Specialist Areas

Promoting Active Ageing

Facts and information

  • We are living longer but not healthier.   Active ageing means growing old in good health and as a full member of society, feeling more fulfilled in jobs, more independent in daily lives and more involved as citizens. No matter how old we are, we can still play our part in society and enjoy a better quality of life
  • In Wales, approximately ⅓ of over 65’s do no meaningful physical activity
  • Over 3 hrs per week of targeted exercise was shown to reduce the risk of a heart attack by three times and half the risk of hip fracture
  • In 3 months a 65-95 year old can rejuvenate 20 years of lost strength

How can physiotherapy help?

Physiotherapists can advise upon targeted exercises to improve function and set goals toward regaining particular function and activities.  We can also advise you on local groups of interest that may suit your specific needs.

Consider booking an assessment to decide on strategies to help you to age well.  We can also offer a “functional fitness MOT” highlighting specific areas that may need  focusing on.

Trauma and Orthopaedics

Facts and information

  • The consequences of a fall in later life can be devastating, both physically and emotionally. They can cause loss of function, mobility, independence and confidence. But despite this, falls are not an inevitable part of ageing.
  • Half of all people who suffer a hip fracture are left with a permanent disability and can no longer live independently

How can physiotherapy help

  • Individual exercise programmes reduce falls by 32%.
  • Every year 2,466 serious falls would be prevented in Wales if everyone 65+ at risk of falling was referred to physiotherapy.
  • Joint replacement surgery such as hip or knee arthroplasty can have significant benefits to people’s quality of life and function.  However, to maximize success, it is imperative adequate post-op rehabilitation is considered.

If you may wish to access longer or short-term input to maximize your outcome, without the need for long waiting lists, then please contact us.

Neurological Disorders

Facts and information

  • Neurological disorders are diseases of the brain, spine and the nerves that connect them. There are more than 600 diseases of the nervous system, such as brain tumors, epilepsy, Parkinson’s disease and stroke as well as less familiar ones such as frontotemporal dementia
  • Stroke is the largest cause of complex disability in the UK, and approximately one-third of stroke survivors are left with disability and rehabilitation needs.
  • In a recent study by the Stroke Association 45 % of patients said they felt abandoned when they left hospital

How can physiotherapy help?

Physiotherapy assessment and management focuses on improving physical capacity and quality of movement in daily life though walking and transfer training, balance  education, and practice of manual activities (e.g. reaching and grasping).

We are able to provide in-depth assessment and tailor rehabilitation programmes to your requirements, with specialist expertise and experience of this field, please contact us for an assessment.


Facts and information

  • Frailty Is not an inevitable part of ageing.  The term frailty is a distinctive health state related to the ageing process in which multiple body systems gradually lose their in-built reserves. Around 10% of people aged over 65 years have frailty, rising to between a quarter and a half of those aged over 85 years
  • Frailty is hard to define but is widely accepted to include a combination of weight loss, fatigue, reduced grip strength, diminished physical activity or slowed gait associated with increased risk of falls, hospitalisation, loss of mobility and independence,  and increasing disability
  • Every 10 days in hospital leads to the equivalent 10 years ageing in the muscle of people over 80.  One weeks bed rest can decrease muscle strength by 20% and bone mineral density by 1%

How can physiotherapy help?

Recent evidence has suggested that physiotherapy has a positive effect sustained for 12 months in reducing disability in older adults with moderate frailty.

If you are concerned a relative or friend is showing signs of frailty, and would like to consider whether physiotherapy may help, please contact us.


Facts and information

  • 750,000 people in the UK live with dementia. Two thirds live in their own homes & one-third in care homes

How can physiotherapy help?

  • Physiotherapists are key in delivering the National Dementia Strategy UK wide.  They can assist with promoting and maintaining mobility, dealing with pain that may require particular expertise, education to care staff and relatives, increasing activity levels to manage other common comorbidities such as cardiovascular, diabetes or osteoporosis
  • Poor balance, known to increase the risk of falls, can be improved by physiotherapy-led exercise. Exercise can have a significant and positive impact on behavioural and psychological symptoms of dementia, improving cognitive function and mood, which can reduce the need for pharmacological intervention.
  • Physiotherapy can also assist in reducing the burden of care by educating carers to encourage independence in people with dementia.

I am a “Dementia Friend” with the Alzheimer’s society, and have many years of working in this field.  If you wish to discuss how physiotherapy could help you, a relative or friend, please contact us.

Tel: 07904414325

 Email: adrianfiskphysio@gmail.com