Physical Therapy

Manual Therapy

Physical Therapy is a holistic and natural hands-on approach to healthcare.  Established on health science principles the therapy focuses on the whole body and not only the area where the problem is.

All physical therapy sessions are one-on-one with a highly skilled Physical Therapist trained in the latest evidence-based techniques proven to get you better, faster. The result is a more personalised therapy, more effective treatment and faster recovery giving you greater care and value.

Physical Therapy is suitable for people of all ages, from the very young to the not so young.  Skilfully applied manual techniques are used to release tension from the body.  

What can I expect when I come for a treatment?

Assessment: On your first visit a detailed history including your lifestyle, medical history, current symptoms and contributing factors is taken.  A postural assessment will help inform as to where there are muscular imbalances.  Poor posture can be a contributing factor to many common conditions such as neck and shoulder pain, headaches, lower back ache to name but a few.

A functional assessment is carried out using various orthopaedic testing techniques. These assessments not only focus on the area where the symptoms are but focus on the body as a whole.  The patient benefits greatly when not only the symptoms are treated but the source of the symptoms are treated as well.  The findings of the assessment and how the treatment will proceed is explained.  However, if the findings of the history taking and assessment require further investigation then you will be referred to your General Practitioner.  

So what are these hands on techniques and why are they beneficial?

Gentle palpation gives information as to how the tissue is doing. What muscles are tight or weak; are there trigger points (knots) present; is the fascia restricted and is this causing dysfunction elsewhere; is movement in a joint impaired; are there other underlying factors that need to be taken into account?  This information gained through gently palpation informs how you will be treated so that you get you back on track.

Soft & Deep Tissue Massage

This helps to relax muscles, increase blood circulation and lymph flow and free up areas of dysfunction and loosen tight tissue.   This improves the healing time of muscle aches, strains and sprains.  It reduces inflammation, improves range of movement of muscles and joints.  Improving blood flow improves oxygen flow, this brings nutrients and helps eliminates toxins such as lactic acid.  

Neuromuscular therapy

This uses specific, localised pressure to treat tight areas called trigger points. Trigger points are areas of dysfunction that can trigger pain to areas other than the area where the sore spot is.

Myofascial release involves stretching of the fascia and the muscle, the myofascial unit. When muscle fibres are injured, the fibres and the fascia which surrounds it become short and tight.  Fascia is a thin layer of connective tissue that covers all muscles, muscle fibres and organs of the body.  Because it forms a continuous sheet much like a body stocking stress in one area can be transmitted elsewhere causing pain, restricted movement and other symptoms.

In order to release the tissue a light stretch is applied to the area, once the area has relaxed the stretch is increased and repeated.

Home Care Plan  

Educating you on how best to manage your condition is of the utmost importance.  The nature of your presenting condition, age, lifestyle, level of fitness will be taken into account when devising a home care plan.  Advice will be given as to what changes should be made in your daily life or workplace in order to encourage a return to full and painfree range of movement so that you can get on with your daily life.  Exercises will be prescribed and a strengthening programme including core conditioning will be prescribed if necessary.  

Many of the physical problems you experience can be caused by or manifest themselves through injury, disease, aging or environmental factors such as repetitive use.  When the body is balanced and free from discomfort you are in a better place to get on with daily activities.  Physical Therapy addresses these factors which play an important part of your overall wellbeing.

Conditions Treated include the following:

  • Sports injuries
  • Neck, shoulder and back pain
  • Headaches
  • Whiplash injuries
  • Frozen shoulder
  • Tennis and Golfer’s elbow
  • Carpal tunnel syndrome
  • Lower back pain
  • Ankle sprains


There never is a good time to have an injury!

While it is important to get the injured sports person back on track as quickly as possible, the main aim is to keep people active and injury free. Having won titles in athletics at county, provincial and national level Lily understands the importance of being injury free and the frustration of those niggling injuries.  

Sports injuries respond well to physical therapy treatment.  In order to speed up the recovery process laser therapy is also integrated into the treatment programme.  The main benefit of laser therapy to a sports person is that treatment can begin immediately after injury.

