An extended scope physiotherapist (ESP) is a highly specialised physiotherapist who works beyond the traditional scope of physiotherapy practice. ESPs have advanced training, experience, and qualifications, allowing them to perform tasks typically outside a standard physiotherapist's role. They often work in clinical settings where they can take on responsibilities usually reserved for medical doctors, such as: Assessing and Diagnosing - ESPs can independently assess, diagnose, and manage more complex conditions, particularly in fields like musculoskeletal, orthopaedics, rheumatology & neurology. Ordering Diagnostics - after a thorough assessment ESPs have the clinical knowledge to know when to refer for scans and what scans are required. They can also help you to make an informed decision about your care based on the results. Advanced Clinical Skills - They may perform specialised procedures, like injections, joint aspirations, or ordering advanced imaging (e.g., MRI, ultrasound), which are not commonly performed by regular physiotherapists. Referral Authority - ESPs can often refer patients directly to consultants, surgeons, or other specialists, facilitating faster access to specialised care. In some settings they work alongside surgeons and list patients for surgery. Leadership and Teaching - ESPs often play a role in training junior physiotherapists, conducting research, and implementing clinical guidelines or new practices within their field. Extended scope physiotherapists are usually found in specialised healthcare settings, such as orthopaedic departments, pain clinics, and emergency departments. Their role is essential in healthcare systems, especially in settings with long wait times to see specialists, as they help reduce pressure on physicians and streamline patient care. You have now have access to one outside of a public healthcare environment 🙂.

Yes, as a registered physiotherapist I am a member of The Chartered Society Of Physiotherapy (CSP). The CSP is the professional, educational, and trade union body for physiotherapists in the UK. It represents physiotherapists, promoting high standards of practice, education, and professional development. The CSP provides guidance, resources, and support to ensure that physiotherapists deliver safe and effective care to patients. Members of the CSP are committed to ethical practice and continuing professional development, ensuring that patients receive the best possible treatment based on current evidence and research. Being a CSP member demonstrates a physiotherapist's professional credibility and adherence to nationally recognised standards in the field. I am also a member of the Musculoskeletal Association of Chartered Physiotherapists (MACP). The MACP is a membership organisation of physiotherapists who have reached a recognised standard of excellence in musculoskeletal physiotherapy. This knowledge and practical skill ensures that all MACP Physiotherapists provides an excellent standard of care in examination, treatment and management for people with musculoskeletal problems. The MACP has over 1200 full members who have passed a stringent examination process.

I graduated from The University Of Winchester in 2011 with a Sports Science (BSc). I then spent some time working as a physiotherapy assistant and went on to graduate from St George's University of London in 2014 with a Physiotherapy (MSc). Since then I have undertaking numerous courses and CPD days. In the last few years I have completed the Diploma in Musculoskeletal Medicine (DipMSKMed), through the Faculty of Sport & Exercise Medicine UK, The Lumbar Spine & Lower Limb MSc Module and The Cervical Spine & Upper Limb MSc Modules at The University of Brighton. I have also completed The Soft Tissue and Joint Injection Therapy MSc Module at The University of Essex which has allowed me to use injection therapy as part of a holistic treatment approach.

No, you typically do not need a referral to see a physiotherapist. You can book an appointment directly without needing to visit your GP first. Physiotherapists are primary healthcare professionals, which means you can consult them directly for issues like pain, injury, or mobility problems. They are also musculoskeletal specialists which means if you have a muscle, bone, joint, tendon or nerve issues they are best placed to physically assess you.

In most cases, you do not need a scan (such as an X-ray, MRI, or ultrasound) before starting physiotherapy. Physiotherapists are trained to assess and diagnose musculoskeletal issues through a detailed physical examination and patient history. Scans are usually only necessary if your physiotherapist suspects a more serious condition, such as a fracture, severe joint damage, or a neurological issue that requires further investigation. If they believe a scan is needed to confirm the diagnosis or guide treatment, they will be able to recommend what type of scan it is you need and how quickly you need it (routine or urgent). For most common issues like back pain, joint stiffness, or muscle strains, your physiotherapist can create a treatment plan without needing a scan.

Yes, I offer both face-to-face and online physiotherapy consultations. Face-to-Face Appointments: These are held in my clinic (at home) and allow for hands-on assessment, manual therapy, and personalised exercise guidance. It's ideal for those who prefer in-person interaction or require physical treatments. Online Consultations: Virtual appointments are available for those who prefer the convenience of being at home or would like to work with me but are not close enough to do so in person. During online sessions, I provide expert advice and education, guided exercises, and tailored rehabilitation programs. These are great for ongoing care, follow-ups, or if traveling to the clinic is not feasible. Both options are designed to offer flexible, high-quality care, depending on your needs and preferences.

