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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.
🐾
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.
🦵
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.

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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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.