Andy Davies

Parkview Physiotherapy

21, Common Lane
Culcheth
Warrington
WA3 4EW

 

01925 762404

receptionist@parkviewcentre.co.uk
andydavies@lineone.net

Angela Jackson MCSP AACP ACPSM

Director Physiofit Ltd

4 Trafford Road,
Alderley Edge
SK9 7NT

Fitism,
Wilmslow Rugby Club
Wilmslow
SK9 5PZ

 

 

info@physiofit.co.uk

www.physiofit.co.uk

01625 590444

Angela McCarten

Podiatrist

Ultimate Podiatry Clinic
70 Halton View Road
Widnes
Cheshire
WA8 0TR

 

angela.mccarten@btinternet.com

www.ultimatepodiatryclinic.co.uk

Cathie Stone MCSP

Clinical Director

The Brookdale Clinic
Brookdale Centre
Manchester Road
Knutsford
Cheshire
WA16 0SR

 

01565 651832

01565 750944

cathiestone@thebrookdaleclinic.co.uk

Daniel Massey MCSP MMACP

Chartered Physiotherapist

Stockton Heath Physiotherapy & Sports Injury Clinic
16 Dundonald Avenue
Stockton Heath
Warrington
WA4 6JT

 

01925 266881

admin@masseyphysiotherapy.co.uk

Fiona Kellett MSc, HCPC, CSP

Physiotherapy Director

Cheshire Physioactive Physiotherapy Centre
Acres Field,
Walnut Tree Business Centre,
Northwich Road, Lower Stretton
Warrington
WA4 4PG

 

01925 730483

07872 623014

fiona@physioactivecheshire.co.uk.

website under construction

Ian Davies B.Sc (hons)

Chartered Physiotherapist

ID Physiotherapy
194 Manchester Road
Warrington
WA1 3AP

 

0778 606 1137

id.physiotherapy@hotmail.co.uk

www.idphysiotherapy.co.uk

Jane Kirkham MCSP

Kirkdale Physiotherapy Practice

Hartford Moss Farm
Moss Lane
Off Firdale Road
Northwich
CW8 4BG

 

01606 74125
07940 542370

Kirkdale.physio@yahoo.co.uk

Janice Hulme   MCSP SRP

Chartered & State Registered Physiotherapist

14 Jaffrey Street
Leigh
Lancashire
WN7 1XX

 

01942 608897

janicehulmephysio@tiscali.co.uk
janicehulme@tiscali.co.uk 

Janette Smith MCSP, SRP, MMACP

Chartered & State Registered Physiotherapist

Five Acres
Kenyon Lane
Lowton
Warrington
WA3 1LQ

 

01942 604398

fiveacres.guest@btconnect.com

www.fiveacresphysiotherapywarrington.co.uk

 

 

Lesley Harris MCSP, MMACP

Chartered Physiotherapists

Chadwick’s Physiotherapy & Sports Injuries Clinic

90 College Road
Crosby
Liverpool
Merseyside
L23 ORP

info@physio-chadwick.com

www.physio-chadwick.com

Nina Walkingshaw MCSPs

Chartered Physiotherapist

Green Ends
Maulds Meaburn
Penrith
Cumbria
CA10 3HN

 

01931 715630
07810 646556

ninawalkingshaw@gmail.com

Phil Burke Grad.Dip. Phys., MCSP SRP

Chartered Physiotherapist

The Physiotherapy Clinic
21 Wilson Patten Street
Warrington
Cheshire
WA11PG

 

01925 575066

philsphysio@gmail.com

www.thephysiotherapyclinic.gbr.cc

Phil McKenzie   BSc MCSP SRP

Chartered Physiotherapist

The Physiotherapy Clinic
21 Wilson Patten Street
Warrington
Cheshire
WA1 1PG

 

01925 575066

philsphysio@gmail.com

www.thephysiotherapyclinic.gbr.cc

Richard Norris BSc (Hons) MCSP

The Physiotherapy Centre
106 Mather Avenue
Mossley Hill
Liverpool
L18 7HB
0151 724 2060.
Crosby Business Centre,
Suite 12 ,
1-11 Mersey view ,
Crosby
L22 6QA
0151 924 4553
 

info@thephysiotherapycentre.com
www.thephysiotherapycentre.com

Sarah Johnson, MCSP,MSOM

Chartered Physiotherapist

106 Mather Avenue
Mossley Hill
Liverpool
L18 7HB

 

