Our Staff have specialised in musculoskeletal physiotherapy through postgraduate Masters programmes at renowned Universities. This means we pride ourselves with a ‘hands-0n’ approach focusing on manual therapy and exercise based rehabilitation.
OUR TREATMENT TOOLS
- Manual Therapy
Manual Therapy is a broad term which includes all of the hands-on approaches that provide pain relief for musculoskeletal conditions. At Collins Avenue Physiotherapy Clinic, our team are all highly trained manual therapy specialists. Our treating team are all current members of the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT). We can use joint manipulation or mobilisations, soft tissue release, accessory joint movements, passive and active assisted movement patterns to encourage normal movement patterns and relieve pain. Most of the recent research suggest that the best results are achieved when we combine manual treatments with an effective exercise programme and appropriate patient education. On occasion we may decide that a hands-off approach is the best strategy for you. We would discuss this in detail with you should this be your suggested path.
- Soft Tissue Techniques
- Joint Mobilisations / Manipulations
- Exercise Prescription - Individual Programmes
- Strength and Conditioning Programmes
- Resistance Strengthening Programmes(Individual and Group)
Physical inactivity is a risk factor for cardiovascular disease and a widening variety of other chronic diseases, including diabetes mellitus, cancer (colon and breast), obesity, hypertension, bone and joint diseases (osteoporosis and osteoarthritis), and depression. However it is clearly a 'modifiable' risk factor ie it is something we have control over and can change. In many cases exercise is medicine. Most specifically we know that cardiovascular and strengthening exercise programmes can be effective in reducing pain levels, improving circulation and restoring function. Strength training has been shown to potentially have significant specific effects on bone density in groups with confirmed osteoporosis ( low bone density/ strength) or osteopenia. Strengthening muscles by loading some of our daily movement patterns with weighted exercises can build confidence and eliminate pain, even in cases where scans show significant 'degeneration' or 'wear and tear'. Our resistance training classes are limited to 6 persons and all programmes are designed and supervised by one of our chartered physiotherapists.
- Flexibility Programmes
- Clinical Pilates Programmes
We have been delivering our very popular Clinical Pilates programmes for more than 10 years. Pilates is a controlled method of body strengthening focussing on our stabilising muscle system. It is a low impact form of muscle strengthening. Our physiotherapists take the Pilates approach and apply it to clinical groups who are recovering from injury, managing a chronic problem or who because of injury, feel unsure about attending a regular community based programme. We can also cater for ante- and post- natal clients in these groups. We normally also include functional exercises in these classes. Classes are restricted to 5 persons which means we can modify and supervise exercises to suit the individual goals of our participants. All programmes involve commitment to the full course of weekly classes before commencement. Please contact us directly to determine individual suitability. Occasionally we may require a one to one session in advance of enrolling in our Pilates programme.
- Cardiovascular Fitness Programmes
Many people who present to us in pain, with or without a 'musculoskeletal diagnosis', do not realise how the behaviour of our complicated pain system can be a real obstacle to our recovery. All the recent developments in pain science have shown that tissue injury is only one of the factors that determines how much pain we feel and how long it will last. Other factors that can sensitise our pain system are poor sleep patterns, high levels of stress and the fear that may come with your specific condition. Our beliefs and perceptions (sometimes misconceptions) about our painful conditions can indeed be major obstacles to full recovery. Education about your specific condition and your pain system is often an integral part of our management plan. Research shows that including this in the plan can improve your recovery outcomes.
- Dry Needling
Musculoskeletal problems may involve many painful tissues, one of which might be our muscle tissue. Occasionally some problems may appear to be arising from painful muscle tissue alone. Following our assessment should we wish to directly target painful muscle tissue we can use a tool called Dry Needling. This technique involves using single use sterile fine needles to target taut bands (otherwise known as trigger points) deep in muscle tissue. Often when a sensitive trigger point is targeted you may feel an involuntary muscle twitch. While the treatment can cause some immediate discomfort, usually the muscle feels less painful, softer and looser following the treatment. Dry Needling is based on western principles of physiology and anatomy and as such is quite different to Acupuncture, although the needles used are the same. At Collins Avenue Physiotherapy, many of our team are trained in this technique and can use it as a tool to relieve pain, thereby creating the opportunity for you to better manage your recovery.
