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Bone & Joint Conditions
Musculoskeletal conditions affecting joints, bones and connective tissue
Knee osteoarthritis is the progressive wearing of articular cartilage in the knee joint, one of the most common conditions in adults over 40. As cartilage breaks down, bones rub against each other, causing pain, stiffness, swelling and a crunching sensation. Symptoms worsen on stairs, after prolonged sitting or following high-impact activity.
Common Symptoms
- Pain during or after movement
- Morning stiffness under 30 minutes
- Swelling and joint tenderness
- Grating sensation in the knee
- Reduced range of motion
- Pain on stairs and slopes
Our Treatment
- Clinical and imaging assessment
- Targeted physiotherapy and strengthening
- Joint injections (corticosteroid or PRP)
- Custom knee bracing and orthotics
- Therapeutic exercise programme
- Surgical referral when conservative care fails
Outlook
Most patients achieve significant pain reduction with conservative management. Surgery is considered only after non-surgical options are fully exhausted.
Frozen shoulder involves inflammation and thickening of the shoulder joint capsule, restricting movement through three stages: freezing (pain), frozen (stiffness dominant) and thawing (gradual recovery). It is more common in those aged 40-60, diabetics and following shoulder immobilisation. Untreated it may persist 1-3 years.
Common Symptoms
- Deep shoulder aching worsening over weeks
- Severely restricted range of motion
- Night pain disrupting sleep
- Difficulty reaching overhead or behind back
- Muscle wasting if prolonged
Our Treatment
- Corticosteroid or hydrodilatation injections
- Targeted physiotherapy and mobilisation
- Manual therapy and capsular stretching
- Graded home stretching programme
- Pain management guidance
Outlook
With early treatment, most patients restore full movement within 3-9 months. Our integrated injection and physio approach significantly accelerates recovery.
Hip arthritis causes progressive loss of joint cartilage leading to groin, thigh or buttock pain, stiffness and difficulty walking or dressing. It may also result from bursitis, labral tears, hip impingement (FAI) or referred pain from the spine. Our orthopaedic team performs thorough assessment to identify the precise source before recommending management.
Common Symptoms
- Groin or lateral hip pain
- Stiffness on waking or after sitting
- Limp or altered walking pattern
- Pain climbing stairs or putting on shoes
- Reduced hip rotation
Our Treatment
- X-ray and clinical assessment
- Hip strengthening physiotherapy
- Intra-articular injections
- Gait retraining
- Core and hip stabilisation
- Surgical referral if indicated
Outlook
Conservative management controls symptoms effectively in most patients. Total hip replacement is only discussed when function is severely impaired despite optimal non-surgical care.
Tennis elbow affects the tendons attached at the lateral epicondyle, most commonly from repetitive wrist extension or gripping — affecting office workers, painters, plumbers and chefs far more than actual tennis players. Pain radiates down the forearm and is worsened by gripping, lifting or using a computer mouse.
Common Symptoms
- Outer elbow pain and tenderness
- Weak grip strength
- Pain gripping or lifting
- Stiffness in the morning
- Pain when shaking hands
Our Treatment
- Load-graded eccentric exercise programme
- Manual therapy and soft tissue treatment
- Custom elbow brace
- Shockwave therapy
- Activity modification
- Corticosteroid injection if indicated
Outlook
Most cases fully resolve within 3-6 months of structured rehabilitation. Progressive loading is the key, combined with addressing the underlying biomechanical cause.
Plantar fasciitis is the most common cause of heel pain, affecting the connective tissue running along the sole from the heel to the toes. The classic presentation is stabbing pain on first morning weight-bearing that eases with walking, then returns after rest. Risk factors include running, prolonged standing, flat or high-arched feet and sudden activity increases.
Common Symptoms
- Sharp heel pain on first morning steps
- Pain after prolonged rest
- Tenderness at base of heel
- Worsened by barefoot walking on hard floors
- Associated calf tightness
Our Treatment
- Plantar fascia and calf stretching protocol
- Eccentric and isometric loading programme
- Foot taping and custom orthotics
- Shockwave therapy
- Night splinting
- Load management guidance
Outlook
90% of cases resolve with conservative treatment within 6-12 months. Our structured loading and shockwave programme significantly accelerates recovery.
Rheumatoid arthritis (RA) is a systemic autoimmune disease where the immune system attacks synovial joint linings, causing chronic inflammation, pain, swelling and progressive joint damage. It most commonly affects hands, wrists, feet and knees symmetrically. Early diagnosis and disease-modifying treatment is critical to preventing irreversible damage.
Common Symptoms
- Symmetric joint pain and swelling
- Morning stiffness lasting over 1 hour
- Fatigue and low-grade fever
- Warm and red joints
- Weight loss
- Deformity if untreated
Our Treatment
- Medical diagnosis and blood panel
- Specialist referral (rheumatology)
- Joint protection physiotherapy
- Occupational therapy for ADL function
- Exercise to maintain strength
- Medication management
Outlook
With modern DMARDs and integrated rehabilitation, most RA patients maintain good quality of life and preserve joint function over the long term.
Following fracture healing, significant rehabilitation is needed to restore strength, range of motion, coordination and function lost during immobilisation. Muscle wasting, joint stiffness and reduced proprioception develop rapidly in a cast. Our physiotherapy team begins structured rehabilitation as soon as the fracture is stable.
Common Symptoms
- Muscle weakness from immobilisation
- Joint stiffness and swelling
- Loss of balance and proprioception
- Reduced bone density
- Fear of re-injury
- Altered gait (lower limb fractures)
Our Treatment
- Structured progressive loading programme
- Strength and mobility exercises
- Gait retraining if needed
- Balance and proprioception training
- Home exercise plan
- Clinical milestone reviews
Outlook
Full functional recovery is achievable for most fractures. Wrist: 6-12 weeks. Ankle: 8-16 weeks. Hip: 3-6 months. Early rehabilitation significantly shortens recovery time.
Tendinopathy is a broad term for painful, degenerative tendon conditions — most commonly affecting the Achilles, patellar, rotator cuff, gluteal and elbow tendons. Evidence strongly shows that tendons respond best to progressive loading rather than rest. A carefully graded exercise programme is the cornerstone of effective treatment.
Common Symptoms
- Pain and stiffness during or after activity
- Tenderness on direct palpation
- Swelling along the tendon
- Morning stiffness easing with gentle activity
- Reduced strength in the affected region
Our Treatment
- Load-graded eccentric exercise protocol
- Isometric loading for acute pain control
- Biomechanical analysis and correction
- Shockwave therapy
- Return-to-activity planning
- Tendon load monitoring
Outlook
With the right loading programme, most tendinopathies improve measurably within 8-12 weeks. Long-standing cases may take longer but respond well with consistent adherence.
