What do people that have seen Andrew think?
Rotator Cuff Tear/Repair
I am writing because a year has gone by since we first met and I want to sincerely thank you and let you know how wonderful it is to enjoy the full use of my arm. It is almost as good as before the accident and I have been well and very busy on many practical pursuits.
You may not remember me among so many clients. Mr Potter operated and sent me to you at the clinic as I live in Scunthorpe. I felt it was all a bit hopeless but you very kindly encouraged me and brought me through with your insight, skill and understanding which was very much appreciated by a squeamish patient, unfamiliar with hospital treatment and liable to faint (which I didn’t do under your care.)
I hope you are well and continue to prosper in your practice. Again, I thank you, Mr Potter and our Heavenly Father for giving me back again the use of my arm.
Andrew – “I received this by email eight months after discharging John following the rehabilitation of his Shoulder following Rotator Cuff Repair surgery. John was a pleasure to work with and had a fantastic outcome following his operation to repair a torn Rotator Cuff tendon. Not all Rotator Cuff Tears require surgery; many do just as well with Physiotherapy. John was a fit and active man who injured his Shoulder in a traumatic manner following a fall, as such having an operation was the most appropriate intervention for him in order to return to full function. The operation is just the start of the recovery process and requires a lot of work from the individual to maximise the outcome – usually over a three-month period. You can expect to see continued recovery of the arm for up to two-years. John did all the hard work and is now reaping the rewards!”
“I had suffered severe leg pain which wasn’t being helped with medications alone. Andrew assessed the problem by listening to me and then physical examination before giving me a diagnosis. After a short rehabilitation period my leg is greatly improved if not fully recovered.
I was extremely satisfied with my treatment. Andrew was very attentive, polite and professional. I was given exercises to do between appointments and Andrew wrote these down for me to jog my memory – very useful.
I am extremely likely to recommend Andrew to my friends and family as I wish I was referred by my Doctor months before I actually was!” – Kirsty.
Andrew – “Previously it was thought tendon problems were driven by an inflammatory process and were thus known as tendonitis – ‘-itis’ being the suffix derived from Ancient Greek denoting diseases characterised by inflammation. Treatment has in turn for many years been directed at reducing this inflammation – our recent understanding of tendon problems question this rationale and may explain why Kirsty’s many months of pain were not effectively rehabilitated using medication alone. A simple recipe of appropriate advice and exercise therapy helped Kirsty recover quickly from her tendon problem”.
Low Back Pain
“I saw Andrew when I was suffering from severe low back pain. He’d previously seen my friend for her Shoulder and she recommended Andrew to me. I could hardly walk as I was in so much pain. I saw Andrew twice in a four week period and I felt great. I was extremely satisfied with the care that I have received and would certainly recommend Andrew to any of my friends or family – in fact I already have!” – Melanie.
Andrew – “It was a pleasure to help Melanie overcome her low back pain. She was quite fearful about what the pain in her lower back meant and was concerned that it would be a life sentence. Thankfully, after some reassurance and a rehabilitation plan tailored to Melanie as an individual, her symptoms settled and she was back to living her life as previously. Well done Melanie.”
Gluteal Tendinopathy (a.k.a Gluteal Tendinopathy, Greater Trochanteric Pain Syndrome)
“I had previously been diagnosed with health-anxiety and fibromyalgia. I wanted to increase my activity levels to get a bit fitter and I’d been advised that this would help reduce my widespread pain. Soon after increasing my walking distances, I developed pain on the outside of my hip. I saw my Doctor twice and was told it was a flare up of my fibromyalgia and then that I had Osteoarthritis of my Hip – I’m only in my 40s. I was referred to Andrew and he immediately put me at ease and assured me my hip wasn’t arthritic! After seeing Andrew once a week for three weeks, I was back walking without the pain in my hip. Thank you, Andrew.” – June.
Andrew – “June presented at the clinic with pain on the outside of the hip. Her rehabilitation highlights the importance of taking time, listening to the person as an individual and the need for an accurate diagnosis to guide management. June had merely increased her activity too much, too soon and caused an irritation of one of the tendons on the outside of her hip; her hip was not arthritic at all! With appropriate guidance of activity to allow things to settle down, alongside graduated strength and conditioning of her hip musculature she was able to return to her walking programme. It is important to ensure with Tendinopathy to not merely settle the symptoms. June was therefore provided with a programme to continue her rehabilitation independently.
“In July I hurt my back at work and my doctor referred me to see a Physiotherapist at my surgery a few days later. The Physiotherapist diagnosed a SIJ injury and gave me some exercises. In the middle of September I had extreme back pain and contacted my GP for extra pain relief medication; at the same time, she referred me to see Andrew Cuff.
I am extremely satisfied with the care I received and would recommend Andrew to any friend or family member that required rehabilitation. At my first session with Andrew he examined my back, posture etc. and felt I had been misdiagnosed. He was very positive that he could help me to improve my back. At this point as well as being in pain I was feeling low in spirit. I feel this was partly due to being labelled with a specific problem. I have spent my working life in health and social care and seen many colleagues with back injuries have to change their career and life style because of this. I am approaching retirement and didn’t relish spending my retirement limited by this problem. Andrew removed my fears. He gave me some more exercises and explained what he thought was happening. I don’t know how to put into words his attitude without it sounding wrong but he came over with the right amount of assertiveness. I knew I was going to go home and do my exercises. Andrew was also caring and understanding. I have continued with the exercises with great success. I am pain free at present but more than that I feel Andrew has given me the tools to deal with my back pain should it recur.
Thank goodness, I met Andrew Cuff!
