Physical Therapy and Exercise for Musculoskeletal Pain Treatment

Muscle and joint pain can be debilitating. Common symptoms of this particular type of pain can involve twitching or burning of the muscles and achy, stiff joints. It can also cause you to lose sleep. This pain can become chronic. Relying solely on pain medications for relief can be a quick fix and also have undesirable longterm consequences.

Physical therapists and other healthcare professionals are always in search of conditions that they can treat with the least invasive, most cost-effective, evidence based methods. The intention on these techniques are to provide relief and comfort to patients while preventing prolonged recovery times due to surgery and painkillers dependency. Strengthening muscles and stretching is a recommended approach to relieving neck and back pain associated with musculoskeletal disorders. Strengthening the muscles improves mobility and has been demonstrated to reduce pain.

Part of a therapist’s approach to improving patients’ mobility is by identifying weaknesses in movements that cause patients to overcompensate. Certain exercises will be recommended to balance the strain on joints and muscles, sometimes with the use of special machines or resistance bands. Exercise based prescriptions, tailor made for the client as well as Physical Therapy can be more effective than other ‘quick’ solutions such as strong painkillers and invasive surgery.

Covid 19 Protocols

What are the symptoms of Coronavirus COVID-19?

Symptoms can range from mild to severe illness. Some people will recover easily, and others may get very sick very quickly. People with coronavirus may experience:

  • fever
  • flu-like symptoms such as coughing, sore throat and fatigue
  • shortness of breath

See which covers symptoms, causes and treatment

The post Covid 19 world is a different one for most people and work places and mine isn’t any different. The protocols I have been advised to put in place to keep my clients and myself safe are cumbersome, yet necessary. When you arrive, rather than a friendly handshake I will be wearing a viral mask and keeping my distance please don’t take offence at this strange behaviour! If you arrive wearing gloves and a mask, you will be asked to remove them. I will be able to provide you with a mask but you may bring your own if it hasn’t been used. When you come in you will be asked to sanitize your hands with an alcohol based hand rub. You must wear the mask for the duration of the appointment. 

Your appointment will be in the familiar format, during the initial consultation social distancing will be observed, but during the treatment phase, this will not be possible. At this stage it is essential that respiratory hygiene is observed, this will be explained to you.

After the appointment you will please remove your mask and dispose of it and apply fresh alcohol based hand rub. 

Treatment times will be shorter to lessen the risk of potential infection. New clients will be asked to fill in a Covid 19 questionaire and a patient information form before their appointment and email it back to me before the appointment. This cuts down on contact time within the clinic and assessment, treatment and rehab can begin as soon as possible.

All this is based on current best practise within our profession. It is a pain but most people are in a similar situation. Saying that these protocols won’t affect the level of care given to each client. Thanks in advance for your cooperation.

Take care,


General Data Protection Regulation (GDPR)

The General Data Protection Regulation (GDPR) replaces the existing data protection framework under the EU Data Protection Directive. It is an EU Directive which enhances protection for consumers and creates new obligations for health professionals who collect and store data on patients. This will come in to effect on the 25th of May 2018.

Why does Premier Physical Therapy Clinic collect personal data about you?

We collect this as part of your medical records when we assess and treat you for a musculoskeletal condition. We keep this information as details of successful treatment plans and previous rehabilitation strategies may improve our understanding and inform future injuries that you may present with, which is of benefit to you when you return to us with a recurring injury. We use your email address to contact you with rehabilitation plans and home exercise programmes after each session, and to follow up with you during the management of your injury.

We may use your information for the following purposes:.

  • Send you on rehabilitation plans and advice regarding your presentation.
  • Send you information about services that you have purchased from us.
  • Provide you content and venue details on appointments (new clients).
  • Follow up on incoming requests (emails or phone calls).
  • Perform contractual obligations such as receipts, invoices, reminders etc.
  • Notify you about any disruptions to our services.
  • Contact you to get feedback regarding your experience of our services.

What changes will I see as a patient of Premier Physical Therapy Clinic?

GDPR will give you greater control over your personal information and you will notice some small changes on our patient information forms as we ask your consent as required during your treatment sessions. Rights for patients under GDPR include:

  • The right to access the personal information that we hold on you
  • The right to have inaccuracies in that information corrected
  • The right to have information on you deleted
  • The right to object
  • The right to have your personal information sent to you directly

Does Premier Physical Therapy Clinic share my personal information?

We do not share your personal information with any third parties. Your personal information and treatment notes are held in a secure filing system within a secure and monitored premises. If we need to correspond with another Healthcare Practitioner on your behalf, e.g. your GP or a consultant, we will obtain your written consent in advance to do so.

If required by law:

We will disclose your personal information if required by law or if Premier Physical Therapy Clinic, reasonably believe that disclosure is necessary to protect our  rights and/or to comply with a judicial proceeding, court order or legal process. However, we will do what we can to ensure that your privacy rights continue to be protected.

For how long does Premier Physical Therapy Clinic retain my personal information?

