What is physiotherapy?
We find the cause of your problem, explain clearly to you what has gone wrong and what needs to be
done to put it right. We use soft tissue treatments such as massage, joint manipulation, support strapping, corrective exercises, posture and ergonomic advice and movement analysis. We can advise on braces and supports or footwear and insoles. Time and again clients come to us saying they have tried massage and chiropractor and exercises but they didn't work. Often that is because they needed all of them together (yes in one session!) along with strapping to correct posture or acupuncture for long lasting pain relief. Liz and I are Chartered Physiotherapists and have over 30 years experience between us practising all these treatments to work out what treatment, or combinations of techniques, would benefit you. In short, we take the guess work out of how to restore your health.
What to expect on your first visit.
Easy parking and a warm relaxed welcome is awaiting you at JB Physio. We will take a detailed historyof your problem, your general health and lifestyle and any other issues you need help with. We will then examine how you move what your muscles and joints feel like and what happens if we correct certain things during the assessment. We may assess your reflexes and strength and any areas of numbness or altered sensation you may have. We can also do specific assessments such as video gait analysis or posture in sitting at a computer or on a bike. This process is always as gentle and pain free as possible.
We will work out what needs correcting and suggest a course of treatment best suited to you. If you are happy to go ahead then we will get started straight away. We will always try and give you self help exercises and strategies to take away with you and answer any questions that you have.
What to wear? It is normally necessary to see your affected body part and to move the area so loose clothing, shorts or granny knickers for lower limbs and modest bra that you are comfortable in for back and upper body issues. But don't worry too much, we have spare shorts for you to borrow and and I am very good at using towels to preserve modesty where appropriate. It is important that you are as relaxed and comfortable as possible during the assessment and we try our best to achieve this.
Women's health and rehabilitation information
Hello. I am Liz Cavell and I have a special interest in helping to rehabilitate women who have specific
needs and yet are often neglected. As a mother myself and someone who has to balance family, work and fitness I know what it is like to feel last in the priority cue! Well help is at hand. If you are reading this
then you are deciding to do something positive towards restoring your body. I specialise in
muscluloskeletal problems during pregnancy or post natal issues such as trauma incurred during the birth
of child, recovering from C-section, retraining core muscles, stress incontinence and pelvic/low back
pain. Many of my clients had children years ago and now want to regain their strength and fitness and
don't know where to start. I am here to help.
• Low Back and Pelvic pain treatments.
• Sacroilliac and pubic symphysis pain and mobility problems during and after pregnancy
• Postnatal check ups – The do's and dont's and how to start putting yourself back together again!
• Pelvic floor muscle assessment and retraining.
• Treating stress incontinence.
• Pilates for new mums – the complete rehabilitation program designed specifically for you.
My clinics are relaxed, private and confidential. I ask you about your problems, your medical and birth
history and discuss any other issues you need help with. I will then go through an assessment talking you
through the process all the way and will find out what is causing the problem and discuss treatment
options with you. If you are happy to proceed we can start straight away. I will give you essential and
efficient self help advice always conscious of your busy life pressures.
Any questions you have please feel free to call me or email:
What type of massage do I need and who to see?
With so many types of massage available what to ask for can be confusing. People usually come to us
with aches and pains and alongside Liz and I we are lucky here at JB Physio to have Rob Puckey who is a
highly qualified Level 4 massage and injury diagnosis therapist. Rob can use his experience to suggest
what you would most benefit from and use his repertoire of techniques straight away. So book an
appointment with me or Rob if it is massage you think you need and we will look after you.
Massage is a two way process and we ask for feedback during the massage; “Is that the spot?” “Is that too hard or too soft?” “How does that feel now?” etc. This way we work together to achieve the best possible outcome.
A point of note! Massage, soft tissue work or whatever you want to call it is hugely important when
treating patients and yet so often overlooked. It makes up over a third of our body mass and is integral to
supporting our bones, joints and organs. I do a lot of massage as a physio, and I mean a lot! Just ask my
clients. A good soft tissue therapist can really feel what is going on and help diagnose and treat
troublesome areas. Do not underestimate massage! Off my soap box now.
What is a Sports Injury?
Any injury while participating in sport or dance, accidents, repetitive strain injuries, heavy jobs and
coming unstuck with taking up a new activity are all 'Sports Injuries'. Physiotherapy is ideally suited to
assessment and diagnosis of the injury, deciding what further tests or imaging may be needed and
designing a personalised treatment and rehabilitation program right through to top level sport or building a house. Treating injuries correctly from the get go, guiding rehabilitation through the early healing stages and progressing back to full tissue strength and correcting the reason it may have happened in the first place is one aspect of sport injury management. Repetitive overload injuries require early management, training program adjustments, movement analysis, corrective exercise and soft tissue work. This is the second category of challenging injuries.
So you've had an operation...what now?
So you have had the operation that may have gone well, maybe not so well. You've been discharged with
a sheet of exercises and have a follow up in few months time, maybe a physio appointment in a few
weeks time...feeling a bit lost? I would be.
It is a familiar story and one that Liz and I have had many years helping with. There is often so much
more that can be done! Advice about the do's and dont's, sleeping, diet, pain relief, soft tissue and joint
manipulation, scar tissue management,correcting and progressing exercises, improving mobility,
preventing secondary complications, braces and supports and I could go on. If you have had surgery and
want some advice and reassurance please call me or email us. It may be that you don't need any help at all just need some free advice and that is fine. In the good old days most orthopaedic surgery came with a comprehensive physio package and we were part of that.
Can physio help trapped nerves?
Shooting pains down you legs or arms or in your spine are often referred to as 'trapped nerves.' Nerves
cover our body and unsurprisingly get injured like any other tissue. Nerves are rarely 'trapped', often they
are more irritated or at worst compressed. Nevertheless, the sensation is very unpleasant and worrying.
'Trapped nerves' are seen most days in my clinic and are usually nerves that are irritated where they exit
the spine in a narrow tunnel formed, in part, by spinal facet joints. Manipulating the joints and soft tissue
around the joint often provides significant relief quickly.
Another common cause for a feeling of a trapped nerve can be spinal disc injury. It is important that a
correct diagnosis is made as the treatment for this condition is different. Again the nerve is irritated and
sometimes squashed in the tunnel as it exits the spine but this time by an inflamed disc. Physiotherapy can often help alleviate these symptoms as well. Symptoms such as pain, pins & needles and muscle weakness should resolve over a few weeks. If they don't further imaging may be required and
your physiotherapist will contact your GP to arrange this for you.
Nerves can also be 'trapped' in muscle tissue or as they pass around other joints in the body. Again, you
need to see a physiotherapist to get an accurate diagnosis and treatment plan.
Worrying but rare signs are loss of ability or difficulty in passing water or loss of bladder control,
numbness around your anus and inner thighs or loss of use of your legs. These are indicative of cauda
equina syndrome, a medical emergency, and require urgent admission to A&E.
How can I pay?
You can pay online when you book or in person after your follow up appointment.
You can pay by cash or card and can do contactless payments up to £45.
We also accept Apple and Google Pay.
Can I claim through my private health insurance?
You will need to check with your insurance company if physiotherapy is covered and you can claim back
your expenses. We can provide a receipt with our business details on and your therapists Health
Professions Council details included. Arrangements for payment to be made direct from insurance
companies to JB Physio need to be authorised prior to attending.
How do I find your clinic?
Directions to JB Physio TR9 6BX
At Trekenning Roundabout. Take exit up hill into St Columb Major and take first right turn immediately
before Penmellyn Vets. JB Physio in on your right. Come in and I look forward to meeting you. Jo