Rehabilitation plays an important role in getting the injured athlete back to full strength and helping them to remain injury free.  Sports injuries can be due to the repetitive nature of the chosen sport, muscle tightness or weakness, stress on joints, poor techniques or due to contact injuries.
Sports people that have responded well to treatment at the clinic include intercounty GAA players, soccer players, world champion irish dancers, show jumping enthusiasts, triathletes, althletes, cyclists and joggers.  


Over the years I have worked with a number of GAA Clubs throughout the county including: -


  • Banner Ladies Football- All Ireland Féile Champions
  • Clare Ladies Football
  • Clare Senior Hurlers
  • Clarecastle GAA Club
  • Doonbeg GAA Club
  • Kilmaley GAA Club
  • Lissycasey GAA Club

How you can support the recovery process:

  • Education about the use of Epsom salts is provided
  • Therapeutic exercise to support symptom free movement.
  • Core strengthening and strengthening to the injured area in order to maintain the gains achieved in therapy and speed up the recovery process..
  • Education about when and how to apply heat and cold therapy is provided.


Low level Laser Therapy administered by Lily Enright

Laser Therapy also called low level laser therapy or cold therapy is a safe, painless technology that has been scientifically proven to effectively treat a wide range of both acute and chronic conditions.  Lasers work by supplying energy to the area being treated in the form of photon light.  This energy is absorbed by the cells in the tissue where it accelerates the normal rate of tissue healing.
Over the years laser therapy has been integrated at the Craniosacral & Physical Therapy clinic. It has proven to be very beneficial in the treatment of persistent and “difficult-to-treat” conditions, including achilles tendonitis, arthritis, plantar fasciitis and other joint and muscle pains.

Benefits of Laser Therapy

  • Treatment can commence immediately after injury.
  • Safe to treat over pins and plates and pacemakers.
  • Drug free pain relief without the unwanted side-effects.

Clinical effects of low level laser therapy

  • Reduces swelling and inflammation: Stimulates lymphatic drainage to reduce swelling.
  • Speeds up healing: Stimulates the cells around the injury to increase the speed, quality and strength of tissue repair.
  • Pain relief: Inhibits the nerves related to the site of pain.
  • Pre-existing scar tissue also improves after laser treatment.

Conditions treated using Laser Therapy include: -

  • Carpal Tunnel Syndrome
  • Fibromyalgia
  • Golfers Elbow & Tennis Elbow
  • Inflammatory conditions - tendonitis, bursitis, myositis, fascitis, synovitis and general tissue inflammatory conditions
  • Joint pain - rheumatic pain, arthritis, TMJ, knee joint pain, ankle joint pain, hip joint pain, shoulder joint pain
  • Muscle, Tendons, Ligaments - Muscle tears, rotator cuff tears, tendons tears, ligament strains and sprains, fractures, subluxations,
  • Nerve Pain & Neuralgia
  • Pain Control -  low back pain, arthritis, rheumatoid arthritis,  calcification, chondromalacia patella, head and neck injuries, whiplashes, and Achilles tendonitis
  • Sports Injuries

Clinical Application of Laser Therapy

Laser therapy helps with pain-relief and addresses the inflammation in arthritic conditions.  Results can be very noticeable in the early stages of arthritis.  While pain is eased in chronic conditions it can take up to 6 months before a turning point is noticed and substantial results are seen. It also appears that adding laser therapy to prescribed medication gives improved results over medication alone.
Laser therapy inhibits inflammation, eases pain, reduces swelling and joint tenderness in patients presenting with gout.
In osteoarthritis of the hip joint, therapy can improve and strengthen the surrounding tissues. It prevents swelling as it triggers anti-inflammatory processes.

Carpal Tunnel Syndrome
Laser therapy can be very effective in treating the painful condition known as carpal tunnel syndrome.  It eliminates neuralgic compression by reducing inflammation.  Laser therapy can lead to total recovery especially if the condition is treated in the early stages.  For treatment to be successful it is advisable for the area to be treated every 3 to 4 days and at times up to 10 treatments can be necessary.
In more chronic conditions where surgery may be necessary the therapy helps with the reduction of pain and wound healing.

Tendonitis & Golfers and Tennis Elbow
Laser is known to relieve pain, reduce swelling and encourage the generation of tissue as part of the healing process in acute cases. In more chronic cases it can restart the healing process and manage the condition.
In acute cases laser to the affected area including trigger point therapy is advised every 2 - 3 days for around 3 weeks.