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Home work station set up

Wed, 17 Jun 2020 10:54:05 GMT

Inevitably, with the speed everything was shut down due to Covid 19, most people were not set up to work from home immediately, and many patients have been asking for some advice regarding their desk arrangement. I would highly recommend, at the very least, the purchase of a separate keyboard and mouse. You will then be able to achieve a good supported position of your equipment on the desk.

March Madness

Wed, 17 Jun 2020 10:54:04 GMT

March is our customer satisfaction month here in clinic, and we appreciate any comments you leave for us as we strive to achieve the best with each and every patient of ours.

A lovely thank you from a recent patient and proof that it is always so important to ask what normal activity is for each individual.

A huge thank you to Matt for playing an instrumental part in my rapid recovery from a lower back injury earlier this month, just in time for a rock climbing trip to Costa Blanca in Spain. Two weeks before the trip, an old injury flared up, leaving me barely able to stand let alone do anything else and worried I would have to cancel the entire trip.

However, within just two physio sessions with Matt, I felt almost completely back to my old self. On the trip, my lower back wasn’t even an issue – and I actually climbed my highest grade yet!

Are you the one we are looking for?

Wed, 17 Jun 2020 10:54:04 GMT

Due to expansion and increasing demand, our friendly and well established private physiotherapy practice, specialising in musculoskeletal health and rehabilitation, is looking for an enthusiastic and experienced musculoskeletal physiotherapist with exceptional clinical and communication skills to join our team.

We are looking for a physiotherapist who is motivated and dynamic, with at least 4 years experience to join us. Excellent manual therapy and rehabilitation skills are essential, with acupuncture being an advantage. We also offer Clinical Pilates classes in clinic and experience in teaching Pilates would be very beneficial. We believe that the patients in our care deserve highly skilled treatment delivered with commitment and drive, excellent communication and a warm and caring manner.

This is a full time employed post with hours that can be flexible and will include some evenings, and possibly Saturday mornings. We are a committed team that work hard and perform well together for the benefit of each patient. In return you will be rewarded with a generous salary package, company pension, paid holiday, support and training for your career progression, in addition to the benefits and stability of employment.

You must be a member of CSP and HCPC.

Our lovely clinic is modern, light and well equipped and is just 5 minutes walk from Rickmansworth tube and railway station, and Rickmansworth Town.

http://www.physio-rehab.co.uk

Please send your CV with a covering letter explaining why you would like to be part of our team.

Job Types: Full-time, Contract

Winter Newsletter 2019

Wed, 17 Jun 2020 10:54:02 GMT

Autumn Newsletter 2019

Wed, 17 Jun 2020 10:54:01 GMT

Back Awareness Week

Wed, 17 Jun 2020 10:54:01 GMT

This week and month we are focussing on back pain. Currently we are in the middle of back pain awareness week (7th-11th October). This is something we at the physiotherapy and rehabilitation clinic are really encouraged by. As physiotherapist we are always trying to promote health and do so by educating our patients about the implications of staying active. This is something that many of us find difficult especially if you have a sedentary job and lifestyle. Similarly if you’re working as a tradesperson and performing many manual tasks it’s about being aware and understanding the little changes you can make to protect and maintain a healthy spine.

Work related musculoskeletal injuries (WRMSI) are at an all-time high, back pain is the most commonly injured area and we know that 80% of people are likely to suffer from at least one episode of back pain in their lifetime. An episode of back pain is therefore not out of the ordinary for most of the population. Whether you’ve had or have not had surgery on your spine, physiotherapists play a vital role in helping to speed up your recovery as quickly as possible. Our expert physiotherapists at the Physiotherapy and Rehabilitation clinic Rickmansworth have helped many people manage and resolve their pain. We also work closely with some of the best orthopaedic consultants around the country with links to back specialists in the private sector and the national orthopaedic hospital in Stanmore. Many of whom visit us to deliver learning and development presentations to staff throughout the year.

The evidence suggests the sooner you seek medical help post onset of symptoms the quicker your return to full function will be. If you ignore and leave your symptoms then inevitably it will take much longer to rectify. Later this month we will be publishing another article where we interview a former patient at our clinic who I’m pleased to say is managing his back condition and has returned full time to a manual occupation. It will be great to get his thoughts, views and opinions for you all to read, keep your eye out for this!

The department for health has recommended that each individual should complete a minimum of 150 minutes of moderate exercise a week. In addition to this figure they have highlighted the importance of extra strength and conditioning sessions (of which we should be doing 30 minutes twice weekly)on top of the 150 minutes already mentioned. This amount at first is quite daunting! How can you achieve this and find the time to complete all the other things that go with modern day life? On one hand finding enough time is challenging, on the other hand if you’re suffering from back pain it can leave you feeling anxious about exercising the right amount. It can be very difficult to know when to start. Professional help is the best way to get you started and rebuilds your confidence to move safely. Hopefully this article can help you with some of the answers to start making little changes to your routine.

