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What is Physio?

A Chartered Physiotherapist's main focus is reduction of pain and correction of dysfunction and injury. Chartered Physiotherapists are allied health professionals and Physiotherapy is considered within the realm of conventional medicine. ?Physiotherapy is a science-based health care profession which involves evaluating, diagnosing, and treating a range of diseases, disorders and disabilities using physical means.


To become a Physiotherapist in Ireland, an individual must first obtain a graduate degree from an accredited Physiotherapy program. In Ireland, the Bachelor of Science in Physiotherapy (BSc Physio) is conferred by Trinity College Dublin, University College Dublin, the Royal College of Surgeons and University of Limerick. During this time they complete over 1,000 hours of clinical practice in a number of different specialties. On leaving they are awarded a degree (not a diploma).

Upon completing the degree the Physiotherapist must acquire their license and insurance from the Irish Society of Chartered Physiotherapists (ISCP) and thereafter are referred to as a Chartered Physiotherapist. In addition, Chartered Physiotherapists are compelled to fulfill their CPD (Continuous Professional Development) on an annual basis. This is closely monitored by our professional body, the ISCP. This ensures that Chartered Physiotherapists are up to date with new findings and techniques.

It is worth making the distinction that Physiotherapy is also referred to as physical therapy in the United States. Duncan Lawler is also a Licensed Physical Therapist in the State of Florida. Whereas in Ireland, Physical Therapists have just done weekend courses, not full time degrees. If you are confused as to who you should see, ask your GP.

Even, if you are not going to come to one of our clinics, we will strongly advise that you make sure you see a Chartered Physiotherapist. This guarantees that:




Your body is extremely important, always ensure you look for Chartered or MISCP (Member of the Irish Society of Chartered Physiotherapy) before you let someone treat you.


Treatment fees are 50 Euro per consultation BUT You can recover costs of treatment from your medical insurance. Chartered Physiotherapy is eligible for refund with VHI, Quinn Medical, Hibernian Health (Vivas, the Hospital Saturday Fund, Prison Officers, Defence Forces, An Garda Siochana, among others (however we do advise you to check your policy in case of additional terms and conditions). Reimbursement rates vary depending on your policy. Tax relief is available on all Chartered Physiotherapy costs. EXAMPLE. 50 Euros fee. RECLAIM 40 Euro back from health insurance. Remaining 10 Euro is subject to tax relief, treatment cost could end up costing you just 7 Euro!


Payment must be made at the time of each consultation.

Receipts are given after payment for tax or health insurance companies. If you pay for six sessions in advance you get the seventh FREE.

Number of treatments

Whilst each patient is an individual, following your first appointment the anticipated number of treatments will be discussed. You will be re-assessed on each visit. The amount of sessions required varies with each individual and with each condition. However, the standard quota in most cases would be a minimum of 6-10 sessions. The frequency of attendance, whether a few times a week, or once every couple of weeks will also depend on the clients particular complaint.

Working with Business

Work related injuries account for a high percentage of work place absence in Ireland.

Duncan Lawler's Physiotherapy Clinics provide expertise in human movement at work, its effect on the musculoskeletal system and with disorders attributed to the physical working environment.

We cater for the corporate sector providing treatment for work related injury and stresses. Packages are available for employers or individuals.

Services provided

Treatment and rehabilitation of work-related injuries

Advice on prevention of work-related injuries

Ergonomic assessments

Risk assessments

Handling courses for employees

Liaison with Safety Office

Provision of physiotherapy reports

Duncan Lawler is a Fetac Level 6 qualified Manual Handling Instructor and a qualified CPR Instructor.





What is acupuncture?

Duncan Lawler is an instructor for the British Medical Acupuncture Society.

Acupuncture is a treatment that consists in pricking the patient with a special needle. It developed in China about 2,000 years ago. Traditional Chinese acupuncture uses a complicated system of ancient ideas that are not easy for most of us to understand or accept today. However, many modern Western practitioners find that acupuncture can be understood in scientific terms. This makes it easier to use in a Western setting and it is becoming increasingly acceptable here. Many hospitals today offer acupuncture to their patients and the British Medical Acupuncture Society has over 2500 members. Today, therefore, there are two main forms of acupuncture: traditional and modern.

What are the differences between traditional and modern acupuncture?

The differences are mainly at the level of theory - ideas about what is going on when one inserts an acupuncture needle into a patient. There, are, however, also some practical differences. Modern acupuncturists do not use traditional diagnostic methods such as the pulse or the appearance of the tongue. Many, though not all, modern acupuncturists leave the needles in place for quite a short time: often about two minutes or even less. Many, though not all, modern acupuncturists use only a few needles - perhaps four and sometimes only one! Surprising though this may seem, experience shows that doing acupuncture this way is quite as effective as using a lot of needles and leaving them in for longer and is less likely to have unwanted effects.

