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Tag Archive South Crosland

Neurological Rehab at North Light Physiotherapy

Chris Shorter North Light PhysiotherapyFor our latest blog, Chris Shorter, our Neurological Rehab specialist at North Light Physiotherapy discusses the specifics on offer

“Physiotherapy is strongly recommended in the national guidelines for rehab and management of neurological conditions”, he says.

Experience
From working in the field of neuro-rehab for over 14 years now, Chris has seen its effectiveness first hand in many ways.  Conditions treated include, but aren’t limited to Parkinsons Disease, Multiple Sclerosis and Stroke. Neurological disorders and disease are vast. Chris relishes the variety, and the challenge this variety presents, and takes an enormous amount of satisfaction in patient outcomes.

Chris says: “We are now very happy to offer assessments and treatments at North Light Physiotherapy, either in our clinic or in our spacious gym setting, which has level access. We know that in some cases mobility can be severely limited, so we can also offer the option of home visits. *”   (* – within a maximum range of 3 miles from the Clinic)

Neurological physiotherapy Rehab North Light Physiotherapy

Expectation

“Physiotherapy begins with a thorough assessment: gaining information on the patients’ goals and targets for rehab / condition management.  A typical physical assessment may include assessment of movement, strength, muscle tone, balance and gait pattern. There are also more condition-specific assessments that we would include, depending on the presentation.”

“Treatment may entail work on improving movement and strength through a combination of exercise, hands on therapy and movement re-education. Advice on orthotics or walking equipment is also considered. Balance rehab and specific feedback on how to improve gait (walking) pattern is also a common approach. ”

Whether your problem is pain caused by your condition or balance problems, maybe even falls,  we would provide treatment or advice for this. A goal for many of our patients is to improve mobility levels. This can be broken down into more specific steps, and advice can be provided on the areas to work on along with education on what may be causing the current problems.

Treatment Specificity

As an example, one persons problem may be due to weakness around a specific joint or more than one joint, for another it may be due to higher level balance problems; the role of the physiotherapist is to identify the contributing factors causing the problem and to provide specific advice on how to work on this.

Living with a neurological condition that can often be for the long term can be a strain on our resources and motivation. However a therapeutic alliance between physio and patient is key. We give our patients the time they need to discuss how their conditions impacts on their wellbeing, because an empathic listening approach is therapy in itself and helps the rehab process.

One on one rehab can be a very motivating experience and achievement of goals is rewarding no matter how small…and when our patients takes control of their condition, that’s our favourite outcome!

For details of how we can help with your Neurological condition, get in touch!

To book an appointment with Chris Shorter or any of our expert Team at North Light Physiotherapy Associates, PLEASE DO NOT LEAVE A COMMENT HERE ~ Use our Contact form, or call us on 01484 660663. 

Sports Massage at North Light Physiotherapy

Who can benefit from Sports Massage?

Sports Massage at North Light Physiotherapy

Sports Massage is useful for various problems, not just in a sports context. Often muscles can feel tight or stiff after heavy or repeated physical activity this can be sporting, occupational or recreational. Muscular tightness and restriction can be reduced, and pain alleviated as part of a more broad based management strategy that may form part of a regular training programme, or a course of Physiotherapy or rehabilitation.

Expertise

Our team have a wealth of experience and expertise.  We have worked with professional sports people, and this experience is invaluable in working with athletes at all levels and abilities.  We can support you, whether in preparation for athletic events, such as endurance running, cycling sportives, or if you only take part in your favourite activities for fun and wellbeing.

To book your Sports Massage, call North Light Physiotherapy on 01484 660663 or head over to our Contact page – looking forward to seeing you!

Dizziness: Life in A Spin…?

http://northlightphysio-co-uk.stackstaging.com/life-spin-dizziness/Physiotherapy is highly effective for the diagnosis and treatment of dizziness, and for balance rehabilitation.  In this piece we look at Vestibular Rehabilitation at North Light Physiotherapy, with Chris Shorter

Dizziness can be very limiting on our lives, impacting our ability to move normally and has a huge impact on our emotional wellbeing. It often leads to falls and causes anxiety and avoidance of many activities. Many people live very restricted lives with this condition.

If dizziness is related to the inner ear (a problem with our peripheral vestibular system), Physiotherapy can be highly effective. For example: the Epley technique is a postural movement technique than can reverse dizziness. Specific eye and head exercises are often used to challenge the balance system in order to improve it. A graded exposure to dizziness is also recommended, the system will only reset itself if we expose ourselves to dizziness, and this is carried out gradually at a rate the patient can handle.

Some medical causes of dizziness can be ruled out during Physiotherapy assessment, such as postural hypotension (blood pressure drop that occurs during a change in posture) or VBI – vertebrobasilar insufficiency- where the blood supply to the brain gets temporarily blocked by neck movements. A key role of the Physiotherapist is ascertaining what isn’t manageable with Physiotherapy, and in these cases, referring on to the correct specialist.
Postural hypotension and VBI can be medically managed, and if these problems are found during screening we would provide advice and then refer to your GP for further assessment.