Our insurance provider requires us to retain all records for a period of 7 years after the last appointment or visit, or in the case of minors, for 7 years after their 18th birthday. After 7 years have elapsed without use, files are destroyed.

Who is in charge of monitoring these new changes?

If you are unhappy with the way in which your personal data has been processed, you may, in the first instance, contact

If you remain dissatisfied, then you have the right to apply directly to the Data Protection Commissioner Canal House Station Road Portarlington  R32 AP23 Co. Laois.

Changes to this Privacy Policy

Premier Physical Therapy Clinic reserves the right to amend this Privacy Statement at any time. The applicable version will always be found on this website. We encourage you to check this page occasionally to ensure that you are happy with any changes that may happen in the future.

If we make changes that significantly alter our privacy practices, we will notify you by email or post a notice on this website prior to the change taking effect.

Two weeks of lazy office life risks onset of diabetes – new report

Just two weeks of normal office life without exercise can put people on the path to diabetes, researchers have found

Sitting at a desk all day, driving to work and lazing on the sofa at weekends triggered ill health in all the participants of a new study.

The research team at Liverpool University warned that Britons’ increasingly inactive lives could damage their health in the long term, potentially leading to serious conditions such as type 2 diabetes, heart disease and strokes. With us here in Ireland you can be sure we’re on a similar path too.

However, the experiment also showed that the ill-effects can be reversed with simple steps like taking the stairs instead of the lift, getting off the bus a stop early and going to the supermarket instead of shopping online.

Lead researcher Dr Daniel Cuthbertson warned a sedentary lifestyle quickly begins to “sow the seeds for future disease”.

He said: ‘Through various advances, our society has become a lot more sedentary. Our grandparents did washing manually, they did manual labour, people were physically active. Now many of us are based at desks tapping away – we don’t even go out to do our shopping.

“Sedentary behaviour has a number of adverse health effects that over an extended period of time could be harmful.”

Researchers followed 45 people with an average age of 36 who did not regularly do any active exercise like jogging or going to the gym but all walked at least 10,000 steps a day as part of their daily lives.

They were asked to become inactive for two weeks. This involved getting public transport or driving to work, taking lifts or escalators instead of stairs, cutting their steps down to around 1,500 a day and spending the weekend at home, mainly watching TV or playing computer games.

Cutting the Cost of Your Treatment

At Premier Physical Therapy Clinic I aim to keep our fees as low as possible, providing you with professional and effective care at the best value for money around. I will always do my best to reduce your number of visits and thereby keeping your expense to a minimum. If a persons symptoms are chronic and may take more visits than average, I will reduce the cost of the treatments by €10 after the third visit. 

Insurance Refunds – save up to €25 per session

The cost of treatment can be as low as €15 depending on your health insurance cover. Vhi, Aviva Health, Irish Life Insurance, Laya Healthcare, and the Garda Medical Scheme may cover some of the cost of Physical Therapy. Check your policy to see what you may be entitled to.

I am a member of The Irish Association of Physical Therapists, so treatments are usually covered by VHI, Laya, Aviva and all other major private health insurance providers. Coverage may vary depending on your plan and your insurance company, therefore, please check your provider and policy to see how much they will reimburse and the amount of visits they may cover prior to your treatment. 

 Tax Relief – added savings.

As an example, if your treatment cost is €50 (full fee) and your health insurance policy reimburses you €25, then you may be able to claim a tax relief on the outstanding €25. Tax relief is available on physical therapy costs (on referral from your G.P. or other relevant practitioner) and depending on your level of taxation, you may receive a rebate of up to 42%. Tax relief may be claimed by filling in the MED 1 form available from

 Payment Terms:

All fees are to be paid on day of treatment, including patients with private medical health insurance. A receipt will be issued so you can re-claim part of the fee from your insurance provider.

CPD with John Gibbons 2 Day Course

I recently did a John Gibbons 2 day course in Dublin in May 2017; Spinal Manipulation and METs and the Vital Glutes and Psoas. John is registered Osteopath and author on manual therapy (Vital Gluts and functional anatomy of the pelvis and sacroiliac joint to name just two). He is highly regarded lecturer in Oxford University and world renowned therapist of 20 years. The man is a font of knowledge on Anatomy,Physiology, Dysfunction and Rehabilitation. He also has a great sense of humour which is good as it made the course more engaging and enjoyable. After doing the course I know it’s going to add a greater dimension to my treatment sessions both for my clients and on a personal level as I continue to learn.

John and Myself at his two day ‘Vital Glutes’ course

Back Pain Myths

While back pain can be very painful and worrying, it is very common and rarely dangerous. A total of 84% of people worldwide will experience back pain during their lifetime. It is equally common across all age groups; from young to old and doesn’t get worse with age. Therefore, it should not be seen as a result of ageing or “wear and tear”. Commonly people recover reasonably quickly, and most will recover without the need for treatment. Some people experience repeated episodes of back pain which can be distressing, but again these are rarely dangerous.

Here is a link to a recent Irish Independent article about back pain and the myths surrounding it:

Source: Irish Independent (3rd Jan 2017)