Haddad and Holloway Physiotherapy

16/07/2026

Happy Mandela Day on this 18 July, 2026 💫

How will YOU be spending your 67mins?

15/05/2024

We are hiring!
Haddad and Holloway Physiotherapy are looking for an individual to join our team in providing a comprehensive physiotherapy service to our community. If you are interested or know of anyone who would suit this position, please email your CV's to [email protected]. Alternatively please share this post. Thank you!

25/04/2023

Give the gift of relaxation this year. 🎁💆‍♀️💤🌸

Look no further than this The Labyrinth package!

90 Minutes - R500 Valid for the whole month of May.

Get ready to kick back and relax with a seriously soothing back, shoulder, neck, and arm massage that'll leave you feeling like a brand new person, and that's just the beginning!

Next up: a luxurious moisturizing hand and foot massage complete with an exfoliating scrub and warm compress.

Hello, pampering paradise! No Mother's Day experience would be complete without a blissful head and face massage to melt away any remaining stress.

17/04/2023

We have exciting news!

Massage Cape Town | Book with The Labyrinth Massages at Haddad and Holloway Physiotherapy, 3rd Avenue

05/07/2022

WHAT IS T4 SYNDROME?

T4 syndrome, also known as Upper Thoracic Syndrome refers to the pain in the upper back and is a much under-recognized or diagnosed condition. The spinal cord is divided into 5 segments: Cervical, thoracic, lumbar, sacral and coccyx.

T4 syndrome typically indicates pain in the 4th vertebrae of the thoracic segment of the spine. T4 syndrome is 3-4 times more common in females than in males.

The Typical Symptoms of T4 Syndrome or Upper Thoracic Syndrome Include:

-Diffused pain in arms
-Paraesthesia in whole arm or the fore-arm
-Extreme hot or cold temperatures of hand
-Heavy feeling in the upper extremities
-Non-dermatomal pains or aches in the forearm or arm
-A crushing or tight band like pain
-Recurrent complain of discontinuous pain in and around the scapular region or posterior thoracic pain
-Sensations like tingling of pins or needles or numbness of the arm.

What Can Cause T4 Syndrome or Upper Thoracic Syndrome?

The reason for the development of T4 syndrome depends on injury to the T4 segment of the spinal cord due to repeated bending, arching, lifting or twisting type of movement thus causing injury to the facet joints in that area.
It can also be caused due to poor posture like protruding the head forward while sitting or standing, and slouching. It is common in people with cervical lordosis or cervico-thoracic kyphosis.

Women are more prone to develop the syndrome due to their structural differences from men. As the breasts develop, there is an increase in the amount of weight in the frontal part and to maintain that many would bend a little forward. The heavier the breast, the chances are more to develop T4 syndrome in women.

Treatment for T4 Syndrome or Upper Thoracic Syndrome

The treatment of T4 Syndrome solely depends on physiotherapy. An experienced physiotherapist will provide manual therapy with an impairment based approach. The sessions would start with manual therapy and slowly would progress to home exercise. The sessions would include some or combinations of the following techniques:

• Joint manipulation and mobilization of the thoracic and cervical spine
• Soft tissue massage
•Taping or bracing
• Electrotherapy viz., ultrasound or laser
•Dry needling
•Training in Pilates
• Postural correction
•Stretching
•Exercises for flexibility and stabilization of the core

27/06/2022

A ‘Slipped’ disc

Contrary to popular belief, a disc (found between each vertebrae) does not slip out of position. It can bulge or the fluid inside can be forced through cracks in its outer fibrous wall to cause herniations.

These conditions can be caused by trauma or degeneration of the discs caused by ageing and wear and tear.
Sometimes these herniations can result in neural pain if it impinges on a nerve. Sometimes discs can herniate and we are none the wiser.

For those that are symptomatic i.e.. Painful over the lower back, buttocks and down the leg or pain in the neck, shoulder and arm, we start with conservative treatment.

This involves taking pressure off the disc, releasing soft tissue and mobilising the affected nerve.

It’s important to note that there is no quick fix for this condition so perseverance and patience is key. Nerves take their time to heal.
There are instances where surgery is indicated but is used as a last resort.

If you are concerned about any of these symptoms, speak to your physiotherapist to get assessed and decide on a way to manage it further.

You don’t have to live with pain.

12/06/2022

BPPV
Benign Paroxysmal Positional Vertigo

This type of vertigo is triggered by a change in position of the head in relation to gravity.

An individual will present with feelings of spinning or floating. General imbalance, nausea and light-headedness is also common.
This condition is caused by crystals that enter the semi-circular canals of the ears.

Common causes can involve:
• Head trauma (7-17%)
• Vestibular Neuronitis (15%)
• Meniere’s disease (5%)
• Migraines (

03/03/2022

Its 10 days to Cycle Tour Sunday!

You’ve done the hard work up to now and you’re preparing to taper off for the last week.

However, this is where we become aware of niggling discomfort threatening to derail your enjoyable tour.

Over the years of treating cyclists, these are the most common issues leading up to race time:

1. Neck/ shoulder pain: spending hours in the saddle causes an imbalance in the neck + shoulder muscles resulting in strain and even headaches.
2. Low back pain: Predominantly caused by an unstable pelvis relying then on the back muscles to stabilise and develop repetitive strain.
3. Glut pain with referral into the thigh: Occurs as a result of a unilateral pelvic instability which then recruits the glut and outer thigh.
4. Knee pain: A maltracking patella can cause pain as it rides incorrectly with every stroke while pedalling.

These are all conditions that can be successfully treated by Physiotherapy to make sure your hard work pays off on the day.

All the best for a successful Cape Town Cycle Tour 2022!

16/01/2022

HIP PAIN

Hip pain can be debilitating for anyone at any age.
There can be many different causes for hip discomfort and many of them are treatable through conservative management.

The following are main causes of hip pain:
• Osteoarthritis
• Labral tears
• Bursitis
• Poor pelvic biomechanics (sitting for long periods)
• Tendonitis

Hip pain leads to poor gait patterns as a result and starts to affect other areas via compensatory patterns.
Have your hip assessed by a Physiotherapist to determine the cause and live a more comfortable life.