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Physiotherapy

Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability.

Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future.

It takes a holistic approach that involves the patient directly in their own care.

Physiotherapy can be helpful for people of all ages with a wide range of health conditions, including problems affecting the:

Physiotherapy can improve your physical activity while helping you to prevent further injuries.

Physiotherapy is provided by specially-trained and regulated practitioners called physiotherapists.

Physiotherapists often work as part of a multi-disciplinary team in various areas of medicine and settings, including:

  • hospitals
  • community health centres or clinics
  • some GP surgeries
  • some sports teams, clubs, charities and workplaces

Some physiotherapists can also offer home visits.

Physiotherapists consider the body as a whole, rather than just focusing on the individual aspects of an injury or illness.

Some of the main approaches used by physiotherapists include:

  • education and advice – physiotherapists can give general advice about things that can affect your daily lives, such as posture and correct lifting or carrying techniques to help prevent injuries
  • movement, tailored exercise and physical activity advice – exercises may be recommended to improve your general health and mobility, and to strengthen specific parts of your body
  • manual therapy – where the physiotherapist uses their hands to help relieve pain and stiffness, and to encourage better movement of the body

There are other techniques that may sometimes be used, such as exercises carried out in water (hydrotherapy)

Read more about the main physiotherapy techniques.

You will need a referral from your GP to have physiotherapy.

 

Ask your nurse or doctor on your ward if you are an inpatient or your GP or Consultant if you are an Outpatient to refer you to a Physiotherapist for assessment to see if you need treatment.

Introduction to the team

The Women’s and Men’s Health Team are based within the physiotherapy outpatient department over two hospital sites, Warrington Hospital and Halton General Hospital. We see a range of patients in the outpatient department. Common outpatient conditions that are treated by the Women’s and Men’s Health Team include;

  • Pregnancy-related musculoskeletal conditions
  • Urinary incontinence
  • Overactive bladder syndrome
  • Dyspareunia (pain during sexual intercourse)
  • Faecal incontinence
  • Obstructed defecation
  • Pelvic pain
  • Arm/Shoulder problems following breast surgery

Locations

Warrington Physiotherapy Reception: 01925 662500

Halton Physiotherapy Reception: 01928 753206

Services we provide:

Physiotherapy for pregnancy-related musculoskeletal conditions Obstetric/Pregnancy: Women with pregnancy-related back/pelvic pain, pregnancy-related abdominal weakness, pregnancy-related carpel tunnel syndrome

Physiotherapy for gynaecological conditions: Women with bladder problems, prolapsed pelvic organs, pelvic pain.

Physiotherapy for Colorectal conditions: Women or men with bowel problems

Physiotherapy for urological conditions: Women or men with bladder problems.

Physiotherapy following breast cancer surgery: Women or men who experience arm or shoulder problems following breast cancer surgery.

How can you be referred?

If you see a doctor or specialist at Warrington or Halton Hospital they are able to refer you to our service. If you are patient who has a GP within Halton and St Helens PCT, they are also able to refer you to our service.


Physiotherapy for Gynaecological and Urological conditions

What do we do?

Our aim is to teach women how to improve their condition by teaching “correct” pelvic floor muscle exercises. We also provide education and practical advice on how to manage and improve symptoms.

The majority of our referrals are for women requiring treatment for urinary incontinence and discomfort from prolapse.

All patients are provided with a private and confidential assessment; this initial appointment takes approximately one hour and involves the taking of a detailed history and an examination.

We assess patients in order to confirm clinical diagnosis of their pelvic floor problem and choose the appropriate treatment for each individual.

We offer a comprehensive range of evidence-based treatments in this specialised therapy area. We teach patients to help themselves towards better health e.g. giving advice, teaching of exercises, which are ultimately the patient's responsibility.

Treatment will consist of pelvic floor muscle rehabilitation, advice and self help programmes. You may be seen as part of a group if deemed appropriate.

Treatment may involve one or more of the following:-

  • Pelvic floor muscle exercises
  • Bladder training
  • Biofeedback
  • Muscle Stimulation

General advice is always given, this will include (as appropriate):

  • Reduction of weight
  • Reduction of constipation
  • Removal of caffeine drinks
  • Fluid Balance
  • Correct bladder emptying
  • Lifestyle changes

At all times our patients are involved in the decision making process of their treatment plan and receive advice/exercise leaflets to support this. The majority of patients only require between 4-6 physiotherapy appointments. At the end of treatment a report is forwarded to the patient's consultant/GP.

For all patients due to have gynecological surgery at the hospital we run a pre-operative advice and education class. This includes useful information what is involved in the surgery, what to expect following the operation and how to best look after yourself before and after your operation.

How can you be referred?

If you see a doctor or specialist at Warrington or Halton Hospital they are able to refer you to our service. If you are patient who has a GP within Halton and St Helens area, they are also able to refer you to our service.

