Exercise therapy is a key building block up on which the rest of your treatment stands and is essential element in reducing your pain.

Each exercise you are provided with will have a specific reason based on clinical knowledge and scientific evidence based on your individual problem.

• Trigger point release
• Soft tissue release
• Deep tissue friction massage

Joint Mobilisations 

• Mulligans MWMs/NAGS/SNAGS
• Maitland techniques
• McKenkie techniques

If you or a relative have a fear of falling or a history of falling, physiotherapy can work to increase your balance, lower limb and core strength as well as provide education in to techniques for getting up off the floor, advice on aids and adaptations to help you lower your risk and help to increase your confidence and independence.

A falls assessment will complete a thorough gait analysis, provide a specific “risk” score based on evidence based measures and provide an exercise programme to address your individual needs.

Neck pain can affect your daily life more than many other problems and can be very disconcerting. Common complaints include whiplash, postural pain or muscle imbalance, disc protrusions, spondylosis (wear and tear), acute torticolis, sprains and strains and nerve irritation. Symptoms may refer into your arms and hands in the form of pain, pins and needles or numbness. Headaches may also be experienced due to stiff joints or overactive muscles.

A full assessment will determine the cause of the problem with treatment including joint mobilisations, soft tissue massage, heat/ice therapy, muscle energy techniques, postural and ergonimic advice, progressive exercise therapy and activation of the deep stabilising muscles that are often neglected.

Whether a sporting injury or a gradual onset of symptoms, physiotherapy can help. Thomas has recently specialised in shoulder treatment and with great success.

The shoulder girdle is a very complicated collection of joints and a detailed assessment is required. Some problems addressed by physiotherapy include rehabilitation from dislocations and surgery, impingements, rotator cuff tears, muscle imbalances, sprains, osteoarthritis, frozen shoulders and scapula instability. Neck problems may also present as shoulder pain and skilled assessment will attempt to differentiate the two.

Treatment includes identifying and correcting any attributing factors such as muscle imbalance or posture, soft tissue massage, electrotherapy techniques, specific stretching and the latest research based strengthening exercises alongside joint mobilisation.

You may even be getting pain shooting or pins and needles into your legs or feet.

It is vital to achieve an accurate diagnosis enabling treatment of the causes as well as the symptoms and begin your road to recovery.  Spinal reflexes, postural observation, range of movement, core stability and nerve tests will be carried out to provide a diagnosis.

Treatment is aimed at long term outcomes with the aim to give clients good strategies to deal with their sore backs. Short term, the aim is to get the pain under control as quickly as possible.

Treatment methods include spinal mobilisations, soft tissue massage, heat therapy, postural advice, ergonomic and workplace advice and progressive exercise therapy including the activation of the vital core stabilising muscles that are key to the prevention of many future problems.

Problems in your hip may also present as thigh pain, groin pain, knee pain or even back pain therefore expert analysis is vital to determine the true cause.

Treatment will include addressing muscle imbalances, joint mobilisation, soft tissue massage, specific strengthening and stretching exercises, orthopaedic referral where indicated and electrotherapy techniques.

Treatment methods include detailed analysis of the underlying causes, joint mobilisations, soft tissue release techniques, taping, stretching and muscle energy techniques, electrotherapy and progressive exercise therapy tailored to your individual needs.

Detailed history of the onset along with gait analysis, foot posture, range of movement, ligament tests and strenth/length testing will aim to provide an accurate diagnosis from where treatment can begin.

Undergone surgery recently or about to?

ACL reconstructions, total knee or hip replacements, tendon releases and broken bones are but a few of the potential surgical procedures that will benefit from physiotherapy. Many of us undergo surgery and reaching your full rehabilitation potential through a course of physiotherapy will aid in a speedy and effective recovery. An individualised exercise programme will get you back to where you want to be while any potential problems can be identified and addressed.

Being fit and strong prior to elective surgery such as a knee or hip replacement improves your chance of a fast and effective recovery. A tailored exercise programme can be designed for you so that you will achieve your full potential and get you back doing those activities you enjoy.