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Pain Management Carpal Tunnel Syndrome Subacromial impingement syndrome Nerve Regeneration Therapy Spasticity Breathing Enhancement Thoracic Spine Mobilisation Slipped Disc Prevention Of Muscle Atrophy Low Back Pain Cervical Pain Orthopedic Rehabilitation

Pain Management

In PainFX Physio, we treat many pain conditions such as back pain, neck pain, headaches, shoulder and knee pain.

Physiotherapists play an important role in the management of acute and chronic pain. After a thorough assessment, we will make a treatment plan together with you to help reduce pain and address the roots of your symptoms to prevent reoccurrence.

Physiotherapy treatment to relieve your pain may include soft tissues massage and stretching to relieve tension and spasm, joint mobilisations, acupuncture, electrotherapy, corrective exercise, posture awareness, and advice on how to overcome pain in your daily activities. We will also help you to understand the cause of your pain.

Through our years of experience and evidence-based practice we believe that a combination of manual treatment and muscle re-education is the most effective treatment.

The sooner you see one of our physiotherapists the sooner we can start to help you.

Common pain conditions we treat

  • Back Pain
  • Neck Pain
  • Headaches
  • Shoulder Pain
  • Nerve Pain
  • Pelvic Pain
  • Pelvic Girdle Pain
  • Hip Pain
  • Knee Pain
  • Chest and rib Pain
  • Repetitive Stress Injuries (RSI)
  • Muscle Pain
  • Joint Pain

Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is an entrapment neuropathy caused by compression of the median nerve as it travels through the wrist's carpal tunnel.

  • It is the most common nerve entrapment neuropathy, accounting for 90% of all neuropathies.
  • Early symptoms of carpal tunnel syndrome include pain, numbness, and paresthesias.
  • Symptoms typically present, with some variability, in the thumb, index finger, middle finger, and the radial half (thumb side) of the ring finger.
  • Pain also can radiate up the affected arm. With further progression, hand weakness, decreased fine motor coordination, clumsiness, and thenar atrophy can occur.

Patients can be diagnosed quickly and respond well to treatment but the best means of integrating clinical, functional, and anatomical information for selecting treatment choices have not yet been identified.

Subacromial impingement syndrome

This page addresses the condition known as the following:

  • Subacromial impingement syndrome (SIS)
  • Subacromial pain syndrome (SAPS)
  • Rotator cuff related disorders
  • Biomechanical impingement of the shoulder

There has been huge debate in relation to the diagnostic labelling of non-traumatic shoulder pain related to the structures of the subacromial space. The diagnostic label Subacromial Impingement Syndrome (SIS), presenting as anterograde-lateral shoulder pain when the arm is elevated, was first introduced in 1972 by Dr Charles Neer and was based on the mechanism of structural impingement of the structures of the subacromial space. SIS has been viewed as symptomatic irritation of the subacromial structures between the coracoacromial arch and the humeral head during elevation of the arm above the shoulder/head and as reflected by the literature is considered by many to be one of the most common causes of shoulder pain.

What is important to understand is that "impingement" on its own, is not a diagnosis, but rather simply describes the mechanism: The compression of the rotator cuff against the anterior inferior aspect of the acromion and the coracoacromial ligament.


Nerve Regeneration Therapy

There a three main nerves in the hand whose responsibility is to supply and innervate (stimulate action) specific areas of the hand and fingers. They originate in your neck and travel over your shoulder and down your arm to your fingers. Together these allow us to feel pain, hot and cold, fine and crude touch as well as stimulate specific muscles to move individual fingers. Each nerve has a specific dermatome (an area of skin supplied by the sensory fibres of a nerve) and myotome (group of muscles innervated by a nerve) which corresponds to a specific area on your hand. Therefore, symptoms of nerve injury are directly related to the injured nerve. These nerves are:

  • Radial Nerve –supplies sensory stimulation to your thumb, and half your index finger
  • Ulnar Nerve - supplies sensory stimulation to your 5th finger, half your ring finger and the lateral side of your palm
  • Median Nerve–supplies sensory stimulation to your middle finger, half your index and ring finger and the medial surface of your palm.

