Rehabilitation, Pain Management & Movement Recovery

The Physiotherapy Department at AS Medical Complex provides assessment, rehabilitation, and physical therapy services for patients experiencing pain, weakness, stiffness, reduced mobility, movement difficulties, or loss of physical function.

Our approach focuses on helping patients improve movement, restore strength, reduce discomfort, regain independence, and return safely to everyday activities.

Physiotherapy may be beneficial after an injury, surgery, stroke, prolonged illness, or hospitalization, as well as for people living with chronic musculoskeletal, neurological, or mobility-related conditions.

Each patient's rehabilitation program is planned according to their diagnosis, physical condition, functional limitations, and individual recovery goals.

Our Physiotherapy Services

The Physiotherapy Department at AS Medical Complex may provide assessment and rehabilitation for:

• Back pain

• Neck pain

• Shoulder pain

• Knee pain

• Joint stiffness

• Muscle weakness

• Musculoskeletal injuries

• Sports injuries

• Sprains and strains

• Post-fracture rehabilitation

• Arthritis-related mobility problems

• Post-operative rehabilitation

• Joint replacement rehabilitation

• Stroke rehabilitation

• Neurological rehabilitation

• Balance and coordination problems

• Difficulty walking

• Reduced mobility

• Muscle and joint stiffness

• Chronic pain

• Post-hospitalization weakness

• Elderly mobility problems

• Fall-risk reduction

• Strength and conditioning

• Posture-related problems

• Functional rehabilitation

• Therapeutic exercise

• Manual therapy

• Mobility and gait training

• Home exercise guidance

Treatment options are selected according to the patient's condition and physiotherapy assessment.

Musculoskeletal Physiotherapy

Musculoskeletal physiotherapy focuses on problems involving muscles, joints, bones, ligaments, tendons, and related structures.

Patients may seek physiotherapy for:

• Back pain

• Neck pain

• Shoulder problems

• Knee pain

• Hip pain

• Joint stiffness

• Muscle strains

• Ligament injuries

• Tendon-related problems

• Arthritis

• Reduced range of motion

• Muscle weakness

• Pain following injury

• Posture-related discomfort

The physiotherapist assesses movement, strength, flexibility, pain, and functional limitations before developing an individualized rehabilitation plan.

Back & Neck Pain Rehabilitation

Back and neck pain can interfere with work, sleep, movement, and normal daily activities.

Physiotherapy assessment may help identify movement limitations, muscle weakness, stiffness, posture-related factors, and functional problems contributing to symptoms.

A rehabilitation program may include:

• Therapeutic exercises

• Mobility exercises

• Strengthening

• Stretching

• Postural education

• Manual therapy when appropriate

• Movement retraining

• Advice regarding daily activities

• Home exercise programs

Treatment is adjusted according to the cause and severity of symptoms.

Joint Pain & Arthritis Rehabilitation

Arthritis and other joint conditions can result in pain, stiffness, weakness, and reduced mobility.

Physiotherapy can focus on helping patients maintain or improve:

• Joint movement

• Muscle strength

• Walking ability

• Balance

• Flexibility

• Functional independence

• Ability to perform everyday activities

Patients with persistent joint problems may receive coordinated care involving Physiotherapy, Orthopedics, Rheumatology, and other relevant specialties.

Knee Rehabilitation

Knee problems may occur because of injury, arthritis, surgery, muscle weakness, or other musculoskeletal conditions.

Physiotherapy may help patients recovering from or living with:

• Knee pain

• Knee stiffness

• Ligament injuries

• Meniscal injuries

• Muscle weakness around the knee

• Arthritis

• Fractures

• Knee surgery

• Joint replacement

Rehabilitation may focus on restoring range of motion, strengthening the surrounding muscles, improving balance, and helping patients return safely to normal walking and daily activities.

Shoulder Rehabilitation

Shoulder problems can affect lifting, reaching, dressing, sleeping, and other everyday activities.

Physiotherapy assessment may be useful for patients experiencing:

• Shoulder pain

• Stiffness

• Restricted movement

• Muscle weakness

• Frozen shoulder

• Tendon-related problems

• Recovery after injury

• Recovery following surgery

Treatment may involve mobility exercises, strengthening, stretching, manual techniques, and a structured home exercise program depending on the diagnosis.

Post-Operative Physiotherapy

Rehabilitation can be an important part of recovery after many surgical procedures.

