Dudley Physiotherapy Clinic

03/12/2025

Spondylolysis

🔎 What is it?�

A stress fracture of the pars interarticularis, usually from repetitive extension + rotation.

🧠 Anatomy refresher:

The pars interarticularis links superior and inferior articular processes.
Fracture disrupts posterior vertebral ring, often at L5.

⚠️ Aetiology (Causes):

Sports requiring extension/rotation: cricket fast bowlers, gymnastics, dance, volleyball.
Rapid adolescent growth + high training load.
Unilateral > bilateral fractures.

📊 Incidence:

3–6% general population.
Up to 30–60% in elite extension-sport athletes.
Most common cause of back pain in young athletes.

💡 Why Physiotherapy Matters:

Early detection + load modification (stop aggravating extension).
Core bracing + lumbar neutral movement training.
Progressive return:
1. Pain control →
2. Stabilisation →
3. Controlled extension →
4. Sport-specific retraining

�

01/12/2025

Plantarfascitis - IYKYK ⚠️
If you have been given the diagnosis of plantarfascitis you have probably already tried to stretch it, ice it, foam roll it and are having a look at what shoes to wear.
Professional diagnosis is essential - there are many different sources of heel pain and pain in general but a thorough assessment will be able to determine what the best course of treatment.
Sometimes techniques like stretching and foam rolling can irritate already sensitised tissue so expertise is key to making your rehabilitation as quick and effective as possible.

30/11/2025

Hands up who makes that ‘oooff’ noise every time they get up?

One of the most common complaints we see in clinic is back pain which, is hardly surprising when you consider how many people work from home now at make shift desks or at their kitchen table.

Add to that all us desk based workers with our terrible posture and all those with manual jobs whose backs are under constant strain. Not to mention the fact that most of us relax at the end of the day on the sofa in front on the TV.

All of these things and more can contribute to back pain.

Most of us accept back pain as part of life, popping a couple of painkillers from time to time if it’s particularly bad.

What if there was another option ? Physiotherapy can work wonders for back pain, even if it’s long standing.

Would you like to lose the sitting / standing sounds effects ?

At Dudley Physiotherapy Clinic we can generally see you within a week, sometimes even the same day!!.

We offer both daytime and evening appointments so you won’t have to ask the boss for time off or use up your precious annual leave.

You don’t need a referral from your GP if you are self funding but we also work with all insurance companies if you have health cover in place

If you would like to know how we can help please give us a call on 01384 233306.

30/11/2025

Suffer from loss of posture or early extension in your golf swing?

This exercise drill from TPI is a simple way of focusing on your lead shoulder moving down and across your body to help stop your loss of posture on your backswing.

Take your normal setup position but focus on your lead shoulder moving down and then across your body on the backswing. This will help you to stay forward flexed and get you in the correct position at the top of your backswing and stop your from standing up and losing your posture. Try doing 3 to 5 drills and then take that feeling into hitting golf balls with the focus on your lead shoulder working down and across your body. Drills & Exercises https://www.mytpi.com/exercises -and-across-loss-of-posture

Unsure what swing faults you have - book a TPI Golf screen with us

https://dudley-physio.uk1.cliniko.com/bookings?appointment_type_id=407865449389233227

The internet’s largest collection of golf specific drills and exercises.

28/11/2025

💆 Sports Massage

Tight muscles slowing you down? Our bespoke sports massage sessions are designed to enhance recovery, reduce pain, and get you back to feeling your best.

Book in here
https://dudley-physio.uk1.cliniko.com/bookings?appointment_type_id=1568931856181630412

26/11/2025

Spondylolisthesis

🔎 What is it?
Anterior displacement of one vertebra over another—most commonly L5 slipping over S1. Can be asymptomatic or trigger low-back pain, radiculopathy, or hamstring tightness.

🧠 Anatomy refresher:
Involves the vertebral body, pars interarticularis, disc, and facet joints.
Classification:
• Isthmic (pars defect)
• Degenerative (facet + disc wear)
• Traumatic
• Dysplastic/congenital

⚠️ Aetiology (Causes):
Repetitive lumbar extension/rotation (gymnastics, cricket, diving).
Degenerative disc + facet joint changes in adults.
Congenital pars defects.

📊 Incidence:
4–8% in general population.
Isthmic type: adolescents/young athletes.
Degenerative type: >50 y/o, more common in females.

💡 Why Physiotherapy Matters:
Core stabilisation (TA, multifidus) reduces shear load.
Hip mobility to decrease lumbar extension stress.
Neural mobility & graded loading for radicular symptoms.
Avoid repeated extension early.
Surgery considered for progressive slip, neuro deficits, or severe instability.

📌

25/11/2025

Can’t go wrong with getting strong
🏋️‍♀️💪🏼

Welcome to Stronger for Longer On this page: 10 exercises for women aged 40 to 55 to improve their bone and muscle strength during the perimenopause and menopause. Below are three strength videos for all levels, from beginner to advanced. Why should I do the exercises? They can help you: The sooner....

25/11/2025

Living with arthritis means being able to understand when to progress and when to take stock.

We provide support for our patients to understand how to actively manage their condition, building strength and function along with strategies to support symptoms when things aren’t great

It’s Self-Care Week 💚

Living with arthritis means your wellbeing matters more than ever, and small, simple habits can make a real difference.

Gentle movement, pacing, healthy eating and mental wellbeing strategies all play a part in helping you feel your best.

Explore our self-management tips and resources over on our website www.arthritisaction.org.uk/living-with-arthritis/self-management

25/11/2025

As part of our TPI golf screen our clients get access to the TPI app, supporting them with corrective exercise and drills to improve their game

⛳️ 🏌️‍♂️☝🏻

24/11/2025

Gilmore’s Groin (Sportsperson's Hernia)

🔎 What is it?

�A chronic groin pain condition caused by a tear or weakness in the posterior inguinal wall without a true hernia. Also known as Athletic Pubalgia.

🧠 Anatomy refresher:

Involves disruption of the conjoint tendon, external oblique aponeurosis, and inguinal ligament attachments at the p***c crest.

May coexist with adductor longus tendinopathy or pelvic imbalance.

⚠️ Aetiology (Causes):

Repetitive twisting, kicking, or cutting movements (soccer, rugby, hockey).

Muscle imbalance between strong adductors and weak abdominals.

Sudden directional change under load.

📊 Incidence:

Common in male athletes; up to 5–15% of chronic groin pain cases in professional soccer.

Frequently misdiagnosed as adductor strain.

💡 Why Physiotherapy Matters:

Early conservative management may reduce need for surgery.

Focus on core strengthening, adductor-abdominal balance, and hip control.

Manual therapy & movement retraining for pelvic alignment.

Gradual return-to-play progression over 6–12 weeks.

Post-surgical rehab (if required) → mobility, strength, and controlled load progression.

�

23/11/2025

Tennis Elbow

You don't have to play tennis to get tennis elbow and sometimes it’s not even tennis elbow that’s causing your elbow pain.

Diagnosis is key to ensure rehabilitation is specific and effective.

If you would like some professional advice, our friendly team are always happy to help.

📞 Call us today on 01384233306
🌐 Book online: https://dudley-physio.uk1.cliniko.com/bookings?business_id=406194189106157348&appointment_type_id=978784972242425287