Factors such as stress and anxiety are also considered in the holistic process of assessment and treatment, as in my clinical experience dizziness is often linked with times of stress, poor health or even bereavement. Addressing these factors or even making the links to your dizziness symptoms can also play a big part in recovery.

If your life is limited by dizziness, you have a problem with your balance, or you are prone to falls, Physiotherapy may well be the solution!

Call North Light Physiotherapy Associates on 01484 660663, or send a message on our Contact page.

 

Chris Shorter of North Light Physiotherapy Associates, Huddersfield, UK, qualified as a Physiotherapist in 2003.  He has a special interest in balance and vestibular issues, which he comes across daily in his clinical practice.

Shockwave Therapy at North Light Physiotherapy

Extracorporeal Shockwave Therapy for Musculoskeletal Conditions

Extracorporeal Shockwave Therapy (ESWT) has been successfully used for the management of a variety of musculoskeletal conditions for over 20 years. It is now available at North Light Physiotherapy!

In Urology, shockwaves are used to disintegrate kidney stones, whereas in Musculoskeletal medicine, its use is to induce tissue repair and regeneration on a cellular level. The mechanism by which this takes place is not fully understood, despite many studies showing positive outcomes in a variety of conditions.

Principle of Treatment

Shockwave patterns differ from Ultrasound waves, in that ESWT generates significantly higher pressure. Primarily, this generates a mechanical force focussed on the target tissue. This generates a response within the target cells, and in areas around the target tissue. Many patients we treat with ESWT present with tendon pain- commonly in the Achilles, knee-cap (Patellar) tendon, the Plantar Fascia, and at the elbow (so called “tennis elbow”, or lateral epicondylitis), or shoulder.

Problems with tendons seem to occur more frequently with a big and relatively sudden increase in physical workload. Examples include suddenly running much further than usual, suddenly lifting more heavily in the gym or other physical activity, such as CrossFit.

When people are new to physical exercise, problems can occur during the time it takes for the body to develop the robustness to tolerate more physical work. For this reason, ESWT will only ever form part of the overall treatment, because sensible management of physical workload, in view of individual physical capacity, is the key to success.

If you believe ESWT may be appropriate to help manage your problem, we will always consider this as a management option as part of a comprehensive assessment. ESWT as a standalone treatment, is likely to be less effective than when combined with comprehensive Physiotherapy care.

Plantar Fasciopathy (Fasciitis)

Many studies have shown ESWT to be effective in the treatment of Plantar Fasciopathy. Success rates vary between 34% to 88%. This may depend on severity of the problem, and how long the condition has been present before treatment. Good quality evidence suggests that treatment must incorporate a suitable loading programme (Physiotherapy-type exercise).  This ensures the Plantar Fascia retains/improves its ability to tolerate the force required for exercise.

Achilles Tendinopathy (Tendonitis)

A common problem with runners, the Achilles tendon may generate symptoms in the mid-portion (half way up), or at its insertion into the heel bone (calcaneus). The insertional Achilles pains tend to be more stubborn to settle. However, studies have shown that both insertional and mid-portion Achilles problems are responsive to ESWT. In many cases, runners will present to our specialist running clinic, during which we may discuss and suggest modifications to running gait, and recommend modifications to running workload (distance, intensity).

Patellar Tendinopathy (Tendonitis)

 

 

Another frequent problem with running athletes, powerlifters and CrossFit-ers. Success rates have been reported to be as high as 74-88% with ESWT. Commonly, knee and hip control issues can play a part in the onset of problems, and will need addressing as part of a comprehensive treatment regime. Our specialist Running Clinic often identifies related areas to improve on, to modify and improve on pain and control of the knee.

Shin Splints (Medial Tibial Stress Syndrome- MTSS)

Often seen in running athletes, and more frequently in females- sufferers will experience pain at the inner side of the shin. Particularly evident on landing, during running. Modifications can often be made to the ankle and foot, in respect of strength and control of the rear part of the foot during landing. Sometimes orthoses (in-soles in the trainers) can make a difference. ESWT has been shown in some studies to make a positive contribution to symptoms of MTSS, and others not so much. Again, ESWT will be considered as part of a course of Physiotherapy, which will address any contributing factors.

(Calcifying) Tendonitis of the Shoulder

 

Success rates for treatment with ESWT have been reported in the 78-91% range, in studies, with ongoing relief beyond 2 years. The benefits include improved joint movement, and therefore improved ability to use the arm, particularly in overhead activities.  Swimmers and other overhead athletes, such as racket-sport players, and bowlers (cricket) can tend to be affected. The effectiveness of ESWT is again supplemented by a good course of Physiotherapy rehab, and workload modification principles.

If you are affected by a problem for which ESWT may be useful, please do get in touch – North Light Physiotherapy will be pleased to support you. You can get in touch via our Contact page, or on 01484 660663. See you soon!

 

Chris Liversidge (MSc, BSc (Hons) MCSP, SRP) is Practice Principal at North Light Physiotherapy Associates, Huddersfield HD4 7NR.  Visit www.northlightphysio.co.uk or call 01484 660663