Bursitis is inflammation of a bursa — a small fluid-filled sac reducing friction near joints. Common locations include the hip (trochanteric), shoulder (subacromial), knee (prepatellar) and elbow (olecranon). Causes include repetitive movement, direct trauma or sustained pressure. Addressing the biomechanical cause is essential to prevent recurrence.
Common Symptoms
- Localised aching or burning pain
- Swelling or puffiness near the joint
- Pain with pressure or movement
- Warmth over the affected area
- Reduced range of motion
Our Treatment
- Corticosteroid injection if indicated
- Activity and load modification
- Physiotherapy and strengthening
- Biomechanical correction
- Footwear or equipment review
Outlook
Most bursitis cases resolve with conservative treatment. Identifying and correcting the underlying mechanical cause prevents effective recurrence.
Ankle pain causes include acute ligament sprains, chronic instability, tendon injuries, impingement and osteoarthritis. Inadequately rehabilitated ankle sprains frequently progress to chronic instability and recurrent sprains. Our team identifies the specific structure involved and designs targeted rehabilitation accordingly.
Common Symptoms
- Lateral or medial ankle pain
- Swelling and bruising post-injury
- Ankle giving way on uneven ground
- Stiffness after rest
- Pain on weight-bearing
Our Treatment
- Structural assessment and imaging
- Ligament and proprioception rehabilitation
- Progressive strengthening programme
- Ankle taping and bracing
- Gait and movement retraining
- Return-to-activity planning
Outlook
Acute sprains: 4-12 weeks. Chronic instability requires 3-6 months of targeted rehabilitation to rebuild neuromuscular control and reduce recurrence risk.
Spine & Back Conditions
Spinal, disc and nerve conditions causing pain, stiffness and radiating symptoms
Lower back pain is the leading cause of disability worldwide, ranging from acute muscle strain to chronic, multifactorial pain involving disc degeneration, facet joint irritation, poor posture and psychosocial factors. At Curolive, we take a biopsychosocial approach — addressing physical, lifestyle and cognitive factors that maintain pain.
Common Symptoms
- Central or unilateral low back ache
- Pain worse with bending or prolonged sitting
- Morning stiffness
- Reduced lumbar range of motion
- Pain radiating to buttock or thigh
- Muscle spasm and guarding
Our Treatment
- Clinical and functional movement assessment
- Core and lumbar stabilisation exercises
- Manual therapy and mobilisation
- Pain education and self-management
- Postural and ergonomic guidance
- CBT-informed approach for chronic pain
Outlook
Active rehabilitation is evidence-based and effective. Acute cases typically resolve in 4-6 weeks. Chronic back pain shows significant improvement with 8-16 weeks of structured physiotherapy.
A disc herniation occurs when the nucleus pulposus protrudes through the annulus fibrosus, pressing on adjacent nerve roots. This causes local spinal pain combined with radiating nerve symptoms — pain, numbness, tingling or weakness — into the arm (cervical) or leg (lumbar). The majority of herniations improve without surgery with the right rehabilitation approach.
Common Symptoms
- Back or neck pain
- Radiating arm or leg pain
- Numbness and tingling
- Muscle weakness
- Pain worsened by sitting or coughing
- Night pain in severe cases
Our Treatment
- Clinical and imaging assessment (MRI)
- Directional-preference physiotherapy
- Neural mobilisation and nerve gliding
- Core and lumbar stabilisation
- Epidural injection if indicated
- Surgical referral when red flags present
Outlook
80-90% of disc herniations improve significantly with conservative management within 6-12 weeks. Surgery is considered only when there are progressive neurological deficits or failed conservative treatment.
Sciatica is pain travelling along the sciatic nerve from the lower back through the buttock and down the leg, sometimes to the foot. Commonly caused by lumbar disc herniation, bone spurs or spinal stenosis compressing nerve roots. Symptoms range from mild aching to severe burning or shooting pain. Most cases resolve with targeted conservative rehabilitation.
Common Symptoms
- One-sided leg pain worse than back pain
- Burning or shooting sensations
- Numbness or tingling down the leg
- Muscle weakness in leg or foot
- Pain worsened by sitting
- Relief with walking or lying flat
Our Treatment
- Clinical nerve root assessment
- Neural mobilisation techniques
- Directional extension exercise protocol
- Postural and loading guidance
- Epidural steroid injection if indicated
- Urgent review for red flag symptoms
Outlook
Most sciatica episodes improve within 4-12 weeks with active management. Bladder or bowel changes or rapid neurological deterioration are red flags requiring urgent review.
Spondylosis refers to age-related degeneration of spinal discs, facet joints and vertebrae. It is extremely common and does not always cause symptoms. When symptomatic, it presents as stiffness, achiness and occasionally radiating nerve symptoms from bone spurs. Cervical spondylosis affects the neck; lumbar spondylosis the lower back.
Common Symptoms
- Neck or back stiffness (often bilateral)
- Deep aching pain
- Headaches from cervical spondylosis
- Radiating arm or leg symptoms
- Morning stiffness easing with activity
- Fatigue
Our Treatment
- Postural correction and ergonomics
- Spinal mobility and flexibility exercises
- Strength training for spinal muscles
- Manual therapy and joint mobilisation
- Pain management education
- Activity and lifestyle modification
Outlook
Spondylosis is highly manageable with exercise and physiotherapy. Regular movement is one of the most effective treatments — not a reason to stop activity, but to modify it wisely.
Neck pain is extremely common among office workers and those with high screen use. Causes include muscular tension, poor posture, facet joint dysfunction, disc involvement and nerve irritation. Cervicogenic headache — headache arising from the upper cervical spine — is frequently misdiagnosed as migraine. Our physiotherapists identify the cervical source and resolve both conditions.
Common Symptoms
- Neck ache and stiffness
- Pain radiating to shoulders or arms
- Headache starting at the base of the skull
- Difficulty rotating the head fully
- Dizziness or visual disturbance
- Pain worsened by prolonged sitting
Our Treatment
- Cervical joint and muscle assessment
- Manual therapy and joint mobilisation
- Deep neck flexor strengthening
- Ergonomic assessment and correction
- Dry needling if appropriate
- Screen and workstation guidance
Outlook
Acute neck pain typically resolves in 2-6 weeks. Chronic pain and cervicogenic headache respond very well to manual therapy combined with targeted exercise.
Scoliosis is a sideways curvature of the spine, classified as structural (adolescent idiopathic) or degenerative (adult). In adolescents it develops during the pre-pubertal growth spurt; in adults from disc and joint degeneration. Management depends on curve severity, rate of progression and symptoms — from monitoring and exercise to bracing or surgical referral.
