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Integrum Physiotherapy

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Integrum Physiotherapy

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Clinical human specialist Physiotherapist at the Royal National Orthopaedic Hospital and Chartered Veterinary Physiotherapist (ACPAT Cat A)

We specialise in Neuromuscular rehabilitation of both animals and humans post injury or surgery.

21/05/2025

What an incredible Monday morning meeting with and to discuss all things and live on

Thank you to the superstar patient Nova- who was a dream and she is only 1 tomorrow! And her wonderful owner Abby we couldn’t have done it without you both!

11/05/2025

This lovely Golden Retriever has had hair loss for 6 months post a TPLO, but her hair didn’t seem to be growing back and the vets were unsure why. So I recommended they use a Photizio unit and treat the area with it daily- JUST LOOK AT THE RESULTS

The red and near-infrared light penetrates the animal’s skin, blood, muscle and bone with specific wavelengths of photons. The photoreceptors in the animal’s cells absorb this light energy, which enhances the healing process by giving the cells a boost of energy.
Unique and scientifically proven wavelengths reach different layers of tissue.
Red light, for example, is more efficiently absorbed by tissues rich in hemoglobin, and is beneficial for healing surface wounds and stimulating acupressure points.
Near-infrared light is able to pass through to deeper tissues such as tendons, ligaments, bones, joints and muscle.

Incredible results and one happy gorgeous goldie with much less of a bald patch on her bum!

08/04/2025

Interesting paper on Neutering and Cranial cruciate ligament issues by DeForge et al., JAVMA, 2024
doi: 10.2460/javma.24.06.0406

28/10/2024

Amazing to see some registry data coming in the vet world on Canine Total hip replacement.

Lots of studies show that restoring the biomechanics in THR in both human & dog hip dysplasia is complex. Angle of lateral opening has a huge role to play in the animal patient & studies have shown that a lateral angle of between 35-45 is optimal (Dyce et al, 2000)

Restoring the hip centre position is vital to improving biomechanics, restoring muscle lever arms and range of motion and reducing likelihood of dislocation. Obviously with hip dysplasia there is a higher risk of dislocation.

There is more likelihood of luxation in dogs who have previously had a femoral head and neck excision and implant selection is important- more complications were observed with a Helica implant. This is like a girdlestones or a Crowe IV dysplasia in humans where dislocation is more likely due to more difficulty restoring the centre of rotation, head & neck offset ratio and bring the hip centre back down due to muscle and nerve length.

It would be interesting to note if any of these dogs had Physio input pre-operatively. We know in human research that the deep hip muscles atrophy in hip pathology. We also know that physio can delay or even prevent a totally hip replacement & we know that prehab provides better outcomes post op-this has not been looked at in the vet world.

Also the rehab timelines post THR in animals is often 6 weeks cage rest- humans are up and doing rehab day 0. We have removed restrictions & seen no dislocation rate change. The 6 weeks cage test can lead to further atrophy of deep hip mm. Although often human DDH pts may have some restrictions & we are more cautious.

Also evidence of soft tissue approach & laxity of capsular tissue & ligaments can also lead to further stability issues of the hip. In humans for example 50% of patients have hypermobility and so there is a link with collagen disorder for dysplasia. Hypermobility is under recognised in the Veterinary Field.

25/10/2024

I have had the honour of presenting this lecture alongside Professor Skinner from RNOH over the past few years.
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The role of surgery and rehabilitation in hip conditions that affect humans and animals and what we can learn from the research and clinical patients.
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First we presented it on an international platform in Cambridge in 2022. Then at National conference in 2023 and most recently for a local vet surgery CPD lunch and learn session. We present on the different surgeries and why they fail and then on the prehab and rehab and how what we have learned in human rehab crosses to animals. It really aligns with and the visions and values of one medicine.
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Get in contact if you want to know more and do a CPD session.

07/06/2024

Thank you to the best patient and friend for this beautiful gift for my morning tea. 😍

23/04/2024

Good pelvic stability is vital when you are a Tripaw. This beautiful girl had the best stability - you wouldn’t even know she had a leg amputated.

You often see lots of compensatory movements and control in amputees-dogs and humans. Improving balance and pelvic control is key to improving joint loading and forces on remaining joints and reducing risk of injury.

If you have a tripaw I hugely recommend having a physio assessment with your local ACPAT Physio- you can find them on find a physio on the ACPAT website.

