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Month: April 2020

physioparramatta2020April
By Ajit Lamba Uncategorized

Treatment Plan

Treatment Plan

 

The final phase of the Perfect Consultation is the plan. You can consider the plan as a summary of the whole consultation process.

When a patient first comes to your for treatment, they want to know three things:

1. What is wrong with me?

2. Can you help me?

3. How long will it take?

1. What is wrong with me? By going through the pre interview, interview and the physical exam you should have been able to give an accurate diagnosis to the patient and answer their question.

2. Can you help me? At each stage, the therapist should explain the findings and educate their patient as to what those findings mean. And by doing so, answer their question.

3. How long will it take? This is a not a simple question to answer, but the patient is asking for some assurity that their symptoms are going to improve. The healing phase is influenced by multiple factors. Age of the patient, medical history and also the type of injury.

If it is a simple issue: It can take 2-4 sessions over a period of 2 weeks
More complex issues can take: 4-6 sessions over a period of 2-4 weeks
And if it is a chronic issue, it can 10-15 sessions over a period of few months It is important to emphasise to your patients, after every few sessions, the condition is re evaluated to see what progress is being made.

Ajit Singh Lamba
Physiotherapist

Physio Parramatta We are Open
By Ajit Lamba Uncategorized

We are Open! Physio Parramatta

We are Open!

Physio Parramatta We are Open
Physio Parramatta We are Open

The COVID-19 landscape is ever evolving.
The government recommendations and new restrictions allow for you to leave your home to attend medical or health appointments including Physiotherapy.

Your health matters to us, so we have implemented enhanced measures in our practices to ensure that we are able to keep our doors open to help those in pain and in need of Physiotherapy treatment.

We do ask if any of the following apply to you, please isolate yourself at home and speak to your GP:

– Consistent cough
– Fever
– Sore throat
– Feeling unwell

For appointments please see our bookings page:

Book Appointment

Things we are doing at Physio Parramatta to keep you safe during COVID-19 pandemic

Cleaning at Physio Parramatta

For all other enquiries:

[email protected]
0479 080 800

Ajit Singh Lamba: Physiotherapist in Parramatta
By Ajit Lamba Uncategorized

Recommendations

Recommendations

 

I always give recommendations at the end of the treatment phase. This can be considered an extension of the Treatment phase. It’s something the patient can do at home to self manage their symptoms. It can include things like using a hot pack or cold pack, going for a 20 minute walk or if it’s an acute injury, taking a break not moving too much. It can also include things such as giving postural or ergonomic advice.

Ajit Singh Lamba
Physiotherapist

Ajit Singh Lamba: Physiotherapist in Parramatta
By Ajit Lamba Covid-19

Treatment

Treatment

Before you can deliver an effective and appropriate treatment session, it is important to have gone through a proper interview, physical exam and a working diagnosis. A working diagnosis is not a stepping stone. It allows you to go back and modify your diagnosis as you find new information or other positive signs. It’s important to remember, a patient who has come to you for treatment may have been to multiple other professionals, doctors and specialists. They may have spoken to their work colleagues, family members even their neighbours. They may even have spent countless hours online reading articles about the exact same symptoms they are experiencing right now! What this means is your expectations and the patient’s expectations may not match. And as such, before you start treatment it is crucial you explain to the patient what you are about to do, what they may experience during treatment and what the proposed outcome may be. This will only enhance the positive experience your patient has. There are multiple ways to treat any given problem. Don’t carpet bomb a particular problem! Limit your treatment techniques, and re-assess what effect it had on the patient’s symptoms.

Ajit Singh Lamba
Physiotherapist

 

By Ajit Lamba Covid-19

Physical Exam

Physical Exam

 

 

The Physical Exam, also known as the objective assessment. The purpose of the physical exam is to physically check which structures may be causing the symptoms and also to confirm our diagnosis from the interview. In most cases, the Physiotherapist should have reached pre diagnosis and will use the objective assessment as a final test to confirm their findings. In complex and chronic cases, it is at times not possible to reach a diagnosis within the first session. Each Physiotherapist will have their own way of conducting the Physical exam. My personal preference is to start observing how the patient sits, walks into the treatment room, fascial expressions and behaviour throughout the session well before we even start the physical exam. Once the physical exam starts, there are certain things I will check for. These can include: movement within the joint, strength testing, special tests etc Although not essential, if a patient has brought in with them scans and other medical reports, I will often sit with them and explain what this medical jargon actually means. Not only does this assist the patient’s understanding of their problem, it also increases their trust in you. Once all this is done, I will then explain to the patient what I found during the physical exam, what this means and how we are going to treat this problem.

 

Ajit Singh Lamba
Physiotherapist

Ajit Singh Lamba: Physiotherapist in Parramatta
By Ajit Lamba Covid-19

The Interview

The Interview

 

 

The Interview Also known as the Subjective Assessment.

Once the patient has filled out the intake form, the form is passed on to the Physiotherapist who reviews the information. The Physiotherapist greets the patient and invites them into the treatment room. Where the form is discussed in more detail. The patient is asked how the Physiotherapist can assist them with their symptoms. After hearing all of the patient’s concerns, the Physiotherapist chooses in consultation with the patient the main issues they would like addressed.

The next part of the assessment, the Physiotherapist asks detailed questions into the symptoms the patient may be experiencing. Such as when did the injury take place, what type of symptoms is the patient experiencing? What makes the symptoms better or worse.

 

Ajit Singh Lamba
Physiotherapist

 

Ajit Singh Lamba: Physiotherapist in Parramatta
By Ajit Lamba Covid-19

Pre Interview

Pre Interview

Pre – Interview In this phase of the process, a new patient has just arrived for their appointment with the Physiotherapist. They are greeted by our friendly Admin team who will then ask them to fill out the intake form. The intake form is very similar to the interview or the subjective assessment. The form allows the new patient to share as much detail as they wish regarding their symptoms and what they require assistance with by answering a series of questions.

Ajit Singh Lamba
Physiotherapist

Physiotherapy Professionals Parramatta
12 Ada Street
Harris Park
NSW, 2150

www.physioparramatta.com.au
[email protected]