What sets my physiotherapy practice apart is my commitment to delivering personalised, high-quality care that is tailored to each individual’s unique needs. Here’s how I stand out: Individualised Approach: Every patient receives a bespoke treatment plan based on a thorough assessment. I take the time to understand your condition, goals, and lifestyle to ensure your therapy is both effective and achievable. Focused Time and Attention: Unlike many clinics where appointments are rushed, I dedicate enough time to fully assess and treat your condition in each session, ensuring you get the best possible care without feeling hurried. Comprehensive, Holistic Care: To me you are not a neck, a back or a knee, you are a person with pain and this brings complexity. I not only address your physical symptoms but also consider psychosocial factors like nutrition, sleep, stress, mood, thoughts, feelings and emotions. Pain is an emotive experience so ignoring these important factors often leads to a poorer outcome. Continuous Professional Development: I stay up to date with the latest physiotherapy techniques, research, and best practices to offer the most effective, evidence-based treatments. Patient Education and Empowerment: I prioritise educating my patients about their conditions and providing them with the tools and knowledge to manage their health effectively, fostering independence and long-term success. Flexible Treatment Options: Whether you prefer face-to-face appointments or online consultations, I offer flexible options to suit your needs, ensuring you receive care that fits your lifestyle. Collaborative Relationship: I believe in building a collaborative partnership with my patients, where we work together towards your health goals. This approach ensures that your input and preferences are valued, making the treatment process more engaging and effective, rather than an authoritative "do this" mentality. Extended Scope Experience: As an Advanced Physiotherapist I complete second opinion work, complex case work, referrals for scans, injection therapy and work alongside surgeons regularly. I am also expected to complete assessments for Rheumatological, Neurological conditions and more sinister pathology. For you this means important symptoms won't be missed and we will escalate your care appropriately and in an evidence based way when needed. This is a level of expertise you will rarely find at other clinics. Multi- Disciplinary Team: I don't have all of the answers, all of the time and have no issues admitting this. I believe this is a sign of a good clinician. I have a brilliant network of experienced colleagues including: Women's Health Physiotherapist, Nutritionist, Podiatrist and a number of well respected Surgeon's who I work closely with and will be happy to involve in your care when appropriate. Ultimately, I’m committed to delivering the highest level of care, tailored to your specific needs, and focused on achieving sustainable, long-lasting results.

Determining the best treatment plan for you involves a personalised and thorough process: Initial Assessment: I gather detailed information about your medical history, symptoms, and lifestyle to understand your condition fully. Physical Examination: A hands-on assessment evaluates your movement, strength, flexibility, and areas of pain to identify underlying issues. Goal Setting: We discuss your specific treatment goals, whether it's pain relief, improved mobility, or returning to a specific activity. Evidence-Based Approach: I use the latest evidence-based practices to inform your treatment plan, ensuring effective methods are employed. Personalised Plan: Based on our findings, I develop a tailored treatment plan that may include manual therapy, exercises, and self-management strategies. Regular Review: I continuously monitor your progress and adjust the plan as needed to optimise results. Patient Involvement: Open communication is encouraged, and your feedback helps ensure the plan aligns with your goals and preferences. This collaborative and adaptive approach aims to achieve the best possible outcomes for your health and recovery.

I currently complete face to face appointments from home. The address is: 8 Lyonsdene, Lower Kingswood, Tadworth, KT20 6UB.

To make the most of your online physiotherapy session, follow these steps: Check Your Tech: Ensure you have a stable internet connection and a device with a working camera and microphone, such as a smartphone, tablet, or computer. Test the video call platform (Zoom, Skype, etc.) in advance to avoid technical issues. Choose the Right Space: Find a quiet, well-lit space with enough room to move freely. Make sure you have space to perform exercises or demonstrate movements during the session. Try to avoid somewhere you may have unwanted distractions. Wear Comfortable Clothing: Dress in loose, comfortable clothes that allow you to move easily and provide access to the area that needs to be assessed (e.g., shorts for knee issues or a sleeveless top for shoulder problems). Gather Any Equipment: If specific equipment (like resistance bands, pillows, or weights) has been recommended, have them ready. Also, have a chair or a mat nearby, as you might be asked to perform exercises or movements during the session. Prepare Your Medical History: Be ready to discuss your medical history, current symptoms, any previous treatments, previous scans and investigation results, information from other teams you may be under, clinic letters and discharge summaries, and your goals for physiotherapy. Have a Notepad: Keep a notepad handy to jot down key advice, exercises, or follow-up steps discussed during the session. By preparing in advance, you'll ensure a smooth and productive online physiotherapy session tailored to your needs.

Yes, there is parking available. Unfortunately, I don't have a very big drive but you will normally find parking on Lyonsdene or Smithy Lane.

During your first physiotherapy appointment, you can expect the following: Comprehensive Assessment: The session will start with a detailed discussion about your medical history, symptoms, lifestyle, and any specific concerns or goals you may have. This helps me understand the root cause of your issue and what we will be working towards. Physical Examination: I will assess your movement, strength, flexibility, posture and nerve function (if appropriate) and any areas of pain or discomfort. This may involve observing how you perform certain tasks or moving specific joints and muscles. Diagnosis and Explanation: Based on the assessment, I will explain your condition, what might be causing your symptoms, and how physiotherapy can help. This will be in an easy to understand way, avoiding medical jargon (unless you want it). Personalised Treatment Plan: Together, we will create a treatment plan tailored to your needs. This may include manual therapy, exercises, posture correction, and pain management techniques. First Treatment: If time allows, you’ll receive some form of treatment during the first session, whether it’s hands-on therapy, exercise guidance, or recommendations for lifestyle adjustments. Advice and Home Program: I will provide advice on self-care, and often, a simple home exercise program to begin your rehabilitation. You will be sent this program online in electronic format with video, audio and written instructions of how to complete your exercises. I will also send you a 'Session Summary' of everything we have discussed and the goals we are working towards so we are both clear on the plan. The goal of your first appointment is to thoroughly assess your condition, answer any questions, and begin a path toward recovery. The first consultation normally lasts around an hour. Please note the admin mentioned in '6.' often takes 10-15 minutes.

