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Spinal

 

Spinal conditions have multiple causes – from injury and repetitive overload to bad postural habits and pre/post-operative issues. We’ll help you reduce your pain and return to your previous level of activity using a combination of treatments according to your needs. For example, we might use exercise rehabilitation alongside mobilisation and manipulation. 

We’ll also help you understand and manage your symptoms over the longer term, to reduce your risk of recurrence.

Meet our specialists

Caroline Ephgrave

After training as a dancer, Caroline began a second career in physiotherapy – working for both the NHS and as a physiotherapist for the English National Ballet before moving into full-time practice in 2002.

Caroline now specialises in neck and back problems. She combines her previous dance experience with clinical knowledge to analyse and correct posture and muscle imbalances, which leads to reduced pain and optimised performance. As a registered AACP acupuncturist, she uses acupuncture to supplement her treatment.

 

Kara Mulvein

Specialising in musculoskeletal and sports physiotherapy, Kara completed a Masters in Manipulative Therapy at the University of Queensland. She specialises in spinal problems – particularly the influence of spinal (core) stabilisation in relation to other conditions (such as sports injuries).

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WHAT WE TREAT

We treat a variety of spine-related conditions, including the following:

Whiplash

Laminectomy

Disc pain

Spinal fusions

Neck and back pain

Disc replacements

Nerve pain, e.g. sciatica

Facet joint dysfunctions

Headaches

Epidurals and facet joint injections

Discectomy

Fractures

 

WHAT TO EXPECT FROM YOUR FIRST APPOINTMENT

When you first arrive at Physio Remedies (and after you’ve filled out a few tedious forms!), we’ll usually have a one-hour session with you, broken down as follows: 

+ 1: Full assessment of your issues

Your therapist will ask you questions about what’s happened, what hurts, what treatment you’ve had to date, past injuries/medical conditions, your general fitness, and so on.

+ 2: Physical examination

Your therapist will look at the area of pain, but also the body as a whole: your current pain could, for example, be the result of an injury from years ago that’s now putting excessive pressure elsewhere.

+ 3: Treatment and next steps

Once your therapist has a good overview of what’s wrong, they may be able to provide you with some treatment there and then to ease your pain and make you feel more comfortable. They’ll also sit down and discuss their findings and next steps with you.

These next steps may involve regular physiotherapy, massage, pilates, exercises for you to do at home, and more. When you’re given exercises to do in your own time, we sometimes like to record them on your phone (with your permission, of course), so that you have something accurate to follow. Alternatively, we might give you links to exercise programmes created just for you.

Your therapist will never give you too many exercises – and they’ll always check that you’ll realistically be able to fit them into your days.

+ 4: And then?

What happens next depends on your specific condition and the treatment required. Your therapist will outline everything in detail during the first appointment, so that you know exactly what’s going to happen and how long your treatment may take.


HELPING YOU GET THE BEST TREATMENT

Sometimes, physiotherapy isn’t the answer – and we believe in referring our patients on quickly when they have problems that require a specialist opinion.

We have strong, direct links with spinal specialists in central London, which means we can help you with a fast, efficient referral process to orthopaedic consultants, neurosurgeons and complex pain consultants.