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    Our Articles

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    19Nov, 2024
    The Decline of Manual Therapy in NHS Physiotherapy: A Critical Analysis

    In recent years, there has been a noticeable shift in the therapeutic approach used by National Health Service (NHS) physiotherapists in the UK, with a significant focus on exercise therapy and prescribed exercises, while manual therapy has largely fallen out of favour. While this approach aligns with current guidelines promoting self-management and cost-effectiveness, it may not always serve the best interests of patients, particularly given the frequent reliance on phone consultations without physical examinations. This article examines the reasons for this trend and its implications, backed by peer-reviewed evidence.

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    5Nov, 2024
    The Relationship Between Tension-Type Headaches and Migraine Headaches

    Tension-type headaches (TTH) and migraine headaches are two of the most common forms of primary headaches, yet they differ in presentation, pathophysiology, and often, in the intensity of the pain. However, they share certain neurobiological pathways and physiological triggers that suggest a complex relationship between the two, where tension-type headaches may contribute to the onset or worsening of migraines and vice versa. Understanding the anatomy and physiology involved in these types of headaches provides valuable insight into how they interact and influence one another.

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    4Nov, 2024
    Dry Needling in Physiotherapy and Chiropractic Care: Mechanisms, Benefits, Indications, and Considerations

    Dry needling is a popular treatment modality used by physiotherapists and chiropractors to address musculoskeletal pain, improve function, and facilitate recovery from various physical ailments. This article explores how dry needling works, its benefits, contraindications, ideal timeline for use, conditions it addresses best, and complementary therapies that can enhance its effectiveness.

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    3Nov, 2024
    Understanding Concussions: Symptoms, Assessment, and Contraindications in Musculoskeletal Care

    Concussions, classified as mild traumatic brain injuries (mTBIs), result from a direct or indirect impact to the head or body that causes brain movement within the skull (McCrory et al., 2017). Recognizing and managing concussion effectively is essential in preventing long-term health impacts, especially in the context of musculoskeletal and rehabilitative care. This article discusses the progression of concussion symptoms, red flags, assessment questionnaires, contraindications for treatment by physiotherapists and chiropractors, and relevant history and tests that help identify concussion.

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    29Oct, 2024
    Effectiveness of Low-Intensity Laser Therapy (LLLT)

    Low-Intensity Laser Therapy (LLLT), also known as photobiomodulation, is a non-invasive treatment that uses low-power laser light to promote healing and reduce pain. Unlike surgical lasers, which generate heat to cut tissue, LLLT uses wavelengths between 600 and 1100 nanometers (nm) to stimulate cellular activity without causing thermal damage. Studies demonstrate LLLT’s efficacy across a range of musculoskeletal conditions, including tendinopathies, myofascial pain, and arthritis, making it a valuable tool in clinical practice (Chung et al., 2012).

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    25Oct, 2024
    Effectiveness of Extracorporeal Shock Wave Therapy (ESWT)

    Extracorporeal Shock Wave Therapy (ESWT) has gained traction in treating various musculoskeletal conditions, particularly chronic tendinopathies and soft tissue disorders resistant to conservative management. By using acoustic waves to promote tissue repair and modulate pain, ESWT offers a non-invasive alternative to surgery and can be tailored with specific settings (e.g., bar, frequency, shots per region) to achieve optimal results. This article reviews ESWT’s effectiveness across common clinical conditions, optimal application settings, contraindications, and prognosis based on recent evidence.

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    24Oct, 2024
    Predisposing Factors for Neck Pain and Headaches: Congenital and Acquired

    Neck pain and headaches are common musculoskeletal complaints that may stem from both congenital and acquired factors. These factors range from anatomical anomalies to lifestyle and psycho social elements. Recent research has aimed at identifying these risk factors to better manage and prevent the conditions.

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    24Oct, 2024
    The Effectiveness of Flexion-Distraction or Traction Therapy in Disc Injuries Managed by MSK Practitioners

    Disc injuries, particularly herniated or bulging discs, are a common cause of lower back pain and sciatica. Flexion-distraction (FD) and traction therapy are frequently employed by musculoskeletal (MSK) practitioners, such as chiropractors and physiotherapists, to alleviate the symptoms associated with disc injuries. These treatments aim to reduce disc herniation, decompress spinal nerves, and restore proper spinal motion. This article explores the effectiveness of these therapies based on current peer-reviewed evidence, provides an estimated timeline of recovery, and outlines contraindications for their use.

