Physiotherapy Treatment for Tennis Elbow

Tennis Elbow:

Tennis elbow is an inflammation of the tendons that join the muscles of the forearm to the outside of the elbow. It often occurs due to overusing the forearm muscles and tendons and those around the elbow joint.


Typically the Tennis Elbow sufferer will experience pain when performing gripping tasks or resisted wrist/finger extension. Pain can also be present when the muscles are stretched. There will be tenderness directly over the bony epicondyle, and there may be trigger points in the wrist muscles.

  • Tennis elbow may cause the most pain when you:
  • Lift something
  • Make a fist or grip an object, such as a tennis racket
  • Open a door or shake hands
  • Raise your hand or straighten your wrist


Rest: Resting the arm is important. A break in activity allows the tears in the tendon attachment to heal. Tennis players treat more serious cases with ice, anti-inflammatory drugs, soft tissue massages, stretching exercises, and ultrasound therapy.


  • Manual Therapy :Your Physiotherapist may use hands-on tissue manipulation techniques to create a small amount of micro-trauma to the area to re-sstart the inflammation process.
  • Exercises: Specific exercises that have a goal of stressing the tissue to just beyond its current capability can be used as a pro-inflammatory technique.
  • Strapping or taping the forearm: Supporting the area can help realign the muscle fibers and relieve pressure on the area. A physician may recommend using a splint for 2 to 3 weeks to take the elbow out of action.
  • Shock Wave Therapy: Extracorporeal Shockwave Therapy (ESWT) can be very effective to help stimulate the inflammatory process.

These techniques are used at specific intervals of time, to allow the body to go through a natural healing process between treatments.

Surgery: This may be needed to remove the damaged part of the tendon and relieve the pain in the rare cases where nonsurgical treatment does not resolve symptoms in 6 to 12 months.

For Physiotherapy Treatment of Tennis Elbow, Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home


Physiotherapy for Frozen Shoulder

Frozen shoulder also known as adhesive capsulitis, is a painful and disabling disorder in which the shoulder capsule (the tissue that surrounds the shoulder joint) becomes inflamed and stiff, which restricts the shoulder motion and causes severe pain.

The risk of frozen shoulder is high between the ages of 40 and older, particularly women are more vulnerable.


A person with a frozen shoulder will have a persistently painful and stiff shoulder joint. Signs and symptoms develop gradually. Frozen shoulder typically develops slowly, and in three stages.

  • The first stage is the freezing stage. Any movement of your shoulder causes pain and shoulders range of motion starts to become limited.
  • “Frozen” or adhesive stage, which is marked by a slow improvement in pain but the stiffness remains.
  • “Thawing” or recovery phase, the range of motion slowly returns to normal, However pain may worsen in this stage.

Treatment of Frozen Shoulder

  1. Physical Therapy

This can provide training in exercises to maintain as much mobility and flexibility as possible without straining the shoulder or causing too much pain. Physical therapy is the most common treatment for a frozen shoulder. The goal is to stretch your shoulder joint and regain the lost motion. It can take anywhere from a few weeks to nine months to see progress. A home exercise program of gentle range of motion exercises is important.

  1. Medication

To treat the pain and reduce your joint inflammation, your doctor may recommend an anti- inflammatory medication like aspirin, ibuprofen, or naproxen sodium. A steroid injection you’re your shoulder joint may also help.

  1. Home Care

Placing an ice pack on your shoulder for 15 minutes at a time several times per day can help to decrease pain. If you’re working with a physical therapist, the exercises can be done at home. Your physical therapist will provide instructions on the types of exercises you must do, how often to do them, and when to push yourself harder.

  1. Surgery

If physical therapy doesn’t improve your condition, surgery is an option. From a surgical standpoint, your options are to manipulate the shoulder and put it through a full range of motion under a general anesthetic to help break up any adhesions.

For Physiotherapy Treatment of Frozen Shoulder, Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home

Physiotherapy Treatment for Herniated Disk

A herniated disk refers to a problem with one of the rubbery cushions (disks) between the individual bones (vertebrae) that stack up to make your spine.

A herniated disk can irritate nearby nerves and result in pain, numbness or weakness in an arm or leg. On the other hand, many people experience no symptoms from a herniated disk. Most people who have a herniated disk don’t need surgery to correct the problem


Most herniated disks occur in your lower back (lumbar spine), although they can also occur in your neck (cervical spine). The most common signs and symptoms of a herniated disk are:

  • Gradual numbness or tingling in a specific part of an arm, hand, leg or foot
  • Specific pain in the leg or arm, can be sharp and typically worse in the mornings
  • Difficulty with moving or bending in the mornings
  • Possible weakness in the leg, foot, arm or hand
  • Pain is more one sided


  1. Relieve inflammation

Applying a heating pad or ice pack to the affected area may be a good way to temporarily relieve your pain and reduce inflammation.

  1. Careful movements

Avoid wearing high heels, sleeping on your stomach and standing or sitting for long periods of time. Also, keep focus on good posture with standing or sitting.

  1. Physical Therapy / Exercise

There are special exercises and stretches, which help relieve the pain associated with a herniated disc. Physical therapist can train you on performing these exercises properly to reduce the pressure on the disc and reduce pressure on the spine associated with poor mobility. As your spinal muscles become stronger, the pressure on the disc should lessen, causing the pain to ease.

  1. Over-the-counter medications

When the pain from a herniated disc is only moderate, an over-the-counter (OTC) pain medication can help relieve inflammation and improve pain.

  1. Surgery

This option is reserved for only the most severe cases as most herniated discs can be successfully treated with physical therapy and conservative measures. Many herniated disc surgery options are minimally invasive and have high success rates, but the recovery process can be long.

For Treatment of Herniated Disc , Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home



Physiotherapy for Sciatica – Non Operative Treatment

Sciatica is the result of a neurological problem in the back or an entrapped nerve in the pelvis or buttock.Physiotherapy can be a very effective treatment modality for Sciatica. About 90% of patients with a lumber disc herniation improve with nonoperative care within 3-6 months.

Signs and Symptoms:
• Pain that starts in your lower back to your buttock and down the back of the leg.
• Pain can be an ache or a sharp burning sensation.
• Pain can worsen with coughing, or sneezing this can indicate a disc “slipping out”
• It is possible to feel numbness or tingling in the affected side.
• Severe symptoms include trouble walking due to pain.

• Sciatica happens when the sciatic nerve becomes pinched.
• There are discs between the bones of your spine (vertebrae) that act as shock absorbers. Sometimes they can slip or bulge out and can cause pressure on the nerve. This is the most common reason for sciatica.
• Bone outgrowths called “bone spurs” can press on nearby nerves.
• There is a muscle that lies deep within your buttocks called the piriformis muscle – sometimes this muscle can become tight or spasm which can put pressure on the sciatic nerve.
• Sometimes other medical conditions (like tumors) can injure nerves near the spine.

Risk Factors
Old Age, Slip Disc , Arthritis, Diabetes, Obesity , Sedentary LifeStyle

How Physiotherapy works for Sciatica
• Focus is to minimize inflammation and eliminate mechanical stress on the spine in order to provide a safe healing environment.
• Exercises that utilize isometric contractions to resist frontal and rotational movements.
• Full integration of rotational movement can occur.

Helpful modalities include deep tissue massage, hydrotherapy, transcutaneous electrical nerve stimulation, and spinal traction.

If non-operative treatment fails and patients continue to experience radicular (leg dominant) symptoms, a nerve root injection and/or surgical intervention may be required.


For Treatment of Sciatica, Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home