I have known Rob for over twenty years, both as a friend and as a work colleague. I find him one of the most clinically astute and caring clinicians I have come across. His hands are the nearest things to mobile MRI scanners you will ever find! His ability to diagnose and treat musculoskeletal conditions is of the highest order. It is a great pleasure having the reassurance of my patients being looked after by him. I can’t recommend him highly enough.Mr Jonathan Webb, Consultant Orthopaedic Surgeon
Mr Patterson and his assistants provide holistic physiotherapy in patients with musculoskeletal, sports and pain disorders which mimic organic diseases. The recovery in such cases requires patience, sympathy and perseverance and in my experience Rob has provided resolution for very difficult to diagnose pain problems which have broken the cycle of needing to seek further healthcare.Dr R T Przemioslo MD FRCP, Consultant Gastroenterologist and Hepatologist
I have had the pleasure of working with Rob and his team for over 20 years. Rob’s professionalism, breadth of knowledge and expertise in the management of spine conditions is exemplary, and his uniquely holistic approach has been invaluable to many of our mutual patients presenting with complex spinal problems over the years.Mr Nitin Patel, Consultant Spinal Neurosurgeon
I have worked with Rob Patterson since 1996, when he was a pioneer Extended-Scope Physiotherapist in the orthopaedic service at the famous Frenchay Hospital. Rob was picked for this role because he was already an outstanding physiotherapist. He went on to spend years working alongside consultants, perfecting his diagnostic skills until they easily surpassed those of even the most senior registrars in the clinics. He was then employed in place of these doctors and spent many years as the first point of contact for patients who had been referred to the orthopaedic service. During this time, he garnered impressive depths of knowledge and experience in the field.
As a specialist in the management of patients with chronic pain, I knew that I could rely on him to assess patients appropriately and spend the time they needed to help them develop a true understanding of their conditions. I knew that he would make a sensible decision and devise a competent treatment plan for the patients.
Rob understood that many patients have pain that cannot be removed by surgery and that some patients might be made worse by surgery. He took the time to educate himself and learn about pain mechanisms, neural pathways and the use of mindfulness and other psychological treatments in pain management.
In short, a unique physiotherapist who has a skillset that will benefit any patient with acute or chronic problems. Probably the safest pair of hands that I know for both the diagnosis and management of musculoskeletal problems. Unlike so-called “sports” physiotherapists, Rob knows how to handle patients with long-term pain problems and that really is an art.Dr Gareth Greenslade, Consultant in Pain Medicine
I have had the pleasure of working with Rob Patterson over the course of years. He is an astute diagnostician and a very thoughtful care provider. His insights gained from caring for TOS patients and his extensive study of this area have provided him with an outstanding level of expertise.
He understands the various factors which are at play in patients suffering disabling weakness, pain and paraesthesia in their upper extremity. He is careful in evaluating and assessing the elements which result in the development of symptoms. He is highly attuned to the nuance of interaction between the patient, their environment and their symptoms.
Following from this his prescriptions of physical modalities in managing this condition are based on carefully researched method.
He takes a comprehensive approach to care and is exceptionally effective in seeking and coordinating resources to help his patients. He is judicious and appropriate in advising consultation, testing or intervention.Dr Hugh Gelabert, MD, Professor of Surgery, UCLA School of Medicine
Thoracic outlet syndrome (TOS) is a group of often highly debilitating symptoms caused by compression of the nerves, arteries, or veins running from the arm into the rest of the body.
In the 1970’s in the USA, there was little of consequence in the contemporary medical literature. Clinical understanding of TOS was inadequate to meet the rising number of patients with these unique disorders.
It is a condition which is estimated to affect up to 80 of every 1,000 patients in the USA. Significant strides have been made in the USA with diagnosis and treatment of TOS. As in the USA in the late 70’s, the medical establishment in Europe appear quite reluctant to accepting this as a “real” diagnosis, despite the clear and devastating symptoms that such patients have and the benefit that proper diagnosis and treatment can achieve.
I met Rob Patterson during an academic meeting last year in London. In my view, and in the view of patients he has helped, he has literally led the way in the diagnosis and treatment of this condition in England, and has been a champion with regard to changing the mindset among medical professionals. He has helped numerous patients achieve great results, both with his own care and interventions along with referral for surgery, when appropriate, despite strong headwinds. His goal is to help patients, and through his efforts we are beginning to see a steady improvement in knowledge and care in this area.
In the hands of many medical professionals the diagnosis of patients with neurogenic TOS is often rejected. It remains Rob’s mission to help the patients by changing this mindset.
It’s been a pleasure collaborating with him.Mr Karl A. Illig, MD, Professor of Surgery, Director, Division of Vascular Surgery, Associate Chair, Faculty Development and Mentoring, USF Morsani College of Medicine
I have known Rob as a colleague and friend since working together in Frenchay Hospital in the mid 80s. During this time he became expert at keeping me on the rugby and basketball field and since has been a valued source of advice.
Rob has widespread expert knowledge with a knack of getting to the root of all the tricky cases and organising the best management plans for his patients. He combines compassion with professionalism and has always been willing to share his expertise in order to ensure the best care and outcome for all our patients.Mrs Sue Hughes, Chartered Physio, Henleaze Physiotherapy Clinic
Rob provides an excellent service, opinion and treatment for a variety of conditions, seeking further specialist advice and imaging where appropriate. It has been a pleasure working with him over the years.Dr Mark Cobby, Consultant Musculoskeletal Radiologist
I worked with Rob at North Bristol Trust for a good few years when he was the senior Physiotherapist in the department of Orthopaedic Spinal Surgery at Frenchay Hospital, and since 1999 I have referred many patients to him at the Cherington Practice. Kate James worked with us for several years here in Bristol Neurosurgery, at Frenchay, before joining the Cherington Practice. I greatly value their expertise in assessment, diagnosis and management of spinal conditions, and indeed their comprehensive knowledge and management of musculo-skeletal conditions in general.
I am also pleased to say that when I review patients who have already been treated by Rob or Kate, I hear nothing but praise for their treatment and communication skills, their professionalism and kind manner. I am quite sure that these standards of care will apply to other professional and support staff at Cherington.
My professional opinion is that Rob and his colleagues at Cherington Practice have consistently provided the highest quality and most appropriate care and advice for patients across the range of spinal problems.Dr Keith Greenfield PhD MCSP
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