Category Archives: Physiotherapy

What to expect from your physiotherapy treatment
23 Nov

What to expect from your physiotherapy treatment

If you are thinking of taking physiotherapy lessons there are plenty of things that you may be seeking answers for, or you may be undecided whether the treatment is good or bad for you. Physiotherapy is a responsive kind of treatment which is very beneficial to patients if done in the right manner and the right schedule followed to the core. Here are some of the main things which you may encounter in your next physiotherapy sessions.

What to expect in your physiotherapy treatment

Physiotherapy treatment is undertaken under a certain timeframe as determined by the physiotherapist, which are called sessions. Every session is expected to last between forty-five minutes and an hour depending on progress which is determined by the physiotherapist.

Session 1

The first session is referred to as the ‘subjective assessment’ which revolves around getting information and you and your condition. Some of the questions that you expect in this session are:

  • What was your condition origin? Is it based on an extended strain on the affected part, injury or accident?
  • Have you visited a doctor?
  • Does it have any effect on your daily life?
  • What do you do that makes it better or worse?

The physiotherapist will go through your medical history to determine the best course of action to rectify your condition.

The Objective Assessment

The first appointment with your physiotherapist will be useful in accessing the extent of your injury through the ‘objective assessment.’ You will be required to perform specific movements as directed by your physiotherapist to determine parts where you find discomfort or stiffness. The combination of both subjective and objective assessment will help your physiotherapist in determining the right course of action and guiding you on the various exercises which you can do on your own.

Session 2

The next stage starts with questions like:

  • How have you been doing since the previous session?
  • Have you experienced any positive or negative changes?
  • How did you find the exercise given to you?

From your answers to the above questions, your physiotherapist will conduct another objective assessment to determine any changes since the previous sessions and whether your therapies need a change or not.

Follow-up Sessions

You need follow-up sessions which will help in determining whether you are making any progress. The physiotherapist will be in a position to advise you accordingly based on the report received in every follow-up session until you have fully recovered or in a position to conduct the therapy sessions by yourself. You can find these services at Total Restore Manchester Physio and start your journey to full recovery.

Musculoskeletal Screening in the Workplace
16 Aug

Musculoskeletal Screening in the Workplace

The benefits of musculoskeletal screening in the work environment

In 2016, a musculoskeletal screening survey took place which had lasting improvements for 32 employees. The survey was conducted by Connect Health, within a large public sector body. Each candidate was given:

  • A pre-screening questionnaire;
  • A full, 40 minute, musculoskeletal physiotherapy assessment;
  • A 20 minute long case review after a month’s participation in the study; and
  • A final assessment (30 minutes) after three months.

Read more »

Surprising Health Benefits of Pilates
27 Jul

Surprising Health Benefits of Pilates

Did you know that pilates is also good for curing back pain and rosacea?

“I stopped groaning. When I get out of the car now, I don’t go arrggghhh”, said author Martin Amis, in relation to pilates. We at Total Restore share Mr Amis’ enthusiasm. Our physiotherapist, Sarah, is a qualified Pilates instructor. This was through the APPI (Australian Physiotherapy and Pilates Institute).

Read more »

Benefits of Sports Massage
26 Mar

Benefits of Sports Massage

The Restoration Blog

Benefits of Sports Massage. It’s that time of year again when the days start to get lighter and we get the spring back in our step. With plentiful opportunities coming up in the running calendar this year, many of us are getting off the couch, dusting off the trainers and getting stuck into a training regime. Once we start to lead a more active athletic lifestyle, then massage becomes as essential as a good rehabilitation and training programme, rest and food.

Did you know that in the first Olympic games of 776 BC, athletes had massages before their events? Sports massage therapy has been used for centuries and why? Because it works! It involves the manipulation and management of the soft tissues in the body to alleviate and rehabilitate the musculoskeletal system. It has 3 basic forms: pre-event, post-event and maintenance massage, to prepare the body for sports and maintain it in optimal function both during and after.  It is suitable for a wide variety of people who are wishing to prevent or recover from general tension or soft tissue injury such as overuse or repetitive strain injuries.

So, whether you’re an athlete or a couch to 5k here are the top 10 benefits to a sports massage.

  1. Preventing injury and injury rehabilitation by restoring and optimising the mobility, flexibility and tone in muscle tissue. Sports massage can speed up recovery healing times and alleviate soft tissue injury, strains and soreness.
  2. Pain reduction. Sports massage techniques manipulate muscles, tendons and fascia to reduce tired muscles from strain, aches and pains. Sports massage prevents or treats a condition called delayed onset muscle soreness (DOMS). This condition happens a few hours after exercise, and can not only be painful but also effects function.
  3. Improved blood and lymph circulation by increasing blood supply we increase oxygen uptake and removal of lactic acid and by-product toxins which can build up in muscle tissue, reducing cramping. Increased lymph draining can help to reduce swelling in joints and muscles.
  4. Restore and re-balance muscle imbalances by focusing on and treating specific muscles to achieve better quality and harmonious movement.
  5. For relaxation, wellness and to reduce anxiety. Heart and breathing rates slow, blood pressure lowers, cortisol (our stress hormone) production decreases, serotonin levels increase (our happy hormone) and muscles relax. Massages make you happy!
  6. Restoring flexibility, mobility and muscle recovery. By relaxing, stretching and normalising soft tissue (muscles, tendons, ligaments, nerves and deeper connective tissue). Muscles massaged after exercise have fewer damaged fibres and less signs of white blood cells meaning the body does not have to work as hard to repair after exercise.
  7. Improved tissue metabolism and scar tissue re modelling. Scar tissue from muscle damage can be a limiting factor in exercise. Addressing scar tissue early can help to minimise secondary scar tissue problems such as pain, nerve impingement, postural malalignment, prohibited circulation and risk of future potential injury.
  8. Improves sleep. Reduces cortisol and increases serotonin levels to lead to a more restful nights’ sleep.
  9. Boosts immune defence. By decreasing cortisol levels our immune cells become less compromised. Additional white blood cells help to ward off illness.
  10. Improved function, energy and performance. Prepares you physically and mentally for optimum performance and productivity.

