Specialist in Neck, Back & Sports Injuries

Do you suffer from RSI?

What is RSI?

Repetitive strain injury (RSI) is a general term used to describe the pain felt in muscles, nerves and tendons caused by repetitive movement and overuse.

It’s also known as work-related upper limb disorder, or non-specific upper limb pain.

The condition mostly affects parts of the upper body, such as the:

  • forearms and elbows
  • wrists and hands
  • neck and shoulders

We will focus on the wrist on this post.

Symptoms of RSI

The symptoms of RSI can range from mild to severe and usually develop gradually. They often include:

  • pain, aching or tenderness
  • stiffness
  • throbbing
  • tingling or numbness
  • weakness
  • cramp

At first, you might only notice symptoms when you’re carrying out a particular repetitive action.

But without treatment, the symptoms of RSI may eventually become constant and cause longer periods of pain. You may also get swelling in the affected area, which can last for several

What causes RSI?

RSI is related to the overuse of muscles and tendons in the upper body.

Certain things are thought to increase the risk of RSI, including:

  • repetitive activities
  • doing a high-intensity activity for a long time without rest
  • poor posture or activities that involve working in an awkward position

Cold temperatures and vibrating equipment are also thought to increase the risk of getting RSI and can make the symptoms worse. Stress can also be a contributing factor.

If you feel you have RSI, book in for an initial consultation by calling us at Rainham physiotherapy centre on 01634 377 638.

Do you suffer from a Tarlov Cyst?

DO YOU HAVE A TARLOV CYST?!

Tarlov cysts are fluid-filled nerve root cysts found most commonly at the sacral level of the spine – the vertebrae at the base of the spine. These cysts typically occur along the posterior nerve roots. Cysts can be valved or nonvalved. The main feature that distinguishes Tarlov cysts from other spinal lesions is the presence of spinal nerve root fibers within the cyst wall or in the cyst cavity itself.

Due to the close proximity to the lower pelvic region, patients may be misdiagnosed with herniated lumbar discs, arachnoiditis and in females, gynecological conditions. An accurate diagnosis may be further complicated if the patient has another condition that affects the same region.

Although the exact cause is unknown, there are theories as to what may cause an asymptomatic Tarlov cyst to produce symptoms. In several documented cases, accidents or falls involving the tailbone area of the spine caused previously undiagnosed Tarlov cysts to flare up.

Any of the following may be present in patients that have symptomatic Tarlov cysts:

  • Pain in the area of the nerves affected by the cysts, especially the buttocks
  • Weakness of muscles
  • Difficulty sitting for prolonged periods
  • Loss of sensation on the skin
  • Loss of reflexes
  • Changes in bowel function, such as constipation
  • Changes in bladder function, including increased frequency or incontinence

Tarlov cysts may be discovered when patients with low back pain or sciatica have a magnetic resonance imaging (MRI) performed. Follow-up radiological studies, in particular, computed tomographic (CT) myelography are usually recommended.

If you feel you may be suffering from a Tarlov Cyst, book in with us here at Rainham Physiotherapy Centre by calling 01644 377638 and arrange an initial consultation! 

Do you suffer from Thoracic Outlet Syndrome?

DO YOU SUFFER FROM THORACIC OUTLET SYNDROME?

Thoracic outlet syndrome is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause pain in your shoulders and neck and numbness in your fingers.

Common causes of thoracic outlet syndrome include physical trauma from a car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy. Sometimes doctors can’t determine the cause of thoracic outlet syndrome.

Thoracic outlet syndrome symptoms can vary, depending on which structures are compressed. When nerves are compressed, signs and symptoms of neurological thoracic outlet syndrome include:

  • Muscle wasting in the fleshy base of your thumb (Gilliatt-Sumner hand)
  • Numbness or tingling in your arm or fingers
  • Pain or aches in your neck, shoulder or hand
  • Weakening grip

Signs and symptoms of vascular thoracic outlet syndrome can include:

  • Discoloration of your hand (bluish color)
  • Arm pain and swelling, possibly due to blood clots
  • Lack of color (pallor) in one or more of your fingers or your entire hand
  • Weak or no pulse in the affected arm
  • Cold fingers, hands or arms
  • Arm fatigue with activity
  • Numbness or tingling in your fingers
  • Weakness of arm or neck
  • Throbbing lump near your collarbone

If you experience some or all of these symptoms and would like to get booked in for a consultation, book in with us at Rainham physiotherapy centre by calling 01634 377638 and we’ll be more than happy to help!

Facet Joint Arthropathy rehabilitation.

DO YOU SUFFER FROM FACET JOINT ARTHROPATHY?!

The facet joints are found between the vertebrae of each segment of your spinal column. Osteoarthritis can develop in these joints and may be called facet arthropathy or facet joint osteoarthritis.

Facet arthropathy is degenerative arthritis which affects the facet joints of the spine.

Healthy Facet joints help keep the normal alignment of the vertebrae and limit motion.

Causes

Arthritis in the facet joints can develop from:

  • Wear and tear that decreases space between vertebrae causing facet joints to rub together
  • A previous back injury
  • Fractures
  • Torn ligaments
  • Disc problems

Due to the additional stress caused by these circumstances affecting the facet joints, bone spurs (also known as osteophytes) can develop and cartilage can deteriorate.

Symptoms

Pain is the main symptom associated with facet arthropathy. The pain is typically worse following sleep or rest. Pain associated with facet arthropathy may be exacerbated by twisting or bending backward. Low back pain is the most frequent complaint but it does not typically radiate down the legs or buttocks unless spinal stenosis also is involved.

