The Therapy Toolbox - A Holistic Approach

Exercise is a key part of rehabilitation, but it is not the only focus. Physiotherapy also involves clinical techniques that support movement as recovery develops. At Dorset Orthopaedic, these approaches are used throughout the rehabilitation process.

All of our physiotherapists are trained in musculoskeletal physiotherapy. This focuses on how the body moves and how reduced strength or restriction can affect function. These skills apply directly to amputee care as well as prosthetic and orthotic rehabilitation, where joint loading and movement efficiency are important considerations.

We take a holistic approach to rehabilitation and avoid treating problems in isolation. This includes understanding how a patient moves at home and how rehabilitation fits into everyday routines rather than being limited to clinic sessions.

Exercise and gait training form the foundation of rehabilitation, whether a patient is adapting to a prosthesis or using an orthotic device. Hands‑on treatment is often used alongside this when it supports progress, and techniques are chosen based on assessment findings and adapted as needs change.

Acupuncture may be used to help manage pain or muscle tension. Fine needles are placed at specific points to stimulate sensory input within muscles and surrounding tissues. This is commonly used alongside other physiotherapy treatment.

Mobilisations involve controlled movement of joints or soft tissue where stiffness is limiting movement. These techniques are applied slowly and aim to improve range of motion and comfort during activity.

In some situations, joint manipulation may be appropriate. This involves a brief, targeted movement to encourage mobility where restriction is affecting function.

Massage is used to help reduce muscle tightness or discomfort and may also support swelling management. Within prosthetic and orthotic rehabilitation, this can help improve comfort where soft‑tissue sensitivity affects tolerance to devices.

Instrument‑assisted soft tissue techniques, such as Graston tools, may be used to treat specific areas of restriction. These are often applied over scar tissue to reduce adhesions and help lower the risk of skin problems where there is contact with a socket or orthosis.

Electrotherapy may be used to support muscle activation or assist with swelling reduction, depending on clinical need. This can be useful where muscles are slow to respond or where fluid build‑up is limiting movement.

Hydrotherapy may be introduced when land‑based activity is difficult or uncomfortable. Working in water reduces load and can help improve confidence during movement practice.

These techniques support movement retraining rather than standing alone. The overall aim is to improve posture and walking efficiency over time, so progress carries into everyday life, whether someone is using a prosthesis or an orthotic device.