Our Services

Physiomac Physiotherapy is a state-of-the-art physiotherapy Clinic providing top quality services to patients with a wide range of health concerns. Our professionals have the comprehensive expertise in a variety of different medical areas to manage your health needs.

Physiotherapy

Physiotherapists are experts at understanding how the body moves and therefore in helping restore normal movement following pain or injury. Physiotherapy can help with the following (please note this list is not exhaustive):

- low back pain

- neck pain

- frozen shoulders

- unstable/dislocated shoulders

- arthritic pain

- knee injuries

- nerve related pain (e.g. sciatica)

- headaches

- injury prevention

- post operative rehab

- tendon or ligament injuries

All clinic appointments are scheduled to last 30 minutes. We also offer virtual assessments via webcam.

Our professional team is here to guide our patients and their families every step of the way. Stop by and schedule an appointment to experience first hand how we can help your health today.

Ostenil Injections

Ostenil Plus UK Knee Inj combo 2019[55].

Occasionally conventional physiotherapist-led interventions do not produce desired results. In such cases, delivery of a joint or soft tissue injection may be provided. There are various drugs or medical products that can be injected. At Physiomac we currently provide use a product called OSTENIL.

OSTENIL is a regulated medical product that contains sodium hyaluronate. Sodium hyaluronate is found naturally occurring within the body's joints. The best way to think of this injection is to envisage a concentrated solution that helps lubricate and cushion the joint. As such, it is particularly useful for those suffering pain as a result of osteoarthritis.

There is good independent research that supports the use of hyaluronate injections. It is most effective in knees, but research also supports delivery to other joints. There are various ways to provide the injection. At Physiomac, for joint injections, we prefer to use OSTENIL PLUS as it involves only one injection, as opposed to a series of injections over several weeks, the effects of which can last upwards of 6 months. More information can be found here.

Certain soft tissue structures can also be injected and for this we prefer to use OSTENIL TENDON.

We offer this service as an inclusive package that involves an initial screening consultation, the injection itself with concurrent management/rehab advice, and a follow-up call at an agreed time a few weeks post-injection. We may also ask you to complete clinical questionnaires so that we can accurately measure the success of the injection.

If you wish to discuss your suitability for an injection further, please get in touch and request to speak to Ryan.

Corticosteroid Injections

We are also able to provide corticosteroid injections (CSI).

CSI are normally delivered to a joint space, but they can also be delivered to certain soft tissue structures.

CSI contain substances called glucocorticoids- which are synthetically made steroids similar to those found naturally occurring in the body. Steroids are a hormone, the purpose of which is to control the inflammatory process. By providing a CSI, the aim is to reduce the body's ability to create inflammation at the injection site, thereby reducing pain. This process will start to work after a few days but can take several weeks to gain full effect.

It is important to note that these steroids are different to anabolic steroids! Local anaesthetic is often provided at the same time which helps post-injection pain.

Judicious use of CSI is important. Not all conditions will benefit from an injection, and not everyone can safely have one. We often say no, more than we say yes! However, if you are suffering from joint or soft tissue pain that has not responded to conventional treatment modalities or if severe pain impacting your life/reducing your ability to rehabilitate, then please get in touch.

Radial Shockwave Therapy

Physiomac provide Radial Shockwave Therapy. Shockwave treatment has been utilised in medicine and healthcare since the 1980s when it was first used to treat the effects of renal cholic (kidney stones). Since then, machines and treatment protocols have developed to allow treatment of various orthopaedic conditions.

Shockwaves are acoustically (sound) generated waves that occur at a low frequency. Radial Shockwaves are an example of non-focused waves and are what we use at Physiomac.

Radial shockwaves are generated by a mechanical concussion (a force) that creates waves expanding from a concussion plate (the end of the probe in contact with your skin). This shockwave then transmits through your tissues. The frequency and intensity of the wave can be controlled to reach certain body structures at different depths depending on the clinical condition needing treated.

There is a large body of research that recommends the use of Radial Shock Wave Therapy for various conditions. We believe that the evidence best supports use in conditions that have failed to recover within normal time frames. Generally speaking, these are conditions that have not improved within at least 3 months.

Examples of common conditions treated:

Calcific tendonitis
Achilles tendonitis
Tennis elbow
Great Trochanteric Pain Syndrome
Rotator cuff tendinopathy
Patella tendinopathy
Plantar fasciopathy

Common practice entails 3-6 sessions before determining the overall benefit of the treatment. These can be paid in blocks of 3 or as individual sessions. Certain insurance companies also recognise and support SWT as part of physiotherapist led intervention. Currently this service is only provided at our clinic by Andrew. If you wish to find out more, please get in touch.

Chronic Low Back Pain Service

If you are looking for help for persistent (chronic) back pain then we might have the answer for you. Persistent pain is defined as pain lasting greater than 3 months in duration. This innovative service incorporates a Cognitive Functional Therapy (CFT) approach. CFT for the management of low back pain involves helping patients make sense of their pain, exposing them to movements they struggle with or fear, and assisting with relevant lifestyle changes. It is supported by well conducted research.

If you have been suffering persistent low back pain for more than 3 months, or know of friends/family/colleagues who are, then contact us to find out more. Please note that this appointment lasts for at least 1 hour and is undertaken by our physiotherapist Ryan only.

Neurological Rehabilitation

For sufferers of the following conditions we recommend an appointment with our associate physiotherapist Irene New who completes domiciliary visits as required:

- Multiple sclerosis

- Parkinson's Disease

- Traumatic brain injury

- Stroke

- TIA (mini-stroke)

- Guillain–Barré syndrome

- Cerebral palsy