I set my prices to reflect the level of care, expertise, and time I provide during each physiotherapy session and between sessions. Here's why: Personalised, Quality Care: Each session is tailored to your specific needs, ensuring that you receive a comprehensive, individualised treatment plan designed to achieve the best results, with no stone left unturned. Time and Attention: I dedicate ample time to each appointment, allowing for thorough assessments, treatment, and follow-up. This is essential for achieving effective, long-term results, without feeling rushed. Outside of the 'paid for' session you are also free to drop me an email or message with any questions or queries you might have. Experience and Expertise: With years of experience and continuous professional development, I stay up to date with the latest techniques and evidence-based practices, which are reflected in the quality of care provided. Extended Scope Experience: My role as an Advanced Physiotherapist completing second opinion work, complex cases, assessing patients daily for scans (x-rays, MRIs, USS), working alongside surgeons and regularly completing injection therapy. The role also involves completing assessments for Rheumatological, Neurological conditions and more sinister pathology which is a level of expertise you will rarely find at other clinics. No Shortcuts: Unlike some practices that may reduce appointment times or treatment quality due to insurance restrictions, I ensure that my services maintain high standards without compromise. By charging fair prices, I can offer a level of care that prioritises your health and long-term recovery over quick fixes.

There is a 48 hour non attendances and late cancellations policy. If you do not attend or cancel within 48 hours of your appointment time you will be fully charged.

I am currently seeing private patients 09.00-17.00 on Fridays and 09.00-13.00 on Saturdays. I am hoping to expand these hours in time but please get in touch if you would like to book an appointment outside of these hours and I will do my best to accommodate.

Some physiotherapy clinics to do see patients with private health insurance. At Genuine Physio, I do not currently accept private health insurance for physiotherapy services. This is because the majority of insurance companies I have contacted to try and accommodate patients, offer reimbursement rates that do not align with the level of care and longer appointment times I believe are necessary to provide the best possible treatment for my patients. My priority is to offer comprehensive, personalised sessions that are tailored to your needs, without the constraints that insurance policies may impose in terms of length of sessions and number of appointments. They tend to offer a one-sized fits all approach to physiotherapy services which does not align with the service I want you to have. While I understand the convenience of insurance coverage, I am committed to delivering high-quality care that allows for thorough assessments and effective treatment plans. I would always suggest talking to your insurance company to see if they are willing to reimburse you for the treatment you receive with the clinician you choose. After all, working with someone you resonate with will have a big impact on your recovery.

'Initial Assessments' normally last around 60 minutes and 'Follow Up Appointments' last for around 45 minutes.

Unfortunately, with the clinic currently being at home the clinic is not suitable for wheel chair use. Would you consider an online appointment? Please have a look at the FAQ on 'How Does An Online Appointment Work?' for more information.

I don't do many as the majority of the patients I see are happy to come to me. In the right circumstances I am happy to do a home visit for those unable to attend clinic, please drop me an email for more information about this.

Yes, you can and should do your exercises at home as part of your physiotherapy treatment. Home exercises are a vital component of your rehabilitation process, as they help reinforce what we work on during our sessions. Frequency of Exercises: Initial Guidance: I will provide specific recommendations on how often you should perform your exercises based on your individual condition and goals. Generally, patients are advised to practice their exercises 2 to 5 times per week. Duration and Intensity: Each session may last anywhere from 10 to 30 minutes, depending on the exercises prescribed and your current fitness level. Importance of Consistency: Building Strength and Flexibility: Regular practice enhances strength, flexibility, and overall function, which contributes significantly to your recovery. Monitoring Progress: Consistent exercise helps track your progress, allowing me to adjust your treatment plan as necessary. Remember to listen to your body; if something feels too painful or uncomfortable, let me know, and we can modify your exercises accordingly.

Yes, I offer rehabilitation programs focused on injury prevention. These programs are designed to help you strengthen muscles, improve flexibility, and enhance overall physical function, reducing the risk of future injuries. Key Components of the Rehabilitation Programs: Assessment: I will conduct a thorough assessment to identify any areas of weakness, imbalance, or movement dysfunction that may increase your risk of injury. Personalised Exercise Plans: Based on the assessment, I will create a tailored exercise program that focuses on strengthening key muscle groups, improving flexibility, and enhancing overall stability and coordination. Education: I provide education on proper movement patterns, body mechanics, load management, exercise periodisation and ergonomics to help you avoid injuries during daily activities and sports. Progress Monitoring: Regular follow-ups allow us to monitor your progress and adjust the program as needed, ensuring that you continue to build strength and resilience. Return to Activity Guidance: If you’re returning to a sport or physical activity, I can provide specific training recommendations to help you safely transition back to your previous level of activity. By focusing on injury prevention, my goal is to equip you with the knowledge and tools necessary to maintain an active lifestyle while minimising the risk of future injuries.

Yes, there is a plethora of free help and information that you can access that I have put together for you. You may want to take a look at this first to build up some trust before booking an appointment. On the website you will be able to find free e-books on various conditions, ranging from neck pain to knee pain and everything in between. On the website you will also be able to find a page on 'Useful Social Media Posts'. This page has some of my most popular and helpful posts over the years. In terms of social media, you can follow me on Instagram, Facebook & Tik Tok where you will receive frequent free information on all things over 40s health. I have a YouTube Channel which I upload weekly videos on to for you to view at you leisure and also complete a fortnightly blog which you can find on the website, again covering all things, over 40s health.

Physiotherapy, also known as physical therapy, is a healthcare profession that helps individuals reach their goals when they have muscles, joint, bone, nerve and post surgery related dysfunction. Physiotherapists work with you to assess your impairment and then try to restore it. It may include problems strength, movement, pain and overall well-being. Treatment is hugely diverse, from education & advice, load management education and manual therapy, to personalised rehabilitation and exercise programs, to treat various physical conditions, injuries, or disabilities. Physiotherapists may also work as part of a wider team including: nutritionists, podiatrists, women's health specialists and surgeons to ensure you receive a holistic approach to your care. This is something I offer at Genuine Physio. The goal is to enhance quality of life by improving movement, alleviating pain, and preventing further injury or deterioration.

