J. Physiotherapy Corner

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7 thoughts on “J. Physiotherapy Corner

  1. Hi Jane
    Can you tell me the difference between a physio, a chiropracter and a osteopath…if I have sore hips and knees who do I go to..do I need to go to a doctor?
    Thank you
    Jane Delorise

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  2. Hi Jane
    Wow I did not realize this was an issue and even a common one,
    What exercises should I be doing?
    If the exercises do not work do you know a physiotherapist who specializes in hands?
    Thank you again
    Toby

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  3. Hi Toby,
    Sore thumbs are very common, especially as we start to put a few birthdays behind us. Thumbs are very important so it is not a silly question, but it is a tricky one to answer as there can be many sources for the pain you are experiencing. If the pain is where the thumb articulates at the wrist joint and it hurts with most movements then it is possible early osteoarthritis, the wear and tear kind that affects us all. If the pain runs along the outside of the thumb and wrist it can be an irritation of the lining of the tendons to the thumb. This is commonly an overuse type of injury.

    The third possible source is the lower neck. The thumb receives it’s main nerve supply from the C6 spinal nerve which is about level where the neck ends and the trunk starts. If one is sitting at the computer, head forward and in a slouched position, then it is possible that the nerve to the thumb is being irritated. Usually one would also be experiencing some stiffness or discomfort in the neck. There are other causes of thumb pain but these are the most common.

    For the first two conditions I mentioned, a light support that stabilises the wrist and thumb can often help if you wear it when undertaking the aggravating activities. Exercises can also help to stabilise the joint. For the third, correcting posture at the computer can help, particularly the support in the lower back which makes it hard to slouch. Trying to limit the time spent at the computer might also help (assuming it is not your job). There are physiotherapists who specialise in hands and might be able to give you a more specific diagnosis and management.

    Hope this helps,
    Regards
    Jane

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  4. Hi Jane
    Thank you for doing this.
    This sounds silly but I have a really sore thumb which get more sore by the day especially when I am on the computer.
    Is it a silly question?
    Thank you again
    Toby

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  5. Hi
    Can you tell me more about frozen shoulder
    I was told it cannot be treated after a certain time and I need to leave with it.
    Thank you

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    • Hi Jeri,
      I will make frozen shoulder (FS) the next article I do for the blog. To give you a short answer in the meantime..the term frozen shoulder is often used as a descriptive term to describe a stiff and painful shoulder.
      A true FS is actually a capsulitis which is a condition that starts for no apparent reason, is extremely painful in the early stages, but as time goes on the pain eases and the shoulder is stiff but not as painful. The true FS is easily aggravated in the painful stages, does not respond to manual therapy or exercises and is best managed by the doctor with analgesics and in some cases cortisone injections.
      The true FS, does however respond well in the stiffness stage. At this point, gentle mobilisation and massage of the shoulder is undertaken, combined with gentle exercise. Most true FS are resolved within two years. Bad news is it can sometimes come back in the other arm, and as the cause is unknown it is difficult to prevent. It is another one of those conditions that affects women more than men, particularly the over 40’s.
      The stiff and painful shoulder (not a capsulitis) can have many causes. Rehabilitating a stiff and painful shoulder is a slow process (often 6 months of physio). It can involve hands on treatment combined with a careful exercise programme, some of which is best done as hydrotherapy. These days the radiologists are using ultrasound guided cortisone injections to give both the patient and the physio a head start by relieving any inflammatory processes in the shoulder. Unless one has a severely arthritic shoulder as a source of the shoulder pain and stiffness, then I would say there is always room for improvement in shoulder pain and function.
      Hope this helps.
      Regards
      Jane

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      • Hi Jane
        Thank you for your reply
        This is very complicated
        I have for now given up on the professionals and do gentle exercise and slowly increase my range of motion as they call it..
        So far so good but still painful.
        Thank you again

        Like

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