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You are here: / What we treat / Surgery / Foot / Bunion surgery /

Bunion Surgery
Bunion Surgery

At Physio.co.uk our team of specialist musculoskeletal physiotherapists are experts in post-surgical rehabilitation. We aim to offer you a complete holistic treatment package
designed in conjunction with you to help reduce pain and maximise functional recovery. Below is a detailed description of Bunion surgery and how we can help you with
your recovery.

What is a Bunion?

A bunion (also known as hallux valgus) is a deformity found at the base of the big toe where it joins with the foot. Bunions cause pain around the joint which can increase
whilst walking. The deformity can also make it hard to find shoes which fit. Bunions are more common in women than men and it is thought that poor fitting footwear is the
main cause. However it is thought that genetic factors can also predispose a person to bunion formation.

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Above: Mobilisations and stretches applied to the connective tissues of the foot

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How does a bunion form?

Normally the big toe sits in a naturally straight position. In some circumstances over time the big toe can starts to angle itself towards the middle of the foot and other toes.
This causes the bones in the big toe and the foot deviate out towards the edge of the foot. The misalignment of the bones results in new bony growth and inflammation. The
new growth and inflammation if left untreated will eventually produce the deformity which we call bunions.

Joints and bones involved

During your appointments with your consultant you may hear many complicated sounding words which refer to the specific joints and bones in the foot affected by bunions.
The joint between your big toe and foot is known as the first metatarsophalangeal joint (first MTP joint). The two bones which meet at the joint are called the first metatarsal
(the bone in the forefoot) and the first proximal phalange (first bone in the big toe).

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Above: Accupressure massage of the planta fascia under the foot

Who requires bunion surgery?

Bunion surgery may be considered when symptoms become sever and do not respond to non-surgical treatment. There are different types of surgery available and the choice
available to you will depend on the level of deformity, associated symptoms, age and other medical conditions.

We have already discussed that poorly fitting shoes and genetics can predispose people to bunion. There are however some common medical conditions where bunions are
more likely to form including:

Arthritis
Cerebral palsy
Charcot Marie Tooth Disease
Multiple Sclerosis
Marfans Syndrome
Downs Syndrome

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Above: mobilisations and stretches of the foot and ankle

How can physiotherapy help after bunion surgery?

Following any surgery physiotherapy is concerned with restoring normal physical function. This is completed through a number of therapeutic treatments which include pain
management, manual therapies, exercise therapy, electrotherapy and hydrotherapy. The aim is to help return the client back to their functional level prior to surgery. In some
cases this is a relatively simple task and in others this can be a long process which takes time and effort. Listed below are some of the major rehabilitation treatments we
offer here at Physio.co.uk.

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Above: Trigger point massage of the planta fascia under the foot

Pain Management

Pain can be a major issue following any surgery. At Physio.co.uk our specialist physiotherapists have a great deal of experience in dealing with people with pain issues and
are equipped to help. We are able to offer a number of treatments which are designed to directly target and help reduce pain. Listed below are some of the main
physiotherapy options for pain management:

Acupuncture

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Education of Condition
Hydrotherapy
Managing Flare-ups
Normalising Sensation
Relaxation Exercises
TENS

Manual Therapies

Manual therapies are a hands on approach to physiotherapy which are specifically designed to produce a number of therapeutic effects. They can help speed up the healing
process, reduce pain, maximise scar tissue formation and help with relaxation. Below is a list of the manual therapies we offer at Physio.co.uk:

Manipulation/Mobilisation
Massage
Soft Tissue Treatment

Exercise Therapy

Exercise therapy is an integral part of the rehabilitation process and is designed improve your strength and flexibility. Your physiotherapist will work closely with you to
produce an exercise programme which works on improving the muscles of your foot and leg but may well consider working other core muscles to help realign posture.
Below is a list of some of the types of exercise therapy we can offer:

Balance Exercises
Core Stability Exercises
Exercise Programmes
Post-Surgical Rehabilitation
Proprioceptive Exercises
Range of Movement Exercises
Strengthening Exercises
Stretching Programmes

Electrotherapy

Electrotherapy makes use of different types of energy waves to produce therapeutic effects. It can be used for pain relief, speed up tissue repair and reduce swelling among
many others. There are many types of electrotherapy available and your physiotherapist will select the modality most suited to your needs. Below is a list of some the
electrotherapy modalities available at Physio.co.uk:

EMS
Interferential
Laser
LIPUS
PSWD
TENS
Ultrasound

Hydrotherapy

Hydrotherapy utilises the therapeutic effects of water to help with rehabilitation. In the pool your physiotherapist will use the natural buoyancy of water as a support
reducing the stress of certain exercises allowing you to progress to exercises which you may not have been able to manage on dry land. Hydrotherapy can play a major role
in post-operative rehabilitation.

Bookings

To book an appointment with one of our specialist physiotherapists or find out more information how Physio.co.uk could help you please contact us today on 0330 088 7800
or email office@physio.co.uk

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Fat Pad Impingement
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Anterior Compartment Syndrome
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Referred Pain
Sciatica
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Ankle
Achilles Tendonitis
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Ankle Ligament Injury
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Complete Tear of the Achilles Tendon
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Flexor Hallucis Longus Tendinopathy
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Medial Plantar Neuropraxia
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Abnormal Reflexes
Balance Problems
Biomechanical Problems
Coordination Problems
Cramps
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Falls
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Arthroscopy
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Debridement or Synovectomy
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Medial Epicondylitis Release (Golfer's Elbow)
ORIF Elbow
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Forearm
ORIF
Nerve Decompression
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Arthroscopy
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Raduis / Ulnar Fracture ORIF
Surgery of Carpal Bones
TFCC Surgery
Hand
Duprytren's Contracture Release
Fixation of the Hand
Joint Replacement
Nerve Repair
Tendon Repair
Trigger Finger Release
Upper Back
Decompression
Discectomy
Fusion
Injection
Laminectomy
Thoracic Fracture Fixation
Lower Back
Decompression
Discectomy
Dynamic Stabilsation
Fusion
Injection
Laminectomy
Lumbar Fracture Fixation
Lumbar Stabilisation
Selective Dorsal Rhizotomy
Buttock
Avulsion Fracture of Hamstring Origin
Excision of Ischiogluteal Bursa
Injection
Chest
Cardiac Surgery
Mastectomy
Pectoral Repair
Thoracic Surgery
Abdominals
Abdominal Surgery
Caesarean Section
Hernia Repair
Rectus Abdominis Repair
Pelvis
Fractured Pelvis
Hysterectomy
Peroneal Tears
Prostratectomy
Hip
Arthroscopy
Fractured Neck of Femur
Fractured Shaft of Femur
Hip Replacement
Hip Revision
Labral Repair
ITB release surgery
Groin
Adductor Surgery
Gilmore's Groin Repair
Hernia
Upper Leg
Femoral Derotation Osteotomy
Hamstring Repair
ITB Release Surgery
ORIF
Quadriceps Repair
Knee
Anterior Cruciate Ligament (ACL)