Common Symptoms
- Uneven shoulders or hips
- Visible spinal curve from behind
- One shoulder blade protruding
- Back pain and fatigue (adults)
- Reduced trunk flexibility
- Clothes not fitting symmetrically
Our Treatment
- Clinical and X-ray assessment (Cobb angle)
- Schroth method physiotherapy
- Scoliosis-specific exercises (PSSE)
- Bracing recommendation and monitoring
- Posture and breathing retraining
- Surgical referral for significant curves
Outlook
Mild to moderate adult scoliosis is effectively managed with targeted exercise. In adolescents, early bracing prevents curve progression and avoids surgery.
Spinal stenosis occurs when the spinal canal narrows and compresses spinal cord or nerve roots — most commonly in the lumbar spine. It causes neurogenic claudication: leg pain, heaviness and weakness on walking, relieved by sitting or bending forward. It differs from vascular claudication in that posture change — not just rest — provides relief.
Common Symptoms
- Leg pain or heaviness with walking
- Relief by sitting or bending forward
- Bilateral leg symptoms
- Numbness or tingling in legs
- Weakness in legs
- Back pain — variable
Our Treatment
- Clinical and MRI assessment
- Flexion-biased physiotherapy
- Core stability and nerve mobility exercises
- Activity modification guidance
- Epidural injections if indicated
- Surgical decompression referral if needed
Outlook
Many patients with spinal stenosis manage symptoms effectively with physiotherapy, activity modification and injections. Surgery is an option when conservative management fails to provide adequate relief.
Sports Injuries
From acute sporting trauma to chronic overuse — all activity levels and ages
The ACL is a key stabilising ligament in the knee, commonly torn during pivoting, cutting or landing movements in football, cricket and basketball. An ACL tear causes immediate swelling, instability and inability to continue. Management — surgical reconstruction or conservative rehabilitation — depends on the patient's activity level, degree of instability and clinical findings.
Common Symptoms
- Audible pop at time of injury
- Immediate swelling and severe pain
- Feeling of giving way
- Loss of full range of motion
- Unable to continue sport or weight-bear
Our Treatment
- Pre-operative strengthening (if surgical)
- Phased post-operative rehabilitation protocol
- Quadriceps and hamstring restrengthening
- Neuromuscular and agility training
- Plyometric progression
- Return-to-sport criteria testing
Outlook
Conservative: 4-6 months to return to sport. Post-surgical: 6-9 months depending on sport and progress. Return-to-sport decisions are criteria-based, not simply time-based.
The menisci are C-shaped cartilage discs inside the knee that absorb shock and stabilise the joint. They can be torn acutely during twisting movements or gradually from degenerative wear. Symptoms include pain, swelling, stiffness and sometimes a locking sensation. Evidence shows many tears — particularly degenerative ones — respond as well to physiotherapy as to surgery.
Common Symptoms
- Joint line pain in the knee
- Swelling (often 24-48 hours post-injury)
- Stiffness and limited range of motion
- Locking or catching sensation
- Pain with squatting or twisting
Our Treatment
- Clinical and MRI assessment
- Quadriceps activation and strengthening
- Progressive joint loading protocol
- Balance and proprioception training
- Sport-specific rehabilitation
- Surgical referral if conservative fails
Outlook
Degenerative tears typically respond as well to physiotherapy as to arthroscopy. Traumatic tears are assessed individually — our team advises based on tear pattern and patient goals.
Hamstring strains are among the most common injuries in running and field sports, occurring during sprinting when the hamstring contracts eccentrically. Graded 1 (mild) to 3 (complete tear), they require structured rehabilitation to restore full strength, flexibility and running mechanics. Recurrence rates are high without adequate rehabilitation.
Common Symptoms
- Sudden sharp pain at the back of the thigh
- Bruising and swelling
- Weakness in knee flexion
- Pain on sitting, walking or running
- Tenderness to palpation
Our Treatment
- Grade and location assessment
- Phase 1: acute management and gentle range
- Phase 2: eccentric loading programme
- Phase 3: running and sport-specific mechanics
- Recurrence prevention programme
Outlook
Grade 1: 2-4 weeks. Grade 2: 4-8 weeks. Grade 3: 12-24 weeks. Return-to-sprint must be criteria-based, not time-based.
Runner's knee, or patellofemoral pain syndrome (PFPS), is a common overuse condition causing diffuse pain around or behind the kneecap, particularly on stairs or during prolonged sitting. It results from biomechanical loading issues — commonly from gluteal weakness, hip drop or foot pronation — rather than structural damage. Addressing mechanics is essential for lasting resolution.
Common Symptoms
- Dull aching around or behind the kneecap
- Pain descending stairs or squatting
- Pain after prolonged sitting (cinema sign)
- Worsened by running, squatting or kneeling
- Occasional swelling
- Crepitus on knee bending
Our Treatment
- Biomechanical and movement screen
- Gluteal and quadriceps strengthening
- Foot orthotic assessment
- Running technique analysis
- Load management and training modification
- Return-to-running programme
Outlook
PFPS responds very well to rehabilitation when biomechanical factors are identified and corrected. Most runners return to full training within 6-12 weeks with the right programme.
Medial tibial stress syndrome (MTSS) causes pain along the inner shinbone during or after running. It results from repeated stress to the tibia from rapid training load increases, hard surfaces, foot biomechanics or inadequate footwear. Untreated, it can progress to a tibial stress fracture.
Common Symptoms
- Shin pain during and after running
- Tenderness along the inner tibia
- Pain easing with warm-up then returning
- Worse with training volume increases
- Diffuse rather than pinpoint pain
Our Treatment
- Load management and relative rest
- Calf and hip strengthening programme
- Running technique assessment
- Footwear and orthotics review
- Graduated return-to-running protocol
- Bone stress monitoring if indicated
Outlook
With load management and targeted strengthening, most MTSS cases resolve within 6-12 weeks. Ignoring symptoms risks stress fracture progression, requiring significantly longer recovery.
The rotator cuff stabilises the shoulder joint. Tears range from partial to full thickness and occur acutely (fall or heavy lift) or gradually from overuse. Symptoms include shoulder pain — often worse at night — weakness and difficulty lifting the arm. Many tears respond well to non-surgical rehabilitation.
Common Symptoms
- Shoulder pain often worse at night
- Weakness lifting or rotating the arm
- Reduced shoulder movement
- Pain reaching overhead or behind the back
- Arm weakness with specific movements
- Crepitus with shoulder movement
Our Treatment
- Clinical and ultrasound/MRI assessment
- Rotator cuff and scapular strengthening
- Range of motion restoration
- Corticosteroid injection if indicated
- Surgical referral for complete tears when active
- Post-operative rehabilitation programme
Outlook
Partial tears often resolve with physiotherapy alone. Full-thickness tears in active patients may require surgical repair followed by 4-6 months of structured rehabilitation.
