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Take a look around our physiotherapy and medical scanning facilities
Our goal is on improving the health and well-being of our clients. Through our ultrasound scanning diagnostics, physiotherapy & pain medicine. Also offering injection therapy, and our rehabilitation services too. We aim to provide a one-stop clinic geared to your healthcare needs.
Orthopaedics treatments including bone and joint pain, knee, hip, hand, wrist, back, shoulder & also foot surgery are available at Core Clinic.
Sports Injury Physio
Our clinic provides a comprehensive assessment, treatment, and fitness rehab plan for sports injuries and sports medicine. We have a team of practitioners and facilities that offer patients the best care possible.
SPORTS INJURY CLINIC
Rehabilitation is about enabling and supporting people to recover or adjust. To achieve their full potential, and also to live as full and active lives as possible. Schedule your rehab exercise plan today.
Bothwell Medical Rooms and Core Physiotherapy Clinic is a highly specialised ultrasound-guided injection service. Allowing fast and easy access to injection therapy for a wide range of musculoskeletal conditions. We provide the highest quality of care at affordable treatment prices.
We have conveniently located clinics across Lanarkshire. All of our patients receive a thorough assessment and ultrasound scan. All of our injections are performed under ultrasound guidance. To ensure they are safely and accurately delivered to the exact area of your pain.
With over 15 years of experience performing thousands of injections each year. We offer a comprehensive range of treatments for all upper limb and lower limb joints. A wide of commonly occurring conditions including shoulder pain, frozen shoulder, plantar fasciitis, de Quervain’s tenosynovitis, and carpal tunnel syndrome.
Our team are highly experienced musculoskeletal sonographers, as well as experts in advanced practice physiotherapy. They have worked as clinical leads in a range of NHS and private settings. They are able to uniquely combine expert musculoskeletal assessment skills along with diagnostic ultrasound assessment. Confirming the diagnosis of your condition and perform ultrasound-guided injections where appropriate.
What is an Ultrasound-Guided Injection?
Many clients ask the question. What is an ultrasound-guided injection? So here we shall try to provide an answer to ‘what it is’ and ‘why it is necessary.
Ultrasound is sound waves at high frequencies, which are able to penetrate through the skin. Ultrasound scans are well used in medicine as they are a harmless way of imaging deep into the body’s tissues. The image allows us to see very accurately all of the different tissues within the body. Ultrasound also helps prevent the patient from being exposed to radiation or any harmful side effects.
Around a million steroid injections are performed each year in the UK. Steroid injections have also been around for more than fifty years.
Taking corticosteroids orally (tablet formed) for a prolonged period of time, has been known to cause side effects. The principle behind delivering a steroid by injection is to reduce the body’s overall exposure to steroids. Limiting the dose required to treat the patient’s symptoms.
What is an ultrasound-guided injection – Patient benefits
The principle for ultrasound-guided injection is that we can very accurately guide the injection directly to the target tissue. Maximising patient benefit and minimising required dose.
Research also shows the following benefits from ultrasound-guided injections:-
- Reduced incidents of injury
- Reduced overall side effects
- Better patient comfort
- Better patient satisfaction
- Significantly more accurate injection with all injection procedures
- Improved outcomes.
Nowadays more patients are wanting to have their injections performed under ultrasound guidance because of the above reasons. They improve accuracy, they improve outcomes and they reduce the risks of side effects and injury during the injection procedure.
At Bothwell Medical Rooms and Core Clinic, we always perform an initial check ultrasound scan of the region before giving the injection.
This helps us to ensure that there are no reasons why we would not want to inject and that the diagnosis is accurate. Confirming that there are no significant structures, such as nerves or vessels, that would become injured whilst performing the injection. We are able to identify a safe and comfortable path for us to deliver the injection.
What is a benefit of an ultrasound-guided injection – Accuracy
We are able to achieve excellent needle visualisation with ultrasound. Tracking the needle from the moment it enters the skin to the target tissue. We are also able to ensure the steroid is delivered accurately at the point at which we wish to deliver it.
