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Health Knowledge and Encyclopedia
At your local Pearn's Pharmacy we can offer advice on most general health matters. You can also use our Health Encyclopaedia to provide you with the tools and links you need to pinpoint symptoms and get a full explanation of a suspected condition.
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Physiotherapy, often referred to as physio, uses physical methods, such as massage and manipulation, to promote healing and wellbeing. Physiotherapy treatments are often used to help restore a person’s range of movement after injury or illness.
Physiotherapists are healthcare professionals who have trained specifically in physiotherapy. They work in a number of different places, including:
When is physiotherapy used?
Physiotherapists frequently treat problems that affect:
Physiotherapists also help people with mental health conditions, neurological conditions (those affecting the brain and nervous system) and chronic (long-term) health conditions.
By using a number of different approaches and techniques, a physiotherapist can help a person overcome injury or short-term health problems, or manage long-term disability.
Physiotherapists use a wide range of techniques and approaches, including:
Physiotherapy techniques and approaches can improve a person’s ability to use parts of their body that are affected by a health condition or injury.
For example, arthritis is a chronic condition that causes painful, stiff joints and is often associated with ageing. Physiotherapists can help keep the joints mobile and strengthen the surrounding muscles.
See How physiotherapy works for more information about the different techniques that are used by physiotherapists.
Who can physiotherapists help?
Physiotherapy can help people of all ages and social backgrounds. In particular, physiotherapy can help rehabilitate (restore to health) people who have:
Almost all people who have an injury or a physical disability can benefit from physiotherapy, including children and elderly people.
For more information about when physiotherapy is used and how it can benefit children and the elderly, see What physiotherapy is used for.
Physiotherapists use their knowledge and skills to help people overcome a wide range of physical health problems, including:
These are discussed in more detail below.
Bone and joint conditions
One of the main areas that physiotherapy focuses on is the treatment of conditions and injuries that affect the bones and joints. In particular, physiotherapists often help patients who are recovering from orthopaedic surgery (surgery to correct damage to or deformities of the bones or joints).
The physiotherapist may devise a programme that includes the use of strength training and exercises to help improve co-ordination and balance. They may also use electrical stimulation (using small electrical impulses to stimulate the nerves and muscles). See How physiotherapy works for more information about electrotherapy.
Heart and lung conditions
Physiotherapists may treat people who have:
Cystic fibrosis is a genetic (inherited) disorder where mucus inside the body becomes thick and sticky, clogging the lungs and other important organs.
‘Clapping’ on a patient’s back while they are lying down can help loosen the build-up of mucus in the lungs so it can be coughed up.
Physiotherapists also teach people with cystic fibrosis to help clear the mucus themselves and may work with a child’s parents to teach these methods to them.
Physiotherapists can help people with conditions that affect the brain and nervous system, such as:
As well as affecting a person’s co-ordination, neurological conditions can sometimes cause paralysis (an inability to move) and muscle pain, which can make it difficult to get around independently.
Physiotherapists treat children with musculoskeletal conditions (which affect the bones and muscles).
For example, muscular dystrophy is a congenital condition (present from birth) where a person’s muscles gradually become weaker over time, leading to a loss of strength and mobility.
In such cases, a physiotherapist may be able to use a treatment programme that will help the person maintain muscle strength, increase flexibility and prevent stiffening of the joints.
Conditions that occur in old age
Physiotherapists often treat conditions that are common in old age, such as:
Physiotherapists may help patients who are recovering from hip replacement surgery.
Physiotherapists also play an important role in the general care and wellbeing of elderly people by improving their overall health and fitness to help them stay active and independent.
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How physiotherapy works
Physiotherapists usually take a holistic approach, which means they are likely to look at the body as a whole, rather than focusing on individual factors of an injury or illness. For example, back pain can have a number of causes, such as:
Patient education is an important part of physiotherapy. As well as aiming to improve your strength and mobility, a physiotherapist can also advise you about how to manage your condition more effectively, for example by exercising regularly.
Physiotherapists use a range of techniques and approaches, the most common of which are described in more detail below.
