Treatment modalities

Physiotherapy sessions are a combination of the following treatment modalities:

Myofascial release and massage

The fascia is a tensile web like structure that envelops all of our organs. It is a connective tissue that groups entire muscle complexes together. Physiotherapy restores parallel alignment of the collagen fibres, restoring tensegrity; the ability of the fascia to absorb physical forces.

Soft tissue release is the process of creating a mobile scar. My method of mobilising soft tissue is dynamic. Mobilising a muscle occurs in 3 phases. Firstly with the muscle off the stretch, progressing to working on the muscle on the stretch. Rehabilitation is completed with soft tissue release of the muscle whilst contracting the muscle. Movement is dynamic, therefore we need to align the collagen fibres of a muscle in a dynamic manner.

Targeted strengthening

Following an injury, especially a severe one like an injury to the spine we can become fearful of moving the affected area. Due to this we may also employ compensation strategies by overusing other areas of our body. Where I come in is to re-establish safety of movement, eliminate compensation, and then progress to targeted strengthening. This entails strengthening prime movers.

Clinical trials of exercises provide the correct protocols to prevent surgery. These exercise programs are based on evidence from the British Journal of sports medicine.

Joint mobilisation

Mulligans mobilisations, or mobilisations with movement are backed by clinical evidence to provide immediate relief. They are painfree physiotherapy techniques that provide instant outcomes, and long lasting effects. Joint mobilisations entail correcting minor positional faults causing loss of joint range of movement. Repositing joint surfaces to achieve pain-free resolution of musculoskeletal problems. Physiotherapy is indeed an art, not a science.

Dry needling

Dry needles are used to aid pain caused by trigger point referral. Needling works by flushing a trigger point with nutrients, contributing to accelerated healing.

Electrotherapy

One of our latest MedTech therapies will likely be used if appropriate, depending on the injury and what the physiotherapists wants the modality to achieve. These modalities used are only FDA or CE approved, and have significant published evidence in accrediated international journals like the British Journal of Sports Medicine. The reasons for using these modalities are the following:

Physically remove swelling
Decrease inflammation in a nerve and nociceptor input
Physically remodel muscle fibres
Provide acute pain relief in a very gentle manner

Assesment

Assessment is a critical process as it enables the physiotherapist to reach a diagnosis and determine the correct treatment techniques to be used to achieve the desired outcome. It also ensures we can provide an accurate timeline of recovery, and the necessary steps to achieve this. Assesment consists of two parts:

The first part is subjective to understand your current symptoms and ascertain clues as to the cause of the symptoms. This should be a detailed verbal discussion. The second part is the objective part where the physiotherapist does tests to diagnose the injury, and establish a comparable sign to objectively measure whether a treatment method is working.

The objective assessment also provides information on muscle length, strength, and movement strategies. This is used to implement an exercise program so that the injury does not reoccur.

Book An Appointment

We are first line practitioners

You do not need a doctor’s referral letter to consult a physiotherapist.

1. Book Appointment

Easily schedule your session at a time that works best for you. Select your preferred date, time, and service to confirm your appointment in just a few clicks.

2. Diagnosis

As first line practitioners, we are able to use the same diagnostic tests (known as special tests) to diagnose an injury.

3. We bring it all together

We can refer you to Specialists/doctors who we trust and whom we know have a high standard of clinical practice.

4. Keeping physio affordable

We submit to your medical aid. We are also able to use special benefits like the sports injury benefits (SIB) program, or PMB’s to make financing easier