Depending on the operation and the patient's condition, post-operative physiotherapy may focus on:

• Restoring movement

• Improving muscle strength

• Reducing stiffness

• Improving walking

• Improving balance

• Safe transfers from bed to chair

• Returning to everyday activities

• Improving physical endurance

• Preventing prolonged loss of mobility

Post-operative rehabilitation may be used after procedures involving the knee, hip, shoulder, spine, fractures, or other orthopedic conditions.

The rehabilitation plan should follow the treating surgeon's instructions and any necessary movement or weight-bearing restrictions.

Joint Replacement Rehabilitation

Patients undergoing knee or hip replacement may require structured physiotherapy during recovery.

Rehabilitation may include:

• Range-of-motion exercises

• Muscle strengthening

• Walking practice

• Gait training

• Balance exercises

• Safe use of walking aids

• Functional mobility training

• Stair training when appropriate

• Home exercise guidance

The treatment program progresses according to the patient's recovery and the recommendations of the treating surgical team.

Fracture Rehabilitation

Following a fracture and appropriate orthopedic treatment, patients may experience:

• Joint stiffness

• Muscle weakness

• Reduced movement

• Difficulty walking

• Loss of confidence in using the affected limb

Once medically appropriate, physiotherapy can help restore mobility, strength, balance, and function.

The timing and intensity of rehabilitation depend on the type of fracture, healing progress, treatment performed, and instructions provided by the orthopedic specialist.

Sports Injury Rehabilitation

Sports injuries can affect muscles, joints, ligaments, and tendons.

Physiotherapy may assist in rehabilitation following:

• Muscle strains

• Ligament sprains

• Knee injuries

• Ankle injuries

• Shoulder injuries

• Tendon-related injuries

• Overuse injuries

• Reduced strength after injury

The rehabilitation process may focus on:

• Pain and movement assessment

• Restoring joint mobility

• Muscle strengthening

• Flexibility

• Balance

• Coordination

• Progressive exercise

• Functional retraining

• Safe return to physical activity

Return to sport should be based on appropriate recovery and functional assessment rather than pain relief alone.

Neurological Physiotherapy

Neurological conditions can affect movement, strength, balance, coordination, and independence.

Neurological physiotherapy may support patients with conditions such as:

• Stroke

• Parkinson's disease

• Multiple sclerosis

• Peripheral nerve conditions

• Neuromuscular disorders

• Spinal cord-related conditions

• Other neurological conditions affecting movement

Rehabilitation is individualized according to the patient's abilities and functional goals.

Stroke Rehabilitation

Stroke can affect movement, muscle strength, balance, coordination, and the ability to perform everyday activities.

Physiotherapy after stroke may focus on:

• Improving movement

• Strengthening weak muscles

• Improving sitting and standing balance

• Bed mobility

• Transfer training

• Walking practice

• Gait retraining

• Coordination

• Functional exercises

• Improving independence

Stroke rehabilitation may involve coordinated care between Neurology, Physiotherapy, Speech and Language Therapy, and other rehabilitation professionals according to the patient's needs.

Balance & Gait Training

Difficulty maintaining balance or walking safely can increase the risk of falls and reduce independence.

Physiotherapy assessment may be appropriate for patients experiencing:

• Unsteady walking

• Frequent falls

• Weakness

• Reduced coordination

• Difficulty standing

• Difficulty using stairs

• Mobility problems after illness

• Neurological mobility problems

• Age-related reduction in strength

Treatment may include balance exercises, strengthening, walking practice, gait correction, and training in the safe use of mobility aids when necessary.

Physiotherapy for Older Adults

Older adults may experience reduced muscle strength, balance problems, joint stiffness, or difficulty walking due to aging, illness, surgery, or prolonged inactivity.

Physiotherapy may help support:

• Mobility

• Muscle strength

• Balance

• Walking

• Functional independence

• Confidence during movement

• Safe transfers

• Fall-risk reduction

• Recovery following hospitalization

Treatment is adapted to the patient's medical condition, abilities, and individual goals.

Rehabilitation After Hospitalization

Patients who have spent extended periods in hospital may develop physical weakness and reduced mobility.

Rehabilitation may be appropriate after:

• Prolonged hospitalization

• Major surgery

• Serious illness

• Extended bed rest

• Neurological illness

• Orthopedic treatment

• Reduced activity following medical treatment

Physiotherapy can focus on gradually rebuilding strength, endurance, balance, walking ability, and independence.

Chronic Pain Management

Persistent pain can limit movement and affect quality of life.

Physiotherapy management may involve:

• Movement assessment

• Therapeutic exercise

• Strengthening

• Flexibility exercises

• Activity modification

• Posture and movement education

• Manual therapy where appropriate

• Gradual return to normal activity

• Home exercise planning

Because chronic pain may have several contributing factors, some patients require coordinated treatment involving physicians and other specialists.

