Knee injury & post surgery recovery
One of the most common form of knee injury is a torn or split meniscus. Severe impact or twisting, especially during weight-bearing exercise, can tear this cartilage. Tears of the meniscus can also occur in older people due to wear and tear. Symptoms include knee swelling, knee pain and the inability to straighten the leg.
Knee joint surgery involves the replacement of the weight-bearing bones of the knee, with an artificial joint implant. The implant may be composed up of metal, ceramic and/or plastic. This surgery is considered for people with persistent knee pain, usually caused by arthritic changes to the joint.
At Bodyworks Subiaco, we offer knee pain treatment which may include a combination of massage, dry needling, ultrasound, taping and strengthening of the surrounding knee muscles using exercises. We can also prescribe a brace if it is indicated.
For patients considering or preparing for knee surgery, our pre-operative physiotherapy will focus on increasing your knee mobility and strengthening the surrounding muscles. Knee surgeons recommend that the better your knee range and strength, the better your outcomes post-surgery and a quicker knee surgery recovery time.
After your knee replacement operation, the team at Bodyworks can help you with a tailored exercise program that will help you recover faster and manage your pain.
Hip replacement - pre & post surgery treatments
Hip replacement surgery involves the replacement of the hip joint, with an artificial joint implant. The implant may be composed up of metal, ceramic and/or plastic. This surgery is considered for people with persistent hip pain, usually caused by arthritic changes to the joint.
Pre-operative physiotherapy will focus on increasing your hip mobility and strengthening the surrounding muscles. The research shows that the better your range and strength, the better your outcomes post-surgery.
Post-operative physiotherapy will focus on reducing pain/inflammation, restoring normal gait patterns, improving joint and muscle length and lower limb strengthening. There are also precautions you need to follow post-surgery, to allow appropriate healing and prevent dislocation. Your surgeon and physiotherapist will educate work together to educate you how to follow these precautions and the length of time you need to follow them for, Most patients make a strong recovery, though some high-level activities such as running will be restricted.
Your surgeon will best determine what activities are appropriate post-surgery.
Shoulder pain treatments
The shoulder is a common source of pain for people of all ages. Due to the increased mobility we have with the shoulder joint, it becomes more susceptible to injury. Common conditions include rotator cuff strains or injury, bursitis, shoulder instability/dislocation, frozen shoulder and arthritic changes. Be aware that the neck and upper back may also refer pain to the shoulder area.
Your physiotherapist will conduct a comprehensive subjective and physical assessment to provide you with an accurate diagnosis. The symptoms you experience will point us towards a certain condition and our physical assessment is then used to confirm the diagnosis.
Treatment is aimed at restoring normal joint mobility and muscle strength. A combination of massage, dry needling, ultrasound, taping, stretching and strengthening may be used. Most people get better with conservative management and surgery is reserved for people who don’t respond to less invasive treatment.
Dry needling is a treatment technique which involves the placement of thin, sterile, single-use needles into tight muscles. The needles are placed into myofascial trigger points (muscle knots), to help in the release of muscle tension.
It is important to note that dry needling and acupuncture follow different theoretical models. Dry needling is based on the release of myofascial trigger points whereas acupuncture deals in the free flow of energy (Qi) and key points of the body (Meridian).
When a needle is placed into a myofascial trigger point, a local twitch response will occur. This is the act of the muscle rapidly contracting and then releasing into a lengthened position. This is followed by an increase in blood flow to the site of the needle, bringing in fresh oxygen and nutrients.
Dry needling works effectively in releasing tight joints and muscles and providing pain relief. Your physiotherapist will guide you in determining whether dry needling is appropriate for your issue. If you are not comfortable with needles, there are other treatment techniques we can provide, such as massage and taping.
Kinesio taping is a thin and ultralight taping technique which provides support, stability and pain-relief to joints and muscles. The elasticity of the tape means it is very comfortable to have on and allows for a normal joint range of motion. It is water resistant and may be left on for up to 5 days.
It works by providing strong external pressure and offloading injured joints and muscles. This allows for enhanced performance and facilities recovery. For example, in Runner’s Knee, the tape will help hold the kneecap in its optimal position and allow for efficient biomechanical movement. The lift provided by the tape also allows for better drainage of swelling and lactic acid.
Sprains & strains
Sprains and Strains affect people of all ages. Most common is a sprained ankle. This occurs when the ligaments of the ankle are overstretched. The outside ligaments of the ankle are usually the ones which are hurt, as they are less stable compared to the inside ligaments.
Common causes of ankles sprains include sports which require a lot of pivoting and twisting such as basketball and netball, slipping on unstable ground or landing awkwardly from a jump.
In the acute phase of injury, some people benefit from using crutches to offload the injured ligaments. Physiotherapy treatment may include a combination of massage, dry needling, ultrasound, ankle mobilisations, taping and strengthening of the affected ligaments. The Journal of Physiotherapy reported a re-injury rate of 33% in people who did no rehabilitation for the ankle! It is important we restore normal range of motion, strength and stability at the ankle, especially before return to sport. Some people may benefit from wearing an ankle brace for sporting activities.
Tennis elbow is a condition which affects the tendons of the wrist and finger extensors. The site of pain is usually at the lateral epicondyle, a bony prominence on the outside of the elbow. The tendons attach at this point and pain occurs when they’re overloaded.
It is commonly caused by repetitive gripping activities, such as using a mouse, hammering, gardening and racquet sports. Tennis is just one of many activities which can bring on this pain.
There is no Tennis elbow “cure”, but Physiotherapy treatment can help and may include a combination of massage, dry needling, ultrasound, taping and strengthening of the wrist and finger extensor muscles using exercises. We can also prescribe a brace if it is indicated.
Golfer’s elbow and elbow tendonitis are conditions which affects the tendons of the wrist and finger extensors. The site of the pain is usually at the medial epicondyle, a bony prominence on the inside of the elbow. The tendons attach at this point and pain occurs when they’re overloaded.
It is commonly caused by repetitive arm bending activities, such as lifting, throwing, hammering, and gardening. Golf is just one of many activities which can bring on this pain.
There is no Golfer’s elbow “cure”, but Physiotherapy treatment for Golf elbow may include a combination of massage, dry needling, ultrasound, taping and strengthening of the wrist and finger flexor muscles. We can also prescribe a brace if it is indicated.
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