Physiotherapy is highly recommended after a joint or muscle bleed to aid recovery and to minimise any long-term complications. It is important that the area of bleeding is protected and supported in the initial period following a bleed and occasionally bed rest is advised especially if there are concerns about deterioration or re-bleeding.  It can be difficult for blood to drain away from the affected joint and muscles can get weaker quickly, so it is important to safely restore physical movement over the next few weeks and months. Please contact the Haemophilia Unit for advice and referral to the specialist haemophilia physiotherapist.

A physiotherapy review and joint score assessment should be completed once a year for patients with haemophilia in order to assess the condition of your joints, give appropriate physiotherapy treatment and advice and to make referrals to other therapy services if required.

Physiotherapy is often useful to help you to manage long term aches, pain and limitations in tasks of daily living including those due to arthritis. It can be beneficial for preventing falls and injuries for people who feel unsteady on their feet or those have fallen in the past. For those patients who are young and less active (often due to concerns about exercise causing bleeds or worsening their pains), physiotherapy can support to establish regular activity or exercise programme. Establishing a good activity programme can to help you to feel healthier, look after your bone health and encourage better overall health and well-being.  Please discuss your joint, muscle or activity concerns with the Haemophilia Team at your next review.