Pain, Posture and Musculoskeletal Problems

Your Musculoskeletal Physio can treat any child with pain, whether as a primary problem or as a secondary issue related to a neurological, developmental, orthopaedic or rheumatological problem 

Musculoskeletal Physiotherapy relates to physiotherapy of the musculoskeletal system. This involves all the treatment of all problems and pain involving muscles, bones, joints, nerves, ligaments and cartilage.

 

A paediatric physiotherapist has basic physiotherapy training but then specialises in the knowledge of movement, development and conditions that are likely to affect the baby and growing child. Paediatric therapists treat from 1-day-old babies to adolescents. Because children are not small adults, specialist paediatric physiotherapists can encourage children to move to the best of their abilities through play and age appropriate games and instruction.

 

Musculoskeletal pain in children with neurological conditions
  • Children with an underlying neurological condition often get musculoskeletal pain due to contractures and deformities and the extra stresses put on their muscles and joints by their abnormal movements and postures.

  • This can be helped by physiotherapy, through stretching, soft tissue and mobilisation techniques, posture advice and strengthening.

 
Common Paediatric Musculoskeletal Conditions treated:

 

SPINAL

Back Pain:

  • Both neck and back pain can occur in childhood.  Physiotherapy provides postural and ergonomic advice. 

  • Home exercise programmes for strengthening trunk muscles and stretches to regain flexibility are provided.

  • Children with back pain should be encouraged to stay active, within the limitations of their pain, as inactivity worsens pain and stiffness.

 

Scoliosis:

  • Physiotherapy can help children with pain due to scoliosis.

  • Postural, spinal mobilising exercises and soft tissue techniques can reduce pain, along with building core strength.

 

Scheuermanns Disease:

  • This is an increase in thoracic kyphosis that can occur during growth. 

  • Physiotherapy aims at postural correction if pain is present.

 

Torticollis

  • This is a condition in which the head becomes persistently turned to one side, often associated with painful muscle spasms.

  • Stretching exercises, posture and positioning can help with the symptoms.

 

LOWER LIMB

Perthes Disease:

  • This is a condition of degeneration of the hip joint and is characterised by loss of hip movement, pain and limping. 

  • Physiotherapy aims to maintain/improve hip range of movement and improve walking. 

 

SCFE’s

  • SCFE is the most common hip disorder in adolescence. SCFEs usually cause groin pain on the affected side, but sometimes cause knee or thigh pain.

 

Anterior Knee Pain:

  • Knee pain in adolescents is common due the effects of growth on the knee joint or injuries. 

  • Children usually benefit from an exercise programme of quadriceps strengthening and hamstring stretching.

 

Osgood Schlatters:

  • Causes pain on activity over the front of the knee.

  • This is a self-limiting condition that will get better over time, when pain is experienced physiotherapy can help to manage the pain symptoms.

 

Severs Disease:

  • Is an inflammation of the growth plate in the heel of growing children, typically adolescents.

  • The condition presents as pain in the heel and is caused by repetitive stress to the heel and is thus particularly common in active children.

  • It usually resolves once the bone has completed growth or activity is lessened.

  • Physiotherapy can help with symptom management.

 
General

Fractures:

  • Most children who have recently come out of plaster casts do not require physiotherapy.

  • Physiotherapy is useful for children who are slow to regain joint range of movement or whose fracture has caused a functional limitation (for example if not using their arm or slow to wean from crutches).

 

Soft Tissue Injuries / Sports injuries.

  • This covers all ares of sprains and strains, for example ankle sprains, hamstring injuries and pulled muscles.

  • Physiotherapy can facilitate the healing and recovery process and return to function.

 

Hypermobility

  • Hypermobile joints are common in the general population and many individuals with hypermobility do not experience any significant difficulties.

  • A full assessment can determine the best course of treatment but physiotherapy can help to;

    • Restore and maintain full muscle strength and function throughout the full range of movement.

    • Restore effective and efficient movement patterns.

    • Improve general fitness.  

    • Restore normal range of movement, including into hypermobile range.  

    • Provide education, reassurance, advice, pain management and develop problem solving.

 

Physiotherapy Treatment for Children with pain may include;
  • Soft tissue techniques

  • Mobilisation

  • Stretching

  • Muscle strengthening

  • Core stability and balance work

  • Gait Re –education

  • Sport specific rehabilitation

  • Specific therapeutic exercises and posture education. 

  • Pilates Classes

Make an Appointment

Bristol, BS6 6LJ

stephaniewheen@yahoo.co.uk

Tel; 07773553112

WHEEN PHYSIO FOR CHILDREN​

Freeways Day Centre

Pill Road

Abbots Leigh

Bristol

BS8 3RA

 

 

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