Which is better, modern or traditional?

It is not possible to give an objective answer to this question because there is little good research evidence that bears on it. Probably both versions of acupuncture are roughly similar in effectiveness but modern acupuncture is generally quicker and easier to perform. There are also some techniques in the modern version that are not used in traditional acupuncture and which are particularly effective in certain circumstances, e.g. for the treatment of joint pain (arthritis).

How does it work? In many cases the acupuncturist makes use of "trigger points". These are areas, usually in muscle, that hurt when pressed and cause pain to radiate to other places that may be some distance away from the trigger point. Needling the trigger point can relieve pain in these distant areas, although we do not know exactly how this happens. Acupuncture can still work even when there are no trigger points. In such cases it probably acts by changing the ways in which the central nervous system (brain and spinal cord) is transmitting information about pain. It is important to understand that acupuncture does have measurable effects on the body even though we can't explain them all in detail. You don't have to believe in it for it to work!

What diseases can be helped by acupuncture?

It isn't possible to give a complete list, partly because a lot depends on the reaction of the individual patient. Some people are much better subjects than others, and some don't respond at all. In general, acupuncture is good for pain, especially pain in the muscles and joints (including some kinds of arthritis). It can also help in a range of other disorders, including headaches and migraine, some allergies, painful periods, and ulcerative colitis.

Does it hurt?

Acupuncture is usually not pain-free. However, it is no more painful than an ordinary injection or blood test and in many cases it is less painful than these. As a rule it is necessary to produce a little pain to achieve an improvement but some people feel nothing at all. Oddly enough, you may even find that acupuncture makes you feel relaxed and happy. If this happens it probably means that you are a good acupuncture subject and are likely to benefit from this form of treatment. (If it doesn't happen to you, however, that is not a bad sign; you may do well anyway.)

Can it cause any harm?

Acupuncture carries the same risks as any other medical procedure involving needles, such as damage to internal organs or structures, though this is rare. To put it in perspective, the risk of harm occurring as the result of acupuncture is probably less than the risk of taking aspirin or an anti-inflammatory drug for arthritis (these drugs can cause bleeding). This assumes, of course, that the acupuncture is performed by someone with an adequate knowledge of anatomy and medicine.

Are there any particular adverse effects I should look out for?

Sometimes a small bruise appears where the needle was inserted. This isn't serious; it just means that a little vein was broken by the needle. There is no need to do anything about it; it will go away by itself. Some patients find that their symptoms become temporarily worse for a short time after acupuncture. This is termed an aggravation. Tell the person who is treating you about this next time you come; it may be possible to avoid the aggravation in future by treating you more lightly, with fewer needles or for a shorter time. But some people will get an a mild aggravation every time they have acupuncture. In general, aggravation is followed by an improvement, so it is quite a good sign. Some degree of drowsiness after acupuncture is fairly common. This may make driving or operating machinery dangerous, so patients should generally not drive themselves home after treatment, particularly on the first occasion. Sometimes drowsiness does not occur after the first treatment but does occur on a subsequent occasion, and it is also possible for the onset of drowsiness to occur later in the day, some hours after treatment. Patients who have had acupuncture should therefore be cautious about driving for the rest of the day and should be prepared for their reflexes to be slower than normal. This list does not exhaust all the adverse effects that have been reported but it does summarize the commonest ones. If you have any particular anxieties about the treatment you should discuss them with the person who is going to treat you.

Can acupuncture transmit Aids or hepatitis?

No, because all the needles are disposed of after use. There is therefore no possibility that infection could be transmitted.

How soon will I notice an improvement?

Some patients notice partial or even complete relief as soon as the needle is put in but this is exceptional. Most find that improvement takes longer to appear - sometimes later the same day, or perhaps up to two or three days.

How many treatments will I require?

Sometimes one treatment is enough but this is unusual. Most people require a course of roughly 3 to 6 treatments. At first you may be asked to come back after one or two weeks; as improvement occurs the intervals between treatments may be made longer. Generally speaking, there should be at least some effect after two or three treatments. If nothing at all happens you are probably not going to respond to this form of treatment. You may find that the effects of treatment vary from time to time. One treatment may help a lot, the next less or even not at all. Don't worry too much about this; provided there is a long-term trend towards improvement all is in order.

Will acupuncture cure me completely?

This depends on what you are being treated for. Some illnesses can be cured, and many more can be helped a lot although not completely cured. In such cases you may need to have repeated treatments at intervals, perhaps once every 2 or 3 months.

Who will treat me?

You will always be treated by Duncan Lawler Senior Chartered Physiotherapist who specialises in pain management and acupuncture. You will not be treated by anyone else.

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