Services:

At your initial physiotherapy appointment, our Bespoke Physiotherapists will listen to your story and find out how your injury is affecting you. We will ask in-depth questions about your past medical history, current health status, physical function and we will discuss your personal health goals. We do ask that you bring any medical correspondence you have with you to your initial appointment – including a list of your current medications and any reports/referrals you have from GPs or specialists.

Following on from our initial subjective assessment, we will commence a thorough physical examination using diagnostic tests and evidence-based measures to help us find then root cause of your problem. This will include a biomechanical assessment, strength testing, flexibility testing and functional movement screening. We do ask that you wear appropriate clothing that will make it easy for us to assess your injured area.

Once we have completed our assessment, we will use this information to diagnosis your injury. We will work with you to ensure you have a sound understanding of your diagnosis, what your expected recovery time frames are and what your health care plan will involve to ensure you achieve your goals and reach your full health potential.

From here we get stuck into your treatment and let the magic unfold!

The emphasis at your initial physiotherapy session is to collect all of the information required to make an accurate diagnosis of your problem. At the end of your initial assessment, there is usually a small block allocated towards your treatment. At your follow up appointments, due to the initial information already being collected, we will spend more time on your physiotherapy treatment and get you set up on your rehabilitation plan.

Our Bespoke Physiotherapists are extremely qualified and offer a wide range of treatment interventions specifically tailored to your unique health care needs.

Common treatment modalities we use at Bespoke Physiotherapy and Health include manual therapy (hands on treatment), joint mobilisation, joint manipulation, stretching, myofascial release, massage, dry needling, acupuncture, trigger point release, exercise therapy, cupping, strength training, proprioceptive retraining and neuromuscular training to name a few.

At Bespoke we are very passionate about arming you with the tools you need to effectively self manage your body in the future which is why you will often go home with some homework in the form of a rehabilitation program. We want you to reach your full health potential, sustain long term outcomes and not be dependent on our therapists for a passive quick fix. As a patient, you are only with our Bespoke therapists for a small amount of time relative to the time you spend out of the clinic living your life. Therefore it is fundamental to your optimal recovery that you are adherent to the customised program that your physiotherapist prescribes. This program will often include a range of stretches, proprioceptive and strengthening exercises. Your program will be progressed and modified over the course of treatment to ensure your improvements do not plateau.

We may also call on other members of our amazing Bespoke Tribe to work collaboratively with if we feel their skills and expertise can play a part in accelerating your recovery. This could include working in with our personal trainers, nutritionist and massage therapists or by attending our yoga or Pilates classes.

If you have any questions about the treatments we provide or would like any further information, please do not hesitate to drop us line.

At Bespoke we believe that good things take time which is why we encourage all of our initial appointments to be 45 minutes or longer. This enables us to spend the time with you to ensure we can gain a thorough understanding of your condition and how it effects you, confirm your diagnosis, educate you on your condition, complete a referral for further imaging if required and get you set up on your unique Bespoke Health Care Plan. For the more complex and chronic injuries, we do recommend a 60 minute initial assessment.

Our follow up appointments range from 30 minutes to 60 minutes and the time of these depends on the complexity of your injury and what is going to be covered on the session. Your Bespoke Physiotherapist will let you know what appointment time would best suit your needs.

Our experienced team of Bespoke Physiotherapists treat an array of acute and chronic conditions including those arising from the muscular system, nervous system, pain systems, skeletal system and ligamentous system. We also treat and manage work place injuries and repetitive strain injuries along with providing pre and post surgery care plans to ensure each and every patient reaches their full health potential.

Our physiotherapists are very passionate about work place ergonomics and reducing work related injuries and they can provide you with the most current, evidence-based work place set up guidelines. We can also organise off site work place visits, where we can assess you operating in your work place, implement changes to reduce your injury risk and provide your company with a full report on the modifications that we have made.

At Bespoke, we also treat people without any conditions! We do movement screening and biomechanical assessments to identify potential injury risk factors and specifically tailor health care plans aimed at minimising these risks and enhancing your functional performance.

All of our physiotherapists are highly trained in concussion management. We have received training in the SCAT concussion assessments and have the capacity to complete individual and team base lines assessments. We guide our concussion patients through a graduated program to get them back into the work force and back into their sport safely. We strongly recommend all of our athletes participating in contact sports to have an annual baseline concession test. Our Bespoke Tribe have a close working relationship with Sports Doctors, Specialists and Occupational Therapists in the Bay of Plenty area and can refer on for additional services and support as required.