MSK stands for musculoskeletal, which refers to the system in your body that includes muscles, bones, joints, tendons, ligaments, and other connective tissues. When we talk about MSK in healthcare or physiotherapy, we are usually referring to conditions or injuries affecting this system, such as back pain, joint issues, arthritis, and muscle strains. Musculoskeletal (MSK) conditions are one of the most common reasons people seek physiotherapy, especially in those over 40, as they can cause pain, stiffness, and limited mobility. Physiotherapists specialising in MSK health work to diagnose, treat, and prevent these issues through exercises, manual therapy, and advice on movement and posture.

Online physiotherapy appointments, also known as telehealth or virtual physiotherapy, allow you to receive professional physiotherapy services from the comfort of your own home and from anywhere in the world. This is a brilliant opportunity as one of the biggest predictors of a positive outcome when it comes to your health is your relationship with your healthcare provider. If you've found somebody online that you resonate with and you can't seem them in person, fear not. Here's how they typically work: Booking the Appointment: You can book an online appointment just like you would for an in-person session—normally through the website, by phone, or email. Technology: You'll need a device with a camera and microphone, such as a smartphone, tablet, or computer, and a stable internet connection. We use a secure video conferencing platform to ensure privacy and confidentiality. Initial Consultation: During your first online session, the physiotherapist will conduct a thorough assessment by asking about your medical history, symptoms, and goals. You may be asked to perform certain movements so the therapist can evaluate your range of motion, strength, and functional abilities. Try to make sure you are wearing clothing that will facilitate this. Treatment Plan: Based on the assessment, the physiotherapist will design a personalised treatment plan. This may include guided exercises, posture correction, and advice on pain management or lifestyle changes. They'll demonstrate the exercises, and you can follow along at home. Most online physiotherapists will provide an interactive online program where your exercise with have video, audio and a written description and you will be able to log your progress. Follow-ups: Regular follow-up appointments allow the therapist to track your progress, adjust your treatment plan as needed, and answer any questions. Benefits: Online physiotherapy is convenient, flexible, and still highly effective. It’s especially useful for those with mobility issues or who would like to minimise travel. Online appointments offer the same level of professional care as face-to-face sessions but with the added convenience of being in your own space.

A typical physiotherapy appointment is structured to assess, diagnose, and treat your specific condition. Here’s what you can expect: Initial Assessment: Your physiotherapist will start by discussing your medical history, symptoms, and any relevant lifestyle factors (like activity levels, work posture, or previous injuries). You’ll be asked about your goals for therapy, such as reducing pain, improving mobility, recovering from surgery, or completing that marathon you've always wanted to do. A physical examination will be conducted, where you may be asked to perform certain movements or exercises. This helps the therapist assess your range of motion, strength, flexibility, balance, posture and severity of your symptoms. Diagnosis: Based on the assessment, the physiotherapist will explain the likely cause of your symptoms. This could involve discussing muscle imbalances, joint issues, or other factors contributing to pain or discomfort. Treatment Plan: A personalised treatment plan will be created to address your specific needs. This might include: Hands-on therapy: techniques such as massage, joint mobilisation, or soft tissue release. Exercise prescription: strengthening and stretching exercises tailored to your condition, which you may be asked to do at home between sessions. Posture and movement advice: guidance on improving posture and movement patterns to prevent further injury. Pain management techniques: advice on managing pain, which may include heat/ice therapy, relaxation techniques, or lifestyle modifications. Education and Advice: You’ll receive tips on self-management, such as exercises you can do at home, how to modify daily activities, and ways to avoid further injury. Follow-Up: Follow-up sessions will focus on progressing your treatment, monitoring improvements, and making any necessary adjustments to your plan as you recover. The aim is always to achieve the goals your set out in your first appointment. Each session is tailored to your individual condition, ensuring you receive the most appropriate and effective treatment for your recovery.

For your physiotherapy appointment, it’s important to wear comfortable and appropriate clothing that allows for ease of movement. Here are some suggestions on what to wear: Loose-Fitting Clothes: Choose clothing that is not restrictive. This will help you perform the exercises and movements comfortably. Activewear: Athletic clothing, such as workout shorts, leggings, or tracksuits, is ideal. These types of clothing are designed for movement and often provide good support. Footwear: Wear supportive shoes, such as trainers or sports shoes. If your treatment involves manual therapy or specific exercises, you may be asked to remove your shoes. Layering: Depending on the weather, consider wearing layers. This allows you to adjust your clothing for comfort during the session. Your therapist is also likely to need to see your area of symptoms so be prepared to remove layers as appropriate. Accessible Areas: If your treatment focuses on a specific area, like your knees or shoulders, consider wearing clothing that allows easy access to those areas, such as shorts or a tank top. Overall, the goal is to wear clothing that enables you to move freely and comfortably, allowing your physiotherapist to conduct a thorough assessment and treatment. If you have any specific concerns about what to wear, feel free to ask when you book your appointment!

To ensure your physiotherapy appointment goes smoothly, here’s a list of items you should bring: Medical History Information: If you have any relevant medical records, previous imaging results (like X-rays, MRIs, Ultra Sound Scans, Nerve Conduction Studies and blood tests), or a list of medications you're currently taking, please bring those along. This information helps your physiotherapist understand your condition better. Previous Letters: If you have previously been under somebody else's care for the same or similar issue details would be helpful. You may have access to clinic letters or discharge summaries. Information about relevant previous surgeries and or injections is also very helpful. Comfortable Clothing: Wear comfortable clothing that allows for easy movement. This may include activewear or loose-fitting attire. Footwear: Supportive shoes are recommended, such as trainers or sports shoes. Any Assistive Devices: If you use any devices, like a walking stick, walker, or brace, bring them along so your physiotherapist can assess their fit and functionality. Questions and Concerns: It may be helpful to jot down any questions or concerns you have about your condition or treatment so you can discuss them during your appointment. Payment Method: If applicable, bring your preferred payment method, such as a credit/debit card or cash. By preparing these items in advance, you'll help ensure that your appointment is productive and tailored to your needs. If you have any specific concerns about what to bring, feel free to ask when you book your appointment!

