It is always important to get a differential diagnosis to distinguish a particular disease or condition from others that present similar clinical features. An initial assessment with us at DCM Physiotherapy will ensure that your treatment is specific to your injury, pain or morbidity.
Back injuries and spine pain
A number of conditions may lead to spinal or back pain many of which can be difficult to diagnose. Most common conditions include spondilosis (general wear and tear), facet joint pain, stenosis, disk related pain, sprains and strains and sciatica. If you have not had an assessment for your back pain before, if this is a new pain and or getting worse, please get in touch to be cleared of any sinister pathology. Here is a study that reported that manual therapy showed significantly greater improvement than exercise therapy in patients with chronic low back pain; http://journals.lww.com/spinejournal/Abstract/2003/03150/Manual_Therapy_and_Exercise_Therapy_in_Patients.2.aspx Also take a look at these myth busters by the Chartered Society of Physiotherapy on how to manage your back pain. http://www.csp.org.uk/your-health/healthy-living/public-information-leaflets/back-pain-myth-busters
Often, shoulder pain is referred from the neck, it is therefore important to get an assessment at DCM Physiotherapy to make sure your treatment is accurate as this is an area commonly misdiagnosed. Common causes for pain in this area include osteoarthritis, SLAP lesions, capsular problems including adhesive capsulitis (frozen shoulder) and rotator cuff injuries. On occasion an injection may be useful to reduce pain and increase exercise potential. We would be happy to refer you on for an injection if necessary. Here is a link to a study that concludes that manual physical therapy applied by experienced physical therapists combined with supervised exercise in a brief clinical trial is better than exercise alone for increasing strength, decreasing pain, and improving function in patients with shoulder impingement syndrome;
Hip pain, similar to shoulder pain can be misdiagnosed as a lower back issue. It is therefore important to receive a thorough assessment. Common causes for hip pain include osteoarthritis, muscular imbalance, cartilage tears, tendinopathies, bony abnormalities. Here is some evidence to support the benefit of a Physiotherapy exercise programme for hip arthritis; http://onlinelibrary.wiley.com/doi/10.1002/art.24010/full
Here is evidence to support that manual therapy may be even more beneficial; http://onlinelibrary.wiley.com/doi/10.1002/art.20685/full
Knee pain is something all of us will have at some point in our lives. There are a lot of structures susceptible to injury and damage when we walk, run and jump. Cartilage, ligaments and tendons are most often the cause of pain trumped only by osteoarthritis which we are all likely to develop beginning at around the age of 30. It is important that your pain is correctly diagnosed to not flair up your symptoms and recover fully. Here is a link to some evidence on how a properly carried executed exercise programme with help from your Physiotherapist will reduce your arthritis symptoms; http://www.bmj.com/content/325/7367/752.short