Specialist Services

We have extensive knowledge in the following conditions:

Orthopaedics and Fractures Rehabilitation

Joint disease is very prevalent as we get older, especially in the main weight bearing joints in the lower limb such as the hip and knee. Previous levels of activity and occupation may determine the level arthritis found in your joints. Other factors could be linked to hereditary traits. Some people can be effected by auto immune diseases like rheumatoid arthritis, requiring numerous joint replacements over time. We commonly help people who are effected by pain and immobility caused by arthritis, joint replacements and who have required surgery to fix broken bones after a traumatic event such as a fall.

Joint replacements

Traumatic fractures

Ligament reconstructions

Key hole surgery

Spinal fusions

Spinal decompression’s

Neurological Rehabilitation

Many people will be effected by a neurological disease at some stage in their life. Trauma to the brain has a big impact on: processing information, communication, our behaviour and the way we move our bodies. Our therapy team has years of experience in helping you adapt and recover from common neurological symptoms such as: difficulty swallowing, reduced muscle power and coordination of the limbs, difficulties with communication vocally and comprehensibly, reduced sensation of the limbs, changes to muscle tone, loss of independence with daily tasks.


Multiple sclerosis

Parkinsons’ disease

Spinal cord injuries

Motor Neurone Disease

> Dementia

Guillan Barre syndrome

Cardio-Respiratory Rehabilitation

People suffering from disease effecting their lungs and heart can find it hard to exert themselves when doing basic house hold tasks. Regular exercise helps strengthen the heart muscle, improving your exercise tolerance. People who suffer from respiratory problems are more likely to develop chest infections and it is important to practice daily breathing exercises to help clear the chest and allow for good oxygenation on the tissue. We also help teach you pacing techniques and provide the right equipment to make your life more manageable.

Heart attacks

Ischaemic heart disease


Cardiothoracic surgery-stents, bypass grafts, valve replacements


Lung cancer


Chest infection

Musculoskeletal Rehabilitation

Our physiotherapists can help you recover from muscle strains and ligament sprain or recover from surgery. Our therapists use a combination of evidence-based treatment techniques such as joint mobilisations, soft tissue massage, acupuncture and exercise prescription.


Rheumatoid arthritis

Lower back pain

Disc prolapses

Spinal stenosis



Neck pain

Joint pain-ankle, knee, hip, shoulder, hand, wrist, elbow

Ligament and muscle sprain

Acute injury management

Foot and ankle pain

Repetitive strain injury

Home Adaptations and Equipment

When skills cannot be regained following an illness, disability or the ageing process the use of equipment and adaptation of the environment enables individuals to continue to access essential facilities within their home environment. Equipment can include items such as bathing aids or toileting equipment to enable you to carry out personal care tasks safely and independently. Minor adaptations may be the fitting of grab rails or half steps and major adaptations include items such as stair lifts, vertical lifts, level access showers and ramped access to the property.

Benefits of adaptations:

Improved independence with daily tasks such as washing, dressing and toileting.

Restores confidence and dignity

Keeps you in your home

Improves quality of life enabling you to do what you want to

Reduces the burden and reliance on carers

Reduces social isolation and encourages more interaction with friends and family.

Elderly Care and Falls Prevention

As we become older there is a tendency to lose muscle strength, joint stability, mobility and balance. A fall can knock your confidence and make you fearful of carrying about your regular lifestyle. Our therapists are trained in creating programmes which will help to improve your strength, mobility and balance and come up with strategies to reduce the risk of falling.

Personalised strength and balance programme

Restore confidence

Suggest home adaptations to make your life easier

Trial different mobility aids

Practice walking outside and to the shops

Wheelchair and Seating Assessment

Posture is vital to our level of function and greatly affects our ability to carry out day-to-day activities. Wheelchair users who spend long periods of time on the move, or individuals who are nursed in bed; it is crucial to be well supported in sitting and lying to achieve maximum function. Long-term wheel chair users have pressure risks that should be measured and managed proactively.

We provide services for clients with long-term conditions including Osteoarthritis, Rheumatoid Arthritis, Multiple Sclerosis, Motor Neuron Disease, Muscular Dystrophy, Brain Injury and clients who have amputations. We help them become independent in their indoor and outdoor mobility or to obtain best possible posture and seating positions.

It is important to ensure that someone is specifically assessed for their individual needs and is using the correct wheelchair and allied seating support. Not only should the wheelchair be the correct dimensions to correspond to the personal and individual dimensions of the wheelchair user, but everyone has their own unique postural presentation that needs to be appropriately and individually supported.


Increased ergonomics- improved comfort and efficiency

Minimising the risk of pressure sores

Improved cardiovascular function

Improved visual, perceptual and cognitive function

Improved urinary and digestive tract function

Normalisation of muscle tone and primitive reflexes

Facilitating improved symmetry and sitting balance

Our seating and postural management specialists can provide the following:

Assessment and recommendations for wheelchairs and static seating

Tissue viability awareness through the recommendation and good use of cushions

Advice and recommendations for comfortable seating to support posture in wheelchairs or armchairs

Advice and recommendations on lying supports / night time positioning

Oncology and Palliative Care

The aim of palliative care is to improve the quality of life for clients experiencing life-limiting illnesses and for their families. This is achieved through the prevention and treatment of symptoms to enable optimal independence and participation in those activities of daily living which are most important to the client. The rehabilitation can include Physiotherapy, Occupational Therapy and Speech Therapy as clinically required.

Although traditionally used primarily within cancer care, the palliative care approach is now also applied to a variety of other conditions including:



Heart disease

Neurological disorders (i.e. stroke, Huntingdon’s disease and motor neurone disease)

Renal and respiratory failure

Our services can include:

Posture and seating assessment and advice

Environment assessment and advice

Breathlessness management, airway clearance

Mobility and transfer practise

Therapeutic pain management

Communication, swallowing assessment and management

Hand Therapy

Hand therapy is a highly specialised branch of Occupational therapy and Physiotherapy. Our Therapist treats hand injuries to effectively reduce pain, stiffness, inflammation, scaring and maximise independence.

We can organise aids for day-to-day living, or splints which allow your hand to rest in comfort, exercises that increase flexibility and range of motion in the joints. Every client is given a thorough, individualised home assessment and treatment programme.

We regularly help clients in the following areas:

Pain management

Post hand surgery

Rheumatoid arthritis


Carpel Tunnel Syndrome


Dupuytren’s Contracture

Rehabilitation following joint replacements


All our therapists are fully qualified, experienced professionals, DBS checked, registered member of Health and care professionals council (HCPC) and registered with relevant professional bodies

Therapies on Thames professionals are registered with HCPC, RCOT and CSP