About
One physiotherapist,
start to finish.
I am Md Mizanur Rahman. I run The Physionest UK from London, and I see patients across the UK and further afield over video. The person who assesses you writes your plan and reviews it. There is no hand-over, because there is no one to hand over to.
How I work
Five rules that decide what happens in every session.
Assess before you treat
A plan built on a guess is a plan that fails in week three. The first session is spent finding out what is actually going on, including ruling out the things that would mean you need someone else.
Explain it in plain English
You should be able to describe your own problem to someone else by the end of the call. Understanding what is happening changes how people move, and how much they worry.
Load, do not rest
Very few musculoskeletal problems get better from doing nothing. Almost all of them get better from the right amount of the right load, added at a rate the tissue can keep up with.
Write it down
Verbal advice evaporates on the walk home. Every plan is written, dosed, and dated, with the criteria for moving up a stage set out in advance.
Say when it is not for me
Remote physiotherapy has limits. If you need hands-on treatment, imaging, or a medical opinion, I will tell you that on the first call rather than after six sessions.
Scope
What a video appointment can and cannot do.
Online physiotherapy is genuinely effective for most musculoskeletal problems and useless for a few. It is worth being clear about which is which before you book.
Works well online
- Take a full history and work out what is likely going on
- Run a guided movement and strength assessment on camera
- Build and progress a loaded exercise programme
- Coach technique, pacing and return-to-sport criteria
- Review progress and change the plan when it stalls
Needs someone in the room
- Hands-on treatment such as manual therapy or needling
- Order or interpret scans in place of your GP or consultant
- Diagnose problems that need a physical or medical examination
- Replace emergency care for red-flag symptoms
Tell me what hurts.
A short message is enough. If it is something I can help with, I will say so and offer a time. If it is not, I will point you somewhere better.
Message +44 7438 276686