01622 749336
  info@westerhillphysio.co.uk

Services We Provide

  • Over 20 years of experience in the treatment of musculoskeletal injuries
  • Thorough assessment
  • Explanation of the condition, treatment plan, liaison with other healthcare professionals
  • Specific exercise prescription for prevention and rehabilitation
  • Hands on treatment with mobilisations and manipulation
  • Soft tissue mobilisation
  • Massage
  • Acupuncture
  • Pilates
  • Ergonomic work assessment
  • Telephone advice
  • Prompt and convenient appointments


  •            logo of Benenden logo of Bupa logo of Aviva logo of Nuffield logo of AACP

    Services We Provide

    What we offer:
    • Over 20 years of experience in the treatment of musculoskeletal injuries
    • Thorough assessment
    • Explanation of the condition, treatment plan, liaison with other healthcare professionals
    • Specific exercise prescription for prevention and rehabilitation
    • Hands on treatment with mobilisations and manipulation
    • Soft tissue mobilisation
    • Massage
    • Acupuncture
    • Pilates
    • Ergonomic work assessment
    • Telephone advice
    • Prompt and convenient appointments

    At Westerhill Physiotherapy we treat:

    Back and Neck Pain:
    • Prolapsed disc
    • Postural low back pain
    • Joint degeneration
    • Sciatica
    • Post Natal Back Pain
    • Low Back Pain during Pregnancy
    • Headaches
    Sports Injuries:
    • Muscle Strains
    • Tendon Pain
    • Ligament Sprains
    image of therapist dealing with sports injury image of therapist dealing with sports injury

    Joint and Soft Tissue Injuries:
    • Hip and Joint Injuries
    • Shoulder Pain
    • Knee Pain
    Repetitive Strain/Overuse:
    • Tennis/Golfers Elbow
    • Work Related Upper Limb Disorders
    • Occupational Postural Problems
    Post Op:
    • Joint Replacement
    • Ligament Reconstruction
    • Tendon Repair
    Arthritic Conditions

    Postural Evaluation

    Services We Provide:

  • Physiotherapy
  • Manual Therapy
  • Mobilisations
  • Soft Tissue Massage
  • Acupuncture
  • Aqua therapy/Hydrotherapy
  • Electrotherapy
  • Shockwave Therapy
  • Taping

    PHYSIOTHERAPY:

    WHAT IS PHYSIOTHERAPY?

    Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice.

    Physiotherapy is a science-based profession and takes a 'whole person' approach to health and wellbeing, which includes the patient's general lifestyle. It is for people of all ages and helps patients to manage pain, remain in work and independent. You can benefit from physiotherapy at any time in your life.

    At the core is the patient's involvement in their own care, through education, awareness and participation in their treatment. By focusing on these aspects we aim to keep the number of treatment sessions to a minimum.

    Following a thorough assessment, a treatment plan will be devised. We look at all aspects of your work / home life / hobby / sport and offer advice and education on as many areas as possible. Quite often it is the combination of all these postural habits / activities that either caused the problem in the first place, or that is preventing your problem from getting better. We ensure we make your rehab programme specific to your sport or hobby and you will be given your own personalised exercise programme so that in between your treatment sessions you can maintain the improvements achieved.

    If you would like to find out more about physiotherapy please visit www.csp.org.uk


    MANUAL THERAPY:

    Manual therapy is hands on therapy and there are many different manual therapy techniques. The technique used depends on the type of injury and what is going to be the most effective treatment for it. Manual therapy techniques are often used alongside other treatment modalities such as acupuncture, electrotherapy and exercises.

    Manipulations and mobilisations:

    Manipulation and mobilisations are manual techniques used to physically affect a joint. If you are feeling joint pain or stiffness your physiotherapist may decide that manipulations or mobilisations are the best course of treatment.

    There are a wide range of techniques that can be used to move a joint to increase its range of movement.

    image of therapist dealing with joint problem. image of therapist dealing with joint problem.


    The manipulation or mobilisation gets the joint moving, also affecting the joint capsule and connective tissue for the purpose of:

  • Reducing stiffness
  • Reducing pain, the repetitive oscillations of mobilisation generates an analgesic effect attributed to the Pain Gate Theory
  • Increasing range of movement
  • Increasing function

    MASSAGE:

    Massage is a manual technique used to promote healing and reduce muscle tension. It is often used in conjunction with Trigger Point Therapy. There are many different forms of massage but the common type of massage used in physiotherapy is deep tissue massage. This treatment involves applying pressure deep into the muscle to relieve tension and promote healing.

    Deep tissue massage is a type of massage aimed at the deeper tissue structures of the muscle and fascia, also called connective tissue.

    Deep tissue massage uses many of the same movements and techniques as lighter styles eg Swedish massage, but the pressure will generally be more intense. It is also a more focused type of massage, as the therapist works to release chronic muscle tension or knots. Pain will be experienced at the time and up to a few days following the massage; however improvements should be felt after this.

    A quality deep-tissue massage helps to:
  • loosen muscle tissues,
  • release toxins from muscles, and
  • get blood and oxygen circulating properly.

