncture however instead of being applied into acupuncture points they are applied directly into trigger points within the muscles to elicit a healing response.
It is a relatively painless technique and is a useful treatment for anyone suffering with pain and dysfunction caused by myofascial trigger points, particularly patients with myofascial pain syndrome and fibromyalgia.
How it works:
- Desensitisation of the central nervous system through stimulation of certain nerve fibres that block the pain messages reaching the brain. Also known as the “Pain Gate Theory”
- Release of local histamines. The body elicits a healing response, increasing circulation and inflammatory mediators.
- Neural stimulation of pituitary glands releasing pain relieving chemicals and endorphins into the blood.
- Increased sympathetic response – reduces blood flow to the skin, increased arterial blood flow and blood flow to muscles.