Tele-Rehab Service

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The consultation is NOT a full physiotherapy assessment but will help towards your rehabilitation plan. Nina will be able to do a partial assessment observing joint mobility, flexibility and strength tests easily performed in front of a screen. It is helpful to have some form of exercise equipment to hand like weights (home items or dumbbells/kettlebells), fingerboards, pull up bar, finger blocks or portable boards, exercise bands/therabands, finger tools, foam roller, or any equipment the climbing patient feels is helpful. Floor and wall space is useful.

You will be able to discuss in detail, in climbing terms how your injury came about, and your return to climbing plans.

Please fill out and submit the intake form priority to your booked session. After the consultation Nina will be able to advise you on your rehabilitation plan, and offer advice accordingly. She will always advise you to seek a full physiotherapy and/or medical examination if you continue to have medical issues.

Nina is happy to liaise with any local doctors, therapists, climbing coaches and/or personal trainers after the consultation to help with further investigation and/or with the rehabilitation plan.
Contact her for questions about Tele-rehab and to book a time, and to discuss time zone locations.

Nina uses Skype as a platform and or Jane App. She also uses Instagram and Whats App for demo exercises and videos that could not be done on the Tele-rehab day. She is open to using Zoom as well.

Cost:

£90/155CAD/USD equivalent for the hour Skype consultation and, included in this price is time for correspondence post consultation for the rehab plan discussed. This includes follow up correspondence.

Follow up Tele-Rehab consultations are £30-60/50-100CAD/USD equivalent depending on length of time.

If you have been unemployed due to COVID19 and/or are a student Nina can offer discounted rates.

Climbing related finger injuries are easily discussed using a video consultation. I have discussed many cases now with success. Normally finger injuries require 2-3 sessions in order to get through Stage 1 (early recovery rehabilitation), Stage 2 (mid stage rehabilitation involving weighted strength training), and Stage 3 involving end stage, sport specific rehab using a fingerboard, portable boards/blocks, or walls. Finger injuries are fairly straightforward to do using Tele-rehab, as the basic palpation (hands on) tests can be done by the climber with Nina’s guidance. If Nina suspects that the climber requires more specific hands on testing, then she can make recommendations about seeing a local physiotherapist, or hand specialist.

Nina also has a wealth of experience conducting Tele-rehab consultations for shoulder, elbow, wrist, hip, ankle and knee issues.

After suffering for over 6 months from a shoulder impingement and having already undergone numerous sessions of physio and massage therapy, as well as a consultation with a shoulder specialist, I contacted Nina in a desperate attempt to get back to climbing pain free.

I was initially unsure as to how useful a skype consultation would be but I can honestly say that from the diagnosis to the discussion of a rehab plan and running through some specific exercises it was incredibly effective. Nina was very quick to identify my particular issues and explain them to me in a clear, concise manner. We then ran through a number of exercises, making sure that I understood the correct form and what I should expect to achieve from each. These were later incorporated into a written rahab plan, which Nina emailed me the same day.

In addition she also wrote some notes for my regular physio, targeting specific areas, which proved to be a really effective compliment to the plan itself.

The upshot of all this is that 9 months after the original injury and after many hours of work on the rehab plan I am now climbing again pain free.

If you are a climber and struggling to overcome an injury then the one thing you will get from Nina is very specific, informed advice. I cannot recommend her highly enough.”

Martin Docherty – Shoulder Impingement Rehab Plan via Skyp

— Martin Docherty
Nina on Skype got me climbing again!

After 2 years suffering with climbing induced, chronic elbow injuries Nina helped me recover, stay injury free and climb harder than ever at 44y/o! And all this through Skype!

If you are reading this, you hopefully already know that Nina is leading the way in terms of climbing-specific injury rehabilitation.

It took me a couple of years of seeing various generalist health professionals (Doctors, Physiotherapists, Chiropractors) and no improvement, to realise that specialist help was my only hope. Nina was based too far for me to visit so we had consultations through Skype.

I found the Skype sessions relaxed and comfortable (I was at home!) but effective. They saved me time and money (did not have to travel), but most importantly they got me access to an expert climbing physio who otherwise I would have not been able to see. Now I am well on the way to recovery and climbing a grade higher than my pre injury best!

I highly recommend Skype consultations with Nina.

— DR PERI KARAGEORGOPOULOS
Just an update to let you know how things are going! I took your advice and started fresh with the finger physio, only focusing on a single grip type in each hangboard session and dropping the weight back to nothing. Somewhat unexpectedly, this revealed that slopers were the ones aggravating it most, even being super strict with form. Kinda weird since the original injury was definitely crimping, but it has been so long since I first did it that maybe it's not so surprising that it's changed over time.

In any case, I dialled the open hand stuff way back since that is already my strongest grip by far, and started crimping again on the biggest/safest holds. A few weeks later and I am able to half crimp on the 15mm edges with a couple of bricks, and have started adding some bodyweight sloper stuff in too. So far so good! The finger is still not quite right, but it feels more robust than before and the pain is a lot more diffuse than it was a couple of months ago.

The other thing that has been helping is just trying not to poke at it at all during the day, and focusing on going running and doing other stuff instead. Trying to trick my brain into not thinking about it whilst slowly building the strength back up seems to be a good strategy so far.

Cheers,
Jon

— Jon Wells