Treatments Available

  • Mobilization +

    Joint mobilization is a technique we use which involves a passive hands-on movement applied to a stiff spinal or peripheral joint.

    It aims to restore full range of motion to the joint by activating mechanoreceptors within the capsule of the joint. It also has the effect of altering the neuromuscular (nerve) firing within muscles to cause a reflex relaxation of the surrounding tight musculature.

    Put simply, it helps to restore normal pain free motion.

    In combination with soft tissue techniques and exercises, this is very effective.

  • Manipulation +

    This technique is an advanced form of mobilization.  Those who respond well to mobilization will usually respond to manipulation.

    Joint manipulation is the sudden movement or thrust of small amplitude performed at a high speed at the end of joint range. We can use this for lower back thoracic spine and peripheral joints but very rarely to the neck.

  • Classical Massage +

    Massage can be defined broadly as the manipulation of the soft tissue performed by hands on from the physiotherapist.

    The therapeutic effects are felt to result in relaxation ( local and general ) , pain relief; increased range of joint movements and facilitation of healing. It has a direct or indirect effect on the autonomic, somatic and central nerve system.

    You don’t have to have an injury to benefit from this treatment. You might just like to feel good and enjoy.

  • Myofascial Release +

    What is myofascial pain?

    Myofascial pain syndrome (MPS) is a fancy way to describe muscle pain. It refers to pain and inflammation in the body's soft tissues.

    Myofascial pain is a chronic condition that affects the fascia, the connective tissue that covers the muscles.

    Myofascial pain syndrome may involve either a single muscle or a muscle group. In some cases, the area where a person experiences the pain may not be where the myofascial pain generator is located. Experts believe that the actual site of the injury or the strain prompts the development of a trigger point that, in turn, causes pain in other areas. This situation is known as referred pain.

    Myofascial pain may develop from a muscle injury or from excessive strain on a particular muscle or muscle group, ligament or tendon.

    Other causes include:

       -  Injury to intervertebral disc
       -  General fatigue
        - Repetitive motions
        - Medical conditions (including heart attack, stomach irritation)
        - Lack of activity (such as a broken arm in a sling)

    Myofascial release therapy uses hands-on manipulation of the entire body to promote healing, release and pain relief. It is a gentle blend of stretching and massage. The therapy is based on the idea that poor posture, physical injury, illness and emotional stress can throw the body out of alignment and cause its intricate web of fascia to become tight and constricted.

  • Biomechanics Assessment +

    There are three main types of foot positions when you walk or run: pronation, neutral and supination. Pronation describes the inward-turn of your foot as your foot strikes the floor. Supination is the opposite.  A comprehensive assessment will be carried out to establish any problem.

    To treat biomechanical problems, orthotics are often used. These are special insoles worn in your shoe that aim to realign your foot and correct poor biomechanics. Advice and exercises also will be given. You can buy ready-made orthotics or have them custom-made.  We have a selection of insoles available at cost price. It is strongly recommended to have an assessment first before you buy any insoles over the counter. By buying the wrong insoles you could be wasting your money but also doing more harm.

    Correct running biomechanics helps to maintain an ideal alignment and therefore maximize your performance and reduce the risk of overuse injuries.

    Gait analysis looks at your body’s movement during walking or running. It is normally carried out by a physiotherapist or podiatrist, who will be able to identify any movement-related problems.

  • Core Stability +

    More and more people have discovered Pilates.

    The principle of core stability has gained wide acceptance for the prevention of injury and as a treatment modality for rehabilitation of various musculoskeletal conditions - in particular of the lower back.

    There has been surprisingly little criticism of this approach up to date. However there is no evidence that exercises with or without core stability will prevent injury. The effects are more based on the exercises themselves.

    We believe there should be a balance between muscle strength and muscle length. This method is based on strengthening and stretching the muscles, in isolation, and to their optimum ability.

  • Acupuncture +

    Acupuncture is one of the many skills employed within physiotherapy as part of an integrated approach to the management of pain and inflammation.

    Physiotherapists base their treatments on scientific research and clinical evidence that acupuncture can reduce pain by stimulating the brain and spinal cord to produce natural pain-relieving chemicals such as endorphins, melatonin (which promotes sleep) and serotonin (to promote well-being), to name but a few. These chemicals assist the body's healing processes and offer pain relief as a precursor to other treatments such as manual therapy or exercise in order to aid recovery.

    Acupuncture Association of Chartered Physiotherapists ( AACP) members combine acupuncture principles with scientific evidence as a means of reducing pain and promoting healing, always with the aim of enhancing physiotherapy treatments such as exercise and rehabilitation techniques to promote recovery and improve quality of life.

    Scientific research has examined the effectiveness of acupuncture for various conditions. In recent years large studies have begun to emerge which have helped to support the benefits of acupuncture treatment.  It is accepted that acupuncture can help tension-type headaches and pain of osteoarthritis, for example, osteoarthritis of the knee, especially when it is used in conjunction with other treatments such as physiotherapy. 

  • Posture +

    In recent years there has been a move towards more office based jobs which has resulted in a nation of people who spend hours behind a PC or in front of a desk. It is not surprising that a growing number of office workers complain of neck and back pain or even worse repetitive strain injury. The lack of activity and bad posture puts our backs under a lot of stress.

    It is important that you have the correct ergonomics to avoid any pains and aches or long term pain. We can advise you regarding your posture at work related injuries to avoid long term discomfort and loss of working days.

  • Post Surgery Rehabilitation +

    Also after fractures or any surgery to your muscles, eg rotator cuff muscles in your shoulder, it can be quite challenging to get back to your normal activities or work.

    We will give you excellent support and an individually tailored rehabilitation program.

    If coming to our clinic is difficult, home visits are available within the radius of 5 miles from our practice.

  • Shoulder Rehabilitation +

    The shoulder is one of the most complex joints in your body. Whether you have problems with your muscles eg rotator cuff, an unstable shoulder, or a stiff shoulder, it is quite difficult to establish where the problem is.  In some cases your shoulder pain might stem from your neck. 

    As a specialist physiotherapist who worked in the NHS for upper limb problems, including the shoulder, Alexandra has excellent knowledge and skills and can provide expert physiotherapy assessment to diagnose and treat all shoulder problems.  She has trained and has liaised with some of the top shoulder specialists from the UK to ensure the best treatment available. Very often surgery is not needed.

  • Sports Rehabilitation +

    You might not need a sports therapist if you have a sports injury. Whether you twisted your ankle in a sports event or whether you twisted your ankle walking the dog, the injury remains the same.

    Or whether you trim the hedge in the garden or surf, a shoulder injury could be the same.

    We as physiotherapists have an extended knowledge about the anatomy and the management of injuries.  Alexandra herself has been involved in many sports activities so understands what is required to get you back to your sport as quickly as possible.  An individually tailored exercise program will be provided. Sports taping is also available.

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Chartered & State Registered Physiotherapist


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Member of The Organisation of Chartered Physiotherapists in Private Practice

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Member of The Chartered Society of Physiotherapy