We offer our services at various out-patient departments in the suburbs of Cape Town and Gauteng. We deliver a quality rehabilitation service by offering thorough assessments and appropriate rehabilitation based on the latest research.
Some of the physiotherapy services we offer at our out-patient practices:
(Please contact us to confirm your rehabilitation requirements)
The waiting period involved prior to any surgery can be valuable time that can be utilized to prepare the body for surgery and facilitate a better outcome after the surgical procedure. When muscles, bones and joints are in optimum condition before the procedure, the impact of the inevitable muscle loss and joint stiffness can be minimised post operatively. Essentially, the more prepared physicically a person is going into surgery, the better the chances of an easier and faster recovery after the surgery.
Those who participate in a pre-surgical rehabilitation program tend to regain function and return to their daily lives faster than individuals who do not participate in pre-surgical rehabilitation. Traditionally, a physiotherapist helps with post-surgical rehabilitation and can also be your biggest ally during the “pre-hab” process.
Do you have an upcoming surgery planned? Did you know that by beginning “pre-hab” exercises 6 weeks or more before your surgery can dramatically improve your outcomes and allow for quicker recovery after surgery? We will help you build strength, endurance, balance and flexibility prior to your surgery.
Post-surgical physiotherapy can assist with muscle weakness, swelling, or increasing range of motion limitations after returning home from after surgery.
Chest physiotherapy consists of external mechanical manoeuvres, such as chest percussion, postural drainage, and vibration, to augment mobilization and clearance of airway secretions. It is indicated for patients in whom cough is insufficient to clear thick, tenacious, or loculated secretions. Examples include patients with cystic fibrosis, bronchiectasis, lung abscess, neuromuscular disorders, asthma, and pneumonias in dependent lung regions
We offer Neuro-rehabilitation for those who have may have had a:
– BRAIN INJURY,
– BRAIN TUMOR,
– SPINAL CORD INJURY, or who have been diagnosed with:
– MOVEMENT-RELATED DISORDERS such as
– PARKINSON’S DISEASE,
– MULTIPLE SCLEROSIS,
– GUILLIAN BARRE and other DEMYLINATING POLYNEUROPATHIES.
Neuro-rehabilitation requires expertise and manual skills that promote NORMAL movement patterns. All of our therapists have backgrounds in providing intensive neuro-rehab to such patients. Our passion is to provide our client tactile cues that retrain their brain to control their affected extremities much in the same way they did prior to their injury. We believe that in order for you to return to living the life you want, it is important to retrain your body to function as it did before your injury. This can lead to decreased time in therapy as you will not have to unlearn bad habits. The goal is to bring each patient to his or her highest level of functional independence and to be able to remain in their home environment.
HOW MUCH THERAPY WILL I NEED?
This will depend on your specific injury, your level of independence prior to your injury, any other medical conditions you may also have, your family support and your motivation.
Each treatment session and plan of care is specific to each person.
In general, 2-3 times per week for a minimum of 8-12 weeks is recommended. In some cases, you may need maintenance therapy a couple times per year.
WHAT SHOULD I EXPECT ON MY FIRST VISIT?
You will have the same expert therapist working with you on every visit. On the day of evaluation, your therapist will conduct an in-depth examination that may include all or some of the following:
- Strength testing
- Perceptual testing (how you see your body in space)
- Memory and cognition testing
- Speech and hearing testing
- Vision testing
- Sensation testing (can you feel light touch, pain, whether your limb is moving)
- Range of motion of your joints
- Reflexes and involuntary movements, muscle spasms
- Balance and coordination testing
- Functional movement testing (can you get dressed, can you stand up from a chair, bathe yourself, etc.)
- Gait/walking ability, stair climbing ability
- Wheelchair mobility
- Caregiver’s ability to help you at home
Based on the results of your examination, we will customize a treatment plan of care for you. Your family and/or caregiver will always be welcome and will be included in the treatment plan, as we want to be sure that they can safely assist you as needed.
