Clinical Expertise

We adopt a clinically reasoned, hands-on treatment approach, which includes a thorough evaluation, diagnosis and treatment plan, enabling our patients to get relief and get back to full function as soon as possible. Our treatment is based on the latest research with a focus of continued education to constantly improve our knowledge and skills. This ensures we can provide our patients with the best care available.

Physiotherapy is a scientific, holistic approach to assessing and treating pain, injuries, stiffness and imbalances of different tissues in the body.  A physiotherapist is highly skilled and trained to choose from numerous treatment modalities to facilitate recovery.

Treatment can include manual therapy (or a ‘hands-on’ approach) and often this will be combined with other modalities and an exercise programme to return you to full function as soon as possible.

Physiotherapists choose different areas of focus. At MBW we have a special interest in the treatment of:

Hydrotherapy

Hydrotherapy is the use of water in the treatment of different conditions which involves special exercises that you do in a heated, indoor, private pool.

Hydrotherapy

Hydrotherapy is the use of water in the treatment of different conditions. It differs from swimming because it involves special exercises that you do in a heated, indoor, private pool.

Some health and healing benefits of hydrotherapy, makes it the ideal medium to work in:

  1. It reduces muscle tightness and relieves pain due to the weightlessness you feel under water, supporting painful muscles and easing the movement. It also stimulates the release of endorphins, acting as a natural pain reliever.
  2. Being immersed in warm water raises the body temperature, increasing blood flow and so alleviating pain. Improved circulation helps to heal damaged tissues.

A variety of patients and a range of conditions can be treated, for example:

  • Post-surgery rehabilitation
  • Sport injuries
  • Arthritis
  • Non weight bearing or Partially weight bearing rehabilitation e.g. post-fracture

Ergonomics

Ergonomics is how you can adopt your workstation / workplace to your specific body dimensions in order to minimise strain on the muscles and joints in your body.

Ergonomics

Ergonomics is how you can adopt your workstation / workplace to your specific body dimensions in order to minimise strain on the muscles and joints in your body.

Our physiotherapists can give you guidelines and advice on the following:

  • Your chair (height, backrest, etc.)
  • Computer keyboard (position, height, etc.)
  • Position of mouse
  • Computer screen (distance, height, angle, etc.)
  • Room temperature and Noise
  • Use of your telephone, cell phone, tablet and/or laptop
  • Text neck
  • Exercise to minimize static load on the neck-, shoulder- and back muscles and joints
    (e.g. 1-2 minutes of light stretching every 30-60 minutes)
  • Job specific posture adaptations

Orthopaedics

Our therapists offer orthopaedic treatment that focuses on injuries and diseases of your body's musculoskeletal system.

Orthopaedics

Our therapists offer orthopaedic treatment in the following:

  • Back and neck pain
  • Headaches
  • Shoulder, elbow and hand injuries
  • Hip, knee, ankle and foot injuries
  • Scoliosis
  • Arthritis and related conditions
  • Any fracture
  • Joint pain in the upper and lower limbs
  • Post-surgery rehabilitation of total hip and knee replacements, lumbar and cervical surgery, shoulder, elbow, hand, hip, knee and ankle surgery
  • Overuse injuries e.g. tennis elbow
  • Chronic pain
  • TMJ (jaw joints)

“I tell a student that the most important class you can take is technique. A great chef is first a great technician. If you are a jeweler or a surgeon or a cook, you have to know the trade in your hand. You have to learn the process. You learn it through endless repetition until it belongs to you.”
- Jacques Pepin

Sport Injuries

Any sportsperson (competitive and social) can be evaluated for risk factors and what can be done to perform better.

Sport Injuries

Any sportsperson (competitive and social) can be evaluated for risk factors and what can be done to perform better. In a team setup, we will work in conjunction with the coach and other people who are involved during treatment and rehabilitation.