Once again Andrew, thank you for your help. I feel without your help I would still have been walking around like a drunk woman in pain and depressed with the thought of having to live with this. That may sound melodramatic as having pain in your back is minor in comparison to the pain others have to put up with but it certainly was having a negative impact on my life.” – Marie.
Andrew – “Marie had worked in healthcare all of her life and was worried about what she saw as the inevitable onset of low back pain from repetitive lifting. She strained her back one day whilst at home and it is likely that the fear around developing back pain further sensitised the structures in her back.
Marie was soon to be approaching retirement and when the GP diagnosed her with a sacroiliac joint (SIJ) problem, she felt she had a label that meant she was unable to enjoy her retirement and that she would soon be hobbling! This worry had an impact on her mood and a cycle of pain, reduced activity, low mood and poor quality of life followed.
SIJ problems are incredibly rare without concurrent pregnancy or trauma. Through reassurance and an individualised explanation of why Marie was experiencing ongoing discomfort, Marie reported feeling more confident and positive in her outlook. In less than a month from initial assessment, she reported being pain free and confident to manage any future flare ups. Marie’s outcome reminded me why I became a Physiotherapist – thank you.
“I was referred by my doctor to see Andrew having been diagnosed with tennis elbow. The exercises I was given were progressive and enabled steady improvement in my condition. Pain was greatly reduced during the treatment period and I was extremely pleased as there was little change before treatment began. I was extremely satisfied with the service I received and I would recommend Andrew without hesitation”. – Stewart
Andrew – “Tennis Elbow is a relatively simple clinical entity but unfortunately is a complex presentation that can persist and even with Physiotherapy, usually has a recovery period up to 12 months. Whilst it is the most common cause of Elbow pain in adults, it is very much over diagnosed and in turn delays recovery for the individual. Tennis Elbow rehabilitation needs be to tailored to the individual, addressing factors such as why it occurred in the first place. Stewart responded well to a rehabilitation package of activity modification, manual therapy, taping and most importantly a progressive loading programme for the entire arm”.
“I initially started out with pins and needles in my fingers and thumb. This then progressively turned into a bad ache in my shoulder and neck. I struggled with this pain for six months before visiting my GP. At first I was given anti-inflammatory tables for a four-week period but unfortunately my symptoms persisted. Then I was given a splint to wear for a further six weeks; this seemed to help with the pins and needles nut didn’t cure the now intense shoulder pain.
As I was still suffering, I was referred to see Andrew who used his hands to relieve some of the symptoms; he explained the effects of this are only short-term and that it would be an exercise programme that would provide me with the best chance of long-term recovery; so he gave me some exercises to do during my daytime routine.
After only two visits I am now pain free and have stopped taking all pain relief. Hopefully this will stay this way however, Andrew has provided me with an open appointment so should the symptoms return I can call up and book in to see Andrew.
I was extremely satisfied with the service Andrew provided me and I wouldn’t think twice to recommend him to a family or friend.” – Adrian
Andrew – “Adrian was initially referred to see me with a suspected Shoulder problem. Whilst the pain was felt around his Shoulder, it was clear from speaking to Adrian and listening to his story to date that his problem was related to an irritated nerve in his Neck that was referring the pain into his arm. This again highlights the need for an accurate diagnosis as the rehabilitation for such a presentation is completely different to one related to the Shoulder.
Type 1 Unstable Shoulder – Pre and Post Operative
“After initial trauma to my shoulder it began dislocating regularly and movement in the shoulder had become limited and very painful, subsequently due to a tear in the cartilage surrounding the shoulder; initially the hospital and the Doctors did not think that I had torn this piece of cartilage which Andrew disagreed with and following his assessment and the arrangement of the scan, the tear was confirmed. The rehabilitation process included Physio from Andrew on a regular basis before the operation to keep my shoulder mobile and my muscles strong. I then had the operation to repair the tear and Andrew guided me through my post-operative rehabilitation. After I had completed treatment I now have a full range of movement around the shoulder joint due to the comprehensive treatment programme created by Andrew.
The service I received was excellent, it was a very welcoming and reassuring atmosphere as sometimes these situations can be daunting but Andrew ensured this wasn’t the case due to his friendly and caring manner. Andrew had a great understanding of the problem with my shoulder and the service was also very helpful as ultimately my shoulder has made a full recovery” – Emily
Andrew – “Emily had suffered a dislocation whilst skiing and prior to seeing me, had experienced multiple re-dislocations. This was therefore a Type 1 Unstable Shoulder and required an Orthopaedic review. Emily’s operation was four months way so we decided to go for a period of ‘prehabilitation’. Emily worked hard to ensure her movement was maintained and that both her strength and proprioception improved which ultimately meant she had a better shoulder going into the operation and was prepared for what to expect post-operatively. Following the operation, Emily reached all expected goal and milestones ahead of time which was testimony to her commitment to the rehabilitation process.
As a Shoulder and Elbow surgeon I have come to learn that regardless of your talent or how well you do an operation, the result of surgery for the patient is highly dependent on the quality of the rehabilitation. While general Physiotherapists can deal with rehabilitation of most common injuries, Shoulder and Elbow injuries and surgery tends to be more complex and often requires therapists with specialist knowledge and experience. I have known Andrew for some time and know he is a keen Shoulder and Elbow Physiotherapist who keeps up to date with current literature and is willing to collaborate with surgeons for the benefit of patients. Having collaborated with Andrew doing research projects I can happily say I would trust him to look after my patients – Mr. Nick Ferran FRCS (Tr. & Orth.) Consultant Orthopaedic Surgeon