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Conditions


Musculoskeletal Conditions:

Musculoskeletal conditions include pathologies related to the skeletal system, muscles and soft tissues including tendons, ligaments and nerves.

Peripheral Joints

The Shoulder and Shoulder Girdle

  • Sub Acromial Bursitis / Impingement Syndrome:
    Shoulder impingement syndrome is a common cause of shoulder pain. Symptoms typically increase during activities that compress the rotator cuff tendons or subacromial bursa in the shoulder joint. Activities that require you to lift your arm overhead or any reaching, throwing, pushing or pulling can cause problems. Our physiotherapists use a number of varied techniques to treat shoulder impingement such as massage, trigger point releases, joint mobilisation, manipulation, stretches and electrotherapy. We also prescribe a graduated flexibility and strengthening programme for the surrounding muscles to ensure an optimal outcome. Particular emphasis is placed on improving shoulder blade stability, posture and rotator cuff function.
  • Frozen Shoulder (Adhesive Capsulitis):
    Frozen shoulder, also known as adhesive capsulitis, is a condition characterised by stiffness and pain in your shoulder joint. The pain can vary from being a constant dull ache to quite severe with certain movements. The pain can often be worse at night when rolling onto the painful shoulder. There are two distinct phases of the condition acute and chronic. Our physiotherapist’s can use a number of varied techniques to help you reduce the pain in the acute stage and maintain movement and flexibility in your shoulder during the chronic phase. We employ treatments such as stretching exercises using specific techniques to move the joint in all directions, massage therapy and thermotherapy with warm or cold temperature and electrotherapy techniques.
  • Glenohumeral Instability
  • Acromioclavicular Joint Injury (AC Joint)
  • Joint replacement
  • Dislocation / Subluxation
  • Rotator Cuff Tears
  • Tendonitis – Long Head Biceps, Rotator Cuff

30 Min treatments €45. See costs page for more details.

The Elbow & Forearm

  • Tennis Elbow:
    The term “tennis elbow” refers to a condition called “lateral epicondylitis” and is often used as a term for any soft tissue pain between the shoulder and wrist. The condition usually presents on the outside of your elbow and can extend towards your hand. It can be due to one single incident (trauma) or can build slowly (overuse). Treatment initially involves reducing the inflammation; this can be done using the RICE principle (Rest, Ice, Compression, and Elevation). Ultrasound may also very beneficial at this stage. As the inflammation subsides and the pain becomes less treatment then focuses on stretching exercises to reduce the associated stiffness. Our physiotherapists can prescribe a comprehensive rehabilitation programme of stretching and strengthening exercises, together with strategies which will minimise the risk of recurrence
  • Golfers elbow
  • Fractures
  • Ligament injury
  • Osteochondritis
  • Dislocation/Subluxation

30 Min Treatments €45. See costs page for more details.

The Wrist & Hand

  • Carpal Tunnel Syndrome:
    This is a condition whereby there may be numbness or burning or tingling (paraesthesia) sensation over the first three/ four fingers. The cause is a compression neuropathy (nerve pain) of the median nerve as it passes under the flexor retinaculum (a strong connective tissue) then through the carpel tunnel and into your wrist and hand. There are usually two main causes, firstly factors that increase the size of the structures within the tunnel. This can be from swelling of the flexor tendon sheaths (tenosynovitis) which can be due to excessive gripping (flexor activity). Secondly, any factors which reduce the size of the tunnel itself (wrist fractures / arthritis, obesity and fluid retention). Management involves resting the wrist in a neutral position using a splint and wrist / hand mobilisation techniques.
  • Ulna Nerve Compression
  • Degenerative Arthritis
  • Dislocation/Subluxation
  • Tenosynovitis
  • De Quervains tenovaginitis

30 Min Treatments €45. See costs page for more details.

The Hip Joint

  • Piriformis syndrome: is a condition in which the piriformis muscle, which is located in the buttock region, spasms and causes buttock pain. The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain). The exact causes of piriformis syndrome are unknown. However, muscle injury or spasm in the piriformis muscle, either because of irritation in the piriformis muscle itself, or irritation of a nearby structure such as the sacroiliac joint or hip. The condition is more prevalent in females (6:1). Management involves pain relief treatments and stretching exercises for the external hip rotators. Trigger point treatments are also very useful for this condition.
  • Trochanteric Bursitis
  • Apophysitis
  • Degenerative Joint Disease (Osteoarthritis)
  • Gluteal Tendonosis
  • Hamstring tears / strains
  • Perthes disease
  • Osteitis Pubis

30 Min Treatments €45. See costs page for more details.

The Knee Joint

  • ACL – Anterior Cruciate Ligament injury: Of the two ligaments (ACL & PCL) the ACL account for up to 70% of acute trauma haemarthrosis (bleeding into the joint). Activities such as running, jumping or skiing. The history is often non-contact related and due to twisting fall or movements involving rapid deceleration. There is usually immediate (within 1-2 hours) swelling with hot tense and inflamed knee. There is also often (but not always) a “”popping” ripping or giving way feeling around the knee. Management goals of treatment for an anterior cruciate ligament (ACL) injury include pain reduction, restoration of normal knee stability and to gain the pre injury level of function. Treatment often depends on the grade of ligament tear you have; often surgery to repair the ligament is required, however, this may depend on how active you are, your age, your overall health and your willingness and ability to complete a long and rigorous rehabilitation programme.
  • PCL – Posterior Cruciate Ligament injury
  • Bakers Cyst
  • Degenerative Arthritis
  • Joint Replacement
  • Jumpers Knee
  • Medial / Lateral Ligament injury
  • Meniscus (Cartilage) injury
  • Patellofemoral dysfunction
  • Patella Dislocation
  • Tendonitis
  • Tibial Tubercle Transfer

