We work with you to help restore your movement and function to as near normal as possible when this has been affected by injury, illness or by developmental or other disability. Physiotherapy is used to improve a patient's quality of life through examination, diagnosis, prognosis, and physical intervention. Physiotherapists at BOSH offer treatment to individuals of all ages to reduce the risk of injury in the future and maintain your overall health and well-being.
Physiotherapy can involve a number of different treatment and preventative approaches, depending on the specific problems you are experiencing. The physiotherapy treatment has application in all disciplines of modern medicine- Orthopedics, Neurology, Cardio thoracic, Oncology, Obstetrics and Gynecology, Gerontology, Pediatrics and Neonatology, General Surgery, Plastic Surgery and Cosmetic Surgery, Diabetology, Rheumatology, Sports Medicine, etc. The team at BOSH will provide with pre-operative and post-operative physiotherapeutic intervention to out-patient and in-patients. Individualized treatment plan tailored to a patient's need and his lifestyle is our goal.
Hands-on Physiotherapy Techniques
Joint mobilisation (gentle gliding) techniques: Joint mobilisation techniques focus on attaining a normal range of pain-free joint motion. Nearly every restriction in movement can be regained by a specific joint technique. And the good news is joint mobilisation techniques have certainly improved over the years with very gentle and pain-free options available. The old crunch and munch, click and pop techniques are thankfully a thing of the past! Plus, it is also very important not to overstretch a joint to create hypermobility or instability. Hypermobile joints require different treatment techniques to a stiff joint. BOSH provides the best advice and an individual assessment.
Physiotherapy Exercises: Physiotherapists have been trained in the use of exercise therapy to strengthen your muscles and improve your function. Physiotherapy exercises have been scientifically proven to be one of the most effective ways that you can solve or prevent pain and injury.
Your physiotherapist is an expert in the prescription of the "best exercises" for you and the most appropriate "exercise dose" for you depending on your rehabilitation status. Your physiotherapist will incorporate essential components of pilates, yoga and exercise physiology to provide you with the best result. They may even use Real-Time Ultrasound Physiotherapy so that you can watch your muscles contract on a screen as you correctly retrain them.
Common Examples of Joint Mobilisation & Pain Relief Techniques may include
Electrotherapy and local modalities are used to assist pain reduction and the natural healing response via an increase in energy (electrical, sound, light, magnetic, temperature). These modalities can be used for both pain relief and functional improvements, even in cases involving neurological disorders. In fact, it has proved effective in facilitating functional facial movements in patients with Bell’s palsy.
Electrotherapy Modalities include
Ultrasound: Many different musculoskeletal conditions, such as muscles strains and tendonitis, are treated with ultrasound by a physical therapist. Often used to reduce local inflammation, promote tissue healing by increasing blood supply in relatively superficial tissues, no deeper than 5 or 6 centimeters. High frequency sound waves that produce a form of deep tissue heating for relief of pain and muscle spasm, promotes circulation and relaxes tight muscles/soft tissue and prepares tissues for stretching.
Transcutaneous Electrical Nerve Stimulation (TENS):is a therapy that uses low-voltage electrical current for pain relief. A TENS machine is a small, battery-operated device that has leads connected to sticky pads called electrodes. You attach the pads directly to your skin. When the machine is switched on, small electrical impulses are delivered to the affected area of your body, which you feel as a tingling sensation. The electrical impulses can reduce the pain signals going to the spinal cord and brain, which may help relieve pain and relax muscles. They may also stimulate the production of endorphins, which are the body's natural painkillers.
Interferential current therapy (IFC):is an effective therapy option used by in our clinics to relieve pain and accelerate the self-healing process, getting your body back to a healthy, pain free state. The high frequency signals of an IFC penetrate through the skin into deeper lying muscle tissues. It reduces or eliminates pain safely with noticeable decrease in swelling and inflammation and restores lost movement and improves restricted movements and coordination.
Local Modalities include
Ice: Use of "ice packs" or "ice massage" in acute injuries and for pain relief (acute or chronic). Reduces swelling, inflammation, muscles spasm. Spray and stretch technique is used to facilitate stretching of very sensitive muscles in spasm while applying manual therapeutic techniques.
Heat: Moist Heat (Hydrocollator)- Produces a deeper heat than a dry heating pad; still relatively superficial due to local blood cooling effect; penetrates only 1-2 cm. Increases local circulation, reduces swelling, relaxes muscles/soft tissue, prepares tissue for other treatments.
Paraffin- A form of heat using paraffin wax and mineral oil. Usually applied to hands or feet where other applications of heat are difficult. Wax therapy improves mobility by warming the connective tissues.
Short Wave Diathermy- Deep soft tissue heating; 5-10cm tissue depth; Increases muscular blood supply and tissue perfusion; Increases healing and extensibility of these tissues.
Foot Assessment & Insole
Orthotics (or orthoses) are shoe inserts that control or correct structural problems within the foot. They may be used to treat many conditions such as heel pain, knee pain and sports-related problems. There are a number of different types of orthoses, with varying degrees of control. Orthoses are suitable for all age ranges, from children to the elderly. With some conditions, orthoses required be used to cushion areas of the foot rather than correct structural problems. Orthoses can be made specifically for a person's foot (casted orthoses) or off the shelf (non-casted).
Good foot care can have a range of benefits including:
Posture and Ergonomics clinic
Therapeutic Exercise Prescription
Exercise is a very common and non-invasive method of treatment used in a physical therapy setting. Exercise can help to improve a patient’s strength, flexibility and range of motion, and can help a patient regain their functional and mobile independence.
Patient Education: Since many injuries or disorders that physical therapist treat are sustained due to overuse, incorrect body mechanics or the unique stresses employed in certain sports, occupations or everyday activiites, our team of physiotherapists are trained to teach patients the underlying causes of these disorders. We routinely discuss, educate and train patients accordingly-
Postural correction and training:
Continuous passive motion (CPM): is widely used as part of rehabilitation following knee surgery and there is evidence that its use following total knee replacement can lead to a reduction in both hospital stay and analgesic requirements and an increase in early range of motion. Continuous passive motion (CPM) is a way of providing regular movement to the knee using a machine.
Stroke Rehabilitation: The goal of stroke rehabilitation is to help you relearn skills you lost when a stroke affected part of your brain. Stroke rehabilitation can help you regain independence and improve your quality of life. The severity of stroke complications and each person's ability to recover vary widely. People who participate in a focused stroke rehabilitation program perform better than most people who don't have stroke rehabilitation.