Also, increasingly now, we are using other forms of injection, such as hyaluronic acid. This needs to be delivered into joints or tendon sheaths with the utmost accuracy. Otherwise, it is unlikely to give any benefit. We would always strongly recommend that any hyaluronic acid injection be given under ultrasound guidance.
Also, we are increasingly using techniques, such as –
hydrodistension – where the joint capsule is stretched with a high volume of injection
barbotage – where calcification is aspirated or withdrawn from a tendon prior to injection.
High-volume injections to reduce neovascularization (small vessels which have grown between fat pads and tendons when in painful tendinopathy)
Platelet Rich Plasma (PRP) – a small amount of blood is drawn from a patient’s vein. Then refined blood with 3-5 times the normal concentration of platelets is injected into the patient’s joint or tendon. This is a safe and long-lasting treatment for a number of degenerative conditions
All of these procedures can only realistically be performed under ultrasound guidance. We would never recommend that these injections would be performed under surface-marked assessment.
All of our expert clinicians, who perform ultrasound-guided injections, are dual-qualified. This ensures that they are able to accurately diagnose and rule out any potential issues from performing the injection. They are also independent prescribers. This means that they are able to fully screen patients for potential medicine prior to treatment.
Sports Physiotherapy - What are the benefits?
Sports physiotherapists play a crucial role in the care and well-being of athletes. They possess specialized knowledge and skills that are essential for managing sports-related injuries and optimizing performance. Some of the key benefits of having a sports physiotherapist include:
Injury Prevention: Sports physiotherapists are trained to assess and identify potential risk factors for injuries. They can develop personalized exercise and conditioning programs to improve strength, flexibility, and mobility, reducing the likelihood of injuries during sports activities.
Injury Assessment and Diagnosis: When athletes sustain injuries, sports physiotherapists can perform thorough assessments to determine the nature and extent of the injury. They use various diagnostic techniques and tests to provide an accurate diagnosis, enabling appropriate treatment planning.
Rehabilitation and Recovery: Sports physiotherapists design and implement tailored rehabilitation programs to facilitate optimal recovery from sports injuries. They utilize a variety of techniques, such as manual therapy, therapeutic exercises, and modalities like ultrasound or electrical stimulation, to promote healing, reduce pain, and restore functionality.
Pain Management: Sports physiotherapists employ various strategies to manage pain resulting from sports injuries. They may use manual therapy techniques, therapeutic modalities, and provide guidance on pain-relieving exercises or activities. They may also collaborate with other healthcare professionals to develop comprehensive pain management plans when necessary.
Performance Enhancement: Sports physiotherapists work closely with athletes to enhance their performance capabilities. They develop exercise programs that target specific muscle groups, improve biomechanics, and optimize movement patterns. By addressing physical limitations and imbalances, they help athletes achieve their full potential in terms of strength, speed, endurance, and agility.
Return to Sport: After an injury, sports physiotherapists assist athletes in safely returning to their sports activities. They develop progressive rehabilitation plans, monitor progress, and make modifications as needed. This ensures athletes regain their functional abilities, reduce the risk of reinjury, and successfully reintegrate into competitive sports.
Education and Injury Prevention Strategies: Sports physiotherapists educate athletes about injury prevention strategies, proper warm-up and cool-down techniques, and safe training practices. They also provide guidance on ergonomics, equipment selection, and appropriate footwear to minimize the risk of injuries.
Collaborative Approach: Sports physiotherapists often work as part of a multidisciplinary team, collaborating with coaches, sports trainers, physicians, and other healthcare professionals. This collaborative approach ensures comprehensive care and a holistic perspective on the athlete’s needs.
Psychological Support: In addition to physical care, sports physiotherapists provide psychological support to athletes. They understand the mental challenges associated with injuries and the impact they can have on an athlete’s well-being. By offering encouragement, motivation, and coping strategies, they help athletes navigate the emotional aspects of injury and recovery.
Overall, sports physiotherapists play a vital role in optimizing performance, preventing injuries, and facilitating the recovery process for athletes. Their expertise in injury management, rehabilitation, and performance enhancement contributes to the overall health and success of athletes in the sports realm.
