Monthly Archives: October 2016


Smart rehabilitation matches up to surgical treatment of common shoulder conditions

Recently a large Milltown Physio contingent attended IFOMPT – the prestigious conference showcasing the latest and most cutting edge evidence in physiotherapy. I’m delighted to say that our clinical specialist chartered physiotherapist Gráinne Wall has agreed to share her review below.

Jeremy Lewis – The Conundrum That Is The Shoulder: Expanding Our Ability To Manage Shoulder Pain.

Jeremy Lewis presented a comprehensive keynote lecture on managing shoulder pain. He outlined the complexity in treating shoulder pain and the emerging evidence in the conservative versus surgical debate.
Much like other joints of the body, shoulder imaging provides limited information to the clinician as imaging studies do not correlate with the presence or intensity of pain and up to 96% of asymptomatic individuals have structural changes on imaging. He then followed his presentation discussing how “orthopaedic special tests aren’t special” and they are not specific in identifying structural pathology. He asked the delegates to consider this; how many patients have a false positive clinical test followed by a false positive scan result which is often followed by an unnecessary surgical intervention?

He outlines his Shoulder Symptom Modification Procedure (SSMP) and like many others he encourages a holistic approach to the management of shoulder pain, ensuring adequate assessment of the whole body kinematics. SSMP systematically investigates the influence of scapular and thoracic postures and humeral head position on shoulder symptoms. The assessment findings from the SSMP that are found to reduce symptoms are then incorporated into rehabilitations methods. Rehabilitation should be gradual, tailored and specific to the individual’s needs. Scapular rehabilitation was touched upon yet our research into both posture and scapular positioning shows poor correlation in relation to shoulder pain.

Smart rehabilitation matches up to surgical treatment of common shoulder conditions such as subacromial pain, rotator cuff tendinopathy and rotator cuff tears and this conservative regime would seem like a favorable and cost effective treatment plan.


Call us now for Ante & Postnatal Pilates Classes

Pictured here is our physiotherapist Elaine with a few of the younger members of her popular Postnatal pilates class! Elaine has a special interest in women’s health and a wealth of experience in women’s health conditions.

Are you pregnant or have just given birth? To be eligible to join the ante natal class you must be at least 16 weeks pregnant and 6-8 weeks following delivery for the postnatal class.

All ante and postnatal Pilates classes are led by Chartered Physiotherapists who are experienced in the rehabilitation of women’s health conditions such as pelvic girdle pain and pelvic floor dysfunction.

Functional Fitness

Congratulations to our prize winner as part of World Physical Therapy Day

Congratulations to Rebekka Fischer who won a free six week Functional Fitness class here in Milltown Physiotherapy as part of our World Physical Therapy Day promotion World Confederation for Physical Therapy (WCPT)
Functional Fitness classes are for men and women of all levels of fitness needing to improve function where strength, balance and endurance have been lost. Classes are tailored to suit the needs of the client as the class is carried out in stations. This is a 45 minute class.
Call our reception for further information