- Biomechanical Assessment & Orthotic Prescription
Our assessment of all musculoskeletal problems involves an investigation of how you move and how your body disperses its load though your joints and soft tissues. Many painful conditions arise out of tissue overload. Ideally, we should all be trying to raise our tolerance to load by keeping strong and fit, and by gradually increasing our activity levels. Sometimes the shape of our skeleton or the way we use our body can increase the load on some of our tendons, muscles or joints. We call this increased biomechanical load. We may suggest accelerating recovery with the temporary or long term use of an insole (orthotic) that may change your biomechanics (reduce the load on your painful tissue). At Collins Avenue Physiotherapy, we may prescribe off-the-shelf orthotics, or may take more detailed measurements for custom-made orthotics in more complex cases.
- Cognitive Functional Therapy
Cognitive functional therapy is a specific approach designed to manage complex pain conditions. It is a patient centred approach that targets the beliefs, fears and associated behaviours of each individual presenting with musculoskeletal problems. All of our team believe that our results improve when we address all of the components of your presenting problem and many recent research papers are supporting these beliefs. We use the principles of cognitive functional therapy in various ways during the management of almost all of our clients. We can discuss this in more detail with you during your consultation.
- Gait Analysis
- Technique Correction
- Sports Strapping or Proprioceptive Taping
- Vestibular Rehabilitation
The vestibular system, in the inner ear, provides information about balance and the body's position in space. A problem with this system can lead to symptoms such as dizziness, poor balance, nausea, light-headedness or vertigo. Vestibular rehabilitation is the branch of physiotherapy that treats disorders of the vestibular system. Treatment can help improve balance and reduce symptoms such as vertigo, nausea and vomiting. Many conditions can be successfully treated with vestibular rehabilitation. These include:
- Benign Paroxysmal Positional Vertigo (BPPV)
- Cervicogenic Dizziness
- Vestibular Neuritis
- Dizziness associated with migraine
- Poor balance associated with aging
- Ergonomic Advice
Our physiotherapy assessment may involve an analysis of how you move (or how you don't move) during your daily activities. We can advise you on the current recommendations for an efficient work station. The most recent research suggests that how, and where we sit, may not be as important as how often we need to move. Rather than any one posture being a full solution, it seems we probably need to adopt a variety of postures as we complete our daily tasks. Keeping fit and active outside of the workplace may be an essential part of keeping well if we must work in sedentary postures for long periods every week. We can advise you on what may be the most efficient lay-out of your specific work station.
OUR COMPLEX PAIN SYSTEM
Many people who present to us in pain, with or without a ‘musculoskeletal diagnosis’, do not realise how the behaviour of our complicated pain system can be a real obstacle to our recovery. All the recent developments in pain science have shown that tissue injury is only one of the factors that determines how much pain we feel and how long it will last. Other factors that can sensitise our pain system are poor sleep patterns, high levels of stress and the fear that may come with your specific condition. Our beliefs and perceptions (sometimes misconceptions) about our painful conditions can indeed be major obstacles to full recovery. Education about your specific condition and your pain system is often an integral part of our management plan. Research shows that including this in the plan can improve your recovery outcomes.
CLINICAL PILATES CLASSES & FUNCTIONAL STRENGTH CLASSES
We run a busy weekly schedule of morning and evening Clinical Pilates and Resistance Strengthening Exercise Classes. These classes are aimed at our patients who have progressed from the early stages of a musculoskeletal injury and are now ready to build on strength and flexibility. Restoring normal movement patterns can be a key element to returning to full activity and reducing the risk of recurrence. All classes are restricted to small groups who share similar goals and are led by one of our Chartered Physiotherapists. If you think these classes may be beneficial for you, please contact us to further discuss suitability.