Specialist evaluation and sport specific treatment of:

  • Injury
    • - Acute phase
    • - Rehabilitation phase to return to sport
  • Cause of injury (to prevent re-occurance of injury)
  • Rehabilitation programme to return to sport post Covid-19

“Ever tried. Ever failed. No matter. Try again. Fail again. Fail Better.”
- Samuel Beckett/ Stanislas Wawrinka

Chronic Pain

Chronic Pain is defined as ongoing pain after the expected tissue healing time. It can be intermittent or persistent and lasts for 3 months or longer.

Chronic Pain

Chronic Pain is defined as ongoing pain after the expected tissue healing time. It can be intermittent or persistent and lasts for 3 months or longer. Some chronic pain may be a result of dysfunction of the nervous system rather than the tissue damage itself. Chronic pain represents a major challenge to health care professionals. It is a symptom associated with many conditions, but should also be regarded as a distinct diagnosis in its own right.

Physiotherapy management for chronic pain can include any of the following:

  • Education on pain physiology and pain mechanisms
  • Pacing
  • Relaxation techniques
  • TENS
  • Graded exposure to exercise/activities
  • Practical advice on lifestyle changes, ergonomics, posture etc.
  • Addressing psychosocial barriers
  • Goal setting
  • Referral, if necessary, to a Pain Specialist
  • Referral, if necessary, to other members of the medical team e.g. occupational therapist, psychologist, psychiatrist, rheumatologist

"You don’t have to be a brain surgeon to be a valuable person. You become valuable because of the knowledge that you have. And that doesn’t mean you won’t fail sometimes. The important thing is to keep trying."
- Benjamin Carson

Respiratory

Respiratory physiotherapy plays an important role in the treatment of a variety of conditions from sinusitis to bronchiolitis.

Respiratory

Respiratory physiotherapy plays an important role in the treatment of a variety of conditions from sinusitis to bronchiolitis. It is used to increase lung volume and aeration, as well as to mobilize and remove secretions that obstruct the airways.

Treatment techniques include:

  • Nebulization: inhalation of medicine to loosen secretions and/or open up airways
  • Percussions: tapping of chest wall with cupped hands
  • Vibrations: small oscillatory movement of chest using hands or a machine
  • Shaking: slightly bigger movement than vibrations
  • Rhinoflow: mostly used for sinus/upper respiratory tract infections in adults and bigger children.
  • Deep breathing exercises: used to increase lung volume, efficacy of breathing and to mobilize secretions.
  • Forced expiratory techniques: includes huffing and pursed lip breathing. Used to remove secretions more effectively.
  • Postural drainage: positioning of patient to enhance secretion mobilization/ drainage
  • Suctioning: mostly done for children under two years of age. Thin tubing is used to clear secretions or obtain sputum sample for testing from upper airways which can be done orally or nasally or both.
  • Sinus related conditions:
    • - Laser and ultrasound can also be used in combination with Rhinoflow and nebulization to treat sinus related conditions.
    • - Manual massage and draining techniques
    • - Dry needling

Treatments are done in hospital or at the rooms.

Keep dreaming, keep breathing.

Post-op rehab

Rehabilitative physiotherapy is of endless value when orthopaedic surgery is undergone.

Post-op rehab

Rehabilitative physiotherapy is of endless value when any surgery is undergone. MBW work in close contact with the relevant doctor to ensure that the correct post-operative care, exercises and guidelines are carefully followed. In that way, optimal recovery is made possible.

We specialize in the following orthopedic surgery rehabilitation:

  • Neck surgery (-fusions)
  • Back
    • - Laminectomies
    • - Fusions
    • - Fractures
    • - Kyphoplasty
  • Shoulder, elbow & hand
    • - Muscle and tendon repair, e.g. rotator cuff
    • - Joint reconstruction e.g. acromioplasty, replacements, cartilage repairs
  • Knee-
    • - Replacement/s
    • - Ligament joining/ repair
    • - Arthroscopies
  • Hip-
    • - Replacement/s
    • - Fractures
    • - Arthroscopies
  • Ankle & foot
  • Pre-operative information and exercise
  • Assistance during hospitalization
  • Post-operative rehabilitation: information, help (patient and care giver assistance) and exercises
  • Follow up treatment at the rooms to facilitate a good recovery through the rehabilitation phase/s

We specialize in the following pelvic & Women’s Health surgery:

  • Mastectomy
  • Prostatectomy
  • Pelvic surgery (e.g. bladder and/or bowel surgery)

Bridge the gap between treatment, exercise and your lifestyle in a welcoming environment with functional exercise programs targeted to YOUR goals & advice + education specific to your needs.

