FREQUENTLY ASKED QUESTIONS
GENERAL QUESTIONS
The main things you may want to bring are:
- Clothes which allow the area to be assessed
- Any medical information that is relevant.
- Any consent forms that have been filled out in anticipation of treatments.
There is a strip of parking on the road infront of the building. It says for 30mins only.
A little secret though is that the attendant takes a long time to :
- Notice your car and,
- come back round.
No patient has had a ticket for a 1hr appointment in 5 years. This is at the patient’s individual judgement though.
Other car parks very nearby are the New Market car park directly behind the clinic, Canal Street and Linenhall.
There is a strip of parking on the road infront of the building. It says for 30mins only.
A little secret though is that the attendant takes a long time to :
- Notice your car and,
- come back round.
No patient has had a ticket for a 1hr appointment in 5 years. This is at the patient’s individual judgement though.
Other car parks nearby are Canal Street, Linenhall or under the Crown Plaza Hotel.
Yes, AXA being the main source of referral, and we are more than happy to produce an invoice should you require this to claim your sessions back.
Patients desire a diagnosis, treatment with good progress to a resolution and the information to get fully better in the most efficient and cost effective way . Averaging three sessions to achieve this, the Bounce Back Package is a 3 appointment package with of £10 off each session to help you Bounce Back Better!
PHYSIOTHERAPY
- in-depth considered history
- thorough assessment
- treatment as time allows.
At Rebound physio we average three sessions
- Initial appointment
- Follow up
- Review
(Hence the Bounce Back Package)
This estimate will obviously also depend on the complexity of the issue or you as a patient.
This is not a problem. However at Rebound Physio we like to be thorough with each issue otherwise and incomplete understanding or less optimal treatment given. This may mean we need an average of three per issue however often if progress is made in one or two and we can move onto the next issue.
This is the use of sterile and single use fine needles inserted into specific muscles which have been assessed to be causing pain or movement dysfunction. It is objectively measured, such as muscle length taken, then post needling measured again with immediate results gained thus allowing its effect to be assessed, a known amount of sessions to be required and no vague outcome which may be apparent with acupuncture. During needling the needles may then be moved gently in and out to release the muscle or just left in place, dependent on client choice.
Dry needling works by:
- Touching on the junction between the muscle and its nerve to illicit a response to release the spasm (continued contraction) of that muscle.
- Reducing the tightness of connective tissue to allow the normal physiological process to occur (cellular signalling & metabolism etc ), renewed blood flow and the nutrients cells needs to return to healthy states i.e the Oxygen required to create energy (ATP) which is required to release an unnecessarily sustained muscle contraction.
Conditions commonly treated include: Overuse injuries & stiffness from sports i.e. running, boxing, swimming and cycling
To be conscientious and thorough when providing a diagnosis and collaborative in achieving the most effective treatment options for you. Whilst we provide longer sessions, this means more actual physio rather than the rushed meet great / undress of a 30min and whilst more expensive per session this means less are needed.
No. This machine is mainly used to treat tendon issues. These can also be treated with injection which have been shown to be even more effective in certain studies.
Patients desire a diagnosis, treatment with good progress to a resolution and the information to get fully better in the most efficient and cost effective way . Averaging three sessions to achieve this, the Bounce Back Package is a 3 appointment package with of £10 off each session to help you Bounce Back Better!
INJECTION THERAPY
Yes you can however it is preferred that a free 30min assessment as to your suitability either by phone or in person has been conducted.
Steroid injection is available where it is required and can be combined with Hyaluronic acid if deemed the most appropriate approach. Whilst able to have three a year in general steroid is not seen as long term management plan with other substances being more suitable for this in connection with any other changes to muscle strength and mechanical control of a joint to minimise inflammation.
Sodium hyaluronate (also known as hyaluronic acid or hyaluronan) is a natural substance. It is present in the body wherever moisture is stored or lubrication between layers of tissue is required to eliminate friction. Examples are the vitreous body of the eye itself, the tear film, the joint cartilage, the synovial fluid in the joints, all the mucuous membranes of the body, but also the basic substance of the skin which consists of up to 55% sodium hyaluronate. Sodium hyaluronate takes on a variety of functions:
- Storage: it absorbs and stores moisture in enormous quantities
- Lubrication
- Transport medium for nutrients
- Filter for inflammatory molecules.
It may help to visualise sodium hyaluronate as a dish of spaghetti (this is what the molecules look look like under an electronic microscope): a dense mesh that remains elastic and flexible in spite of its density and interwoven structure.
How does sodium hyaluronate work?
Sodium hyaluronate is an essential component of the synovial fluid. It enables the fluid to act as a lubricant, a shock absorber and a filter controlling the movement of cells and large molecules within the joint:
- Under gradual shear stress, sodium hyaluronate acts as a lubricant
- Under sudden loading, sodium hyaluronate acts as a shock absorber
- Sodium hyaluronate acts as a filter, hindering the movement of potentially damaging cells and molecules
Steroid is a prescribed medication used to reduce inflammation. It lasts 3 months giving a window to get pain free. It is a very powerful anti inflammatory and therefore painkiller however in terms of joint protection it has little mechanical effect on the joint and won’t directly protect against further wear & tear. Once pain free it allows a window for strengthening the muscles to will work better and control the joint better, or where the driver of the issue can be changed settle the tissue to normal.
Ostenil / Durolane are made of hyaluronic acid, a naturally occurring substance in the body. Designed to aid the joint in a more mechanical way, it helps to lubricate and cushion joints which reduces inflammation and therefore pain. This lubrication prolong a joints viability protecting against wear whilst also offering pain relief lasting 6-9months for Ostenil Plus and an average of 15months for Durolane
In short, yes.
To obtain the highest accuracy and and therefore best result ultrasound is used to assess any issue present and then aid injection whether it be indirect (used to accurately mark an injection site) or direct whereby ultrasound is used to guide the needle directly in realtime and monitor the introduction of the injectable.
- An injection of sodium hyaluronate increases the viscosity of the synovial fluid, restoring its lubricating, shock-absorbing and filtering properties.
- In addition, it re-establishes the protective coating of hyaluronan over the inner surface of the joint and increases the scavenging of free radicals.
- As a result of these changes, sodium hyaluronate reduces inflammation of the synovial membrane.
The direct effects of adding hyaluronan (i.e. injections of artificial sodium hyaluronate) cannot account for its long-term benefits, as it is cleared from the joint within a few days. It appears that, through its direct effects, exogenous hyaluronan restores the ability of the joint to produce its own hyaluronan and thus returns it to a state of homeostasis (i.e. stable condition) that persists for several months.
Evidence exists suggesting that exogenous (that injected into the body) hyaluronan may slow the destruction of cartilage
The improvement in your symptoms should last for several months to over a year depending on the product. Ostenil Plus is a thinner lubricate used on less severe inflamed/arthrtic joint whilst Durolane lasts on average of 15 months.
You may not notice any benefits immediately and the benefit can take up to 10 days.
Products are licensed for use in any synovial joint of the body, typically the knee, hip, or shoulder joints but also suitable for the elbow, ankle, and some of the small joints such as the jaw, hand (finger, wrist and saddle joints) and toe joints.
Hyaluronic acid does not contain any animal proteins, so it is fine to be used for vegetarians/vegans.