Conditions We Treat

Our physiotherapists have extensive experience helping people with a wide range of conditions. We understand that each person's situation is unique, and we tailor our approach to your specific needs and goals.

Neurological Conditions

Stroke

A stroke commonly occurs due to a bleed or clot on the brain. A stroke happens when the blood supply to part of the brain is cut off, killing brain cells. It can affect every part of your life, and your life might look quite different to how it was before. Symptoms can include reduced strength, spasticity, language difficulties and fatigue.

How can physiotherapy help? Home Links physiotherapists come to your home, eliminating travel stress especially helpful when mobility is limited or outings feel daunting. Treatment plans are tailored not only to you as an individual but specifically to your home setup. We provide guidance with mobility around and outside your home and support with activities of daily living, making recovery practical and relevant. Physiotherapy at home encourages more consistency and the supportive surroundings of home can boost motivation and morale.

Useful resource: https://www.stroke.org.uk/

Parkinson's Disease

Parkinson's disease is a chronic, progressive neurological disorder caused by the degeneration of dopamine. Dopamine is a neurotransmitter, a chemical messenger produced in several areas of the brain. The leading characteristics seen in Parkinson's disease is motor symptoms such as tremor at rest, muscle stiffness, slowed movement, and impaired balance. Parkinson's often leads to impaired gait, freezing episodes, stooped posture, and balance issues, all of which elevates a risk of falling. 

How can physiotherapy help? Home Links Physiotherapy can address these issues by focusing on balance, strength, and gait training, identifying home hazards, and teaching safe movement strategies. Research shows that home physiotherapy programs, offering home-based exercise, effectively improves balance-related activities and quality of life (Flynn et al., 2019). With regular exercise and personalised physiotherapy care plans we can help slow down the progression of disease.

Multiple Sclerosis

Multiple sclerosis is a chronic neurological condition in which the immune system mistakenly attacks the myelin sheath of nerve fibres in the brain and spinal cord, causing communication disruptions that lead to symptoms such as vision problems, muscle weakness, coordination difficulties, and fatigue (MS Society).

How can physiotherapy help? After an MS diagnosis, Home Links Physiotherapy can offer a personalised, practical approach. Sessions will be tailored to your environment, easy to fit into your routine, and focused on symptom management, safety, and long‑term independence. It will empower you and your family to engage in building strength, maintaining mobility, and adapting your home and habits to live well with MS. With regular exercise and personalised physiotherapy care plans we can help slow down the progression of disease.

Functional Neurological Disorder

Functional neurological disorder (FND) describes a problem with how the brain receives and sends information to the rest of the body. It can lead to a range of neurological symptoms such as limb weakness, paralysis, seizures, walking difficulties, spasms, sensory issues, cognitive problems and more.

How can physiotherapy help? Home Links Physiotherapy can offer distraction-based retraining, such as dual-tasking that helps improve balance and mobility or gentle routines using low-impact exercises where at least one and sometimes both feet stay stationary on the ground or peddle. This helps to restore automatic movement patterns and is easier to implement and observe in your home setting.

Parkinsonism

Parkinsonism is a condition that mimics Parkinson's disease but has an identifiable cause. The most common type of Parkinsonism is drug-induced Parkinsonism, this occurs when medication alters the dopamine production in the brain. Parkinsonism is also a name given for a group of movement symptoms found in several conditions. These symptoms include slow movements, stiffness, tremor and problems with walking and balance.

How can physiotherapy help? At Home Links Physiotherapy you can expect the delivery of a personalised, safe, and consistent package of care. We provide long-term support that aids you in being able to take control of your condition. Home Links physiotherapy is tailored it to your home environment and improves mobility, balance, and confidence while reducing fall risks and removing the burden of travel.

Motor Neuron Disease

Motor neuron disease (MND) is a progressive disease which affects the nerves in the brain and spinal cord. The nerves are responsible for sending signals to your muscles and controlling their movement. A common symptom is muscle weakness and stiffness, which may affect how you use your arms and legs. As MND progresses your muscles that assist your breathing and keeping your chest healthy may be affected.

How can physiotherapy help? Home Links Physiotherapy can support you throughout the entirety of your MND diagnosis. Our collaborative approach means we work with you to create goals to maximise your function and independence. This may include everyday activities within your home including bed mobility and transferring onto the toilet and chairs. Targeted exercises can strengthen your muscles and chest physiotherapy includes airway clearance techniques to optimise your lung function.

Guillain-Barré Syndrome

Guillain-Barré syndrome is a rare condition that affects the nerves in your peripheral nervous system, this is means the nerves outside of your brain and spinal cord. The affected nerves control your movement and sensation (touch and feel), and you may have experienced muscle weakness and tingling throughout your body.

