Milestones Neurorehabilitation Clinic

01784 457 520 (Mon to Fri 8am – 6pm) | Milestones, 39A South Avenue, Egham, Surrey TW20 8HQ

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Milestones Clinic, Surrey

Conditions We Treat

Change in neurological function can have a dramatic impact on family, job, social and community interaction and as such it is particularly important to access specialist rehabilitation which aims to help the person to learn alternative ways of working in order to minimise the long-term impact of their condition, and help the survivor and their family to cope successfully with any remaining disabilities.

Brain Injury

  • Brain Injury Rehabilitation Milestones ClinicTraumatic Brain Injury (TBI) is an injury to the brain caused by a trauma to the head (head injury). There are many possible causes, including road traffic accidents, assaults, falls and accidents at home, work or during sporting activities.
  • Life abruptly changes after traumatic brain injury and the range of injuries and degree of recovery is very variable and varies on an individual basis.
  • Some considerations for treatment include working to improve upon: Stability / balance, functional strength and fitness, stamina and helping to dual process better rather than working harder all of which will help to reduce the effects of fatigue, which is often a feature after a brain injury.

Spinal Cord Injury

  • Spinal cord injury occurs when there is any damage to the spinal cord that blocks communication between the brain and the body
  • Spinal cord injury due to traumatic accidents may be caused by the stretching of or pinching of the cord where vertebrae have been displaced, or by direct damage to the cord by fragments of fractured bone. Non-traumatic spinal cord injury can be caused by pressure on the spinal cord from disease (cysts or tumours), or any interruption of local blood supply.
  • Some considerations for treatment include working to optimise:Flexibility, postural control, functional strength and stamina to promote functional independence and efficiency of movement, which may include hands-on therapy, targeted exercises, the use of neuromuscular electrical stimulation , aqua therapy and the use of specific equipment and orthotics.

Stroke

  • Stroke Rehabilitation Milestones ClinicIf the supply of blood to the brain is restricted or stopped, brain cells begin to die which can lead to brain injury and disability
  • There are two main causes of strokes:
    • ischaemic – where the blood supply is stopped because of a blood clot, accounting for 85% of all cases
    • haemorrhagic – where a weakened blood vessel supplying the brain bursts

Some considerations for treatment include working to:

Reduce pain and stiffness; improve flexibility and efficiency of movement to reduce the effects of fatigue;  improve dual processing to help to reduce the risk of falls; empowering people to progress and keep active through creative, fun and sustainable exercise.

Click here to view the Physioworks for Stroke PDF

Neurological Diseases

Neurological diseases such as Multiple Sclerosis, Parkinson’s Disease, Motor Neurone Disease, Primary CNS (brain)tumours, Guillain Barre Syndrome and Cerebellar degeneration.

Each condition creates different challenges and each person has their own unique goals so using our wealth of experience and knowledge of how the nervous system works we strive to help people to optimise their abilities, balancing activity with rest.

The dose, type and timing of exercise is key to making a difference as is sometimes using specific equipment, technology and orthotics .

  • Physioworks for MS
  • Physioworks for Parkinson’s
  • People diagnosed with a primary brain tumour should have access to an appropriate level of rehabilitation if required, so they can optimise their function, mobility and quality of life, regardless of their life expectancy NICE (2004) Guidance on Cancer Services: Improving Supportive and Palliative Care for Adults with Cancer chapter 10, London, National Institute for Clinical Excellence. http://guidance.nice.org.uk/CSGSP
  • NICE (2006) Guidance on Cancer Services: Improving outcomes for people with tumours of the brain and central nervous system, National institute for Clinical Excellence, London http://guidance.nice.org.uk/CSGBraincns

Balance and Vestibular Issues

Balance emerges through the interaction of multiple systems within the individual, organised according to task demands and constrained by environmental factors.

These multiple systems include:

  • motor (strength, flexibility & alignment)
  • sensory (vision, inner ear / vestibular & movement / position detectors)
  • cognitive (attention & memory)

Click here to view the physioworks to prevent falls PDF

The task demands relate to the body’s ability to cope under different situations e.g the unexpected, such as slipping on a rug, or moving beyond one’s point of control such as reaching or stepping out too far.

Environmental factors may include community demands e.g the terrain, opening doors, covering a distance or moving at speed.

Balance senses therefore have to be specifically targeted when designing balance re-training programmes, which may necessitate accessing specialists other than neuro-physiotherapists to ensure all the senses are addressed effectively e.g Audiovestibular Physician, Behavioural Optometrist.

For further information please visit our dedicated balance and vestibular page.

For further information please Get In Touch

Testimonials

When you start to try to put somebody back together after a tragic accident you suddenly realise that they forgot to include the instruction booklet! This was very...

Mark

I felt I had to write to thank you for all your hard work, and your professional way you have healed Wendy ; since we asked for your help way back in the summer of...

Graham Jessop

Sally will be the first to admit that neither she nor any other Physiotherapist can work miracles. Out of the many Physiotherapists that I have had, Sally has had...

Philip Hinton

I have been a patient of Sally de la Fontaine for 3 years following a stroke. During this time my range of movement has improved to such an extent that I have bought...

Aynsley Doherty

Sally has through her professional expertise and ingenuity in exercise certainly helped in speeding my recovery from Guillian Barre syndrome.

David Gentry

Just thought I would let you know that yesterday evening I jogged 1.5 miles in 22 minutes without stopping thanks to your work and the Turbomed FS3000

Kevin (peripheral nerve injury client)

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