At Physiotherapy Central, we believe that successful treatment begins with an accurate diagnosis.
We won’t just identify the problem; we assess how and why it started in the first place. This allows us to guide you through the best course of treatment to ensure that you don’t just temporarily “manage” the pain, but that the pain goes away for good.
Take Jane for example. Jane was having a hip problem and came to see us in our Richmond clinic. Jane came to see Simon, one of our senior physios, with pain in her hip. The assessment fit a picture of what is called hip impingement or femoroacetabular impingement to use the proper medical term. Her treatment began with some mobilisations to offload the joint alongside some exercises to improve her gluteal muscle activation, but Simon also referred her for an MRI scan to confirm the diagnosis. The MRI was analysed by a consultant but nothing firm was concluded from the examination. However, this didn’t sit right with either Jane or Simon, as the clinical presentation fit the impingement diagnosis, and further treatment would depend on an accurate diagnosis. So he referred Jane for a 2nd opinion when a fairly significant CAM deformity was diagnosed which, with the symptoms, confirmed the femoroacetabular impingement diagnosis. An injection was arranged to help settle the symptoms, and this helped a lot, but with further physiotherapy, including a couple of supervised gym sessions with Simon himself in order to come up with a comprehensive programme, the symptoms have now resolved fully for the first time in 3 years.
You may have just a simple muscle strain, but why did it happen? Were there any movement or strength deficits that may have caused the injury in the first place? You may have a complex spinal injury and have seen multiple specialists to try out different treatments, but what will really help get rid of the pain? In Jane’s case, the underlying cause was deemed to be biomechanical, specifically her hamstrings were acting as the primary hip extensors rather than the gluteus maximus muscle. She was really disciplined sticking to her exercise programme and her gluteal activation and strength improved enormously. This has enabled an offloading of the hip joint and subsequent resolution of the symptoms.
You can be safe in the knowledge that we have the expertise to answer questions like this, and to help you achieve the outcome that you require.
So how do we get such good results?
It starts with the assessment. Your first appointment with us will be longer than a standard appointment. This enables us to gain a full understanding of the complexities of your problem and how it affects you ; it gives us time to explain the problem and ensure you understand exactly what is going on, and it also gives us time for treatment from that very first session. Take Peter, for example. Peter came to see Samantha, another one of our senior physios, with lower back pain, a very common problem we see in clinic. Peter was extremely active and into crossfit, but he kept getting lower back pain and it seemed related to when he was squatting heavy loads. Samantha quickly diagnosed and the problem, which was related to excessive load going through his lower back as a result of a slight issues with his squatting technique. One session of hands on treatment and one session in the gym focusing on this squatting technique was enough to resolve the symptoms completely and he has been happily squatting ever since.
Following your initial assessment, we will assign you a treatment plan. This will often consist of a combination of:
Hands-on treatment, such as soft tissue release techniques, mobilisations, manipulations and western acupuncture
Individually-tailored rehabilitation programmes for you to follow. For example, with Samantha’s understanding of the cause of Peter’s back pain, not only was she able to immediately improve his symptoms, but in the gym she was able to help his squatting technique. Not only did this ensure his symptoms resolved, but also improved the benefit he gained from each squat
For your treatment, we won’t just give you loads of exercises. Our focus is on quality, not quantity, with the emphasis on maximising efficacy in the shortest possible time, so that you have time to live your life outside of your rehab programme. For example, Peter didn’t need lots of different exercises that took up a lot of time, he just needed to do one he was already doing, just with a few technique adjustments.
We also know, as is apparent from current research, that recovering from injury is not just a physical process. Pain perception is incredibly complex, and there can be a significant psychological component to injury that can affect your recovery time. In light of this, we will ensure that you have a clear understanding of the injury, its healing process, how long it will take for you to get back to being pain-free and active, and what you can do in the meantime.
Our first clinic opened in Richmond back in 2013 and now we’re based at Parkshot Medical Practice, providing space for Pilates classes in addition to physiotherapy. Just off the A316 and over the road from the station, it is easily accessible by car, bike and public transport.
The clinic is just behind the Orange Tree pub and hotel, in Parkshot Medical Practice. You can also see us in our Wimbledon clinic, should that be more convenient – just click here to see the location.
Highest standard physiotherapists working with private health insurers
All of our physiotherapists are Chartered and registered with the Health and Care Professions Council. Their experience is vast, with excellent ‘hands on’ treatment skills alongside effective exercise prescription. Regular development sessions ensure they continue to grow their knowledge as we strive for perfection in everything we do. We are confident you will be delighted with your treatment – take a look at our reviews to find out more.
Parkshot Medical Practice