Q&A

Your questions…

What is physiotherapy?
“Physiotherapy helps restore movement and function to as near normal as possible when someone is affected by injury, illness or by developmental or other disability” – that’s the official definition from the Chartered Society of Physiotherapy. The results are achieved through exercise, movement re-education and lifestyle guidance.

What sort of physio do you specialise in?
On Balance Physio specialises in rehabilitating people with neurological disorders (neuro-physiotherapy). Physiotherapist Karen Stevens is also skilled in vestibular rehabilitation – the treatment of balance problems, dizziness or vertigo due to an inner ear dysfunction.

Who can benefit from vestibular rehab?
Anyone…

  • with a diagnosed vestibular disorder
  • experiencing dizziness, vertigo, or imbalance
  • prone to falling over (this is especially common among older people)
  • recovering from surgery to remove an acoustic neuroma.

What conditions can On Balance Physio help with?
Karen Stevens has helped clients with a vast range of disorders. She is skilled in treating people with the following conditions:
BPPV (benign positional paroxysmal vertigo), cerebral palsy, CIDP (chronic inflammatory demyelinating polyneuropathy), facial palsy including Bell’s palsy, brain tumours, Gullian Barre syndrome, migraine associated dizziness, motor neurone disease, multiple sclerosis, Parkinson’s disease, peripheral neuropathy, post traumatic vertigo, posural phobic vertigo, spinal cord injury, stroke, traumatic brain injury, vestibular neuritis, vestibular hypofunction, visual vertigo.

How can you help with neurological conditions?
For progressive disorders, such as Parkinson’s disease, it is useful early on, to maximise physical functioning and prevent secondary complications. As the disease progress, it can help your body adapt to physical changes.
For conditions such as stroke, traumatic brain injury and GBS, the most rapid gains occur early on. However people can continue to make smalls gains some time after the initial neurological event.

I’ve already got a rehab plan but it isn’t helping…
You may find that it’s out of date, because you have made further gains or your goals have changed. An assessment with On Balance Physio will bring your treatment up to date, and together we will set new goals for your progress.

What does neuro-physiotherapy involve?
At our first session, we will establish your history, previous rehab input, how you are moving, and what difficulties you are experiencing. We will then set goals, which will guide the treatment programme, and provide ongoing assessment. The best results will be achieved if you do some practice exercises between sessions.

How will I feel during the assessment? Will it hurt?
The initial appointment will be an assessment of your goals and current abilities.  It should not be painful. During a vestibular assessment you are likely to experience some of your symptoms. This is necessary to ensure a correct diagnosis. It may be helpful to have some else drive you home from the assessment.

What should I wear?
No special clothes are needed. It may be necessary to take some clothing off to see how your body is moving but this will always be with your permission.

When will I start to feel better?
For vestibular rehabilitation: Scientific research into vestibular rehab strongly supports its use. However how many sessions you will need will depend on your condition, and how much work you put in at home. Fully participating in an exercise programme will help significantly – and age is not a limiter to improvements.

For Neuro rehab: Our aim is to maximise your ability and achieve your goals. Your progress will be monitored at each session.

Do I need to do exercises in between sessions?
Yes, the more you practise, the more effective your treatment will be.

Are you registered with a professional body?
Yes, Karen Stevens is registered with the Health Professions Council in the UK, and The Physiotherapy Board of New Zealand. She is also a member of the Chartered Society of Physiotherapy and special interest groups for vestibular rehabilitation and neurology.

Do you do home visits?
Yes, we are happy to visit you at home, at work, or a leisure venue such as a gym, if you would like advise on your training programme.

Will my private health insurance cover the charge?
Hallamshire Physiotherapy Clinic is accredited by the majority health insurancers. If you would like your insurance providers to pay, please refer to your policy and contact the Hallamshire Physiotherapy Clinic for an appointment.

Does my GP/specialist need to refer me for physio?
No, you can refer yourself.  However it may be useful to discuss this with your medical practitioner before referring yourself. We frequently work alongside medical professionals, to achieve the best results.

Can I bring a family member, friend or support person with me?
Of course.

Do you treat children?
No.

How long are sessions?
Most sessions last between 45 and 60 minutes.

How much does it cost?
Sessions cost ₤50. For home visits there maybe additional charges for travel, depending on distance.

How do I pay?
Payment is made at the end of each session by cheque or cash.