Presented by: Stephen Boyd — Physiotherapist Event: The Team Approach to Low Back Pain - 2014

1.
Physiotherapy
in
a
Mul1disciplinary
Clinic
SpinePlus
Where
Do
I
Fit
In?

2. Why
am
I
here?
• Working
with
spinal/orthopaedic
pa1ents
since
1984
• Ini1ally
Spinal
Injuries
Unit/Orthopaedic
Unit
@
PAH
• Private
Hospital
care
of
spinal/orthopaedic
pa1ents
since
1988
• Private
Physiotherapy
clinic
since
1988

3. Where
am
I?
• Private
Outpa1ent
Clinics
at
BPH
and
Ascot
• Inpa1ent
care
of
spinal/orthopaedic
pa1ents
at
BPH
and
at
HSN
• Joint
clinician
sessions
with
hip/knee
surgeon,
and
shoulder
surgeon
• Spineplus
sessions
Tuesday
and
Thursday

4. Physiotherapy:
What
do
I
do?
• Assess
• Liaise
• Educate
• Treat
• Manage
• Liaise
• Review

5. SpinePlus
Physiotherapy
Session
• Assessment
• Educa1on
• Manual
Therapy
• Exercise
• No
electrotherapy

6. Con1nuum
of
Care
• Follow
pa1ents
pre-­‐op
and
post
op
• Review
and
manage
daily
in
hospital
for
overnight,
mul1day
stays.
• Combined
ward
rounds
• Review
day
surgery
discectomies
prior
to
discharge
• Review
at
3/52
and
6/52
and
beyond
if
needed

7. Team
Management
• Clinic
sessions
with
Surgeon
and
Exercise
Physiologist
• Review
pa1ents
together
and
discuss
diagnosis
and
management
plan

8. Team
Management
• Liaise
and
confer/refer
:
Neurosurgeon,
Pain
Management
Specialist,
and
Psychologist
working
in
the
clinic
• Ensure
1mely
care,
treatment,
results