Here are just a few of the conditions we treat. If you would like more information about a different condition, you can contact us via the link below.
Achilles Tendonitis and Achilles tendonopathy are both terms used to describe pain from the Achilles tendon, that is felt at the back of the heel/lower leg.
Achilles Pain Symptoms Include:
- Pain localized to tendon
- Usually gradual onset
- Worse in the morning
- Worse after activity
- Some people may also notice a thickening of the tendon, and/or a nodule (small lump) over the tendon or a creaking noise when moving.
Runners are 30 times more likely to develop Achilles tendonopathy than less active people.
- Do your training shoes need replacing?
- Are you allowing yourself adequate rest periods between training sessions?
- Is your foot type suited to the shoes that you wear?
These are all factors which could lead to Achilles tendonopathy.
The application of ice to the painful area is very effective to manage the pain.
Treatments for Achilles Pain Include:
Our Physiotherapists can talk you through specific stretching and strengthening exercises, which should help treat the problem and also prevent it from coming back.
This can provide excellent results in the treatment of Achilles pain. Contact us to find out more.
Back pain is an extremely common problem, and it is estimated that 7 out of 10 of us will suffer from some form of back pain in our lifetimes.
Treatments for Back Pain
There are many treatments used for back pain. Due to the complexity of the back, different treatments are used depending on your symptoms.
A Physiotherapist will talk you through the reasons for your back pain, as well as treatment options.
Prevention of back pain
It is difficult to completely prevent back pain but there are a number of things we can do to decrease the risk of back pain.
- Staying active. Keep your body fit and healthy by participating in regular physical activity. This doesn’t have to mean hours in the gym. Even small changes can make a really big difference. Walk or bike to work, or if you use public transport, try to get off a stop earlier and walk the remainder of your journey. Choose something that fits your lifestyle and that you enjoy. Aim for 20-30 mins of exercise 2-4 times per week.
- Posture. Try to maintain the natural ‘S’ shaped curve of your spine. Change your position regularly - even standing up from the desk at short intervals will help you relieve the stress placed on your spine from prolonged sitting.
- Flexibility. Stretches not only for the spine, but also hamstrings, hip flexors and the muscles at the front of the chest will assist in maintaining a good posture. Pilates & the Mens stretching classes at Peak, would be good for you.
- Healthy eating and drinking. If you are well hydrated, then the intervertebral discs are better hydrated and this helps them to keep healthy.
Frozen Shoulder is also called adhesive capsulitis. A frozen shoulder can be an extremely painful, and results in severe loss of movement.
Symptoms of Frozen Shoulder
This condition follows specific patterns in the nature of the symptoms and these symptoms can be described in 3 phases.
- Phase One - Painful Phase (Freezing). This typically lasts 2-9 months. The first symptom is usually pain. Stiffness and limitation in movement then also gradually build up. The pain is typically worse at night, and when lying on the affected side.
- Phase Two - Stiff Phase (Frozen). This typically lasts 4-12 months. Pain gradually eases but stiffness and limitation in movement remain and can get worse. All movements of the shoulder are affected but the movement most severely affected is usually rotation of the arm outwards. The muscles around the shoulder may waste a bit as they are not used.
- Phase Three - Recovery Phase (Thawing). This typically lasts 5-24 months. The stiffness gradually goes and movement gradually returns to normal, or near normal.
What causes frozen shoulder?
We still don’t fully understand why people get a frozen shoulder. It can sometimes be related to another shoulder injury but equally it can happen for seemingly no reason. We do know that it tends to happen more in women, people who have diabetes and those in their 50’s and 60’s. Research has also shown that it more commonly affects the left shoulder!
Treatment of Froxen Shoulder
In most cases frozen shoulder will resolve itself but this can take a number of years if left untreated.
There are a number of treatments that you can try to speed up the process of recovery.
Physiotherapy uses stretches and manipulation to increase the range of motion at the joint and strengthening exercises to maintain the muscles surrounding the joint and improve quality of movement.
Cortisone acts as a local anti-inflammatory and can help restore range of motion and reduce pain.
Acupuncture is the use of small needles which are inserted into specific points on the body. Although there is still some debate surrounding the way in which acupuncture actually works, many people find it an effective method of pain relief.
Golfers elbow is a form of tendonopathy (sometimes also called tendonitis). Tendons attach muscle to bone and the pain of golfers elbow if felt due to damage (usually caused by overuse) at the point where a group of muscles join onto a bony prominence on the inside of the elbow called the medial epicondyle.
Symptoms of Golfers Elbow
The muscles which join onto the medial epicondyle are responsible for flexing the wrist and turning the palm face down.
Therefore when you have golfers elbow, you usually get pain when contracting or stretching these muscles.
Pain is usually felt over the inside of the elbow but can spread down the forearm also. Activities that might cause such pain are:
- Lifting or bending the arm or grasping even light objects such as a glass of water.