It’s a well-known fact that Pilates can be incredibly good for your back and is endorsed by many of our back specialists. An hour of Pilates once a week counts towards the recommended weekly exercise mentioned earlier. We offer several clinical Pilates classes running across the week at different times and levels (beginners, intermediate, advanced). Our physiotherapists have qualifications with the Australian Physiotherapy and Pilates Institute. We have members that have attended the class for over two years and it has now become a way of life for them in order to manage their back pain and stay active. Patients want to look after their back and Pilates ticks all the boxes; it keeps their spine flexible, strong and robust to cope with day to day demands. We have many patients that have previously had surgery on their spine and those that have not so don’t think that once you have a procedure you cannot participate in some capacity. It is a suitable option for most people and 1:1 sessions are available too.

NICE guidelines recommend that if you have back pain you should avoid resting completely. They advise you should “continue (when able) with your normal activities” (NICE 2016). In other words moving little and often trying to stay as active as you can within pain tolerance. Go frequently for little walks; avoid staying in a position for longer than 20-30 minutes. The full guidelines are available on the NICE website.

Back pain awareness week also gives us a chance to address more serious pathology which can present as back pain. Men are recommended to have a routine prostate check in their 40s as an enlarged prostate can masquerade as low back pain. Guys if you haven’t- do so! It takes less than 30 seconds with your GP. Dr Thangarajah from Gade surgery came to visit us and emphasised the importance of raising awareness of getting this simple test that could potentially save your life. Similarly if your symptoms include night sweats, a change in bladder/bowel habits, pins and needles in both legs and genitalia, constant unremitting pain and/or rapid unexplained weight loss then seek medical attention immediately.

Lastly, another big emphasis in October is the Stoptober campaign. This is aimed to challenge people to refrain from alcohol for the entire month and to encourage people to stop smoking completely or move to nicotine replacement alternatives in order to live a healthier life. We all know the benefits of quitting smoking to cardiovascular health but it also has a huge impact on back pain. The small blood vessels which go into each vertebrae help maintain status quo and health of each segment. If blood flow is compromised then less oxygen and nutritional benefit is reduced and your spine is more at risk of pathology. Less blood flow also means when an injury occurs health times can be longer. See the NHS link below which goes into more detail and the Stoptober twitter account for more information, you can create an account on the Stoptober page and they will support you through cessation with daily emails and initiative to keep you motivated if you’re thinking about quitting.

Thank you for taking the time to read this article from the team at the Physiotherapy & Rehabilitation Clinic Rickmansworth.

If you need any further information or have any further questions please don’t hesitate to contact us via email or telephone:

Email: reception@physio-rehab.co.uk

Phone: 01923 897514

http://backcare.org.uk/?events=back-pain-week-2019-7th-to-12th-october

https://twitter.com/stoptober?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor

https://www.nhs.uk/news/lifestyle-and-exercise/smoking-increases-risk-of-chronic-back-pain/

Summer Newsletter 2019

Wed, 17 Jun 2020 10:53:59 GMT

Welcome to our Summer 2019 Newsletter

Summer is finally here and so far some of us have experienced the hottest day ever on record. We have seen sweltering temperatures as well as torrential downpours, some of which may be a sign of climate change. One thing we are certain will not change is the warm, friendly welcome and the excellent care you will receive when visiting The Physiotherapy and Rehabilitation clinic.

Whether you are having a staycation, vacation or a restful time at home, the team at the clinic wish you all ‘Happy Holidays’.

P.S. Don’t forget your sunscreen when out and about!

Work Experience Students Past and Present

We continue to welcome and offer work placements to students from several of our local schools. The experience gives the students a good insight into how a busy practice operates and also assists in their progression of career choices. We were delighted to receive an update from one of our students who completed his work experience placement at the clinic in 2018. Here’s what Mario had to say:

” I would like to take the opportunity to thank you for your time and taking me under your wing a little over a year ago. The knowledge that I gained from the 2 day placement at your clinic has stayed with me to this day and my experience at your clinic was something I was able to talk passionately about during the interview process to get into University! So here I am 1 and a half years later studying Physiotherapy at the University of Brighton! And I am loving it! I have learned so much in a year and it’s scary to think that I only have 2 years of University left, and what’s even scarier is that this time next year I will be on placement!”

Thank you to all our lovely patients who gave consent for our students to sit in during their consultations.

OA Classes

The OA hip and knee class was set up last year to help our patients who are either waiting for surgery, had surgery or are looking to avoid surgery. We know the value of exercising and many of the orthopaedic consultants we work with share the same view. Strengthening the key muscles around the hip and knee joints can help to delay or avoid surgery. But if surgery is necessary, the recovery post-operatively is much quicker, less pain control medication is needed and patients return to a good quality of life faster following a pre-habilitation programme. The changes to the muscles begin to occur in the first 6-8 weeks and after this time the muscles can develop if appropriately loaded.

