Firstly when you can contact us we will arrange your video appointment time and day to suit you. We will initially ask you what platform you would like to use for you video call, we have mostly been using Facetime, Skype, What’s App or Facebook messenger video calls, but can use Zoom or any other platforms you prefer.

We will text you the details of the appointment and also a reminder the day before.

When we call you on the day and time of your appointment we will ask you to confirm you are in a private room for your confidentiality and ask you to confirm basic details such as your name, date of birth, and address, and ask if you are happy to consent to a video assessment. We the therapist will also be in a private room and will take a few notes as you are giving these details.

Then we will proceed much the same way as if you were here in the clinic with us, by asking a full history of the presenting condition and the factors that are likely to influence the problem.

These would include location of the symptoms, when it started, any changes to your normal routine or if you have done anything different before it started, was it from an accident or a gradual onset, how it presents through a 24 hour day, for example is it worse in a morning or does it disturb your sleep pattern. We will ask what aggravates and eases the problem and what management strategies you have tried so far and to what benefit. We will ask if the problem is getting any better or worse or staying the same.

We will take a detailed medical history, screening for what we call red flags that can indicate rare serious pathologies and ask about medications you are taking and dosages. We will ask about previous similar issues you may have had in the past, and previous surgeries or interventions you have had where relevant and ask what may be worrying or concerning you the most about the problem.
We will ask about previous x-rays, scans or investigations you have had and what hobbies or interests you have and how these have been affected by the problem.
All these questions seem detailed but formulate a picture and help us as therapists with our depth of experience in assessment and diagnosis to develop a working hypothesis and causative factors.

The next step is for us to test this hypothesis with some movement analysis; this would include functional activities such as squats, lunges, bending, lifting our arms above the head. We may assess the range of movement of the area and observe via the camera for any loss of muscle mass or swelling and bruising if present.
We may ask you to play around with the camera angles to get the appropriate picture so make sure you have enough space to move around and perhaps wear shorts for lower limb issues or loose clothing so we can see the area we are assessing.
We may then demonstrate and ask you to perform special tests that help us diagnose the problem and we can ask you to palpate the joint or area for tenderness and sensitivity, for sensory changes or numbness and this is proven to be very reliable. So much can be achieved this way.
After the visual assessment we will give a full explanation of the diagnosis and discuss healing times, pain management, goals of treatment and formulate an appropriate, unique rehabilitation plan.

We will demonstrate any exercises we want you to do to make sure you are completing them correctly.
It is important to make sure that exercise prescription is correct, for example how many repetitions, sets, intensity and rest periods are needed. Too little and you are unlikely to make the best improvement and too much and you are likely to aggravate the problem so these exercises will be tailored to you. We will email you a copy of the detailed exercise programme after the consultation using our exercise software.

We here at 1st 4 Physiotherapy believe in the immense power of the body to heal itself when given the appropriate tools and pointed in the right direction and we are passionate about what we do so we will empower you to take ownership of your own health and show you the way forward. We look at the whole body not just the one area and may advise you on all manners related to your health and wellbeing. This may include nutritional advice, advice about stress levels and relaxation, sleep hygiene, posture, and fitness to name but a few to provide a holistic approach to your recovery.

Where we feel you need to see a GP or another specialist or need further investigations we will help to arrange this.

We are aware that life goes on and injuries still happen despite being in a ‘lockdown’ situation, so please don’t put off getting the help you need, contact us to book a video consultation today. We’re here to help.

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