More confidence.
In every movement.
Backs, hips, knees, necks and shoulders, assessed on their own terms. Whether it started with an injury, an operation, or years of working around something.
Book your free consultation
What orthopedic
therapy is for.
Pain is information, not a verdict. Orthopedic physical therapy is the work of finding out where yours is coming from, whether that is a joint, a muscle, a nerve, scar tissue or the way you have quietly learned to move around it, and then treating the cause rather than chasing the symptom.
Most of it is movement, load and strength, taught and progressed deliberately. Rest alone rarely fixes anything, and neither does pushing through. The useful ground is in between, and that is what gets mapped out with you.
Sometimes the pelvis is involved
Low back, hip and tailbone pain can turn out to involve the pelvic floor, and it often goes unlooked-at for years because most clinicians do not assess it. Here it is on the table from the start. If we find it is part of your picture we will explain why, and you decide whether you want to look at it.
What brings
people here.
You do not need a diagnosis or a scan first.
Start with what it stops you doing.
- Low back pain that keeps coming back
- Hip pain when you walk, sit or sleep
- Knee pain on stairs or getting up
- Neck and shoulder pain from your desk
- Recovering from an operation
- Stiffness and pain after an accident
- A joint that feels unstable or gives way
- Tailbone pain when sitting
- Pain during pregnancy or after birth
- Wanting to lift or run again without fear
- Scar tissue that feels tight or restricted
- Being told nothing more can be done
You do not need a scan or a diagnosis first. Bring it to the free consultation and we will tell you honestly whether we can help.
Book your free consultationWhat we
treat.
Everyday joint and muscle pain
Low back, hip, knee, neck and shoulder pain, including the kind that has been around long enough that you have stopped mentioning it.
After surgery
Rehabilitation following joint replacement, abdominal and pelvic surgery, and repairs, guided by your stage of recovery and any restrictions your surgeon has set.
After injury
Sprains, strains, falls and accidents, and the stiffness and guarding that tend to outlast the injury itself.
Pregnancy and postpartum bodies
Pelvic girdle pain, back and hip pain in pregnancy, and rebuilding strength afterwards in an order that does not overload what is still healing.
Getting back to what you do
Lifting, running, sport, gardening, picking up a grandchild. The target is whatever you actually miss, at a pace you agree to.
What treatment
involves.
- Your history and your goal. What happened, what has been tried, and what you want to be doing again.
- A movement assessment. How the painful area moves, and how everything around it is compensating.
- Strength and control work, prescribed specifically rather than handed over as a generic sheet.
- Load management, so you know what to do on a bad week as well as a good one.
- Practical changes to how you sit, lift, sleep and work.
- An explanation of what is driving your pain, in language you can repeat to someone else.
- Progressions and regressions, reviewed as you go, so the plan tracks your body rather than a calendar.
Virtually,
or in person.
Orthopedic care is largely assessment, teaching and progression, and that transfers well to a virtual appointment. You get coached through the exercises in your own space, using what you actually have, which tends to mean you keep doing them.
- Works well virtually: history and goal setting, movement and strength assessment, exercise prescription and progression, pain education, load and activity planning, return to sport or lifting, workstation and daily habit changes.
- Needs in person: hands-on manual therapy and joint mobilisation.
In-person visits are available to a limited number of patients, and depend on where you are and on whether hands-on treatment is actually the right thing for what is going on. Ask on your first contact and we will tell you honestly.
Your questions,
welcome here.
Do I need a scan or a diagnosis first?
Usually not. A good assessment tells us a great deal, and imaging often shows changes that are normal for your age and unrelated to your pain. If we think a scan or a medical opinion would genuinely change your plan, we will say so.
Will it hurt?
Treatment should not flare you badly. Some exercise produces mild, settling discomfort, and there is a real difference between that and pain that sets you back. You will be shown how to tell them apart, and you can stop at any point.
Can physical therapy really work without hands-on treatment?
For most orthopedic problems, yes. Manual therapy can feel good and can help in the short term, but strength, load and movement are what change the picture over time, and those are the parts you do yourself.
I have been told it is just wear and tear. Is it worth trying?
Almost always. Wear and tear on a scan is common in people with no pain at all. What tends to be changeable is strength, movement and how the area is being loaded.
What about fees, insurance and referrals?
Ask us before you book and you will get a straight answer on all three for your situation, rather than a general statement that may not apply to you.
Start with a free
consultation.
A short conversation about what has been going on. No charge, no commitment, and nothing happens that you have not agreed to.
- Tell us what is happening, in your own words
- Ask anything, including the parts that feel awkward
- Find out whether we can help, and whether virtual or in person suits you
- Decide afterwards. There is no obligation to book anything
Pick a time that suits you. You will get a confirmation by email straight away.
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