Poor NHS Physio Update

I had a call from the head of physio for my local NHS trust and I quote her as saying “I share your concerns about your physio ┬átreatment”. She is going to meet with the head of Physio at my local hospital today to discuss my case. Now into week 15 and still only been given some basic foot exercises and one stretch. I am taking things into my own hands a little and have joined a gym so I can use the static bike, stepper and fast walk on treadmill building up to a gentle jog when ready. I have an aerobic step and doing some basic step exercises, heel raises and easy stretch. I start a group exercise class at the hospital tomorrow so hopefully I will be given better advice and guidance then. I feel I am having to manage my recovery on my own which doesn’t seem fair. Surely there needs to be some sort of test as to whether someone is ready to jog. I have seen protocols stating jogging only once you can jump and 6 months post injury or muscle size on injured leg no less than 10% compared to healthy leg.

At this stage, I’m not convinced the NHS in the UK is equipped to deal with the physio recovery side of this injury but happy to be proved wrong.

4 Responses to “Poor NHS Physio Update”

  1. I know what you are saying - I got NO physio from the NHS what so ever, as seemingly I didn’t require it!!!!!

    Needless to say I knew and needed to go that extra mile so I went privately to a fantastic sports physio who has me back to almost pre injury fitness/mobility/strength. Phsyio certainly helps get you on track to a great recovery, good luck and hope it all gets sorted.

  2. You can have a read of my post on yobogonos recent page about when to start jogging but for you there may be a bit more needed dynamic work needed. NHS is a government run service and I would suggest it is a hit or miss. It may be more of a miss. It is a good thing that you are taking control. I found a mini tramp very helpful for balance and strength. I used to think they were a bit of a joke as a piece of exercise equipment. Jogging on one is less stressful than grass or a treadmill and a good exercise is to jog 3 and balance for a few seconds with a bent knee then another 3 so you balance on the other leg. Your leg all the way up has to absorb the return spring energy. Walking hills and stairs will also help and as you improve you can put more toe and less heel on the stair to push up. A physio should be there to guide you through the process of you getting yourself better and it is a shame this has not happened. Most people don’t bother with the government provided physio in Oz unless there is no other option. My nearest private physio is over 2 hours away and the local hospital is nearly an hour. The physio there is good fortunately.

  3. As anyone in the UK knows, the NHS is organised into healthcare trusts, each responsible for allotted geographical areas and managed teams with vastly different priorities and capability.

    For this reason, and atr treatment and rehab is a good example, standards and protocols vary considerably. In some cases, you can reach 15 weeks or more with no physiotherapy offered, or you can be in the hands of a physio from week 2 or 3.

    I am talking NHS and in my case I met with the consultant for diagnosis, we agreed on non-op treatment, and from then on I never saw him, although he and his senior colleagues were always available if the physio needed their opinion. I did see the physio once every 2 weeks to week 9 or 10, then NHS physios in cottage hospitals near my place of work.

    NHS trusts are generally certainly far from the inadequate organisations that some portray. However, funds are often woefully inadequate and sometimes poorly managed, hence different levels of performance and satisfaction. From what Stuart says here, it appears that the UK has superior levels of NHS physio treatment readily available, although there appear to be locations that don’t reach this level of care.

  4. I have had a very mixed bag from the NHS. After getting my final cast off I was told by the ’specialist’ all was looking well but I would need urgent physiotherapy. I was then told by physiotherapy nothing would be available for 10 weeks! Luckily a passing physio looked at my case and said I was an urgent case and could be seen immediately. I have since been told that it is vital to get your case marked urgent. The physio itself has been good and the physio has noted that I would like to get back to running and playing tennis. I am at about 16 weeks and In addition to the regular exercises I will shortly be starting a weekly exercise session with other similarly afflicted patients

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