Stress fractures are hairline cracks in bone from repetitive loading exceeding the bone's ability to repair itself. Common sites: tibia, metatarsals, navicular, femoral neck. They present as activity-related bone pain worsening progressively. Untreated stress fractures can displace into complete fractures — early diagnosis and load management is critical.
Common Symptoms
- Activity-related bone pain — pinpoint tenderness
- Pain progressively worsening with exercise
- Swelling around the affected area
- Night pain in higher-grade fractures
- Pain persisting despite rest
Our Treatment
- Clinical assessment and imaging (MRI or bone scan)
- Relative rest and offloading
- Addressing nutritional and hormonal factors
- Graduated return-to-load protocol
- Strength training for bone health
- Biomechanical correction for recurrence prevention
Outlook
Low-risk sites (metatarsals): 6-8 weeks. High-risk sites (navicular, femoral neck): 8-16 weeks. Nutritional optimisation is essential for complete bone healing.
Achilles tendinopathy is one of the most common overuse injuries in runners, causing pain and stiffness at the mid-portion or insertion of the Achilles tendon. Unlike acute rupture, it involves degenerative changes from excessive loading. The evidence-based treatment is progressive loading — not rest, which worsens tendon structure over time.
Common Symptoms
- Morning stiffness and pain in the Achilles
- Pain during or after running
- Tenderness on direct palpation
- Swelling along the tendon
- Calf weakness and reduced push-off power
- Warm, thickened tendon
Our Treatment
- Load-graded eccentric and isometric programme
- Shockwave therapy
- Calf strength and flexibility work
- Running technique assessment
- Load and training modification
- Injection therapy if clinically indicated
Outlook
Achilles tendinopathy responds well to structured loading. Most patients see significant improvement within 8-16 weeks. Complete resolution often requires 4-6 months of consistent rehabilitation.
Neurological Conditions
Neuroplasticity-based rehabilitation restoring movement, function and independence
A stroke interrupts blood supply to part of the brain — either by blockage (ischaemic) or bleeding (haemorrhagic) — causing rapid brain cell death. Resulting deficits depend on which area of the brain is affected and may include weakness, paralysis, speech, balance and cognitive changes. Neuroplasticity-based rehabilitation started early maximises recovery potential significantly.
Common Symptoms
- Hemiplegia or hemiparesis (one-sided weakness)
- Balance and coordination deficits
- Speech and language difficulty (aphasia)
- Cognitive and memory changes
- Swallowing difficulties
- Fatigue and emotional changes
Our Treatment
- Acute and community neurological physiotherapy
- Motor retraining and gait rehabilitation
- Balance and falls prevention programme
- Family and carer training
- Occupational therapy for ADL retraining
- Speech and language referral
Outlook
Early, intensive, task-specific rehabilitation produces the best outcomes. Recovery continues for years post-stroke — consistent rehabilitation is key to maximising long-term independence.
Parkinson's disease is a progressive neurodegenerative condition primarily affecting the dopaminergic system, causing tremor, rigidity, slowness of movement (bradykinesia) and postural instability. While there is no cure, physiotherapy and occupational therapy significantly improve movement quality, reduce falls risk and maintain independence at all disease stages.
Common Symptoms
- Resting tremor (pill-rolling)
- Muscle rigidity and stiffness
- Slowness of movement (bradykinesia)
- Shuffling gait and reduced arm swing
- Balance problems and falls risk
- Small handwriting (micrographia)
Our Treatment
- LSVT BIG and amplitude-based therapy
- Gait training and dual-task management
- Falls prevention programme
- Strength and flexibility exercises
- Occupational therapy for ADL and writing
- Home modification assessment
Outlook
Physiotherapy significantly improves movement quality, reduces fall risk and maintains independence. Early and consistent engagement produces the best long-term outcomes.
Traumatic brain injury ranges from mild concussion to severe injury with widespread neurological deficits. Recovery depends on injury severity, location and time to treatment. Early rehabilitation harnesses neuroplasticity to maximise recovery of motor function, balance, cognition, communication and daily living skills.
Common Symptoms
- Motor weakness or paralysis
- Balance and coordination difficulties
- Cognitive impairment (memory, attention)
- Communication difficulties
- Fatigue — often severe
- Behavioural and mood changes
Our Treatment
- Structured neurological physiotherapy
- Cognitive rehabilitation strategies
- Occupational therapy for ADL and work
- Balance and vestibular rehabilitation
- Fatigue management programme
- Family and carer education
Outlook
Recovery from TBI is highly individual and can continue for years. Consistent, goal-directed rehabilitation produces meaningful improvements in function and quality of life at all stages.
Spinal cord injury causes loss of movement, sensation and autonomic function below the level of injury. Incomplete injuries — where some neural pathways remain intact — have significant potential for improvement with targeted rehabilitation. Our team focuses on maximising functional independence, safe mobility, transfers and quality of life.
Common Symptoms
- Muscle weakness or paralysis
- Loss of sensation below injury level
- Bladder and bowel dysfunction
- Spasticity and muscle stiffness
- Pressure area risk
- Autonomic changes
Our Treatment
- Functional electrical stimulation if appropriate
- Gait training (partial weight-bearing)
- Upper limb strengthening and function
- Transfers and wheelchair skills
- Spasticity management
- Pressure care and skin monitoring
Outlook
Incomplete SCI has significant neurological recovery potential with intensive rehabilitation. Our team creates individualised programmes around meaningful functional goals.
Multiple sclerosis is an autoimmune demyelinating disease of the central nervous system causing fatigue, spasticity, weakness, balance problems, cognitive changes and visual disturbances. Regular exercise and physiotherapy are among the most evidence-based interventions for managing MS symptoms and maintaining function across all disease types.
Common Symptoms
- Fatigue — often the most disabling symptom
- Spasticity and muscle stiffness
- Balance and coordination difficulties
- Weakness in limbs
- Cognitive changes and memory issues
- Heat sensitivity (Uhthoff's phenomenon)
Our Treatment
- Fatigue management and energy conservation
- Spasticity management and stretching
- Balance and gait rehabilitation
- Strength and aerobic exercise
- Neuroplasticity-based motor training
- Occupational therapy for ADL adaptations
Outlook
Regular exercise is strongly evidence-based for MS management. Physiotherapy maintains function, slows disability progression and significantly improves quality of life across all disease stages.
