Physio letter

[freddiefraggles]

Hooray, physio letter has arrived! Yay Emma my physio :)

Dear Mr Calder

Thank you for the referral of the above patient. Their initial assessment was on 22.12.11 following removal of transport frame for tibio-talar fusion.
She initially presented with painful R foot aggravated by weight bearing and walking. Objective findings included stiff R midfoot, reduced mobility and weightbearing and weakness R quads, hamstrings, gluteals and core.

Treatment consisted of:

Modalities		Outcomes
Mobilisations	*	Symptom free
Manipulation		Greatly improved	*
Posture advice	*	Moderately improved
Gait re-ed/stairs	*	No change
Balance and proprioceptive training	*	Deteriorated
Home exercise	*	DNA
Acupuncture		Failed to complete
Long-term self management	*	Referred back
Electrotherapy		Referred locally
Hydrotherapy	*

Following physiotherapy and hydrotherapy K has done very well and achieved her goal of being confident to participate in the Buttercup walk. Her mobility and muscle strength have significantly improved and she is fully independent with her exercise program. I am therefore now discharging her from physio with advice to continue her exercises independently.

Yours sincerely

Emma Levy
Senior Physiotherapist

cc GP & patient