Mandy Knaap Physiotherapy
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TREATMENT

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Common Problems that we treat include:

Shoulder Injuries
  • Rotator cuff impingement (RCI)
  • Rotator cuff tears
Dancing Injuries
  • Labral Tears
  • Femoroacetabular impingement (FAI) of the hip
  • Hamstring strains/tears
  • Ankle Sprains
  • Dislocations
Sport Injuries
  • Patella-femoral pain syndrome (PFPS)
  • Ilio-tibial band syndrome (ITB)
  • Arm Pump
Spinal conditions
  • Lower back pain
  • Upper Back pain
  • Neckpain or injuries including whiplash and wryneck/torticollis
  • Headaches including cervicogenic and ‘tension’ headaches
  • Vertebral injuries: eg ‘slipped disc’
Muscle strains, tears or dysfunction
  • hamstring strains/tears
  • calf muscle strains/tears
  • back muscle strains
  • quads muscle strains/tears
Tendon injuries
  • Achilles tendonitis/tendonosis
  • tibialis posterior tendonosis
Ligament Sprains or Tears

ankle ligament sprains

cruciate ligament sprains

collateral knee ligament sprains

Acute or Chronic pain relating to nerves, muscles or joints

Physiotherapy can treat most pain relating to nerves, muscles and joints.

Neurological Conditions
  • Nerve Pain
  • Nerve Entrapment: eg piriformis syndrome
  • Nerve Root Compression
  • Sciatica
  • Pins and needles in your fingers/hands or toes/feet
Joint or Articular Injuries or Pain
  • PFPS/Chondromalacia
  • TMJ pain and dysfunction
  • Knee meniscus injuries
Temporomandibular Joint (TMJ) Problems
  • Painful jaw joint or pain on chewing
  • Inability to open your mouth
Dislocations of Joints
  • Shoulder Joint Dislocations
  • Acromio-clavicular (AC) joint dislocations
  • Patella dislocations/subluxations
  • Elbow Joint Dislocations
Overuse Injuries
  • Tennis Elbow
  • Golfer’s Elbow
  • Plantar Fasciitis
Repetitive Strain Injury (RSI)
  • Carpel tunnel Syndrome
  • Tendonitis
  • Tendonosis
  • Tenosynovitis
Post-Orthopaedic Surgery
  • Knee, hip or shoulder replacements
  • Muscle repairs: eg Rotator cuff repairs
  • Menisectomies
  • Ligament repairs: eg ACL repairs
  • Internal fixation after fractures
  • Arthroscopies
  • Spinal discectomies, fusions, disc replacements
Fractures

We treat the complications of any bone fractures including pain, stiffness, swelling and weakness and include rehabilitation.

Pregnancy Related Problems
  • Back Pain
  • Carpal tunnel syndrome
Breastfeeding Related Problems
  • Mastitis
  • Bleeding or painful, cracked nipples
  • Engorged Breasts
  • Blocked Milk Ducts
Post-mastectomy problems
  • Shoulder Stiffness or pain
Osteoarthritis (OA) related problems
  • Joint pain and stiffness
  • Dysfunction
  • Resultant poor posture

Although  OA cannot be cured, treating the symptoms can be effective and the altered biomechanics can be improved.

Ankylosing spondylitis (AS) related problems
  • Joint pain and stiffness
  • Dysfunction
  • Resultant poor posture

Although  AS cannot be cured, treating the symptoms can be effective and the altered biomechanics can be improved.

Respiratory Conditions
  • Asthma
  • Bronchitis
Sinusitis

We treat sinusitis with nebulising, laser, ultrasound, dry needling and upper neck joint mobilisation.

Trigger Finger

Triggerfinger is caused by inflammation of the tendon sheath around the flexor tendons. This causes the finger to snap/lock when you open or close your hand.

Fibromyalgia and other Chronic pain conditions

Fibromyalgia is a condition characterised by chronic, widespread pain, fatigue, sleep disturbance, joint stiffness and bowel and bladder abnormalities.

The book, “ The Fibromyalgia Solution” by David Dryland, is very helpful in understanding this condition.

Bursitis

Bursitis is an inflammation of a bursa. A bursa is a small fluid-filled sac that reduces friction and cushions pressure between your bones and the tendons and muscles near the joints.

Bedsores and other open wounds

This is one condition that responds well to laser which is an electrotherapy modality.

Benign paraxysmal positional vertigo (BPPV)

BPPV is a spinning type of dizziness/vertigo brought on by head movement. It is caused by displacement of the calcium carbonate crystals (otoconia) usually attached to the hair cells in the inner ear. These otoconia are then free floating in one of the fluid filled tubes inside your inner ear, causing you to feel dizzy.

Who do we treat?

  • Sportsmen, Women and Children
  • Dancers
  • Pregnant women
  • People of all ages with any of the above conditions

How do we treat?

We will choose techniques that we have found to be the most effective in treating the presented type of condition. We will adjust these techniques based on the outcome of previous sessions and as your condition improves and changes. Your treatment will be personalised to achieve the best possible results. We have electrotherapy machines should they be needed, but our emphasis is hands-on-techniques. We will mostly use a combination of different techniques (evidence based practice). Using hands-on-techniques and a combination of different techniques has been researched to be the most effective.

What are the benefits of treatment?

  • Decreased pain
  • Decreased swelling
  • Improved circulation
  • Decreased inflammation
  • Improved mobility
  • Improved muscle length
  • Increased flexibility and range of movement
  • Decreased muscle spasm
  • Increased muscle strength and endurance
  • Improved stability, balance, co ordination, proprioception
  • Improved gait (walking pattern)
  • Reduced risk of re-injury
  • And ultimately: Improved function and improved quality of life.