0151 724 2060

email@thephysiotherapycentre.com
www.thephysiotherapycentre.com

Trevor Lewis MCSP

Chartered Physiotherapist

Northwich Physiotherapy & Treatment Centre
Winnington Avenue
Northwich
Cheshire
CW8 4EE

 

01606 871618 

info@northwichphysio.co.uk
www.northwichphysio.co.uk

Vicki Harvey Bsc (hons), MCSP MAACP MACPOM

Chartered Physiotherapist

PremierPhysio Ltd
Dutton House
46 Church Street
Runcorn
Cheshire
WA7 1LL

01928 500557
enquiries@premierphysio.com
www.premierphysio.com

Ruptured Extensor Mechanism

Extensor Mechanism Repair Protocol

For the foreseeable future the coronavirus Covid-19 pandemic is going to continue to affect the way we have to live. Throughout the crisis, there has been some anxiety about how to access medical services. If you are worried about a bone or joint condition and think a consultation would help, we can make the arrangement for our consultations at a time that is most convenient for you and by whichever method you prefer.

I am writing to reassure you that traditional “face to face” consultations are still available and all recommended Covid-19 security measures are being used by me to make them as safe as possible. I am currently seeing patients “face to face”, but if you would be more comfortable to hold the consultation via zoom, or telephone then that can be easily arranged.

I have access to rapid access scans and xrays to enable confirmation of your diagnosis within a week. The facilities in which those would be carried out are also practicing all recommended Covid-19 security measures to make them as safe as possible

Insurers are funding zoom and telephone consultations as well as the more traditional face to face clinic reviews and have assured us they will reimburse for any tests or imaging which is still permitted during this crisis. I am recognised by the PFA, BUPA, Axa PPP, Aviva, WPA, Vitality etc. For insurers to fund outpatient visits, most still demand a referral by your GP or Club Doctor. If you are self-funding your outpatient visit, then although a GP referral is preferred, it is not absolutely necessary.

There are increased risks in surgical interventions at the current time, due to the Covid-19 pandemic. The risk of death, should you contract Covid-19 around the time of an operation is increased in comparison to “normal” times. In patients catching COVID-19 19 around the time of surgery the overall 30-day mortality in one study was 23·8%; all-cause mortality rates were 18·9% in elective patients, 25·6% in emergency patients, 16·3% in patients who had minor surgery, and 26·9% in patients who had major surgery. Your individual potential risk will be discussed with you during your consultation and depends upon your age, any underlying health issues you may have and the kind of operation you need. The long term effects of Covid-19 infections are beginning to be understood and a significant proportion of patients are showing “long covid” issues.

Private Elective Surgery has restarted, and I have regular theatre access. All the staff you will come into contact with and I are being tested regularly to ensure we do not have covid.

Booking a theatre slot has become a little more complex now due to the mitigations required to make your operation as safe as possible. You will be swabbed for Covid-19 antigen and will need to isolate for either 3 or 14 days before your operation, depending on what kind of operation you need your personal requirements for mitigation will be assessed at the time of listing.

The probability of Covid-19 infection with a false negative preoperative test is reported to be around 1 in 1,400. The risk of a patient with an undetected infection being admitted for surgery and subsequently dying from COVID-19 is estimated at approximately 1 in 7,000. However, if an estimate of the current global infection fatality rate (1.04%) is applied, the risk of death would be around 1 in 140,000, at most.

At the time of writing, all those recommended rehabilitation specialists listed in the “Rehabilitation” page, are seeing patients face to face. As Covid-19 restrictions are limiting access to physiotherapy for some patients currently, the updated rehabilitation protocols, may also be useful to guide you if you cannot have the personal guidance of a physiotherapist.

Once again, I would like to reassure you I am still here to help. Please do not hesitate to get in touch if you think I can be of assistance.

References:

The theoretical mortality risk of an asymptomatic patient with a negative SARS-CoV-2 test developing COVID-19 following elective orthopaedic surgery. Nardeen Kader, Nick D Clement, Vipul R Patel, Nick Caplan, Paul Banaszkiewicz, Deiary Kader. Bone Joint J. 2020 Sep;102-B(9):1256-1260.

https://online.boneandjoint.org.uk/doi/abs/10.1302/0301-620X.102B9.BJJ-2020-1147.R1

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. COVIDSurg Collaborative. Lancet. 2020 Jul 4;396(10243):27-38. Free PMC Article

https://www.boa.ac.uk/uploads/assets/0150529d-1fa2-4741-9510d875e4c1a1d0/Patient-statement-re-elective-restart-Sept20-FINAL.pdf