    Soft tissue massage involves direct physical action on the muscle and other soft tissues of your body. Soft tissue techniques such massage targets your muscles, tendons, ligaments, or other connective tissue such as fascia. Massage is the best known example of a soft tissue technique.

    A soft tissue massage includes a whole range of massage depths, pressures and durations.

    image of spft tissue massage image of spft tissue massage


    A soft tissue massage is a specific type of massage which:

  • aids in relaxing muscles,
  • increases blood circulation and lymph flow,
  • improves the healing time of strained ligaments and muscular tissue,
  • reduces the inflammation of joints and heart rate,
  • improves range of motion and joint flexibility,
  • increases endorphins,
  • strengthens the immune system,
  • decreases muscle spasms,
  • improves oxygen flow, and
  • helps to relieve muscle tension.

    ACUPUNCTURE:

    What is acupuncture?

    Acupuncture involves the insertion of very fine stainless steel needles into the skin. It has been used in China for over 2,000 years and increasingly in Western medicine since the 1970s. Acupuncture may be used to treat a wide range of common health problems and to reduce pain. For example, NICE guidelines recommend a course of 10 sessions of acupuncture for persistent, non-specific low back pain. Acupuncture can be combined with other physiotherapy treatments such as exercise, manual therapy and relaxation techniques. It can also be used when other more conventional treatments have failed.

    Is there evidence that acupuncture works?

    The use of acupuncture needling for the treatment of pain is supported by an ever-growing body of scientific evidence.

    Scientific research has examined the effectiveness of acupuncture for various conditions. In recent years, large-scale studies have emerged which have helped to support the benefits of acupuncture treatment. For example it is accepted that acupuncture can help tension-type headaches and osteoarthritis of the knee, especially when used in conjunction with physiotherapy.

    Acupuncture combined with physiotherapy is widely accepted within both the National Health Service (NHS) and private practice. This is evident in the recommendation by the National Institute for Health and Clinical Excellence (NICE) that acupuncture should be available as a cost-effective short-term treatment for persistent non-specific low back pain (source: NICE 2009).

    AACP members are required to keep abreast of scientific evidence and do so by meeting their Continuing Professional Development obligations. All Physiotherapists practicing acupuncture in this clinic are members of the Acupuncture Association of Chartered Physiotherapists AACP

    How does acupuncture work?

    Acupuncture is one of the many skills employed by AACP physiotherapists as part of an integrated approach to the management of pain and inflammation. Scientific research and clinical evidence have shown that Acupuncture can reduce pain by stimulating the brain and spinal cord to produce natural pain-relieving chemicals such as endorphins, melatonin (which promotes sleep) and serotonin (to promote well-being), to name but a few. These chemicals assist the body's healing processes and offer pain relief as a precursor to other treatments such as manual therapy or exercise in order to aid recovery.

    image of acupunture


    What happens when I see my physiotherapist for acupuncture?

    When you first see your physiotherapist, he or she will take your full medical history and ask you about your current health problems. You may be asked to complete a 'consent to treatment' form.

    Between 1 to 10 needles may be used at a time at an acupuncture session. The number of needles used will vary according to your condition and symptoms.

    The needles are inserted through the skin either at the sites where you feel pain, away from the pain or a combination of both. The needles are usually left in for a few minutes up to 30 minutes. During the treatment, your physiotherapist may stimulate the needles by gently rotating them. This is done to increase the treatment's effectiveness.

    The needles are removed at the end of the session. You will then be asked to rest for a few minutes before you leave.


    ELECTROTHERAPY:

    What is Electrotherapy?

    Electrotherapy is the use of electrical energy as a medical treatment, to repair tissue, stimulate muscles and increase sensations and muscle strength.

    There are several treatment modalities that may come under the umbrella of 'electrotherapy', such as ultrasound and TENS.

    After assessment and discussion with you, your physiotherapist may recommend one of the following treatments, usually in a addition to a specifically targeted home exercise plan or other exercise therapy:

    Effects and benefits of electrotherapy

    The benefits of electrotherapy are wide-ranging and include a more advanced healing process, a more effective circulatory system and increased muscle tone. The effects of electrotherapy include a reduction in pain, increased strength, increased range of movement, increased speed and strength of muscle contractions and an increased rate of absorption.

    Which conditions or injuries will benefit from electrotherapy?

    Generally, injuries that have caused swelling will respond well to electrotherapy; these include sprained ankles and overuse injuries such as tennis and golfer's elbow.

    ULTRASOUND:

    Ultrasound is sound energy which produces mechanical vibration at increasing frequencies.

    Therapeutic ultrasound is applied using the head of an ultrasound probe that is placed in direct contact with your skin via a coupling gel. A typical treatment will take from 3-5 minutes. In the case of scar tissue breakdown it may be considerable longer.

    Therapeutic ultrasound has been shown to cause increases in:

  • Tissue healing
  • Tissue heating
  • Local flow
  • Scar tissue breakdown


    TENS:

    TENS (Transcutaneous Electrical Nerve Stimulation) is a method of providing pain relief without medication. It works by stimulating the nerves to either distract them from sending pain signals to the brain, or by stimulating the brain to produce natural painkillers, which are stored within the body.