Cerebral palsy (CP) is a group of permanent motor disorders caused by damage to the developing brain before, during or shortly after birth. It is non-progressive — the underlying brain lesion does not worsen — but its functional impact changes as the child grows. Early, intensive physiotherapy and OT significantly improve functional capacity and reduce secondary complications.
Common Symptoms
- Altered muscle tone (high or low)
- Abnormal movement patterns
- Delayed gross motor milestones
- Gait abnormalities
- Reduced balance and coordination
- Upper limb function difficulties
Our Treatment
- Goal-directed physiotherapy
- Constraint-induced movement therapy
- Gait training and orthotic management
- Occupational therapy for fine motor and ADL
- Family-centred programme
- Botulinum toxin management coordination
Outlook
Early intervention produces the best outcomes. Our integrated paediatric physio and OT team works closely with families to maximise each child's developmental potential.
Peripheral neuropathy results from damage to the peripheral nerves — most commonly from diabetes, vitamin B12 deficiency, medications or idiopathic causes. Symptoms include burning, tingling, numbness and weakness in a glove-and-stocking distribution. Management focuses on addressing the underlying cause, symptom control and balance rehabilitation.
Common Symptoms
- Tingling or burning in hands and feet
- Numbness and reduced sensation
- Balance problems and falls risk
- Weakness in hands or feet
- Sharp or electric pain
- Difficulty with fine motor tasks
Our Treatment
- Medical management of underlying cause
- Vitamin and nutritional supplementation
- Balance and proprioception rehabilitation
- Strengthening programme for weak muscles
- Footwear and orthotics review
- Falls prevention strategies
Outlook
Outcomes depend on the underlying cause. Diabetic neuropathy is manageable with good glucose control and rehabilitation. Idiopathic neuropathy often stabilises with consistent management.
General Medicine Conditions
Primary care, chronic disease management and preventive health
Type 2 diabetes is a chronic metabolic condition where the body becomes resistant to insulin and cannot regulate blood glucose effectively. It carries serious long-term risks including cardiovascular disease, neuropathy, retinopathy and nephropathy. At Curolive, we provide structured diabetes management combining medication, lifestyle coaching, dietary guidance and regular monitoring.
Common Symptoms
- Increased thirst and frequent urination
- Fatigue and slow wound healing
- Blurred vision
- Frequent infections
- Numbness or tingling in hands and feet
- High blood glucose readings
Our Treatment
- HbA1c and fasting glucose monitoring
- Medication management and titration
- Lifestyle and dietary counselling
- Weight management support
- Structured exercise programme
- Complication screening (eyes, kidneys, feet)
Outlook
Type 2 diabetes is highly manageable with lifestyle changes, medication and regular monitoring. Many patients achieve significant improvement in HbA1c and reduce long-term complication risk substantially.
Hypertension — persistently elevated blood pressure above 140/90 mmHg — is a leading risk factor for heart attack, stroke and kidney disease. It is often asymptomatic until a serious event occurs. Management involves lifestyle modification, dietary changes, regular exercise and medication. Regular monitoring is essential.
Common Symptoms
- Often completely asymptomatic
- Occasional headaches (very high BP)
- Dizziness or lightheadedness
- Visual disturbances
- Chest pain in severe cases
- Shortness of breath
Our Treatment
- BP monitoring and 24-hour ambulatory assessment
- Lifestyle modification counselling
- Dietary advice (low sodium, DASH)
- Exercise prescription
- Medication initiation and adjustment
- Cardiovascular risk stratification
Outlook
Hypertension is highly controllable with the right medication and lifestyle changes. Achieving target BP significantly reduces heart attack and stroke risk.
The thyroid gland regulates metabolism, energy, heart rate and mood. Hypothyroidism (underactive) causes fatigue, weight gain and cold intolerance. Hyperthyroidism (overactive) causes weight loss, palpitations and anxiety. Both are diagnosed through blood tests and effectively managed with medication and regular monitoring.
Common Symptoms
- Hypothyroid: fatigue, weight gain, cold intolerance
- Hyperthyroid: weight loss, palpitations, heat intolerance
- Hair loss and dry skin
- Goitre (thyroid enlargement)
- Mood changes and cognitive fog
- Irregular menstrual cycles
Our Treatment
- TSH, Free T3 and Free T4 blood panel
- Thyroid ultrasound if nodules suspected
- Thyroid hormone replacement (hypothyroid)
- Antithyroid medication or referral (hyperthyroid)
- Regular monitoring and dose adjustment
Outlook
Both hypothyroidism and hyperthyroidism are highly manageable with appropriate medication. Most patients achieve full symptomatic resolution with well-monitored treatment.
Asthma is a chronic inflammatory airway condition causing episodic bronchospasm, wheeze, cough and chest tightness — typically triggered by allergens, exercise, cold air or infections. It ranges from mild intermittent to severe persistent. The goal is full symptom control with minimal medication, enabling normal daily activities and exercise.
Common Symptoms
- Wheeze and breathlessness
- Dry cough worse at night or early morning
- Chest tightness
- Exercise-induced symptoms
- Symptoms worsened by triggers
- Frequent respiratory infections
Our Treatment
- Clinical assessment and spirometry
- Inhaler technique review and optimisation
- Stepwise medication management
- Trigger identification and avoidance
- Personalised asthma action plan
- Regular review and step-down when controlled
Outlook
Well-managed asthma enables completely normal daily life and exercise. With the right inhaler regimen and trigger management, most patients achieve full symptom control.
Anaemia occurs when red blood cells or haemoglobin are insufficient to carry adequate oxygen to tissues. Iron deficiency anaemia is the most common type globally. Other causes include vitamin B12 or folate deficiency, chronic disease and bone marrow disorders. Thorough investigation is essential to identify the cause and guide appropriate treatment.
Common Symptoms
- Fatigue and weakness
- Pallor (pale skin and conjunctiva)
- Shortness of breath on exertion
- Palpitations
- Dizziness or lightheadedness
- Cold hands and feet
- Headache
Our Treatment
- Full blood count and iron studies
- B12 and folate assessment
- Investigation for bleeding source if indicated
- Iron supplementation or infusion
- B12 injection or oral supplementation
- Dietary counselling
- Specialist referral for complex cases
Outlook
Iron deficiency and B12 anaemias respond promptly to supplementation. Haemoglobin typically normalises within 6-8 weeks with appropriate treatment and dietary support.
Obesity significantly increases the risk of type 2 diabetes, cardiovascular disease, hypertension, joint disease and several cancers. At Curolive, our approach is non-judgmental and evidence-based — combining medical assessment, dietary guidance, structured exercise prescription and behaviour change strategies to address root causes.
