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Musculoskeletal Physio

MSK/Sports Physiotherapy

Musculoskeletal (MSK) and sports physiotherapy is a specialised area of physiotherapy focused on the assessment, treatment and rehabilitation of injuries, disorders and diseases that affect the body’s musculoskeletal system—comprising the joints, muscles, ligaments, tendons, and bones. 


Whether you’re recovering from an injury, managing a chronic condition, or improving performance, our MSK and sports physiotherapists work to restore function and prevent further injury.

What We Treat

Examples of the conditions we treat include:

  • Ligament sprains and muscle strains
  • Tendon problems
  • Back and neck pain
  • Repetitive and work-related pain
  • Osteoarthritis 
  • Post orthopaedic surgeries
  • Sports injuries and return to activities

How We Can Support You

  • Comprehensive MSK assessment, evaluation of medical history, symptoms, and abilities.
  • Movement analysis and corrective/rehabilitative exercises to enhance movement patterns, aid recovery and improve overall function
  •  Education and advice to increase your awareness with your condition and to empower you with self-management
  • Adjunct treatments if indicated: manual therapy (i.e., massage, trigger point, stretching), electrotherapy & therapeutic ultrasound

Musculoskeletal Physio

Exercise therapy, education and advice are at the heart of physiotherapy practice. In certain circumstances, clinicians and service users may explore adjunct treatments with the aim to further enhance the effectiveness of the overall treatment.


The overall research evidence regarding adjunct treatments and their benefits over core physiotherapy treatments in many conditions had so far been rather limited and indefinite due to the lack of high-quality studies available.


However, incorporating specific adjunct treatments to specific musculoskeletal problems in addition to exercise therapy, education and advice may provide a certain amount of benefits and clinical relevance as seen in some studies and anecdotal evidence.


Your physiotherapist will be able to guide you to which adjunct treatment will be the most appropriate for your individual needs and goals.

Manual Therapy (i.e., Massage, joint mobilisation)

Manual therapy is a technique where a physiotherapist uses their hands to manipulate, mobilise and massage the body tissues.


Manual therapy may be able to help with relieving pain and stiffness, improving blood circulation, improving the movement of different parts of the body, and promoting relaxation.


Contraindications:

· Any type of skin infections

· Circulatory problems; thrombosis, bleeding disorders

· Less than 48 hours after injury

· Acute inflammation

· High irritability and severity of pain

· Fractures and bone disease (i.e., osteoporosis)

· Malignancy

·Unremitting night pain

· Significant worsening neural symptoms and neuro conditions: UMNL, spinal cord injury, cauda equina

· Allergy to the massage oil or lotion being used


Potential Side Effects (when not contraindicated):

· Muscle ache and soreness 

· Fatigue

Electrotherapy (TENS)

Transcutaneous electrical nerve stimulation (TENS) is a method of pain relief involving the use of a mild electrical current. 


The electrical current stimulates nerve fibres that carry signals relating to touch. The signals travel to the spinal cord where they temporarily block the transmission of pain sensations to the brain.


TENS is not a cure for pain and often only provides short-term relief. However, the treatment is generally very safe and you may feel it's worth trying instead of, or in addition to, the usual medical treatments.


Contraindications:

· DVT or thrombophlebitis 

· Haemorrhagic conditions

· Pregnancy

· Epilepsy

· Pacemaker and other electronic devices

· Placement: 

     o over the eyes

     o on the head

     o on front of the neck

     o internal use

     o over broken skin or lesions

     o over tumours

     o directly over the spine

     o regions of severe paraesthesia (a burning or prickling sensation)


Potential Side Effects (when not contraindicated):

· Skin irritation

· Muscle twitching

· Muscle pain


IMPORTANT: TENS electrodes stick best on skin with minimal hair. This will also help minimise discomfort when taking off the electrodes. Hence, it may be best to shave the surrounding area that you would like to be treated the day before your appointment.

Therapeutic Ultrasound (pulsed)

Therapeutic ultrasound is a high frequency soundwave which produces a fine vibration of the cells in the body. This soundwave is the production of mechanical energy created by the vibration of a quartz crystal, which is situated inside the head of the treatment machine. 


Therapeutic ultrasound may be able to help with the body’s own natural healing processes and could encourage healing in the soft tissues  by increasing cellular activity, promoting healthy inflammatory response and remodelling of new tissues.


This type of ultrasound is different to that used during pregnancy. 


Contraindications:

· Over suspected or confirmed tumour

· On skin over electronic implants (pacemakers)

· On an infected or bleeding area, including TB

· On the abdomen or lower back of pregnant women

· On front of the neck

· Over active deep vein thrombosis or thrombophlebitis

· Over reproductive areas 

· On recently irradiated tissue (within 6 months)


Potential Side Effects (when not contraindicated):

· Minor discomfort

· Superficial burn

· Internal bleeding or scarring

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