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Stroke · spinal injury · after neurosurgery · Bhopal

The therapy has to happen every day. Getting to it shouldn't be the hard part.

Physiotherapy at home after a stroke, a spinal injury or brain surgery. A physiotherapist comes to the room he is already in , and on the days between, runs the therapy remotely while your attendant, trained by us, assists.

Ask us a question

Free, at home. A senior physiotherapist examines him and tells you honestly what is realistic.

Photograph to come
Daily therapy, without a daily journey

Does this sound familiar?

The hospital discharged him. Nobody discharged you.

  • Getting him into an auto takes two people and half an hour.
  • The arm is getting tighter, not looser.
  • You were given a sheet of exercises and no way to know if they're right.
  • The attendant wants to help and has never been shown how.
  • Some weeks feel like progress. You can't tell if they are.
  • Twice a week is what you can manage. Daily is what he needs.

Why it usually stops

Neurological recovery needs repetition. Repetition is what gets lost.

Recovery after a stroke is rarely lost in the therapy room. It is lost in getting to the therapy room.

  1. Every session is an operation

    A wheelchair, a staircase, an auto, two people and an hour each way. Families sustain it for weeks, not months.

  2. The person doing the daily work is untrained

    In most households an attendant or a family member is already doing transfers and exercises: improvising, with nobody to ask.

  3. Stiffness builds quietly

    Joints that aren't moved shorten. It happens between visits, and by the time it is obvious it takes far longer to undo.

What the treatment involves

Four kinds of work, running side by side.

  • Waking weak muscles

    Electrical stimulation makes a muscle contract when he cannot yet make it contract himself. EMG shows whether it is starting to fire on its own.

  • Keeping joints moving

    Daily range of movement and positioning, to hold off the stiffness and contractures that follow a limb that stops being used.

  • Sitting, standing, walking

    Balance in sitting, then transfers, then standing, then stepping: practised on his own bed, his own chair, his own floor.

  • Managing stiffness

    Tone and spasticity worked on with positioning, stretch and modalities, with anything concerning referred back to his doctor the same day.

None of this is a promise about how much comes back. Neurological recovery varies enormously between people. What your physiotherapist will give you is an honest picture at the assessment, and measurements every week so you can see for yourself.

What to expect

The first months are the busiest. They are not the last.

  1. First 6–8 weeks

    Every day counts

    Physiotherapist visits most days. Baseline measured. Equipment installed. Positioning and range of movement started immediately.

  2. Months 2–5

    The household takes over

    Your attendant is trained and certified. Visits reduce; supervised remote sessions carry the daily work, with a physiotherapist watching.

  3. Month 6 onward

    Keep going

    Improvement after a stroke does not stop at six months, but it does stop if the therapy does. Sessions continue at a lower frequency, reassessed quarterly.

Timings are general and vary a great deal with the type and severity of the injury. Your physiotherapist gives you a written plan at the assessment and reviews it with you every four weeks.

The care partner programme

The person already helping him becomes part of the plan.

In paralysis care there is nearly always someone doing the daily work: an attendant, a wife, a son. We train and certify that person , give them a written protocol, and a physiotherapist watches their technique on video twice a month.

  1. Four hours of training At our centre in Bhopal, to a written protocol
  2. Certified, not just shown Passed against a competency checklist, electrode positions marked on the patient
  3. Supervised, and re-certified Watched on video twice a month, and re-checked if his condition changes

No session unlocks until they pass. They carry out the plan. Every dose, every progression and every clinical decision stays with the physiotherapist.

Training film to come

Training happens before a care partner runs a single session

Portrait to come

Anant Singh Gaur

MPT (Neurology) · PhD Scholar

17 years in practice

Speaks [LANGUAGES]

Who would look after him

Neurological rehabilitation is what he trained in.

A senior physiotherapist assesses him in person, writes the plan, reviews it every four weeks and is the person you speak to throughout. Our physiotherapists are employed by us, not introduced to you. If it isn't working, tell us and we will change it.

Meet the team

Before you enquire

This isn't right for everyone, and we'll say so.

Usually a good fit

  • Medically stable and discharged home after a stroke
  • Weakness or paralysis down one side, or below a spinal level
  • Recovery after brain or spinal surgery, once cleared by the surgeon
  • Long-standing paralysis where movement has been lost to stiffness
  • Someone at home who could be trained as a care partner

We would send you elsewhere

  • Still an inpatient, or not yet medically stable
  • New or worsening symptoms that need a doctor first
  • Unstable spasticity or tone needing medical management
  • Treatment requiring a pool or gym-based equipment

The care partner programme is not offered in the first six weeks after an acute stroke. In that period a physiotherapist does the hands-on work, and the household is trained afterwards. We would rather lose the enquiry than take on someone we cannot treat properly.

The things people ring up about.

As soon as he is medically stable and home, and his doctor is comfortable. Earlier is generally better for positioning and keeping joints moving, but that is a decision for his treating doctor, not for us. Bring us in and we will work alongside them.

No cost · no obligation

Start with a free check-up at home.

A senior physiotherapist comes to you in Bhopal, examines him properly, and gives you an honest picture of what the months ahead look like. If we are not the right people, we will say where to go instead.

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A physiotherapist calls you within 4 working hours. Nothing to pay, nothing to buy.