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 What to expect from your first appointment
 
We are very proud to offer our clients efficient, bespoke and affordable treatment. Our aim is to provide patients with a thorough clinical assessment before beginning treatment. It is always followed by discussion and explanation on the nature of your condition and finally a personalized combination of the treatment options to solve the cause of the problem is given.
 
 
 
 
Treatment session lasts approx. 45 minutes unless we feel more time is required. In this case you will not be charged for extra time. You are required to bring shorts when  coming for your appointment - it will help you to feel comfortable during the re-assessment, treatment and exercise presentation.
 
 
 
 
 
 
Between appointments you will be provided with a home rehabilitation/exercise programme to assist your recovery.
It will be an integral part of your treatment.
 
 






 
Please find below more information on some of the treatments we offer.
 
  • Manual and mechanical spinal traction
  • Spinal mobilization/manipulation
  • Joints mobilization/manipulation
  • Electrotherapy
  • Acupuncture
  • Soft tissue release
  • Postural analysis and corrective exercise regime                                        
  • Massage
                                                                                                              
Electrotherapy
 
Electrotherapy is the use of electrical energy as a medical treatment (1). Electrotherapy is used for relaxation of muscle spasms, prevention and retardation of disuse atrophy, increase of local blood circulation, muscle rehabilitation and re-education electrical muscle stimulation, maintaining and increasing range of motion, management of chronic and intractable pain, post-traumatic acute pain, post surgical acute pain, immediate post-surgical stimulation of muscles to prevent venous thrombosis, wound healing and drug delivery.
 
 
Electrotherapy is commonly used for:
 
1. Pain management
Improves range of joint movement
2. Treatment of neuromuscular dysfunction
Improvement of strength
Improvement of motor control
Retards muscle atrophy
Improves local blood flow
3. Improves range of joint mobility
Induces repeated stretching of contracted, shortened soft tissues
 
4. Tissue repair
Enhances microcirculation and protein synthesis to heal wounds
Restores integrity of connective and dermal tissues
5. Acute and chronic oedema
Accelerates absorption rate
Affects blood vessel permeability
Increases mobility of proteins, blood cells and lymphatic flow
 
6. Peripheral blood flow
Induces arterial, venous and lymphatic flow
7. Iontophoresis
Delivery of pharmacological agents
 
Spinal manipulations/mobilizations
 
Spinal manipulation (SM) is a traditional form of treatment practised by physiotherapists and other healthcare providers mostly (but not exclusively) to treat musculoskeletal problems.[7] SM can be described as `the use of hands applied to the patient incorporating the use of instructions and manoeuvres to achieve maximal painless movement and exposure of the musculoskeletal system'[8] or as `the application of a load (force) to specific body tissues with therapeutic intent'.[9]
 
 
The postulated modes of action of SM include: increase of joint movement, changes in joint kinematics, increase of pain threshold, increase of muscle strength, as well as enhanced proprioceptive behaviour.[9]
 
Joint manipulations/mobilization
 
During rehabilitation from a sports injury, the return of a limb to full mobility by carefully applied pressure to a joint or muscle so that it will move through its normal range of movement. Mobilization maintains and then improves muscle tone, reduces joint stiffness, and strengthens ligaments and tendons. It is a graded process, starting gently with passive mobility exercises when injuries are in the acute and painful phase, and becoming more forceful with both passive and active mobility exercises during the recovery phase.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Mobility exercises should be designed to restore full mobility by strengthening and stretching muscles.[11] Joint manipulation is a type of passive movement of a skeletal joint and can be distinguished from other manual therapy interventions such as mobilization by its biomechanics, both kinetics and kinematics.[12]     
                                                            
Manual/mechanical spinal traction
 
It is a safe, effective and cost-effective non-surgical relief from back or neck pain.The goal of spinal traction is to pull the vertebrae apart from each other. The purpose is generally to create more space for nerves where they exit the spinal column or to relieve pressure on the cartilage disks between the bones or on the small spinal joints themselves. Traditionally it is classified as either manual or mechanical. Manual traction is performed by another individual, usually your medical or rehabilitation provider.
 
