Conditions we treat

A broad category covering pain arising from the tendons and muscles around the shoulder joint. Despite its name, most shoulder pain is not caused by a "tear" that needs surgery. The majority responds well to progressive loading, activity modification, and targeted rehabilitation.

Characterised by a gradual, painful stiffening of the shoulder joint that limits movement in all directions. It typically progresses through three stages — freezing, frozen, and thawing — and can take months to years to resolve without appropriate management. Physiotherapy aims to reduce pain, improve range of motion, and support recovery through each stage.

The acromioclavicular (AC) joint at the top of the shoulder is commonly injured in falls or contact sport. Depending on severity, most AC joint injuries can be managed conservatively through protected loading and progressive rehabilitation without the need for surgery.

One of the most common conditions worldwide, yet one of the most misunderstood. Most low back pain lacks serious structural damage, which is rarely identified on investigation. Current evidence strongly supports staying active and addressing unhelpful beliefs about the spine as key parts of recovery.

Neck pain is frequently linked to posture, sustained positions, and muscle tension, but can also stem from the joints and discs of the cervical spine. It can refer pain into the shoulder, arm, and even cause headaches. A thorough assessment helps identify what's driving your symptoms and how best to address them.

Pain, tingling, or numbness that travels from the lower back into the buttock and leg often indicates nerve involvement. While this can be alarming, the majority of nerve-related symptoms improve with the right approach, including load management, targeted exercise, and neural mobilisation techniques.

Pain around or behind the kneecap, commonly experienced during running, squatting, or prolonged sitting. Despite being called "runner's knee," it affects people of all activity levels. A combination of load management, hip and quad strengthening, and movement retraining is typically very effective.

Ligament injuries in the knee, including the ACL, MCL, and PCL, are common in sport and can vary widely in severity. Physiotherapy plays a central role whether you're recovering conservatively or following surgical reconstruction, with a focus on restoring strength, stability, and safe return to activity.

Osteoarthritis is often depicted as a condition of inevitable "wear and tear," but the evidence tells a more optimistic story. Exercise is the most effective treatment available, and physiotherapy can help you build the strength and confidence to stay active and manage symptoms well over the long term.

Muscle strains most commonly affect the hamstrings, calf, and quadriceps and are graded by severity. Early management focusing on controlled loading rather than complete rest leads to faster recovery. Rehabilitation is structured to restore strength, flexibility, and confidence to return to full activity safely.

Ankle sprains are among the most common sports injuries, but are frequently undertreated, leading to persistent instability and recurrence. Full rehabilitation including balance retraining and functional strengthening is essential for restoring a resilient ankle long-term.

Following a fracture or dislocation, physiotherapy plays a key role in restoring movement, strength, and function once the injury has been medically managed. Rehabilitation is carefully progressed based on healing timelines, with the goal of returning you to full activity safely and with confidence.

Achilles tendon pain typically develops from a sudden spike in training load or prolonged overuse. It responds well to a structured progressive loading programme, with shockwave therapy available as an adjunct where appropriate.

Pain at the front of the knee just below the kneecap, common in jumping athletes and those who spend long periods on their feet. Load management and progressive tendon strengthening are the cornerstones of recovery.

A common cause of lateral hip pain, particularly in middle-aged women and distance runners. Often misdiagnosed as bursitis, gluteal tendinopathy responds well to load management, activity modification, and targeted hip strengthening exercises.

Returning to sport after ACL reconstruction is a process that typically takes 9 to 12 months or longer when done properly. Physiotherapy guides you through each phase, from early swelling management and quad activation through to the strength and neuromuscular criteria needed for a safe return to full sport.

Joint replacement surgery can dramatically improve quality of life, but the outcome is heavily influenced by the quality of rehabilitation before and after the procedure. Physiotherapy focuses on restoring range of motion, building strength, and enabling a safe return to everyday activities and independence.

Following rotator cuff surgery, a carefully phased rehabilitation programme is essential to protect the repair while progressively restoring shoulder function. The timeline and approach will vary based on the extent of the repair, but the goal is always to return you to full, pain-free use of your arm.

Not all headaches originate in the head. Cervicogenic headaches arise from structures in the upper neck and can mimic tension headaches or even migraine. Physiotherapy, including manual therapy directed at the cervical spine and targeted strengthening, has strong evidence for reducing their frequency and intensity.

Temporomandibular joint (TMJ) dysfunction can cause jaw pain, clicking, difficulty chewing, and headaches. It often coexists with neck dysfunction. Physiotherapy addresses joint mobility, surrounding muscle tension, and contributing postural factors to reduce symptoms and improve jaw function.

Chest physiotherapy helps people with conditions affecting breathing and airway clearance, including COPD, asthma, bronchiectasis, and post-pneumonia recovery. Techniques such as breathing retraining, active cycle of breathing technique (ACBT), and positive expiratory pressure (PEP) devices are used to improve lung function and quality of life.

After cardiac or thoracic surgery, the lungs can be vulnerable to complications including infection and reduced expansion. Early chest physiotherapy, including breathing exercises and secretion clearance, plays an important role in preventing complications and supporting a smoother recovery.

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness, characterised by brief episodes of spinning triggered by head movements. It is highly treatable with specific repositioning manoeuvres performed in the clinic, often resolving in one to two sessions.

Balance problems can arise from inner ear dysfunction, neurological changes, or age-related decline. Vestibular rehabilitation and progressive balance training help retrain the body's stability systems, reducing dizziness, improving confidence, and lowering the risk of falls.

Pain around the hip, buttock, and groin can arise from several structures, including the hip joint itself, surrounding tendons, or referred pain from the lower back. Careful assessment is key to identifying the source and choosing the right treatment approach, which often centres on targeted strengthening and load management.

Groin injuries are common in athletes involved in kicking, sprinting, and change-of-direction sports. They can involve the adductor muscles, hip flexors, or the pubic region. A thorough assessment distinguishes between these structures to guide the most appropriate rehabilitation pathway.

Lateral and medial elbow pain from overloaded tendons affects athletes and non-athletes alike. Despite the name, most cases come from repetitive work tasks, not sport. Progressive tendon loading combined with addressing contributing factors at the shoulder and wrist is highly effective for lasting recovery.

Wrist pain can stem from ligament sprains, De Quervain's tenosynovitis, carpal tunnel syndrome, or repetitive strain. Physiotherapy helps identify the source of symptoms and provides targeted management including splinting advice, manual therapy, and graduated exercise.

Heel pain in the morning or after prolonged rest is a hallmark of plantar fasciopathy. It commonly affects runners, people who stand for long periods, and those who have recently increased their activity levels. Load management and a structured progressive loading programme are the most effective long-term solution.

Foot pain from stress fractures, metatarsalgia, or Morton's neuroma can significantly limit daily activity and exercise. Physiotherapy addresses load management, footwear advice, and graduated return to activity to support full recovery and prevent recurrence.

Physiotherapy plays a central role in stroke recovery, helping to restore movement, strength, and function affected by neurological injury. Rehabilitation is progressive and goal-directed, focusing on relearning movement patterns and maximising independence in daily activities.

Exercise and movement-based physiotherapy are among the most effective interventions for managing Parkinson's disease. Regular physiotherapy helps maintain mobility, balance, and walking ability, while addressing the risk of falls and supporting quality of life over the long term.