Dr Lily Tomas and Greg de Jong © 2015| Privacy Policy


Physical Therapies for Injuries


New episodes of musculoskeletal pain may arise from different causes including sudden injury due to sporting, work or personal injury, poor posture or ongoing functional issues. Whatever the cause, acute damage to the body may occur including:


• Ligamentous sprains and ruptures

• Muscle strains

• The development of trigger points within muscles

• Tendinopathies

• Neural tension and compression

• Lesions in the shock absorbing discs, such as in the knees (the menisci) and throughout the spine

• Stress fractures and other bone related problems

• Joint restrictions, impingements or laxities after dislocation

• Local inflammatory reactions

• Postural changes

• Poor movement dynamics leading to continued irritation of involved tissues

…and, of course, pain and


 All of which may be compounded by the presence or development of chronic disease involvement, such as osteoarthritis, osteoporosis, rheumatoid arthritis, to name a few examples.


It is the combination of these factors that must be treated when dealing with physical injuries that present as the localized injuries you may be aware of such as


• Whiplash, wry neck and ongoing neck aches and pains

• Frozen shoulder, impingement syndrome and rotator cuff lesions

• Thoracic outlet syndrome and pain

• Tennis and golfers elbow, carpal tunnel syndrome, occupational overuse syndromes within the hand had fingers

• Sciatica and generalized lower back pain, slipped discs and arthritis of the back

• Hamstring and quadriceps tears, impingements in the hips and psoas and piriformis related issues

• Cartilage injuries of the knee and ligamentous tears

• Ankle sprains, calcaneal spurs and plantar fasciitis.


Treating complex injuries therefore often involves a multifaceted response to care to not only health the present episode but prevent future re-injury. A list of treatments may therefore be considered during any physiotherapy rehabilitation programme including but not limited to:


• Pain management through ice, heat or neurostimulation devises such as the SCENAR unit

• Compression

• The use of natural anti-bruising and inflammatory interventions

• Muscle stretches and strengthening exercise

• Neural mobilisation techniques

• Soft tissue massage and joint mobilization techniques

• Therapies to address trigger points such as stretch and ice, dry needling and SCENAR

• Supportive and dynamic taping

• Postural education

• Rehabilitation and functional strengthening specific to personal needs.

• Education as how to prevent future reinjury and how to deal with future flare ups.

• Surgical referral in the case it is required.


Consideration of any other limiting factors in your recover including:


• Nutritional status

• The benefit of weight loss,

• Sleep hygiene

• Stress management


Preventing your pain and injury from limiting your and preventing it from becoming a chronic condition is the most important goal!


I therefore encourage prompt interventions whenever you experience musculoskeletal pain and injury in order to maintain your health, happiness and performance.


I am happy to offer you all of these service as a Physiotherapist at the Beach Street Centre.