Your personalised physical therapy plan comes with the compassion & care you deserve.

We can normally arrange to see you within 10 working days, and often sooner than that. Our availability varies, so the more notice we have, the better we can plan, especially if you think you need intensive treatment. The families of many people will contact us while their loved one is still in hospital. This is a great opportunity for us to provide advice and reassurance, as well as ensure we can be ready to pick things up on discharge home from hospital.

We cannot. It creates a complex legal and professional situation so we’re unable to treat you in an NHS institution. While in hospital we advise you make the most of the NHS services you receive and rest assured that we can help you reach your full potential once you’ve been discharged. 

Yes. You can use our postcode checker here to find an NPS physio in your area.

If you’re in any doubt, get in touch. We have team members willing to travel and we’re always expanding our coverage, so we may still be able to reach you even if the search-by-postcode doesn’t work.

For most of our clients, home is the ideal place to start. We get a clear understanding of your living environment and address any challenges you might face. Exercise may be a central part of your programme; being in your home helps us find ways to integrate activity into your daily routines. We’ll provide training and advice to the loved ones and care givers who’ll be supporting your treatment. 

We do offer clinic appointments in Glasgow and Edinburgh and these are useful for: 

• Clients in areas we’re unable to reach.
• Access to larger pieces of equipment such as exercise bikes.
• Vestibular sessions where a treatment plinth is useful.
• FES sessions to access large, flat areas for walking.
• A quiet, calm environment away from a busy home life.

We may offer remote appointments using a secure video conferencing link. This can be a great way to review and fine-tune your exercise programme, help problem-solve any challenges that have cropped up and keep you motivated, while eliminating the costs and risks associated with travel. We know that Scotland’s geography can be a challenge so it’s a great way for people in more remote areas to be able to access expert support.

We know that working together with peers can help you build a support network, as well as maintain your motivation to keep going! All our neurophysios have the option to refer their clients to our in-house group exercise programmes, happening online and face-to-face in local communities. Your neurophysio will be able to advise if there is a suitable class in your area for your level of ability.

Our session fees vary depending on location, type and length of treatment. We don’t make any assumptions about what people can afford; we just give honest, experienced recommendations on best treatment. 

During our first free call or email exchange, we’ll ask questions to get a solid understanding of your condition and your current challenges so we can find you the most suitable neurophysio in your area and outline all fees and coverage opportunities. 

If you’re struggling to meet the cost of any treatment, please let us know. We have partnered with charities wherever possible that may be able to help you to reduce or eliminate cost. We can provide you with a list of funding sources.

We ask you to remember that we provide high-quality service from experienced professionals whom we support with good levels of pay, pension, training and leave. We also continue to invest in technology, much of which would not otherwise be available to trial in Scotland.

Your first session consists of a neurological assessment. This starts with a discussion about your condition, how it affects you and what you would like to achieve. This is followed by a physical examination to look at things like muscle stiffness, strength and co-ordination. Some time may then be spent analysing patterns of movement during functional tasks like standing up or walking.

We’ll review our assessment with you and formulate a treatment programme that is specifically tailored to your needs, expectations and goals. We’ll clearly describe the progress you can look forward to, answer your questions and address any immediate concerns. We’ll also tell you about rehabilitation technology that could assist you in your goals or any other services that might be relevant to you. Your neurophysio may get you started with some treatment and suggest a plan for follow-up. You’ll also receive a friendly follow-up call from our Practice Manager Rosie to see how things went.

After a stroke there is often an initial period of spontaneous recovery as the body’s natural processes begin to try and heal the damaged area. This normally happens over a few months but might carry on for as long as 6 months. Beyond this point, recovery seems to rely on neuro-plasticity, or the brain’s ability to re-wire itself. We know what factors are important in making positive neuroplastic change in the brain, and we use these to guide your rehabilitation. This is where the hard work comes in! 

We’re often asked about how much more recovery people can expect and it’s a very difficult questions to answer. The evidence tells us that some people can recover for many years after a stroke. From our clinical experience, one thing seems to be certain: after the first 6 months, if you don’t challenge yourself then you won’t improve. The people that do continue to improve over many years are those that a) have the type of stroke where more recovery is possible, and b) have the motivation to continually push themselves to improve.  

After getting to know you, your physiotherapist will be able to give you a good idea about how much potential you still have, but it will always be an educated guess. We may encourage you to complete a period of intensive rehabilitation with some clear goal or measurement in mind. This way you can measure your progress over a set period of time, which offers us a much clearer indication of your potential to improve.

It’s also worth noting here that recovery of the leg is often much quicker than recovery of the arm after stroke. The reasons for this aren’t fully clear but probably relate to the increased level of complexity involved in controlling all the fine motor skills required for use of your hand. 

You can read more in our blog on Recovery from a stroke/brain attack.

No, not necessarily. Often arm function receives less attention when in hospital because the focus is on mobility goals that get you home quickly, such as being able to transfer, walk or manage stairs independently. This focus reduces time dedicated to looking at things like hand and arm function. It’s also important to consider that recovery of the leg is often much quicker than recovery of the arm after neurological damage. 

Once you’ve been discharged from hospital, we can fully re-assess your hand and arm and start a focused treatment programme. Evidence tells us we need to increase the number of repetitions of movements; it’s useful to preview some rehab tech for hand and arm function to augment your treatment. We’ll monitor your progress and use this to guide discussions about the potential for hand and arm recovery.

FES is the use of electrical stimulation to make a particular muscle work in a way that helps you function. It’s most commonly used to correct foot drop but can also be applied to different areas of the leg to improve your mobility. FES will work best when foot drop is caused by a problem in the brain or spinal cord. For conditions where the foot drop if caused by damage to the peripheral nerve in the leg there’s a high chance that FES will not be effective.

You can read more here.

Yes. There’s good evidence to support high intensity input for many neurological conditions and often NHS services are unable to provide an optimal level of intensity. We can help increase the intensity of treatment received safely, working in collaboration with NHS therapy services, with your best interests at heart. We have clear guidance from our professional body about how best to work jointly in these cases.

We continue to work extremely hard to provide as safe a service as possible to all our clients. Prior to a first appointment we will complete a Covid-19 Triage telephone call with the client or primary caregiver. This will facilitate a discussion about the need for physiotherapy input, the risk category of the client, and any steps that can be taken to mitigate risk, including provision of remote treatment where appropriate, use of PPE, and good hygiene routines. If you’d like a copy of our latest Covid Pandemic Policy, just ask. There are separate policies in place for each of the clinic locations we use.