Frequently asked questions
Answers to the questions I hear most often about physiotherapy, clinical Pilates, lymphoedema therapy and booking. If you cannot find what you are looking for, just get in touch.
General
The basics, before you get started.
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Do I need a doctor’s referral or report to start physiotherapy?
I plan your physiotherapy and rehabilitation programme in line with your doctor’s diagnosis and recommendations. So please bring any discharge summary, doctor’s report, MRI or X-ray results you have to our first meeting.
If you have not seen a doctor yet, I recommend a doctor’s assessment before you start physiotherapy. Mention it in your request, and when I call you we can talk about how best to proceed.
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When should physiotherapy start after surgery?
It depends on the type of operation and the timeline your surgeon recommends. After some procedures, movement starts early, while after others the tissues need a period of healing first.
That is why it helps to bring your surgeon’s recommendations, any written rehabilitation protocol and your operation notes to the first meeting. I plan the programme within that framework, matched to each stage of your recovery, and update it as you progress.
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Do you also work with children and older adults?
Yes. Paediatric and geriatric rehabilitation are among the areas I work in. Goals differ with age. For children, developmental milestones, posture and movement skills come first. For older adults, the focus is on balance, walking, moving safely and independence in daily life.
With children, the family’s involvement is an important part of the process. With older adults, it helps when relatives know the programme too. I adapt the exercises to each person’s age, interests and energy.
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Is SGK or private health insurance accepted?
Arrangements for SGK (Türkiye’s social security institution) and private insurance vary with each policy and personal situation, so I prefer to give you accurate, up-to-date information directly.
Just mention your insurance when you leave a request, call or send a WhatsApp message, and I will let you know. If you have private health insurance, it is also worth checking your physiotherapy cover and any documents required with your insurer.
Sessions
Assessment, planning and exercising at home.
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What happens at the first session?
The first meeting is an assessment. I start by listening: how your symptoms began, how they affect your daily life, your medical history and what you hope to achieve. Then I carry out tests suited to you, looking at posture, range of movement, muscle strength and balance.
With this information we set goals together and plan a programme tailored to you. Bringing any doctor’s reports, discharge summaries, MRI or X-ray results makes the assessment easier.
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How many sessions will I need, and how long is a session?
The answer varies from person to person. The number and length of sessions depend on your symptoms, how long you have had them, any surgery you have had, your general health and your goals.
After the first assessment I suggest a plan tailored to you, and we talk openly about how the process is likely to unfold. We review your progress together at regular intervals and adjust the plan whenever needed.
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What should I wear, and what should I bring?
Choose comfortable, flexible clothing you can move freely in, such as joggers, leggings and a T-shirt. If a knee or shoulder is being assessed, shorts or a vest top make things easier. For Pilates sessions I recommend non-slip grip socks.
Please bring any doctor’s reports, discharge summaries, MRI or X-ray results, and a list of the medicines you take regularly. A bottle of water is useful during the session, too.
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Will I need to exercise at home between sessions?
Usually, yes. Regular movement on the days in between supports the work we do together in sessions, so I prepare a short, clear home exercise programme that fits your daily routine.
We first go through the exercises together in a session to make sure you are doing them correctly. The programme is updated as you progress and according to how you feel. If your pain increases noticeably during an exercise, please stop and tell me about it at your next session.
Clinical Pilates
Physiotherapist-led reformer and pregnancy Pilates.
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How is clinical Pilates different from regular Pilates?
Clinical Pilates is an approach in which a physiotherapist adapts Pilates principles to a person’s health needs. Before we begin, I assess your posture, the quality of your movement and any pain or relevant medical history.
Exercises are chosen from this assessment rather than a set routine, and adapted to situations such as back or neck pain, postural problems, recovery after surgery or pregnancy. I follow your movement closely throughout each session and adjust the programme to your needs.
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Who is reformer Pilates suitable for?
The reformer is a spring-based apparatus with adjustable resistance, so it can both support and challenge movement. That flexibility means it can be adapted for a wide range of people: complete beginners and active people alike, those who want to improve their posture and core strength, and those returning to movement with confidence after pain or injury.
Even so, not every programme suits everyone. If you have a heart condition or have had recent surgery, please get your doctor’s approval before starting. If you are pregnant, we start only with your obstetrician’s approval.
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When can I start Pilates during pregnancy?
