What to expect from your Physiotherapist

Physiotherapy initial Assessment

At your first appointment, you will undergo a thorough clinical assessment with the physiotherapist. We will take a detailed history of your condition, a full medical history and try to understand fully how your condition or pain is affecting you. Then we will perform a thorough physical assessment to confirm or deny our suspicions about the nature of your problem. We will perform specific and accurate testing of posture, performance of functional tasks, physiological movement, joint mobility, muscle strength,  neural tension and palpation.

During assessment, we may use video analysis of your movements or postures or suggest a running technique and gait analysis. We find that clients really like to see where movement disfunction may be contributing to or caused by pain or injuries.

You will be emailed a link to an exercise program with videos to maximise your recovery. No hastily drawn stick figures her, just the latest technology. Click here for an example.

Diagnosis

Once this is completed we will be able to accurately diagnose the nature of your problem. Then we may use 3D graphics to show you what is going on and educate you about the anatomy of the area. Click here to see an example of rotator cuff repair surgery. We find that helping our clients really understand their condition is really empowering and actually helps get better results with their treatment.

Don’t just fix the problem, but improve performance

We don’t stop there however. Most, if not all conditions and injuries have multiple root causes. For example, you may have a medial knee ligament sprain sustained during a soccer tackle, but what other factors led to this injury? Do you have hip muscle weakness causing stress on the inside of your knee? Do your feet roll in? Were you adequately fit to play? Are your boots correct for you? We will consider all the factors we can, to not only ensure that you fully recover from your injury, but that we work with you to correct pre-existing impairments that might have contributed to the problem. So you should leave treatment better functionally than before your injury. That is out goal.

Treatment Plan

We pride ourselves on accurate diagnosis and provision of the best, evidenced-based treatments for your problem. We provide treatment options that are individually tailored to you, taking into account your general health, lifestyle, work and social commitments. One of our strengths is that we can offer a broad range  of different treatment modalities, many of which are listed below. We often work as a team and you may see more than one Physiotherapist, with different complementary skills.

Your physiotherapist may offer you:

Spinal mobilisation and manipulation
Peripheral joint mobilisation and manipulation
Deep tissue, sports and therapeutic massage
Acupuncture
Muscle and tendon stretching
Dry Needling
Trigger point release
Muscle Energy Technique
Pilates
Electrotherapy
Taping/bracing
Orthotic Prescription
Postural Analysis
Exercise prescription
Lifestyle advice

Spinal mobilisation and manipulation
Segmental mobilisation of spinal vertebrae, ranging from very gentle rhythmic pressure of the individual joints to manipulation (where sometimes a “pop” or “click” is felt or heard) may be used to restore spinal mobility, flexibility and reduce pain.

Peripheral joint mobilisation and manipulation
Mobilisation or manipulation of peripheral joints such as knees, ankles, hips and shoulders, may be used to restore  range of motion and reduce pain. Sometimes we use a technique called mobilisations with movement (MWMs) where gentle glides are applied to joints with pain free range of motion exercises.

Deep tissue, sports and therapeutic massage
Massage therapy can relieve tension, increase blood flow, release trigger points, improve healing and reduce pain. We use E-balm a natural massage ointment, with natural the anti-inflammatory properties of Arnica and Emu oil.

Acupuncture
The use of very fine, sterile, disposable needles to gently stimulate nerves and release healing chemicals in the body. Useful to enhance healing rate and reduce pain. Sometimes the needles are stimulated with a tiny electrical current or heat to enhance the effect.

Muscle and tendon stretching
Shortened muscles can impair function, creating imbalance and reducing performance. We can show you how to stretch correctly without pain to reduce your risk of injury and to help lengthen and relax tight or injured muscles and tendons.

Dry Needling
Similar to Acupuncture, fine needles are used to release trigger points that can often be the root of pain and reduced range of movement and loss of strength.

Trigger Point Release
Trigger points occur in tight bands of shortened muscle, they can cause considerable pain and loss of function. They can be treated manually with deep pressure, ice treatment, heat, ultrasound and dry needling. We use all of those techniques.

Muscle Energy Technique
The use of hold/relax, contract/relax muscular techniques to restore range of motion, function and reduce pain.

Pilates
Pilates is a form of exercise, developed by Joseph Pilates, which emphasizes the balanced development of the body through core strength, flexibility, and awareness in order to support efficient, graceful movement.

Electrotherapy
We use ultrasound, transcutaneus electrical nerve stimulation and electro-acupuncture to help reduce your pain and restore your movement.

Taping/bracing
We use conventional rigid sports strapping and also kinesio-tape to help stabilize your injury and reduce injury. We have a range of braces in stock and can also custom order a brace from one of our suppliers if required usually within 24 hours.

Orthotic Prescription
We stock Formthotics. These are heat molded to customise to your feet. They are proven to be effective for the management of lower back pain, hip pain, knee problems as well as Achilles injuries, plantar fasciitis, and other painful foot conditions.

Posture Analysis
Using the latest technology we can assess your posture with “Posture Screen“. We can then develope treatment plans and monitor improvements in your posture over time.

Exercise Prescription
We use the latest in web based exercise prescription software. You will get your own personal web page where you can view your tailored exercise program, complete with videos and full instructions, ensuring your maximize your recovery with safe and effective exercises. No more stick figures, scribbled drawings or forgetting what the therapist has asked you to do.

Lifestyle advice
We don’t just look at your injury, we look at you as a whole person and discuss with you how you may be able to prevent injuries or reduce your risk of developing chronic conditions such as osteoporosis or arthritis and improve your quality of life.