What are the benefits of Private Physiotherapy?
Private physiotherapy offers several benefits compared to public or government-funded physiotherapy services. Here are some of the advantages of private physiotherapy:
Timely access to treatment: Private physiotherapy typically offers shorter waiting times, allowing patients to receive treatment more quickly. This can be especially important for individuals with acute or urgent conditions who need immediate attention.
Customized and individualized care: Private physiotherapy clinics often provide a more personalized approach to treatment. The physiotherapist can dedicate more time to each patient, thoroughly assessing their condition, developing tailored treatment plans, and offering individualized care based on specific needs and goals.
Extended treatment sessions: Public physiotherapy services may have time constraints due to high demand, resulting in shorter treatment sessions. In the private sector, sessions are often longer, allowing for more comprehensive treatment and hands-on therapy. This extended time can contribute to better outcomes and improved patient satisfaction.
Access to advanced techniques and equipment: Private physiotherapy clinics often invest in advanced equipment, technologies, and treatment techniques. This may include specialized rehabilitation equipment, therapeutic modalities, or innovative approaches to optimize recovery. Access to these resources can enhance the effectiveness of treatment and potentially lead to faster and better outcomes.
Continuity of care: In private physiotherapy, patients often have the opportunity to work with the same physiotherapist throughout their treatment. This promotes a consistent therapeutic relationship, as the physiotherapist becomes familiar with the patient’s condition, progress, and specific needs. Continuity of care can facilitate better communication, trust, and coordination in the treatment process.
Flexibility in scheduling: Private physiotherapy clinics often offer more flexible scheduling options, including extended hours, evening appointments, and weekend availability. This flexibility can be beneficial for individuals with busy lifestyles, work commitments, or limited availability during standard business hours.
Focus on wellness and preventive care: Private physiotherapy services not only address specific injuries or conditions but also emphasize wellness and preventive care. Physiotherapists can provide guidance on injury prevention techniques, exercise programs, ergonomic adjustments, and lifestyle modifications to promote long-term health and well-being.
Patient-centered approach: Private physiotherapy clinics prioritize patient satisfaction and strive to deliver a high standard of care. The patient’s goals and preferences are taken into account, and the treatment plan is tailored accordingly. The emphasis on patient-centered care enhances the overall experience and helps individuals actively participate in their recovery.
It’s important to note that private physiotherapy services are typically fee-based, and the availability and cost may vary depending on the region, clinic, and individual practitioner.
What does a physiotherapist treat?
Physiotherapists are healthcare professionals trained to diagnose, assess, and treat a wide range of musculoskeletal, neurological, cardiovascular, and respiratory conditions. Here are some of the different types of problems that physiotherapists can deal with:
Musculoskeletal conditions: Physiotherapists are highly skilled in managing musculoskeletal problems, such as sprains, strains, fractures, joint and muscle pain, arthritis, back pain, neck pain, sports injuries, repetitive strain injuries (RSIs), and post-surgical rehabilitation.
Neurological conditions: Physiotherapists play a crucial role in the rehabilitation of individuals with neurological disorders, including stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, Parkinson’s disease, cerebral palsy, and peripheral nerve injuries. They help improve mobility, strength, coordination, balance, and functional abilities.
Cardiorespiratory conditions: Physiotherapists are involved in the management of cardiorespiratory conditions, such as chronic obstructive pulmonary disease (COPD), asthma, cystic fibrosis, post-cardiac surgery rehabilitation, and pulmonary rehabilitation. They focus on breathing exercises, chest physiotherapy, cardiovascular fitness, and improving overall respiratory function.
Pediatric conditions: Physiotherapists work with infants, children, and adolescents to address various pediatric conditions, including developmental delays, gross motor skill impairments, neuromuscular disorders (such as cerebral palsy), orthopedic conditions, and sports injuries specific to the pediatric population.
