COWRA PHYSIOTHERAPY

AND HEALTH SUPPLIES

Common Treatments

Ankle sprain/post fracture 

Following thorough assessment, ultrasound or interferential therapy can be used to control swelling and pain, soft tissues massage can be used and taught for swelling control. Passive accessory joint mobilisation can be used to restore joint mobility. Patients are prescribed appropriate exercises to strengthen muscles around the ankle and retrain proprioception. Advice is given on appropriate footwear, taping or bracing as necessary. Basic treatment can be given in 1-2 appointments or up to 4-6 treatments for more complex problems

Achilles Tendonitis 

Taping can be used and taught to unload tissues and reduce inflammation. Ultrasound can be used with phonophoresis of NSAID cream for reduction of inflammation. After appropriate assessment muscle stretches and eccentric strengthening exercises may be prescribed. Consideration is given to biomechanical causes such as over pronation and orthotics may be prescribed. Advice on footwear and shock absorbing inserts is given.

Arthritic Feet 

Careful assessment of biomechanics of feet. Consideration is given to the most appropriate combination of shoe and orthotic device if indicated. Stiff joints may be mobilised and advice given on ways of keeping arthritic joints mobile and controlling pain. Basic treatment requires only 1-2 appointments.

Plantar fasciitis (heel spur) 

Thorough assessment including gait assessment and muscle length assessment. As indicated orthotics can be prescribed and fitted, taping can be used and taught to unload tissues and reduce inflammation. Muscles and fascia can be stretched and strengthened as appropriate. Advice is given on appropriate footwear. Usually require only 1-2 treatments.

Muscle Tears/Contusions 

Ultrasound (with or without phonophoresis) and interferential can be used to control pain and swelling associated with muscle tears. Stretching and strengthening exercises can be prescribed as appropriate to ensure maximal strength of healing muscle. Soft tissue techniques are used to facilitate healing of muscles. Advice is given on return to work/sport. Consideration is given to maintaining joint and neural integrity around the muscle.

Ligament Tears 

Ultrasound, interferential and soft tissue techniques are used to create the optimal environment for healing. Consideration is given to methods of protecting from further damage such as taping and bracing. Muscle stretching and strengthening exercises are prescribed as appropriate to minimise strain on weak/healing ligaments.

Neck Pain 

Thorough assessment looking at muscle tension, strength, length and trigger points. Thorough assessment of joint mechanics looking at joint position, hypo and hypermobility, as well as function. Assessment of neural function. Treatment may include a wide range of joint mobilisation techniques, soft tissue techniques, as well as appropriate exercise prescription. Ergonomic and postural advice is also given as indicated. Treatment to necks is always gentle and does not involve cervical manipulation.

Cervicogenic Headaches 

Thorough assessment as to cause of headache. Mobilisation and joint capsule stretching techniques to unload trigeminocervical nucleus. Advice on home exercises to control headaches. Ergonomic and posture advice given as necessary. NO THRUST MANIPULATIONS USED. Excellent results without risk associated with cervical manipulation. Often require only 1-3 treatments.

Tennis Elbow/de Quervain's Syndrome/other overuse injuries

Thorough assessment looking at muscle length and strength, joint position and function, neural function, as well as sources of referred pain. Treatment may include a combination of restoring normal joint kinematics, a reconditioning program for muscles, as well as splinting and ant-inflammatory treatments where necessary.

Lower Back Pain/ SIJ/ Pelvic Pain/ Sciatic Pain/ Thoracic Spine/ Chest pain 

Thorough assessment as neck pain. Treatments used include gentle L/S and Pelvic manipulations as indicated. Mobilisation and soft tissue techniques. Patients often require spinal muscle reconditioning program which are tailored to each patient. Ergonomic and posture advice is given as indicated. Patients with chronic conditions are given ways of managing and reducing their pain..

Incontinence 

Instruction in pelvic floor exercises to assist with stress and urge incontinence. Electrical stimulation for pelvic floor muscle retraining is also available along with other bladder retraining strategies.

Paediatric lower limb/gait/feet assessment 

Torsional deformities of the lower limb can be assessed and advice given on treatment options.