First therapy

The most common reason for visiting a specialist in physiotherapy is pain or movement disorder. At some point these factors become too annoying and the patient cannot cope with them himself. They disturb the proper functioning and limit everyday activities in private and professional fields.

The purpose of the meeting is to identify the problem which the Patient reports. By performing a detailed interview – “body reading” (visual assessment) and manual examination, the therapist finds the cause of the problem and develops a treatment strategy.

Tips before the first therapy

  • bring your comfortable outfit and underwear,
  • if you had an operation, an injury or you are after an imaging, do not forget to take your medical records with you, it will help us to perform the examination efficiently and accurately,
  • take a moment to remember the history of your ailments; when it started, whether or not there was a causative factor, whether and how the pain changed during its persistence , whether you have previously had other or similar ailments, which movements and activities exacerbate your problem and which reduce it, the answers to such questions will be very important during the examination at the first visit,
  • if for any reason you can’t reach the surgery, call us so we can postpone the visit,
  • we don’t require a referral from a doctor,
  • if you have any questions or concerns, please contact us by phone or e-mail.

Medical history and filling in the examination records.

During the first visit we take a detailed medical history and perform a physiotherapeutic examination. We enter the collected information in the examination records. It is used to plan and monitor the course of the treatment process. The documentation is stored so that we have access to the patient’s medical and therapy history which enables us to effectively solve possible problems in the future.

Body reading

This is a visual assessment of the patient. During the examination, the position of the body in three planes is first evaluated, taking into account frontal, sagittal and transverse planes. Then we assess the bone points the mutual relations of which tell us about the lines of myofascial tension running in the patient’s body. Thanks to this, we know which muscles dominate with increased tension causing asymmetrical positioning of particular body regions which leads to overload and pain in the musculoskeletal system. The aim of body reading is to assess the myofascial imbalance and to find the primary disorder and develop treatment strategies.

Treatment strategy

Stage I – First aid

At this stage, we apply techniques to tissues directly involved in causing the problem which the patient reports.

Stage II – Causal treatment

The next stage of treatment begins when the pain is eliminated or reduced to a degree that enables the restoration of function. This is the right time to address the root cause, which is the source of previous symptoms and ailments – in this way we prevent the recurrence of the dysfunction. This stage, which is an expression of a holistic view of the Patient, helps to prevent further pain incidents.

Stage III – sensorimotor training and self-therapy

The aim of the therapy in the first two stages is to recover the painless movement of the musculoskeletal system as much as possible and improve the muscle balance. When we perform a manual treatment that improves the patient’s condition, we always ask ourselves how to maintain it? The obvious answer is that through proper exercise but choosing the correct motor activity is very difficult which is associated with the problems of assessing the correct muscle balance.

At this stage we analyse the patient’s movement, attitude, habits, stereotypic movement disorders. We implement treatments aimed at reprogramming inappropriate movement patterns underlying the patient’s ailments.

The physiotherapist assesses the patient’s motor abilities and, depending on the degree of the motor skills, it selects appropriate exercises to be performed at home. This is a very important stage and its effectiveness depends on the degree of patient’s involvement. It should be mentioned that from the first visit, the patient starts to do the properly chosen exercises at home on its own. In order to achieve the objectives of the treatment, usually from 3 to 7 therapies are necessary. The three-stage model of therapy guarantees that the Patient will be able to enjoy full strength and motor skills for as long as possible. A comprehensive approach to the problem translates into a permanent solution.