Different physiotherapy clinics will have different cancellation policies. At Genuine Physio the cancellation policy is: If you need to cancel or reschedule your appointment please give as much notice as possible. Please note that the whole appointment fee is charged for missed appointments or appointments cancelled with less than 48 hours notice as we may not be able to fill your appointment at such short notice.

While physiotherapy, physical therapy, osteopathy, and chiropractic care all aim to improve physical health and function, they differ in their approaches, techniques, and areas of focus. Here’s a brief overview of each: Physiotherapy Definition: Physiotherapy, often referred to as physical therapy in some regions, focuses on assessing, diagnosing, and treating physical conditions and movement disorders. Approach: Physiotherapists use a combination of manual therapy, therapeutic exercises, education, and modalities (such as ultrasound or electrical stimulation) to improve movement and function. Scope: Treatment may involve rehabilitation after injury or surgery, pain management, and prevention of future injuries. Physiotherapists also address a wide range of conditions, including musculoskeletal, neurological, and cardiorespiratory issues. Physical Therapy Definition: In many places, particularly the United States, the term "physical therapy" is synonymous with physiotherapy. Approach: Like physiotherapists, physical therapists utilise exercises, hands-on techniques, and patient education to promote recovery and enhance physical function. Scope: They also work with individuals recovering from injuries, surgeries, and chronic pain, and focus on improving mobility and quality of life. Osteopathy Definition: Osteopathy is a holistic approach to healthcare that emphasises the interrelationship between the body’s structure and its function. Approach: Osteopaths use manual techniques, including stretching, massage, and joint mobilisation, to treat and prevent health issues. They also focus on the body's ability to heal itself. Scope: Osteopathy can address a variety of conditions, including musculoskeletal pain, headaches, and digestive issues. Osteopaths often take a whole-body approach, considering lifestyle and overall well-being. Chiropractic Definition: Chiropractic care primarily focuses on diagnosing and treating mechanical disorders of the musculoskeletal system, particularly the spine. Approach: Chiropractors use hands-on spinal manipulation and other manual techniques to align the body’s musculoskeletal structure, which is believed to help the body heal itself without surgery or medication. Scope: While chiropractors often focus on back pain, neck pain, and headaches, they may also treat other musculoskeletal issues. They may incorporate exercises, lifestyle advice, and nutritional counselling into their practice. The above is what Google will churn out at you when you type in the question. As you can see from the answers above, there is an awful lot of cross over and it's all a bit confusing. I am a Physiotherapist by background and over the years have studied and worked with Osteopaths and Chiropractors. My view is we're all pretty much the same, we all work with you to reduce your pain and dysfunction so you can achieve your goals. My experience is, as a collective (physio included) we're no different to builders and plumbers, you come across some really good ones: honest and experienced who have your best interests at heart and genuinely care about you. And you get some not so good ones: stuck in their ways, their approach doesn't change with new evidence, biomechanically and money minded. Ultimately, your job is to try and find the former and avoid the later. This video might help ⬇️⬇️⬇️

Determining the number of physiotherapy sessions you will need depends on various factors related to your specific condition, treatment goals, and response to therapy. Here’s how we typically assess the need for ongoing sessions: Initial Assessment: During your first appointment, your physiotherapist will conduct a thorough evaluation of your condition, including your medical history, symptoms, and functional abilities. This assessment will help identify the severity of your issue and guide treatment planning. Treatment Goals: Your physiotherapist will discuss your individual goals, such as reducing pain, improving mobility, or recovering from surgery. These goals will influence the treatment plan and the number of sessions required. Response to Treatment: After a few sessions, your physiotherapist will monitor your progress and assess how well you are responding to the treatment. If you’re making significant improvements, the number of sessions may be reduced. Conversely, if progress is slower than expected, additional sessions may be necessary. Type of Condition: The nature of your condition plays a significant role in determining the length of treatment. Acute injuries may require fewer sessions, while chronic conditions or post-surgical rehabilitation may need more extensive treatment. Home Exercise Program: Your physiotherapist will likely provide you with exercises to do at home. Adherence to this program can influence the frequency of in-clinic visits, as effective home management can accelerate recovery. Ongoing Evaluation: Throughout your treatment, your physiotherapist will continually assess your progress and adjust the treatment plan as needed. They will communicate openly with you about how many sessions are recommended based on your individual situation. In general, after your initial assessment, your physiotherapist will provide an estimated number of sessions needed and outline the treatment plan. Regular communication and feedback will help ensure that the therapy is effective and tailored to your needs. If you have specific questions or concerns about the number of sessions you might need, don’t hesitate to ask your physiotherapist during your appointment.