30 Min Treatments €45. See costs page for more details.

The Lower Leg – Ankle & Foot

  • Plantar Fasciitis / Heel pain is a very common condition treated by our physiotherapists and podiatrists and can be caused by many different conditions. It can occur in people of all ages and fitness levels and may be acute or chronic in nature. The pain is usually worse first thing in the morning, or when you first take a step after a period of inactivity. After walking the pain usually improves, but often gets worse again after walking or standing for a long time. Treatments include, resting your heel – try to avoid walking long distances and standing for long periods. Regular stretching of your calf muscles and plantar fascia is important. An icepack on the affected heel and taking an anti-inflammatory tablet may also help. Our physiotherapists and podiatrists can evaluate your footwear, use strapping / taping and prescribe supportive devices such as insoles or orthotics (shoe inserts). In more severe cases, a referral for a steroid injection or surgery may be indicated. However, in most instances heel pain will resolve gradually using only conservative treatments methods.
  • Shin Splints
  • Running Injuries
  • Callus & Corns (podiatry clinic)
  • Ingrown Toenails (podiatry clinic)
  • Plantar Warts (Verruca) (podiatry clinic)
  • Achilles tendonitis
  • Overuse injuries
  • Sprains and strains
  • Sports specific orthosis prescription
  • Preventative exercise advice

30 Min Treatments €50. See costs page for more details.

The Spine

Upper (Cervical) Spine

  • Whiplash (acceleration injury) this injury involves an acceleration of the head and neck relative to the body. It is most often seen as a result of road traffic accidents where stationary cars are hit from behind. The symptoms of whiplash may include headache, neck, shoulder or arm pain / stiffness, dizziness, visual disturbance or ringing in your ears (tinnitus). Prior to commencing any treatment, all patients with neck injuries including whiplash should undergo assessment from a medical professional to rule out serious injury (such as spinal fracture). Treatment initially (7-10 days) involves resting the neck from painful activities; a small rolled towel may help. Also attention should be paid to correct posture when sitting or standing. An icepack (or frozen peas) applied every 3-4 hours for 15 minutes may also be beneficial. It is also important to keep the head / neck moving using slow pain free movements, our physiotherapists can advise which exercises are appropriate and when they should be commenced. Physiotherapy treatment for this condition is vital to hasten the healing process and ensure an optimal outcome. Treatments may comprise of joint mobilisation, massage, taping / bracing, dry needling, electrotherapy and advice regarding anti-inflammatory medications. In the later stages neural stretching exercises may be prescribed together with education regarding ergonomic and activity modification.
  • Wry Neck (Disc, facet)
  • Herniated/bulging disc
  • Nerve impingement (Radiculopathy)
  • Postural dysfunction
  • Degenerative Arthritis
  • Vertigo
  • Headaches (Cervicogenic)
  • Neural tension

Lower (Lumbar) Spine

  • Sciatica: The main nerve that travels from your lower back into your leg is your sciatic nerve. Irritation or pinching of this nerve can cause severe leg pain known as sciatica.
    Sciatica describes pain felt along the sciatic nerve, which runs from your lower back, down through the buttock, hamstrings and into the lower leg. The sciatic nerve is the longest nerve in the body. Sciatica can be caused by problems with the Facet Joints in the lower back; problems with the Sacro Iliac Joint; or through irritation of the Sciatic nerve in the buttock (Piriformis Syndrome), but the major cause of Sciatica from the lower back is are herniated discs (‘slipped disc’). Sciatica causes pain that begins in the lower back and spreads through the buttock, leg, calf and, occasionally, the foot. Some people describe the pain as burning or may experience pins and needles, numbness or weakness. Treatments include manipulation, mobilisation techniques, lumbar stability, myo-fascial release, stabilising exercises, massage and soft tissue techniques, education of the patient, advice on prevention.
  • Disc injury/degeneration
  • Facet injury/degeneration
  • Lumbar Instability
  • Nerve impingement (Radiculopathy)
  • Slipped vertebrae (Spondylolisthesis)
  • Sacroiliac instability
  • Degenerative Arthriti
  • Stress Fracture

30 Min Treatments €45. See costs page for more details.

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Accreditations

HPC REgisteredSociety of Chartered Physiotherapists UKChartered Society Physiotherapists
Have you checked out our sister company – Dublin City Foot Clinic?
Dublin City Foot Clinic

Clinic Location

Suite 3, The Coach House,
45 Westland Row,
Dublin 2 (beside Centra)

Phone 01 676 0076 Email: info@dublincityphysio.ie

 

Operated by:
Mullingar Chiropody Clinic Ltd.

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