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Reasons to consider a Partial Knee Replacement

Consider the following scenario:

You are a fit and active 65-year-old man; you play golf once a week and tennis twice a week. Your right knee has been creaking for a few years, and during the previous few weeks has become very sore, swollen and stiff. Your knee is now slowing you down, affecting your enjoyment of sport and exercise. You are waking with pain in the mornings and finding it slower to get up and going.

You consult an experienced chartered physiotherapist who, following a thorough clinical assessment, diagnoses you with medial compartmental knee osteoarthritis. Your physiotherapist provides a course of treatment which reduces your pain levels by 60% and improves the mobility and strength of your knee. A good result, but not quite enough to get you back to playing golf and tennis comfortably. What next?

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COVID-19: In-Clinic Appointments - Important Safety Information

We are open to provide primary healthcare including Chartered Physiotherapy to our clients in accordance with the latest government restrictions. Our role as essential healthcare providers is further supported by our professional body, the Irish Society of Chartered Physiotherapists.

If you have booked a face to face, in-clinic appointment, please read the following important COVID-19 infection control information.

Face to face, in-clinic appointments are available weekdays for those who have not been diagnosed with COVID-19, are not awaiting a test, do not have symptoms and who are not self-isolating. If you are considered high or very high risk, we recommend that you consult with your GP before attending for physiotherapy.

In accordance with COVID-19 infection control and avoidance measures, we are implementing social distancing methods and strict sanitising within the clinic.

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I am having Surgery, do I need Physio?

A course of physiotherapy is usually beneficial before and, or, after a range of surgical procedures.1,2,3

Examples of orthopaedic procedures include total knee or hip replacements, a knee ACL reconstruction, a joint arthroscopy, a shoulder subacromial decompression as well as spinal procedures such as a lumbar discectomy and laminectomy. Physiotherapy may also be indicated following cardiac and pulmonary (lung) procedures as well as laparoscopies.

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The Young Arthritic Knee - What to do?

Osteoarthritis affects on average one in two people. Presently, people are being diagnosed with OA at a much earlier age than in previous years. More premature onset osteoarthritis may be a reflection of changes in activity levels, diet and other lifestyle factors.

As a result, it is predicted that in ten years, there will be seven times more osteoarthritis related to total knee replacement surgeries performed by orthopaedic surgeons.

According to the orthopaedic consultant, Mihai Vioreanu, preservation of the knee joint is critical. The American Academy of Orthopedic Surgeons recommends:

  • Low impact aerobic exercises such as cycling, swimming and walking
  • Weight loss if necessary
  • Building strength, balance and flexibility around the knee joints.
  • Correct use of anti-inflammatory medication, when indicated.
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Restrictions, Masks and Facial Expressions

As the year marches on, and we are still accompanied by COVID 19. Just when many of us felt we might have turned a corner, new restrictions are imposed here in Dublin which will impact on all our lives. However, rather than considering the new restrictions as a step backwards, we are hopeful they will be a step that moves us forward.

Here at the clinic, as an essential healthcare service, we will remain open and continue to look after our clients. We will continue to follow all the infection control and avoidance measures required to provide a safe but also welcoming environment. We are trying to limit 'COVID talk' and instead focus on you, providing support and reassurance where we can, while working to help you get better as quickly as possible.

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How can I get better quicker?

I am often asked this question. Most clients would prefer to have as few physiotherapy sessions as possible and be back in action quickly.

My response usually includes the following advice:

Attend your scheduled physiotherapy sessions. Regular treatment, especially at the outset, will allow the cumulative therapeutic effects to develop more rapidly. Education, manual therapy, electrotherapy, medical acupuncture & dry needling and therapeutic exercise all help ease pain and promote tissue healing and recovery.

Take on board and apply all the education and self-management advice. A good physiotherapist will provide you with loads of tips and strategies to ensure the right environment is created, both internally and externally, to facilitate healing recovery from injury. For example, posture is essential, as is movement, not just moving regularly but moving in the right way. Diet plays a role in recovery, as does rest and sleep. Getting into the right mindset, thinking correctly and managing your emotive response to pain can have a significant impact. The advice provided will depend on the individual; careful assessment is essential.

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Travel Tips, Feet & Receipts

As this strange year marches on, many of us benefit from some time to pause and reflect on what has happened, where we are and where we are going. To thrive we need to look after our physical and mental health like never before, making it a priority to ensure we are strong and resilient to whatever challenges may come our way. We are grateful to have helped so many of you recover your health after the lockdown period, however, there is still much work to be done.

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Fixing Lockdown, Appointments and a new Blog

It is mid-summer already, and where has the lovely sunshine gone? It might be a bit dull outside of late; however, we like to make sure our clinic remains bright and vibrant. Katie and Rachael contribute with their enthusiasm and energy, always doing that bit extra for their clients. You may have gathered we like a bit of music as well!

The last few months have changed routines and created some new challenges for our bodies. From new online exercise classes to working long hours on laptops at home, we have been sorting out plenty of aches and pains. It has been very satisfying to observe the effectiveness of only a few physiotherapy sessions to help our clients get back on track, feeling better and moving better.
 
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PhysioPilates Video classes, Update & Zoom?

We would like to express our sincere gratitude to all of you who have been so understanding and appreciative of the efforts we, along with Katie and Rachael, made to ensure those enrolled in the Spring 2020 term could complete their classes online.
 
Having a term interrupted by the COVID-19 pandemic was undoubtedly not anticipated, and like many clinics, we had to react quickly, making difficult decisions with little information and guidance. When we remember those tough weeks, what stands out is how our physios and reception rallied to help and support us. We will always be grateful for their support.
 
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Back in Action with Katie Farrell

Due to COVID-19, we took a break from break face-to-face appointments at the clinic.

This period gave me time to reflect, and I realised just how much I enjoy and value my job. It was not long before I was itching to get back to work, once it was safe to do so.

I'm now heading into my fourth full week back in the clinic, treating clients face-to-face, able to use my full range of clinical skills. I've been able to use a fully integrated physiotherapy approach, with a combination of manual therapy, medical acupuncture, advice and specific exercise programmes. It is super to be back, doing useful and meaningful work while seeing the diary filling back up with appointments.

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