Common Symptoms
- BMI above 30 (overweight: 25-29.9)
- Fatigue and reduced exercise tolerance
- Joint pain from excess load
- Elevated blood glucose or blood pressure
- Sleep disturbance or snoring
- Low mood or reduced self-esteem
Our Treatment
- Medical assessment and comorbidity screening
- Dietary and nutritional counselling
- Supervised exercise programme
- Behavioural change support
- Medication review (if contributing)
- Specialist referral when indicated
Outlook
Weight loss of 5-10% of body weight produces clinically meaningful improvements in blood glucose, blood pressure and joint symptoms. We set realistic, sustainable goals rather than rapid, unsustainable targets.
Infections are among the most common reasons for GP consultation — from viral respiratory infections and gastroenteritis to bacterial ear, throat, urinary and skin infections. Accurate diagnosis determines whether antibiotics are needed, preventing resistance. Our GPs provide rapid assessment, targeted investigation and appropriate treatment.
Common Symptoms
- Fever, chills and sweating
- Sore throat, earache or runny nose
- Cough and chest symptoms
- Urinary burning or frequency
- Skin redness, warmth or rash
- Nausea, vomiting or diarrhoea
Our Treatment
- Clinical assessment and targeted investigation
- Blood, urine or swab analysis if indicated
- Antibiotic therapy only when bacterial
- Antiviral or antifungal treatment when indicated
- Symptomatic management advice
- Clear review and follow-up plan
Outlook
Most acute infections resolve fully with appropriate treatment. Prolonged or recurrent infections warrant further investigation to exclude underlying immunological causes.
Preventive healthcare is the most cost-effective form of medical care — detecting risk factors at a stage where intervention is most effective. Curolive's health packages include comprehensive blood work, cardiac screening, diabetes and thyroid assessment, blood pressure monitoring and a physician consultation with a personalised health report.
Common Symptoms
- No symptoms — screening before disease develops
- Family history of heart disease, diabetes or cancer
- Age-appropriate chronic disease screening
- Pre-employment or insurance health checks
- Monitoring of known risk factors
- Post-illness recovery monitoring
Our Treatment
- Complete blood count and metabolic panel
- Lipid, glucose and HbA1c profile
- Thyroid and renal function tests
- ECG and blood pressure
- BMI and cardiovascular risk calculation
- Personalised health report and advice
Outlook
Early detection of hypertension, diabetes and dyslipidaemia reduces cardiovascular risk dramatically. Preventive check-ups are the most important investment in long-term health.
Older adults often present with multiple co-existing conditions, polypharmacy, frailty, falls risk and cognitive changes requiring a coordinated, holistic approach. Our team addresses medication review, falls prevention, cognitive assessment, nutritional support and chronic disease optimisation — working with physiotherapy and OT to maintain independence.
Common Symptoms
- Multiple chronic conditions (multimorbidity)
- Polypharmacy and drug interactions
- Falls and balance problems
- Cognitive decline or dementia
- Frailty and weight loss
- Social isolation and low mood
Our Treatment
- Comprehensive geriatric assessment
- Medication review and rationalisation
- Falls risk assessment and prevention
- Cognitive screening
- Nutritional assessment
- Integration with physio, OT and home care
Outlook
A coordinated, patient-centred approach significantly improves quality of life, reduces hospitalisation and maintains independence for older adults.
Paediatric Conditions
Compassionate, evidence-based child healthcare from newborn to adolescence
Fever is the most common reason parents bring children to a doctor. It is usually a sign that the immune system is responding to infection — most commonly viral. However, bacterial infections (ear, throat, urinary, chest) require prompt assessment and appropriate treatment. Our paediatricians provide thorough, calm assessments in a child-friendly environment.
Common Symptoms
- Fever above 38 degrees (rectal) or 37.5 degrees (axillary)
- Sore throat, earache, runny nose
- Cough, wheeze or difficulty breathing
- Urinary symptoms
- Rash with or without fever
- Lethargy or reduced feeding in infants
Our Treatment
- Full clinical assessment including ENT, chest, abdomen
- Blood or urine tests if indicated
- Targeted antibiotic therapy when bacterial
- Viral management and parental guidance
- Fever reduction advice
- Clear return review instructions
Outlook
Most childhood fevers resolve with appropriate management within 3-5 days. Our paediatricians provide clear guidance on red flag symptoms requiring urgent review.
Growth and developmental delay may affect gross motor, fine motor, speech, social-emotional or cognitive domains. Early identification and intervention are critical for optimal outcomes. Our paediatric team performs comprehensive developmental assessments and coordinates with physiotherapy, occupational therapy and speech therapy for integrated support.
Common Symptoms
- Not meeting developmental milestones
- Short stature or poor weight gain
- Delayed walking or speech
- Poor hand coordination
- Social withdrawal or poor eye contact
- Hypotonia (low muscle tone)
Our Treatment
- Developmental and growth assessment
- Growth chart monitoring
- Referral to physiotherapy and OT
- Referral to speech and language therapy
- Nutritional assessment
- Specialist referral if developmental paediatrician needed
Outlook
Early intervention significantly improves outcomes for children with developmental delay. Our integrated paeds, physio and OT team provides coordinated support for children and families.
ADHD is a neurodevelopmental condition characterised by persistent inattention, hyperactivity and impulsivity affecting academic, social and family functioning. It affects approximately 5-7% of children. Diagnosis involves comprehensive assessment; management combines behavioural strategies, school support and medication when appropriate.
Common Symptoms
- Difficulty sustaining attention in tasks
- Easily distracted and forgetful
- Excessive movement or fidgeting
- Impulsive behaviour and poor turn-taking
- Difficulty following instructions
- Academic underperformance despite ability
Our Treatment
- Comprehensive ADHD assessment (history, rating scales)
- Parent and teacher behaviour guidance
- Occupational therapy for organisation and self-regulation
- School communication and support plan
- Medication assessment and monitoring if indicated
- Regular follow-up programme
Outlook
ADHD is highly manageable with the right combination of strategies. Children thrive with clear structure, appropriate support and — when needed — targeted medication under careful review.
Asthma is the most common chronic condition in children, causing recurrent wheezing, coughing, breathlessness and chest tightness. Good asthma control enables completely normal physical activity. Our paediatric team provides accurate diagnosis, inhaler education, personalised action plans and regular review to achieve complete control.
Common Symptoms
- Recurrent wheeze or cough
- Night-time or early morning cough
- Exercise-induced breathlessness
- Chest tightness
- Frequent colds progressing to chest
- Use of rescue inhaler more than twice per week
Our Treatment
- Clinical assessment and spirometry (age permitting)
- Inhaler technique education (child and parent)
- Stepwise medication management
- Trigger identification and avoidance
- Personalised asthma action plan
- Regular review and step-down when controlled
Outlook
With optimal management, children with asthma participate fully in sport, education and social activities with no restrictions. Regular review ensures medication is appropriate.
