Complementary Therapy

Occupational therapist

SPECIFICS AIMS OF OCCUPATIONAL THERAPISTS

Occupational therapists are trained to assist people to overcome various problems of lives. They use medically prescribed and analyzed activities in the management of different medical conditions. People may need assistance due to injury or illness, mental health problems, developmental delay or the effects of ageing. Occupational therapists take holistic approach to health care and treatment and their goal is to improve skills for living so that people can accomplish more and improve wellbeing and quality of life. They work with person, their family and other health care professionals where necessary.

FOR CHILDREN

Occupational therapists promotes normal development and stimulates learning in children with specific learning difficulties, physical disabilities, delay developmental milestones or those recovering from illness or injury. Therapists also work with their families and teachers. The aim is to improve child’s quality of life by helping them to participate in play, preschool, school and home activities.

ADOLESCENTS

Helps adolescents to improve self esteem and develop independent functioning, social and communication skills. Teenagers with social and lifestyle problems or disabilities resulting from an accident or disease can maximize their independence and quality of life into adulthood with the help of occupational therapists.

ADULTS AND ELDERLY

Assists with the return to home and work life through the development or retraining of new skills for daily living such as household tasks and personal care, return to work or home environment to make life easier and safer.

PSYCHOLOGICAL /EMOTIONAL PROBLEMS

Occupational therapist assists adult who are experiencing psychological or emotional difficulties. They help to teach coping skills for individuals who develop mental illness in the context of day to day activities, managing work and emotional problems. They also do vocational rehabilitation where necessary.

WORK PLACE

Helping workers return to work following an injury or illness, including stress management. Roles in work place covers-

INJURY MANAGEMENT AND REHABILITATION – Including work site assessment, injury risks assessment, counseling and occupational rehabilitation.

INJURY PREVENTION – Including manual handling assessments, claims history reviews, ergonomic assessment, and development of alternate duties, work conditioning programs and the redesign of work places.

TRAINING – In areas like stress management, manual handling, safe work practices, the introduction of equipments, work station adjustments and developing pause exercises, where you take a break for exercise at work.

Physiotherapy

Physiotherapy is used for the treatment of musculoskeletal injuries, these include back and neck pain, as well as general aches and pains in the muscles or the joints.

Most common conditions treated include:

  • Upper/lower back pain/sciatica, neck pain/whiplash

  • Trapped nerves, disc displacement

  • Tension headaches, jaw/facial pain

  • Frozen shoulder, acute/chronic/post operative

  • All sporting/recreational/occupational injuries

  • Ligament strains/joint sprains, including repetitive strains (RSI)

  • Postural misalignment, muscular imbalance and foot orthotic support

  • Pre/post surgery rehabilitation

  • Pre/post natal conditions

  • Exercise regimes to develop flexibility/strength/stability.

Treatments offered here at Pinnacle Medicals are:

  • Soft tissue mobilisation

  • Joint mobilisation or manipulation

  • Electrotherapy

  • Exercises

  • Myofascial release

  • Visceral mobilisation

  • Gait re-education

  • Postural/ergonomic advice

  • Domiciliary visits as and if appropriate.

Women’s Health Physiotherapy

Women’s Health focuses on all issues related to Obstetrics and Gynaecology. Whether you are pregnant, a new mum, recovering from gynaecological surgery or experiencing continence or pelvic floor concerns Women’s Health Physiotherapy can help to improve your health, fitness and well being.

Pregnancy and beyond…

Pregnancy can be a very exciting time but it can also be an uncomfortable one. Back and pelvic pain are very common at this time affecting up to 90% of women. During your pregnancy your body releases the hormone relaxin which softens your ligaments. This allows for the body to accommodate your baby whilst aiding its natural delivery at the end of pregnancy. The softening of these ligaments also means that your joints are less well supported and as a result you are more susceptible to experiencing pain and discomfort.

What can Women’s Health Physiotherapy help with during pregnancy / post-nataly?

  • Pelvic pain (including Symphysis Pubis Dysfunction)

  • Low back pain

  • Thoracic pain

  • Rib pain

  • Tingling hands

  • Coccyx pain

  • Pain from your caesarean scar

  • Rectus abdominus divarication (a separation of the abdominal muscles following the birth of your baby)

We can also provide you with:

one-to-one advice on coping with labour if you have specific pelvic or low back pain during pregnancy.

advice on comfort and back care during pregnancy.

specific exercise advice once you have had the baby to ensure a safe return to your pre-pregnancy physique.

advice on how to achieve a full recovery following gynaecological surgery.

‘Only when I sneeze…’

Women’s health problems are incredibly common and can occur at any age. Often women put up with symptoms as they don’t realise that there are often simple conservative measures that can help to remedy the problem. Research has shown that physiotherapy can be effective in the treatment of incontinence and pelvic organ prolapses thereby postponing, or in many cases eliminating the need for drugs or surgery.

