Therapeutic modalities. A purpose for every choice.
Additional treatment when it has a clear role in your care—not a machine for every symptom.
A treatment device may sometimes support comfort or a specific rehabilitation goal. We assess the problem first, explain the expected benefit and limitations, and review whether it helps you move and function.
Assessment firstA plan for your needsYour prioritiesPractical everyday goalsProgress reviewedCare adapted with you
Understanding your needs
Understand the options.
These are treatment approaches, not diagnoses or a package everyone needs. Suitability and evidence differ by condition, and some are not recommended for particular problems.
01
IFT and TENS
Interferential therapy (IFT) and transcutaneous electrical nerve stimulation (TENS) use electrical currents through skin electrodes. They are different treatments.
Our focusConsider a clear, condition-specific reason and safety screening. Temporary symptom relief does not show that the underlying problem has healed.
02
Electrical muscle stimulation
Stimulation may be used to assist muscle activation in selected circumstances. It is not the same as an exercise programme.
Our focusAssess the intended muscle goal, nerve function, sensation and device precautions before deciding whether stimulation is appropriate.
03
Therapeutic ultrasound
This uses sound energy as a treatment modality and is different from a diagnostic ultrasound scan.
Our focusExplain the indication, limitations and alternatives. It should not be assumed to accelerate healing for every injury.
04
Traction
Traction applies a pulling force using a device or technique. It does not reliably ‘put a disc back in place’.
Our focusAssess the diagnosis and evidence carefully. NICE advises against traction for low back pain with or without sciatica.
05
Wax therapy and Moist Heat Therapy
Paraffin wax and moist heat are warming treatments sometimes considered for comfort and stiffness.
Our focusCheck skin, sensation and circulation and protect against burns. Heat may be unsuitable for an acutely injured, inflamed or infected area.
06
Combination Therapy and Short Wave Diathermy
Combination Therapy uses more than one modality together. Short Wave Diathermy (SWD) uses electromagnetic energy and requires specific safety checks.
Our focusExplain each proposed treatment and its purpose. More modalities do not automatically mean more benefit; implants and other precautions must be reviewed.
Your assessment and care
Assessment before equipment.
Ask what the proposed treatment is meant to change and how that change will be checked. You can choose not to have a modality.
01
Understand the concern
Assess symptoms, movement and daily function. Unexplained pain may need medical investigation rather than immediate symptom treatment.
02
Check suitability and precautions
Tell us about pregnancy, epilepsy, implanted devices or metalwork, cancer treatment, poor circulation, altered sensation, wounds and medicines. Precautions differ between modalities.
03
Explain and agree the choice
Discuss expected benefit, uncertainty, risks and alternatives. Settings and placement require clinical judgement; a treatment should not be painful or cause burning.
04
Review meaningful benefit
Reassess comfort and function, and stop or change an approach that does not help. Where suitable, combine symptom support with movement, education and rehabilitation.
Evidence matters: NICE advises against ultrasound, TENS and interferential therapy for low back pain with or without sciatica. Listing a modality here is not a recommendation for every condition.
Care that listens
Experience with a personal approach.
Led by Dr. N. T. Srilatha Gubenthiran, our team brings more than 23 years of senior clinical experience to personalised rehabilitation.
BPT · MIAP · MSc Psychology
We explain the assessment, listen to your preferences and agree a plan together. Your comfort and questions matter throughout care.
No. You may need none of them. Assessment, your goals, evidence and safety guide the choice; there is no standard package of machines for every patient.
Is TENS safe with a pacemaker or during pregnancy?+
Do not use TENS with a pacemaker. During pregnancy, use it only on advice from your doctor or maternity team. Tell the physiotherapist about epilepsy, implanted devices and all relevant health conditions before any electrical treatment.
Does pain relief mean the injury has healed?+
No. A change in pain is only one part of recovery. Movement, function, tissue healing and any medical restrictions still guide what activity is appropriate.
Can I use the same settings at home?+
Do not copy clinic settings or electrode placement without an individual assessment and instructions. Different devices and health conditions need different precautions. Never improvise a home SWD or traction treatment.
What if I prefer exercise-based care?+
Discuss this at your appointment. You can decline a modality and ask about appropriate alternatives. The plan should address your goals and preferences as well as clinical findings.
Sri Physiotherapy Clinic · Kumbakonam
Understand your treatment choices.
Call for an assessment. Bring your medical history and details of implants or devices so treatment suitability can be discussed.