- Total Knee Replacements
- Chronic Lower Back Pain
- Chronic Neck Pain
- Impingement Syndrome
- Shoulder Pain
- Rotator Cuff Tears
- Headaches and migraines
- Achilles tendonitis
- Knee pain
- And more …
Chronic Low Back Pain
Another 2015 study in the British Medical Journal, “Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis”, demonstrated that a multidisciplinary approach (including physiotherapy) was more effective than standard approaches to overcoming chronic low back pain. Interesting to note that Body Genius is a multidisciplinary Institute and echoes the findings of this report.
All Musculoskeletal Conditions
A 2014 study called “Cost-Effectiveness of Manual Therapy for the Management of Musculoskeletal Conditions: A Systematic Review and Narrative Synthesis of Evidence From Randomized Controlled Trials” revealed that all forms of manual therapy for neck, back, shoulder, and ankle pain were more effective than general medical care alone.
Manual therapy techniques such as osteopathic spinal manipulation, physiotherapy manipulation and mobilization techniques, and chiropractic manipulation with or without other treatments, were more cost-effective than usual general practitioner (GP) care alone.
It’s also interesting to note that chiropractic manipulation was found to be less costly and more effective than alternative treatment compared with either physiotherapy or GP care in improving neck pain.
A 2015 study entitled “Effectiveness of physiotherapy exercise following total knee replacement: systematic review and meta-analysis”, clearly demonstrated how effective physiotherapy management can be post surgery.
A 2000 study by Clark et al. entitled “Physiotherapy for anterior knee pain: a randomized controlled trial demonstrated that the proprioceptive muscle stretching and strengthening aspects of physiotherapy have a significantly beneficial effects for people with anterior knee pain and that these benefits were still present at one year follow-up.
There are many other studies supporting physiotherapy treatment in relation to knee pain. Here is another example:
A 2003 study in the British Medical Journal entitled “Cost effectiveness of physiotherapy, manual therapy and general practitioner care for neck pain: economic evaluation alongside a randomized controlled trial” demonstrated that Manual therapy (spinal mobilization) is more effective and less costly for treating neck pain than physiotherapy or care by a general practitioner.
It should be noted that all of the Body Genius ‘Pain and Dysfunction’ practitioners, including our physiotherapists utilize spinal mobilization (when appropriate) for treating neck pain.
A 2006 study entitled “Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial” demonstrated that physiotherapy treatment that combined elbow manipulation and exercise has a superior benefit to wait and see in the first six weeks and to corticosteroid injections after six weeks, providing a reasonable alternative to injections in the mid to long term.
It’s interesting to note that the significant short-term benefits of corticosteroid injection are paradoxically reversed after six weeks, with high recurrence rates, implying that this treatment should be used with caution in the management of tennis elbow.
A 1996 study entitled “The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia” demonstrated that cervical spinal manipulation had a significant benefit in alleviating the pain associated with tennis elbow. A second study in 2008 backed up these findings.
A 2001 article entitled “Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia” demonstrated that a precise elbow mobilization technique resulted in statistically significant improvements in pain-free grip strength in patients suffering from tennis elbow.
A 2003 article entitled “Lateral epicondylalgia: a musculoskeletal physiotherapy perspective” highlighted that precise exercise prescription in addition to manipulation and sports taping techniques provide substantial initial pain relief for the vast majority of clients.
Shoulder Pain and Injury
A 2011 study by Brantingham et al. demonstrated that there is evidence to support manual and manipulative therapy for common shoulder pain and disorders. The outcome measures were enhanced when this form of therapy was used in conjunction with additional forms of therapy and improvements in lifestyle factors.
A systematic review of the literature in 2012 by Maund et al. revealed that there was limited clinical evidence on the effectiveness of treatments for primary frozen shoulder. Evidence such as this once again guides the Body Genius Practitioners and helps shape their treatment protocols.
In the vast majority of clients presenting with primary frozen shoulders (females, age 40 to 55), there are almost always compounding health challenges that may be driving the shoulder capsulitis or preventing it from healing.
As such, following the protocol set by the Body Genius Performance Pyramid, the client’s health issues would be addressed before any form of manual therapy or exercise therapy is considered. Our clinical findings to date would suggest that this approach is far more successful for the client in the long run than manual therapy alone.
If you would like to investigate some of the literature yourself, you may consider researching the evidence at this website.