Physiotherapists are trained to assess and treat a wide range of conditions affecting the musculoskeletal, neurological, and cardiorespiratory systems. Here’s a list of common conditions that physiotherapists can help manage: Musculoskeletal Conditions Back Pain: Including lower back pain, sciatica, and herniated discs. Neck Pain: Tension, whiplash, and cervical spine disorders. Joint Pain: Conditions like arthritis, bursitis, and tendinitis. Sports Injuries: Sprains, strains, fractures, and overuse injuries. Post-Surgical Rehabilitation: Recovery from surgeries like knee replacements, hip replacements, and ligament repairs. Shoulder Conditions: Rotator cuff injuries, frozen shoulder, and impingement syndromes. Elbow and Wrist Issues: Tennis elbow, carpal tunnel syndrome, and wrist sprains. Knee Problems: Meniscus tears, patellofemoral pain syndrome, and ligament injuries. Ankle and Foot Injuries: Sprains, plantar fasciitis, and Achilles tendonitis. Neuropathic Pain: This includes nerve pain from the neck which might be affecting one or both arms, and nerve pain from the back, often referred to as sciatica. There are other types of specialist physiotherapists who focus on other systems in the body: Neurological Conditions Stroke: Rehabilitation to regain strength and mobility. Multiple Sclerosis (MS): Management of symptoms and improving function. Parkinson’s Disease: Strategies for mobility, balance, and daily activities. Traumatic Brain Injury: Recovery and rehabilitation following injury. Spinal Cord Injuries: Improving mobility and independence. Cardiorespiratory Conditions Chronic Obstructive Pulmonary Disease (COPD): Breathing exercises and pulmonary rehabilitation. Asthma: Techniques for improving breathing and managing symptoms. Post-COVID Recovery: Rehabilitation for lung function and physical endurance. Other Conditions Pelvic Floor Disorders: Including incontinence and pelvic pain. Chronic Pain Conditions: Fibromyalgia and other persistent pain syndromes. Balance and Gait Issues: Falls prevention and improving stability, especially in older adults. Paediatric Conditions: Developmental delays, sports injuries, and conditions like cerebral palsy. Preventative Care Injury Prevention: Education on proper movement mechanics, ergonomic assessments, and personalized exercise programs to reduce the risk of injury. Physiotherapists take a holistic approach, assessing not just the symptoms but also the underlying causes of a condition. They work with patients to create individualised treatment plans that may include exercises, manual therapy, education, and lifestyle advice to promote recovery and enhance overall well-being. If you have a specific condition or concern, feel free to discuss it during your appointment for tailored advice and treatment options.

Yes, physiotherapy can be highly effective in managing arthritis and joint pain. Physiotherapists use a variety of techniques and approaches tailored to individual needs to help alleviate symptoms, improve function, and enhance the overall quality of life for those living with arthritis. Here’s how physiotherapy can help: Education and Self-Management Lifestyle Advice: Physiotherapists educate patients on how to manage their condition effectively, including advice on activity modification, pacing, and ergonomics to minimise joint strain. Home Exercise Programs: Patients are often provided with exercises to do at home, promoting ongoing management and maintenance of joint function. Pain Relief Manual Therapy: Techniques such as joint mobilisation and soft tissue manipulation can help reduce pain and stiffness in affected joints. Improved Mobility and Flexibility Stretching Exercises: Targeted stretching can help maintain or improve flexibility in the joints and surrounding muscles, reducing stiffness. Range of Motion Exercises: Physiotherapists guide patients through specific exercises to maintain joint movement and prevent further limitations. Strengthening Muscles Exercise Programs: Customised strength training programs can help build the muscles around the affected joints, providing better support and stability. Stronger muscles can also help reduce joint stress. Posture and Body Mechanics Postural Training: Improving posture and body mechanics can help reduce unnecessary strain on joints, potentially alleviating pain and discomfort. Weight Management Support Guidance on Activity Levels: For individuals with arthritis, maintaining a healthy weight is essential for reducing stress on weight-bearing joints. Physiotherapists can offer strategies for incorporating safe physical activity into daily routines. Enhanced Quality of Life Functional Improvement: By addressing pain and improving mobility, physiotherapy helps individuals regain independence and participate in daily activities, social events, and hobbies. Conclusion Physiotherapy plays a vital role in managing symptoms and improving the quality of life for individuals affected by joint pain. A tailored treatment plan created by a qualified physiotherapist can make a significant difference in managing arthritis effectively. If you have arthritis or joint pain, consider discussing your condition with a physiotherapist for a personalised approach to your care.

Physiotherapy plays a crucial role in the recovery process following surgical procedures such as hip or knee replacements. A well-structured rehabilitation program can enhance healing, restore function, and help you return to your daily activities. A good surgeon will happily admit their role is only 50% of the surgery outcome. Here’s how physiotherapy can assist in your post-surgical recovery: 1. Pain Management Techniques: Physiotherapists use various techniques, including manual therapy, modalities (like heat or ice), and electrical stimulation, to help manage pain and reduce inflammation. Education: Patients receive education on pain management strategies to use at home, enhancing comfort during recovery. 2. Improving Mobility Initial Assessment: Physiotherapists conduct an assessment to determine the level of mobility and function after surgery. Assisted Movement: Early intervention may involve using assistive devices (like walkers or crutches) to aid mobility while promoting safe movement patterns. Range of Motion Exercises: Gentle stretching and range of motion exercises help regain flexibility and prevent stiffness in the joint. 3. Strengthening Muscles Targeted Exercise Programs: As recovery progresses, physiotherapists develop tailored strengthening exercises to rebuild the muscles around the hip or knee joint. Stronger muscles provide better support and stability to the joint. Progressive Resistance Training: This approach gradually increases the resistance and difficulty of exercises, ensuring safe and effective strengthening. 4. Functional Rehabilitation Daily Activities: Physiotherapists focus on restoring the ability to perform daily activities, such as walking, climbing stairs, and getting in and out of chairs. Functional Exercises: Incorporating specific exercises that mimic real-life movements helps improve functional independence. 5. Balance and Coordination Balance Training: Physiotherapists assess balance and coordination, implementing exercises to improve stability and reduce the risk of falls, which is especially important during the early recovery stages. 6. Education and Self-Management Home Exercise Programs: Patients are often given tailored home exercise programs to continue their rehabilitation outside of clinic visits. Lifestyle Modifications: Guidance on activity modification, pacing, and ergonomic strategies helps patients navigate their recovery safely and effectively. 7. Monitoring Progress Regular Assessments: Physiotherapists conduct ongoing assessments to monitor progress, adjust treatment plans, and ensure that recovery is on track. Goal Setting: Collaboratively setting achievable goals helps keep motivation high and allows for a structured path to recovery. 8. Psychological Support Emotional Well-being: Recovery can be emotionally challenging. Physiotherapists provide encouragement and support, helping patients cope with the mental aspects of post-surgical rehabilitation. Conclusion Overall, physiotherapy is essential for optimising recovery after many surgeries. By providing pain relief, improving mobility, strengthening muscles, and facilitating functional rehabilitation, physiotherapists play a vital role in helping patients regain independence and quality of life. If you’re preparing for or have recently undergone surgery, consider discussing a personalised rehabilitation plan with a qualified physiotherapist.