This article in Arthritis Foundation talks about Pre-Hab; https://www.arthritis.org/living-with-arthritis/treatments/joint-surgery/preparing/prehab-surgery.php

Les Mead also shares his views of coming to the OA Class:

“I have been attending The Physiotherapy and Rehabilitation Clinic in Rickmansworth for many months. I have Osteoarthritis in both of my knees, the left one was very painful and I had a half knee replacement operation about 4 years ago. 6 months ago my right knee started to become extremely painful, it was just like the left one and I was convinced that I needed that knee replaced also. Following a consultation with an orthopaedic surgeon, I was advised to start an exercise regime, using Physio App. In addition to this I also started a Hip and Knee Osteoarthritis exercise course at The Physiotherapy and Rehabilitation Clinic . After attending for 6 weeks I started to feel a definite improvement. Three months later I continue to attend and definitely do not now need a knee replacement.”

Recent Training

It was a pleasure to welcome two leading foot and ankle consultants to our clinic this Summer. Mr Andy Goldberg (Wellington Hospital) and Mr Matt Welck (Royal National Orthopaedic Hospital) came to share their expert knowledge about conditions affecting the lower limb and the specialist orthopaedic services they offer patients. Close communication with surgeons and other specialities ensure we can offer our patients the best care, optimising their treatment experience.

In addition, we welcomed Mr Phillip Howath from St John and St Elizabeth’s hospital for our annual basic life support training. He certainly made this enjoyable and we all feel well refreshed on this topic. Regular training helps to keep our patients safe at all times.

Moor Park 10K Funrun

Again, we are pleased to be supporting The Lynda Jackson Macmillan Cancer Centre by providing fundraising pre and post run sports massage at the fun run on 29th September 2019 at Merchant Taylors School. Please do call by and see us. We really do want to raise as much money as we can for this wonderful cause.

New Staff Member

We are delighted to welcome Karen Purnell to the Administration Team at the clinic. Karen has previously worked as a volunteer for various charities and most recently within a respite Day Centre. In her spare time, Karen enjoys fitness and gardening. Karen will be joining the team at the beginning of August 2019.

http://www.moorpark10k.org.uk/

Fond Farewell

After 8 years at the Physiotherapy and Rehabilitation Clinic it is with great sadness that we wave goodbye to our Louise. I know our patients will have benefited from her efficient running of all things administrative, and also from her caring and empathetic manner. We will all miss her encyclopaedic knowledge of Rickmansworth, places to go in London and, of course, Elton John! I’m sure she will be in for a cuppa (she knows the kettle is always on) and will be spotted frequently in the high street with her dog Cassie.

Thank you Lou for all of your hard work and we send you our love and best wishes for your adventures to come.

P.S. Thank you to all our patients who signed Louise’s leaving card. She was quite overwhelmed with all of the good wishes from everyone.

Healthier Workplace

Wed, 17 Jun 2020 10:53:59 GMT

It turns out that a lack of exercise in our lives is a silent killer. The World Health Organisation lists physical inactivity as the fourth biggest risk factor for death in adults across the world.

The latest research shows when it comes to heart disease, leading a sedentary life is as great a risk factor as smoking and obesity. In fact, inactivity in terms of disease risk, is more dangerous than being overweight.

If you spend long periods of time sitting, this is particularly bad news, as it increases your risk of heart disease, obesity, diabetes and cancer. The most current research has shown that even normal weight individuals that are inactive, are at risk of developing disease. There is a molecular pathway that is essential to burning fats, that shuts down with inactivity, and that subsequently increases your risk of developing heart disease.

And unfortunately you can’t bank the benefits of exercise from your youth, hoping it will help you 40 years down the line. The ideal scenario is to have been active throughout your lifespan, but research has shown that your health can benefit from physical activity at any age, meaning it doesn’t matter when you start, as long as you start!

Physical activity performed regularly, can help to prevent and manage over 20 chronic medical conditions. These include coronary heart disease, stroke, type 2 diabetes, cancer, obesity, mental health problems and musculoskeletal conditions.

And the good news is that we can combat the negative effects of prolonged sitting (total of 8 hours or more) with just 60-75 minutes of moderate intensity physical activity a day.

The reality is that hectic schedules can make it seem impossible to fit workouts into your busy week. The prospect of packing a gym bag, trudging to your local gym, working out, showering, changing, and trudging back to where you came from, can feel like a lot of effort.

But when we neglect exercise, we not only put both our physical and mental health at risk, but we also negatively impact our productivity and effectiveness at work.

And you would be surprised at the number of opportunities there are in a working day, to increase your activity levels. This doesn’t have to mean running or cycling to work, although that’s great if you can, but you can in fact accumulate activity that is beneficial to health, in lots of different ways during the day.

Which is why we’ve put together a collection of resources to help you achieve this.

At the following link you can download leaflets, exercise handouts and infographics on the following topics.