Gender Health: Women's & Men's Health

Male and Female bodies are different and unique. Therefore, our team offer a range of treatments designed to help with muscle, joint problems and organs which effexct specificly men and women through their lifespan.

Gender Health: Women's & Men's Health

Male and Female bodies are different and unique. Therefore, our team offer a range of treatments designed to help with muscle, joint problems and organs which effexct specificly men and women through their lifespan.

Care during pregnancy and the post-natal period are need to prevent and treat:

  • Spinal pain
  • Pelvic pain: Symphysis pubis dysfunction (SPD) or Pelvic girdle pain
  • Headaches
  • Carpal tunnel syndrome
  • Breastfeeding related problems (damaged nipples; mastitis/engorged breasts; lactation advice)
  • Incontinence and pelvic floor weakness post-pregnancy
  • Diastasis recti, abdominal weakness
  • Pilates and specific post-natal exercise programs can help to maintain strength, tone, endurance and flexibility.

Post-mastectomy:

  • - regain full, pain free range of shoulder and arm;
  • - treatment and prevention of cording and lymphedema

Pelvic floor disorders:

  • - bladder & bowel problems / fecal and urinary incontinence (male & female). Physiotherapists can help in preventing and treating this problem through specific assessments & tailored pelvic floor exercise programs.
  • - pelvic pain is a common problem, affecting 10-15% of women and many men too. It is pain which may be felt in and around the genitals (vagina, penis or testicles), the rectum, pelvis, groin, abdomen, hips, thighs or buttocks.
  • - pelvic organ prolapse occurs when the structures designed to keep organs in place weaken or stretch, so that one or more pelvic organs ( uterus, bladder, bowel or rectum) starts to slip out of place
  • - pelvic floor rehabilitation
  • - Post-prostatectomy pelvic floor rehabilitation

Dry Needling

Dry needling is a very successful medical treatment in which very thin needles are used, without any medication (a dry needle), to achieve its aim.

Dry Needling

Dry needling is a very successful medical treatment in which very thin needles are used, without any medication (a dry needle), to achieve its aim. The technique is used to treat pain and dysfunction caused by soft tissue problems, e.g. muscle spasm, sinusitis, headaches and some nerve problems. Although it is a form of therapy adopted from the Far East, it is not at all the same as acupuncture.

Dry needling works by changing the way your body senses pain (neurological effects), and by helping the body heal stubborn muscle spasm associated with trigger points (myofascial effects). It is just one part of your overall rehabilitative treatment. It is vital that you do the exercises and follow the advice your therapist gives you in conjunction with the needling for optimal recovery.

Your therapist has been specifically trained in the various needling techniques. There is very little risk associated with this technique.

Vestibular Rehab

Vestibular Rehabilitation (VTR) is an exercise-based program designed by a specialized physiotherapist to improve balance and reduce dizziness-related problems.

Vestibular Rehab

The Vestibular system includes the parts of the inner ear, the pathways that lead to the brain and the brain itself, that help control balance and eye movement. If this system is damaged by disease, aging or injury, vestibular disorders can result.

Some of the symptoms of vestibular dysfunction include:

  • Dizziness
  • Vertigo
  • Imbalance
  • Nausea
  • Fluctuating in hearing
  • And blurry vision

Vestibular Rehabilitation (VTR) is an exercise-based program designed by a specialized physiotherapist to improve balance and reduce dizziness-related problems, by retraining the brain to coordinate information from the inner ear balance organs, vision and proprioceptive system.

Joint Mobilisation

Mobilisation is passive movement techniques applied to a spinal or peripheral joint in which an oscillatory movement is performed.

Joint Mobilisation

Mobilisation is passive movement techniques applied to a spinal- or peripheral joint in which an oscillatory movement is performed. Mobilisation aims to restore full range of motion to a joint that is stiff and/or painful.