Stay active, be happy, eat well, and find a great Physiotherapist to keep your body at its best! Massage, you know you KNEAD it!

Structures of the Spine and Causes of Back Pain
16 Nov

Structures of the Spine and Causes of Back Pain

Welcome back to Part 2 of the Restoration Blog! In Part 1 we discussed Keeping Your Spine Healthy in the Office and in this issue, we will start to consider the root causes of pain in Structures of the Spine and Causes of Back Pain.

The spine is a complex network of structures and any injury, irritation or problem with these can cause low back pain. This includes the musculoskeletal spinal muscles, ligaments, the bones, intervertebral discs, joints and the nerves which exit the spine. BUT this is where it gets a little confusing ….! It is important to emphasise that structural abnormality is not always indicative of pain and that structures actually causing back pain is a controversial topic. The term can should therefore be used carefully. The symptoms and severity of back pain vary greatly; a simple muscle strain can cause severe acute pain, while a degenerating disc may present with milder intermittent symptoms. Studies have shown that one individual may have a disc bulge on an MRI scan and have no pain, whereas another person may have no abnormality found on an MRI but are in 10/10 pain.

The pain you feel is therefore unique to you and is not necessarily coincidental to the type of structures involved or indicative of scan results. In this blog, we attempt to summarise the most commonstructural causes of back pain but we must always remember that our bodies and pain itself are complex and there are a wide range of variables to consider. Back problems can be connected; tight muscles can irritate the underlying nerves, which may or may not be interrelated with underlying disc or joint problems. The body can compensate in terms of posture and muscle imbalances and can be exacerbated by stress, inactivity, poor general health and nutrition. We focus below on looking at spinal structures, however we must also ask ourselves is the source of pain from or correlated with other variables rather than any structural abnormality …….

Muscular/ Soft tissue Problems

This is the most common cause of acute back pain and ranges from symptoms of a mild ache to sudden severe pain. Muscular and/or ligament (bands of tissue connecting vertebra to vertebra) problems can be caused by different mechanisms such as muscular strains from heavy lifting, repetitive overuse through sitting or bending activities, sports injuries, underlying muscle weakness, postural problems and subsequent compensations. Either the muscles or ligaments become over stretched or torn, placing undue stress on the lower back. Symptoms normally include the following: localised lower back pain, tendernesspasm and nerve problems.s, muscle pain,

Lumbar Disc Problems

Your intervertebral discs are the spongy pads between your vertebrae which act to cushion the spine as it moves. Herniated discs can occur gradually due to wear and tear of the spine, or suddenly due to injury such as heavy lifting. A prolapsed disc is whereby the disc becomes compressed and bulges outwards or ruptures. Alternatively, degenerative disc disease, which is degeneration of the disc itself can also be a source of pain. As the discs deteriorate they lose their shock absorbing ability during bending and torsion of the back.

Sacroiliac Dysfunction

The sacroiliac joint connects to the bottom of your spine (lumbar), to the tailbone and pelvis. Any dysfunction to this joint, such as too little or too much movement, can cause lower back pain and/or referred pain.

Lumbar Stenosis

This is a less common cause of back pain whereby there is narrowing of the spinal canal or nerve root canals exiting the spinal column. This can result in nerve end compression with neurological type symptoms; leg pain, tingling, weakness and numbness.


General wear and tear of the spine (arthritis), and of the cartilage surrounding the facet joints of the spine, can be a source of pain and limitation of movement.


The sciatic nerve extends from the lower back into the leg and to the foot. It can become impinged or irritated anywhere in its’ course and from any of the above conditions/ problems. The most common symptoms of sciatica are: burning type pain and/or tingling at the back and/or buttock, back of the leg and sometimes into the foot. Piriformis Syndrome is a problem whereby the piriformis muscle, a small muscle located in the buttock, becomes tight or spasms. The piriformis muscle can be irritated alone or because of a nearby structure such as the sacroiliac joint (see sacroiliac dysfunction). This can cause pain into the buttock area and can also irritate the underlying sciatic nerve.

Remember that if you experience low back pain, you are not alone. 80% of people will suffer with low back pain at some point in their lifetime. Most low back pain will resolve in days to a few weeks with correct self management and/or temporary treatment, but we must also get to the root cause, whether it be due to structural abnormalities, other factors, or a combination of both. A holistic approach is usually necessary to choose the best strategies and treatments to move forwards with for longer term management and prevention of reoccurrence. In Part 3 we will be focusing on treatment methods for the different causes of back pain, with an emphasis on re-gaining confidence with your back and getting you back to your best. See you in Part 3; Breaking the Vicious Cycle of Back Pain.

Total Restore. Your Manchester Physio Clinic.

Getting you back to your best.