The Role of Compression Therapy in Musculoskeletal Physiotherapy

The Role of Compression Therapy in Musculoskeletal Physiotherapy

Compression therapy is a widely used technique in musculoskeletal physiotherapy, offering benefits for both recovery and performance enhancement. It involves the application of controlled pressure to muscles, joints, or soft tissues using compression devices such as the Therabody Jet Boots we use here at OPUS. pneumatic compression pumps.

This therapy has been extensively utilised in injury management, post-surgical rehabilitation, and athletic performance optimisation. We are all well accustomed to seeing Premier League players posting the routine image of them with their feet up, in a set of these boots, watching the La Liga late kick off following their Saturday afternoon match. So there must be a reason why!

Compression Therapy

Mechanism of Action

Compression therapy works by enhancing circulation, reducing swelling, and promoting tissue healing. The applied pressure assists venous return, helping deoxygenated blood and metabolic waste products move back toward the heart more efficiently.

This improved circulation delivers oxygen-rich blood and essential nutrients to tissues, facilitating faster repair and reducing inflammation. Additionally, compression can support the lymphatic system, helping to prevent fluid accumulation in injured or overworked tissues.

Benefits for Recovery

  1. Reduction of Swelling and Inflammation One of the primary benefits of compression therapy is its ability to minimize swelling, a common symptom in musculoskeletal injuries such as sprains, strains, and post-surgical recovery. By applying pressure, excess fluid is prevented from accumulating in the injured area, reducing discomfort and expediting the healing process (Priego-Quesada et al., 2020).
  2. Pain ManagementCompression garments and bandages provide gentle pressure that can reduce pain by limiting excessive movement and stabilizing the affected area. This can be particularly beneficial for individuals recovering from ligament injuries, fractures, or joint surgeries, such as ACL reconstruction or total knee replacements (Born et al., 2013).
  3. Improved Muscle Oxygenation and Tissue HealingEnhanced blood flow through compression ensures an increased supply of oxygen and essential nutrients to the affected muscles and joints. This accelerates tissue regeneration, which is crucial in conditions such as tendinopathies and muscle tears. Faster healing times can reduce the risk of chronic issues and long-term disability (MacRae et al., 2012).
  4. Prevention of Deep Vein Thrombosis (DVT)For individuals undergoing prolonged immobilization following musculoskeletal injuries or surgeries, compression therapy can help prevent deep vein thrombosis. By promoting circulation in the lower limbs, it reduces the risk of blood clot formation, a serious complication in post-surgical patients (Brophy-Williams et al., 2017).

Benefits for Performance

  1. Enhanced Muscle Recovery Athletes and active individuals use compression therapy to recover faster after intense training sessions. Compression garments aid in reducing muscle soreness and fatigue by clearing metabolic waste, such as lactic acid, from the muscles more efficiently (Houghton et al., 2019).
  2. Improved Proprioception and Stability Compression sleeves and supports provide sensory feedback, improving proprioception—the body’s awareness of joint position and movement. This can be beneficial for injury prevention, as better joint stability reduces the risk of excessive strain and misalignment (Duffield et al., 2010).
  3. Reduced Muscle Oscillation and Fatigue During high-impact activities such as running or jumping, muscles experience micro-vibrations that contribute to fatigue. Compression gear minimizes these oscillations, reducing muscle fatigue and improving endurance over prolonged periods of activity (Hill et al., 2014).

Conclusion

Compression therapy can be a useful tool in musculoskeletal physiotherapy, aiding in both recovery and performance. Its ability to reduce swelling, alleviate pain, and enhance circulation makes it a valuable tool in injury management and rehabilitation.

Additionally, athletes and active individuals benefit from its performance-enhancing effects, including faster muscle recovery and improved stability. Whether used for acute injury management or long-term athletic optimisation, compression therapy remains an effective and accessible treatment modality in physiotherapy practice.

References

  • Born, D., Sperlich, B., & Holmberg, H. C. (2013). Bringing light into the dark: effects of compression clothing on performance and recovery. Sports Medicine, 43(6), 533-549.
  • Brophy-Williams, N., Driller, M. W., & Shing, C. M. (2017). Acute and chronic effects of compression garments on recovery from exercise-induced muscle damage. Journal of Science and Medicine in Sport, 20(6), 527-531.
  • Duffield, R., Cannon, J., & King, M. (2010). The effects of compression garments on recovery of muscle performance following high-intensity sprint and plyometric exercise. Journal of Science and Medicine in Sport, 13(1), 136-140.
  • Hill, J., Howatson, G., van Someren, K. A., & Gaze, D. C. (2014). The influence of compression garments on physiological and performance responses to exercise: a systematic review. Sports Medicine, 44(6), 791-803.
  • Houghton, L. A., Dawson, B., & Maloney, S. K. (2019). Effects of compression garments on recovery following exercise: A meta-analysis. Physiology & Behaviour, 210, 112671.
  • MacRae, B. A., Cotter, J. D., & Laing, R. M. (2012). Compression garments and exercise: garment considerations, physiology and performance. Sports Medicine, 42(10), 819-843.
  • Priego-Quesada, J. I., et al. (2020). Effects of compression garments on sports performance and recovery: A systematic review. Journal of Sports Sciences, 38(12), 1287-1304.

