
Helping you. How we do it.
We understand, through many years of experience, that addressing nerve injury and neurological condition complications (e.g. pain, postural difficulties and movement problems) and working together towards relieving you from that can be a big mental as well as physical challenge. We want to help and reassure you before you step foot in our clinic, so we have outlined the content of a typical first appointment to remove any mystery or reason for anxiety.
Typical First Appointment
In a first appointment we will talk to you about your problem, physically assess you and carry out specialised tests. We will look at your posture, movement and if appropriate, balance. For some nerve injuries we offer a unique service whereby we can assess the viability, level of damage and function of damaged nerves by using Surface Electromyography (SEMG). This is a painless test and the results are available immediately.
It is a way of looking inside the damaged area of your body in a non-invasive way. A thorough physiotherapy assessment will guide us to the best course of treatment to help you. We will need to see your body easily and put our hands on you, so make sure you are wearing shorts or a vest top so this is easy.
Treatment
The treatment of neurological conditions and nerve injuries involves:
- Manual physiotherapy techniques where muscles, nerves and soft tissues are gently manipulated and facilitated to work more effectively and efficiently and reduce pain.
- Exercises to strengthen weak muscles and gain better movement and posture.
- Stretching of soft tissues and nerve flossing.
- Balance retraining
- Low frequency electrical stimulation. This is a treatment for nerve injuries, carried out daily by the patient at home. A very gentle electrical current is applied to the weak muscles with the aim of improving the health of these muscles. Often, as the muscle condition improves, the nerve function improves too. Patients can buy a trophic stimulator from a local supplier. Patients will be shown how to apply and use the stimulator during their appointment at The Nerve Injury Clinic.
- Biofeedback using a computer system to re-educate normal, balanced movement
- Advice upon coping with the day-to-day difficulties of living with a nerve injury or neurological condition. Referral on to other team members when appropriate, eg, orthotist for foot drop splints, physiotherapy colleague for acupuncture, yoga instructor for movement rehabilitation.
- Provide a bespoke home treatment programme to ensure carryover and continued improvement in between treatment sessions, using the very latest exercise rehabilitation methods.
See what people say about The Nerve Injury Clinic
Dominic Holding The nerve injury clinic have been brilliant, helping me with a very aggregated chronic RSI issue that a series of regular/ sports physios were unable to understand or help me with. The level of support and expertise has been brilliant and I can’t recommend the nerve injury clinic highly enough. Beverley Shone After a solution of medication and a 'you may just have to live with it' outcome from the NHS I found Claire whose treatment and ability to actually listen to a patient has given me the tools to gain control of my condition. I can highly recommend the services of The Nerve Injury Clinic for a professional, caring and holistic approach. George Carlisle I went to the nerve injury clinic for physiotherapy after undergoing nerve surgery. I had a complex surgical history and had struggled with neuropathic pain for many years. This place does not just provide a physiotherapy service but the some of the most comprehensive, caring and professional care I have ever received. I cannot recommend this place more highly to anyone recovering from nerve injury. My Physio (Kellie) has been there every step of the way and I cannot thank her enough. I look forward to continuing my journey with them. Greg Hunt I have been a patient with The Nerve Injury Clinic for 10 years. Exceptional level of care, empathy and highly professional bespoke treatment. I continued treatment with her at the recommendation of two NHS neurophysiotherapists who said my conditions were too complex for them to treat and that I was receiving excellent treatment from Claire. I am so indebted to Claire Downs as without her care I would have lost my mobility. Joanna Williamson I have been treated by Claire Downs for the past year for a nerve injury to my shoulder following an accident. I can't recommend the Nerve Injury Clinic and Claire highly enough. She is extremely professional, knowledgeable, explains things brilliantly and has helped me regain almost all of my shoulder function. When I first started seeing her, I was in a lot of discomfort, the biomechanics of my shoulder were all over the place and I was unable to lift my arm above 90 degrees. As well as being a brilliant physiotherapist, she is also a lovely person - very kind, calm, compassionate and relaxed. I will miss her! Tom Lloyd Excellent service and care. Couldn’t recommend enough! Primrose Moss Claire is both brilliantly knowledgeable and absolutely lovely - having had previous physio which I suspect (despite their best efforts) made my nerve pain worse, Claire took a completely different approach which made a massive difference to my symptoms. Having travelled driven a 6 hour roundtrip weekly for several months, it was definitely worth it. If you have nerve pain, I'd recommend travelling to see her. Christine Etheridge Having suffered a concussion and vestibular ear problems after a fall, I decided to try rehabilitation at the clinic. I have to say that my treatment was hugely successful, and I am incredibly grateful to feel "normal" again and would like to thank the staff, especially Katie, for their care and kindness. I wouldn't hesitate to return again, or recommend the Nerve Injury Clinic to anyone else. James B Most thorough, caring and effective treatment by Claire. This made a great improvement for me, especially with complex neurological & muscular problems. Even though it was a 2 hour car journey each time to visit it was well worth the effort. Melinda Sallaway-Royle I was recommended to see Claire Downs in July 2022 by the Neurogist Prof. Mark Roberts after I had been suffering with Peripheral Neuropathy for a while. Due to the nature of nerve pain, treament is a slow progress but with time I have felt a dramatic improvement in my nerve pain around my left ankle. I believe this is down to Claire’s specialised knowledge and expertise of how to deal with nerve pain, as my ankle was found to be very sensitive to small changes of movement. I can highly recommend The Nerve Injury Clinic to anybody suffering with nerve pain.Google rating score: 5.0 of 5, based on 14 reviews