Frequently Asked Questions   

Frequently Asked Questions

If you can't find an answer to your questions below,

please feel free to contact us

Physiotherapy   

Physiotherapy

How many appointments will I require?
The number of appointments required is specific to the problem you have. There are many facets to consider when determining the number of appointments such as the tissues involved (which have their individual healing timeframe), the length of time the problem has been present, adherence to the plan of action for treatment, etc. This will be discussed during your appointment.
I have not seen any improvement after my first physiotherapy appointment. Should I continue?
The recovery from any musculoskeletal problem varies greatly depending on the duration for which the problem has persisted, the severity of the injury, the irritability of the problem, the nature of the problem, age, adherence to treatment advice, nutrition, activity levels, the mental, emotional and physical state of each individual, to name some of the factors. At Neo Massage we assess the problem for which you have visited us and breakdown the stages of intervention, the number of appointments you may require and why the appointments are required. We ensure you are aware of the plan, encourage you to ask questions and work together in reaching your goal.
Is physiotherapy a regulated profession?
Physiotherapy is an Allied Health Profession, which is regulated in the UK by the Health & Care Professions Council (HCPC).
Is physiotherapy treatment just massage and exercises?
Massage and exercises and two adjuncts which are commonly used as a part of a physiotherapy management plan. In addition to this, physiotherapy treatment can also involve joint mobilisations, myofascial release, joint manipulation, acupuncture and soft tissue release. The type of treatment which our physiotherapy team utilises, depends on your individual problem, the specific tissue which is affected as well as the length of time the problem has persisted for.
Is physiotherapy treatment painful?
When we have any injury or pain, it is a sign our body is giving us, that there is a problem which requires addressing. There can be a degree of inflammation in the area, which gives the perception of pain. Physiotherapy treatment addresses the problem by treating the local area of pain and also identifying which surrounding structures may also be at fault. This requires an assessment through movement and palpation (touch), in addition to subsequent treatment of the areas involved. Some discomfort can be perceived during assessment and treatment, however we encourage you to let us know if the pain is unbearable.
Should I refrain from sporting activity/work/daily activities?
Your activities of daily living can sometimes hinder recovery if too much is undertaken too soon. In most cases, relative rest is indicated, whereby activities are recommended, provided that pain is not significantly high. This will be clarified specifically to your problem during your appointment.
Should I use heat or ice to help symptoms?
Heat and ice are both important adjuncts in helping problem. If used incorrectly, then the healing of a problem can be disrupted. Should you have an acute injury, where inflammation is present, such as ligament sprain, muscle sprain, bursitis, swelling related to post-operative symptoms etc, ice is indicated for the first five to seven days. If no inflammation is present, then heat can be used, especially for issues such as joint stiffness and muscle spasm.
What if physiotherapy does not work for me?
Physiotherapy intervention has been shown to be beneficial when helping individuals out of pain and improving their quality of life following the onset of a long or short-term musculoskeletal problem. We carry out an in-depth assessment during the first appointment by asking questions and building a case history. Following this appointment, should we think that you would not benefit from physiotherapy treatment, we would help point you in the direction which would be most appropriate to you. That could include referring you to your GP, a consultant, referral for a scan or onward referral to another healthcare professional. You are at the centre of our care and we would work together to reach a solution to help take care of your needs.
What is the difference between physiotherapy, osteopathy and chiropractic treatment? Which one should I choose?
As a patient, it can be confusing and overwhelming when choosing who to see for a problem. Physiotherapy, Osteopathy and Chiropractic treatment have many similarities, all of which help treat many problems. Physiotherapy and Osteopathy tend to focus on joint and soft tissue problems whereas Chiropractic treatment usually focuses only on joints. The approach and success of any treatment plan most often depends on the individual practitioner, regardless of title, that you see and how well the relationship and rapport develop. Unless the rapport is present between clinician and patient, the chances of the treatment being a success significantly reduces. At Neo Therapy we inform you with openness as to whether you are going to benefit from physiotherapy treatment. If we feel that you would benefit from visiting another healthcare professional, require a consultant referral, or scan, we point you in the right direction. Should you have any queries as to whether physiotherapy is right for you, we are happy for you to contact us at info@neotherapy.co.uk so we can advise you accordingly.
Why have I only received exercises when I have previously visited physiotherapists?
Exercises play a vital role in recovering from musculoskeletal problems and offer a long-term solution in alleviating pain and restoring the integrity of the problem area(s). In previous visits to physiotherapists, they may have concluded in that instance, that you may benefit most from exercises. At Neo Massage we do prescribe exercises to not only provide a long-term solution, but also to help the carry-over benefit from the treatment undertaken during the appointment if they are required. Exercises are provided to manage conditions as well as using additional treatments, should they be required.
Why have physiotherapists I have seen previously, not used any ‘hands-on’ treatment?
Although the physiotherapy profession is regulated and taught very similarly throughout the UK universities, individual physiotherapy experience as careers develop, greatly differs for each physiotherapist. As experience grows, physiotherapists tend to justify the need for treatment and intervention slightly differently to what another physiotherapist may prescribe. Both pathways of treatment could be perfectly fine. One clinician may only provide exercises, one clinician may only undertake ‘hands-on’ treatment, and another may not provide either. The foundation of our approach and philosophy at Neo Therapy places you at the centre of our approach. Our clinical skills and justification play a large part in our approach to your care. However, your personality, expectations, current situation all impact the overall success of a physiotherapy management plan. At Neo Therapy we work closely with you to get the best our of your appointments by providing an individualised approach to care by using a combination of treatment approaches to improve your quality of life.
Will the recovery from my injury last long term?
The recovery from the injury is also determined by many facets such as healing time frame, type of injury, length of time the injury has been present, your activities of daily living and whether you undertake too much or too little activity and rest. These areas will be discussed during your appointment.

