Elzenweg 33D, Waalwijk

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Complaints in the hip may manifest as

• Acute pain in the hip (groin) and/or pain in the buttock area
• Chronic complaints due to osteoarthritis
• Weakened muscles or the feeling of muscle weakness
• Feeling of instability in the hip
• Recovery from hip replacement ("new hip").
  
  Complaints can be the result of, for example
• An accident
• Over- or underuse
• Wrong "natural" posture or work position
• Surgery
• Pregnancy
• Pelvic floor problem
  
  For treatments, see General physical therapy mobilization techniques, trigger point therapy and myofascial techniques

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Can often be accompanied by severe pain and inability to move. The pain is frequently experienced in a location other than the shoulder, such as in the arm, back or neck. Because of this, diagnosis can sometimes be difficult.

Complaints can manifest as

• Pain at the head of the shoulder, especially with movements above shoulder height
• Problems with washing and combing hair, drying oneself, getting dressed and putting on one's coat
• Often nocturnal pain and inability to lie on the shoulder
• Feeling of instability in the shoulder.
  
  Complaints can be accompanied by
• Radiation to the neck, upper arm, hand and/or tingling in the hand.
  
  For treatments, see General physical therapy mobilization techniques, trigger point therapy, myofascial techniques and medical taping.

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Ankle or foot pain can include an Achilles tendon injury or ankle sprain/strain. Complaints under the foot (arch) or at the big toe are also common.

Complaints can manifest as

• Pain around the ankle and in the foot
• Thickening of the ankle
• Thickening of the Achilles tendon
• Blue, red and warm skin on the ankle and foot
• Inability to lean on the foot
• Stiffness of the Achilles tendon (starting problems)
• Stance change of the big toe

Complaints can be due to

• Accident, fall or other trauma
• Sprain of the ankle (going through the ankle)
• Overuse of the calf muscle/achilles tendon (due to work or sports, among other things)
• Wrong "natural" posture
• Wrong/straining walking technique
• Wrong/bad footwear.

Treatment (depending on the symptoms)

Besides trigger point therapy and mobilization techniques, relaxing techniques of the muscles and connective tissue of and around the knee, training of muscle strength and coordination of the muscles around the knee and training of the capacity can be part of the treatment. Furthermore: information and advice (e.g. brace).

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Elbow pain often involves what is known as tennis or golfer's elbow. Unlike the name implies, anyone can suffer from the complaint.

Complaints can manifest as

• Radiating pain in the upper and/or lower arm and hand
• Inability to fully extend the elbow
• Feeling of diminished strength in the hand
• Dropping something from your hands more frequently
• Thickening of the area of pain or of the entire elbow

Complaints can be due to

• Accident
• Nerve entrapment
• Repeatedly performing the same (wrong) movement
• Unusual loading or overloading
• Indirect cause, for example as a result of a condition of the shoulder, wrist or neck.

Treatment

In addition to Trigger Point Therapy and mobilization techniques, relaxing techniques of the muscles and connective tissue around the elbow, stretching exercises and massage can help treat such complaints. Further: education and advice for (for example, a brace).

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(Low) Back pain is one of the most commonly seen complaint in physical therapy. For about 90% of these patients, there is no obvious cause.

The symptoms manifest as stabbing or nagging pain in the back. Especially when sitting and standing. Walking is often considered more pleasant than strolling.
In acute cases, movement is often not possible.

Complaints may be accompanied by radiating pain in the buttock(s) and/or leg(s).

Symptoms may include:

• Wrong "natural" and/or working posture
• A lot of sitting during the day/ little variation in posture during the day (e.g. due to work).
• Highly stressful work (e.g. a lot of lifting)
• Stress
• Pregnancy
• Accident

Back pain can become chronic if it persists for a long time. In these patients, often (in 63% of cases) a problem in the pelvis or pelvic floor is also found.

Look for treatments in General physical therapy mobilization techniques, trigger point therapy, myofascial techniques and medical taping. manual therapy.

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Headaches, migraines, earaches and tinnitus are complaints that a Crafta® oral physical therapist can treat in many cases.
Perhaps you have been referred for these complaints by your primary care physician or dentist, or your child is dealing with these complaints.