Why exercise is good for your joints

Why exercise is good for your joints

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It comes as no surprise that exercise has an endless list of benefits for our body; it reduces the risk of heart diseases, helps maintain your blood sugar and insulin levels, improves your mental health and mood, and increases strength and flexibility whilst reducing pains and combatting fatigue. However, the benefits of exercise for our joints is often overlooked.
The most common example of the advantages of exercise for our joints is in people with arthritis. Let’s look at this in more detail.
Arthritis is a common condition that results in substantial pain and inflammation to the joints, with over ten million people in the UK alone suffering from this condition. It can affect people of all ages and is categorised into different types depending on the location of the inflammation. The most prevalently discussed types of arthritis are osteoarthritis and rheumatoid arthritis, both of which we provide treatment for at Opus. We discuss the types of arthritis in more detail here.
During exercise, people with arthritis and joint pain describe a significant reduction in their pain alongside a notable increase in their range of motion. But how does physical activity exert these effects? Below are five benefits that exercise yields and how this is advantageous to the joints:
  1. Synovial fluid lubricates the joint. Each joint in the body is surrounded by soft tissue, also known as the synovial membrane, that is capable of producing fluid. This fluid acts as a lubricant, enabling the bones at each joint to slide past one another in a smooth motion. During exercise, the circulation of this fluid is increased and, therefore, reduces any pain at the joint.
  2. Blood flow increases. During physical activity, our heart increases at a much faster pace. This results in an increase in blood circulation throughout the body, including at the joints. This exposes the synovial membrane to an increased and steady supply of both oxygen and nutrients.
  3. Joint-repair genes are switched on. This is a relatively unresearched area; however, studies have shown that genes play a significant role in joint repair, with these being activated by physical activity and joint movement.
  4. Cellular waste is removed. During exercise, a process called autophagy is triggered. Autophagy refers to the biological process in which damaged cells are broken down and removed. The build-up of these cells at the joint can often cause severe pain and limits movement; therefore, ensuring these are removed can instantly decrease the pain experienced.
  5. Increase in muscle mass. It is no surprise that exercise strengthens muscles, ligaments, and tendons in the body; this includes those surrounding the joints. When these elements are strong, they behave like a brace, protecting the join from harm. Moreover, physical activity also increases your overall range of motion, enabling your joints to withstand more pressure.
At Opus, we can assess the root cause of your joint pain and recommend specific sports medicine-backed exercises to lessen this discomfort. Beyond this, we also provide regenerative treatments that may provide long-term pain relief. Get in touch to discuss how we can assist you on your journey.
Common shoulder injuries amongst athletes and how we treat them

Common shoulder injuries amongst athletes and how we treat them

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Acromioclavicular joint injury

The acromioclavicular (AC) joint is the point at which two bones, the collarbone (clavicle) and part of the shoulder blade (scapula), meet. An injury to this joint is characterised by shoulder separation and can be defined as one of six types. The severity of the injury also impacts the treatment approach.
1. Type I. The AC ligament is slightly torn; however, there is no significant damage to the coracoclavicular ligaments. Treatment often centres around rest and recovery, with the joint being iced and protected, often with an arm swing. Following this, range-of-motion exercises are recommended as soon as they can be tolerated. 2. Type II. The AC ligament is completely torn; however, there is little to no tear to the coracoclavicular ligaments. Initial treatment involves rest, ice, pain medication, and up to a week of shoulder immobilisation in a sling. Range-of-motion exercises are recommended alongside strengthening exercises.
3. Type III. The AC and coracoclavicular ligaments are completely torn, resulting in the collarbone separating from the scapula. Although treatment for this injury can be conducted non-surgically, as with type I and II injuries, the duration of recovery is significantly longer, with a sling being required for up to a month. 4. Type IV, V, VI. Treatment of these injuries almost exclusively involves surgical interventions, with specialists required to reduce the risk of long-term complications. In these cases, regenerative medicine may also be considered.

Rotator cuff tendonitis

Rotator cuff tendonitis is characterised by pain and swelling of the cuff tendons and the surrounding bursa (a soft fluid filled sack that cushions the joint). This injury, unlike an injury to the AC joint, does not occur all at once. Usually, rotator cuff tendonitis transpires over a substantial period of time following repeated irritation to the area. Although it can affect anyone, this injury most commonly presents in people with loose joints, abnormal bone anatomy in the shoulder, and those who do repetitive heavy lifting, such as weightlifters and powerlifters.
Treatment of rotator cuff tendonitis is predominantly non-surgical and involves plenty of ice, NSAIDS for pain management, including ibuprofen, and steroids. In the instance that surgery is required, the most common procedure is an acromioplasty. However, recent advances in regenerative medicine have permitted the accelerated and enhanced recovery of these injuries using mesenchymal stem cell therapy.

Beyond these individual conditions described, there are also activity-specific injuries, including thrower’s shoulder, swimmer’s shoulder, and rugby shoulder. At Opus, we ensure that your injury is fully assessed so that you receive the best possible treatment that is tailored to your needs. Get in touch to discuss your recovery with one of our world renowned specialists.