You will be seen in the department by one of our MSK specialists. They will be able to offer the full range of assessment processes. You will need to take the time out of your day to travel there and back.
On the phone
You will be called at the arranged time by one of our MSK specialists. They will be able to have a good conversation, however it is not possible to accurately examine you on the phone. You will only need to take the time of the phone call out of your day and will not need to travel.
You will find your way to our internet based virtual waiting room, from which you will be called into a private video consultation by your specialist Physiotherapist. They will be able to have a good conversation, whilst we can examine the basics on video, we cannot perform all physical examinations. You will only need to take the time of the phone call out of your day and will not need to travel.
On arrival you may be asked to complete a short questionairre. This is a really important part of the consultation and helps us to get you where you need to be.
At the initial consultation we aim to allocate enough time to enable us to complete all of the following steps. Sometime it is not possible to complete all the steps and we don’t want to rush this most important part of your care. So when there is a lot to cover, or you need time to consider your options and make decisions, we will arrange a second consultation to complete the process.
On arrival you may be asked to complete a short questionnaire which is really helpful to guide the consultation.
We offer a holistic assessment which takes into account your individual needs and preferences.
CONVERSATION: This starts with a conversation. By telling us your story, the history that has led you to us and the things that you are seeking help for, we can understand how we can best help you. This will include your description of the problem and your experience. Often we also need to consider other things that might be connected, such as other health problems, social or lifestyle factors and how the treatments that we can offer might fit into your life.
PHYSICAL EXAMINATION: If you consent, we will perform a personalised physical examination that enables us to test the biological health of your muscles, joints and nerves.
SUMMARY and DIAGNOSIS: We will provide you with a summary of your story, your thoughts, our findings, and together come to an agreement about what is going on (diagnosis) and why.
TESTS WHEN REQUIRED: If it’s appropriate to get further tests such as X rays, scans or blood tests we will discuss that with you and arrange those that are agreed.
INFORMATION, OPTIONS AND A SHARED DECISION: We will provide you with information about the treatments options that are available for you and work with you to share a decision about how you wish to move forwards.
INDIVIDUALISED PLAN: We will agree with you the individualised self-management strategies that you wish to start and will do our best to help you if you wish to make positive behavioural changes.
ONWARD REFERRAL: Should our shared decision require a referral to another service or medical speciality, such as podiatry, orthotics, Rheumatology or Orthopaedic surgery, will arrange that for you.
We will agree with you any follow up or ongoing treatment plan and arrange appointments appropriately.
We will provide you with resources to enable you to implement your rehabilitation or management plan.
We hope you get to the point where you have resolved the issue, if that is possible, or achieved your goals and are able to manage your condition independently when it’s not.
Should we not be making expected progress we can arrange for a specialist opinion and discuss other options that CAVUHB can offer you.
Each consultation will include
- A good conversation that enables your therapist to understand you and your problems.
- A clinical examination to test your movements and the affected joints and muscles.
- If medical tests will help, we will help you to decide and arrange if required.
- A diagnosis and explanation of your problems.
- Discussion of the options that are available to you.
- Working together to create a Shared decision of how you want to proceed.
- Learn more about your role in Making decisions about your health.
- Completing this before your consultation can really help.
- Referral to specific treatments