physiotherapists

PAIN MANAGEMENT ⋅ ACUPUNCTURE  REHAB

Give us a call on 011 883 2000 or 011 884 9599

Send us your enquiry at info@physios4pain.co.za

Visit our practice at Rochester Place, BLOCK F, Ground Floor
173 Rivonia Road, Morningside

Pain Management

 

At Berger, Jacks & Conradie Physiotherapists we believe in managing pain conditions holistically.  Our treatments are aimed not only at reducing pain intensity, but also to address the cognitive and emotional aspects associated with the experience of pain. We want to empower you to improve self-management strategies for sustained pain relief, to get back to enjoying activities you love and live your life to the fullest!

The experience of chronic pain can often become disabling and socially isolating.  Over the years, the idea of patients being passive participants in the management of their health has evolved to include active patient participation, increased knowledge and education to better understand your condition and the application of safe, appropriate, graded activities and exercises to restore optimal function and wellbeing.

Pain conditions treated at our practice include, but are not limited to, the following:

Acute Pain

  • Sports-related Injuries
  • Joint Pains
  • Stifness
  • Bruising, swelling

 

Chronic / Complex Pain

  • Neuropathic Pain and symptoms (incl. Diabetic & Polyneuropathies
  • CRPS (Complex Regional Pain Syndromes)
  • Fibromyalgia
  • Persistant Post-surgical Pain Syndromes
  • Post Mastectomy and or reconstruction, Hernia repair, Hip / Knee replacement, elbow, sesamoidectomy, bunionectomy and any other surgeries that remain painful after the healing process has passed.
  • Persistent idiopathic facial pain, post dental treatment (often due to trigeminal nerve disturbances)
  • Degenerative spinal disease.
  • Chronic thoracic pain.
  • Failed back surgery syndromes.
  • Vestibular conditions creating dizziness, nausea.
  • Perineum pain causing discomfort in the genital regions.
  • Immune-compromised conditions, such as arthritis, MS, degenerative inflammatory peripheral neuropathy.
  • Cancer pain and neuropathic conditions / hot flushes due to the chemotherapy treatments.
  • Post facial & salivary glands radiation causing decreased salivation and dryness in the mouth or rectitis.
Neck pain treated at Berger Jacks & Conradie
Acute Pain treated at Berger jacks & Conradie and Physios4pain.co.za
Back pain treated at Physios4pain.co.za & Berger Jacks & COnradie

Acupuncture and Dry Needling

As part of our holistic treatment approach, acupuncture plays an important role as an adjunctive therapy for the treatment of pain, inflammation and stress.  It also improves your immune activity, induces relaxation and helps with the release of emotions.  We believe that the overall experience of your physiotherapy session can be enhanced with acupuncture. The practice of acupuncture originated in China, where it has been used for thousands of years.  In the 1970’s, President Nixon visited China and thereafter scientists and clinicians in the USA and the rest of the Western World were exposed to and used acupuncture for the treatment of pain and other medical conditions. Acupuncture works by placing very thin mono-filament needles (dry needles) into specific points along pathways, or meridians, which are linked with the flow of energy throughout the body.  Interestingly, these meridians also correspond with nerve fibres communicating impulses along the peripheral (nerves outside the brain and spinal cord) and central (brain and spinal cord) nervous system to relieve pain, improve circulation and many other functions in the body. Dry needling first came to light, almost incidentally, during the late 1930’s.  It was initially discovered and further investigated as a form of injection therapy typically used in the treatment of painful musculoskeletal conditions and dysfunction.   The treatment is based on the theory that myofascial trigger point development (hyper-irritable knots in muscles and surrounding connective tissue)  leads to neuromuscular dysfunction, causing pain and decreased function.

Both Acupuncture and Dry needling have localized effects where the body responds to the “micro-injury” from the needle insertion and activates local and central immune systems.  Both modalities release endorphins, resulting in pain relief, as well as serum cortisol, resulting in an anti-inflammatory response to the area being treated. Dry needling specifically enters the muscle to create a muscle twitch response and this engenders a muscle contraction, followed by muscle relaxation.

Acupuncture releases different types of hormones and neurotransmitters (chemical messengers allowing communication throughout our brain and body) that has powerful anti-inflammatory effects, increases blood flow and has positive effects on nerve growth.