Mechanical traction comes in a wide variety of strategies and devices. Intermittent traction is traction where the force of pull is used on and off. This can be done either manually or mechanically. Sustained traction is when the force of pull is held for an extended period of time, usually no more than 30 minutes. While this can be done manually, it is usually done mechanically since the force of pull can be held steady for a longer duration of time.[13] Traction is used to reduce pressure in the spine in conditions such as disc bulges, facet syndrome, spinal arthritis, spinal stenosis, radiculopathy, protrusions and herniations, sciatica and more. It is also beneficial for intervertebral disc rehabilitation and for increasing blood flow to the soft tissue structures of the spine.
 
Soft tissue release
 
Soft tissue release is a form of soft tissue therapy used to treat  impaired or altered function of the musculo-skeletal system (somatic dysfunction) and accompanying pain and restriction of motion.
 
This is accomplished by relaxing contracted muscles, increasing circulation, increasing venous and lymphatic drainage, and stimulating the stretch reflex of muscles and overlying fascia [10]
 
Postural analysis and corrective exercise regime
 
Postural analysis is conducted in order to detect any asymmetries (e.g., shoulder depression, elevation, head tilt, and/or knock knees) of the subject's anterior (front), lateral (side), and posterior (back) aspects of the body. It is of high importance to treat  those symmetries/imbalances as early as possible since they can lead/contribute to development of chronic conditions.
 
 
Massage
 
Massage is the practice of soft tissue manipulation with physical (anatomical), functional (physiological), and psychological purposes and goals.[2] Massage involves acting on and manipulating the body with pressure – structured, unstructured, stationary, or moving – tension, motion, or vibration, done manually or with mechanical aids. Target tissues may include muscles, tendons, ligaments, skin, joints, or other connective tissue, as well as lymphatic vessels, or organs of the gastrointestinal system. Massage can be applied with the hands, fingers, elbows, knees, forearm, and feet.
 
There are over eighty different recognized massage modalities.[3] medical research has shown that the benefits of massage include pain relief, reduced trait anxiety and depression, and temporarily reduced blood pressure, heart rate, and state anxiety.[4]
Relief from pain due to musculoskeletal injuries and other causes is cited as a major benefit of massage.[4] When combined with education and exercises, massage might help sub-acute, chronic, non-specific low back pain.[5] Furthermore, massage has been shown to reduce pain experienced in the days or weeks after treatment.[6]
                                                                      
           Telephone: 0161 705 1521
             Mobile: 07922 863 860
          Email: bhphysiotherapy@yahoo.co.uk

 
For map and more location information link through to our Contact us page.
 
                             References
 
1.^ Institute of Electrical and Electronics Engineers, "The IEEE standard dictionary of electrical and electronics terms". 6th ed. New York, N.Y., Institute of Electrical and Electronics Engineers, c1997. IEEE Std 100-1996. ISBN 1-55937-833-6 [ed. Standards Coordinating Committee 10, Terms and Definitions; Jane 
                               Radatz, (chair)]
 

2. ^ Definition of massage, Prescottlmt.com
 
3. "Massage Therapy as CAM". The National Center for Complementary and Alternative Medicine (NCCAM). 2006-09-01. :http//nccam.nih.gov/health/massage/. Retrieved 2007-09-26.
4. "A Meta-Analysis of Massage Therapy Research." (PDF). Psychological Bulletin. 2004. http://www.anatomyfacts.com/Research/Massage%20Journal%20Club/January07/Moyer.pdf. Retrieved 2008-01-12.
5. Furlan AD, Imamura M, Dryden T, Irvin E (2008). "Massage for low-back pain". Cochrane Database Syst Rev (4): CD001929. doi:10.1002/14651858.CD001929.pub2. PMID 18843627.
6. "A Meta-Analysis of Massage Therapy Research." (PDF). Psychological Bulletin. 2004. 
 
8. Dvorak J, Dvorak V. Manual Medicine. Berlin: Springer: 1984
 
9. Meeker WC, Haldeman S. Chiropractic: a profession at the crossroads of mainstream and alternative medicine. Ann Intern  Med  2002;136: 216-27 [PubMed]
 
 
10. DiGiovanna, Eileen; Stanley Schiowitz, Dennis J. Dowling (2005) [1991]. "Myofascial (Soft Tissue) Techniques (Chapter
 
12)".An Osteopathic Approach to Diagnosis and Treatment (Third ed.). Philadelphia, PA: Lippincott Williams & Wilkins. pp. 80-82.