Leaflets

Women's Health Physiotherapy Service

- Leaflet

Pelvic Floor Physiotherapy

-Leaflet

How to exercise and strengthen your pelvic floor muscles

-Leaflet

 

Links

www.acpwh.org.uk

www.bladderandbowelfoundation.org/


Physiotherapy for Colorectal Conditions

What do we do?

Our aim is to teach patients how to improve their condition by teaching “correct” pelvic floor muscle exercises. We also provide education and practical advice on how to manage and improve symptoms.

We offer a comprehensive range of up to date treatments in this specialised therapy area. All patients are provided with a private and confidential assessment; this initial appointment takes approximately one hour and involves the taking of a detailed history and an examination.

Based on the assessment findings, treatment selection is discussed and initiated.

Treatment may involve one or more of the following:-

  • Pelvic floor muscle exercises
  • Biofeedback
  • Muscle Stimulation

General advice is always given, this will include (as appropriate):

  • Reduction of weight
  • Reduction of constipation
  • Lifestyle changes

At all times our patients are involved in the decision making process of their treatment plan and receive advice/exercise leaflets to support this. The majority of patients only require between 4-6 physiotherapy appointments. At the end of treatment a report is forwarded to the patient's consultant/GP.

How can you be referred?

If you see a doctor or specialist at Warrington or Halton Hospital they are able to refer you to our service. If you are patient who has a GP within Halton and St Helens PCT, they are also able to refer you to our service.

Leaflets

Pelvic Floor Physiotherapy

- Leaflet

Sphincter exercises

-Leaflet

Links

www.acpwh.org.uk

www.bladderandbowelfoundation.org/

Who we are? 

The Perinatal Pelvic Health Service has been set up to support prevention, identification, and treatment of pelvic health issues during pregnancy and up until 18 months postpartum. 

Our Perinatal pelvic health service is run by our specialist physiotherapy team, a specialist midwife and supported by consultant urogynaecologists and obstetric consultants.

Some common pelvic health concerns we assess and treat:

  • Stress incontinence 
  • Urinary urgency
  • Pelvic organ Prolapse 
  • Faecal incontinence 
  • Pain and discomfort during sexual activity.
  • Pelvic girdle pain 
  • Abdominal diastasis 
  • Perineal injury 
  • Constipation 

Services provided:

  • Women’s Health Physiotherapy Appointments
  • Pregnancy Pelvic Health Education Class – an online educational class, sharing information on how to best support your pelvic health during the antenatal period and beyond. 
  • Pelvic Girdle Pain Class - We run an advice and exercise class at the Living Well Hub in Warrington Town Centre for patients who are experiencing low back or pelvic pain during their pregnancy. 
  • Postnatal Exercise Classes 

Referral information

A referral to the Perinatal Pelvic Health Service can be made through your GP, Midwife, consultant, or Health Visitor. 

The Musculoskeletal Clinical Assessment and Triage Service (MSKCATS) is service for patients aged 16 and over with any muscle or joint problem. It is staffed by Advanced Musculoskeletal Physiotherapy Practitioners (AMPP’s) who are specialised physiotherapists with expertise in musculoskeletal (MSK) conditions e.g. back pain, neck pain and arthritis.

From 10 October 2022, residents who use the Musculoskeletal Clinical Assessment and Triage Service (MSKCATS) will be referred by contacting their GP practice rather than self-referring.

Visit the MSK CATS page here.

Below are links to patient leaflets to support in recovery:

A post-operative guide following an Arthroscopic Subacromial Decompression

Leaflet

A guide for people having a Hydrodistension Injection

Leaflet

A post-operative guide following a Rotator Cuff Repair (accelerated)

Leaflet

A post-operative guide following a Rotator Cuff Repair (standard)

Leaflet

A post-operative guide following a shoulder stabilisation (Bankart)

Leaflet

A post-operative guide following a shoulder stabilisation (Latarjet)

Leaflet

Advice for Patients with Recent Ankle Sprains

Leaflet

Anterior Knee Pain

Leaflet

Advice for Patients with Recent Calf Strains

Leaflet

Arthritis Osteoarthritis of the foot and ankle

Leaflet

Arthritis Osteoarthritis of the hip

Leaflet

Degenerative Mensical (Cartilage) Tear

Leaflet

Femoral Acetabular Impingement (FAI)

Leaflet

Gluteal Tendinopathy

Leaflet

Hip Arthroscopy

Leaflet

Knee Arthroscopy

Leaflet

Meniscal Repair

Leaflet

MPFL reconstruction

Leaflet

Pain Management Programme (PMP)

Leaflet

Patellar & Quadriceps Tendinopathy

Leaflet

Plantar Fasciitis/Plantar Fasciopathy

Leaflet

Wrist Fracture Information and Home Exercises

Leaflet

Warrington Hospital

The Nightingale Building (formerly known as Halton Hospital)