Autism spectrum disorder is a neurodevelopmental condition characterised by differences in social communication, sensory processing and behaviour. Each child's presentation is unique. Our paediatricians and occupational therapists work together to support children with ASD — focusing on sensory integration, daily living skills, school readiness and family-centred strategies.
Common Symptoms
- Differences in social communication
- Limited or unusual use of language
- Repetitive behaviours and routines
- Sensory sensitivities (over or under-responsive)
- Intense interests in specific topics
- Difficulty with transitions and change
Our Treatment
- Paediatric developmental assessment
- Occupational therapy — sensory integration
- Fine motor and self-care skill building
- Parent and carer training and guidance
- School communication and support
- Referral to specialist ASD team if indicated
Outlook
Every child with ASD has unique strengths and challenges. Our integrated approach focuses on building strengths, reducing barriers and improving daily function — in partnership with the family.
Immunisation is the most effective preventive healthcare intervention available. Curolive follows the full Indian Academy of Pediatrics (IAP) immunisation schedule from birth through adolescence. We maintain meticulous records, provide vaccination passports and advise on catch-up schedules when needed.
Common Symptoms
- Birth vaccines (BCG, Hepatitis B)
- 6-10-14 week schedule (DPT, Hib, IPV, Rotavirus, PCV)
- 9 months Measles first dose
- 12-18 months MMR, Typhoid, Chickenpox
- 4-6 year boosters
- Adolescent vaccines (HPV, Meningococcal)
Our Treatment
- Birth to adolescence full IAP schedule
- Missed dose catch-up scheduling
- Travel vaccination advice
- Combination vaccine counselling
- Vaccination records and passport
- Side-effect management guidance
Outlook
Maintaining full vaccination coverage protects individual children and contributes to community immunity. Curolive's meticulous record-keeping ensures no dose is ever missed.
Juvenile idiopathic arthritis is the most common chronic rheumatic disease in children, causing persistent joint inflammation that may affect mobility, growth and eye health. It encompasses several subtypes. Management combines medication, physiotherapy and occupational therapy to maintain joint function and enable normal childhood activities.
Common Symptoms
- Joint pain, swelling and morning stiffness
- Warmth and redness over affected joints
- Limp in younger children
- Reluctance to use an affected joint
- Eye inflammation (uveitis) — often asymptomatic
- Fatigue and irritability
Our Treatment
- Paediatric rheumatology assessment
- Joint protection physiotherapy
- Splinting and orthotics (OT)
- Exercise programme to maintain strength
- Medication coordination with rheumatologist
- Eye monitoring programme
Outlook
With current medications and integrated rehabilitation, children with JIA can achieve sustained remission and participate fully in school, sport and social activities.
Cardiac & Respiratory Conditions
Rehabilitation and management of heart and lung conditions
Cardiac rehabilitation is a medically supervised programme of exercise, education and lifestyle support delivered after a heart attack, bypass surgery or heart failure diagnosis. It is one of the most evidence-based interventions in all of medicine — reducing cardiovascular mortality, improving exercise capacity and enhancing quality of life. Patients who complete cardiac rehab have dramatically better long-term outcomes.
Common Symptoms
- Following heart attack (myocardial infarction)
- After coronary artery bypass graft (CABG)
- Following cardiac stenting (PCI)
- After heart failure diagnosis
- Following cardiac surgery
- Prevention of further cardiac events
Our Treatment
- Supervised aerobic exercise progression
- Strength and conditioning programme
- Cardiac education and medication understanding
- Dietary and lifestyle counselling
- Risk factor modification
- Psychosocial support and return-to-work planning
Outlook
Cardiac rehabilitation reduces cardiovascular mortality by 20-30% and hospital readmission by similar margins. Every patient who has had a cardiac event should complete a formal rehabilitation programme.
COPD is a chronic progressive respiratory condition — primarily from smoking — characterised by airflow limitation, breathlessness and reduced exercise tolerance. Pulmonary rehabilitation is the most evidence-based intervention after smoking cessation, significantly reducing breathlessness and improving quality of life.
Common Symptoms
- Progressive breathlessness on exertion
- Chronic productive cough
- Wheeze
- Frequent chest infections
- Reduced exercise tolerance
- Barrel chest in advanced disease
Our Treatment
- Spirometry and clinical assessment
- Smoking cessation support
- Inhaler optimisation
- Pulmonary rehabilitation programme
- Breathing techniques education
- Exacerbation action plan
Outlook
COPD is not reversible, but its impact is highly modifiable with rehabilitation and medication. Pulmonary rehab reduces hospital admissions and extends independent living.
Chest physiotherapy addresses respiratory conditions through airway clearance techniques, breathing retraining, secretion management and respiratory muscle strengthening. It is used across COPD, bronchiectasis, cystic fibrosis, pneumonia recovery, post-surgical chest complications and neuromuscular conditions affecting breathing.
Common Symptoms
- Difficulty clearing secretions or phlegm
- Persistent productive cough
- Breathlessness at rest or with activity
- Recurrent chest infections
- Post-operative chest complications
- Respiratory muscle weakness
Our Treatment
- Airway clearance techniques (ACBT, PEP therapy)
- Breathing pattern retraining
- Positioning for secretion drainage
- Inspiratory muscle training
- Secretion management education
- Exercise progression for respiratory fitness
Outlook
Chest physiotherapy significantly reduces infection frequency, improves secretion clearance and reduces breathlessness. Regular sessions produce cumulative benefits for chronic respiratory conditions.
Chronic hypertension can lead to left ventricular hypertrophy (LVH), diastolic dysfunction, atrial fibrillation and ultimately heart failure. Management requires optimising antihypertensive therapy, lifestyle modification and managing coexisting risk factors including diabetes and dyslipidaemia.
Common Symptoms
- Breathlessness on exertion
- Fatigue and reduced exercise tolerance
- Palpitations from atrial fibrillation
- Ankle swelling (heart failure)
- Dizziness
- Chest discomfort
Our Treatment
- BP monitoring and cardiac assessment
- Medication optimisation
- ECG and echocardiogram review
- Lifestyle and dietary modification
- Supervised exercise progression
- Specialist cardiology referral
Outlook
With good blood pressure control and lifestyle management, many patients achieve stable function and significantly reduced cardiovascular risk.
Pulmonary rehabilitation is a comprehensive programme of exercise training, education and behavioural change for patients with chronic respiratory conditions. It is more effective than most medications for improving dyspnoea, exercise tolerance and quality of life in COPD and other chronic lung conditions.