Yes, undergoing physiotherapy before your surgery, often referred to as prehabilitation, can be highly beneficial for several reasons: 1. Improved Physical Condition Strengthening Muscles: Physiotherapy can help strengthen the muscles surrounding the affected joint, which may enhance stability and support post-surgery. Stronger muscles can facilitate better recovery and reduce the risk of complications. Enhancing Endurance: Improving cardiovascular fitness and overall endurance through targeted exercises can prepare your body for the physical demands of surgery and the recovery process. 2. Increased Range of Motion Flexibility Exercises: Prehabilitation can help improve flexibility and range of motion in the affected area, making it easier to achieve optimal movement post-surgery. This can lead to a smoother rehabilitation process. 3. Pain Management Techniques for Relief: Physiotherapists can teach you techniques to manage pain and discomfort in the lead-up to surgery, which may improve your overall well-being during this time. 4. Education and Preparation Understanding the Process: Physiotherapy sessions can provide valuable education about the surgical procedure, recovery expectations, and what to anticipate during the rehabilitation phase. Setting Realistic Goals: Working with a physiotherapist helps set realistic and achievable goals for your recovery, enhancing motivation and preparedness. 5. Psychological Readiness Building Confidence: Engaging in prehabilitation can increase your confidence in your physical abilities and improve your mental preparedness for surgery. This psychological aspect can positively impact your recovery. Expectation Management: you need to know exactly what to expect in the aftermath of your surgery, this will aid your recovery. Planning: Your physiotherapist will be able to advise you on exactly what to expect post operation: how much pain will you be in, swelling management, sleep management, nutrition advise, time frames and milestones. If you don't plan, you plan to fail. 6. Optimising Recovery Time Faster Recovery: Studies suggest that patients who participate in prehabilitation often experience faster recovery times, reduced hospital stays, and improved outcomes compared to those who do not. 7. Individualized Program Tailored Approach: A physiotherapist can create a personalised prehabilitation program based on your specific needs, goals, and type of surgery, ensuring you’re as prepared as possible for your procedure. Conclusion In summary, having physiotherapy before your surgery can significantly enhance your physical condition, promote faster recovery, and improve your overall surgical outcomes. If you're considering surgery, consult with your healthcare provider or a physiotherapist to discuss the potential benefits of prehabilitation tailored to your situation.

Yes, physiotherapy can be highly effective in managing back and neck pain. Physiotherapists are trained to assess, diagnose, and treat a variety of musculoskeletal conditions, including issues related to the spine. Here’s how physiotherapy can help: 1. Assessment and Diagnosis Comprehensive Evaluation: Physiotherapists conduct thorough assessments to determine the underlying causes of your back or neck pain. This may involve reviewing your medical history, assessing your posture, and conducting physical examinations. Tailored Treatment Plans: Based on the assessment, physiotherapists create personalised treatment plans that target the specific issues contributing to your pain. 2. Pain Relief Techniques Manual Therapy: Hands-on techniques, such as spinal mobilisation and manipulation, can help relieve pain, improve mobility, and reduce muscle tension. Modalities: Physiotherapists may use heat, cold therapy, give advice on pain relief, and activity modification to help alleviate pain and inflammation. 3. Improving Mobility and Flexibility Range of Motion Exercises: Physiotherapy includes exercises designed to enhance flexibility and restore the range of motion in your neck and back. Stretching Programs: Targeted stretching can help alleviate tightness and improve overall movement. 4. Strengthening Exercises Core Stability: Strengthening the core muscles (abdominals, back, and pelvic muscles) is crucial for supporting the spine and reducing strain on the back. Specific Muscle Strengthening: Physiotherapists develop customised strengthening programs that target the muscles surrounding the spine to improve support and stability. 5. Posture and Body Mechanics Postural Education: Physiotherapists educate patients on proper posture and body mechanics to reduce strain on the neck and back during daily activities. Ergonomic Assessments: They can provide advice on how to set up your workstation or home environment to minimise stress on your spine. 6. Functional Rehabilitation Activity Modification: Physiotherapy helps you learn how to modify daily activities to prevent aggravating your pain and to improve functional abilities. Return to Activity: A structured program can facilitate a safe return to sports or physical activities you enjoy. 7. Education and Self-Management Understanding Your Condition: Physiotherapists educate patients about the nature of their back or neck pain, including what to expect and how to manage symptoms effectively. Home Exercise Programs: Patients are often given exercises to perform at home to maintain progress and promote self-management. 8. Psychological Support Coping Strategies: Physiotherapists should take a holistic approach to your pain and can offer strategies to cope with chronic pain, which may include relaxation techniques, mindfulness, and pacing activities to avoid flare-ups. Conclusion Overall, physiotherapy is an effective approach to managing back and neck pain, focusing on pain relief, mobility improvement, muscle strengthening, and education for long-term management. If you’re experiencing back or neck pain, consider consulting a qualified physiotherapist to develop a tailored treatment plan that addresses your specific needs.

