Our team can offer:
Intensive Courses of Neurological Physiotherapy
We are able to provide intensive courses of physiotherapy. This maybe over five or seven days each week for a short period of time.
This is often done for people who need a 'burst' of intensive therapy to maximise their potential or achieve a specific goal.
Our specialist neuro physiotherapists are able to carry out an assessment of your needs and work with you to implement a bespoke treatment plan.
Reasons for having an intensive course are:
Next Steps Neuro Physiotherapy specialises in home visits. Many of our patients find it too difficult to travel and so we are able to carry out your treatment at home or at a nursing/residential home.
One of our specialised physiotherapists will come to your house and complete a full assessment. They will look at things you are having difficulties with such as:
Getting on/off your chair or wheelchair
Walking around your house
Getting in and out of your front door
Getting up and down the stairs
Getting on and off your bed
Getting on and off your toilet
Getting in and out of the bath or shower
We can look to see if you need any equipment or walking aids
We can also advise if you require any adaptations
Our goal is to maximise your independence at home and improve your quality of life at home
We are able to carry out home visits in:
Newcastle under Lyme
Stoke on Trent
We also cover Liverpool, South Staffordshire, South Manchester and Shropshire.
Functional Electrical Stimulation
What is Functional Electrical Stimulation (FES)?
FES is a treatment that uses low energy electrical pulses to produce movement in a muscle that is weak or paralysed. This can occur in many conditions but often it is used on the lower leg muscles which help lift your foot when walking.
The electrical activity is produced by a small device that sends an impulse to a small electrode which are placed over the muscle that needs activating.
FES helps to strengthen and re-educate the weak muscle and can help improve your walking pattern if it is used on your leg muscles.
It can also be used on your shoulder, arm, wrist, abdomen and spine.
When it is used on the foot it can help with 'foot drop' which is when the muscles that lift the foot are weak.
Assessment for FES?
We can provide a specialised FES assessment by one of our trained physiotherapists. We will assess if you are suitable and also look at the goals and what you want to achieve.
Once you have been assessed you will need several follow up appointments and then a yearly check up.
Upper Limb Muscle Stimulation
FES can also be used on your arm and wrist to help stimulate the weakened muscles which control the wrist and fingers.
Once you have been assessed by one of our specialist physiotherapists they can provide you with a specialised exercise programme to maximise your potential and aid your recovery.
The device works in the same way as the device used for drop foot in that an electrical impulse passes to the nerves in the arm which produce a muscle contraction.
Botulinum Toxin Assessment
At Next Steps Neuro Physiotherapy one of our specialist physiotherapists can assess your spasticity and whether you might be suitable for Botulinum Toxin injections.
What is Spasticity?
Spasticity is severe muscle stiffness caused by damage in the brain and spinal cord. This can be caused by conditions such as Stroke, Multiple Sclerosis, Parkinson's disease, spinal cord injury or brain injury.
Spasticity can lead to tightness in the muscles, contracture, loss of movement and an inability to use the limb normally for everyday tasks. Spasticity can also be painful and so effective treatment is essential.
Is an injection which can be given into one or several muscles to help weaken the muscles to allow a 'window of opportunity' for your neuro physiotherapist to provide treatment which will include things such as a stretching program, positioning, using splints and strengthening programmes.
We can also discuss other medical options such as Baclofen, Tizanidine or Dantrolene.
Acupuncture is a treatment technique derived from ancient Chinese medicine. Acupuncture stimulates sensory nerves under the skin in the muscles of the body.
It releases the body's own pain killers called 'endorphins' and a course of acupuncture can have long lasting effects.
Acupuncture can be used to:
Decrease muscle tightness
Decrease muscle stiffness
Conditions treated with Acupuncture are:
Muscle and joint pain
We can provide specialist hydrotherapy treatment.
Our Neuro Physiotherapy team are all trained to provide hydrotherapy.
Hydrotherapy involves the use of warm water for pain relief and treatment. The warmth of the water enables you to carry out exercises which can:
Improve your mobility
Increase your circulation
Reduce your joint pain
Allow you to stretch tight muscles
Use buoyancy to aid your treatment
Improve your balance
Some conditions which can be treated with hydrotherapy are:
Conditions which lead to mobility problems
Conditions which lead to muscle weakness
Mobility Problems & Balance
At Next Steps Neuro Physiotherapy we can assess your mobility and balance problems. We will carry out a detailed assessment and look at your lower limb strength, foot & ankle posture, range of movement in your hips/knees/ankles.
We can assess your walking pattern and whether or not you need a walking aid or a splint to help your walking.
We can also look at your balance and assess your balance reactions, foot & ankle position, we can then provide you with a bespoke balance programme.
Splinting & Casting
As part of our team of occupational therapists and orthotists we can assess you for a splint or provide you with a bespoke cast moulded for you.
We specialise in upper and lower limb splinting and casting.
We also offer serial casting as part of a spasticity management programme.