Spasticity

Spasticity is seen to be a positive feature of upper motor neuron syndrome. This is because it is due to a loss of inhibition of the lower motor neuron pathways, rather than a loss of connection to the lower motor neuron (or other pathways). This results from disordered sensorimotor control of movement due to a lesion of the upper motor neuron which regulate muscle control. Therefore, there is an imbalance of the signals between the central nervous system (CNS) and muscles, presenting as intermittent or sustained involuntary activation of muscles.

All muscles have some tone to maintain function, for example, activation of antigravity muscles to maintain sitting or standing postures. In an individual with spasticity, there is a velocity-dependent increase in muscle tone to passive movement. This creates an inability to stretch muscles or coordinate movements effectively.

This inhibition can result from central nervous system pathology, such as:

  • Cerebral Palsy
  • Multiple Sclerosis
  • Motor neurone disease
  • Stroke
  • Hypoxic Brain Injury
  • Traumatic Brain Injury
  • Parkinson's Disease
  • Spinal cord injury
  • Spinal cord compression
  • Metastesis / tumour

Breathing Enhancement

Physiotherapy and Pilates to Improve Pulmonary Function

The Pilates method is commonly used by physiotherapists for various reasons such us; injury recovery, fall prevention, muscle imbalances, posture correction, general strengthening, and much more. One benefit of Pilates that’s often overlooked is the improvement in pulmonary function.

While Pilates is predominantly used for strengthening and flexibility, studies have also indicated that Pilates improves respiratory endurance, lung volumes and, inspiratory and expiratory flow rates.

'Breath' is one of the foundation principles in the Pilates method and is known as the ‘engine’ behind Pilates. The positive effects of these controlled breathing techniques include;

  • Reduced stress.
  • Lowered blood pressure.
  • Improved focus.
  • Activation of targetting/ specific muscles.
  • Improved circulation & respiration.
  • Improving respiratory muscle strength and lung Volumes.
  • Lowering the risk of cardiovascular disease.

Thoracic Spine Mobilisation

As therapists we are trained in a multitude of techniques - chooseing the appropriate ones are usually to do with your expertise and choice. The following have great site links for detailed information.

  • Traction
  • Massage
  • Trigger Point Therapy
  • Active Release Techniques: A practitioner determines where adhesions are through touch, the practitioner then couples a patient's active movement with his/her touch. [3]
  • Assisted Active Range of Motion (AAROM)
  • Passive Range of Motion
  • Thermotherapy/Cryotherapy
  • Stretches (muscle, neural tissue, joints, fascia)
  • Instrument Assisted Soft Tissue Mobilization
  • Joint Manipulation: A passive, high velocity, low amplitude thrust applied to a joint complex within its anatomical limit* with the intent to restore optimal motion, function, and/ or to reduce pain.
  • Joint Mobilisation: A manual therapy technique comprising a continuum of skilled passive movements to the joint complex that are applied at varying speeds and amplitudes, that may include a small-amplitude/ high velocity therapeutic movement (manipulation) with the intent to restore optimal motion, function, and/ or to reduce pain.


Mobilisations

  • Joint mobilisations have been defined by Maitland as an externally imposed, small amplitude passive motion that is intended to produce gliding or traction at a joint. ​
  • They are often used in Physiotherapy management in order to produce mechanical and neurophysiological effects.
Manipulation

There is no much research literature on the safety of joint manipulation when applied to the thoracic spine. Thrust joint manipulation should never be performed when contraindications or precautions are present.