If you would like further information on how Bespoke Physiotherapy can assist you on your health journey, please do not hesitate to give us a call.

Your physiotherapist will need to visualise the injured area so we ask that you please wear clothing that allows for this and is easy to manoeuvre. We do provide shorts and singlets for your convenience. If you are uncomfortable with revealing your injured body part to the physiotherapist – please let them know.

Your physiotherapist may also ask to see your foot ware or sporting equipment if they believe it could be related to your injury. Some of our physiotherapy sessions may also include a rehabilitation or strengthening block to be completed in our onsite, fully equipped gym. Your physiotherapist will give you the heads up if this is required and you will need to bring work out gear, a sweat towel and appropriate training shoes.

Many studies have shown superior post-operative outcomes when physiotherapy is included both before and after orthopaedic surgery. By visiting one of our Bespoke Physiotherapists prior to your surgery, we will complete a thorough assessment of your function, pain, joint movement, muscle flexibility and muscle strength. We will then prescribe a tailored exercise programme and health care plan to ensure we get your body in its best possible condition leading into your surgery which favours more desirable post surgery outcomes. Our Bespoke therapists will educate you about what happens during your surgery, what the expected outcomes are and what you recovery time frames look like.

Following your surgery, one of our talented Bespoke Physiotherapists will guide you through your full return to function plan which will be directed by your personal goals and desired outcomes. Along the way, we will liaise with your surgeon and/or specialist to ensure we have a good understanding of their post operative requirements and protocols.

Your post-operative rehab will move through different phases based on your function and time since the surgery.  Initially your care plan will consist of range of motion exercises and gentle stretches, followed by muscle activation and strengthening exercises and then your return to sport, running or specific work related exercises. It is up to the physiotherapist to progress you through your rehab and also to make sure you are meeting the specific requirements that are set by your surgeon. If there are any complications that arise, we can liaise with your surgeon directly and arrange a follow up appointment for you.

N.B. Please remember to check with your insurance company or ACC before you start driving as you may not be insured if you have an accident.

At Bespoke Physiotherapy and Health, our physiotherapists have expertise working with children of all ages and abilities.

Skeletal growth in children occurs at a phenomenal rate from childhood into adolescence which often gives rise to children experiencing growth related pains and dysfunction. Some of these growth related problems resolve spontaneously with time however a number of them require further support to ensure your child makes a complete return to play and sport.

Physiotherapy management in this age group often includes education around correct warm up and warm down procedures, self management strategies, activity modification, load management, stretching and strengthening exercises.

We can lodge ACC claims directly from Bespoke Physiotherapy and Health therefore you no longer have to be referred to physiotherapy by your GP.

ACC will contribute towards the costs of your physiotherapy treatment if you have sustained an injury secondary to an accident as long as your claim is lodged within 12 months of the accident occurring. If you clam is lodged outside of the 12 months of your accident occurring, ACC may need to contact you to collect more information regarding your claim. The ACC no faults scheme provides cover to all people in New Zealand, including international visitors as long as they have sustained their injury since they arrived in New Zealand.

Your physiotherapist will be able to provide further clarity in regards to whether your injury is ACC related or not at your initial appointment.

ACC will not cover injuries related to gradual overuse or those related to the natural aging process (ie degenerative conditions such as osteoarthritis). For further detail on ACC’s No Faults Scheme, please refer to the ACC Website www.acc.co.nz

All of our yoga classes have a limit of 12 clients per class in order to ensure we can deliver a quality service. Our smaller classes enable our instructors to navigate around everyone in the class to ensure adequate progressions are given and that your technique is flawless.

Mainly just yourself! We encourage wearing comfortable clothing to our yoga classes as you will be coached into a range of various poses and positions. All mats, yoga blocks and stretching belts will be provided at each class. You are more than welcome to bring your own yoga equipment if desired.

Due to all of our yoga and mat Pilates classes being limited to 12 clients – booking is a must to ensure you secure a spot. We do also ask that if you are unable to attend a class that you have booked that you let us know at your earliest convenience so that other clients can attend in your absence. We have a range of various booking options ranging from casual one off classes to concession cards.