Common Symptoms
- Chronic breathlessness limiting daily activities
- Reduced exercise tolerance
- Anxiety related to breathlessness
- Frequent exacerbations and hospital admissions
- Reduced muscle strength
- Social isolation from respiratory limitation
Our Treatment
- Supervised aerobic exercise programme
- Peripheral muscle strengthening
- Breathing techniques and energy conservation
- Disease education and self-management
- Exacerbation recognition and action plans
- Nutritional guidance
Outlook
Pulmonary rehabilitation produces equivalent improvements to bronchodilator medication in exercise capacity and breathlessness. The benefits are durable with continued maintenance exercise.
Occupational Therapy & Functional Rehab
Rebuilding independence in the daily activities that matter most
After a stroke, many patients lose the ability to perform activities of daily living (ADL) — dressing, washing, cooking, writing. Occupational therapy focuses specifically on these functional tasks, using them as both the goal and the means of therapy. By practising meaningful real-life activities, OT harnesses neuroplasticity to rewire motor pathways and restore independence.
Common Symptoms
- Unable to dress or wash independently
- Difficulty cooking or preparing food
- Impaired writing or typing
- Problems using household appliances
- Difficulty managing finances or medication
- Reduced community independence
Our Treatment
- Functional ADL assessment in context
- Task-specific retraining (dressing, cooking)
- Adaptive equipment and assistive technology
- Home modification recommendations
- Return-to-work assessment and support
- Driving assessment coordination
Outlook
OT after stroke produces significant improvements in independence. Earlier and more intensive OT consistently produces better outcomes — our team starts as soon as medically appropriate.
Hand therapy addresses injuries and conditions affecting the hand, wrist and upper limb — including fractures, tendon injuries, nerve injuries, trigger finger, Dupuytren's contracture and post-surgical recovery. Our certified hand therapist combines exercise, manual therapy, splinting and modalities to restore grip strength, pinch, dexterity and functional hand use.
Common Symptoms
- Reduced grip or pinch strength
- Loss of finger dexterity
- Stiffness and swelling
- Numbness or tingling in fingers
- Wound healing or scar management needs
- Pain with hand use
Our Treatment
- Hand function assessment and dynamometry
- Exercise programme — active and passive range
- Custom hand splint fabrication
- Scar massage and management
- Sensory re-education
- Graded return to work and daily tasks
Outlook
Hand therapy produces excellent outcomes. Tendon repairs: 12 weeks. Fractures: 6-12 weeks. Nerve injuries: 6-18 months depending on nerve and level.
Sensory processing disorder (SPD) occurs when the brain has difficulty organising and responding to sensory information. Children may be over-sensitive (avoiding textures, sounds) or under-sensitive (seeking intense sensory experiences). SPD commonly co-exists with autism and ADHD and affects school readiness, daily routines and social participation.
Common Symptoms
- Distress with clothing textures or tags
- Avoiding certain foods by texture
- Over-reaction to sounds, touch or movement
- Difficulty with balance and coordination
- Under-sensitivity causing movement-seeking
- Meltdowns in busy or noisy environments
Our Treatment
- Sensory profile assessment (Dunn model)
- Sensory integration therapy sessions
- Sensory diet design for home and school
- Parent and teacher education
- Environmental modifications
- Graded sensory exposure programme
Outlook
Sensory integration therapy produces significant functional improvements in children's daily life, school performance and social participation with consistent therapy and home programme adherence.
Returning to work after injury, illness or disability requires careful assessment of physical demands, cognitive requirements and workplace accommodations. Our occupational therapy team provides functional capacity evaluations, workstation assessments, graduated return-to-work plans and employer liaison to facilitate safe, sustainable return to employment.
Common Symptoms
- Unable to return to work after injury or illness
- Physical demands exceeding current capacity
- Need for workplace modifications
- Prolonged absence with deconditioning
- Pain management in the workplace
- Cognitive or psychological barriers to work
Our Treatment
- Functional capacity evaluation
- Work demands analysis
- Graduated return-to-work planning
- Workstation and task modification
- Employer communication and liaison
- Work hardening programme
Outlook
Structured vocational rehabilitation significantly reduces time away from work and improves long-term employment outcomes. Early intervention produces consistently better results.
Cognitive rehabilitation addresses impairments in memory, attention, executive function and processing speed following traumatic brain injury, stroke or prolonged illness. It uses evidence-based restorative and compensatory strategies to improve daily function and independence.
Common Symptoms
- Memory lapses in daily life
- Difficulty concentrating on tasks
- Problems planning or organising
- Slow processing speed
- Word-finding difficulties
- Difficulty managing multiple tasks simultaneously
Our Treatment
- Neuropsychological assessment of cognitive domains
- Attention and memory retraining strategies
- Compensatory strategy training
- Environmental modifications
- Technology and assistive device training
- Work or school reintegration planning
Outlook
Cognitive rehabilitation produces measurable improvements in daily function. The most effective approaches combine direct cognitive training with functional task practice in real-life contexts.
Custom splinting provides precisely fitted devices to protect injured or post-surgical hands, correct deformity, reduce spasticity, support weak muscles or position joints for optimal function. Our certified hand therapist designs and fabricates custom thermoplastic splints for fractures, tendon injuries, rheumatoid arthritis, neurological conditions and burns.
Common Symptoms
- Post-surgical hand protection needs
- Tendon repair positioning
- Rheumatoid arthritis joint protection
- Spasticity management and positioning
- Fracture immobilisation
- Wrist extension support for daily function
Our Treatment
- Detailed clinical assessment and measurement
- Custom thermoplastic splint fabrication
- Fitting, adjustment and review
- Wearing schedule education
- Integration with exercise programme
- Splint modification as condition evolves
Outlook
A well-fitted custom splint provides significantly better outcomes than off-the-shelf products. Our certified hand therapist ensures every splint is precisely fitted, comfortable and clinically appropriate.
Following major surgery — orthopaedic (joint replacement, spine), cardiac or neurological — patients often need occupational therapy to regain independence in self-care, domestic tasks, driving and work. OT bridges the gap between physical recovery and full functional independence, providing adaptive strategies, equipment and graduated task retraining.
Common Symptoms
- Inability to dress or wash post-surgery
- Difficulty with kitchen and domestic tasks
- Reduced confidence returning to driving
- Need for home modifications
- Difficulty with work-related tasks
- Post-surgical fatigue management
Our Treatment
- Home visit assessment (pre and post-discharge)
- Adaptive equipment prescription
- Adaptive techniques for restricted movements
- Driving assessment and referral
- Graduated return to domestic and work tasks
- Energy conservation strategies
Outlook
Post-surgical OT significantly reduces length of hospital stay, readmission rates and accelerates functional independence. Our team coordinates with surgical and physiotherapy teams for seamless care.
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