Tops Fitness and Rehabilitation provides first class physiotherapy for rheumatoid arthritis and osteoarthritis. Our experienced physiotherapists have helped many of our clients manage their condition.

There are many forms of arthritis but the main ones are rheumatoid arthritis and osteoarthritis.

Osteo arthritis is the most common. It is a progressive degenerative disease affecting the cartilage in our joints. Osteoarthritis most commonly occurs in the weight-bearing joints of the hips, knees and lower back.

It is affected by our age, obesity, genetics, muscle weakness, overuse and injury.

The most common signs and symptoms of osteoarthritis are:


  • Joint soreness after periods of overuse or inactivity.
  • Stiffness after periods of rest that goes away quickly when activity resumes.
  • Morning stiffness, which usually lasts no more than 30 minutes.
  • Pain caused by the weakening of muscles surrounding the joint due to inactivity.
  • Joint pain is usually less in the morning and worse in the evening after a day’s activity.
  • Deterioration of coordination, posture and walking due to pain and stiffness.

Rheumatoid arthritis is a systemic autoimmune disease. It is a chronic disease; characterised by inflammation of the lining of the joints. As a result of an acute attack, fluid builds up in the joints, causing pain in the joints as well as inflammation of your system – meaning it can occur throughout the body.

Rheumatoid arthritis is symmetrical, meaning if a joint on one side of the body is affected, the corresponding joint on the other side of the body is also involved.

Physiotherapy can help:


  • decrease pain or manage pain
  • improve joint integrity and protection
  • improve strength
  • improve flexibility
  • improve fitness
  • prevent compensatory postures
  • prevent further loss of function
  • support and advice for self management


Treatment consists of:


  • Advice and education
  • Therapeutic movement
  • Mobilization using hand or mechanical techniques
  • Electrotherapy
  • Exercise

Following a detailed subjective assessment by our experienced physiotherapist, where we will listen to you, we will then look and feel, to assess your problems and then work with you to provide a long term self management strategy.

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