– 17 Ways to Be More Active at Work

– Thinking on your Feet – Why it Pays to Be Physically Active at Work Client Newsletter

– Stretching Exercises for the Workplace

– Strengthening Exercises for the Workplace

– Why Posture Matters

– Optimal Desk Posture Infographic

– Carpal Tunnel Infographic

– Preventing and Treating Carpal Tunnel Syndrome

– Carpal Tunnel Rehabilitation Exercise Sheet

Click here to download the resources http://bit.ly/2XqiUD7

As Physio therapists we can help with a wide range of issues caused by long periods of sitting at a desk, including back and neck pains, tingling in your hands, carpal tunnel syndrome, even regular headaches experienced at work. Please get in touch if you need advice and I hope you find these resources useful.

Happy New Year 2019

Wed, 17 Jun 2020 10:53:57 GMT

Winter Newsletter 2018

Wed, 17 Jun 2020 10:53:57 GMT

Add days to your life AND life to your days

Wed, 17 Jun 2020 10:53:56 GMT

Life expectancy is at its all-time high, the fact that so many people are living longer, well into their 80s and 90s is a wonderful ideal. However, the sad reality is that living longer doesn’t always include a good quality of life, it’s not a package deal.

Many people outlive their children and their pensions, and end up feeling like they’ve become a financial, physical and emotional burden on their families. Swallowing handfuls of pills every day, losing independence and requiring nursing care is not the way most people would choose to spend their last years.

However, there are steps you can take to reduce the risk of this outcome. Making a conscious decision to take small steps (literally) from today, could make all the difference in your life going forward.

Physical activity or exercise, when performed regularly, has been proven to prevent and help manage more than 20 chronic conditions. These include coronary heart disease, stroke, type 2 diabetes, cancer, obesity, mental health problems and musculoskeletal conditions. Sadly, you can’t bank the benefits of exercise from your youth. Ideally being active throughout your lifespan would give optimal health benefits, however research has shown the health gains achieved through physical activity can be attained at any time. So, it doesn’t matter when you start as long as you start!

Now we’re certainly not saying you have to sign up for an IronMan Ultra-Triathlon or become the next Crossfit Superhuman. Physical activity includes all forms of exercise, such as everyday walking or cycling to get from A to B, active play, work-related activity and active recreation; such as working out in a gym, dancing, gardening or playing active games, as well as organised and competitive sport.

Physical inactivity is the fourth leading risk factor for death. The latest research shows that a sedentary life is as great a risk factor as smoking and obesity, for heart disease risk. Sedentary behaviour is not simply a lack of activity but a cluster of individual behaviours where sitting or lying is the dominant mode of posture, and energy expenditure is very low.

Inactivity was always associated as a cause of being overweight or obese, which in turn results in an increased risk of heart disease and diabetes. However, the most current research has shown that even normal weight individuals that are inactive, are at risk of developing disease.

While you can blame it on your job or school that forces you to sit for hours in a day, you can also mitigate the negative effects with just 60-75 minutes of moderate intensity physical activity a day.

Regardless of your activity starting point, there are benefits to be gained for anyone who increases their activity levels. Individuals that follow the recommended physical activity guidelines have shown to have optimal health benefits of a 39% reduced risk of dying from any disease. However, anything is better than nothing – even doing half the amount of the recommended weekly activity has shown a 20% lower risk of mortality.

Regular physical activity roughly halves your chance of developing some cancers, like bowel and breast cancer. Studies have shown that people who continued to exercise once diagnosed with cancer had significantly less cancer deaths and any-cause death than those who were inactive.

If you’d like to know more, you can download our Gold Standard Physical Activity Recommendations leaflet, along with additional exercise advice for people suffering from the following conditions, all of which can benefit significantly with regular physical activity.

Staying Healthy and Preventing Disease
COPD
Depression
Musculoskeletal Pain
Type 2 Diabetes
Cancer
Dementia
Falls and Frailty
Inflammatory Arthritis and Osteoarthritis
Heart Disease

Autumn Newsletter 2018

Wed, 17 Jun 2020 10:53:55 GMT

Welcome everyone to the Autumn Newsletter – a time of changing temperatures, colours and landscapes! Quite a relief to many, we have no doubt!

We hope you have all enjoyed the summer and coped with the excessive heat.

Despite the ‘recess’, we have had a busy time at the clinic – attending celebratory events, hosting meetings but sadly saying goodbye to our lovely Manon – see her note below.

We are delighted to say that Anya is back at the helm and in flying form! The biggest challenge is getting her to take it slowly and to gently ease back into her ‘blue and whites’. She is currently working two mornings a week as she strengthens the ankle – as the saying goes, you have to walk before you can run! An activity she is also looking forward to getting back to!

We also have an interesting insight into acupuncture from one of our valued patients. Have a read – could it work for you?

