My name is Anushka Persad and welcome to my website, which is aimed at patients both old and new and which I hope you find informative. If I can be of any help please do not hesitate to get in touch by email or telephone, my details are below.
I aim to demonstrate to my patients that Physiotherapy, in most cases, is the next logical step to healing. Physiotherapy itself is based on scientific research and evidence which follows a logical sequence of reasoning.
Because we work with human beings, however, it requires a certain art to its practice. My intention is to combine both the logic and the art to provide a holistic approach to care and I hope I can help you on the journey to better health.
I trained and qualified in South Africa in 1992, spent my first year working at home to gain some experience before travelling to the USA for what was supposed to be one year. It turned out that 12 years and three states later I moved to the UK and have been working here ever since.
My work experience has been varied including hospital based work, community care, intermediate and nursing home care. I have spent the bulk of my time working in outpatient facilities with both orthopaedic cases and neurological conditions. In the USA my involvement with sports was more with a teenage population and here, in the UK, it has been with all ages.
I have worked primarily in private practice and have learned to be efficient and effective with my time with patients. This helps me to be cost effective and to use my time and that of the patients most efficiently.
Over the past year I have added another string to my bow and am now qualified to teach yoga which I use to compliment my Physio practice. I teach weekly classes, check out the Facebook page for current times and locations.
MY CARE SPECIALITIES
Manual therapy: Manual therapy encompasses mobilisation or manipulation of the spine or peripheral joints (shoulders, elbows, wrists, hips, knees, ankles), massage (clinical and sports), myofascial release, craniosacral work.
Exercise prescription: Exercise following injury needs to be specific to help rehabilitate the injured area so as to prevent re-injury.
Acupuncture: The use of very fine stainless steel needles to promote balance and healing in the body. It is an effective treatment and can be used to create change and improvement with most conditions. Nothing is added to the needle, there are no drugs involved. The effects caused are based purely on the use of the needles.
Electrotherapy: Some conditions respond well to electro therapy like ultrasound or TENS.
Neurological rehab: When there has been an injury or disease that affects the central nervous system, like a stroke/ Parkinson’s disease/ multiple sclerosis or a head injury then a specific type of rehabilitation is called for and this is something that can be provided.
Pre and post natal care: Pregnancy related problems include: diastasis recti, pelvic pain, back pain, rib pain, shoulder pain and neck pain., these can be managed successfully with physiotherapy.
Occupational health: Work place assessments, repetitive strain, back and neck pain.
Fascia refers to connective tissue that surrounds individual muscle and separates the muscles from each other. So if you think of an orange which has a tough skin like we do, its segments are separated but still held together by the pith. We are constructed in a similar fashion, with our muscles being like orange segments surrounded by fascia and bound by more fascia . Sometimes it might be that muscle cannot achieve the length we desire with stretching because the connective tissue around it is tight and restrictive so by using a technique called myofascial release we can help stretch the connective tissue. It is a pleasant sensation and a very gentle technique.
The brain and the spinal cord are connected and surrounded by protective coverings. Injuries at different times in our lives can cause tightness in these deep layers which result in pain when we move. Craniosacral work is very light touch applied to the head or to the base of the spine to help stretch these layers thereby allowing more movement and helping to decrease pain.
The stomach muscles that we sometimes call a six pack are joined in the middle by connective tissue. In pregnancy the stomach stretches to accommodate the growing baby however in some ladies instead of the connective tissue stretching it splits/ separates. Physiotherapy can help to correct the problem.
Men have also been known to have diastasis recti, it is just more common in pregnant women.
TENS is an abbreviation for Transcutaneous Electric Nerve Stimulation which is the use of a device to produce a current to help control pain. Tens works by distracting the brain so,that it focuses on the current rather than the pain thereby allowing the person to cope.TENS units can be used at home to help people self treat.
Physiotherapy has always encompassed exercise as a way to teach movement or to correct imbalance. Every method or model of care can be summarised by the exercise that goes with it, those exercises are all based in the ancient art of yoga. We have over time adapted what was suitable for patient care and taught it as a remedial exercise, in some cases we used just parts of the exercise or taught just half of a posture to make it easier to do.