Treatment may include some or all of the following:
- Gait training to promote improved skills for walking
- Use of motor learning devices
- Balance training (fall risk reduction)
- Transfer training (sit to stand, wheelchair to bed or chair, floor to stand)
- Training with equipment for increased independence with mobility
- Joint range of motion, strengthening and endurance
- Orthotics management
- Pool therapy
- Patient and family education
- Caregiver training
Other therapies that you may need:
- Strengthening and range of motion (more focus on the arm and hand)
- Coordination training
- Self-care skills training (activities of daily living), including: dressing, bathing, toileting, self-feeding
- Home management, leisure and work skills training
- Functional cognitive/safety training
- Adaptive equipment for self-care and home management
- Low vision training
- Patient and family education
- Caregiver education
- Articulation and voice improvement
- Aphasia/Language therapy
- Cognitive retraining for memory and attention as well as organizing and planning
- Computer aided speech or alternative non-vocal communication
- Swallowing therapy
- Patient and family education
- Caregiver education
Women’s Health Scope of practice include:
– Pregnancy related joint/muscular pain
– Pelvic girdle pain
– Antenatal or postnatal problems associated with pregnancy or child birth
– Post-gynae surgery eg. hysterectomy, pelvic floor repair
– Cracked nipples/mastitis
Pregnancy and Post-partum therapy
Women’s Health Physiotherapy addresses the unique musculoskeletal problems of the region that can have a significant impact on a woman’s quality of life. We strives to provide comprehensive therapy services to women of all ages. Our Women’s Health Specialist has specialized training to meet the unique needs of women across the lifespan. Our goal is to improve your function and decrease your pain, guiding you on your personal path to improved health and wellness.
Get your prenatal body back
Giving birth is a life changing experience. From a physical standpoint, childbirth has a significant impact on a woman’s body. Symptoms can vary greatly, and range from pain and headaches to tightness and incontinence.
Aches and pains are common during pregnancy and breast feeding. Discomfort can occur in the neck, lower back, pelvis and hips. However, there is good news. The right exercises, combined with postural modifications go a long way in increasing comfort. Correct planning during pregnancy helps with injury prevention and recovery after childbirth. Prenatal care includes preventive and diagnostic measures to facilitate a healthy lifestyle for the mother and child. It involves blood pressure monitoring, pelvic exams, blood and urine tests and foetal heart rate monitoring. Postpartum weight gain is a common concern, and physiotherapy (combined with healthy nutrition) plays an important role in gradual, progressive weight loss.
Physiotherapy for mommy and baby
Here are some of the ways that physiotherapy helps during and after pregnancy:
1. Breathing exercises
During pregnancy, the enlargement of the uterus puts a great deal of pressure on the diaphragm, an important muscle that assists breathing. As the tone of the muscle is reduced following pregnancy, it is essential to perform exercises to maintain and restore strength. Physiotherapists train patients with different breathing exercises to improve diaphragmatic muscle tone.
2. Core stability exercises
The stretching of the abdominal muscles associated with pregnancy results in a significant reduction in muscle tone and strength. This can increase the risk of abdominal hernias. Gentle, progressive exercises to improve balance between the abdominal, oblique and lower back muscles are achieved with a pre and postnatal physical therapy program. This also helps prevent and treat low back pain.
3. Pelvic floor strengthening
Childbirth places a tremendous amount of stress on the pelvic floor muscles. This can result in pain, discomfort and embarrassing conditions like incontinence. Kegel exercises and yoga are popular ways to improve strength and control in the muscles of the pelvic floor. The patient will start with simple isometric (no movement) exercises to progressive exercises involving movement and weight bearing.
4. Manual techniques
Physiotherapists can use a variety of techniques including myofascial release, manual therapy and various soft tissue mobilizations to reduce pain, restore mobility and even mobilize scar tissue.
In addition to these methods, physiotherapists use modalities to reduce pain and promote healing, recommend abdominal braces for added stability and prescribe home exercise programs to help mommy recover as quickly as possible. After all, the mother needs to be healthy and happy to be able to look after the new baby!
