Arthritis and mobility
Managing joint pain and keeping moving, with or without surgery on the horizon.
What you may notice
Arthritis and mobility
Adults from middle age onwards, particularly knees and hips
Exercise is the most consistently effective treatment for osteoarthritis, and it is also the hardest to start with a painful joint — which is what supervision is for. A programme builds strength around the joint and confidence in using it, and for many people delays or removes the need for surgery. For those going ahead with surgery, arriving stronger produces a better recovery.
How it works
Your recovery, stage by stage
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.
02
Settle the symptoms
Reduce the pain enough to make loading possible — with hands-on treatment, taping or activity modification. Usually the shortest stage.
03
Rebuild capacity
The stage that does the work. Progressive loading, measured against your baseline, with most of it happening between appointments.
04
Return to load
Reintroducing the specific demands of your sport, job or life — and testing against criteria rather than against the calendar.
05
Discharge and prevention
A maintenance programme and a clear statement of what to keep doing. Recurrence is usually a stopped programme.
Programmes
Our programmes
What each programme involves, how many sessions, and what you will be doing between them.
Initial assessment
A full hour: history, examination, measurement, explanation and a written plan.
- Appointment
- 55–60 minutes
- Visits
- One
- From
- from £75
Rehabilitation programme
A progressive, measured programme with supervised sessions and homework between.
- Appointment
- 30–45 minutes per session
- Visits
- Typically 6–12 over 8–16 weeks
- From
- from £58 per session
Manual therapy
Hands-on treatment to reduce pain and restore movement — alongside a programme, never instead of one.
- Appointment
- 30 minutes
- Visits
- Alongside a rehabilitation programme
- From
- from £58 per session
Return-to-sport testing
Objective criteria for the decision about when you go back.
- Appointment
- 60 minutes
- Visits
- Once mid-programme, once before return
- From
- from £120
Running and gait analysis
Video and force analysis of how you actually move, and what to change.
- Appointment
- 60 minutes
- Visits
- One, with a review at 6–8 weeks
- From
- from £140
Shockwave therapy
For stubborn tendon problems that have not responded to loading alone.
- Appointment
- 15–20 minutes
- Visits
- 3–5, one week apart
- From
- from £85 per session
Clinical movement classes
Small supervised groups for strength, mobility and confidence after discharge.
- Appointment
- 45–60 minutes
- Visits
- Weekly, ongoing
- From
- from £22 per class
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.