First Assessment
Free
45 minutes, at home
- Full clinical examination at the patient's home
- The likely cause explained in plain language
- A realistic recovery plan and what it will cost
- No obligation to book any further sessions
An older person in a Manjri family house usually lives among relatives, grandchildren and neighbours, and that closeness is a real strength. It can also hide a slow decline. The grandmother who holds the wall on the way to the bathroom, or the grandfather who has quietly stopped walking to the temple, may never say that something has changed.
The elderly physiotherapy guide explains the general approach to ageing and movement. This page shows what a visit looks like in the kind of home found in Manjri.
What daily life asks of an older body here
- Steps and thresholds. Raised doorsteps, a step at the bathroom and a terrace stair are easy to misjudge in poor light.
- Floor-level routines. Sitting on the floor to eat or pray, then getting up again, takes leg strength that many older people have lost.
- Walks outside. A lane with uneven ground and passing vehicles on the highway side asks for steady balance and good judgement.
- Busy households. With everyone at work or school, a mild stumble in the afternoon may go unseen.
- Several medicines. Some tablets cause light-headedness on standing, which the physiotherapist notes and the family should raise with the doctor.
The home visit for an older person
The first session begins with a conversation about falls, pain, medicines and sleep, and about what the person wants to do again, such as walk to a neighbour's house or climb into a rickshaw. The physiotherapist tests leg strength, balance with eyes open and closed, walking speed, and how the person rises from a chair and the bed. Treatment then covers pain and stiffness and starts a graded programme of strengthening, balance practice and walking.
Joint pain is a common reason for slow walking, and the session may cross into knee pain physiotherapy in Manjri. After a stroke, the work follows the approach on stroke rehabilitation in Manjri.
Making the house safer
- Fit a rail beside the toilet and in the bathing area, and use a non-slip mat.
- Leave a light on between the bedroom and the bathroom at night.
- Choose a firm chair with arms and keep a low stool out of the walking path.
- Take up loose rugs and tuck away wires.
- Mark the edge of any step with a bright strip, and keep a phone within reach.
Staying active at home and outside
A corridor, a terrace with a parapet, or a quiet lane away from the highway makes a reasonable place for walking practice. Start with a few minutes with a relative, repeat it daily and add time slowly. Avoid low riverside roads when it has rained, because the Mula-Mutha has flooded some of them. The physiotherapist agrees a plan with the person that matches their stamina.
Including the family and caregivers
When several relatives share the care, ask the physiotherapist to show one or two of them the exercises and the safe way to support a transfer. A paid helper can learn the same routine. A short call after a session helps a relative who is at work keep up with progress.
When an older person needs urgent medical care
A fall with severe pain or inability to stand, new confusion, fainting, chest pain, sudden weakness on one side, a drooping face, slurred speech or breathlessness at rest means calling an ambulance or going to an emergency department. Dizziness that keeps returning should also be reviewed by a doctor.
Booking a visit
Use the booking page and tell us the house or building, the number of steps to the door and a nearby landmark. The service across the neighbourhood is described on our Manjri page.