Assessed properly, then rehabilitated properly

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Assessed properly, then rehabilitated properly

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What we treat

The injuries and conditions we see most, what they feel like, and how long they usually take.

  • Back pain

    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.

    • ·Pain across the lower back, worse after sitting or bending
    • ·Stiffness first thing in the morning
    • ·Pain that spreads into the buttock or leg
    • ·A sudden episode after a lift or a twist
  • Neck and shoulder pain

    Desk workers, overhead athletes, and adults over forty

    Desk-related stiffness, referred headaches and shoulders that will not lift.

    • ·Aching between the shoulder blades by mid-afternoon
    • ·Headaches starting at the base of the skull
    • ·Pain reaching overhead or behind your back
    • ·Waking at night when you lie on that side
  • Knee pain and injury

    Runners, cyclists, court sports, and adults with early joint change

    From runner’s knee to ligament and cartilage injuries, and post-operative rehabilitation.

    • ·Pain at the front of the knee going downstairs
    • ·Swelling within hours of an injury
    • ·Giving way, locking or catching
    • ·Pain that builds through a run and settles overnight
  • Tendon pain

    Runners, racquet players, and anyone who has increased activity quickly

    Achilles, tennis elbow, gluteal and patellar tendon problems — slow, but very treatable.

    • ·Pain and stiffness that is worst in the first steps of the day
    • ·Warming up during activity and hurting afterwards
    • ·Tenderness at one specific point
    • ·Months of a problem that comes and goes
  • Sports injury

    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.

    • ·A sudden pain during a game or a session
    • ·Swelling, bruising or an inability to weight-bear
    • ·Loss of confidence in a limb that has healed
    • ·Recurrent injury to the same site
  • Post-operative rehabilitation

    Anyone who has had orthopaedic surgery

    Structured recovery after joint replacement, ligament reconstruction or repair.

    • ·Recent surgery with a rehabilitation protocol to follow
    • ·Stiffness and swelling that limit movement
    • ·Weakness and wasting in the operated limb
    • ·Uncertainty about what you are allowed to do
  • Arthritis and mobility

    Adults from middle age onwards, particularly knees and hips

    Managing joint pain and keeping moving, with or without surgery on the horizon.

    • ·Stiffness after sitting still, easing as you move
    • ·Difficulty with stairs, kerbs or getting out of a chair
    • ·Pain that has crept up over years
    • ·Doing less, and finding it harder each time
  • Desk-related pain

    Anyone working long hours at a screen

    The aching that arrives at three in the afternoon and disappears at the weekend.

    • ·Pain that builds through the working day
    • ·Better at weekends and worse by Wednesday
    • ·Wrist, forearm or thumb pain with mouse use
    • ·Headaches associated with screen time

How it works

Your recovery, stage by stage

  1. 01

    Assessment

    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.

  2. 02

    Settle the symptoms

    Reduce the pain enough to make loading possible — with hands-on treatment, taping or activity modification. Usually the shortest stage.

  3. 03

    Rebuild capacity

    The stage that does the work. Progressive loading, measured against your baseline, with most of it happening between appointments.

  4. 04

    Return to load

    Reintroducing the specific demands of your sport, job or life — and testing against criteria rather than against the calendar.

  5. 05

    Discharge and prevention

    A maintenance programme and a clear statement of what to keep doing. Recurrence is usually a stopped programme.

Results

Recovery stories

Return to football after ACL reconstruction

Return to football after ACL reconstruction

>95% limb symmetry before discharge

  1. Came in with

    Nine months post-surgery, cleared by the surgeon but unable to trust the knee to turn.

  2. What we did

    A criteria-based programme with testing at three stages before any return to play.

  3. Where they got to

    Full return to competitive football, discharged on symmetry criteria.

Chronic Achilles tendinopathy

Chronic Achilles tendinopathy

5 months

  1. Came in with

    Fourteen months of morning pain and abandoned running.

  2. What we did

    Graded loading over five months, with shockwave added at month two.

  3. Where they got to

    Running 30km a week without symptoms, on a maintenance loading programme.

Recurrent low back pain

Recurrent low back pain

12 weeks to discharge

  1. Came in with

    Four episodes a year, each costing two weeks off work.

  2. What we did

    Twelve weeks of graded loading plus education about what actually provokes it.

  3. 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.

Appointments

Book an assessment

Every course starts with a full assessment. Wear or bring clothing you can move in, and bring any scans or letters you have.

Book an assessmentContact the clinic