Physiotherapy that starts with you
Everyone deserves physiotherapy that treats them as an individual, listens to their concerns and respects their dignity.
For transgender and non-binary people, accessing healthcare can sometimes involve additional considerations. You may have had uncomfortable experiences with healthcare professionals, worry about being misgendered, or feel uncertain about whether a service will understand your needs. You may simply want to focus on your pain, mobility or recovery without having to explain or justify who you are.
At The Physiotherapists, I provide one-to-one physiotherapy in the comfort of your own home across Brighton and the surrounding area. My approach is straightforward: you are the expert on your own body and identity. My role is to listen, understand what matters to you, and work with you towards your goals.
Trans bodies are not all the same
There is no single “trans body”. Transgender men, transgender women and non-binary people have diverse bodies, health histories and preferences. Some people take gender-affirming hormones, some have had surgery, some may be considering these options, and others may not want either. None of these choices determines someone’s identity or what physiotherapy they need.
It is important that physiotherapy is based on the individual in front of us, rather than assumptions about their gender.
Depending on your circumstances, there may be particular factors worth discussing as part of your assessment:
- Hormone therapy: If you take testosterone or oestrogen, this may be relevant to your health history and wider clinical picture. Hormones can affect aspects of physiology, and your individual circumstances may be relevant when planning exercise or rehabilitation.
- Recovery after surgery: If you have had gender-affirming surgery, your recovery, movement, comfort and any advice from your surgical team may need to be considered. The right rehabilitation depends on the procedure, how you are healing and your goals.
- Pain, movement and pelvic health: Some people may experience pain, muscle tension, changes in movement or pelvic health concerns. These are individual issues, not inevitable consequences of being trans.
- Strength, fitness and bone health: Your medical history, activity levels, medications and any relevant risk factors can help inform an appropriate exercise programme.
These are considerations, not assumptions. I will ask only questions that are relevant to providing safe and effective care, explain why I am asking, and respect your right to decline to discuss something that is not necessary for your treatment.
How home physiotherapy can protect your dignity
For some people, attending a clinic can bring extra worries: travelling while in pain, using unfamiliar facilities, being seen in a waiting room, or having to navigate an environment where they are unsure how they will be treated.
A home visit offers a different experience.
Your appointment, in your own space
You can receive treatment in familiar surroundings, without the journey to a clinic or the uncertainty of a shared waiting room. We can discuss what will make the appointment comfortable for you, including where you would prefer to be assessed and whether anyone else should be present.
Privacy and control
You can tell me how you would like to be addressed and what name and pronouns you use. I will respect that. I will also explain what an assessment involves before we begin, ask permission before any physical contact, and check that you are comfortable as we go.
You can ask questions, request a pause, or tell me if something does not feel right. You do not need to disclose personal details about your transition unless they are relevant to your care and you feel comfortable discussing them.
Assessment without unnecessary exposure
Physiotherapy does not automatically require you to undress. I will explain what I need to assess and why. We can adapt the assessment to your comfort and clinical needs, including using clothing that allows movement while maintaining your privacy.
If an examination or treatment is not necessary, it will not be included simply because you are trans.
Treatment built around your life
Your goals might be to walk with less pain, return to the gym, improve balance, recover after surgery, build strength or feel more confident moving around your home. We will agree a plan that reflects your priorities, your abilities and your circumstances.
You should not have to educate your physiotherapist about your identity
It is reasonable to expect a healthcare professional to approach you respectfully and to recognise that people’s bodies and experiences differ.
I will not assume your anatomy, medical history, treatment choices or goals based on how you look or how you identify. If I need to ask a personal or clinical question, I will explain why it matters. If something falls outside my expertise, I will be honest about that and discuss appropriate next steps.
My aim is for you to spend your appointment working towards better movement, comfort and independence — not managing someone else’s assumptions.
Physiotherapy in Brighton, at home
The Physiotherapists provides private, one-to-one home physiotherapy in Brighton and surrounding areas. Whether you are managing an ongoing musculoskeletal problem, recovering after a period of illness or surgery, or looking to improve strength, balance and mobility, your treatment will be shaped around you.
You do not need to be at a particular stage of transition, taking hormones or have had surgery to access physiotherapy. You simply need a physiotherapy concern that I can appropriately assess and treat.
Your body. Your goals. Your care.
If you would like to discuss whether home physiotherapy is right for you, you are welcome to get in touch. We can talk through what you need, answer any questions about the home-visit process and agree on a way forward that feels comfortable for you.
[Contact Jason to discuss a home physiotherapy appointment]
Clinical note
This article describes general physiotherapy and inclusive practice. It does not claim specialist gender-affirming surgical or pelvic-health expertise. Any surgery-related rehabilitation would need to take account of the specific procedure and the advice of the treating team. The CSP’s professional guidance is a useful reference for this approach