How can physiotherapy help? A Home Links physiotherapist will assess your current level of function which may include looking at your movement, strength, sensation and activities in and outside of the home. Your physiotherapist will create personalised goals to promote your recovery, this may include getting in and out of bed, walking, climbing the stairs or getting back to work and socialising.

Useful resource: https://www.gbs-cidp.org

Adult Cerebral Palsy

Cerebral Palsy is a condition that occurs from an injury to the developing brain or abnormal brain development. Cerebral refers to the brain and palsy refers to weakness, therefore the areas of the brain that control your muscles is affected. Your experience of cerebral palsy may affect one side of your body, just the arms or legs, or the whole body. It may also affect how you think and communicate.

How can physiotherapy help? Home Links Physiotherapy can play a key role in the management of cerebral palsy, by maximising your current function and improving quality of life. Cerebral palsy affects your muscles and movement, therefore our physiotherapists can offer advice and education on all functional activities including optimising sitting positions, walking (with or without aids) and focus on preventing any worsening in your movement. Our approach is personalised to your needs, and we can provide training for families and carers where appropriate, to ensure a holistic care plan.

Traumatic Brain Injury

A traumatic brain injury (TBI) is caused by an external force that induces injury to your brain structures and/or your brain physiology (how it functions). At the time of injury, you may have had a loss of consciousness, altered mental state and/or problems with your walking, vision and balance. This is due to the disruption of blood flow and oxygen to your brain tissue.

How can physiotherapy help? After your brain injury, you may have spent time in hospital recovering. Home Links Physiotherapy works with you throughout your recovery, to regain your mobility and function. We understand you may have changes to your strength, balance, energy levels and ability to do your day-to-day tasks. Our skills aim to prevent complications, including management of range of motion, tone, spasticity, contractures, positioning and splinting. By creating personalised goals, we will work together to rehabilitate the connection between your brain and body.

Dementia

Dementia is an umbrella term for progressive conditions that affect the brain. The most common are, Alzheimer's disease, vascular dementia, Lewy body dementia, frontotemporal dementia and mixed dementia. Each type of dementia affects different areas of the brain, and the brain cells (neurones) are not able to work properly, which is why you may have changes to your thinking, behaviours, mood, speech, memory and understanding.

How can physiotherapy help? Home Links physiotherapists are specialised in working with people with dementia. Our approach is person centred as we understand the importance of building trusting relationships to have the best results. We can adapt our style to the person and the environment and use interests or hobbies to boost engagement and motivation. Our physiotherapists can make recommendations for positioning, seating, daily routine and where appropriate train families and carers to ensure continuity of care.

Surgical Conditions

Total Knee Replacement (TKR)

A TKR is defined as reconstruction of the knee joint. The process replaces the articulating surfaces of the knee joint with a combination of smooth metal and polyethylene plastic, with the aim to relieve pain and restore function. Most commonly, a TKR is used to treat Osteoarthritis (OA) of the knee joint in those over the age of 60 following the failure of conservative methods (Hsu and Siwiec, 2023).

How can physiotherapy help? At Home Links Physiotherapy we will work alongside you throughout all stages of your journey. This could include pre-surgery, following discharge from the hospital and working to prevent future problems. Our therapists will use a large toolbox of treatment modalities to aid in preparation and recovery. This would be facilitated through exercise prescription, mobilisation practice, advice and education. We aim to ensure safe mobilisation and participation in activities of daily living, working to improve and maintain function.

Total Hip Replacement (THR)

A THR is a surgical procedure in which a damaged, worn-out and errored cartilage of the hip joint is removed and replaced with an artificial joint to relieve pain and improve mobility. A THR typically includes the removal of the head of the thighbone and the socket in the pelvis, which are then replaced with a prosthetic implant made of metal, ceramic or polyethylene.

How can physiotherapy help? The National Institute for Health and Care Excellence (2020) recommends starting rehabilitation of a THR as soon as possible, as it is proven to be linked with better outcomes. Home Links Physiotherapy can offer consistency in care from the pre-operative stage through to longer term management. Aiding in helping you to be able to take control of your rehab by re-strengthening the hip muscles that are weakened from surgery, which is important for better support and stability of the new hip joint. This will then allow you to move more confidently and reduce the risk of falls or further injury to the hip.

Fracture with surgical intervention

If a fracture requires surgical intervention, it typically means the bone is unstable, misaligned, or involves a joint, making it unlikely to heal properly on its own. In surgery, the use of metal plates, screws, rods, or pins may be used to realign and stabilise the bone, a procedure known as an internal fixation. Post-operatively, joints near the fracture site can become stiff or weak and swelling and persistent pain can limit mobility and delay recovery.

