David is a qualified and experienced Physiotherapist, Strength and Conditioning Specialist and Acupuncturist with extensive history working with a wide range of musculoskeletal injury.

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Physiotherapy

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Whether your goal is to be able to walk pain-free to and from your workplace or compete in a major sporting event like a triathlon or a marathon, the aim is to help you attain a higher level of pain free function, strength and health than before your injury.

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What does a Physiotherapy session involve?

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Initial Consultation

Your initial appointment very much depends on why you’ve come to see me. The majority of my clients come for help - assessment and treatment of a specific problem such as spinal pain - neck/mid back/ lower back pain, a sports injury or other joint pain.  I also offer:

• Advice - what to do while waiting for NHS treatment for a painful condition

• Check-up - of an ongoing problem or exercise/strength and conditioning/rehab review to ensure that you are doing the right things to help yourself

• One-off consultation - if you don’t live close or have funds for ongoing private treatment and you just want a diagnosis and advice on a management programme and rehab approaches that you can do yourself at home

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Initial Assessment & Diagnosis

The Initial assessment is critical in understanding the history/presentation of a condition.  You will be asked questions around the injury and general health.  A thorough assessment of the injury site and appropriate tests and movements will then take place plus specific clinical assessments that will inform me of the likely pathology/issues.  This will then be discussed and appropriate formulation of treatment modalities presented and discussed with you.

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A proposed treatment plan is outlined if appropriate and functional outcomes are agreed with you. Functional outcomes are the activities that you want to be able to do and can vary from running a marathon, returning to sport, going on a pre-booked activity holiday, to being able to manage stairs in your home. The treatment programme is customised to you individually and to your requirements.  This is regularly updated during your course of treatment dependent on your progress.

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Treatment options

Treatment very much depends on the findings of the assessment and the possible contributing factors identified. Techniques used often include elements of the following:

• Joint manipulation or mobilisation (a more gentle form of manipulation)

• Soft tissue massage/ IASTM

• Fascial release techniques

• Acupuncture or dry needling (the western medicine version of chinese acupuncture)

• Neural gliding techniques

• Taping techniques to protect joints, correct posture or give feedback

• Postural Correction

• Exercise and Rehab Therapy

• Strength and Conditioning Programmes

• Advice on ways to change movements and habits to reduce or eliminate the pain such as during work or sports activities.

 

Exercise Therapy

If you have had pain for a period of time it is highly likely that some of your muscles and movement strategies will be affected, potentially becoming weakened or imbalanced as a result of compensation or improper use.

To achieve optimum longstanding or permanent results, in many cases an exercise therapy approach is a vital component of your treatment. This can vary in form to best suit your lifestyle and commitments and will be discussed within the Physiotherapy session.

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Re-evaluation

If you are having follow up treatment or a course of treatment there is constant assessment and evaluation to ensure that you are making progress and that your goals continue to be met.