SB Sports Injury Clinic. 14 Broadway, Shifnal, Shropshire TF11 8AZ

  Contact: 01952 462330

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Osteoarthritis – The Benefits of Exercise

Osteoarthritis (OA) is a condition that causes the joints to become painful and stiff. It is otherwise known as the ‘wear and tear’ arthritis and usually develops gradually over time. It has no specific known cause but history of an injury to a joint can trigger it, even several years later.

OA develops when changes in the cartilage (soft tissue that protects the end of bones) happen, which then affects how the joint works. It can occur at any age but is more common as we get older.

OA is the most common form of arthritis and a leading cause of pain and disability. It is estimated that around 7 million people in the UK suffer with OA. Almost any joint can be affected but is most seen in the joints that bear weight – our hips, knees and spine for example.

The main symptoms of pain and stiffness can make it difficult to move and therefore carry out certain activities. Symptoms can be variable but in more serious cases they can be continuous. Other symptoms you may notice are:

  • Cracking or grating sensation in your joints
  • Tenderness of the joint
  • Muscle wasting/weakness
  • Loss of range of movement (i.e. unable to straighten the joint properly)
  • The joint ‘giving way’
  • Increase in pain and stiffness when you have not moved for a while

Unfortunately, OA cannot be cured but it can settle down after several years and there are many options to relieve your symptoms.

Recent guidelines published by NICE the ‘National Institute for Health and Care Excellence’ state that ‘’ Adults with OA are advised to participate in muscle strengthening and  aerobic exercises’’ and that ‘’Exercises is a core treatment for OA that may improve joint pain and function.’’

Exercise to strengthen the muscles around the affected joint can support and protect that joint. Aerobic exercises aim to improve general mobility, function, fitness and well-being. Cycling and swimming are good examples.

Here at SB Sports Injury & Physiotherapy clinic we can carry out a full assessment of your symptoms and the effect they have on your daily life. Your physio will then be able to prescribe a tailored exercises programme designed to work the specific muscles that can protect your joints. Advice can also be given a general exercises programme suitable for your specific needs and abilities. All our physios have over 10 years’ experience and male and female therapists are available. Early morning and evening appointments are available at the clinic. We also offer a home visiting service should you find it difficult to attend the clinic.

If you would like advice or to book an appointment, please call 01952 462 330 or email: visit our contact page.

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You may or may not be aware that headaches can be caused by several reasons from emotional stress, tension, anxiety to allergies. One area that is often overlooked is the cervical spine (neck) area and the associated muscles nerves and joints. Headaches caused by neck pain are referred to as Cervicogenic headaches.

If you answer yes to any of the following questions it could suggest that your neck may be causing a headache:

  • Do you have neck pain?
  • Does the pain radiate from the back to the front of your head?
  • Do you have dizziness or light-headedness?
  • Is your headache aggravated or worsened by movements of the neck or being in a fixed posture for a prolonged time?
  • Does your neck feel worse on the same side as your headache?
    Is it eased by pressure to the base of the skull, the muscles or heat treatments around the neck muscles?
  • Does your headache persist after medications?
  • Has there been no diagnosis from further investigations?

So, what can a physiotherapist do for your neck?

We can:

  1. Give advice on posture
  2. Show you how to stretch and move the neck and shoulders after periods of sitting
  3. Explain the importance of good sitting positions at your desk
  4. Discuss sleeping positions and use of pillows
  5. Perform treatments to help ease the pain.


Neck treatments to influence headaches are quite wide ranging, in the first instance manual hands on techniques may be used to address any stiffness, particularly in the upper spine. Treatments such as acupuncture can be useful to treat the pain as well as needling techniques to reduce muscle spasm and areas of tight muscles, equally this can be achieved with more manual soft tissue and massage techniques.

Traction can also be useful in patients with headaches and a simple set of stretching and mobilising exercises will also help address the symptoms and help you manage the symptoms better.
There are other medical diagnosis that can cause headaches and so sometimes following initial assessment your physiotherapist may want to refer you back to your GP for further investigations, but the majority of neck related headaches can be successfully treated and managed through physiotherapy.

The key to success in treating headaches is the appropriate assessment to determine the source of the problem, our team can do this and the clues to determine whether the headaches are originating from a musculoskeletal source can be gained from you the patient and the signs, symptoms and history of the pain problem you present with.

If you are suffering from migraines or headaches then here at the clinic we offer Physiotherapy assessments at times to suit you, with early morning and evening appointments available.
For further information or to book an appointment call 01952 462330 or email visit our contact page.

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Frozen Shoulder

Frozen Shoulder is an extremely painful condition in which the shoulder is completely or partially unmovable (stiff).

Frozen shoulder often starts out of the blue but may be triggered by a mild injury to the shoulder or shoulder surgery. The condition usually goes through three phases, starting with pain (Freezing phase), then stiffness (Frozen stage) and finally a stage of resolution (Thawing) as the pain eases and most of the movement returns. This process may take up to two or more years.

The lining of the shoulder joint, known as the ‘capsule’, is normally a very flexible elastic structure. Its looseness and elasticity allows the huge range of motion that the shoulder has. With a frozen shoulder this capsule (and its ligaments) becomes inflamed, swollen, red and contracted. The normal elasticity is lost and pain and stiffness develop.

A secondary frozen shoulder can also occur when there is an underlying change in the way some shoulder muscles (rotator cuff) are working or if a nerve from the neck has not been sending effective messages to the shoulder. As you have restricted movement of the arm, the capsule is not moved sufficiently and frozen shoulder symptoms develop.

Common complaints associated with the condition include difficulty sleeping on the affected shoulder, reaching actions and limited hand behind back movements, especially when dressing.

A primary frozen shoulder can get better on its own over many years. However, as the pain and restriction of movement can be very limiting of daily activities most people seek health care advice. The treatment required depends on the severity of the pain and stiffness. Physiotherapy to minimise further stiffness and help regain range of movement, medication for the pain, joint injections or surgery are among the options to consider in managing this condition.

In all the Physiotherapy can be very effective in treating frozen shoulder, so if the description above is familiar to you and you are experiencing problems then for some free advice or to book an appointment you can call 01952 462330, or email our team at, or fill out a form on our Contact Page.

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