Spinal fusion is a surgical procedure used to correct problems with the small bones of the spine (vertebrae). It is essentially a “welding” process. The basic idea is to fuse together the painful vertebrae (back bones) so that they heal into a single, solid bone. It is often performed when the discs between the vertebrae have ‘worn out’ in conditions such as degenerative disc disease. Other conditions that may benefit from spinal fusion are spondylolisthesis (forward movement of one vertebra on another), spinal stenosis (narrowing of the spinal canal), spondylosis (wear and tear), spinal fracture and kyphosis (curvature of the spine). Spinal fusion eliminates motion/movement between vertebrae. It also prevents the stretching of nerves and surrounding ligaments and muscles. It is an option when motion is the source of pain, such as when movement occurs in a part of the spine that is arthritic. Hardware such as metal plates, screws or cages and a bone graft are normally used to fix the vertebrae together. Spinal fusion may be recommended if physical therapy or medication fails to relieve leg or back pain caused by pinched spinal nerves. The theory is if the painful vertebrae do not move, they should not hurt.

At Bradley Physio we work closely with many Spinal Orthopaedic Surgeons and Spinal Neurosurgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physio or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym as well as exercises and stretches to continue independently at home. To maximise your recovery and help prevent further problems arising in the future you may be advised to undertake a course of pilates core strengthening exercises, either on a one to one basis or in one of our many many classes led by our team of APPI trained therapists.

In a total hip replacement, the damaged bone and cartilage is removed and replaced with prosthetic components usually made of metal but occasionally ceramic. The damaged femoral head (rounded top of the thigh bone) is removed and replaced with a metal stem that is placed into the hollow centre of the femur (thigh bone). A metal or ceramic ball is placed on the upper part of the stem. This ball replaces the damaged femoral head that was removed. The damaged cartilage surface of the socket (acetabulum) is removed and replaced with a metal socket. A plastic, ceramic, or metal spacer is inserted between the new ball and the socket to allow for a smooth gliding surface. It is performed on patients suffering from severe osteoarthritis, rheumatoid arthritis or occasionally following fractures of the hip.

At Bradley Physio we work closely with many Specialist Orthopaedic Hip Surgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physiotherapist or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym to increase the movement of the hip and the power of the lower limb, as well as exercises and stretches to continue independently at home.

Total Knee Replacement (also known as knee arthroplasty) is a surgical procedure to replace the damaged weight bearing surfaces of the knee joint. The aim of this operation is to relieve pain and improve a patient’s functional use of the lower limb. The most common conditions that lead to a severe degeneration of the weight bearing surfaces of the knee are osteoarthritis and rheumatoid arthritis. The diseased or damaged surfaces of the knee joint are replaced with plastic or metal components to allow pain free movement of the knee.

At Bradley Physio we work closely with many Specialist Orthopaedic Knee Surgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physio or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym to increase the movement of the hip and the power of the lower limb, as well as exercises and stretches to continue independently at home.

The Anterior Cruciate Ligament (ACL) sits within the centre of the knee and it prevents the tibia (shin bone) from sliding forwards underneath the femur (thigh bone). Injury is normally non-contact in nature and a result of a sudden deceleration whilst landing onto the leg or turning to change direction. Patients are often aware of a popping sensation, pain immediately and the knee swells within minutes. The Medial Collateral Ligament (MCL) and the medial meniscus(cartilage) of the knee often sustain some damage at the time of injury. Many of these injuries will settle with an intense regime of strengthening and proprioceptive (balance) exercises, however if the knee continues to give way and the patient is unable to return to their normal sporting activities reconstructive surgery will be considered. ACL reconstruction is performed via arthroscopy (keyhole surgery) and the damaged ACL ligament is replaced with a tendon graft from another part of your knee. This graft is usually taken from part of your hamstring tendon or occasionally your quadriceps tendon.

At Bradley Physio we work closely with many Specialist Orthopaedic Knee Surgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physio or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym to increase the movement of the knee and the power of the lower limb, as well as exercises and stretches to continue independently at home. Your rehabilitation will progress to include function and sport specific exercise to ensure you return to work or sport in optimum condition.

