Conditions

Hip Impingement

This is where the neck of the femur pinches the edge of the hip joint and can damage the fibrous rim (labrum). The neck of the femur can grow slightly thicker than usual and make this problem worse. There are many things that we can do but the best thing is to make an early diagnosis to ensure the damage is limited. Treatment of these includes exercise and mobilisation work and our physios…

Biceps tendon tear

The insertion of the biceps into the forearm is in the front of the elbow joint. It attaches to the Radius and also turns the hand palm up. This gives power to movements like putting a screw in with a screwdriver – if you are right-handed. You have more power in your left hand for taking screws out! A tear to the biceps tendon insertion is common with heavy lifting and treatment…

Medial Ankle Tendon Issues

There are three tendons that run around the inside of the medial ankle bone. Front front to back it is Tibialis Posterior, Flexor Digitorum Longus and Flexor Hallucis Longus. They sit in grooves behind the ankle bone.. This is a common place to get issues as the tendons have to change direction and pull hard against bone. They run in sheathes or fibrous tunnels and have synovial sheathes around them to allow…

Finger Fractures

Fractures or (“broken bones”) obviously requires specialist immobilisation to allow optimum healing at the joint. A fracture will usually be confirmed by an X-ray or scan. You can be sent to physiotherapy as a post-operative patient if they need to stabilise the fracture, or for “conservative” management, which means that it would be treated by immobilising the broken bone and joints on either side of it. This can be done in a number…

Finger / Thumb Ligaments

The hand is extremely complex; as a result, there are a lot of ligaments in the hand, wrist and fingers. Ligaments attach a bone to a bone, usually across a joint. Ligament sprains or injuries occur in a number of ways but often through trauma, such as falling onto an outstretched hand. Depending on the severity of a sprain/rupture, the damaged ligament may need to be immobilised in a custom-made splint. In…

Finger / Thumb Arthritis

This is a painful and debilitating problem because it affects everything you do. The loss of function and difficulty in doing the simplest of tasks can be very frustrating. However, there is much we can do. Treatment for arthritis (both rheumatoid and osteo) usually involves regaining or maintaining range of movement and strengthening the muscles of the wrist and hand to better support your joints. This would potentially be a mixture of…