Physiotherapy Treatment in Gloucestershire

General Physiotherapy: Treatment & Recovery

Physiotherapy for your recovery and wellbeing

Physiotherapy covers the diagnosis, assessment and treatment of injuries to bones, nerves, tissues, tendons and ligaments. Prompt physiotherapy treatment can speed recovery following problems caused by injury, illness, accident or ageing. Physiotherapists help and treat people of all ages and physical conditions. 

Physiotherapy can benefit all manner of problems, both musculoskeletal and neurological. We can relieve pain, help you to regain your normal lifestyle, and try to prevent future problems. We encourage a positive approach and a good understanding of your problem, aiming towards a full functional recovery.

Our approach

During your sessions, your therapist will assess your general health and medical history. They will also do a complete assessment/examination of the problem area. Following this, you will be given a diagnosis and a treatment plan.

Our physiotherapists use techniques such as:

  • “Hands on” physiotherapy
  • Advice and education
  • Joint and spinal mobilisation and manipulation
  • Soft tissue massage and myofascial release techniques
  • Personalised exercise therapy and rehabilitation
  • Taping
  • Acupuncture
  • Electrotherapy such as ultrasound and interferential.
  • Walking analysis/biomechanical assessments
  • Posture assessments

Some of the conditions we treat:

  • Arthritis/osteoporosis
  • Back and neck pain, sciatica, back pain in pregnancy, poor posture
  • Issues with joint, muscles, ligaments and tendons
  • Sports injuries
  • Stroke and neurological conditions
  • Ageing and frailty problems
  • Poor balance
  • Incorrect gait and walking patterns
  • Post-surgery rehabilitation
  • Lymphoedema
  • Vestibular/BPPV
  • Womens health
  • Incontinence
  • TMJ disorders

Conditions treated with Physiotherapy

Post Surgical Rehabilitation

Our physiotherapists are experts in post-surgical rehabilitation, especially hip and knee replacement. You will need rehabilitation as a lack of joint control, balance and strength following surgery means that you are at risk of re-injury. Rehabilitation is different for each type of  surgery, but will usually involve a graduated strengthening programme and specific hands-on techniques to restore correct joint mobility and muscle flexibility.

SHOULDER pain

Injuries to the upper limb in sport form a surprisingly small percentage of all sports injuries. However, the shoulder is vulnerable to injury.

Injuries of the shoulder are common in racket sports and any sport involving bowling or throwing. Rugby, football and judo can result in shoulder dislocation or fracture of the upper end of the arm bone (humerus) mainly because they are contact sports.

WHAT CAUSES PAINFUL SHOULDER CONDITIONS?

  • Overuse and excessive repetition of a movement
  • Faulty techniques in sport especially throwing, bowling or racket sports
  • Tension in the muscles between the neck and shoulder especially with people who have poor posture
  • Damage to the bones and cartilage which can be caused by arthritis
Shoulder Pain

SOME COMMON SHOULDER CONDITIONS

FROZEN SHOULDER

The shoulder anatomy consists of a ball and socket joint, attached to which are a number of muscles which have the dual function of stabilising the ball on the socket or controlling rotation of the arm. There is a capsule around the joint. This may become inflamed making all movement of the shoulder very painful and restricted. This condition is know as Frozen Shoulder. The capsule tightens and prevents movement. Pain can be severe, especially at night. Physiotherapy or a steroid injection can help. You will need “hands on “ treatment and a graded programme of exercises.

PAINFUL ARC SYNDROME

Inflammation to the attachment of the stability muscles of the rotator cuff.

It is characterised by an inability to lift the arm sideways. There is also a painful arc of movement where the inflamed tendon moves under the acromion process. There is also a bursa in this area which can become inflamed and lead to a condition called subacromial bursitis. 

DISLOCATION OF THE SHOULDER

  • Cause is usually due to body contact in sports such as rugby and football. A straight forward dislocation, usually anteriorly must only be reduced by a skilled practitioner. One should never attempt to put the shoulder back into place without adequate experience.

 

WHAT TO DO ABOUT AN INJURED SHOULDER?

  • You need an accurate diagnosis so book in with a physiotherapist for an assessment, diagnosis and treatment plan.

 

WHAT TREATMENTS ARE THERE FOR SHOULDER PAIN?

  • “hands on” therapy to the soft tissues and joints
  • Treatment will help to restore normal function of the joint and correct movement patterns
  • Advice on improving shoulder, neck and spinal posture
  • Anti-inflammatory medication
  • Various forms of physiotherapy such as ultrasound, acupuncture, manual therapy and mobilising techniques, graded exercise programmes to restore full mobility, strength and stability.
  • Other treatments are sometimes needed such as steroid joint injections or surgery
  • Sports specific exercise are very important especially if the cause of the injury was a training error or faulty technique.
  • K-taping to reduce the strain on the sore areas.
  • Return to sport must be gradual
 

RESPIRATORY THERAPY

LONG COVID/RESPIRATORY PROBLEMS

Have you had Covid but still feel breathless? 

10% of Covid patients have symptoms more than three weeks after infection and up to 60,000 people for longer than three months. 

WE CAN HELP YOU 

We will assess your breathing and teach you how to breath efficiently. We will show you a technique to ensure that air moves in and out of your chest with the minimum of effort and using the right muscles. This will help you to feel well and give you more energy. 

HAVE YOU BEEN LEFT WITH MUSCLE WEAKNESS AND FATIGUE AFTER COVID? 

WE CAN HELP YOU

We will assess you, examine your muscles  and find out from you what you are struggling to do. 

We will give you a realistic graded exercise programme which will be goal orientated to enable you to rehabilitate. 

Incontinence

Do you leak a little when you cough or sneeze? Find yourself having to rush to the toilet or empty your bladder frequently?  Your pelvic floor muscles support the base of the pelvis including your bladder and bowel and there are a number of reasons why these muscles can become weaker.

  • Pregnancy
  • Childbirth
  • Constipation
  • Heavy lifting
  • Menopause
  • Weight gain
  • Smoking

 

Physiotherapy can help.

Our therapist will ask you a number of questions to assess your symptoms. Based on the assessment findings treatment will involve one or more of the following:

  • Pelvic floor exercise
  • Bladder training
  • Life-stye changes

Our therapists are here to help, so if you have any questions regarding incontinence do not be afraid to ask.

Adolescent & Child Physiotherapy

We have been treating adolescents and children since the clinic opened and the Cotswold Physiotherapy Centre has a long associations with Cheltenham Ladies College, Cheltenham College and Dean Close School.

We have treated injuries associated with many sports, including  rugby, hockey, netball, football, cricket, racket spots, athletics and swimming.  Common complaints are knee pain (Osgood-Schlatter) and heel pain (Sever’s). Other sports injuries include shoulder and back pain, as well as thigh and hamstring pain.

Here at Cotswold Physiotherapy we have the expertise to treat any adolescent injury and  to advise on management strategies, which will enable a quick and full recovery.

child physiotherapy, paediatric, juvenile

Child Physiotherapy

If you are concerned that your child is complaining of pain associated with sport, an assessment by a physiotherapist can be advisable. Many doctors will refer children for a physiotherapy treatment when complaining of ‘growing pains’.
Physiotherapy can help through stretching, soft tissue and mobilisation techniques, posture advice and strengthening.