Frequently Asked Questions

 Here are some frequently asked questions that we encounter with our patients. Click on the question to reveal the answer.
  1. What is AposTherapy?
  2. AposTherapy is a clinically proven drug-free and non-surgical treatment for joint pain caused by knee osteoarthritis and other musculoskeletal disorders. The therapy was developed by orthopaedic doctors, based on established medical principles and incorporates cutting-edge bio mechanical technology. It is a fully personalised care programme that re-designs the way you walk by aligning the bones in your lower limbs and re-educating the muscles around your joint. AposTherapy fits seamlessly into your daily routine, delivering lasting pain relief.

  3. Who provides the treatment?
  4. Treatment is administered and monitored by AposTherapists, certified physiotherapists specially trained to provide AposTherapy. AposTherapy works in partnership with physicians to ensure our patients are on a path to wellness.

  5. What makes AposTherapy so successful?
  6. Many of our patients tell us that having tried endless solutions, with AposTherapy they’ve finally found an approach that works for them. That’s because we treat you as an unique 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 therapy programme which is easy to carry out and blends in with your existing routine for around an hour a day.

  7. What is the technology behind AposTherapy?
  8. As part of your AposTherapy treatment, you receive a personally adjusted biomechanical system featuring “Pertupods” – convex pods located beneath your front foot and your heel. Your AposTherapist will select and position the most suitable Pertupods in order to release the pressure on your painful joint and introduce a controlled micro-instability for muscle re-education and re-training.

    By combining a corrected body alignment with micro-instability, the unique AposTherapy technology represents a breakthrough in the treatment of knee,hip and lower back pain. Your optimal body alignment is determined by the positioning and height of the Pertupods, shifting the centre of pressure to control the forces acting on your joints. Controlled micro-instability (perturbation) is achieved by selecting the appropriate Pertupod curvature, resilience and weight combination. This instability exercises the muscles and ligaments surrounding your joints, strengthening them to provide increased support to the joints.

  9. What do AposTherapy consultations entail?
  10. During your initial consultation, your AposTherapist will conduct a number of examinations in order to develop a personalised therapy programme that responds to your unique treatment needs. You’ll experience our state-of-the art computerised gait analysis lab, complete pain, joint function and quality of life surveys as well as be interviewed and physically examined by your dedicated AposTherapist to assess your movement patterns. Based on this evaluation you’ll receive your individually adjusted biomechanical device, the technology around which your therapy programme is built. The AposTherapy team regularly initiates phone check-ups to monitor your progress, as well as continually reassessing your therapy programme during follow-up consultations. Here, you will 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 system will be adjusted to ensure optimal treatment outcomes.

  11. What does the computerised walking analysis check?
  12. When an individual suffers from knee or low back pain,they typically change the way they walk to compensate for the pain. Stride gets shorter, walking speed decreases, and they avoid putting weight on the injured leg, 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, and is a source for objective comparison throughout your pathway of care.

  13. Do I have to exercise with AposTherapy?
  14. The beauty of AposTherapy is that it transforms your ordinary daily routine into a positive, pain-free 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 stop noticing the pain.

  15. Do I have to set time aside for AposTherapy?
  16. AposTherapy takes place in your own environment and blends into your everyday life, for around an hour a day, making treatment easy to comply with for 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 therapy.

  17. How long does the AposTherapy process last?
  18. AposTherapy 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 6-12 month 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 sessions, typically around half an hour each. The purpose of the follow-ups is to ensure on-going optimal progress and maximum pain relief.

    It really is that simple and easy!

  19. How long before an improvement is felt?
  20. Many AposTherapy patients say they feel some pain relief during their initial consultation, while experiencing the unique biomechanical system 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 AposTherapy1.

    A clinical study that monitored patients for two years attests to the lasting effect of AposTherapy2. 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

  21. How long does symptom relief last?
  22. 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 months1.

    1. Bar-Ziv Y. et al. BMC Musculoskeletal Disorders 2010;11:179.

  23. Who can benefit from AposTherapy?
  24. AposTherapy 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
  25. Who is not suitable for AposTherapy?
  26. Generally AposTherapy is not suitable for individuals who:

    • Have sustained recurring falls
    • Experience balance problems
    • Suffer from severe osteoporosis

    If in doubt please call us for a phone consultation with an AposTherapist to discuss suitability.

  27. Do I need a prescription for AposTherapy?
  28. Anyone can come for a initial consultation to determine whether they are suitable for AposTherapy. You may however need a referral from your doctor to be eligible for cover from your insurance provider.

  29. Is AposTherapy appropriate before joint replacement surgery?
  30. If the surgery is in one month or more, AposTherapy can prepare the joint for the surgery and enable muscle exercise until the surgery is performed. As a result of the treatment, the joint can learn how to manage proper and coordinated muscle movement, which will assist in returning you to normal function with less postoperative pain.

  31. Is AposTherapy appropriate after joint replacement surgery?
  32. 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.

  33. Is AposTherapy safe?
  34. 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 continuously monitored. Clinical experience indicates that any side effects are minimal and rare and may manifest in the form of mild fatigue and muscle spasms. In rare cases where they appear, they pass very quickly as treatment progresses.

  35. Does AposTherapy work?
  36. 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 was based on the latest evidence regarding the central role biomechanics plays in osteoarthritis and 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 to be highly effective in providing lasting pain relief and long-term improved function.

  37. Where is AposTherapy available?
  38. Presently, AposTherapy is available in the UK, Singapore, and Israel, the Unites States and will be expanding to other countries in the near future.

  39. Is AposTherapy subsidised?
  40. You may be eligible for cover under your private medical insurance plan, please call us for more details.

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