Physiotherapy

Origins and historical development :

Physiotherapy developed from massage, with gentle rubbing and manipulation to promote blood flow and ease tension. However, in the late 19th Century massage was becoming known as code for prostitution which led to the establishment of The Society of Trained Masseuses to validate the proper practice of massage.

From here the application of massage extended to include electrotherapy, exercise and manipulation. These early practitioners of physiotherapy sought recognition of their methods and studied biomechanics, anatomy and physiology to incorporate into their treatments.

What to expect during a treatment :

Physiotherapists use a variety of techniques and apparatus when working with their clients, although the core principles are based around reducing any swelling and relieving the pain with the application of cold onto the affected area; before moving onto manipulation, mobilization and massage.

With manipulation, hand pressure is used to ease tension in stiff joints. There may be the need for an accurate forceful application of pressure to relieve a trapped nerve or relocate a bone; and even when not dislocated, a joint can be out of alignment which can result in pain and restricted use.

Mobilization of joints will likely be encouraged through teaching the client specific exercises that are to be repeated as part of a daily routine at home. This will strengthen the relevant muscles to secure the working mechanic of a joint and develop ease of correct movement.

Massage will be used to stimulate blood flow to the soft tissue around the joints, encouraging the body to oxygenate and nourish that particular area of the body while relieving muscle tension and again promoting free movement.

There are also various machines physiotherapists can use to target pain, even when it is deep seated; as well as helping to mend fractures. Treatment from such apparatus includes electrotherapy (sending electrical and magnetic waves into the bone and skin tissue) and ultrasound (passing sound waves at high speeds into the body through a conductive gel that is first rubbed onto the skin).

Sessions will usually last between 30 and 60 minutes. The number and frequency will depend upon the condition to be treated; and there will likely be a recommended exercise program to encourage self help at home.

Conditions suitable for treatment :

Physiotherapy is effective when used with joint conditions (including arthritis and rheumatic stiffness), musculo-skeletal rehabilitation, sports injuries, coordination development (particularly with disabled children) and improving neuro-muscular function.