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Stroke (Cardio Vascular Accident, CVA)

 

 

Stroke Rehabilitation in Bristol & Liverpool -Expert Neuro - physiotherapy for Stroke Recovery  

 

What Is a Stroke? 

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A stroke—also known as a Cerebrovascular Accident (CVA)—occurs when blood flow to the brain is disrupted due to a blocked artery (Ischemic Stroke) or a ruptured blood vessel (Haemorrhagic Stroke). This interruption deprives brain cells of oxygen and nutrients, leading to cell damage or death. 

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Types of Stroke: Understanding the type of stroke is essential for effective rehabilitation.

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• Ischemic Stroke :Caused by a blood clot or narrowing of arteries, this is the most common type, accounting for 80% of cases. Subtypes include Embolic Stroke and Thrombotic Stroke. 

• Haemorrhagic Stroke :Occurs when a blood vessel ruptures, leading to bleeding in or around the brain. This type includes Intracerebral Haemorrhage and Subarachnoid Haemorrhage. 

 

At Sidhu Neuro - physiotherapy, we specialise in stroke rehabilitation for patients across Bristol, Liverpool, and surrounding areas. Our tailored programs help restore movement, independence, and quality of life—whether you're in the early stages of recovery or years post-stroke. 

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How Physiotherapy Helps After Stroke?

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Our expert physiotherapists support recovery through: 

• Gait training to improve walking and balance 

• Upper limb rehabilitation for arm and hand function 

• Shoulder pain management due to weakness or instability 

• Foot drop correction and mobility enhancement 

• Spasticity reduction in affected muscles 

• Strengthening weak muscles and restoring control 

• Movement re-education using hands-on therapy and assistive technology 

 

We use evidence-based techniques and advanced neuro-rehab tools to help you regain function and confidence. 

Stroke Recovery Is Possible—Even Years Later 

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Have you been told you've reached a recovery plateau? At Sidhu Neurophysiotherapy, we believe in long-term stroke rehabilitation. Many of our clients have achieved significant improvements—even years after their stroke—through persistence, personalised care, and expert guidance. Most of the big gains tend to occur early (first 3–6 months), but the literature supports continued, though slower, improvement beyond that window.The “critical window” of heightened plasticity is often cited as 3–6 months, but the data suggest a gradual decline in sensitivity rather than a hard cutoff.

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Serving Bristol, Liverpool & Surrounding Areas: We offer clinic-based and community physiotherapy services tailored to your needs. Whether you're recovering at home or attending therapy sessions, we’re here to support your journey. 

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Multiple Sclerosis ( MS )​

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Multiple Sclerosis (MS) Support & Rehabilitation - Expert Physiotherapy for MS in Bristol & Liverpool

 

What Is Multiple Sclerosis?

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Multiple Sclerosis (MS) is a long-term neurological condition that affects the brain and spinal cord. It can lead to a wide range of symptoms, including difficulties with movement, vision, sensation, and balance. MS occurs when the immune system mistakenly attacks the protective covering of nerve fibres, disrupting communication between the brain and body.

 

 

Types of MS: There are several types of MS, each with its own pattern of progression.

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• Relapsing-Remitting MS (RRMS): Symptoms flare up (relapse) and then improve (remission). This is the most common form.

• Secondary Progressive MS (SPMS): Initially relapsing-remitting, but gradually worsens over time.

• Primary Progressive MS (PPMS): Symptoms steadily worsen from the start, without distinct relapses.

• Benign MS: Mild form with minimal disability after many years.

 

 

MS symptoms vary from person to person and may affect any part of the body. They can appear suddenly or progress gradually. Common symptoms include:

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• Persistent fatigue

• Difficulty walking or maintaining balance

• Blurred or double vision

• Numbness or tingling sensations

• Muscle stiffness and spasms

• Bladder control issues

• Cognitive challenges (thinking, learning, planning)

• Dizziness or tremors

 

Symptoms may fluctuate or worsen over time depending on the type of MS.

 

 

How Physiotherapy Helps in MS

At Sidhu Neuro - physiotherapy, we offer personalised MS rehabilitation programs across Bristol, Liverpool, and surrounding areas. Our goal is to help you manage symptoms, improve mobility, and maintain independence—whether at home or in clinic.