‘Osteotomy’ means cutting of the bone. Tibial Osteotomy is performed on patients with early stage osteoarthritis, when only one side of the knee joint is affected. A tibial osteotomy is performed to alter the angle of the weight bearing surfaces of the knee joint to relieve pressure on the damaged side of the knee joint. Bone grafts are used along with metal screws and plates to fix the tibia into its new position.

At Bradley Physio we work closely with many Specialist Orthopaedic Knee Surgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physio or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym to increase the movement of the knee and the power of the lower limb, as well as exercises and stretches to continue independently at home. Your rehabilitation will progress to include function and sport specific exercise to ensure you return to work or sport in optimum condition.

Knee arthroscopy is a type of keyhole surgery that is used to diagnose a treat problems within the knee joint. Only small cuts are required to insert the small instruments and cameras into the knee that allow the surgeons to carry out the chosen procedure. The majority of patients do not require an overnight stay in hospital. Knee arthroscopy is commonly used to repair damaged cartilage and remove loose bodies from within the joint.

At Bradley Physio we work closely with many Specialist Orthopaedic Knee Surgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physiotherapist or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym to increase the movement of the knee and the power of the lower limb, as well as exercises and stretches to continue independently at home. Your rehabilitation will progress to include function and sport specific exercise to ensure you return to work or sport in optimum condition.

Ankle Ligament Reconstruction is performed to treat chronic ankle instability suffered as a result of recurrent or severe ankle sprains, where conservative methods including physiotherapy, have failed to resolve the problem. It is usually the Lateral Collateral Ligament complex that requires repair and these ligaments may be shortened, stitched and reattached as necessary. You will be in a plaster or orthopaedic boot immediately post-op to limit the movement of the joint. At the appropriate time your consultant will refer you for physiotherapy.

At Bradley Physio we work closely with many Specialist Orthopaedic Ankle Surgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physio or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym to increase the movement of the ankle and the power of the lower limb, as well as exercises and stretches to continue independently at home. Your rehabilitation will progress to include function and sport specific exercise to ensure you return to work or sport in optimum condition.

Shoulder or subacromial decompression surgery is performed to relieve the pain and disability caused by ‘shoulder impingement’ or ‘rotator cuff impingement’. Pain is caused by the rubbing of the tendons within the shoulder against the bone at the top of your shoulder as the arm is lifted. The upper part of the scapula(shoulder blade) is called the acromion and forms part of the shoulder joint. The space below the acromion is opened up to relieve the pressure on the structures that pass underneath it, relieving pain and allowing normal movement of the arm to be restored.

At Bradley Physio we work closely with many Specialist Orthopaedic Shoulder Surgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physio or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym to increase the movement of the shoulder and the power of the arm, as well as exercises and stretches to continue independently at home. Your rehabilitation will progress to include function and sport specific exercise to ensure you return to work or sport in optimum condition.

Surgery to repair a torn rotator cuff most often involves re-attaching the damaged tendon to the head of humerus (upper arm bone). A partial tear however, may need only a trimming or smoothing procedure called a debridement. A complete tear is repaired by stitching the tendon back to its original site on the humerus. Conservative methods of treatment (including physiotherapy) are normally considered first before surgical repair is undertaken. It may be repaired by arthroscopy (keyhole surgery) or as an open procedure through an incision. Most patients will be instructed to wear a shoulder sling post-operatively to protect the repair.

At Bradley Physio we work closely with many Specialist Orthopaedic Shoulder Surgeons to provide post-operative care and rehabilitation for their patients. By working closely with these highly skilled surgeons we are able to gain the best possible outcomes following surgery for our patients. Following a thorough verbal and physical examination your therapist will provide you with a bespoke treatment/rehabilitation plan which will be discussed with you. Pain relieving modalities including acupuncture and electrotherapy may be recommended in the early stages to maximise your ability to remain active. As you improve your physio or sports rehabilitator will recommend a carefully selected programme of rehabilitation exercises in our on-site rehab gym to increase the movement of the shoulder and the power of the arm, as well as exercises and stretches to continue independently at home. Your rehabilitation will progress to include function and sport specific exercise to ensure you return to work or sport in optimum condition.