Geriatric conditions: Physiotherapists provide specialized care for older adults, addressing age-related issues such as balance problems, osteoporosis, osteoarthritis, gait disturbances, fall prevention, and overall functional decline. They focus on enhancing mobility, strength, and maintaining independence in daily activities.
Rehabilitation post-surgery or trauma: Physiotherapists play a crucial role in post-surgical rehabilitation following orthopedic surgeries (e.g., joint replacements, ligament repairs), spine surgeries, cardiac surgeries, and various trauma-related injuries. They help restore function, reduce pain, regain strength, and facilitate a smooth recovery.
Sports-related injuries: Physiotherapists work with athletes and sports enthusiasts to manage sports-related injuries, such as sprains, strains, ligament tears, tendonitis, stress fractures, and overuse injuries. They provide specialized sports rehabilitation programs, injury prevention strategies, and performance enhancement techniques.
Work-related injuries: Physiotherapists assist individuals with work-related injuries or conditions resulting from poor ergonomics, repetitive motions, or overexertion. They address issues such as back pain, neck pain, carpal tunnel syndrome, and other occupational injuries. They provide ergonomic assessments, education, and rehabilitation programs to promote a healthy and safe work environment.
These are just some examples of the wide range of problems that physiotherapists can address. Physiotherapy is a versatile field, and physiotherapists are trained to provide holistic care, combining manual therapy, therapeutic exercises, education, and various modalities to optimize functional outcomes and improve the quality of life for their patients.
Musculoskeletal Issues a Physio would deal with.
Musculoskeletal problems encompass a broad range of conditions affecting the muscles, bones, joints, ligaments, tendons, and other connective tissues. There are numerous musculoskeletal problems, and it’s challenging to provide an exhaustive list. However, here are some common musculoskeletal problems:
Sprains: Injuries to ligaments caused by overstretching or tearing.
Strains: Injuries to muscles or tendons due to excessive stretching or tearing.
Fractures: Broken bones resulting from trauma, falls, or stress on the bone.
Osteoarthritis: A degenerative joint disease characterized by the breakdown of cartilage, leading to joint pain, stiffness, and reduced mobility.
Rheumatoid arthritis: An autoimmune disease that causes chronic inflammation of the joints, leading to pain, swelling, and joint deformities.
Back pain: Pain in the lower back, upper back, or neck region, often caused by muscle strain, poor posture, herniated discs, or spinal conditions like sciatica.
Neck pain: Discomfort or pain in the cervical spine region, commonly caused by muscle tension, poor posture, or cervical spine conditions.
Shoulder impingement: Compression of the tendons and bursa in the shoulder, resulting in pain, limited range of motion, and difficulty with daily activities.
Rotator cuff injuries: Tears or strains in the tendons of the rotator cuff, causing shoulder pain, weakness, and limited shoulder movement.
Tennis elbow (lateral epicondylitis): Pain and inflammation in the tendons on the outside of the elbow, often caused by repetitive arm and wrist movements.
Carpal tunnel syndrome: Compression of the median nerve in the wrist, leading to numbness, tingling, and weakness in the hand and fingers.
Hip osteoarthritis: Degeneration of the hip joint, causing hip pain, stiffness, and reduced mobility.
Knee injuries: Including ligament tears (e.g., anterior cruciate ligament or ACL tear), meniscus tears, patellofemoral pain syndrome (runner’s knee), and knee osteoarthritis.
Plantar fasciitis: Inflammation of the plantar fascia, a thick band of tissue on the bottom of the foot, causing heel pain and difficulty with walking.
Ankle sprains: Injuries to the ligaments of the ankle, often caused by twisting or rolling the foot.
Scoliosis: Abnormal curvature of the spine, which can cause back pain and postural changes.
Fibromyalgia: A chronic condition characterized by widespread musculoskeletal pain, fatigue, and tenderness.
These are just a few examples of musculoskeletal problems. There are many other conditions, injuries, and disorders that can affect the musculoskeletal system. It’s important to consult with a healthcare professional, such as a physiotherapist or orthopedic specialist, for an accurate diagnosis and appropriate treatment for any musculoskeletal issue.
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