What gynaecological concerns can Women’s Health Physiotherapy help to treat?

  • Pelvic organ prolapse

  • Urinary frequency (going to the toilet more than 8 times a day)

  • Urinary urgency / urge incontinence

  • Stress urinary incontinence

  • Constipation

  • Faecal incontinence

  • Sexual discomfort

  • Weak pelvic floor muscles following childbirth

Massage Therapy

Massage therapy is a hands-on manipulation of the soft tissues of the body, specifically the muscles, connective tissues, tendons, ligaments and joints. It has a therapeutic effect on the body and improves health and well-being by acting on the muscular, nervous and circulatory systems. Physical function can be developed, maintained and improved and physical dysfunction and pain can be relieved or prevented through the use of massage therapy. You don’t have to be an athlete to benefit from deep tissue massage – day to day life can cause a chronic build up of tension, often around the shoulders and neck, which can be greatly reduced through deep tissue massage techniques.

Nutritional Therapy

“You are what you eat” is no longer a catch phrase! If you feed your body the proper nutrients your energy levels will soar, your immune and digestive system will work more efficiently and common symptoms and health conditions will be addressed.

Nutrition is the study of nutrients in food, how nutrients are used in the body, and the relationship between diet, health and disease.

Nutritional health is a system of health care that accentuates personal responsibility and a co-operative relationship between practitioner and client. It aims is to unify the physical, nutritional, environmental, emotional and spiritual components of the client’s life. These, together with correct lifestyle changes, promote healing and wellbeing.

The Role of a Nutrional Therapist

A Nutritional therapist works with their client to identify and treat factors affecting health and to help them improve their overall wellbeing. A one to one consultation would encompass the following:

Obtaining information regarding presenting symptoms, personal medical history, family history, current diet and lifestyle. The study of all body systems to ascertain any information that will help with the final treatment plan.

Providing a personalised dietary plan and possible supplementation if at all necessary

Weekly planning, menu suggestions, shopping recommendations.

Depending on severity and client compliance, follow up consultations are required to reach the ultimate goal.

Hypnotherapy

Hypnotherapy is a reliable and safe treatment that is now recognised by many branches of orthodox medicine as an extremely effective therapy. It is a completely natural state of mind and something that you experience daily on a regular basis, for example just before waking and before sleeping. You are not unconscious while in hypnosis, your ‘focus of attention’ has simply altered and you remain in control at all times.

Hypnosis itself does not relieve symptoms, it is the therapy applied while under hypnosis that attains the desired results.

Hypnotherapy is a very effective way to deal with inner emotional conflicts that can also manifest themselves on a physical level. Hypnotherapy is an effective tool which enables each individual to facilitate a more enjoyable daily and future life.

Conditions treated include:

  • Depression

  • Stress

  • Anxiety all types e.g. Driving Test/Exam nerves through to social phobia)

  • Fears and Phobias

  • Addictions and Habits

  • Weight Management

  • Smoking

  • Post Traumatic Stress Disorder

  • Blushing

  • Skin Problems

  • Self-hypnosis

  • Motivational issues

  • Aptitude/Performance enhancement

  • Insomnia

  • Pain (ongoing and incidental)

  • Obsessive Compulsive Disorders

  • Podiatry

There are several stages of hypnosis and the actual hypnotic process entails:

  1. Reframing the Presenting Problem

  2. Becoming Relaxed

  3. Becoming Absorbed (Listening to the words or images presented by the hypnotherapist)

  4. Letting Go of Critical Thoughts

  5. Responding

  6. Returning to Usual Awareness

  7. Reflecting on the Experience

Bladder Control

You deserve to have control of your life!

Don’t live with incontinence – overcome it!

Many people try to live with incontinence, but the loss of bladder or bowel control is more common than you might think. Millions of adults, because of age, pregnancy or other contributing factors live with the lifestyle limitations that come with the inability to control urinary or bowel function.

The good news is that you don’t have to be one of them. The majority of people with incontinence can overcome it – safely and effectively, without surgery or drug therapy.

The success rate is in access of 80%. The techniques administered have been extremely successful for thousands of people with urinary and bowel incontinence. Often clients experience appreciable results within 2 to 3 weeks, with significant restoration of control in 4 to 6 weeks.

Treatments:

  • Pelvic Muscle Rehabilitation

  • Bladder Training

  • Behavioural Therapy

  • Biofeedback

We utilize a combination of behavioural and physical therapies, aided by state-of-the-art biofeedback and muscle management techniques. In the past few years we have learned more about how to influence and control important pelvic muscles. Many were previously thought to be beyond one’s control. Some of these muscles do not work together as they should, others are weak and need to be exercised; still others are fatigued from overwork and function better if periodically relaxed. We determine the status of these muscle groups and provide a specific plan of therapy to improve their function.

We help you to improve your pelvic muscle tone and coordination, increase your bladder capacity and decrease your bladder irritability. Most importantly, you regain control over urination, will improve your bowel control and can have more bowel movements.

