Treatments.
Manual Therapies.
Manual therapy, manipulative therapy, or a combination of both involves the hands-on treatment of muscles, tendons, ligaments, and joint disorders stemming from various causes. These physical interventions encompass a range of techniques including massage, soft tissue mobilisation, different connective tissue methods, myofascial release, craniosacral techniques, joint mobilisation, joint manipulation, neural tissue mobilisation, visceral mobilisation, as well as strain and counter strain techniques.
Manual therapy practices like joint mobilisation are utilised to enhance restricted movement. It is a clinical methodology employing skilled hands-on approaches, such as manipulation and mobilisation, aimed at diagnosing and addressing issues within soft tissues and joint structures. This approach serves to alleviate pain, enhance range of motion, diminish soft tissue inflammation, induce relaxation, promote tissue repair and stability, facilitate movement, and optimise overall function.
Platelet-Rich Plasma Therapy (PRP).
PRP injections aim to enhance the body's inflammatory response to promote healing, particularly for musculoskeletal injuries like tendon, muscle, and joint issues. Typically, multiple injections spaced weeks apart are needed, tailored to individual injuries. Chronic tendon pain, often due to injury or degeneration, can benefit from PRP treatment, targeting conditions like tendonitis, tendonosis, and general tendon problems.
PRP therapy is especially effective for chronic tendon injuries causing hip, knee, or elbow pain, including conditions like gluteus medius tendon pain or tennis elbow. It can also alleviate some forms of knee arthritis caused by degeneration. PRP injections are applicable to various joints beyond the knee, including the sacroiliac, hip, ankle, and shoulder joints.
Prolotherapy.
Prolotherapy is an injection-based treatment for chronic musculoskeletal conditions like tendinopathy, knee osteoarthritis, and low back pain. It involves injecting irritant solutions into painful ligaments, tendons, and nearby joint spaces. The goal is to address tissue degeneration thought to be causing the pain and disability.
The technique involves injecting small volumes of solution into tender ligaments and tendons, often using dextrose or morrhuate sodium. Treatment typically consists of several sessions spaced apart over weeks to months.