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Physiotherapy - Media Buzz

THE FACTOR
19 Dec 2010 | Harmony
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FAQS
Do I need a doctor's referral for physiotherapy treatment?
No you do not.
 
What can a physiotherapist treat?
Physiotherapists are qualified to treat all areas of the body. They are specialists in functional movement, and are therefore, able to treat spinal problems (in fact this is a large percentage of their workload), general aches/pains, muscular and filamentous injuries, fractures, post-operative surgery and also to assess and correct postural problems related to work and everyday life.
 
Does the rehab team take care of neurological dysfunction?
Yes, we have specialised therapists to tackle adult neuro deficits following stroke, head injuries, movement disorders etc. There are specialist therapists for paediatric disorders like cerebral palsy, autism, ADHD etc.
 
What treatment do physiotherapists use in pain relief?
Treatment can range from manipulation, stretching, scar tissue massage, taping, exercises and strengthening regimes. The use of electrotherapy, such as ultrasound, TENS, IFT, Laser etc. is also governed. The use of electrical energy helps promote healing, reduces swelling, pain and muscle spasm.
 
How quickly can I be seen?
We will offer you an appointment on the same day.
 
How long does each session last?
The time would depend on the problem faced by the patient. The initial consultation/assessment will last approximately 45 minutes, with an explanation of your problem and a treatment plan. This will consist of setting realistic goals by yourself and the therapist. Follow up sessions will last up to 30 minutes.
 
What should I wear?
The therapist will need to assess and examine the affected part of the body, for the lower limb bring shorts, for back problems bring a pair of shorts and a loose t-shirt or vest.
 
How often will I attend physiotherapy?
Ultimately the choice is yours. However, the physiotherapist will advise you in their professional experience on the number of treatments you require.
 
My doctor has said that I have osteoporosis and that I have to live with this.
Best scientific evidence for osteoporosis is weight bearing exercises and often clients suffer with pains due to a faulty movement programme. By analyzing your movement pattern and reprogramming this movement programme, we can often resolve your problem fast and efficiently.
 
I had a stroke six months ago. Can I still improve with physiotherapy?
Yes. Following a stroke a rapid improvement is often seen over the first few weeks. With the correct physiotherapy input from our specialist physiotherapists improvements are possible over the following years. Following your initial assessment, your physiotherapist will be able to advise you on how much improvement is possible.
 
Will I ever walk again?
There are numerous factors that can have an impact on whether you will be able to walk again in the future. Following your initial assessment your specialist physiotherapist will be able to advise you on realistic rehabilitation goals.
 
What part do heat packs and cold packs play?
After any injury, the first 24-48 hours are crucial in reducing swelling. Cold packs (cold therapy) will constrict the blood flow to the injured part and reduce the swelling which causes pain. Generally, if a body part is swollen and hot, ice is good for it.

Heat causes increased blood flow and relaxation. Tight and sore muscles usually respond well to heat unless they are acutely inflamed/injured. The general rule of thumb is to use ice for the first 3-7 days after any injury or flare up of a chronic (long-standing) condition. Heat is usually best used when pain is chronic (lasting weeks to months to years).
 
My doctor said I have 'sciatica', can you fix it?
'Sciatica' is a broad term to describe pain radiating into the buttock and/or leg. There are many causes of sciatica like a pinched nerve in the back or a trigger point in the buttock that is referring down the leg. Most causes of sciatica can be 'fixed' with physiotherapy. The physiotherapist will assess where the pain is originating from and decide the best way of treating it.
 
Why is it important to have a strong neck?
Having a strong neck does not necessarily mean that you have to lift weights from your head! The stabilising muscles of the neck are what make it strong. It is important to strengthen these muscles to make your neck stronger and more stable. Having a strong neck prevents accelerated degeneration of the spine, neck pain, headaches and that 'heavy head' feeling. These stabilising muscles have to be retrained with specific exercises that your physiotherapist can teach you. These exercises can be incorporated in your daily activities and with your other exercises/gym.
 
Can the way I sleep be affecting my neck and back?
Sleeping on your stomach is not good for your neck as it places strain on the spine and soft tissues of the neck. Problems involving the neck and shoulders often only manifest years later, leaving people puzzled as to how they developed neck pain.

A common symptom of sleeping on the stomach is to wake up and not be able to move the neck. This is extremely painful and is due to a locked joint. Treatment is usually required to 'unlock' the joint.

It is NEVER too late to wean yourself from sleeping on the stomach and children should be advised (when they are of an appropriate age to understand) to train themselves not to do so. This will save them experiencing problems later!
 
What should you do straightaway in case of sports injuries?
Rest
Rest reduces further damage - stop activity as soon as your injury occurs
Don't put any weight on the injured part.

Ice
Ice cools the tissues and reduces pain, swelling and bleeding
Place ice wrapped in a damp towel onto the injured area - don't put ice directly onto bare skin
Keep ice on your injury for 20 minutes every two hours for the first 48 hours

Compression
Firm bandaging helps to reduce the bleeding and swelling
Bandage your injury between ice treatments

Elevation
Elevation helps to stop the bleeding and reduce swelling
Raise the injured area on a pillow for comfort and support

Diagnosis
Consult your medical professional especially if you are worried about your injury, or if the pain or swelling gets worse
If the pain or swelling has not gone down significantly within 48 hours, then seek treatment immediately.
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