In the last few of years, guidelines have been released by the Royal College of Surgeons, British Medical Association, British Orthodontic Society, and NICE Guidelines regarding the best treatment options for issues with the temporomandibular joint (TMJ) and temporomandibular joint disorders (TMD. The more recent guidelines place a larger emphasis on using physiotherapy, manual therapy [...]
Cancer immunotherapy, commonly using immune checkpoint inhibitors (ICI), has revolutionized the treatment of previously hard to treat metastatic (stage four) cancer. The main difference to other treatments such as chemotherapy is that it boosts the immune system rather than impairs it. Chemotherapy tries to kill cancer cells by using medications that are toxic to cancer [...]
Stress can cause muscle tension and conditions related to muscle tension such as temporomandibular joint dysfunction (TMD), tension headaches and migraines, low back pain, neck and shoulder pain and dizziness. Stress creates muscle tension by activating your sympathetic nervous system and releasing adrenaline making you ready for a fight or flight response. In most cases, [...]
Weight lifting is recommended for most people, especially as you get older as it helps to reduce muscle atrophy, improve bone density (osteoporosis) and improve balance. Athletes and recreational sports persons also benefit from improved sports specific performance if their strengthening routine is tailored to their sports requirements. If you have never lifted weights or [...]
Running is a good way to improve cardiovascular fitness and strength with very little cost involved. No gym membership is required, just a good pair of running shoes and a space to run in. It is perceived by the general public that running can cause increased damage to osteoarthritic knees, causes more pain and requires [...]
There are a number of options for treating tendinopathy/tendinitis. Initially non-surgical options are explored such as strengthening, eccentric strengthening, ultrasound, deep tissue massage, non steroidal anti-inflammatory medication, dry needling and extracorporeal shock wave therapy. If these do not work, more aggressive and costly treatments such as corticosteroid injections, platelet rich plasma (PRP) injections or surgical [...]
Sometimes it is necessary for physiotherapy to be provided in the home or nursing home and this is a service provided by e-physiotherapy. Lack of mobility is one of the main reasons for requiring a home visit and we can help with getting mobility back whether it is due to low back pain, a stroke, [...]
If you have difficulties breathing when exercising, you may have been diagnosed with asthma. There is a lesser known cause of breathing difficulties when exercising and it is called Exercise Inducted Laryngeal Obstruction (EILO). It used to be called Paradoxical Vocal Fold Motion. The symptoms are only present with more intense exercise, near your maximum [...]