Therapeutic Exercise

Therapeutic exercise is an important component of many physiotherapy programs.

Exercises are selected according to the patient's condition and may focus on:

• Strength

• Flexibility

• Joint mobility

• Balance

• Coordination

• Endurance

• Functional movement

• Postural control

• Walking ability

Exercises should be progressed according to the patient's recovery rather than following the same routine for every condition.

Manual Therapy

Manual therapy involves hands-on physiotherapy techniques that may be used as part of treatment for selected musculoskeletal conditions.

Depending on assessment, it may be combined with:

• Therapeutic exercise

• Mobility training

• Strengthening

• Stretching

• Patient education

• Home exercises

The physiotherapist determines whether manual therapy is appropriate for the patient's condition.

Electrotherapy & Physical Modalities

Selected rehabilitation programs may include physical modalities where clinically appropriate and where available.

These can include techniques such as:

• Electrical stimulation

• Therapeutic ultrasound

• Other physiotherapy modalities

These treatments are generally used as part of a broader rehabilitation program rather than replacing exercise and functional rehabilitation.

Posture & Ergonomic Guidance

Poor movement habits or prolonged positions may contribute to musculoskeletal discomfort in some patients.

Physiotherapists may provide guidance regarding:

• Sitting posture

• Standing posture

• Workplace positioning

• Lifting techniques

• Computer and desk setup

• Movement during daily activities

• Safe exercise techniques

The aim is to help patients move more comfortably and reduce unnecessary physical strain.

Home Exercise Programs

Recovery often continues outside the physiotherapy department.

Where appropriate, patients may receive a personalized home exercise program that can include:

• Strengthening exercises

• Stretching

• Mobility exercises

• Balance exercises

• Walking practice

• Postural exercises

• Functional exercises

The physiotherapist may review and progress the program during follow-up appointments.

Physiotherapy Assessment

A physiotherapy consultation generally begins with an assessment of the patient's symptoms and functional limitations.

Depending on the condition, the physiotherapist may assess:

• Pain

• Range of motion

• Muscle strength

• Flexibility

• Balance

• Posture

• Walking pattern

• Coordination

• Joint movement

• Functional abilities

• Ability to perform daily activities

Previous medical reports, X-rays, MRI scans, surgical notes, and other relevant investigations may also be reviewed when available.

Personalized Rehabilitation Plan

Following assessment, the physiotherapist develops a treatment plan based on the patient's individual needs.

The plan may include goals such as:

• Reducing pain

• Improving mobility

• Increasing strength

• Restoring joint movement

• Improving balance

• Improving walking

• Returning to work

• Returning to sport

• Regaining independence

• Recovering after surgery

• Managing a chronic physical condition

Progress is reviewed during treatment, and the rehabilitation program may be modified as the patient improves.

Multidisciplinary Rehabilitation

Some conditions require care from more than one department.

Depending on the patient's diagnosis, physiotherapy may be coordinated with:

• Orthopedics

• Neurology

• Neurosurgery

• Rheumatology

• General Medicine

• Cardiology

• Pulmonology

• Pediatrics

• Speech and Language Therapy

• Other relevant specialties

This coordinated approach can be particularly valuable for patients recovering from major surgery, stroke, neurological disease, or complex musculoskeletal conditions.

When Should You See a Physiotherapist?

You may consider physiotherapy assessment if you experience:

• Persistent back or neck pain

• Joint pain

• Reduced movement

• Muscle weakness

• Difficulty walking

• Balance problems

• Stiffness following injury

• Reduced mobility after surgery

• Difficulty returning to normal activities

• Sports-related injury

• Weakness following hospitalization

• Movement problems after stroke

• Chronic musculoskeletal pain

• Age-related mobility difficulties

• Reduced physical function affecting daily life

Your doctor or surgeon may also recommend physiotherapy as part of your recovery plan.

When Should Physiotherapy Be Delayed?

Some symptoms require medical assessment before starting or continuing routine physiotherapy.

Seek appropriate medical evaluation for symptoms such as:

• Sudden severe weakness

• Sudden paralysis

• New loss of bladder or bowel control

• Severe pain following a major injury

• Suspected fracture

• Sudden chest pain

• Severe difficulty breathing

• Sudden neurological symptoms

• Loss of consciousness

• Rapidly worsening symptoms

The appropriate medical department should first evaluate potentially serious or emergency conditions.