Physiotherapy and rehabilitation
A physiotherapist is the expert in movement and function and this covers a wide area. There are many reasons why people may get physical problems and musculoskeletal disorders. It may be misuse of body or limb or overload and stress (either physically or mentally). In many cases the cause of the problem is beyond the control of the person involved, e.g., in case of a crash resulting in injury or disease. Physical problems may manifest as pain, a feeling of stiffness, loss of strength or restricted movement, which minimizes or restricts certain movements in daily life. Please find below some examples of physical problems that may need assessment, diagnosis and advice of a physiotherapist.
Physical problems due to overloading and underloading or abnormal biomechanical stress or a bad posture
These might include running overuse injuries like shin splints and Achilles tendon problems, whiplash in the calf, recurring hamstring injuries or RSI problems, tennis elbow, problems of shoulders, back (hernia), neck and so on. Nowadays I see more and more people in my practice who suffer from certain physical problems due to too little exercise (functional loading) and who are no longer capable to carry out everyday movements. It’s a consequence of our current lifestyle; we spend a lot of time acting like a couch potato in front of the television or sitting in a chair. Simple things such as attaching a ski box to the roof of a car, gardening, whitening a ceiling or climbing aboard of a sailboat are movements that may cause overload or even an overuse injury because they are no longer part of daily life and yet outside the comfort zone for many of us.
Physical problems due to external factors
These might include dislocating a shoulder, braking a leg or suffering a spinal cord injury after a crash, tearing the anterior cruciate ligament due to a sport injury, etc., etc.. Physiotherapy rehabilitation is of great value to restore skills quickly and in a responsible way and to get your fitness back again.
Physical problems due to ageing or disorders and diseases
For example rheumatism, osteoarthritis, scoliosis, lung disease (COPD, emphysema) or cancer. Or neurological disorders such as stroke (CVA), multiple sclerosis and Parkinson’s disease.
After registering on the website or by telephone, we will first make an appointment for an intake and a physical examination. If we have the physical symptoms and/or injury mapped properly, we will make a treatment plan and a follow-up appointment. The physiotherapist will assess and diagnose your injury, supervises the exercises and advises how to best deal with the physical symptom or injury. And last but not least, will teach you how to prevent future physical problems.
Time and again, it turns out that many people find it difficult to do the recovering exercises at home or to maintain physical functions on a regular basis in order to prevent recurring physical problems. Sometimes it’s because of a feeling of lack of time, but it can also be uncertainty about the execution of the exercises. “Do I perform the exercise properly?, How far can I go? Can I do an extra mile or not?”, etc., etc. Signing up for training during the medical fitness hours can stimulate you to actually start doing the exercises. You will work with an exercise plan and of course the physiotherapist is also present during these medical fitness hours to keep an eye on you, to encourage you or to slow you down and to answer your questions.
Treatment of running injuries
This group of injuries will be discussed separately in the Running section, because I have specialized in running-related injuries.