Healthy mommy, healthy baby!
Childbirth marks a new phase of life in more ways than one. It represents a period of abundant joy for the entire family. It also presents new challenges, both physical and emotional, for everyone involved. Physical therapy will help mom (and dad) achieve peak state and high energy levels at a time when they need it the most.
For best results, consult a physiotherapist during, and after pregnancy. A little bit goes a long way, especially if you start stretching and strengthening exercises early in the pregnancy. The sooner you start exercising, the better. The physiotherapist will teach you the right exercises and prevent overexertion. If there was ever a time when mom (and dad) needed a plan to remain healthy, this is it.
Physiotherapy will not only prevent injury during pregnancy, but also enable mothers to regain their prenatal body. A healthy mommy leads to a happy baby. If you or anyone you know is about to have (or just had) a baby, ask them to give us a call. Physiotherapy can change your life, and the lives of your loved ones. We look forward to working with you.
What to expect on your first visit
At your first visit, a physiotherapist trained in pelvic floor muscle dysfunction will do an in-depth evaluation. This will include a general medical history, a history related to your current condition, and questions about your eating, drinking, and voiding habits. Your posture and your hip and abdominal musculature will be checked for contributing factors such as tightness and weakness. The muscles of your pelvis (the pelvic floor) will be evaluated to determine any weakness and in-coordination. Your treatment plan will be customized to your specific findings and will be discussed in detail with you by your expert women’s health physical therapist.
Advanced Wound Care
DO YOU HAVE A NON-HEALING WOUND AND AREN’T SURE WHERE TO GO FOR HELP?
Addressing a growing need in our community, we utilize expert wound protocols that have proven time and again to have excellent outcomes for our patients. We aim to provide pain-free, expedient treatments that speed up the healing process. Physiotherapists are uniquely qualified to manage your wound as we are the experts in positioning, offloading, functional mobility and exercise. All of these factors must be addressed in order for your wound to heal.
Aggressive physiotherapy wound care may include the following modalities:
Some of the most common types of difficult healing wounds we manage include:
- Venous and/or arterial insufficiency wounds
- Diabetic wounds
- Pressure ulcers
- Traumatic wounds
- Difficult healing surgical wounds
- Many other types of chronic and difficult healing wounds
WHAT SHOULD I EXPECT DURING MY FIRST VISIT?
You will have the same expert physiotherapist working with you on every visit. On the day of evaluation, your therapist will conduct an in-depth examination that may include all or some of the following:
- Nutritional status
- Blood flow and circulation
- Pressure relief abilities
- Support surfaces
- Functional Mobility
- Size of wound
- Ability to off-load the wound area
We will collaborate with your physician, orthotic and/or prosthetic experts, nutritionist and caregivers as applicable in order to maximize the wound healing process.
HOW MUCH THERAPY WILL I NEED?
This will depend on the type of wound you have, your age, any chronic medical conditions you have, your nutritional status, your ability to off-load your wound, and also on your treatment plan. In general, we will see you 2-3 times per week. If your wound is acute (less than 30 days old), your treatment time will most likely take less time than if your wound is chronic (present for longer than 30 days).
Balance and Fall prevention therapy
Falls can diminish your ability to lead an active and independent life. About one third of people over the age of 65 and almost half of people over the age of 80 will fall at least once this year. There usually are several reasons for a fall. We can help you reduce your risk of falling by:
- Assessing your risk of falling with a thorough assessment using standardized tests
- Helping you make your home as safe as possible
- Educating you about the medical risk factors linked to falls
- Designing individualized exercises and balance training
- Working with other health care professionals and community services to create programs for people who want to reduce their risk of falling
How Can We Help?
