Initial Assessment

At your initial physiotherapy assessment, every attempt is made to diagnose the precise anatomical and pathological cause of your problem.
As with any branch of medicine, diagnosis depends on careful clinical assessment, which consists of obtaining a history, physical examination, and appropriate investigations.

At your first appointment we will take a complete history of your problem.

This is often the most important part of the assessment as it gives us an idea of the exact nature of the problem and how it affects you.

Once a history has been taken we will perform a physical examination.  This will involve detailed assessment of individual muscles, tendons, ligaments, nerves, and joints. Specifically we are looking for:
  • Muscle weaknesses and imbalances
  • Joint restrictions
  • Muscles tightness
  • Trigger points
  • Abnormal nerve tension, reflex’s or sensation
  • Abnormal biomechanics
  • Integrity of ligaments and tendons

  • Once we have completed the history and physical examination we will be able to provide you with an accurate diagnosis.

    If required we may recommend further investigations (MRI/ X-ray etc) to confirm the diagnosis. Accurate diagnosis is essential to providing precise treatment.

    For an initial assessment we ask patients to allocate an hour.  Usually we are also able to start you on some treatment at the first appointment.

    Follow up Physiotherapy Consultation

    We usually allocate about ½ an hour for follow-up consultations.  This will include a review of how you have managed between sessions and progression of treatment.

    Physiotherapy Treatment techniques may include

  • Joint mobilising
  • Joint manipulation
  • Neural mobilising and stretching
  • Massage, muscle release work
  • Muscle stretching and strengthening
  • Electrotherapy - Ultrasound, Biofeedback, Electrical muscle stimulation
  • Acupuncture and dry needling

  • The treatment received is entirely dependant on the exact problem. For example, it is a complex problem of muscle imbalance, combined with joint tightness, and adverse neural tension then time will be spent in the treatment room addressing some problems with manual therapy, electrotherapy, or dry needling (acupuncture).

    We may then move into our rehab gym where we will work on the muscle imbalances/ weaknesses, before providing you with exercises to continue the good work at home.

    Block sessions of Physiotherapy

    Different problems have different time frames. Some problems resolve after 1-2 sessions, while others require 10-12 session.  For those that require a block of treatment, then this can be purchased in advance at a discounted rate.  Eg.  12 sessions £550

    Functional Video Analysis

    Functional Video Analysis investigates the movement patterns of the body using digital video and professional software. The software is used to look at the body’s movement frame by frame. This highlights weaknesses, allows comparisons of the left and right sides of the body, and brings to light movement or postural problems.

    In the hands of an experienced physiotherapist this allows the development of an individual and focused treatment plan that will address the factors that cause pain and dysfunction.

    What to expect from Functional Video Analysis
    Functional Video Analysis will take approximately one hour. During this time we will carry out an assessment of posture, muscle length, and joint range. We then proceed to take digital video footage of posture, simple functional tasks, walking, and running if appropriate. During your session we transfer the video onto our computer, analyse it with our professional Video Software and discuss the findings with you. You will then receive a full report on disc in the post.

    Total Motion Analysis

    Total Motion Analysis is a screening and assessment tool developed by Sarah Morton at West London Physiotherapy, utilising digital video data. The concept is to allow qualitative and quantitative assessment of balance, gait and core stability in a format that is accessible to the general public, to athletes, and to those suffering recalcitrant injuries.

    It has been extremely useful in both the diagnosis of movement problems, and in patient education. In addition it has made objective assessment of the results of treatment and exercise intervention possible.

    What They Say

    "Thankyou for giving me back my life. I am now sleeping well, leading a very active life, mindful of not overdoing things and feel 20 years younger."