Paediatric Physiotherapy - What You Need to Know!

Physiotherapists usually deal with sports injuries and back pain, right? So, what exactly does a paediatric physio do?

The first thing that needs to be said is that the field of physiotherapy is very broad. A qualified physiotherapist in Cape Town is able to treat conditions of the muscles, bones, nerves, and lungs. Some physios enjoy seeing patients with a wide range of conditions and injuries, whereas others focus their attention on specific populations or conditions – much like a medical specialist.

A physiotherapist in South Africa cannot officially 'specialise', but we can develop a special interest in specific areas – and that’s where I come in. I am a physiotherapist with a special interest in paediatrics. This means that I have spent most of my career researching, studying, and upskilling myself to understand gross motor development, muscles, bones, and nerves in young people – from babies to toddlers, children to tweens, teenagers, and adolescents.

You may have heard the phrase: "babies aren't just small adults." This speaks to the concept that younger, still-developing bodies move, function, and grow in a very unique way. Medical conditions, injuries, and growth have a vastly different impact on a fully mature body compared to one that is continuously growing with a brain still in the process of developing and mapping itself.

I hope this blog post serves as a guide on what you need to know about paediatric physiotherapy, covering common concerns, how to find the right physiotherapist in Cape Town, and what to expect on your child's journey to improved movement and confidence.

When Should Your Child See a Paediatric Physiotherapist?

• Gross Motor Developmental Delays: If a baby is not rolling, sitting, crawling, or walking when expected, concerns about "delayed milestones" are a primary reason for referral. Early intervention can make a significant difference!

• Torticollis & Plagiocephaly: If a baby has a head-turning preference (torticollis) or a flattened spot on their head (plagiocephaly or flat head syndrome), a paediatric physio can provide gentle exercises and advice to assist in correcting these issues.

• Neurological Conditions: For children diagnosed with conditions like Cerebral Palsy, Muscular Dystrophy, or Spina Bifida, physiotherapy is crucial for managing symptoms, improving mobility, and enhancing quality of life. You may consider a physiotherapist who has a special interest in Neurodevelopmental Therapy (NDT).

• Sports Injuries: Sports injuries can happen even in young children. Whether it's a sprain, strain, or more complex issue, a physio can guide their recovery and advise on a safe return to play.

• Coordination and Balance Issues: If your child is frequently tripping, seems "clumsy," or struggles with balance, they might benefit from physiotherapy to improve their gross motor skills and coordination.

• Postural Problems: Concerns like toe-walking, scoliosis, or other unusual walking patterns can occur with or without cause. If you are concerned, a physiotherapist can assess and intervene when needed – early physiotherapy is recommended.

• Post-Surgical Rehabilitation: After an operation, fixation, prolonged splinting, or recovery from a bone break, a paediatric physio can help children regain strength, flexibility, and function.

• Fine Motor Control: Fine motor challenges may interfere with a child’s participation at school. Fine motor control is heavily influenced by muscle strength and stability in the core muscles and shoulders. We believe in a collaborative approach with other therapies to tackle fine motor control in a holistic manner.

  
  

Finding the Right Paediatric Physiotherapist in Cape Town

Searching for "best paediatric physiotherapist Cape Town" or "paediatric physio near me" is a great start. Here's what else to consider:

• Specialised Experience: Look for a therapist with specific training and experience in paediatric care.

• Reviews and Referrals: Check online reviews and ask for recommendations from your paediatrician, friends, or other parents in your community.

• Location: Convenience is key! Consider therapists in your specific Cape Town suburb, whether you're in Rondebosch, Milnerton, or the Northern Suburbs.

• Communication: A good physiotherapist will communicate openly with both you and your child, explaining goals and progress clearly.

  
  

Understanding Costs and Medical Aid

"Cost of paediatric physiotherapy Cape Town" and "does medical aid cover paediatric physiotherapy South Africa" are common and important questions.

• Rates: Physiotherapy rates in Cape Town vary depending on the location, the length of the session, and the specific services offered. It's always best to inquire directly with the practice for their current fees.

• Medical Aid Coverage: Most medical aid schemes in South Africa (like Discovery, Bonitas, Momentum Health, Fedhealth, Medshield, etc.) do provide coverage for physiotherapy, especially if it's referred by a doctor. However, the extent of coverage depends on your specific plan (in-hospital vs. out-of-hospital benefits, annual limits, co-payments), and what their rate is.

• Referral: While not always mandatory for direct access, having a referral from your GP or paediatrician can streamline the medical aid claims process.

• Cash vs. Medical Aid: Some practices might operate on a "cash-up-front" basis where you pay and then claim back from your medical aid. Others bill your medical aid directly. Always confirm their billing practices beforehand.

  
  

What to Expect at Physiotherapy

Physiotherapists have different approaches to therapy, which can be influenced by their experience and personality. Similarly, each child has a specific temperament. This is why some children may respond well to one physiotherapist's approach and less well to another. Here are some things to expect or prepare for:

• Communicate with Your Physiotherapist: Letting your physio know your child's temperament can help them set up the therapy area appropriately, or suggest a more hands-on or hands-off approach, especially in the beginning.

• Items of Comfort: The therapy environment can be overwhelming, with many new toys, new people, and new ways to move. Bring along any comfort items your child might like if they start to feel overwhelmed.

• Toys and Equipment: Physiotherapists who work with children often have many toys, equipment, and games they use in their sessions. If you have something at home like a yoga ball, skipping rope, or climbing frame, let your physio know so they can incorporate these items into your home program. You may also want to bring some of these items into your physio session, especially if your child responds well to them.

• Communicate with Your Therapist: Don't hesitate to ask questions, share concerns, seek clarification, and share successes.

  
  

Take the First Step Towards a Brighter Future

As paediatric physios, we don’t just work with children, but with families. We know that achieving functional goals often doesn't happen overnight, and we see it as a privilege to walk this journey with you – step-by-step. We are there to support you, cheer you on, and celebrate the small victories with you along the way.

Paediatric physiotherapy can profoundly impact a child's development, confidence, and independence. If you have any concerns about your child's movement or physical development, don't wait. Early intervention often leads to the best outcomes!