Louise-ToftsDr Louise Tofts

MB BS, DCH, MRCPCH, MSpMed, FAFRM, FRACP
Paediatric Rehabilitation Specialist

Louise is an accredited rehabilitation physician and paediatrician holding Australian fellowships in both specialties and a Masters in Sports Medicine from The University of New South Wales. Louise currently practices at Kids Rehab the Children’s Hospital at Westmead, Narrabeen Sports Medicine Centre and Delmar Private Hospital. She trained and practiced in London, England at St Bartholomews Hospital, The Royal London Hospital and Great Ormond Street Hospital for Sick Children. She has expertise in hypermobility, persistent musculoskeletal pain, fatigue, difficulty learning motor skills, congenital musculoskeletal conditions, athletes with a physical disability and exercise and rehabilitation programs for children following injury or illness. Her CV is here.

Louise is actively involved in research into hypermobility, achondroplasia, arthrogryposis and limb loss. She has published several research articles which you can find here.

Conditions

Joint Hypermobility (“double jointedness’)/Ehlers Danlos syndrome of the Hypermobile Type

Up to 1 in 10 children are hypermobile or “double-jointed” with about 1 in 100 children having difficulty with joint pain, joint instability and motor skills including handwriting and physical activities. Joint hypermobility can be associated with problems in the eyes, heart and bones and often runs in families. If you are worried your child or adolescent may have hypermobility and has musculoskeletal symptoms, please consider making an appointment for a medical assessment, management plan and rehabilitation program. Louise sees young adults up to age 25 years with hypermobility for a diagnostic review and rehabilitation management recommendations.

Difficulties with Motor skills

Louise sees children who have difficulties with learning motor skills such as walking, running, swimming and handwriting. After an assessment to define the causes, areas of difficulty and fundamental skills affected a goal based targeted therapy program can be very beneficial in this group.

Complex Musculoskeletal pain

Advice is provided on a multidisciplinary rehabilitation approach for children and young people up to 25 years with complex pain, where diagnostic assessment has ruled out problems which are amenable to medical or surgical intervention or intervention has already occurred and pain is persisting longer than expected.

Fatigue

Some young people suffer from disabling fatigue, where tiredness interferes with day to day activities such as attending education or work. Your GP should rule out medical causes, for example anemia, with a set of blood tests prior to referral. Young people can have exercise capacity testing at the Sydney Academy which is valuable in planning treatment. A multidisciplinary rehabilitation approach has been shown to be most effective for restoring function in this situation, each program is prescribed specifically for each young person and supervised by Louise.

Limb Loss/Difference

Louise has over ten years’ experience working with children and adolescents with congenital and acquired limb loss. She is a registered prosthetic prescriber with ENABLE NSW and has experience working with compensable clients (LTCS/CTP/WC) and the NDIS. She can see children, adolescents and young adults for advice on rehabilitation and prosthetic management. APC prosthetics (www.apcprosthetics.com.au) work in partnership with Louise so a prosthetist is available to attend appointments, please request this specifically if needed.

Concussion and Brain Injury

Louise sees clients with complex concussion (symptoms lasting over 14 days and/or ongoing cognitive symptoms) and brain injury including CTP/LTCS clients. For immediate post-concussion assessments and advise on return to play please call for an appointment with the sports medicine registrar initially. She can also assist with medicolegal assessments and report writing.

 

Sport and Physical Activities for Children with a Disability

Sport and active play have a key role in the lives of children with disabilities. They have been linked to improvements in health, self-confidence, social awareness and self-esteem and can contribute to empowerment of children with disabilities. Rehabilitation aims to increase participation and to support each child to “be the best they can be” and enjoy being physically active. With the rollout of the National Disability Insurance Scheme there is now an opportunity for people with a disability to include activity goals in their NDIS plan to access help to facilitate participation.


Professional help from a Paediatric Rehabilitation Specialist

Louise will complete a review the medical history and undertake a physical examination then agree and plan treatment with the young person and family using a goal base approach. Rehabilitation programs are provided collaboratively with a skilled and experienced multidisciplinary team of allied health professionals, intensive programs are available at Delmar private hospital.

If you would like to make an appointment please get a referral from your GP and call 9971 1188.

Please bring:

  • Any medical reports or specialist assessments
  • Any allied health reports and assessment results
  • Any blood test results, x-rays and scans (films please as well as reports, CD is fine)
  • The child’s most recent school reports
  • For hypermobility, a family medical history for first degree relatives (siblings, parents, grandparents) particularly regarding hypermobility, osteoporosis, heart and eye disorders

Narrabeen sports medicine is a private billing practice, please contact reception for information in regard to fees.