  • Pain, painful musculoskeletal conditions  
  • Anxiety and stress
  • Stiffness and decreased range of movement

Relief of many other conditions that can be treated with acupuncture

 

Woman’s Health & Fertility

As woman, we all face unique and / or hormonal challenges at some point in our lives. Whatever your current concern, whether it be embarking on the life-changing experience of pregnancy, or entering the menopausal phase with its unique challenges, we are here to assist you during this time of adjustment. Some of our treatments include:

  • Infertility, ante- and post natal care

    Phyllis Berger’s unique treatment combination of cranial electrotherapy, PANAG and

    electro-acupuncture has yielded positive results in many patients seeking help with
    infertility over many years.
    Male infertility may also be improved with PANAG to enhance quality and motility of
    your partner’s sperm.  When acupuncture and cranial electro-stimulation are added,
    additional benefits of relaxation and an improved sense of well-being is experienced.

 

  • Pelvic dysfunction

    At Berger, Jacks & Conradie, we treat pelvic floor conditions such as hypotonic (underactive) or hypertonic (overactive) pelvic floor muscles, pelvic organ prolapse, incontinence and chronic pelvic pain, amongst others.  Some of these concerns can really be of a sensitive nature and it may be difficult for most women to seek help for these problems.  We are here to provide you with a safe and comfortable environment in which you can learn more about your condition and be empowered to incorporate self-management strategies to improve your current situation.

 

  • Post-gynaecological procedures

    Whatever your reason for seeking advice and help, we can assist by providing symptomatic pain relief through a variety of electrotherapy modalities, as well as education, rehabilitation and exercise programmes. We can assist with various pain conditions, such as post surgical pain syndromes (post-mastectomy and / reconstruction) and perineum pain leading to pain in the genitalia.

Rehabilitation & Pilates

Once pain is adequately controlled, rehabilitation can commence, including appropriate and progressive strengthening and stretching exercises, balance re-education and dynamic return to sporting activities that will get you back to participating in the activities that you most enjoy.

  • Sports Injuries

    Our rehabilitation expert will thoroughly analyze and assess your functional performance to identify biomechanical issues predisposing you to sport or activity related injuries. Correction of any existing anomalies with an exercise program will restore your strength to enable you to safely enjoy your sporting activities once again!

  • Bio Mechanical Strains

    Identification and creating an awareness of ergonomical stressors, faulty postural habits and poor core control can prevent the onset and recurrence of chronic episodes of pain and dysfunction. 

  • Recovery Post Immobility, Disease, Stroke

    Prolonged protection of an injured joint or limb will no doubt lead to severe loss of muscle bulk, altered proprioception, balance and increased weakness. Gradually progressing activity and exercises of the affected limb will prevent long-term disuse complications, chronic pain and recurrence of a poorly rehabilitated injury. Exercises include, where appropriate, graded strengthening, stretching, postural correction, muscle balancing and re-education of walking and functional movement. Electrical stimulation (faradic current) is an essential aspect of improving strength and mobility in the spine and in the periphery.

  • Pilates Training

    In a class or one on one sessions are available. 

General Physiotherapy

 

As first-line practitioners, Physiotherapists can independently diagnose and treat all conditions falling within their scope of practice, which is regulated by the HPCSA (Health Professions Council of South Africa).  This means that you, as the patient, may seek help for conditions caused by injury, pain or disorders, without referral from another health care professional (HCP).

 At Berger, Jacks & Conradie Physiotherapists we treat conditions across a variety of medical fields, including musculoskeletal, orthopaedics, neurology, sports, respiratory, geriatrics and general rehabilitation, to mention but a few.  The WHO (World Health Organisation) defines health as a “state of complete physical, mental, and social well being and not merely the absence of disease or infirmity”.  Our aim at Berger, Jacks & Conradie is based on this definition – to provide you, our valued patient, with the highest quality, personalized services to achieve and maintain your optimal level of “complete physical, mental and social well being”.  Where appropriate, we refer to a network of dedicated specialists and other Health Care Professionals to facilitate the process of your optimal recovery.
General physiotherapy services include:
  • injury assessment
  • a variety of electrotherapy modalities for treatment of painful conditions, inflammation, swelling & bruising
  • cervical and lumbar traction
  • mobilization of spinal and peripheral joints
  • strapping / Kinesio taping
  • massage therapy
  • myofascial (muscle and connective tissue) therapy
  • dry needling and manual trigger point release
  • ultrasound
  • chest physiotherapy (manual chest therapy, nebulization)
  • postural assessments, correction
  • education
  • pain support groups
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