 

Managing Fatigue: Fatigue is one of the most common and challenging symptoms of MS. We help you manage it through:

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• Tailored exercise programs

• Healthy sleep routines

• Energy-conservation techniques

• Medication review to avoid fatigue-inducing drugs

 

 

Reducing Muscle Spasms & Stiffness

Spasticity can limit movement and cause discomfort. Our physiotherapists use:

• Stretching and mobility exercises

• Positioning strategies

• Hands-on techniques to improve flexibility and comfort

 

 

Improving Mobility & Balance: Mobility challenges may stem from weakness, spasticity, or balance issues. We support you with:

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• Supervised exercise programs

• Vestibular rehabilitation for balance

• Advice on mobility aids (e.g., walking sticks, wheelchairs)

• Home adaptations like stair lifts or grab rails

• Coordination and gait training

 

 

Managing Pain-Neuropathic & Musculoskeletal

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MS can lead to nerve-related pain and joint strain. We help relieve discomfort through:

• Gentle movement and strengthening exercises

• Postural advice and seating adjustments

• Pain management strategies tailored to your needs

 

 

Your Journey, Your Pace

Living with MS is a journey—and we’re here to walk it with you. Whether you're newly diagnosed or years into your condition, our team is committed to helping you move better, feel stronger, and live more independently.

 

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​Head injuries

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Acquired Brain Injury Rehabilitation - Specialist Physiotherapy for Head Injuries in Bristol & Liverpool 

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What Is an Acquired Brain Injury? 

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An Acquired Brain Injury (ABI) refers to damage to the brain that occurs after birth and is not related to neurodegenerative conditions such as Multiple Sclerosis or Parkinson’s Disease. These injuries may affect the scalp, skull, brain tissue, and surrounding blood vessels, leading to a wide range of physical, cognitive, and emotional challenges. 

 

 

 

 

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Types of Acquired Brain Injury - ABIs are broadly classified into: 

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• Traumatic Brain Injury (TBI) 

• Caused by an external force—such as a fall, accident, or blow to the head. 

• Non-Traumatic Brain Injury 

 

Resulting from internal factors like stroke, infection, oxygen deprivation, or metabolic disorders. Physiotherapy for Brain Injury Recovery 

No two brain injuries are alike—so rehabilitation must be tailored to the individual. At Sidhu Neuro - physiotherapy, we apply principles of neuroplasticity, motor learning, and motor control to help patients regain function and independence. 

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Post-Acute Rehabilitation - Our post-acute physiotherapy programs focus on: 

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• Reversing secondary complications (e.g., muscle stiffness, joint limitations) 

• Enhancing motor skills for daily activities 

• Improving balance, coordination, and movement patterns 

• Supporting joint control and muscle strength 

• Developing personalised exercise plans to meet functional goals 

 

We work collaboratively with patients, families, and multidisciplinary teams to ensure a holistic, patient-centred approach. Services are available in clinic, outpatient, and community-based (home/domiciliary) settings across Bristol and Liverpool. 

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Neurological Conditions We Treat - We also provide specialist physiotherapy for a range of complex neurological disorders: 

 

Parkinson’s Disease (PD) & Basal Ganglia Disorders 

• What is PD? A progressive neurological condition affecting movement and coordination. 

• Symptoms: Tremors, rigidity, bradykinesia, postural instability. 

• Physiotherapy Support: Gait training, balance exercises, cueing strategies, and movement re-education. 

 

Ataxia 

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• What is Ataxia? A disorder affecting coordination and balance due to cerebellar dysfunction. 

• Symptoms: Unsteady gait, poor coordination, slurred speech. 

• Physiotherapy Support: Balance training, core strengthening, and adaptive movement strategies. 

 

Motor Neurone Disease (MND) 

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• What is MND? A progressive condition affecting motor neurons, leading to muscle weakness and wasting. 

• Symptoms: Limb weakness, speech and swallowing difficulties, respiratory challenges. 

• Physiotherapy Support: Mobility aids, breathing exercises, posture management, and energy conservation. 

 

Other Conditions We Support 

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• Complex Regional Pain Syndrome (CRPS) 

• Myalgic Encephalomyelitis (Chronic Fatigue Syndrome) 

• Fibromyalgia 

 

Each condition is approached with empathy, clinical expertise, and a commitment to improving quality of life through movement, education, and personalised care.