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    22Oct, 2024
    Most effective treatment options for Sciatica as per peer-reviewed research ranked from 1-10

    When treating sciatica, an evidence-based approach involves a combination of non-invasive and, in some cases, more invasive treatments. Sciatica typically results from nerve compression, commonly caused by disc herniation, lumbar stenosis, or other degenerative conditions. Here’s a ranking of the most effective treatment modalities for sciatica, based on current peer-reviewed research:

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    22Oct, 2024
    Most effective treatment options for mechanical lower back pain (MLBP) as per peer-reviewed research ranked from 1-10

    When treating mechanical lower back pain (MLBP), it’s important to follow evidence-based practices that combine various modalities for optimal outcomes. The effectiveness of these treatments can vary depending on individual circumstances, but current research supports several modalities as most effective when applied either alone or in combination.

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    17Oct, 2024
    The Effectiveness of Orthotic Insoles in Musculoskeletal Health

    Orthotic insoles, also known as foot orthoses, are devices designed to support, align, or improve the function of the foot. They are commonly used for a variety of musculoskeletal issues, particularly to alleviate foot pain, improve posture, and correct biomechanical abnormalities. Despite their widespread use, the effectiveness of orthotic insoles has been a subject of debate, with varying evidence from clinical trials and systematic reviews.

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    15Oct, 2024
    The Effectiveness of Chiropractic Adjustment with Audible Cavitation vs. Non-Cavitation Adjustments and Joint Mobilization

    Chiropractic adjustments, particularly those that result in audible cavitation, have long been a cornerstone of chiropractic care for musculoskeletal conditions. Audible cavitation, the “pop” or “crack” heard during an adjustment, is often sought after by both patients and practitioners, perceived as an indication of a successful intervention. However, the effectiveness of adjustments with and without cavitation, and the comparison with joint mobilization, has been the subject of ongoing research. This article will explore the current evidence on these modalities to provide a clearer understanding of their therapeutic value.

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    15Oct, 2024
    The Effectiveness of Conventional Prescribed Drugs by GPs vs. Manual Therapy for Sciatica

    Sciatica is a common condition characterized by pain radiating from the lower back down the leg, typically caused by compression or irritation of the sciatic nerve. Treatment options for sciatica include pharmacological interventions prescribed by general practitioners (GPs) and non-pharmacological methods such as manual therapy. This article will compare the effectiveness of these two approaches, drawing on evidence from peer-reviewed research.

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    13Oct, 2024
    How Safe is Chiropractic Neck Manipulation? An Evidence-Based Review

    Chiropractic neck manipulation, or cervical spinal manipulation therapy (CSMT), is a common treatment approach used by chiropractors to address musculoskeletal conditions such as neck pain, headaches, and certain types of neurological dysfunctions. While this technique is widely accepted and practiced globally, concerns have been raised regarding its safety, particularly the risk of vertebral artery dissection (VAD) and subsequent stroke. This article aims to provide a balanced, evidence-based review of the safety of chiropractic neck manipulation, focusing on current research surrounding the risk of patient strokes.

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    13Oct, 2024
    Prevalence, Diagnosis, and Management of Fibromyalgia in Musculoskeletal Practice

    Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and other symptoms, affecting a significant portion of the population. It presents a diagnostic challenge due to its overlapping features with other disorders. This article reviews the prevalence of fibromyalgia in clinical practice, the diagnostic criteria, differential diagnoses, relevant tests, and how patients with fibromyalgia may benefit from musculoskeletal therapy.

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    13Oct, 2024
    The Effectiveness and Drawbacks of Physiotherapy in the UK

    Physiotherapy plays a crucial role in the management of musculoskeletal (MSK) conditions, aiding recovery and improving quality of life for patients across the United Kingdom. While physiotherapy is widely regarded as an effective treatment option, it also has its drawbacks. This article explores the effectiveness and limitations of physiotherapy, outlines the qualifications required to practice in the UK, and discusses the importance of a multimodal approach to physical care.

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    13Oct, 2024
    The Effectiveness and Drawbacks of Chiropractic Care in the UK

    Chiropractic care has become an increasingly popular treatment modality in the United Kingdom for various musculoskeletal disorders. While many patients report significant benefits, there are also drawbacks associated with this form of care. This article explores the effectiveness of chiropractic care, the qualifications required to practice in the UK, the range of treatments available, and the controversies surrounding certain practices, including maintenance care and the use of a multimodal approach.

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