Osteoporosis is a condition characterised by weakened bones and an increased risk of fractures. Physiotherapy can play a vital role in managing osteoporosis by promoting bone health, enhancing balance, and improving overall function. Here’s how physiotherapy can benefit someone with osteoporosis: 1. Strengthening Exercises Bone Density Improvement: Weight-bearing and resistance exercises help stimulate bone formation and can improve bone density. Physiotherapists design tailored exercise programs that focus on safely strengthening muscles without putting excessive stress on the bones. Targeted Muscle Strengthening: Strengthening the muscles around the hips, spine, and legs provides better support for bones, reducing the risk of fractures. 2. Balance and Coordination Training Falls Prevention: Individuals with osteoporosis are at higher risk of falls, which can lead to fractures. Physiotherapy includes balance training to improve stability and coordination, helping to prevent falls. Functional Movement: Physiotherapists teach safe movement strategies, such as how to get up after a fall, to enhance overall safety and independence. 3. Posture Improvement Postural Education: Physiotherapists provide guidance on maintaining proper posture to minimise stress on the spine and reduce the risk of vertebral fractures. Alignment and Body Mechanics: Correcting body mechanics during daily activities helps prevent undue strain on the bones. 4. Pain Management Pain Relief Techniques: Physiotherapists can use various modalities (e.g., heat and ice) and manual therapy techniques to help alleviate pain associated with osteoporosis-related issues. Education on Pain Management: Patients receive strategies to manage pain and discomfort, enhancing their quality of life. 5. Education and Self-Management Understanding Osteoporosis: Physiotherapists educate patients about osteoporosis, its implications, and how to manage it effectively through lifestyle changes. Home Exercise Programs: Physiotherapy often includes a home exercise component to encourage ongoing physical activity and reinforce the skills learned during sessions. 6. Lifestyle Modifications Activity Recommendations: Physiotherapists can provide guidance on safe physical activities that promote bone health, such as walking, dancing, or low-impact aerobics. Nutrition Advice: Although physiotherapy primarily focuses on physical activity, physiotherapists can provide general advice on nutrition that supports bone health, including adequate calcium and vitamin D intake. 7. Individualized Care Plans Personalised Approach: Each individual with osteoporosis has unique needs. Physiotherapists assess the patient's condition and create a tailored rehabilitation program that considers their physical abilities and limitations. Conclusion In summary, physiotherapy offers numerous benefits for individuals with osteoporosis, focusing on strengthening bones, improving balance and coordination, managing pain, and promoting safe physical activity. If you have osteoporosis, consulting a qualified physiotherapist can provide you with a personalised approach to managing your condition and enhancing your overall quality of life.

Yes, physiotherapy can be highly effective in managing chronic pain, which is often characterised by persistent discomfort lasting for more than three months. Physiotherapists are trained to assess, diagnose, and develop personalised treatment plans that address the underlying causes of chronic pain. Here’s how physiotherapy can help: 1. Comprehensive Assessment Identifying the Cause: Physiotherapists conduct thorough evaluations to understand the nature and origin of your chronic pain. This may involve reviewing your medical history, assessing movement patterns, and conducting physical examinations. Personalised Treatment Plans: Based on the assessment, physiotherapists create tailored treatment plans that focus on addressing specific issues contributing to your pain. 2. Pain Relief Techniques Manual Therapy: Techniques such as joint mobilisation, soft tissue manipulation, and myofascial release can help reduce pain and improve mobility. Modalities: Physiotherapists may use modalities like heat, cold therapy, pain relief advise and pacing to reduce pain and inflammation. 3. Exercise Programs Targeted Exercise: Physiotherapy includes individualised exercise programs that help strengthen muscles, improve flexibility, and enhance overall physical function. These exercises can help reduce pain and improve your ability to perform daily activities. Gradual Increase in Activity: A structured exercise regimen can help increase your tolerance to physical activity, potentially decreasing the overall perception of pain over time. 4. Education and Self-Management Understanding Pain: Physiotherapists educate patients about chronic pain, including how it can be influenced by physical, psychological, and environmental factors. Understanding the pain mechanism can empower patients to manage their condition more effectively. Self-Management Strategies: Patients learn self-management techniques, such as pacing activities, managing flare-ups, and using relaxation techniques to cope with pain. 5. Psychosocial Support Coping Strategies: Chronic pain often has psychological components. Physiotherapists can help patients develop coping strategies to deal with the emotional and psychological aspects of living with chronic pain. Collaborative Care: In some cases, physiotherapists work alongside other healthcare professionals, such as psychologists or pain specialists, to provide comprehensive care. 6. Holistic Approach Addressing the Whole Person: Physiotherapy takes a holistic approach, considering physical, emotional, and social factors that contribute to chronic pain. This comprehensive care model can lead to better outcomes and overall well-being. Conclusion In summary, physiotherapy offers a multifaceted approach to managing chronic pain through pain relief techniques, exercise programs, education, and psychosocial support. If you’re dealing with chronic pain, consulting a qualified physiotherapist can help you develop a personalised management plan aimed at improving your quality of life and functionality.

Yes, physiotherapy can effectively manage nerve pain (neuropathic pain). They often assess and treat nerve problems coming from the neck and back like sciatica or more peripheral nerve problems like carpal tunnel and cubital tunnel syndrome. Here's how: Pain Relief: Manual therapy, nerve gliding exercises, and education and advice around how to reduce nerve irritation and pain. Education and advice cannot be underestimated as nerve pain can be debilitating for some people, particularly in the acute stages. Exercise Programs: Strengthening, stretching, and range of motion exercises help relieve pressure on nerves, improve mobility, and support recovery. Posture & Ergonomics: Physiotherapists provide guidance on posture and ergonomic adjustments to reduce nerve strain in daily activities. Self-Management: You'll learn home exercises and coping strategies to manage nerve pain long-term. Overall, physiotherapy offers a personalised approach to alleviating nerve pain and improving function.