Massage and manipulation
Massage involves manipulating the body’s soft tissues using the hands. It is suitable for most people and can be used to:
Conditions that are often treated using massage include neck problems, headaches and stress.
Movement and exercise
Physiotherapists often use an exercise programme, which may incorporate specific exercises to help with particular health problems.
For example, gentle exercise, such as walking or swimming, may be recommended for someone who is recovering from an illness or injury that affects their overall mobility.
For someone who is having problems moving a limb due to a health condition, such as a stroke, a physiotherapist may suggest specific exercises that target the affected area of the body.
These types of exercises are designed to strengthen your body and improve your range of movement. They usually need to be repeated daily for a number of weeks. Your physiotherapist will advise you about the exercises you need to do and will show you how to perform them correctly.
Energy based therapy
Energy based therapy, which is sometimes referred to as electrotherapy in the UK, is a form of treatment that uses different types of energy, such as electric currents or impulses (small electric shocks) to stimulate the nervous system. The electric impulses make your muscles contract (tighten), which can help ease pain and promote healing.
Energy based therapies do not hurt, although with some types, such as TENS, you may feel a slight tingling sensation just below the surface of your skin. Energy based therapies include:
Hydrotherapy is a form of physiotherapy that is carried out in water, usually a warm, shallow swimming pool or a special hydrotherapy bath.
The resistance (weight) of the water pushes against your body as you do exercises while you are floating. This helps improve your circulation (blood flow), relieves pain and relaxes your muscles.
You can see a physiotherapist through
Each route is described in more detail below.
Your GP may refer you to a physiotherapist. They will discuss your symptoms with you and may decide that you would benefit from physiotherapy. Physiotherapy through the NHS is free of charge.
All physiotherapists who work in the NHS are chartered (qualified as a member of a professional body). Only practitioners who are registered with the Health Professions Council (HPC) are allowed to use the title physiotherapist.
In Wales, many physiotherapists work in the private sector. If you decide to visit a private physiotherapist, you will have to pay for any treatment you receive.
If you decide to see a private physiotherapist, make sure they are fully qualified and are a member of a recognised body, such as the Chartered Society of Physiotherapy (CSP). Physiotherapists who are members of the CSP will follow high standards of professional practice and will have a good level of knowledge and skills.
To find a private physiotherapist in your area, you can use the search facility on the Physio First website, which lists qualified members.
You may be able to receive physiotherapy through your workplace. Some companies run occupational health schemes that include physiotherapy treatment. Check with your human resources department to see if you are eligible.
Physiotherapy treatment can sometimes be accessed through charities and the voluntary sector.
Self-referral is becoming more widely practiced and has proven particularly popular for people with chronic (long-term) conditions who know what type of treatment they require.
Self-referral has several benefits including:
If you have a long-term condition and you have received physiotherapy in the past as part of your treatment programme, you may decide to contact a physiotherapist directly without being referred by your GP.
However, as self-referral is still a relatively new concept within the NHS, you should contact your local health board to check whether it is available in your area.^^ Back to top
Basic measures may help to ease (or prevent) painful symptoms and improve your overall health and wellbeing.
Below is some general self-help advice. A physiotherapist will be able to give you advice that is specific to your level of health and your condition or injury.
In many situations, keeping active can help reduce pain and stiffness in your joints and speed up recovery. Therefore, taking regular exercise is important. However, ask your GP or physiotherapist for advice if you have not exercised for a while due to injury.
Maintaining good posture will help prevent aches and pains. Make sure your computer workstation and driving position are set up correctly for your height, and change positions regularly.
Your physiotherapist will be able to give you advice about carrying out tasks that are repetitive or strenuous. Activities such as yoga and Pilates (exercises that strengthen your core abdominal muscles) will help you to relax, become more aware of your body and improve your posture.
By keeping to a healthy weight for your height and build, you will avoid placing excess pressure on your joints. This will help prevent conditions such as osteoporosis (where the bones become thin and weak).
Visit your GP or a physiotherapist as soon as possible if you are in severe pain or if you have a severe or persistent injury.
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