Sports Massage   

Sports Massage

Do you have to play sport to have a sport massage?
No. Sports massage and deep tissue is an excellent treatment for athletic and non athletic people alike. You don’t need to play sport to have tight and over worked muscles.
What do I wear to a sports massage?
It is best to wear loose clothing, and for women to wear an unfastenable bra, rather than a sports bra. You will always be covered with a towel during the massage, and left to change in private, before and after the massage. If it is your first time, it is advised that you wear a pair of shorts and a vest to enable the therapist to see the joints and muscles clearly during assessment.
Will a sports massage hurt?
This type of massage can be uncomfortable or painful at times, due to the deep strokes, but the therapist will communicate with you throughout the massage, and pressure can be lessened if the client finds it too much. Generally, it is a relieving type of pain.
What does a full body massage include?
A treatment plan will be discussed with you before your massage. Whether you have come to help a certain area, or key areas, or you would like a full body massage. This would include the legs, gluteals, hip flexors, arms, back, pectorals and neck.
What should I expect if I’ve never been for a massage before?
At the start of your first treatment your therapist will talk to you about any medical history, previous injuries, the reason you have come to see them and a bit about your lifestyle. The therapist may carry out some tests on your movement and look at your posture before beginning the massage. A treatment plan and after care will be discussed at the end of the massage.
How regularly should I get a massage?
This largely depends on your lifestyle and whether you are seeking massage as a treatment for a problem. If the latter, your therapist will recommend how often and how many you might need to treat the problem. Otherwise Neo Massage recommends clients getting a massage around every 6 weeks to keep your muscles soft and in excellent condition.
How will I feel after a sports massage?
Depending on how deep the massage was, you may feel a little tender in certain areas after your massage. This will soon pass and you will feel much looser, with your muscles in a better condition and posture improved.

Manual Lymphatic Drainage

Manual Lymphatic Drainage

What is manual lymphatic drainage?
MLD is a specialised, gentle but effective type of bodywork that improves the efficiency of the lymphatic system – the body’s waste disposal system, as well as an important part of the immune system. Specific movements of the skin stimulate and increase the rate of removal of waste products, toxins and excess fluid from the body’s tissues. MLD was developed in the 1930s by Dr. Emil Vodder (hence the term Vodder Technique), whose early work was on facial and sinusitis treatments, but it then became evident the treatment could be effective for a lot of other conditions. MLD is regularly prescribed to improve healing and reduce recovery time after cosmetic surgery, but it can be good for many different conditions, and an all-round health boost. Scientific reports over the years have found some positive evidence for the effectiveness of this treatment: https://vodderschool.com/bibliography_of_research_articles
What are the benefits?
The main benefits of MLD are:
• Decongesting and detoxing, helping the body to clear toxins and waste products
• Relaxing - it has a soothing effect on the autonomic nervous system and can thus be good to treat areas of chronic pain
• The lymphatic system is also involved in the immune system, as the lymph contains a type of white blood cell called lymphocytes, which fight infection. It is highly likely therefore that MLD helps boost the immune system
What is MLD used for?
MLD can be good for the following:
• Post-injury / operative healing: A course of MLD treatments makes the healing process much faster
• Water retention
• Post-operative oedema
• Sinusitis (when not acute)
• Headaches (some people find it helps)
• Hayfever (when not acute)
• Digestion: MLD has a tonic effect on intestinal peristalsis, which in turn aids digestion
• Relaxation: MLD has a calming effect on the nervous system
• Complexion on the face – can make skin look clearer and brighter
• Helps to clear lactic acid, therefore good for post-exercise recovery
• As part of a detox programme, as a beneficial complement to a good diet and exercise
Please note: We do not treat lymphoedema at our clinic. If you would like to find out where you can receive treatments for lymphoedema (from a DLT therapist), you can visit the MLD UK website: http://www.mlduk.org.uk/.
When is it good to have an MLD treatment?
Treatment pre and post surgery is often recommended to get the lymphatic system in peak condition to help reduce the swelling and bruising, keep it operating at optimum levels to accelerate the healing process, and encourage better scar formation.
When is it contraindicated / to be avoided?
• While undergoing treatment for cancer. It is fine / can be adapted when you have recovered and had your doctor’s permission
• Acute infections and viruses
• During the first three days of a cold
• Cardiac decompensation
• Unusually low or high blood pressure (diagnosed)
• Pregnancy – seek doctor’s permission
What happens during the treatment?
As no oils are used it is completely safe even for those with sensitive skin. Light circular pumping motions are applied with the hands on the areas that need attention, with the neck usually being treated first, due to the high number of lymph nodes in that area and to stimulate the system. It is very relaxing and you may find yourself dozing off!
How will I feel after MLD?
After an MLD treatment, you should feel more relaxed and clear-headed. You may feel quite tired, so it’s best to take it easy. You may also need to urinate a bit more often, as your body flushes out waste products faster than normal.
Are there any side effects to the treatment?
There are usually no bad side effects and it is perfectly safe to eat before and after a MLD treatment. Occasionally, you can feel slightly nauseous or headachey afterwards – this is usually if you have a lot of toxins in your system, and if it happens, usually it’s just after the first treatment and you feel better with subsequent treatments.
What are the aftercare recommendations?
It helps to drink some water after your treatment and you may need to go to the toilet more often, as the re-energised lymphatic system starts to recycle excess fluid and waste. It’s best to take it easy afterwards. Caffeine and alcohol are preferably avoided, as reloading the body with toxins straight after this detoxing treatment can make you feel a bit queasy. We may prescribe various exercises and advice about compression garments.
What is MLDUK?
MLDUK is a professional association of manual lymphatic drainage practitioners. It ensures a high standard of training amongst its members, promotes the education of health professionals with regard to MLD and raises public awareness of MLD and its therapeutic applications. If you would like to find out more, you can visit the MLD UK website: http://www.mlduk.org.uk/. We do not treat lymphoedema at NeoTherapy, but you can find a directory of DLT therapists who do on that website.