As always, we love to hear your news and stories, so please get in touch by phone, email or call in. It’s always nice to see you.

CPD Meeting in May

Sangna

Once a month, the team at The Physiotherapy and Rehabilitation Clinic meets for continual professional development evenings.

In May, Sangna presented to the team on the principles of Progressive Muscle Loading as she had just completed her first module of Advanced Physiotherapy at university. The presentation was to help answer questions such as:

Why do physiotherapists give the exercise programmes they do?

How can they become more effective?

Is the programme helpful in improving patient’s long term health rather than just focusing on rehab of the injury?

The presentation was three fold. It first aimed at growing a better understanding of the impact post injury immobility has on the body and the muscular system (Anya can currently vouch for this, with her fractured ankle and non-weight bearing status). It then shifted its focus on learning about the different types of strength training prescriptions available and when they are appropriate in a patient’s rehabilitation. Sangna then finished with how important the neuroendocrine (hormones) system is in strength training and how the therapists can use this knowledge to help prescribe an effective exercise programme.

Sangna says that: ‘our role as physiotherapists is to assess the patient, identify a need analysis for the sport/hobby/function the patient wants to return back to whilst always considering what is important to the patient, in order to help design a programme that can be realistically carried out in our patient’s busy lives.’

Linda Jackson Macmillan Centre – 25th Anniversary Celebrations

Anya and Louise

On 14th June, Anya and Louise attended a reception to mark the 25th Anniversary of the Lynda Jackson Macmillan Centre, located at the Mount Vernon Hospital in Northwood. The evening was hosted by Kate Lancaster, Director of Strategy and Jagdeep Kudhail, Chair of Cancer Services.

The Lynda Jackson Centre has been a haven in our community for many people affected by cancer, and it offers a range of support and information services enhancing the clinical care provided by Mount Vernon Cancer Centre. It was the first clinic of its kind to open in the country, recognising the need for emotional and practical support and over the last 25 years, 100,000 face to face conversations have been had at the drop in centre, and over 52,000 through the telephone helpline.

Inspirational speeches were given by both hosts, along with Lynda Jackson’s sister and a previous patient of the centre. The charity aim to raise in excess of £240,000 this year, to continue with this important work. So this September 30th, we will once again be privileged to support the Lynda Jackson Macmillan Centre at the Moor Park 10k run by offering pre and post run massages – we will try and raise as much as we can in support of them so come along, say hello, and if you are running – book yourself in for a massage!

Acupuncture

Paul Butler

I first saw Nadine Ipoly in 2016 for treatment for back pain. I mentioned to her that for over the previous six years I had suffered severe pain in my right foot which badly affected my ability to walk and to drive, as well as my work.

During that time I saw numerous consultants who recommended a variety of tests and treatments for the condition. None of these led to a diagnosis or any lasting pain reduction.

Nadine recommended a course of acupuncture. I had been given this before as part of my pain management programme but without any positive results. I was therefore surprised, as well as greatly relieved, that her treatment rapidly alleviated my condition.

I thought initially that this would be a temporary relief but some two and a half years later I remain free of this debilitating pain, although the actual undiagnosed cause remains.

Throughout the time she has treated me it has been evident that Nadine is both a very caring and technically excellent physiotherapist. Her particular expertise in acupuncture is exceptional. She combines considerable knowledge of this complex subject with offering each of her patients carefully assessed and personalised treatment.

“Au revoir”

Manon

It has almost been 2 years and a half since I started working at the clinic. I have unsuccessfully tried to remember who was the first patient I greeted, but I can nonetheless say for certain that sitting at the desk has given me countless opportunities to meet unforgettable people.

Before I go and step into the new, I would like to say a huge thank you to the team for being such wonderful people to work with. They are professional, kind-hearted, incredibly knowledgeable and always have fun anecdotes to share. Not to mention that they are the kind of people who never think twice before giving above and beyond help and support to team mates and patients alike.

I will be leaving at the end of August, giving someone new the chance to join the team and meet you. This is not goodbye though! I will still be in Rickmansworth and will look forward to seeing you on the high street and have a chat around the Aquadrome…

Osteoarthritis of the knee and hip joints

Wed, 17 Jun 2020 10:53:53 GMT

Linda Jackson Macmillan Centre - 25th Anniversary Celebrations

Wed, 17 Jun 2020 10:53:52 GMT

Linda Jackson Macmillan Centre – 25th Anniversary Celebrations

Anya and Louise

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World Continence Week 2018

Wed, 17 Jun 2020 10:53:51 GMT

Did you know that it is World Continence week?

The aim is to increase the awareness of bladder and bowel problems and to highlight that help is at hand, and it is no longer something to feel ashamed of. The World Health Organisation have estimated that there are 200 million people who suffer from some type of continence problem, with the NHS estimating figures of between 3 and 6 million people in the UK alone.

Common types of incontinence include, stress, urge, functional, mixed incontinence and neurological bladder disorders.

