Musculoskeletal Physiotherapy deals with all conditions involving the mechanics of the body systems from muscle strains, ligament strains and tears, arthritic problems, tendonitis and muscle pains. In the same way that medical practice has many different specialties e.g. Orthopaedic, Neurology, Rheumatology , Oncology, Paediatrics and General Practice
Chartered Physiotherapy has also evolved to develop specialist categories requiring specific skills in addition to primary 4 year undergraduate training. Because diseases and conditions are very different the type of treatment required for a stroke is very different from low back pain, which again is very different from a sports injury or an occupational overuse problem.
Because of this we divide our practice at Dublin Physiotherapy Clinic into two broad sections: Musculoskeletal and Neurological rehabilitation.
Musculoskeletal rehabilitation deals with all conditions involving the mechanics of the body systems from muscle strains, Low back pain & sciatica, ligament strains and tears, arthritic problems, tendonitis and muscle pain, whiplash for example.
Neurological rehabilitation deals with conditions where the nervous system is affected either involving the brain or spinal cord with conditions such as Parkinson’s, Multiple Sclerosis, Head injuries or viral infections.
Key requirements for effective Musculoskeletal rehabilitation
To effectively treat musculoskeletal problems the clinician needs to have the following skills:
- 1. Manual therapy examination – to allow a comprehensive physical examination of the joints in question.
- 2. Background knowledge to make sense of the information you tell us.
- 3. Experience in with the condition
- 4. A history of success in managing patients with your type of problem.
- 5. A network of other specialists to call on of required
- 6. Manipulation skills – in order to be able to treat joint related problems the clinician must be able to use precise manipulation skills to work on the affected areas.
- 7. Sufficient knowledge of exercise selection to speed up rehabilitation. Stretching exercises for a problem of muscle weakness is a waste of time and money. Strengthening for cases of joint stiffness is not appropriate. Doing general exercises when a personally tailored Solution is required.
- 8. Knowledge of complex pain patterns which may require close liaison with other specialists.
- 9. Knowing when not to treat and refer for immediate investigation.
- 10. Honesty in providing care, not over treating in order to gain financially, accepting when chronic conditions and plateaued, recommending other clinicians if they are able to deliver the most necessary care.