Slipped Disc


Physiotherapy Treatment for Slipped Disc which also know as Herniated disc through experienced physiotherapists. Our physio will address all your Slipped Disc problems with care, right in the comfort of your home. To get in-home physiotherapy treatment for Slipped Disc in your city, begin here

Slipped Disc Symptoms

A slipped disc can cause debilitating pain in the affected area. Slipped disc symptoms include:

  • Pain that increases with specific movements
  • Numbness and pain on one side of the body
  • Burning sensations and tingling or pins-and-needles sensation in the limbs
  • Radiating pain extending to the legs or arms
  • Muscular weakness and numbness in the legs or buttocks.
  • Pain that intensifies after sitting, standing or walking short distances.

Prevention Of Muscle Atrophy

The term muscle atrophy refers to the loss of muscle tissue. Atrophied muscles appear smaller than normal. Lack of physical activity due to an injury or illness, poor nutrition, genetics, and certain medical conditions can all contribute to muscle atrophy.

Muscle atrophy can occur after long periods of inactivity. If a muscle does not get any use, the body will eventually break it down to conserve energy.

Muscle atrophy that develops due to inactivity can occur if a person remains immobile while they recover from an illness or injury. Getting regular exercise and trying physical therapy may reverse this form of muscle atrophy.

People can treat muscle atrophy by making certain lifestyle changes, trying physical therapy, or undergoing surgery.

Low Back Pain

Low back Pain can be Due to conditions affecting Low Back Body Part Like the bony lumbar spine, inter-vertebral discs (discs between the vertebrae), ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.

Treatment of low back pain is Mainly Depends On diagnosis And Related cause. So Diagnosis, Cause And Symptoms are Key Factor Doctor’s Keep in Minds And Treatment Are Accordingly.

Cervical Pain

Our physiotherapist will address all your Cervical Pain problems with care, Get Physiotherapy Treatment for Cervical Pain through experienced physiotherapists from PainFX Physio. To get in-home physiotherapy treatment for Cervical Pain in your city, Now

Cervical pain is the pain caused due to cervical spondylolysis or osteoarthritis. This condition involves changes in the bones, disc or joints that are connected to the neck. The major cervical pain reasons are due to the wear and tear of the cartilages and bones, and thus are often found in ageing people. However, it can be caused due to other factors as well and thus occur in younger adults as well.

There are different levels of severity of cervical pain experienced, from mild to severe and each has its own way of treatments. Cervical pain exercises, home remedies for cervical pain and medications are certain options that are commonly considered.

Symptoms Of Cervical Pain

  • Numbness or weakness and tingling in the arms, hands, legs and feet as these parts are directly connected to the cervical nerves.
  • Difficulty in walking and other casual activities due to the lack of coordination
  • Abnormal reflexes by the hands and legs
  • Muscles spasms
  • Stiffness in the neck
  • Headaches at the back of the head

Orthopedic Rehabilitation

Orthopedic rehabilitation, or rehab, is a doctor-supervised program to help people recover from musculoskeletal injuries, diseases or surgeries. This includes conditions that affect the muscles, bones, joints, ligaments and tendons. It can restore motion, function, flexibility and strength to the body part needing rehabilitation. It can also reduce symptoms and improve your quality of life while dealing with an orthopedic issue. It can also help you prevent future problems. Another name for this type of program is musculoskeletal rehabilitation.

The components of an orthopedic rehabilitation program may include:

  • Physical therapy (PT), specifically orthopedic physical therapy, to enable you to move your body better. It uses several approaches to accomplish this, including strength training, stretching exercises, massage, heat and cold therapy, electrical stimulation, and a home exercise plan. These techniques can help you move without pain or with reduced pain.
  • Occupational therapy (OT) to improve your ability to function in daily activities, or occupations. It teaches you new ways to approach activities and how to break down tasks into manageable sections. You may also learn how to change your environment to suit your abilities. Adaptive equipment is another useful component of OT. Examples include splints, canes, reachers and orthotics.
  • Sports rehabilitation, including sports physical therapy, which focuses on exercise- and sports-related injuries and conditions.

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