General   

General

What is manual lymphatic drainage?
MLD is a specialised, gentle but effective type of bodywork that improves the efficiency of the lymphatic system – the body’s waste disposal system, as well as an important part of the immune system. Specific movements of the skin stimulate and increase the rate of removal of waste products, toxins and excess fluid from the body’s tissues. MLD was developed in the 1930s by Dr. Emil Vodder (hence the term Vodder Technique), whose early work was on facial and sinusitis treatments, but it then became evident the treatment could be effective for a lot of other conditions. MLD is regularly prescribed to improve healing and reduce recovery time after cosmetic surgery, but it can be good for many different conditions, and an all-round health boost. Scientific reports over the years have found some positive evidence for the effectiveness of this treatment: https://vodderschool.com/bibliography_of_research_articles
What are the benefits?
The main benefits of MLD are: • Decongesting and detoxing, helping the body to clear toxins and waste products • Relaxing - it has a soothing effect on the autonomic nervous system and can thus be good to treat areas of chronic pain • The lymphatic system is also involved in the immune system, as the lymph contains a type of white blood cell called lymphocytes, which fight infection. It is highly likely therefore that MLD helps boost the immune system
What is MLD used for?
MLD can be good for the following: • Post-injury / operative healing: A course of MLD treatments makes the healing process much faster • Water retention • Post-operative oedema • Sinusitis (when not acute) • Headaches (some people find it helps) • Hayfever (when not acute) • Digestion: MLD has a tonic effect on intestinal peristalsis, which in turn aids digestion • Relaxation: MLD has a calming effect on the nervous system • Complexion on the face – can make skin look clearer and brighter • Helps to clear lactic acid, therefore good for post-exercise recovery • As part of a detox programme, as a beneficial complement to a good diet and exercise Please note: We do not treat lymphoedema at our clinic. If you would like to find out where you can receive treatments for lymphoedema (from a DLT therapist), you can visit the MLD UK website: http://www.mlduk.org.uk/.
When is it good to have an MLD treatment?
Treatment pre and post surgery is often recommended to get the lymphatic system in peak condition to help reduce the swelling and bruising, keep it operating at optimum levels to accelerate the healing process, and encourage better scar formation.
When is it contraindicated / to be avoided?
• While undergoing treatment for cancer. It is fine / can be adapted when you have recovered and had your doctor’s permission • Acute infections and viruses • During the first three days of a cold • Cardiac decompensation • Unusually low or high blood pressure (diagnosed) • Pregnancy – seek doctor’s permission
What happens during the treatment?
As no oils are used it is completely safe even for those with sensitive skin. Light circular pumping motions are applied with the hands-on the areas that need attention, with the neck usually being treated first, due to the high number of lymph nodes in that area and to stimulate the system. It is very relaxing and you may find yourself dozing off!
How will I feel after MLD?
After an MLD treatment, you should feel more relaxed and clear-headed. You may feel quite tired, so it’s best to take it easy. You may also need to urinate a bit more often, as your body flushes out waste products faster than normal.
Are there any side effects to the treatment?
There are usually no bad side effects and it is perfectly safe to eat before and after a MLD treatment. Occasionally, you can feel slightly nauseous or headachey afterwards – this is usually if you have a lot of toxins in your system, and if it happens, usually it’s just after the first treatment and you feel better with subsequent treatments.

Should you have any questions which are not covered above,
then please discuss it during your appointment or email info@neotherapy.co.uk