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Arthroscopy
Knee Fusion
Knee Replacement
Lateral Collateral Ligament (LCL)
Lateral Release
Medial Collateral Ligament (MCL)
Meniscus Repair
Meniscus Replacement / Transplant
Meniscectomy
Micro-Fracture of an Osteochondral Lesion
Multi Ligament Surgery
ORIF Patella
Osteotomy
Partial Knee Resurfacing
Patella Stabilisation
Patella Tendon Repair
Patellar Alignment Surgery
Patellectomy
Posterior Corner Reconstruction
Posterior Cruciate Ligament (PCL)
Tibial Plateau Fracture
Lower Leg
Compartment Syndrome
External Fixation
ORIF Tibia / Fibula
Tibial Derotation Osteotomy
Ankle
Achilles Lengthening Surgery
Achilles Repair
Ankle Arthroscopy
Ankle Fusion
Ankle Replacement
Ankle Stabilisation
Arthroscopic Debridement
Ligament Reconstruction - ATFL Repair
Mobilisation Under Anesthetic - MUA
ORIF Ankle
ORIF Talus
Peroneal Tendon Surgery 'Snapping Ankle'
Tendon Transfer
Foot
Bunion Surgery
Cheilectomy
Fusions
Hallux Valgus Repair
Heel Spur Removal
Joint Replacement
Morton's Neuroma
ORIF Calcaneus
ORIF Metatarsals
Os Trigonum Syndrome Surgery
Planta Fascia Release
Scarf Osteotomy
Talipes
Tarsal Tunnel Syndrome
Weil Osteotomy
Triple fusion
Neurological
Conditions
Amyotrophic Lateral Sclerosis
Apraxia
Arteriovenous Malformation
Ataxia
Brain Tumour
Cerebral Palsy
Charcot Marie Tooth
Chronic Inflammatory Demyelinating Polyneuropathy
Conversion Disorder
Dementia
Dejerine-Sottas Syndrome
Developmental Delay
Dyspraxia
Dystonia
Encephalitis
Foot Drop
Guillain Barre Syndrome
Head Injury
Huntington's Disease
Hydrocephalus
Kennedy's Disease
Late Onset Tay-Sachs Disease

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Motor Neurone Disease
Multiple Sclerosis
Muscular Dystrophy
Myasthenia Gravis
Myopathy
Myotonia Congenita
Myotonic Dystrophy
Neurofibromatosis
Parkinson's Disease
Peripheral Nerve Injury
Peripheral Neuropathy
Post Polio Syndrome
Progressive Supranuclear Palsy
Spinal Cord Injury
Spinal Muscular Atrophy
Stroke
Transverse Myelitis
Transient Ischaemic Attack (TIA)
Symptoms
Movement Disorders
Difficulty With Fine or Gross Motor Skills
Jerky Movement
Paralysis
Reduced Balance
Reduced Range of Movement
Slow or Rigid Movement
Muscular Problems
Dystonia
Hemiplegia
High & Low Tone
Paralysis
Soft Tissue Contractures
Spasms
Spasticity
Weakness
Sensory Problems
Abnormal Sensation
Reduced Proprioception
Reduced Coordination
Fatigue
Decreased Stamina & Fitness Levels
Difficulty Sleeping
Pain
Neuropathic Pain
Post Stroke Pain
Walking Problems
Abnormal Gait
Foot Drop
Increased Risk of Falling
Functional Problems
Breathing Difficulties
Difficulty Driving
Difficulty Transferring
Difficulty With Everyday Tasks
Hand and Arm Problems
Loss of Independence
Complex Problems
Cognition Problems
Communication Problems
Developmental Problems
Learning Difficulties
Mood
Neurosurgery
Paediatric
Conditions
Babies
Cerebral Palsy
Club Foot / Talipes
Developmental Delay
Down's Syndrome
Encephalitis
Erb's Palsy
Flat Head Syndrome / Plagiocephaly
Hydrocephalus
Meningitis
Post Surgery
Premature Babies
Respiratory Conditions
Spina Bifida
Torticollis
Toddlers

