Paul Tompkins Physiotherapy

Orthopaedic & Sports Injury Specialist

Injured? In Pain?

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Conditions treated - Orthopaedic Surgery

What is Orthopaedic Medicine?

Orthopaedic Medicine is a specialised area of medicine that assesses and treats injuries and conditions affecting the musculoskeletal system (i.e., the bones, joints, muscles, ligaments, tendons, etc.).

An orthopaedic surgeon can use surgery to correct injuries and conditions that cannot be treated with non-surgical methods such as physiotherapy and massage therapy, or medication.

Orthopaedic Surgery - recovery from surgical procedure to treat an injury, condition or trauma of the musculoskeletal system can often be hastened by physiotherapy. This includes sprains, strains, post fracture, post surgery and for those suffering from repetitive injuries. The areas of the body include the neck and back as well the extremities.

In addition to post operative intervention by physiotherapy many hospitals have introduced different service delivery models to patients where physiotherapists are an integral part of the assessment and management of patients referred for orthopaedic consultation. This has resulted in ensuring that the best possible outcome is achieved by the patient where the clinical recommendations of specially trained physiotherapists are combined with those of an orthopaedic surgeon: Decisions will be (1) on the appropriateness of the patient being seen by an orthopaedic surgeon; and (2) candidacy and willingness to undergo total joint replacement (TJR) for instance where patients are suffering with hip or knee problems. In all cases the clinical team would discuss their recommendations for surgical or non-surgical management and agreement on clinical diagnosis.

The physiotherapists commonly recommend exercise and education for non-surgical patients. Orthopaedic surgeons will commonly refer patients to physiotherapists and occupational therapists for rehabilitation services.

How can physiotherapy help?

Paul John Tompkins (Paul Tompkins Physiotherapy) has worked extensively within the NHS as an Extended Scope Practitioner and has a number of highly specialist contacts who can help patients through the diagnosis, treatment and rehabilitation required by patients with a wide range of musculoskeletal conditions.

After any orthopaedic surgery it is important to regain normal everyday function as quickly as possible. This varies with the individual, some may need to return to sport at a high level, others may need to achieve independent living. To achieve any goal, the following issues must be addressed:

  • Reducing pain
  • Restoring full movement
  • Regaining strength and balance
  • Correction of any gait or posture concerns
  • Correct exercise programme for the individual

It is vital that the patient is assessed individually to understand their needs and provide the right rehabilitation programme. We will keep in communication with the surgeon to ensure optimal care.

What will happen when I see a physiotherapist?

The physiotherapist will assess how your joints are functioning, and will ask about how they are affecting your life. They will ask questions, watch your movements and feel the joints concerned.

Your consultation is likely to include:

  • exercises to do at home
  • posture and lifestyle advice, and activities to avoid
  • pain management techniques.

It may also include:

  • applying heat or cold to the affected area, and showing you how to do this at home
  • hydrotherapy.
  • electrotherapy.

Meanwhile, how can I help myself?

  • Try to keep mobile. Moving the affected joint helps reduce stiffness, and maintains the strength of the supporting muscles.
  • Modify any activities that cause you discomfort, and spread these activities through the day, taking short rests when necessary.
  • If your joints feel hot or swollen, rest them.
  • Try to be positive – this will help you to manage the pain and be motivated to remain active.

Note: If you are getting severe pain in one or more joints, or find some activities getting very difficult, go to your GP. He or she may prescribe medication to reduce the symptoms or refer you to a specialist or physiotherapist.

Disclaimer: The content on this page is provided for general information purposes only and is not meant to replace a physiotherapy or medical consultation.

Note: You do not need a GP referral to receive physiotherapy if you self fund your treatment. However if you intend to claim all or part of your treatment costs back a GP referral is usually required by your insurance company.