Stress incontinence – the most common type and occurs when the pelvic floor muscles, that support the bladder, weaken. Any increased pressure on your bladder, such as laughing, sneezing and lifting, may cause urine to leak as the pelvic floor muscles are unable to tighten enough to stop the flow.

Urge incontinence – known as overactive bladder and occurs when you have a sudden urge to urinate without warning.

Functional incontinence – due to physical or mental illness, some are unable to reach the bathroom in time.

Neurological incontinence – when the brain and the bladder cannot communicate properly due to neurological dysfunction.

Treatment will depend on what type of incontinence you suffer from but does include pelvic floor muscle training, changes to lifestyle, bladder training and advice, and may include medication if necessary.

Here at The Physiotherapy and Rehabiliatation Clinic, following a detailed and specific assessment by a Specialist Physiotherapist, we can advise on a pelvic floor muscle training programme, offer valuable advice and bladder retraining. Women and men who carry out pelvic floor exercises, report fewer leaking episodes and better quality of life.

Do not hesitate to make an appointment if you suffer with any of the above and remember, do not suffer in silence!

Summer Newsletter 2018

Wed, 17 Jun 2020 10:53:50 GMT

Hello and welcome to our Summer newsletter.

You find me in the unusual position of sitting down with my feet up! The reason being that, unfortunately, I have broken my ankle slipping on ice (it was very early!) while out for a run with the dog. And yes, I am taking notice of the excellent advice and there is an icepack on it, I am staying non-weightbearing as instructed, I have been splathering arnica on and being as good as I possibly can be. Well, if I don’t show a good example, what hope is there for my patients!

I am likely to be out of action for another few weeks dependant on how well I heal. But I would like to assure all of my patients that I have gathered the most excellent team of clinicians around me and I know I can rely on them to provide you with the utmost care and professionalism.

In other news, we have had a very busy time at the clinic with our involvement in community events, Pilates classes going from strength to strength (as are the participants!), attending courses and hosting CPD evenings, and welcoming a lovely new member of the team whom I’m sure you will all enjoy getting to know.

We always welcome any suggestions you have about the clinic, and this newsletter and, whilst I appear to be confined to a chair at the moment, would welcome any emails with your thoughts and ideas.

Careers Events at Two Local Schools

Anya, Christine and Sangna

Anya and Christine enjoyed two afternoons at the St Joan of Arc School Science and Engineering Inspiration Events telling the children of Year 7 about the wonderful profession of Physiotherapy.

It was a perfect opportunity for the children to discover, explore and ask questions about physiotherapy and how the human body works. We always enjoy seeing young people’s reaction when they realise how broad the profession of Physiotherapy is after having spent some time with our Musculoskeletal, Neurological and Paediatric Physiotherapists.

As a result, a few young people have asked to come to the Physiotherapy and Rehabilitation Clinic to see our Physiotherapists at work.

We were also invited to attend the Careers Convention at the Royal Masonic School for Girls. This was aimed at Year 11 children and designed to give them an overview of the profession and requirements for admission to training. Anya and Sangna were delighted to be kept so busy all evening and hopefully have encouraged some of the children to progress forward with their application.

Our Team is Growing!

Sangna Unadkat

We have been delighted to welcome Sangna Unadkat, a Musculoskeletal Physiotherapist, who joined our team in March.

Sangna qualified with a BSc(Hons) degree in Physiotherapy from King’s College London in 2003, and is currently working towards her MSc Level at the University of Hertfordshire.

Since qualification Sangna has gained experience in a broad range of physiotherapy specialities, ultimately specialising in Neuromusculoskeletal Physiotherapy and the management of chronic fatigue.

Sangna completed a clinical educators course, and enjoyed teaching and sharing her learning and experience to supervise undergraduate students during placements at the hospital.

Sangna has joined the team at The Physiotherapy and Rehabilitation Clinic where she will bring her years of experience of listening, assessing, advising and working collaboratively with patients to help take a holistic approach to patient’s values. Sangna believes all patients need to feel empowered in their rehabilitation; through education, manual therapy and an individualised exercise programme.

Hip Replacement

An interview with Nigel Gates

What first brought you to the Physiotherapy and Rehabilitation Clinic?

I first had physiotherapy with Mrs Anya Caskey in 1989, almost thirty years ago, following an extended stay of sixty-seven nights in hospital with an extremely severe lower back problem. My L3/4 lumbar disc had prolapsed, damaged the right femoral nerve root and paralysed my left leg resulting in much pain and severe muscle wastage. My consultant recommended Mrs Caskey and I visited her for physiotherapy to rebuild the wasted left leg muscles. I have, for clinical reasons (e.g. following a completely ruptured left quadriceps tendon in 2006, after a L4/5 lumbar disc operation in 2008 and both left and right shoulder operations in 2009 and 2010) visited Mrs Caskey many times since 1989. I have always been delighted with my treatment and both my wife and I feel how very fortunate we both are to have such a brilliant physiotherapist and her wonderful clinic so close to where we live.

