Frequently Asked Questions
What is AposTherapy®?+
AposTherapy® is a clinically proven, drug-free and non-surgical treatment for various musculoskeletal disorders such as:
- Knee pain
- Hip pain
- Lower back pain
- Meniscal tears
- Patello-femoral pain
- Rehabilitation following knee surgery
A fully personalised care programme re-designs the way you walk by aligning the body and re-educating the muscles around your joint to relieve pain.
AposTherapy® fits seamlessly into your daily routine, delivering lasting pain relief so you can move with confidence and Be yourself again.
Developed by experts in orthopaedics and in sports medicine, AposTherapy® uses specialist biomechanical technology. The hi-tech device is worn on the foot of the patient for around an hour a day going about normal daily activities. The device is adjusted by specially trained chartered physiotherapists. Patients can benefit from significant pain relief, improved function and in some cases the treatment can deter from surgical option.
What makes the AposTherapy® personalised medicine approach so successful?+
Many of our patients tell us that having tried endless solutions, with AposTherapy® they’ve finally found an approach that works. That’s because we treat you the patient as an individual, starting with a full clinical analysis of your problem joints, level of pain and day-to-day restrictions - whether climbing stairs, walking, gardening or dancing. This in-depth evaluation forms the basis of your personalised treatment programme which is easy to carry out and blends in with your daily life for around an hour a day.
Over 50,000 have benefited from AposTherapy® and we have a dedicated section on our website where some of our patients talk about their journey and how the treatment has enabled them to become more mobile and do the things they love to do again.
Who provides the treatment?+
AposTherapy® is avliable through a a network of selected Private Physiotherapist that have qualified to deliver AposTherapy®. Treatment is administered and monitored by specially trained chartered physiotherapists (ACPTs) to provide the AposTherapy® treatment.
What makes the AposTherapy® personalised medical approach so successful?+
Many of our patients tell us that having tried endless solutions, with AposTherapy® they’ve finally found an approach that works. That’s because we treat you the patient as an individual, starting with a full clinical analysis of your problem joints, level of pain and day-to-day restrictions - whether climbing stairs, walking, gardening or dancing. This in-depth evaluation forms the basis of your personalised treatment programme which is easy to carry out and blends in with your daily life for around an hour a day. Over 50,000 have benefited from AposTherapy® and we have a dedicated section on our website where some of our patients talk about their journey and how the treatment has enabled them to become more mobile and do the things they love to do again.
What is the technology behind AposTherapy®?+
As part of the AposTherapy® treatment you receive a personally adjusted biomechanical device featuring Pertupods - convex pods located beneath the front foot and heel. Your ACPT will select and position the most suitable Pertupods in order to release pressure from your painful joint and introduce controlled micro-instability for muscle re-education. By combining correct body alignment with micro-instability, the unique AposTherapy® technology represents a breakthrough in the treatment of knee pain. Optimal body alignment is determined by Pertupod positioning and height, shifting the centre of pressure to control the forces acting on the joints. Controlled micro-instability – perturbation – is achieved by selecting the appropriate Pertupod convexity, resilience and weight combination.
What do AposTherapy® consultations entail?+
During your initial consultation at an AposTherapy® provider centre your ACPT will conduct a number of examinations in order to develop a personalised therapy programme that responds to your unique treatment needs. Click the link below to watch a video with outlines exactly what happens during your initial consultation. Your therapist will continually reassess your therapy programme at follow-up consultations which take place in their clinic. Here you’ll repeat many of the examinations you did at the initial consultation to provide an objective and subjective assessment. Throughout the process, wherever necessary, your AposTherapy® biomechanical device is adjusted and your personalised therapy programme updated to ensure you reach optimal treatment outcomes.
What does the computerised walking analysis check?+
When an individual suffers from joint pain, typically they change the way they walk to compensate for the pain. Stride gets shorter, walking speed decreases, and they avoid putting weight on the affected side, which may lead to limping. A computerised gait analysis provides an objective scientific assessment of the way the patient walks including load distribution on each leg, stride length, gait symmetry, and more. This enables the personalised therapy programme to be developed in such a way that it responds to your unique therapy needs, as well as a source for objective comparison throughout your pathway of care.
Do I have to exercise with AposTherapy®?+
The beauty of the AposTherapy® treatment is that it transforms your ordinary daily routine into a positive and simple rehabilitation process. Treatment aligns your body and re-educates your muscles with minimal interruption to daily life and maximum rehabilitation. In fact, you won’t feel as if you’re working your muscles at all, you’ll just gradually notice improvements.
Do I have to set time aside for AposTherapy®?+
The AposTherapy® treatment was designed to fit seamlessly into your everyday life and takes place in your own home or work environment You only need to wear the device for around an hour a day, making treatment easy to comply with, giving you the best results. AposTherapy® allows you to decide the time and place, ensuring that therapy fits in with your lifestyle, as opposed to having to fit your life around the therapy.