How can physiotherapy help? Before and after surgery, Home Links Physiotherapy can offer essential rehabilitation that can restore strength, mobility, and function while preventing future complications. Home physiotherapy takes the stress away from trying to attend an appointment when driving is not allowed. Your physiotherapist will provide you with a personalised rehabilitation programme to assist with speeding up recovery and restoring your levels of movement to the same or better standard than it was before surgery.

Falls & Mobility Issues

Falls

A fall can happen to anyone, however people aged 65 years and over have the highest risk of falling. This can be related to ageing, as when we age there are changes to the structure and function of the body which may affect our balance, walking, strength and vision. A fall is not a diagnosis but should be seen as a symptom.

How can physiotherapy help? We understand falls can be frightening and unsettling. Our physiotherapists will conduct a comprehensive falls assessment, to look at your risk of falling and how it can be prevented. The National Institute for Health and Care Excellence (2025) recommends physiotherapy for an individualised exercise programme to improve walking, balance, mobility and strength. As falls are usually due to multiple factors, our experienced physiotherapists can advise and signpost you in the right direction to ensure high quality, holistic care. Most importantly, physiotherapy can assist in preventing further complications of falls like fractures and head injuries.

Dizziness

Dizziness or feeling off-balance, may create the feeling like the world is spinning around you. Sometimes this can be triggered by the smallest movement of your head. Within your ear, is the vestibular system, this system tells your brain where your head is, including when you look up, down and side to side. We need to know where our head is, as this helps to co-ordinate with the rest of the body to carry out our daily activities accurately and safely. An injury to the vestibular system can cause disturbance and result in the unpleasant feeling of dizziness.

How can physiotherapy help? Home Links physiotherapists can help through vestibular rehabilitation. Vestibular rehabilitation is an evidence-based approach that is safe and effective for improving your symptoms. A review found improved scores in emotional status, fall risk and balance (Kundakci et al, 2018). Our experienced physiotherapists will conduct a thorough assessment to ensure vestibular rehabilitation is appropriate for you and may include exercises that train your eye-head coordination. We can provide education on why you are feeling this way, and most importantly help you feel better.

Other Conditions

Other Conditions We Help With

  • Heart and lung conditions 

  • Cancer recovery and management 

  • General weakness after illness 

  • Balance and dizziness problems 

  • Chronic pain conditions 

Community & Group Services

FitMove Classes

We run FitMove - accessible exercise classes designed to keep people active and maintain fitness throughout later life. These classes focus on improving strength, balance, and overall wellbeing in a fun, social environment.

Charity Partnerships

We're proud to work in partnership with local charities:

  • Age UK Bexley - Providing FitMove exercise classes in community settings 

  • Bromley Branch of Parkinson's UK - Specialist exercise sessions for people with Parkinson's and their families 

Care Home Group Sessions

We provide group exercise classes in residential and community settings, supporting residents with balance, mobility, and social engagement. Our sessions are designed to accommodate people with memory problems, dementia, and complex physical needs.

References: 

Flynn, A., Allen, N.E., Dennis, S., Canning, C.G. and Preston, E. (2019). 'Home-based prescribed exercise improves balance-related activities in people with Parkinson's disease and has benefits similar to centre-based exercise: a systematic review.' Journal of Physiotherapy, 65(4). Available at: https://doi.org/10.1016/j.jphys.2019.08.003. 

Hsu, H. and Siwiec, R.M. (2023). Knee Osteoarthritis. Available at: https://www.ncbi.nlm.nih.gov/books/NBK507884/ (Accessed: 10th July 2025)

 

Kundakci, B., Sultana, A., Taylor, A.J. and Alshehri, M.A. (2018). 'The effectiveness of exercise-based vestibular rehabilitation in adult patients with chronic dizziness: A systematic review.' F1000Research, 7(276), p.276. Available at: https://doi.org/10.12688/f1000research.14089.1. 

NICE (2020). Overview - Joint replacement (primary): hip, knee and shoulder –Guidance. Available at: https://www.nice.org.uk/guidance/ng157 (Accessed: 10th July 2025) 

NICE (2025). Recommendations - Falls: assessment and prevention in older people and in people 50 and over at higher risk - Guidance | NICE. Available at: https://www.nice.org.uk/guidance/ng249/chapter/Recommendations#interventions-to-reduce-the-risk-of-falls (Accessed: 10th July 2025) 

Ready to Start Your Recovery Journey?

Contact us by phone, or email to speak with an administrator who will arrange a call with one of our qualified physiotherapists to discuss your needs and start your care correctly. Alternatively complete our enquiry form, and we will get in touch.

Subscribe to 'The Link' Newsletter

OPENING HOURS

Monday to Friday, 9:00am–5:00pm

APPOINTMENTS

LOCATION

Serving South East London & Kent