Facet arthropathy Treatments

Oral medication may be prescribed including:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Muscle relaxants
  • Corticosteroids

Other treatment options include:

  • Traction
  • Strengthening and aerobic exercise
  • Spinal manipulation

When it comes to strengthening exercises, Go to our instagram page @rainhamphysiotherapycentre for more information.

Lordosis rehabilitation.

WHAT IS LORDOSIS?!

Everyone’s spine curves a little in your neck, upper back, and lower back. These curves, which create your spine’s S shape, are called the lordotic (neck and lower back) and kyphotic (upper back). They help your body:

* absorb shock

* support the weight of the head

* align your head over your pelvis

* stabilize and maintain its structure

* move and bend flexibly

If your lumbar curve arches too far inward, it’s called lordosis, or swayback. This can lead to excess pressure on the spine, causing pain and discomfort. It can affect your ability to move if it’s severe and left untreated. There’s little medical concern if your lower back curve reverses itself when you bend forward. You can probably manage your condition with daily exercises.

You should seek physiotherapy help if the curve remains the same when you bend forward.

The easiest way to check for Lordosis is to lie on your back on a flat surface. You should be able to slide your hand under your lower back, with little space to spare.

Someone with lordosis will have extra space between their back and the surface. If they have an extreme curve, there’ll be a visible C-like arch when they stand. And from the side view, their abdomen and buttocks will stick out.

The most common symptom of lordosis is muscle pain. When your spine curves abnormally, your muscles get pulled in different directions, causing them to tighten or spasm. You may also experience limited movement.

 

Make an appointment with your Physio if you are experiencing other symptoms, such as:

* numbness

* tingling

* electric shock pains

* weak bladder control

* weakness

* difficulty maintaining muscle control

 

Treatment for lordosis will depend on how severe your curve is and the presence of other symptoms.

Treatment options include:

* medication, to reduce pain and swelling

* physical therapy, to strengthen muscles and range of motion

* weight loss, to help posture

* surgery, in severe cases with neurological concerns

Kyphosis rehabilitation.

DO YOU SUFFER FROM KYPHOSIS?!

Kyphosis is a spinal disorder in which an excessive outward curve of the spine results in an abnormal rounding of the upper back. The condition is sometimes known as “roundback” or—in the case of a severe curve—as “hunchback.” Kyphosis can occur at any age, but is common during adolescence.

In the majority of cases, kyphosis causes few problems and does not require treatment. Occasionally, a patient may need to wear a back brace or do exercises in order to improve his or her posture and strengthen the spine. In severe cases, however, kyphosis can be painful, cause significant spinal deformity, and lead to breathing problems.

The signs and symptoms of kyphosis vary, depending upon the cause and severity of the curve. These may include:

  • Rounded shoulders
  • A visible hump on the back
  • Mild back pain
  • Fatigue
  • Spine stiffness
  • Tight hamstrings (the muscles in the back of the thigh)

Rarely, over time, progressive curves may lead to:

  • Weakness, numbness, or tingling in the legs
  • Loss of sensation
  • Shortness of breath or other breathing difficulties

Specific exercises can help relieve back pain and improve posture by strengthening muscles in the abdomen and back. Certain exercises can also help stretch tight hamstrings and strengthen areas of the body that may be impacted by misalignment of the spine.

The main exercises we’d recommend are I’s, Y’s and T’s. Try 3 sets of 10-15 reps per angle to stretch then the back and stretch your chest and shoulders.

Achilles Tendinitis rehabilitation.

ACHILLES TENDINITIS REHAB

Achilles tendinitis is an overuse injury of the Achilles tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone.

Achilles tendinitis most commonly occurs in runners who have suddenly increased the intensity or duration of their runs. It’s also common in middle-aged people who play sports, such as tennis or basketball, only on the weekends.

Most cases of Achilles tendinitis can be treated with relatively simple, at-home care under physiotherapist supervision. Self-care strategies are usually necessary to prevent recurring episodes. More-serious cases of Achilles tendinitis can lead to tendon tears (ruptures) that may require surgical repair.

The pain associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after running or other sports activity. Episodes of more-severe pain may occur after prolonged running, stair climbing or sprinting.

You might also experience tenderness or stiffness, especially in the morning, which usually improves with mild activity.

When to see a a physiotherapist?

If you experience persistent pain around the Achilles tendon, seek immediate medical attention if the pain or disability is severe. You may have a torn (ruptured) Achilles tendon.

If you feel that you’re suufering from Achilles Tendinitis, feel free to call us here at Rainham Physiotherapy Centre on 01634 377638 and get booked in with one of our highly experienced physiotherapists.

Shoulder pain rehabilitation

SHOULDER PAIN REHAB

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Rotator cuff injuries are the most common shoulder injuries and occur most often in people who repeatedly perform overhead motions in their jobs or sports. Examples include painters, carpenters, and people who play baseball or tennis.

The risk of rotator cuff injury also increases with age.

Many people recover from mild rotator cuff injury with physical therapy exercises like the ones we’re performing above, which improve flexibility and strength of the muscles surrounding the shoulder joint.

Sometimes, rotator cuff tears may occur as a result of a single injury. In those circumstances, physiotherapy care should be provided as soon as possible. Extensive rotator cuff tears may require surgical repair, transfer of alternative tendons or joint replacement.

The pain associated with a rotator cuff injury may:

  • Be described as a dull ache deep in the shoulder
  • Disturb sleep, particularly if you lie on the affected shoulder
  • Make it difficult to comb your hair or reach behind your back
  • Be accompanied by arm weakness

If you feel like you’re suffering from a rotator cuff injury, contacts us here at rainham physiotherapy centre on 01634 377638 to enquire about booking in for a session.