Physiotherapy Management of Pain Syndromes

Most pain is related to injury or tissue damage and the treatment is relatively straightforward in theory: the tissue at fault is searched for and investigated, a cause is found and the treatment is aimed at improving the underlying abnormality. This is the medical model of disease and injury and it works exceptionally well, diagnosing our fractured leg, pneumonia, arthritic joint or heart attack and then treating it so the problem is solved. The difficulty starts with the many pain conditions which don’t fit into this model and which are not well diagnosed or treated by medical doctors.

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The Shoulder and Physiotherapy

The shoulder, or more strictly the glenohumeral joint, is a major and important joint in the upper limb, responsible mostly for placing the hand in front of the body where the eyes can see it as it performs tasks. To allow this ability the shoulder has a very large range of movement, moderate strength and limited stability. This makes the shoulder a “soft tissue joint”, where the stability and satisfactory function depend on the function of the soft tissues, the ligaments, tendons and muscles. For physiotherapists the shoulder is an important joint, with much treatment and pre- and post-operative rehab required.

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How Physiotherapists Treat Shoulder Fractures

Humeral fractures occur commonly with up to five percent of all fractures falling into this category, eighty percent of humeral fractures being minimally displaced or undisplaced. Osteoporosis is a contributing factor in many of these fractures and a fracture of the forearm on the same side is a typical presentation. Nerve or arterial damage from the fracture is an important consideration but not common. Typical sites of fractures are the top of the arm (neck of humerus – “shoulder fracture”) and the middle of the shaft of the humerus.

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Useful Tips On Back Pain

According to many professionals, a good remedy to back pain is Yoga. The reasons lie beneath; yoga teaches us the right ways to breathe, which is essential for the body to get sufficient oxygen as well as the method involves various exercises which stretches the body. Thus Yoga helps the body to settle down.

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How Physiotherapists Manage Total Hip Replacement

Osteoarthritis (OA) is the commonest joint degeneration condition in the world, resulting in huge amounts of pain and suffering, work loss, expense and disability. Ageing of western developed populations, soon to be followed by some developing countries such as China, will place an increasing burden on medical services as the occurrence of OA rises steadily with age. There will be an increasing need to provide medical and physiotherapy treatment for OA over the next 50 years and for many thousands of people this will involve joint replacement.

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