a. How do I get referred to a Physiotherapist at Physio Helps?
You or your family member can directly contact the Physiotherapist for a consultation via email (have hyperlink) or sms (mouseover the number, and have the call by skype option too). Alternatively, you can also ask your Doctor to refer you to a Physiotherapist by either writing a memo to the Physiotherapist or filling in the online referral form. (have hyperlink to the form in a separate window)
b. What happens during the first visit
During the first visit you can expect the following:

The Physiotherapist will ask for your latest medical records/ discharge summary and medications.
You will be seen for the initial evaluation by the Physiotherapist.
The Physiotherapist will discuss the following:
  1. Your medical history
  2. Your current problems/complaints.
  3. Your goals with physiotherapy.
  4. Medications, tests, and procedures related to your health.
  5. Your daily routine/timetable at home
The Physiotherapist will then perform the objective evaluation and various tests.
c. Will I get treatment right from the first visit
The Physiotherapist needs to understand the patient’s condition thoroughly, hence she may perform some of the following tests during the first visit and in subsequent visits:
  1. Palpation – the Physiotherapist may check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature and inflammation at the site of the problem.
  2. Range of Motion (ROM) – the Physiotherapist will move the joint(s) to check for the quality of movement and any restrictions.
  3. Muscle Testing - the Physiotherapist may check for strength and the quality of the muscle contraction and grade the muscle strength. Pain and weakness may be noted.
  4. Neurological Screening - the Physiotherapist may assess how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
  5. Special Tests - the Physiotherapist may perform special tests to confirm/rule out the presence of additional problems.
  6. Posture Assessment - the positions of joints relative to ideal and each other may be assessed.
The Physiotherapist will subsequently formulate a list of problems you are having and how to treat those conditions. A plan is then developed with the patient's/ caregiver’s input. This includes how many times you should see the Physiotherapist per week, how many weeks you will need therapy, home exercise program, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with inputs from you, your primary caregiver (family member) and your Physiotherapist.
d. How long will each treatment last?
Typically, each session may last from 45 minutes to 75 minutes
e. How many visits will I need?
This is highly variable. You may need one visit or you may need months of care. It depends on your diagnosis, the severity of your impairments, your past medical history, your follow up with the home exercise program etc. You will be re-evaluated on a regular basis and when you see your doctor, we will provide you with a progress report with our recommendations.
f. What types of Physiotherapy treatment will I receive?
There are dozens of different types of treatment interventions. Here is a list of some of them:
  1. Active Range of Motion (AROM). AROM is done actively by the patient to maintain the range of motion of a particular joint(s).
  2. Active Assistive Range of Motion (AAROM) - This is usually prescribed for gentle stretching or strengthening for a very weak body part.
  3. Passive Range of Motion (PROM) This is done to maintain or improve ROM.
  4. Progressive Resistive Exercises (PRE) - PRE is usually prescribed for reeducation of muscles and strengthening. Weights, rubber bands, and body weight can be used as resistance.
  5. Stretching/Flexibility Exercise - Stretching exercises are usually prescribed to improve the flexibility of muscles that have tightened due to disuse or in compensation to pain, spasm or immobilization.
  6. Isometrics - This is usually prescribed for strengthening without stressing or damaging the joint (e.g., arthritis, or exercises to be performed in a cast, or right after surgery).
  7. Isotonics- This is usually prescribed for strengthening.
  8. Posture Training Physiotherapists educate patients about the importance of improving posture with daily activities. Stretching and strengthening exercises may be prescribed to facilitate postural improvement and to prevent further disability and future recurrences of problems.
  9. Gait or Walking Training The Physiotherapist trains the proper way of walking either with or without aids/ assistance.
  10. Soft Tissue Mobilization - Soft tissue mobilization may be used for muscle relaxation, to decrease swelling, to decrease scar tissue adhesions, and for pain relief.
  11. Mobilization – It’s a hand on therapeutic procedure done for improving the mobility of various joints.
  12. Proprioceptive Neuromuscular Facilitation (PNF) – This is a system of manually resisted exercises performed in diagonal patterns that mimic functional movements.
  13. Stationary Bicycle - This is usually prescribed for improving the strength and/or range of motion of the back or lower extremities as well as cardiovascular endurance.
  14. Cryotherapy or Cold Therapy - Ice or cold is used most frequently in acute injuries, but also an effective pain reliever for even the most chronic pain.
  15. Heat Therapy- heat is recommended to decrease chronic pain, relax muscles and for pain relief. It should not be used with an acute or "new" injury.
  16. Neuromuscular Electrical Stimulation (NMES) - the application of electrical stimulation to aid in improving strength, decrease pain and swelling and also to relieve muscle spasm.
  17. Transcutaneous Electrical Nerve Stimulation (TENS) - a relatively low voltage applied over painful areas through small self-adhesive electrodes. It is usually prescribed for relief of pain.
  18. Ultrasound - ultrasound is helpful for ligament healing and muscle spasm.
  19. Neck Traction – done either manually or mechanically, intermittently or continuously for relief of neck pain, to decrease muscle spasm and facilitate unloading of  the spine.
  20. Pelvic Traction – done either manually or mechanically, intermittently or continuously for relief of low back pain and muscle spasm.
Depending on the Physiotherapist’s assessment and the goal setting with you and your family, the Physiotherapist will thus commence any of the above treatments.
g. Can I claim for the physiotherapy treatment from my insurance?
Yes indeed, if your insurance policy has coverage for physiotherapy. Physio Helps will issue you an official receipt which you may use for your claims. However, as all insurance policies have specific exclusions, it is advisable to check with your insurance company on the types and quantum of coverage.
h. Does my family member need to be present for every session when the Physiotherapist comes to my place?
It is advisable for one family member to be present during the first visit by the Physiotherapist. This helps in formulating SMART (Specific Measureable Attainable Realistic Timely) goals for the patient. Subsequently, it is upto the family member to be present or not. The Physiotherapist will intermittently update the family via phone or email regarding the patient’s progress.
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