Wrist and Hand
- Carpal Tunnel Syndrome
- RSI (Repetitive Strain Injury)
- Carpel Problems
- Referred Pain from the Neck
Pain in the wrist and hand can be due to injury to the ligaments, joints and muscles in the local area. Pain in the wrist and hand can be referred from the neck and thoracic spine (upper back). Overuse of the hand and wrist can cause swelling and pain of the tendons and is commonly known as RSI.
Neck and Head
- Postural Neck Pain
- Headaches
- Whiplash
- Jaw Pain
- Vestibular problems; loss of balance
Pain can be from the joints, ligaments, discs and muscles of the neck. Pain can be referred from the neck into arm or into the head causing headaches. Neck pain is often related to static postures such as sitting in the car or at a desk. Jaw problems can lead to headaches if un-treated. Certain vestibular problems respond well to rehabilitation.
Shoulder
- Impingement Syndrome
- Rotator Cuff Injuries
- Instabilities
- Frozen Shoulder
- Post-Operative Rehabilitation
- Nerve Entrapment around the Shoulder
Pain in the shoulder can be from the joint, capsule, muscles or ligaments or referred from the neck. Often injury to the joint is related to the way the shoulder muscles control the movement and posture of the shoulder. Frozen shoulder is the painful tightening of the joint capsule. Rotator cuff tendon problems result from overuse or trauma to the tendon often resulting in pain at the top of the upper arm.
Elbow
- Tennis Elbow
- Golfers Elbow
- Ligament Sprains
- Referred Pain from the Neck
The most common causes of pain at the elbow are tennis and golfers elbow. These are irritations of the tendon where they attach to the bone at the elbow. The pain typically develops gradually and may only be painful following exercise. Pain at the elbow can also be referred from the neck.
Thoracic
- Thoracic intervertebral joint problems
- Rib pain and trauma
- Referred or non-referred chest pain
- Respiratory problems
- Thoracic intervertebral disc problems
- Scheuermann's disease
A thoracic joint disorder often results from an overstretching injury when the upper back is rotated or bent too far. It commonly results in a dull ache and stiffness in the upper back which is made worse by movements of the trunk. This can sometimes refer (be felt elsewhere) into the front of the chest. If the nerves are involved you may have pins and needles or areas of numbness.
Lower Back
- Postural lower back pain
- Disc-related lower back pain
- Joint related lower back pain
- Sciatica
- Muscular problems
- Spondylolisthesis
Low back is one of the most frequently treated injuries at the clinic. It can be caused by poor postures such as bending and sitting incorrectly, or it can result following trauma. There is often a dull or strong ache, which may be central in the back, to one side or on both sides of the spine. It may also radiate down into the buttocks, back of the thigh or lower leg.
Pelvis
- Sacroiliac joint problems
- Buttock pain
- Groin pain
- Hip joint problems
- Hernia and abdominal wall problems
- Continence problems
Pelvic problems are common in predominantly the pregnant and postnatal population. We have a specialist physio to help with these problems. However we also treat a large amount of pelvic problems in the male population particularly when they present as an adductor/groin injury.
Thigh
- Hamstring muscle strain
- Quadriceps muscle strain
- Quadriceps contusion and myositis ossificans
- Femoral nerve problems
- Femoral stress fracture
Thigh pain is predominantly caused by problems in the quadriceps (front of thigh) or hamstrings (back of thigh). Hamstring strains are the most common and typically occur during running or sprinting just before or after the hip hits the ground. The first sensation you feel is sudden pain in the back of the thigh due to damage to muscle fibres. At the same time you may have a 'tearing' sensation. Sometimes hamstring pain can be referred pain from a problem in the lumbar spine.
Knee
- Meniscal and Articular cartilage injuries
- Pre and post-surgical repair (such as anterior cruciate ligament/ACL surgery)
- Ligament injuries
- Patella (kneecap) problems
- Tendonopathy of the hamstrings, groin and irritation ot the iliotibial band
- Osteoarthritis and general wear and tear
Knee pain can be caused by overuse (such as runner's knee) or by a specific incident (such as ACL rupture from twisting playing football). If knee pain feels internal then it is more likely to be a joint, cartilage or ligament problem. Whereas if it is most external it is more likely caused by a knee cap or tendon issue. Knee pain can also be referred from another site in the body such as the lower back and pelvis.
Lower Leg
- Calf tears
- Anterior Tibial Syndrome (shin splints)
- Achilles problems
- Sever's lesion
- Stress fracture of the tibia and fibula
- Compartment syndrome
Lower leg problems are common in most sports involving weight-bearing, particularly running. They are usually caused by excessive overload either traumatic or mechanical. Rehabilitation of movements patterns is often required in the treatment of these conditions.
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