All of the Bespoke Classes will start on the advertised start time. We recommend arriving to your class 5-10 minutes before the start time. This will allow you time to get changed at our onsite changing facilities and get yourself set up prior to the class starting. It will also allow you to have a quick chat to the yoga instructor if you have any ailments that may hinder you during the class. It is important to keep your instructor up to date so they can provide suitable regressions to particular poses and positions as required. If you are seeing one of our Bespoke therapists – with your permission, they will be able to advise the instructor on your behalf.

Yes private classes and corporate packages are available on request. These classes can be run both onsite at the Bespoke Head Quarters or off site as required. Please contact the Bespoke Admin team if you require any further information on our Bespoke private sessions.

Our physiotherapists will complete a thorough assessment and discuss with you whether acupuncture is going to be an effective intervention. Based on their assessment findings and your diagnosis, they will select the appropriate acupuncture points. The total number of needles used could range from one through to 20. If the acupuncture points are over the surface of a joint, an anti-bacterial solution will be applied in order to minimise infection risk in the joint. The very thin needles are then inserted into the body as various depths and are left in for up to 30 minutes. Within this time, the therapist may twist or flick the needle to increase the stimulation. The insertion of the acupuncture needs is usually fairly comfortable with most patients experience a small prick followed by a sense of heaviness or dullness during the session. Very rarely will acupuncture be completed as a stand alone intervention. Our physiotherapists will often use acupuncture as an adjunct to their treatment, along with manual therapy and exercise prescription. All of the needles in our practice are clean, single use, disposable needles therefore any risk of infection is incredibly minimal.

Whether it’s weight loss, muscle gain, skin or eating disorders, men or women’s nutrition, our qualified nutritionist will assess your goals, lifestyle, health and provide a tasty wholefood nutrition plan specific for you. At your initial consult, our nutritionist will spend time with you going over your current health goals and discussing factors such as previous diet history, exercise, work life, commitments, stress levels, eating habits, and food preferences. Using all the information gathered they will start creating your nutrition plan with you, explaining to you exactly WHY you need to make the changes and how it will help you.

Our nutritionist will keep you on track, monitor your progress, access your weight, energy levels and nutrition. We’ll discuss lifestyle issues that may be affecting your success, what is working and what isn’t working and change your nutrition plan as required to ensure we create a sound and stable lifestyle routine that suits you.

Pregnant women or women trying to conceive:

• Pelvic girdle and lower back pain
• Pelvic floor and pregnancy exercise programmes
• Pregnancy WOFs (recommended at around 20-weeks)

women (from 6-weeks postpartum, and anytime after):

• Post-natal WOF – general check up and assessment of pelvic floor, abdominals, return to exercise advice and planning
• Bladder issues and pelvic floor dysfunction
• Screening for returning to exercise

Incontinence:

• Leaking with sneezing/coughing/laughing/exercising
• Leaking with sneezing/coughing/laughing/exercising
• Increased urgency or leaking associated with urge.
• Increased frequency, or overactive bladder

Bowel issues:

• Constipation
• Incontinence or difficulty controlling wind/faeces

Seeking help and taking action to regain control over this part of your body can take a lot of courage for some people, and it is normal to feel a bit anxious coming into your first appointment. Please remember our therapists are highly experienced, and we understand the emotional and social implications of these conditions. We are also very passionate about this area of physiotherapy and want to help you restore confidence in your body.

An initial appointment is typically 1-hour long and involves:

1. A subjective assessment – a discussion about your history, current symptoms, and goals. This discussion will typically revolve around toileting habits, sexual function, menstrual cycles, pain and activity levels.
2. A physical assessment – once we have gathered enough information and have a good understanding of your issues, we will typically assess breathing and abdominal patterns, general pelvic strength and spinal range of motion, and then move on to an internal assessment as needed, and with your consent. Not every one needs an internal (vaginal) examination, and there is no obligation to have one, but typically it gives us more information regarding pelvic floor strength/endurance/coordination, alongside the ability to assess for other issues such as pelvic organ prolapse and scar tissue.
3. Treatment and education – once we have a clear picture from our assessment, we can prescribe a specific plan for you. This will often include an individualised exercise program, education, and recommendations around the use of any adjunctive treatment. If you need further medical advice, we would not hesitate to liaise with your GP to ensure appropriate intervention is obtained.