22/01/2024

What can I do with a hip replacement…

In 2015 Emily was diagnosed with Avascular necrosis in her hip aged 20 years old. She had tightness and pain when walking which she thought was muscular, so was quite shocked when told it would eventually lead to a hip replacement. She was initially told by a consultant to wait until her late 30s before having a replacement.

Emily was an active sporty person so to be told she would have to live with the pain for another 10+ years & have a replacement was rather a shock. Walking or standing for long periods of time became excruciating & she knew she would never make it to 30, let alone late 30s.

“It wasn’t until I found Holly & a consultant at ULCH who told me that it was possible to have it when I felt ready, because if it was a effecting my quality of life then I should be considering it earlier.”

Spring 2019 she decided to have the replacement.

“I started seeing Holly after being discharged from the hospital & she was superb! She knew I was on a mission to cycle to Paris & was determined to get me there. Not only was her care top level, but her knowledge & expertise gave me the confidence I needed to know that I would eventually get back to ‘full working’ order. Holly gave me exercises to follow, which I did religiously. After 4 weeks Holly gave me the green light to sit on an exercise bike & start training for London to Paris. I was no longer in pain & my left leg felt strong than ever. After 7 weeks I was back to strength training & walking without any aids. Something that I never thought would happen in such a short amount of time. At 12 weeks post op I cycled to Paris in 72 hours & was over the moon, the consultant said I wouldn’t be able to do it, but I breezed through it. Since then I have gone on to have my second child vaginally, and completed 3x 100 mile cycle races minimum a year.”

Since then she hasn’t looked back initially nervous about running we helped her start triathlons, In Nov 2023 she ran a sub 1.53hr half marathon, Crying as she crossed the finish because she never believed it would be possible when given her diagnosis. Emily now has an Ironman firmly in her sights.

08/04/2022

Welcome to the world Sebastian James Beaumont Soper- born 31st March. I will be taking some maternity leave for a few months to focus on my little bundle of joy.

So thank you to all my clients past and present clients for their understanding. I will have limited access to emails- but if anything super urgent- please just mark urgent in the text or email correspondence. I will aim to get back to people within 48 hrs if required. I will endeavour to advise where you can be treated elsewhere in the meantime.

Once I have recovered and am ready to return and in a routine with little one, I will be in contact.

28/04/2021

Humans amaze and disgust me- this poor beautiful cat who I saw this evening went out for his daily mooch a few weeks ago and went missing and did not return home......
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He returned dragging his legs a few days later- he had been shot by an air rifle with a bullet lodged in his spine. I have no words for the people who did this🤬🤬.
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Thanks to the amazing surgical team he is doing well and back on his paws already- despite some remaining neurological deficits and proprioceptive deficits in one leg. He is only 2 weeks post op and coming on leaps and bounds every day, having regular ACPAT Physio will help him on his rehab journey. ❤️
My heart just breaks at the cruelty people inflict on animals.

17/02/2021

Cranial Cruciate Ligament Issues.

06/02/2021

This little Boston terrier had patella luxation surgery on her right side. Her left hind-limb has grade 1 luxation. We have also found today she has a hyper mobile left ankle joint.
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Working on unstable surfaces- such as the wobble cushion helps improve the proprioception of the joints and recruit the deep stabilising muscles around the hip-look at her control!

Address

London
N89

Opening Hours

Monday	9am - 6:30pm
Tuesday	9am - 6:30pm
Friday	9am - 5pm

Telephone

+447863125719

Website

http://www.integrumphysiotherapy.co.uk/

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Help Mind Body
Pure Rheumatology London
1 Welbeck Street,

Getting you and your animals back to your best!

Having qualified as a Physiotherapist in 2008, I have extensive experience in a multitude of settings, including: multiple NHS Trusts, Premiership football, rugby, and hockey, and complex trauma with the military. I currently work at the Royal National Orthopaedic Hospital (Stanmore), a tertiary orthopaedic centre which is regarded as one of the leading orthopaedic hospitals in the world.

I am constantly striving to further my professional development and have completed courses in both Pilates and Acupuncture and I am also an Honorary Clinical Lecturer at UCL, teaching on a masters in Rehabilitation.

Having competed internationally for Great Britain for riding when I was younger, and owned animals all my life, so it was an obvious choice for me to train to become a Veterinary Physiotherapist. I completed my PgDip from Liverpool Vet School with first class honours in May 2018 and became an ACPAT (Cat A) Veterinary Physiotherapist.

I love interacting with people and animals and enjoy seeing patients achieve all they wish for and more. It is amazing who you can inspire and what you can achieve with the right education and the correct exercises and treatment.