Tinnitus, also known as tinnitus, is treatable by a Crafta® maxillofacial physiotherapist only when the ringing changes in intensity or pitch (frequency) throughout the day. Tinnitus can also result from jaw or headaches and can occur after eating a hard sandwich, for example.

Are often associated with

• Headache complaints
• Radiating pain in the shoulder, shoulder blades and/or one or both arm(s)
• Hearing grinding/chafing in the neck during movements of the head
• Dizziness symptoms and/or nausea.

Complaints can be due to

• Incorrect posture (for example, computer screen work)
• A (traffic) accident (whiplash)
• Tension and stress
• Wrong 'natural' posture.
• Neck hernia.

For treatments, see General physical therapy and manual therapy.

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Knee problems can include meniscus problems, cruciate ligament injuries, patellar tendon disease, problems behind the kneecap.

Complaints may include

• Pain behind the kneecap
• Pain in the hollow of the knee
• Swelling of the knee
• Inability to squat
• Feeling of loss of strength in the leg
• Feeling of reduced stability in the knee
• Pain when climbing stairs or biking against the wind.

Complaints may be accompanied by radiating pain in upper and/or lower leg.

Complaints can be due to

• Accident
• Twisting of the foot in relation to the upper body
• Overload of the knee (e.g. through work or sport)
• Underuse
• Wear and tear of the meniscus
• Wrong footwear
• Wrong "natural" posture.

For treatments, see General physical therapy mobilization techniques, trigger point therapy, myofascial techniques and medical taping.

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Complaints in the wrist and hand may be related to carpal tunnel syndrome, a dislocation of one of the wrist or hand bones or inflammation of the tendon sheath of one finger or multiple fingers.

Complaints include:

• Pain around the wrist and hand
• Inability to move the wrist and hand/fingers properly
• Inability to take support on the hand
• Thickening of the wrist
• Difficulty opening bottles and jars
• Dropping things from your hands.

Symptoms may be accompanied by tingling in the fingers, feeling of decreased strength in the hand and/or a sense of instability in the wrist.

Symptoms can be due to

• Accident
• Overuse or underuse
• Repetition of the same movement (due to work, among other things)
• Wrong movements
• Indirect cause as a result of complaints to the elbow, shoulder or neck
• Pregnancy

Treatment

In addition to Trigger point therapy and mobilization techniques, relaxing techniques of the muscles and connective tissue of the forearm can help treat such complaints. Further: education and advice for (for example, a brace).

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Osteoarthritis is wear of the cartilage in a joint. It can occur in almost all joints and can cause pain and/or stiffness in the joint.

So osteoarthritis can occur at any age, but the older one gets, the more likely one is to get osteoarthritis. Osteoarthritis is more common in women than in men.

What can I do about osteoarthritis

• Keep moving, at least half an hour every day.
• Watch your body weight. A BMI over 25 increases the risk of osteoarthritis.
• Watch your diet. Some foods aggravate inflammation, while others reduce it.
• Moderate consumption of alcohol and caffeine
• Prevention of stress
• Using supplements

More information: 
bewegenzonderpijn.com 
reumafonds.nl

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A fall, whiplash or childbirth can cause a deviated position of the tailbone. This can cause complaints such as

• Pain in the tailbone
• Difficulty getting up after sitting
• Pelvic pain
• (Chronic) Low back pain. 

NIMOC is the abbreviation for Non-Invasive Mobilization of the Coccyx. This is a fairly new treatment method in which the coccyx is externally corrected to its correct position. This treatment is usually not perceived as painful or burdensome.

Treatment with the NIMOC method in combination with trigger point therapy not infrequently gives amazing results.

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Pelvic (bottom) pain can cause many limitations in daily life. You can recognize pelvic (bottom) pain by:

• Pain in the hips, groin, pubic bone, lower abdomen, area around vagina, genitals or anus, tailbone, SI joints or lower back.
• Difficulty urinating and/or defecating.
• Pain during or after intercourse.

These symptoms can be caused by:

• Pregnancy / childbirth
• An accident
• Incorrect work or standing posture
• Inactivity
• Overuse

Treatment of pelvic (bottom) pain is often quite feasible and consists of several elements. The most important thing is to discover the cause of the pain and treat it.

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