Complete Physio Podcast

Dupuytren's contracture explained: how it progresses, the surgical options, and the hand therapy rehab that follows. In this episode, Chris Myers sits down with Jennifer Parr, specialist hand therapist at Complete Physio, to talk through everything patients need to know about Dupuytren's contracture.
Jennifer covers how the condition develops from harmless nodules through to full finger contracture, the different surgical options available, and crucially, the hand therapy rehabilitation that follows. She explains why that post-operative care is just as important as the surgery itself.
What is covered:- What Dupuytren's contracture is and how it progresses- When patients typically decide to have surgery, and the different procedures available- What the surgery involves, including the Z-plasty incision and when skin grafts are needed- What to expect at your first hand therapy appointment (around day five post-op)- Wound care, dressing changes, and how the therapist and surgeon stay in close contact- Thermoplastic splinting and why it matters overnight for three months- Tendon glides, block and bend exercises, and early mobilisation- Scar massage, silicone products, and keeping scar tissue supple- Return to work, the gym, and racket sports timelines- Jennifer's three key pieces of advice for a good outcome- Recurrence, genetic factors, and planning surgery around your life
Jennifer Parr is a specialist hand therapist with extensive experience supporting patients through Dupuytren's surgery in close collaboration with hand surgeons.
If you or a patient needs specialist hand therapy assessment or post-operative rehabilitation, you can find out more and book an appointment at complete-physio.co.uk.
0:00 Introduction0:31 What is Dupuytren's Contracture?2:23 When to Consider Surgery4:18 What the Surgery Involves5:42 First Hand Therapy Appointment: Day Five9:02 Scar Management and Splinting13:47 Scar Massage and Silicone Products18:07 Return to Work, Gym and Sport20:25 Three Key Tips for a Good Outcome
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What causes jaw pain, clicking, and headaches? In this video, we explore temporomandibular joint (TMJ) disorders, including how bruxism (teeth grinding) contributes to chronic jaw pain and what can be done about it. Learn how TMJ issues are assessed, why symptoms often extend beyond the jaw into the face, head and neck, and when to see a dentist or physiotherapist for help.

0:00 Common features of TMJ disorders
0:09 What is bruxism (teeth grinding)?
0:24 How to assess the pterygoid muscle and teeth
0:46 Why patients often don't know they grind their teeth
1:14 How treating bruxism improves TMJ pain
1:23 Why a mouth guard from your dentist can help
1:40 Typical symptoms of TMJ disorders
1:55 Headaches, migraines and facial pain from TMJ
2:20 The link between TMJ and neck pain
2:34 Clicking and crepitus in the jaw joint
2:45 Activities that trigger TMJ pain
3:03 Pain when chewing, yawning and opening the mouth
3:26 Jaw locking and other unusual symptoms

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The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content.
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Arthrosamid is a single injection for knee osteoarthritis that can give lasting relief for many patients. In this episode, Complete Physio Clinical Director Chris Myers sits down with Sports Medicine Consultant Dr George Bownes to explain what Arthrosamid is, how it works, who it suits, and how it compares to a steroid, hyaluronic acid or PRP injection.

They talk through how long the results tend to last, why rehabilitation matters alongside the injection, what happens on the day of the procedure, and what recovery looks like afterwards.

Chapters:
0:00 What Arthrosamid is and who it is for
0:40 Arthrosamid vs steroid, hyaluronic acid and PRP
2:03 How long the relief lasts
2:30 Why rehab matters alongside the injection
3:50 How Arthrosamid works (it binds the joint)
5:08 When you start to feel the benefit
8:57 Who it suits (not just sporty patients)
10:02 A medical device: inert, repeatable, ultrasound-guided
11:01 Side effects and why antibiotics are used
13:10 Skiing and timing around big events
21:47 What happens on the day of the procedure
24:07 Aftercare, recovery and returning to exercise

Arthrosamid is not right for everyone, and the best treatment depends on an accurate diagnosis. To find out whether Arthrosamid is suitable for you, visit complete-physio.co.uk

#Arthrosamid #KneeOsteoarthritis #KneePain #KneeInjection #Physiotherapy #SportsMedicine #CompletePhysio #LondonPhysio #Osteoarthritis #JointPain
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Arthrosamid is a single injection for knee osteoarthritis that can provide lasting relief for many patients. In this FAQ our team answers the questions we hear most often in clinic, from how quickly it works to recovery, cost and how it compares to other injections.

Most patients start to notice an improvement at around 4 to 6 weeks, with the truer test at 12 weeks. For those who respond well, Arthrosamid can give 3 to 5 years of reduced pain and improved function, and the injection can be repeated.

Chapters:
0:00 How soon it works and how long it lasts
0:25 What the procedure involves
0:41 Before and after: rest, driving and bringing someone
1:46 Medication and pain relief
2:26 If it does not work: surgery is still an option
2:41 Timing around steroid, hyaluronic acid and PRP injections
2:50 Cost, insurance and the NHS
3:27 Steroid injection vs Arthrosamid
3:53 Bone-on-bone arthritis and how Arthrosamid works
4:27 Both knees, what it is licensed for, and repeating the injection

Arthrosamid is an outpatient procedure carried out under ultrasound guidance, with a large volume of local anaesthetic so it is well tolerated. It is licensed in the UK for knee osteoarthritis. Whether it is right for you depends on your knee, which our team will assess as part of a screening process.

To find out if Arthrosamid is appropriate for you, visit complete-physio.co.uk

#Arthrosamid #KneeOsteoarthritis #KneePain #KneeInjection #Physiotherapy #CompletePhysio #LondonPhysio #Osteoarthritis
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Platelet-rich plasma (PRP) uses a small sample of your own blood to encourage the body to repair injured joints and tendons. In this episode, Complete Physio Clinical Director Chris Myers sits down with Sports Medicine Consultant Dr George Bownes to explain how PRP actually works, what it can treat, and the newer high-concentration ACP Max approach.

They cover knee and hip osteoarthritis, stubborn tendon problems like tennis elbow, golfer's elbow and Achilles, how long the results tend to last, what a treatment involves in clinic, and how PRP compares to a steroid injection.

Chapters:
0:00 What is PRP and how is it made?
0:38 What PRP can treat (arthritis, tendons, muscle)
0:55 How PRP works to heal
2:13 How long the relief lasts
3:25 The standard PRP protocol (a series of three)
3:52 ACP Max: the new high-concentration PRP
6:48 Tailoring the treatment to your injury
7:32 How quickly it works vs a steroid injection
8:51 Soreness and recovery
9:59 What the procedure looks like in clinic
11:40 Why no local anaesthetic, and does it hurt?
13:28 Rehab, results and where PRP fits before surgery

PRP is not right for everyone, and the right treatment depends on an accurate diagnosis. To find out whether PRP is suitable for you, visit complete-physio.co.uk

#PRP #PlateletRichPlasma #PRPInjection #ACPMax #KneePain #TendonPain #TennisElbow #Physiotherapy #SportsMedicine #CompletePhysio #LondonPhysio #Osteoarthritis
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