What are you being treated for now?

I had my left hip completely replaced in February 2018 and, following this surgery, have been having weekly physiotherapy sessions at The Rehabilitation and Physiotherapy Clinic with Mrs Caskey. The left hip replacement surgery was completely successful but my left knee (where I had my ruptured quadriceps tendon in 2006) has been giving me problems and some pain which Mrs Caskey is treating with soft tissue techniques, ultra-sound treatment and a home exercise programme.

How has Physiotherapy prepared you for the hip replacement?

I was on holiday with my wife in New Zealand and I started experiencing agonising pain in my left groin. On our return to the UK I visited The Rehabilitation and Physiotherapy Clinic where, after careful examination, Mrs Caskey told me that it was not “groin strain” (which I erroneously thought it was) and that she was convinced my left hip needed replacement. This was confirmed, a couple of weeks later, by my orthopedic consultant. I had my right hip completely replaced in 2011 (by the same consultant) so I had a good idea of what to expect although I am now seventy-five (and some eight years older) than I was in 2011.

How did you feel about having a hip replaced?

Relaxed. I knew my left hip’s condition would not get any better – it would only worsen – and so the quicker the operation was undertaken the better things would be. Operations are never fun but hip (and knee) operations usually result in a very much better quality of life post-operatively.

What sort of exercise regime were you given?

The London Hip Unit (where my consultant, Miss Sarah Muirhead-Allwood, is based) and King Edward VIIth’s Hospital (where I had the hip replacement surgery) both gave me sheets showing the physiotherapy exercises that I needed to do (both in bed and out of bed) following hip replacement surgery. Before the surgery, Mrs Caskey also checked that I understood all these recommended exercises and did them properly and conscientiously. This also included walking and how to ascend and descend stairs (vital because my wife and I live in a second floor flat and there is no lift).

How important do you think this was to your recovery?

The physiotherapy exercises you are advised to do are absolutely essential. If you do not do them regularly and conscientiously then you are really only being a fool to yourself and probably delaying your recovery. I know that doing the recommended exercises, and also walking as much as possible, have certainly hastened my post-surgery recovery.

How do you think life will be different once you’ll have fully recovered from the operation?

If the experience of my right hip replacement in 2011 is anything to go by, I expect a good recovery and a complete absence of pain. I should be able to do everything I did before the latest operation and this includes both cycling and mountain walking.

What advice would you give to someone who is preparing for a hip replacement?

Do not worry about the operation – although classed as major surgery, hip replacement surgery is a fairly common procedure with usually good outcomes. Do practise all the recommended exercises before surgery (so you know what to do following the hip replacement) and do ensure that you do them conscientiously following surgery. Ensure you have both a toilet extension device and toilet frame, a grabbing device (to pick up things from the floor) and a chair (and a bed) which are higher than usual because, for the first four weeks following hip replacement surgery, it is absolutely vital that you do not sit with an angle of less than ninety degrees (the angle made by your thighs and your back). Be aware, also, that you will have to wear orthopedic “TED”stockings for four weeks after surgery and that you will need someone to take them off and put them on for you. You certainly cannot do this yourself. (All the toilet extensions, toilet frames, grabbers etc. can be borrowed from the British Red Cross in Croxley Green.)

London Marathon

Congratulations!

Well done to all our Marathon runners who performed fantastically well on one of the hottest race days and managed amazing times given the conditions!

Well done also to Jonathan for doing post-race massage raising money for Centre Point.

Patient Satisfaction Survey

We would like to extend a huge thank you to all of our patients who have filled in a Patient Satisfaction Survey earlier this year! It was encouraging and helpful to read your comments and feedback:

‘Brilliant – efficient, professional, and friendly.'

Anon

‘Fabulous practice which I would and do recommend to anyone. Very knowledgeable.’

S.G., Radlett

‘A lovely weekly outing’

D.P., Rickmansworth

‘Sometimes it is difficult to get a quick appointment with preferred therapist.’

J.M. Chorleywood

Don't lose to the top seeds in tennis injuries

Wed, 17 Jun 2020 10:53:49 GMT

Spring Newsletter 2018

Wed, 17 Jun 2020 10:53:48 GMT

Welcome to the Spring newsletter.

The snowdrops are out, the daffodils are bursting through, and we are all looking forward to some sunshine and longer days. More time to get out there and move!

The skiers are enjoying the best snow in Europe for years. Don’t forget that we run Fit to Ski courses so that you can be in the best shape when you hit the slopes, and, should an injury happen, we have years of experience of rehabilitation post injury to get you back on your feet again.

The gardeners are dusting off their dibbers and trowels ready for planting, and are itching to get out into their gardens. It is always a good idea to do some gentle back exercises before you head out into the garden and get carried away with the work in hand, to alleviate the problems of stiffness and pulled muscles when doing unaccustomed physical activity.

