Normal neck function is essential for protection of the spinal nerves and effective use of the senses. Neck pain and loss of function are often caused by altered muscle control and stiffness in the neck joints.
Research and our clinical experience indicates that combining manual therapy and exercise therapy is an effective treatment for neck pain. This requires expert knowledge and skill to identify the best techniques and most appropriate exercises for each individual presentation.
Back pain is an often disabling condition that affects most of us at some stage in our lives. Not all back pain is caused by the same pathology and you will receive much advice about how to treat it.
Thorough assessment and accurate diagnosis are essential to establish the best management approach to prevent recurrences.
Not all severe, recurring headaches are migraines. Headaches arising from the neck are known as "cervicogenic" headaches and are associated with a predictable pattern of findings on examination.
Identification of these findings helps us to differentiate between migraine, tension-type headache and cervicogenic headache.
Elbow, Wrist & Hand
Normal shoulder function requires a combination of flexibility, strength and control. When sporting or day to day demands on the shoulder are excessive, damage to the ligaments, tendons or muscles may occur.
When sporting or day to day demands on the shoulder are excessive, damage to the ligaments, tendons or muscles may occur.
Musculoskeletal disorders of the elbow, wrist and hand can range from the tendon pain of tennis or golfer’s elbow to fractures following falls or trauma.
As neck and shoulder conditions can refer pain to the elbow wrist and hand, a structured examination is essential for differential diagnosis and effective management.
Hip pain may be experienced in the hip, groin, pelvis, thigh or knee.
Some hip conditions may require medical intervention or surgery while others can be managed conservatively. The key is accurate diagnosis.
Physiotherapy management of hip disorders includes analysis of contributing factors, muscle retraining and strategies for self management.
Foot & Ankle
Acute injury in sports or daily activity can cause damage to the knee ligaments or menisci while other knee disorders can be caused or perpetuated by weakness in the muscles of the hip, thigh or lower leg.
The majority of knee conditions are best managed conservatively with a rehabilitation plan to incorporate bracing or taping as needed and a graduated program of exercise for strength, coordination, balance and function-specific recovery.
Disorders of the foot, ankle and lower leg can be a significant cause of disability and loss of function throughout life.
Ankle sprains are common and careful examination is necessary to exclude fractures and guide appropriate rehabilitation.
Calf and achilles tendon problems can be frustrating and persistent if not managed correctly. Exercise programs to progressively load the muscles and tendon have been shown to be effective in managing these injuries.