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Cerebral Palsy
Developmental Delay
Down's Syndrome
Dyspraxia
Encephalitis
Erb's Palsy
Fractures
Gait Problems
Head Injury
Hydrocephalus
Meningitis
Muscular Dystrophy
Post Surgery
Respiratory Conditions
Rett Syndrome
Spina Bifida
Children
Anterior Iliac Spine Avulsion
Back Pain
Cancers
Cerebral Palsy
Developmental Delay
Downs Syndrome
Dyspraxia
Encephalitis
Flat Feet
Fractures
Freiberg's Disease
Gait Problems
Growing Pains
Head Injury
Heel Pain
Hydrocephalus
Hyper Mobility Syndrome
Ischial Apophysis Avulsion
Juvenile Arthritis
Knee Pain
Kohler's Disease
Meningitis
Muscular Dystrophy
Perthes' Disease
Physeal Lesions
Post Surgery
Prada Willi Syndrome
Respiratory Conditions
Scoliosis
Sever's Disease
Sinding Larsen Johansson Syndrome
Spina Bifida
Slipped Upper Femoral Epiphysis
Paediatric Surgery
Problems
Neurological Problems
Abnormal Muscle Tone
Hypotonia
Hypertonia
Weakness
Delayed Milestones
Dyskinesia
Dystonia
Proprioceptive Processing Problems
Reduced Head Control
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Fine Motor skills
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Spasticity
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Delayed Milestones
Clumsiness
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Late Walker
Poor handwriting
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Clumsiness
Co-ordination Problems
Falling Over
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Toe Walker
Sensory Processing Problems
Sensorimotor Problems
Sensory Defensiveness

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Sensory Integration
Sensory Modulation
Somatosensory Impairment
Bone, Joint & Muscle Problems
Joint Inflammation
Musculoskeletal Problems
Orthopaedic Problems
Pain
Respiratory Problems
Chest Infections
Fatigue
Ineffective Cough
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Secretions
Shortness of Breath
Chronic Pain / Fatigue
Arthritis Pain
Chronic Back Pain
Chronic Fatigue Syndrome / ME
Complex Regional Pain Syndrome
Fibromyalgia
Headaches
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Neuropathic Pain
Phantom Pain
Polymyalgia
Postherpetic Neuralgia
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Undiagnosed Chronic Pain
Amputees
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Prosthesis Rehabilitation
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Above Knee Prosthesis
Below Knee Amputation
Prosthesis Rehabilitation
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Below Knee Prosthesis
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Above Elbow Prosthesis
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Prosthesis Rehabilitation
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Forearm Prosthesis
Other Types of Amputation
Rheumatology
Ankylosing Spondylitis
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Gout
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Juvenile Idiopathic Arthritis
Lupus
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Asperger's Syndrome
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Autism
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Fragile X Syndrome
Metabolic Disorders
Pervasive Developmental Disorders
Women's Health
Pre & Post Natal Exercises
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Bladder Dysfunction
Neurogenic Detrusor Overactivity
Stress Incontinence
Urge Incontinence
Urinary Retention
Problems During Pregnancy
Carpal Tunnel Syndrome
Lower Back Pain During Pregnancy
Nerve Compression
Pelvic Pain During Pregnancy
Sciatica
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Post Partum Problems
Abdominal Diastasis
Caesarean Section
Difficult Labour
Nerve Compression
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Peroneal Tears
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Symptoms
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Reduced Exercise Tolerance
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Peripheral Vascular Disease
Elderly
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Heart Disease
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Parkinson's Disease
Post Hospital Syndrome
Reduced Mobility
Stroke
Oncology
Adult
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Mental Health
Anxiety
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Parkinson's Disease

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Men's Health
Prostrate Surgery
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Stress Incontinence
Urge Incontinence
Urinary Retention
Anorectal Dysfunction
Constipation
Faecal Incontinence
Weak Anal Sphincter
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Labyrinthitis
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Physiotherapy
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Instrument Assisted Soft Tissue Mobilisation (IASTM)
Heat Treatment
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Mobilisations with Movement
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Muscle Energy Techniques
Myofascial Release
NAGS & SNAGS
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Traction
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Massage
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Proprioceptive Exercise
Proprioceptive Neuromuscular Facilitation (PNF)
Range of Movement Exercises
Soft Tissue Treatment
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Stretching Programmes
Taping
Vestibular Rehabilitation
Electrotherapy
Electrical Muscle Stimulation (EMS)
Functional Electrical Stimulation (FES)
Interferential
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Low Intensity Pulsed Ultrasound (LIPUS)
Pulsed Shortwave Diathermy (PSWD)
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Benefits of Pilates
Who is Pilates Suitable For