- Fully straightening the forearm.Holding a golf club or tennis racquet.
- Turning a door knob
Treatment of Golfers Elbow
Avoiding the aggravating activity is recommended where possible. Rest, Ice, Compression and Elevation (RICE) can be used after exercise or activity.
Ergonomic workplace or sports modifications can be used such as braces/supports or grip modifications.
Your Physiotherapist will test for tenderness over or near to the bony bump on the inside of the elbow. We will also test to see whether the pain gets worse when you bend the palm towards the arm (flex the wrist) against resistance.
In the event of both these signs being present, it is likely that you have golfer's elbow.
We may then suggest to you:
- Strengthening exercises
Plantar Fasciitis is one of the most common causes of heel pain.
Causes of Plantar Fasciitis
Plantar fasciitis is caused due to damage to the plantar fascia at the point where it joins onto the heel. This damage is usually caused by overuse.
You are more likely to injure your plantar fascia if:
- You are on your feet for a lot of the time, or if you do lots of walking, running, standing, etc, when you are not used to it.
- You have a sedentary lifestyle.
- You have recently started exercising on a different surface. For example, running on the road instead of the park.
- You have been wearing shoes with poor cushioning or poor arch support.
- You are overweight, (this will put extra strain on your heel).
- There is overuse or sudden stretching of your sole. For example: athletes who increase running intensity or distance; poor technique starting 'off the blocks', etc.
- You have a tight Achilles tendon.
Symptoms of Plantar Fasciitis
Pain is the main symptom. This can be anywhere on the underside of your heel. However, commonly, one spot is found as the main source of pain. This is often about 4 cms forward from your heel, and may be tender to touch.
Sudden stretching of the sole of your foot may make the pain worse. For example, walking up stairs or on tip-toes.
Treatment for Plantar Fasciitis
Plantar Fasciitis usually takes about a year to resolve, there are some things you can do to help relieve the symptoms and possibly speed the recovery.
Rest. Avoid the aggravating activities where possible.
Exercises. Regular, gentle stretching of your Achilles tendon and plantar fascia may help to ease your symptoms. Our team of Physiotherapists can talk you through the best exercises and set you up with a plan.
Footwear. Choose shoes with cushioned heels and a good arch support. Avoid old or worn shoes (especially sports shoes) that may not give a good cushion to your heel.
Pain relief. Painkillers such as paracetamol will often ease the pain. Sometimes anti-inflammatory medicines such as ibuprofen are useful.
R.I.C.E. An ice pack (such as a bag of frozen peas wrapped in a tea towel) and held to your foot for 15-20 minutes may also help to relieve pain.
Runners knee is also known as patello-femoral syndrome or anterior knee pain. It causes pain at the front of the knee which often people describe as becoming from behind the knee cap. It usually arises if the knee cap (patella) is not ‘tracking’ properly.
Symptoms of runners knee
- Pain beneath or on the sides of the kneecap
- A grinding noise (crepitus), as the rough cartilage rubs when the knee is bent
- Swelling of the knee
- Pain going up or downstairs/hills
Our bones are living structures that constantly renew and remodel themselves. Cells called osteoclasts break down bone cells and osteoblasts remake bone. Under normal circumstances the rate of osteoclast activity is equal to osteoblast activity and no noticeable damage occurs. Repeated overload increases the activity of osteoclasts (breaking down bone) and the osteoblasts rebuilding the bone can’t keep up; this is thought to be the process by which a bone stress injury occurs.
Symptoms and diagnosis of a bone stress injury
Bone stress is diagnosed on the basis of a thorough history from the patient and recognition of signs and symptoms such as pain and swelling. A more definitive diagnosis will be provided with investigation such as an X-ray (in the first instance) or an MRI scan.
Treatment of a bone stress injury
Once a diagnosis of bone stress injury has been confirmed the most likely course of action will be a period of enforced rest (approx 6-8 weeks) during which time any precipitating factor can be identified and addressed.
Footwear, training plan, training/playing surfaces and past medical history are all factors which need to be considered (amongst many others). Once all painful symptoms are alleviated, one of our Physiotherapists can set out a gradual increase in activity plan.
Tennis elbow causes pain on the lateral aspect (outside) of the elbow.
Although traditionally known as tennis elbow, it is more often seen in
non-tennis players. The pain usually develops as a result of a new or unaccustomed activity which requires a gripping action or extension of the wrist.
Symptoms of Tennis Elbow
- Pain radiating along the outside of the elbow
- Tenderness to touch
- Pain with gripping/lifting even light objects (such as picking up a cup or glass)
- Pain when trying to raise the middle finger (worse when this action is resisted)
Treatments for Tennis Elbow
There are a number of treatment options available for tennis elbow. Here at Peak, we offer the following treatments:
- Stretching & Exercises
- Shockwave Therapy