Your treatment will always begin with a full assessment and discussion of your condition/injury. This will also include asking you about your previous medical history and medication you may be taking. I will then, with your permission, decide to treat with one or more of the following, when the treatment is decided more detailed information will be given to you:

Manual Therapy

This can comprise of manipulation, mobilisation or differing types of massage:


This is small oscillatory movements of the joints to increase mobility. This treatment would be used to increase movement of a stiff joint and reduce muscle spasms around that joint.

Generally it would be used when there is restrictive movement and pain, sometimes on movement or even at rest.

Conditions that it can help would be stiff neck and back pain or other joints where restrictive movement applies.

It can be uncomfortable but this is not the same as manipulation of joints as the movements are generally small.

Treatment should help to alleviate the pain and increase the mobility.


This is where a joint is moved by the Therapist to its end range taking up the ‘slack’ in the joint then using a thrusting movement to increase the range of movement and alleviate any blockages.

This would be used on joints where there are restrictive movements but no contra indications apply. The joints it would be used on are the spine. It is used to increase mobility and reduce ongoing pain. This can be momentarily painful for the patient but the results can be very beneficial but have to be undertaken with extreme care and knowledge of a patient’s medical history.

Myofascial Release

‘Myo’ means muscle and ‘fascia’ means band. Fascia surrounds and protects every muscle, tendon, bone and ligament. The fascia is made up of two types of fibres – elastin and collagen. This means that it is strong and very flexible. It has the ability to stretch and relax and plays a major part in the mobility and stability of joints.

The treatment consists of applying a slow, sustained stretch to the fascia reducing tension and increasing mobility. The patient does not always feel that much is happening but the therapist can feel and sense the restrictions and its release.

I generally use this treatment on, and obtain good results on shoulder, shoulder blade and neck problems. It can also be useful on other restrictive joint problems both large and small joints.


Massage is recorded as one of the earliest forms of physical therapy and was used over 3,000 years ago.

There are several different types of massage but the one currently used in the clinic is termed as Sports Massage. Although it is called Sports Massage it does not necessarily mean that it is only used on sports injuries.

This type of massage helps to release muscle tension and stiffness following injury or overuse. A sports massage is deeper and more intense that the sort of massage you would generally receive in a spa.

As a rehabilitation tool it can help to speed healing and reduce discomfort whilst you are recovering. It can be used on all joint and muscle injuries/conditions but as with all forms of therapy there can be contra indications which will be discussed at the time of assessment.


There are several types of electrotherapy but I only use two types in the clinic:


This is a high frequency sound wave used in soft tissues injuries to reduce swelling, pain and scar tissue and is not the same as you would have in pregnancy. It is a therapeutic treatment.

Treatment is applied via a treatment head using a contact gel to transmit the sound wave. This gives a micro massage of the tissues giving three benefits:

  • Speeding up healing process by increasing blood flow to treated area.
  • Helps to decrease pain due to reduction of swelling and oedema.
  • Gentle massage of muscle tendons/ligaments in treated area as no strain is added and soft tissue is softened.

Most patients feel absolutely nothing whilst having ultrasound treatment other than the coldness of the gel being applied. However some feel a mild pulsing and slight warmth to the skin.


This is a medium frequency electrical stimulus used to reduce pain, swelling and inflammation and to promote soft tissue healing. It stimulates the muscle in a way similar to a normal muscle contraction and helps to reduce pain in the same way as TENS.

This is applied using electrodes surrounding the affected area and the patient will feel tingling (“pins and needles”) which stimulates the discharge of endorphins around the area. Endorphins are natural painkillers within the body.

It is beneficial for use on chronic back and neck pain, joint and ligament sprains and muscle spasms.

Patients' benefits can include reduction of painful symptoms; reduction of local swelling; promotes muscle tone; helps to restore normal movement and accelerate healing process.

Although I do not use TENS in clinic I can advise patients on the purchase and use of mobile TENS machines.

Other Services

Injury/Insurance Assessment

I work with many insurance companies and this is who may have referred you. Normally there will be reports to complete for them both after the assessment and at the end of treatment. If you have been referred by an insurance company you will not be responsible for payment of the treatment as they will be charged directly. However, there are some insurance policies that do have an excess and it could be that you will be responsible for paying this; the best thing to do is check with your insurance company before you attend for treatment. You would also be responsible for payment of any treatments that you cancelled at short notice or did not attend without notice.

Home Visits

If you are unable to visit the clinic, for example, following a stroke, recent surgery, certain neurological conditions I can arrange to visit you at home.

Pre & Post-Operative Rehabilitation

Exercise programmes before or after surgery can help you return to optimal fitness in the fastest possible time. I can work with you on a personal programme giving you printout of exercises for use at home. This would obviously be with the permission of your consultant.

Exercises Programmes

A printed exercise programme can be devised specifically for your needs after injury when you are returning to sport or simply returning after a long period.


These are exercises to improve your balance and spacial awareness. It is especially useful following ankle injuries and is used to restore muscle strength around the ankle.

It is carried out initially by trying to balance on the affected leg, starting on a solid floor and progressing when able to onto a rocker or wobble boards. This is carried out in clinic under supervision and a home exercise plan is also given.

Patient receiving a back massage

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