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One to One Sessions
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Hydrotherapy
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Paediatric Physiotherapy
Types of Paediatric Physiotherapy
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Constraint Induced Movement Therapy (CIMT)
Exercise Programmes for Children
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Functional Electrical Stimulation (FES)
Gait Training
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School Visits
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Bobath
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How do Botulinum Toxin Injections Work
Benefits of Botulinum Toxin Injections
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Carr & Shepherd
Constraint Induced Movement Therapy (CIMT)
What is CIMT
How does CIMT Work
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Who is Suitable for CIMT
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Conductive Education
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How does FES Work
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Types of FES
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Gait Re-education
Intensive Rehabilitation
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How does Lycra Work
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Our Lycra Service
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Saeboflex
Saeboreach
Saebostretch
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What is Serial Casting
How does Serial Casting Work
Benefits of Serial Casting
Who is Suitable for Serial Casting
Our Serial Casting Service
The Brunnstrom Approach
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What is Thermoplastic Splinting
How does Thermoplastic Splinting Work
Benefits of Thermoplastic Splinting
Who is Suitable for Thermoplastic Splinting
Our Thermoplastic Splinting Service
Training Carers
Transfer Rehab
Respiratory Treatment
Active Cycle of Breathing
Auscultation
Autogenic Drainage
Buteyko Breathing Technique
Cornet
Cough Assist Machine
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Exercise Tolerance
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Glossopharyngeal Breathing
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IPPB - The BIRD
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Oral Suction
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PEP Mask
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Postural Drainage
Pranayama Breathing Techniques
Rib Springing
Vibrations
Massage
Types of Massage We Offer
Deep Tissue Massage
Instrument Assisted Soft Tissue Mobilisation
Mechanical Massage
Sports Massage
Swedish Massage
Therapeutic Massage
Remedial Massage
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Acupressure
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Deep Strokes
Effleurage
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Skin Rolling
Trigger Pointing
Vibrations

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Wringing
When Can Massage Help
Acute Pain
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Delayed Onset Muscle Soreness(DOMS)
High Muscle Tone
Part of a training programme
Post Event
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Physiological effects of Massage
Circulatory Effects
Increased venous return
Increased capillarisation
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Increased Temperature
Cellular Effects
Increased cellular exchange
Removal of waste products
Increased lymphatic drainage
Increased oxygenation
Hormonal Effects
Increased endorphines, serototin, dopamine
Decreased cortisol
Mechanical Effects
Breakdown / realignment of collagen fibres
Increased tissue elasticity
Benefits of Massage
Maximise Performance
Decreased tension
Increased flexibility
Maintain healthy Muscles
Increased healing
Improved recovery
Increased range of movement
Decreased pain
Relxation
Reduced stress
Reduced Muscle Spasm
Relieve Tight Muscles
Prevent Delayed Muscle Soreness
Reduced delayed onset muscle soreness
Reduced swelling
Improved sensation
Improved circulation
Prevents Injury
Improved Posture
Breakdown of scar tissue
Massage for Body Parts
Head Massage
Face Massage
Jaw Massage
Neck Masssage
Shoulder Massage
Arm Massage
Hand Massage
Upper Back Massage
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Abdominal Masssage
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Massage For Client Groups
Massage in mental health
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Massage in neurological disorder
Massage in muscoskeltal disorders
Massage in chronic pain
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Massage in babies
Massage in children

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Massage in pregnancy
Massage in lymphodema
Massage in occupational health
Massage in long term conditions
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Bunions / Big Toe Pain
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Iliotibial Band Syndrome
Lower Back Pain
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