How long does the AposTherapy® treatment process last?+
AposTherapy® treatment fits seamlessly into your existing daily routine needing only around an hour a day, at home or at work with no special exercises required. Your personalised treatment programme continues for an average of 12 months, depending on your specific clinical needs. The process begins with visiting the AposTherapy® Centre for an initial consultation, typically lasting up to 1.5 hours, and then 3-5 follow up consultations, typically around an hour each. The purpose of the follow-ups is to ensure on-going optimal progress and maximum pain relief.
How long before an improvement is felt?+
Many AposTherapy® patients say they feel some pain relief during their initial consultation, while experiencing the unique biomechanical device for the first time. According to a survey of patients who had been suffering for an average of 6 years, patients reported reduced pain within 4 weeks of starting AposTherapy® (1). A clinical study that monitored patients for two years attests to the lasting effect of AposTherapy® (2). As with any medical interventions, individual results may vary. 1. Independent survey conducted by Network Research in Nov., 2009 amongst 150 AposTherapy® patients. 2. Bar-Ziv Y. et al. Osteoarthritis and Cartilage 2010:15(Suppl. C):C83
How long does symptom relief last?+
New data about the long term benefits of AposTherapy® is emerging on an ongoing basis. One recent clinical trial re-examined osteoarthritis patients two years after an original study had shown reduced pain and improved knee joint function with AposTherapy®. The follow-up found significant pain relief of 63% and 65% improved knee joint function even after 24 months. 1. Bar-Ziv Y. et al. BMC Musculoskeletal Disorders 2010;11:179.
Who can benefit from AposTherapy® treatment?+
AposTherapy® treatment was developed by orthopaedic doctors with the aim of helping people with disabling musculoskeletal disorders, particularly focusing on knee osteoarthritis. AposTherapy® has been found to be effective for the following conditions:
- Knee pain (Osteoarthritis, patellofemoral pain syndrome, meniscal tear, ligament tear)
- Low back pain
- Rehabilitation before and after total knee and hip replacement surgery
- Hip pain (particularly osteoarthritis)
- Ankle problems (rehabilitation post fractures, recurrent ankle sprain)
- Sports injury rehabilitation
Who is not suitable for AposTherapy® treatment?+
Generally the AposTherapy® treatment is not suitable for individuals who:
- Have sustained recurring falls
- Experience balance problems
- Suffer from severe osteoporosis
Do I need a prescription for AposTherapy®?+
Anyone can come for a free initial consultation to establish whether they are suitable for AposTherapy® treatment. You may however need a referral from your doctor to be eligible for coverage from your insurance provider.
Is AposTherapy® appropriate before joint replacement surgery?+
If the surgery is in one month or more, AposTherapy® can help prepare the joint for the surgery and enable improved muscle activity until the surgery is performed. As a result of the treatment, the muscles should respond well post-operatively to rehabilitation, which will assist in returning you to normal function with less postoperative pain.
Is AposTherapy® appropriate after joint replacement surgery?+
Yes. AposTherapy® enables efficient and relatively rapid rehabilitation, with less pain. AposTherapy® assists in the implementation of proper and symmetrical gait patterns following joint replacement, and will improve stability and confidence while walking.
Is AposTherapy® safe?+
Yes. AposTherapy® is non-surgical and non-pharmaceutical. It is registered with the FDA and has a CE marking. AposTherapy® is appropriate for most patients of all ages including elderly patients. All AposTherapy® patients are assessed for suitability and are continuously monitored. Clinical experience indicates that any side effects are minimal and rare and may manifest in mild fatigue and muscle spasms. In rare cases where they appear they pass very quickly as treatment progresses.
Does AposTherapy® work?+
Clinical studies investigating AposTherapy® published in leading medical journals indicate significant reductions in pain and substantial improvements in joint function and quality of life. That’s because AposTherapy® is based on the latest evidence regarding the central role biomechanics plays in osteoarthritis. It was developed by orthopaedic doctors to offer a safe and effective new approach for the treatment and management of the disease. AposTherapy® has already benefited tens of thousands of people around the world and has proved highly effective in providing lasting pain relief and long-term improved function.
Where is AposTherapy® available?+
AposTherapy® is available nationwide through a network of selected Private Physiotherapist Practices which have qualified to deliver AposTherapy®. Please visit our centers section to find your nearest provider.
Are AposTherapy® treatment costs subsidised?+
Apostherapy® is covered by a number of insurance companies. You may be eligible for cover under your private medical insurance plan, which are assessed on a case by case basis. It is best to speak with your insurer before attending an appointment to find out.