The right time to start exercising in pregnancy is individual, and we always start pregnancy Pilates with your obstetrician’s approval. There is no fixed week that applies to everyone. How your pregnancy is progressing, your previous exercise habits and your general health all play a part.
Once your obstetrician has given approval, I adapt the exercises to your stage of pregnancy and the changes in your body. We work on breathing, posture, pelvic floor awareness and ease of movement in daily life. If you feel unwell during a session, we stop straight away.
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When can I return to exercise after giving birth?
Returning to exercise after birth depends on the type of delivery, your recovery and your doctor’s assessment, so please get their go-ahead before you start.
Once you are cleared, we usually begin by reconnecting with your breathing, pelvic floor and abdominal muscles, then build the load gradually. If you notice abdominal separation (diastasis recti), leaking urine or a feeling of heaviness in the pelvic area, please mention it at our first meeting so that I can plan the programme accordingly.
Lymphoedema and lipoedema
Swelling, lipoedema and manual lymphatic drainage.
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What is lymphoedema?
Lymphoedema is swelling, often long-lasting, caused by lymph fluid building up in the tissues of an arm, a leg or another part of the body. It can be linked to how the lymphatic system developed, or it can appear after surgery in which lymph nodes are removed, or after radiotherapy.
It is diagnosed by a doctor. Physiotherapy treatment is usually based on complex decongestive therapy (CDT), which combines manual lymphatic drainage, compression bandaging, exercise and skin care. The aim is to reduce swelling and symptoms and make daily life easier. If you notice new swelling in an arm or leg, please see your doctor first.
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What is the difference between lipoedema and weight gain?
Lipoedema is a chronic condition, seen mostly in women, in which fat tissue builds up symmetrically and disproportionately, mainly in the legs and hips and sometimes the arms. The feet and hands are usually spared.
Unlike ordinary weight gain, the affected areas may not respond to diet and exercise as expected, and tenderness, pain and easy bruising are common. Diagnosis is made by a doctor. In physiotherapy, the aim is to ease symptoms and support comfortable movement with manual lymphatic drainage, compression and exercise.
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Is manual lymphatic drainage painful?
Usually not. Manual lymphatic drainage is a gentle technique using slow, rhythmic movements that lightly stretch the skin. Unlike deep tissue massage, it does not press into the muscles but aims to support lymph flow. Many people find the session relaxing.
With lipoedema the tissues can be tender, so I adjust the pressure to you. Just tell me if anything feels uncomfortable. It is not used in certain situations, such as an acute infection, a recent deep vein thrombosis or uncontrolled heart failure, which is why we talk about your medical history first.
Booking
Appointments, opening hours and getting here.
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How do I book, and can I change my appointment?
You can fill in the appointment form on this site, call +90 505 732 43 86 or send a WhatsApp message. When you send the form, I will call you and we will find a suitable day and time together.
If you need to change or cancel an appointment, please let me know by phone or WhatsApp as early as you can. That way I can offer you a new time and give the freed-up slot to someone else.
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Can I book an evening or Saturday appointment?
I see clients Monday to Friday from 09:00 to 21:00 and on Saturdays from 10:00 to 14:00. The office is closed on Sundays. Evenings and Saturdays can suit people who are unable to come during the working day.
When you leave a request, mentioning your preferred time of day (morning, afternoon, evening or Saturday) makes planning easier. We then find the first suitable slot together.
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Can sessions be held in English?
If you would like your sessions to be held in English, please say so in your message when you leave a request. I will let you know what is possible before we arrange your first session.
Because it is important that we understand each other well during the assessment and the exercises, you may also wish to bring along someone who can help with language if needed.
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How do I get to the office, and is there parking?
My office is in Kağıthane, Istanbul, in Block A of Premier Kampüs Ofis in the Gürsel neighbourhood. The full address is: Premier Kampüs Ofis, A Blok, D:37, İmrahor Cd. No:29, Gürsel Mah., 34400 Kağıthane / İstanbul. You can get directions on Google Maps using the link below.
For up-to-date information on parking and public transport, just ask when we arrange your appointment and I will gladly share the details that make your visit easier.
Can’t find your answer?
You can call me, send a WhatsApp message or leave an appointment request. I will be glad to listen to your question and point you in the right direction.
The answers on this page are general information and do not replace a personal assessment or a medical examination.