The document discusses the role of a physiotherapist working in a multidisciplinary spine clinic. The physiotherapist has over 30 years of experience working with spinal and orthopaedic patients. In the clinic, they assess, educate, treat, and manage patients. Sessions involve assessment, education, manual therapy and exercise. The physiotherapist works as part of a team, following patients before and after surgery, conducting joint sessions with surgeons and an exercise physiologist, and liaising with other specialists. The goal is to provide continuum of care for patients.

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