If you are worried about falling or if you recently had a fall, we can conduct a brief check (“screening”) of your fall risk. If the screening shows that you are at risk, we will perform a thorough evaluation, including:
- A review of your medical history
- A review of your medications
- A simple vision test
- A home safety assessment
- A simple screen of your thinking abilities
- A check of your heart rate
- Blood pressure measurements while you change positions (from sitting to standing)
- Feet and footwear assessment
- Assessment of any nervous system disorders, such as stroke or Parkinson’s disease
We also will:
- Measure your leg strength, using simple tests such as timing how long it takes you to stand from a chair
- Determine how quickly and steadily you walk
- Assess your balance – for instance, by having you stand on one leg or rise from a chair and walk
- Use special tests to measure your balance
Based on the evaluation results, your physiotherapist will design an exercise and training program to improve your balance and strength. A recent systematic review of many published studies found that exercise-based programs in the home or in group settings are effective in preventing falls. These programs are especially effective when balance exercises are performed in a standing position without using much arm support.
Balance training has been shown to be an important and effective part of falls prevention. We will design exercises that challenge your ability to keep your balance, including exercises such as single-leg standing.
Balance, Vestibular and Fall Prevention Therapy
We evaluate and treat dizziness and balance problems that may be caused by any of the following:
- BPPV (Benign Paroxysmal Positional Vertigo)
- Unilateral Vestibular Loss following an inner ear infection, acoustic neuroma
- Bilateral Vestibular Loss following exposure to gentamicin, chemotherapy, and other ototoxic substances
- Movement related instability, dizziness, intolerance
- Migraine Associated Vertigo / Vestibular Migraines
- Post-Concussion Syndrome
- Traumatic Brain Injury
- Parkinson’s Disease
- Mal De debarquement Syndrome
- Meniere’s Disease / Endolymphatic Hydrops
- Cervicogenic Dizziness
- Visio-spatial Disorientation
- Vestibular loss due to age
- Imbalance due to peripheral neuropathy
Your symptoms may include:
- Dizziness or blurry vision with head movements
- Neck tightness, stiffness and/or pain
- Imbalance or the need to hold onto objects when walking
- Frequent falls
- Generalized “dizziness, wooziness and foggy head” feelings
- Vertigo / spinning
Treatment for your balance and/or vestibular disorder may include the following:
- Vision exercises
- Standing balance exercises
- Posture training
- Strengthening exercises
- Walking training
- Neck range of motion exercises
- Manual therapy for the neck
- Sensation training
- Repositioning manoeuvres (for those with BPPV – Benign Paroxysmal Positional Vertigo)
Your treatment plan will be customized for you based on your exam findings. Typical outcomes following vestibular rehabilitation include: decreased fall risk, decreased symptoms of dizziness, improved balance, improved ability to stabilize your vision, increased strength, increased independence with functional mobility, increased confidence when walking in the community, improved neck movement and decreased pain.
WHAT CAUSES DIZZINESS?
Dizziness is the most common complaint of patients over the age of 75, but can occur in patients of any age. Dizziness is generally not serious, but is often a sign of a mechanical problem. Dizziness can be due to an inner ear disorder, a side effect of medications, a sign of neck dysfunction, or it can be due to a more serious problem such as a brain or a heart problem. It is important to rule out these more serious problems with your physician.
HOW LONG SHOULD I EXPECT TO BE IN VESTIBULAR THERAPY?
Some patients may be seen for only 1 to 2 sessions; other patients may need continued treatment for a few months. Your physiotherapist will make a treatment plan customized to your needs based on your examination findings.
Maintenance and Wellness Programs
People are living longer than ever these days. Many people are admitted to assisted living or nursing home facilities due to multiple falls at home and/or impaired mobility. Our aim is to keep your loved one in their home as long as possible and living independently. This provides a much higher quality of life and is much more cost effective than living in a facility.
Many people living with progressive neurological disorders have periodic exacerbations and setbacks that impair their mobility. These individuals will benefit from maintenance programs to slow the progression of their neurological deficits. Periodic assessment of mobility will also allow for timely prescription of any necessary equipment such as a walker, power wheelchair, bath aid equipment, etc.