Reduced range of motion (stiffness) may result from restriction of either:

  • physiological movements of the joint (a movement that the patient can do actively)
  • accessory movement of the joint (a movement a patient cannot do voluntarily but are necessary for normal joint function)

A large number of mobilising techniques are used in our practice to restore normal pain-free range of motion:

  • Maitland
  • Kalternborn
  • Cyriax
  • McKenzie
  • Mulligan

Soft Tissue Mobilisation

Our therapists work with patients to bring them the benefits of soft tissue therapy.

Soft Tissue Mobilisation

There are various causes of soft tissue injuries:

  • Direct causes (e.g. a blow to the arm)
  • Indirect causes (e.g. dislocation of a joint, resulting in a stretched ligament)
  • Underlying pathology
  • Stress and fatigue caused by overuse (e.g. repetitive actions or sport activities)

Our therapists work with patients to bring them the benefits of soft tissue therapy:

  • Promotes efficient scar formation
  • Reduces excessive adhesions and scar formation in chronic soft tissue lesions
  • Encourage the damaged tissue to regain tensile strength as quickly as possible
  • Reduce spasm secondary to pain
  • Reduce pain by
    • - Decreasing excessive tissue tension
    • - Aiding the removal of the chemical substances found in tissues

There are three defined phases of healing in manual therapy:

1. Acute inflammatory phase

  • Prevent further injury – protect and support
  • Allow normal inflammatory process
  • Control swelling
  • Pain relief

2. Repair/ regeneration/ proliferation phase

  • Very weak collagen that need careful mobilisation
  • Longitudinal forces to increase tensile strength

3. Remodelling/ maturation phase

  • Longitudinal and transverse forces to align, lengthen and mobilise scar tissue

Hospital & Home visits

MBW Physiotherapists remain committed to providing our patients with the required treatment interventions in hospital or at home if they are unable to come to us.

Hospital & Home visits

MBW Physiotherapists has been part of the Mediclinic team since opening in 1995. We remain committed to providing our patients with the required treatment interventions in hospital or at home if they are unable to come to us.

We are proud to offer our services in:

  • ICU
  • Emergency Rooms as well as the
  • Maternity
  • Medical
  • Surgical
  • Orthopaedic and
  • Paediatric wards
  • We are the rehabilitation part of the surgical team who are performing robot-assisted surgery (Da Vinci) for the best treatment outcomes.

We remain committed to providing our patients with the required treatment interventions if they are unable to come to us. This allow the patient to continue to receive treatment in the comfort and safety of his/her own living space. This is especially valuable for the retirement villages, nursing homes and crèches in our community. We provide this service in the geographical area of Durbanville/radius of 5km from the practice.

Treatments include:

  • Post-surgery orthopaedic rehabilitation for joint replacements, ligament repairs and fractures
  • Elderly care, mobility and exercises, retirement villages and nursing homes
  • Pain treatment end education
  • Chest treatments

Electrotherapy

Electrotherapy modalities are commonly used by physiotherapists as an adjunct to help patients achieve therapy goals.

Electrotherapy

Therapeutic modalities are commonly used by physiotherapists to help achieve therapy goals. These modalities have been part of the Physiotherapist's toolbox of treatment options for decades. The choice of which modality to use may depend on a specific condition, patient’s needs and goals. Electrotherapy is a useful adjunct for the treatment of musculoskeletal injuries and soft tissue injuries.

We offer the following modalities of electrotherapy:

  • Shockwave therapy is an effective non-surgical treatment for painful disorders and is particularly effective in treating chronic conditions. Shockwave is an acoustic wave which carries high energy to painful spots and myoskeletal tissues with subacute, sub chronic and chronic conditions. The energy promotes regeneration and reparative processes of the bones, tendons and other soft tissues which leads to faster and long-term healing and regeneration of the tissue. Shockwave therapy covers a wide range of indications and insertional pain e.g.:
    • - Jumper’s Knee
    • - Tennis Elbow
    • - Achilles Tendinitis
    • - Chronic Tendinopathy
    • - Calcifications
    • - Heel Spur
    • - Plantar Fasciitis
    • - Medial Tibial Stress Syndrome
  • Inferential therapy is a low frequency electrical stimulation of nerves. The 3 main clinical applications for which IFT is used, are:
    • - Pain: Post-operative pain; neck, back and joint pain; arthritis, fibromyalgia etc
    • - Muscle stimulation
    • - Inflammation: Joint injury; Muscle overuse/strain; Ligamentous lesions
      • * Increased local blood flow
      • * Reduction of oedema
  • Ultrasound is a form of sound energy by mechanical vibration. This energy within the sound wave is passed to the tissue. Ultrasound is used for its thermal effects, cellular healing, stimulation and optimization of collagen production, organization, and functional strength of scar tissue. Common conditions that we use ultrasound for reduction of:
    • - Inflammation, swelling and pain:
      • * soft tissue, muscles, or joints
      • * sprain or torn muscles/ligaments
      • * engorged breasts post-partum/ Mastitis
    • - Scar tissue formation/tightness
    • - Congestion - Sinusitis
    • - Adhesive Capsulitis(frozen shoulder); Bursitis
  • Laser therapy is focused light tuned to specific wavelengths. It is non-invasive light and emits no heat, sound, or vibration. It is used to treat various musculoskeletal conditions where it affects the function of connective tissue cells, accelerates tissue repair and healing and acts as an anti-inflammatory agents. We use it for:
    • - Reduction of swelling, e.g.
      • * ligament tear
      • * sinus congestion etc.
    • - Reduction of haematoma/bruising
    • - Pain relief (bursitis, tendinitis, etc.)
    • -Healing of skin lesions / (open) wounds e.g.
      • * tender/cracked nipples during breastfeeding
      • * nappy rash
      • * pressure sores
      • * ulcers
      • * burn wounds etc.
  • UVL(Ultraviolet light) therapy is a form of treatment for certain skin conditions and used occasionally as a component of the treatment of (chronic) open wounds. We treat:
    • - Cracked nipples during breastfeeding
    • - Ulcers /pressure sores
  • TENS is a method of electrical stimulation in the muscle and nerve tissue which primarily aims to provide symptomatic pain relief (acute and chronic)
  • Thermotherapy is the application of cold or heat (bean bags, infrared light) to
    • - decreases pain in joint, muscle as well as soft tissues and
    • - increases tissue metabolism and blood flow, which in turn relaxes muscle spasms, increases muscle metabolic rates, increases elasticity of connective tissue, and reduces pain.
    • - Common conditions thermotherapy can be used for:
      • * Subacute or chronic inflammatory conditions, pain, muscle spasm
      • * Stiffness of joints / soft tissue contractures

Children’s Health

Children’s health, or paediatrics, focuses on the well-being of children from birth through adolescence.

Children’s Health

Children’s health, or paediatrics, focuses on the well-being of children from birth through adolescence. It is vitally concerned with all aspects of children’s growth and development and with the unique opportunity that each child must achieve their full potential as a healthy adult.

Children’s health is a medical speciality because health problems of children are different from those of adults. It was also recognized that a child’s response to illness, medications, and the environment depends upon the age of the child. There are many aspects to paediatrics.

We treat children with:

  • Babies:
    • - Skin conditions- severe nappy rash
    • - Infant torticollis can happen due to the baby’s position in the womb or after a difficult childbirth
  • Babies, toddlers, young children:
    • - Respiratory infections, e.g. RSV, Upper or Lower respiratory infections, bronchiolitis, pneumonia, sinusitis
    • - Orthopaedic rehabilitation after fractures or surgery
    • - Bladder/Bowel conditions: Impaction/severe constipation; bed-wetting
  • Scholars and teenagers:
    • - Posture training and ergonomics (TV, cell phones, tablet use)
    • - Text neck
    • - Orthopaedic conditions: Scoliosis, Scheuermann's disease, Osgood-Schlatter's disease, Sever's disease etc
    • - Sport rehabilitation: treatment and prevention of injuries in the growing athlete