Musculoskeletal physiotherapy and rehabilitation
Cassia assesses and treats injuries, pain and movement problems — from a sudden back that has gone to a knee that has never been right since. Every course starts with a full assessment, and every course ends with you knowing how to keep the problem from coming back.
What we treat
The injuries and conditions we see most, what they feel like, and roughly how long they take.
Most adults at some point; recurrence is common without rehabilitation
The commonest reason people come to us, and the one most surrounded by bad advice.
Desk workers, overhead athletes, and adults over forty
Desk-related stiffness, referred headaches and shoulders that will not lift.
Runners, cyclists, court sports, and adults with early joint change
From runner’s knee to ligament and cartilage injuries, and post-operative rehabilitation.
Runners, racquet players, and anyone who has increased activity quickly
Achilles, tennis elbow, gluteal and patellar tendon problems — slow, but very treatable.
Anyone in sport, and re-injury risk is highest in the first months back
Acute injuries and the return-to-play decision that follows them.
Anyone who has had orthopaedic surgery
Structured recovery after joint replacement, ligament reconstruction or repair.
Adults from middle age onwards, particularly knees and hips
Managing joint pain and keeping moving, with or without surgery on the horizon.
Anyone working long hours at a screen
The aching that arrives at three in the afternoon and disappears at the weekend.
How it works
01
A full hour. We find out what the problem is, measure where you are starting from, and tell you honestly how long it should take.
02
Reduce the pain enough to make loading possible — with hands-on treatment, taping or activity modification. Usually the shortest stage.
03
The stage that does the work. Progressive loading, measured against your baseline, with most of it happening between appointments.
04
Reintroducing the specific demands of your sport, job or life — and testing against criteria rather than against the calendar.
05
A maintenance programme and a clear statement of what to keep doing. Recurrence is usually a stopped programme.
Programmes
What each programme involves, how many sessions, and what you will be doing between them.
A full hour: history, examination, measurement, explanation and a written plan.
A progressive, measured programme with supervised sessions and homework between.
Hands-on treatment to reduce pain and restore movement — alongside a programme, never instead of one.
Objective criteria for the decision about when you go back.
Video and force analysis of how you actually move, and what to change.
For stubborn tendon problems that have not responded to loading alone.
Small supervised groups for strength, mobility and confidence after discharge.
Results
>95% limb symmetry before discharge
Came in with
Nine months post-surgery, cleared by the surgeon but unable to trust the knee to turn.
What we did
A criteria-based programme with testing at three stages before any return to play.
Where they got to
Full return to competitive football, discharged on symmetry criteria.
5 months
Came in with
Fourteen months of morning pain and abandoned running.
What we did
Graded loading over five months, with shockwave added at month two.
Where they got to
Running 30km a week without symptoms, on a maintenance loading programme.
12 weeks to discharge
Came in with
Four episodes a year, each costing two weeks off work.
What we did
Twelve weeks of graded loading plus education about what actually provokes it.
Where they got to
One minor episode in the following eighteen months, self-managed.
Recovery depends on the injury, the individual and the work done between appointments. These are real patterns of recovery, not a prediction of your own.
Physiotherapists
Every appointment at Cassia is with a named physiotherapist, and you will know who you are seeing before you arrive.
Complex and persistent musculoskeletal problems
Physiotherapy degree · MSc in musculoskeletal physiotherapy
Sports injury and return-to-play
Physiotherapy degree · Postgraduate qualification in sports physiotherapy
Post-operative and orthopaedic rehabilitation
Physiotherapy degree · Orthopaedic rehabilitation training
Spinal, neck and desk-related pain
Physiotherapy degree · Manual therapy qualification
Loading programmes and movement classes
Strength and conditioning certification · Clinical exercise qualification
Patients
Appointments
Every course starts with a full assessment. Wear or bring clothing you can move in, and bring any scans or letters you have.
Before you come
An initial assessment is sixty minutes. Nothing useful can be done in twenty.
Shorts for a lower limb problem, a vest top for a shoulder. We need to see the area move.
Taught, checked and written down. What happens between appointments matters more than what happens in them.
Scans, letters, surgical protocols, and the exercises anybody else has set you.
Checklist
What to bring
Most of the people we see have been managing a problem for months. It is almost always quicker to address it than to keep avoiding it.
Book an assessment