When I first practiced yoga, like most people I was just trying to keep my balance, figuring out where my arms went and trying to remember to breathe! As my ability increased I noticed other improvements like increases in strength and range of movement and that my shoulder pain got better…..I also became aware of how I moved.
I had always been fascinated by movement and yoga so in 2016 I decided to do a 200hr teacher training course because the exercises I was giving people for home programs were more yoga based and inclusive of the whole body rather than specific localised exercise. What I was finding was that you have to mobilise the entire body to get a local result.
It was also difficult to fit a full treatment and a well taught home program in the 30-40 min I had for an appointment. The idea to teach small classes seemed to be the way to go. My classes focus on movement and breath, to maintain normal everyday function for everyone ( new Mums, gangly teenagers getting used to their new shape, athletes, and those that refuse to grow old disgracefully).
I want to demystify yoga and to teach all aspects so that it becomes more than just a pose…..
HOW I TREAT
In the past 22 years of practice I have been fortunate to work in three different countries and have been lucky to be able to take the best of my experiences and use them to build my own practice caring for patients.
I have also learned that the methods you use to treat patients with a stroke might also help an athlete with a knee injury because it all comes down to how we move and what is the actual cause of our injuries. If we don’t identify what keeps us injured then we are at risk of perpetuating the injury.
My method of working is by careful assessment, analysis of what is working and what isn’t. I then discuss my findings and we go over the best plan of treatment. There is usually something that I can do to help and if not, I will offer a recommendation for what might be the next step.
I don’t treat for longer than I need to, my relationships with patients are based on whether they feel that they are benefiting.
My mission is to tell you after your first session what the problem is most likely to be and what we can do to help, and there is always something that we can do to help.
Oftentimes just understanding what is happening in the body can provide enough reassurance to help start the healing process. Chronic problems are often a result of cumulative injury and compensatory movement, which can be eased when broken down into manageable pieces.
At PhysioLogic.scot I believe that there is always something that be done to help because we treat you as a whole.
Why go to a Physiotherapist or Physio?
Physios are trained not only to assess and treat but in the case of repetitive injury, they are trained to analyse why something has happened and will advise on how to prevent it happening again.
Physios provide a complete service of treatment and prevention strategies, they don’t just want to get you better, they want you to avoid you injuring yourself again.
Why go private?
You can usually get in to see a private therapist within a day or two of contacting them. Time is of the essence, the sooner you start treatment the sooner you can start to help yourself. Physios are determined to make a difference in the shortest possible time because your success is their success and a happy client will return (not only by themselves but usually with friends and family) so they work hard to be efficient and effective.
What does a session involve?
Your first session is an evaluation: it starts with a chat about who you are and why you are there, then you will be assessed with movement and palpation. The movement and palpation serve to help determine the most likely source of the problem.
The therapist will share their findings with you along with your options for treatment. We usually include some treatment on the first day and the start of a home exercise programme.
Should I wait and see if my problem heals itself?
That is always an option because the body is amazing in its ability to heal itself. This happens best when your body is in balance. Pain, stress, anxiety, lack of sleep and compensatory movement patterns throw your body off balance and healing time is delayed. If you need to get back to being you in the shortest possible time, get help before your problem becomes chronic or you cause stress to other joints.
How many sessions do I need to get better?
That’s a tricky one to answer because every condition is different and people respond differently to treatment. The short answer is between 4-6 sessions. I have discharged people after a single session or two and had people stay longer than 6 sessions, the thing to bear in mind is that we only see patients if the patient is seeing progress. If they aren’t seeing progress we refer them on to someone else.
How soon should I expect to see progress?
I would expect to see progress after the first treatment, because I need to know that what I treated was the correct structure and that used the appropriate treatment was used.
What happens if I'm not getting better?
I write to your GP with my recommendations for onward referral.
How do I get to see a Physio?
Patients can self refer, so get in touch by themselves or they can ask their GPs for a referral if they want to use their insurance company to pay for treatment. It’s usually the insurance company that requires a referral not the Physio.
What will it cost?
Online consultation: £30
Initial session (in person ): £50 (60min)
Follow up visits (in person): £40 (30min)
Mail: 27 Lodgehill Park, Nairn, IV12 4SB