Sexual Health Screening

Men and women are often embarrassed to visit their own GP to discuss sexually transmitted diseases and are not keen to visit a clinic clearly labelled as such just in case they are spotted! At Pinnacle Medical Services we offer an extensive range of services from private GP’s to specialists in a number of areas, so when you visit you are confident your visit will be private and totally confidential.

If you think you are at risk act quickly.

The longer you delay the start of your treatment, the greater your worry.

Call us on 080 5114 9585.

All tests are undertaken by an accredited laboratory and the results will be available, often the same day and we will counsel you on your treatment options, no matter how difficult they may feel to you. We have a pharmacy on site so you can even take your medication away with you.

The Service

The rates of sexually transmitted infections (STDs) have increased rapidly in the Nigeria over recent years and have become a worry for many sexually active men and women.

At Pinnacle Medical Services we can offer highly confidential screening and treatment, by a doctor trained in sexual health medicine, for all STDs in a state of the art clinic.

The clinic also sees many patients for a whole range of other conditions, so the reason for your visit would remain between you and your doctor.

Testing involves taking a detailed history of the problem, examination of the area followed by a blood test, urine test and usually (although not always) a swab being taken – this would take less than 30 minutes.

Results can sometimes be given immediately and treatment provided there an then. Sometimes we have to wait one or two days for results to come back from our laboratory, when the doctor will call you personally to explain the findings.

If you need treatment, this can be sent to you directly or you can collect the medication from our reception the same day as we have a pharmacy on site.

Common STDs include:

CHLAMYDIA

This is very common – up to 40% of sexually active adults under 25 in some parts of London – and can present with a creamy discharge (leakage) from the penis or vagina with stinging when you pass urine. In many cases however there may be no symptoms, but if left untreated may cause long term problems such as pelvic inflammatory disease or prostatitis.

Chlamydia is easily detected on screening and easily treated with a one-off dose of antibiotics.

We sometimes detect infections with ureaplasma or mycoplasma, which are similar to Chlamydia but much more commonly asymptomatic and usually less serious.

GONORRHOEA

This is usually pretty obvious (although occasionally without any signs) – there is a usually a heavy creamy discharge from the penis or vagina, although it can occur in the throat or anus, as well as discomfort on passing urine.

The diagnosis can be made immediately and treatment provided straight away with a simple antibiotic injection.

HIV INFECTION

This can be a great worry to anyone who has had unprotected sex, especially if it was a new partner or casual encounter.

Symptoms do not usually occur for years afterwards, and then it presents with frequent and unusual infections as the immune system is weakened by the virus. in 20-30% of infections a ‘seroconversion’ illness can occur, when the body starts to produce antibodies – this is often described as being like glandular fever, but often occurs with a rash and mouth ulcers.

The tests offered vary in how soon after the sexual encounter you want to be tested, but the soonest you can be tested is at about ten days with an HIV PCR test, but the results take 7 days to come back.

After 28 days we can use the cheaper HIV Duo test which looks for the antibody and p24 antigen (part of the HIV virus itself) – results come back 4 hours later. After 90 days, the simple antibody is 99.9% accurate and can be done within 5 minutes at the time of the appointment.

GENITAL HERPES

Herpes causes painful ulcers to occur on the genitals or lips.

They last about a week and can be treated with antiviral medication, but may recur every 6 months or so. There is no cure at present although starting the medication quickly can minimise an attack. You are usually only infectious to others when you have the ulcers.

SYPHILIS

An old problem which is on the increase again especially in London and in gay men.

The first lesion (primary syphilis) shows itself as a painless hard ulcer usually on the genitals which goes away after a couple of weeks. The next stage (secondary syphilis) may occur a couple of years later with a widespread blotchy rash.

Tertiary syphilis is thankfully very rare now as the infection responds so well to a course of antibiotics.

Diagnosis is made on a blood test which should be ready the next day

GENITAL WARTS

These are very similar to warts elsewhere but can spread quickly on the genitals. They are treated with cryotherapy (or freezing) and respond very well, although you may need to come back a few times if they don’t all disappear immediately.

Other small lumps on the genitals may be molluscum contagiosum, which responds very well to simple freezing treatment.

HUMAN PAPILLOMA VIRUS (HPV)

One type of this virus causes genital warts, but other types can cause cervical cancer in women, which is why regular smear testing is recommended. We can also test for the whole range of HPV on the smear sample and refer to a specialist if any abnormalities are detected. The HPV vaccination is also available which prevents infection with the HPV strains associated with cervical cancer, as well as those which cause genital warts.

HEPATITIS

This is a viral liver infection and all types of hepatitis – A, B and C – can be sexually transmitted. A blood test is required to look for antibody development. If you think you may have been exposed to hepatitis B, then rapid vaccination is required to prevent you getting the virus yourself. Vaccines are routinely offered for hepatitis A and B, but as yet none is available for hepatitis C.

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