The marathon runners are already well into their training programme with the London

Marathon now only 2 short months away on 22nd April. Let us know if we can help you with any aches and pains that you might be experiencing as you increase your mileage and length of time running.

At the clinic, we will be attending the Joan of Arc Science and Engineering Inspiration Event. If you have any Year 7’s attending or Sixth formers helping, tell them to pop over to say hello and find out everything they didn’t know about our wonderful profession.

And we look forward to welcoming a new member of staff, Sangna, who will be expanding the musculoskeletal expertise of The Physio Rehab Team.

In March we will be doing our customer survey and are always interested in what you think of the clinic. Please take a moment to fill in a form and give us some feedback. We do listen to any suggestions, and endeavour to make your experience as professional and caring as we can.

VIEW FROM BEHIND THE DESK

by Molly Caskey

My name is Molly and I have been working behind the desk at the Physiotherapy and Rehabilitation clinic since it opened! I am a part time receptionist at the clinic and I also help with various administrative tasks. You’ll know me from calling in / sending us an email / or visiting on Tuesdays or Wednesdays. I have been told in the clinic that my telephone voice sounds so professional, that I sound like an automated message. Not sure if that is a compliment actually… My job is to support Louise and Manon, as they keep the physio’s in line and on time. Oh, and to look after the patients too!

There isn’t one kind of person who comes for treatment at the Physiotherapy and Rehabilitation clinic, people visit us from all walks of life. From tiny babies to multi-marathon athletes, and beyond, to people who have been coming for over twenty years. They come in the door, greet me and sign the paperwork I thrust under their noses and vanish into a treatment room. After thumps, bumps, tears and laughter heard through the walls, they leave their physio – exercises in hand – and either let me know when they’ll be coming back for a chat or happily proclaim that they won’t be coming back at all. I have been lucky enough to meet all kinds of people through my job here and watching them progress and heal is one of the best parts of the job.

Whilst I have been working here, the clinic has developed into the successful business you see here today. I think that the light and airy building, filled with greenery, sets people at ease the moment they walk in the door. We have significantly expanded the range of treatments we can offer, Pilates classes are in full swing every Tuesday and you can even get a sports massage to relax and invigorate! What more could you wish for? The clinic seems only to get bigger and better with every year.

PILATES

with Matt Perry

The clinic has hosted its third course of Pilates classes on a Tuesday with Matt Perry. A few of our participants kindly gave feedback. Here is what two of them said:

“The Pilates classes have really helped me. I have a problem with my back and couldn’t stand or walk for too long. Now I have more mobility and walking is so much easier. Thoroughly recommend the Pilates classes. Thank you so much all at the clinic who have helped me so much.” Mrs M.

“Our Therapist is perfect – his knowledge of physiotherapy is ideal for Pilates beginners like me. Always a joy to come here, everyone is very friendly and welcoming.” Mrs O’D., Rickmansworth

We are glad to say that another one of our Physiotherapists, Nicola Price, will be starting Pilates classes for beginners here at the clinic on Wednesday mornings.

New classes with Matt and with Nicola will start in just a few weeks time. The courses are filling up quickly! Don’t hesitate to get in touch with reception to book your place and see for yourself what difference it can make.

SPORTS MASSAGE WITH JONATHAN

Special Offer

1 X 60mins ASSESSMENT + 2 X 45mins FOLLOW UPS – £110 (instead of £130)

or:

3 x 45mins FOLLOW UPS – £100 (instead of £120)

* use within 2 months *

Who is it for?

Everyone! Whether you are sporty, desk based, recovering from injury, have poor posture or muscle pain. Massage can help you.

What are the benefits of a sports massage?

– It relaxes tight muscles

– gets rid of stress

– lowers blood pressure

– gets rid of toxins and scar tissue

– improves range of movement

Have you enjoyed reading about The Physiotherapy & Rehabilitation Clinic?

There are changes coming up in May that will impact the way clinics like us communicate with you.The General Data Protection Regulations (GDPR) will change the rules to ensure that your personal data cannot be used and kept in any way that goes against your wishes.

This means that, going forward, we will only be authorised to send you our newsletter if we can prove that you have given us permission to do so.

If you have enjoyed receiving the quarterly Physiotherapy and Rehabilitation Clinic’s newsletter and would like to continue reading about how our physiotherapists have been involved in the local community, what our patients have to say about the impact physiotherapy has had for them, and how the clinic keeps on developing, then please make sure to let us know about it!

We are currently working on making it easy for you to sign up by giving you the option to go on our website and social media pages to do so. However, in the meantime, signing up is as simple as replying to this email or letting us know about it next time you come in.

We do understand that mailboxes get bombarded way too quickly. If you do not get in touch with us, we will assume that you prefer not to receive our newsletter by email and will make sure to remove your details from our mailing list.

We look forward to hearing from you and to sharing future news with you.