    "TENS is most commonly delivered from small, hand held, battery powered devices. They can be purchased 'over the counter'

    You will normally have one session where we will show you how to apply the TENS machine and safely use it in your own home. We will loan you a machine if it is appropriate.


    SHOCKWAVE THERAPY:

    Radial Extra Corporeal Shockwave Therapy is an exciting new non-invasive treatment which is helpful in providing pain relief for people suffering from a number of common painful orthopaedic conditions or sports injuries. It is a clinically proven evidence based treatment for soft tissue conditions/injuries. This technology has also been approved by NICE (National Institute for Health and Clinical Excellence) along with several other medical bodies and health insurance companies. A shockwave is defined as a sound wave that passes through the body and is not an electrical pulse. The sound waves stimulate healing for many physical disorders, particularly persistent ones such as tendinopathy.

    When the applicator is placed on the surface of the skin - together with a 'coupling medium' - the impulses are delivered through the skin as a shockwave that spreads inside the injured tissue as an aspherical 'radial' wave.

    These radial shockwaves initiate an inflammation-like response in the injured tissue that is being treated. This prompts the body to respond naturally by increasing blood circulation, the number of blood vessels and therefore metabolism in the injured tissue. This accelerates the body's natural healing process by increasing cell generation and dissolving calcium deposits.

    Radial Extracorporeal Shockwave Therapy has been shown to be successful in the treatment of:

  • Plantar Fasciitis (heel pain)
  • Tennis and Golfer's elbow
  • Achilles Tendinopathy
  • Trochanteric bursitis (Lateral hip pain)
  • Patella Tendinopathy (Jumpers Knee)
  • Medial Tibial Periostitis (shin splints)

    Shockwave therapy has no major side effects. Sometimes the area may be tender during or immediately after the treatment session. Occasionally local skin irritation or redness may occur, but this is usually short lived. Many patients derive excellent relief of pain and symptoms in 6-8 weeks after treatment.

    Generally, 3-6 sessions are required but your physiotherapist will discuss an appropriate treatment plan with you. On some occasions the treatment may be unsuccessful and additional procedures may be necessary.


    TAPING:

    Kinesiotape (the bright colourful tape many professional sportspeople wear) is used widely in our clinic by all the Therapists to help treat many problems - not just sports injuries. Different tensions and directions are applied to the tape in order to help support damaged tissues and promote healing.

    We're happy to teach you how to self-tape and we stock rolls of tape for you to purchase to use at home.

    image of taping


    Non Stretch tape is used to provide support, give feedback for postural awareness and facilitate more normal movement. We can also teach you how to self-tape.


    AQUA THERAPY

    Aquatic/Hydrotherapy is an evidence based water treatment in a specialised pool where the water is warmer and shallower. This means that everyone even non-swimmers can enjoy the benefits of exercising in water. The therapists will design a personalised exercise programme for you using various properties of the water.

    Exercising in the pool may not be suitable for everyone and a screening process occurs to ensure that this is the correct treatment for you. Treatment usually lasts for half an hour and there are changing and showering facilities on site.

    Benefits

    Hydrotherapy can be used to improve general mobility because, using the support of buoyancy, people are able to perform activities in the water that they could not do outside it. Your Therapist may use buoyancy exercises to mobilise stiff joints or stretch tight muscles. Buoyancy can also provide resistance to movement and can be used to strengthen muscle.

    Most people have experienced walking in the water and know that it is harder to do than on dry land. This resistance to movement is called 'drag' and can be useful to strengthen muscles in all areas of the body.

    The movement of the water around you can be used to improve balance and co-ordination. The support of the water can reduce the fear of falling and allows better mobility practice.

    The effect of buoyancy also means that in water you do not bear your whole body weight through your feet. This can be very useful to allow people who cannot fully weight bear to start their rehabilitation much earlier than they could on dry land.

    Aquatic Therapists use a combination of all these methods to produce a graded exercise programme that works towards functional movements that you need for everyday life such as walking. Using floats, flippers, bats and varying speed of movement they can very carefully adjust the difficulty of the exercises to gradually build strength, flexibility and co-ordination.

    image of aqua


    AQUA THERAPY CAN BE USED TO TREAT THE FOLLOWING CONDITIONS:

  • Orthopaedic conditions
  • Acute or chronic back and neck pain
  • Osteoarthritis and rheumatoid arthritis
  • Chronic conditions such as ankylosing spondylitis
  • Immobility, muscular weakness and reduced balance
  • Before and after surgery

    AQUA THERAPY CAN BE USED EFFECTIVELY FOR:

  • Development of self-confidence
  • Early rehabilitation of surgical and nonweight bearing patients
  • Facilitation of balance, coordination and posture
  • Improvement of exercise tolerance
  • Maintenance or improvement of joint range of movement
  • Promotion of functional activities balance
  • Re-education of muscle function
  • Relief of pain and muscle spasm
  • Stimulation of circulation
  • Strengthening of weak muscles
  • Pain management


    To book an appointment or to speak to a physiotherapist, call us on 01622 749336 or email info@westerhillphysio.co.uk


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