My Treatment Approach
Your first session begins with a conversation.
Each session begins with an anamnesis, where I listen to your medical history, current concerns, and personal goals. From there, I assess your movement, posture, and areas of tension to find the underlying cause of your symptoms, not just where it hurts.
Based on this assessment, I use a personalised combination of techniques, along with exercises and guidance as needed, to improve mobility, reduce pain, and support recovery.
Treatments are always adapted depending on how you feel about each technique, ensuring your comfort and safety. The goal is to help you move more comfortably and return to the activities that matter most to you.
Follow-up sessions build on where we left off.
At the start of each session, we’ll catch up on how you’ve been feeling, what’s improved, what’s still bothering you, and how you got on with any exercises or advice from last time. From there, I’ll reassess as needed and adjust your treatment accordingly.
Your body changes, and so does your care.
Each session uses the same hands-on approach, with techniques adapted to where you are in your recovery. Some days that might mean focusing on a stubborn area, other days it’s about building strength and confidence in your movement.
🧠 Head & Neck
Headaches & Migraines
Many headaches originate from tension in the neck and upper back rather than from the head itself. I look at how your neck moves, where you’re holding tightness, and what might be triggering your symptoms to help reduce their frequency and intensity.
Cervicogenic Headache
This type of headache is caused by problems in the cervical spine : the joints, muscles or nerves in your neck referring pain up into the head. With targeted manual therapy and movement work, we can often significantly ease these symptoms.
Neck Pain & Stiffness
Whether it came on gradually or you woke up with it one morning, neck pain and stiffness can really limit your day. I’ll work to restore movement, ease muscle tension, and help you understand what’s contributing to it so it’s less likely to keep coming back.
Whiplash
Often following a road accident or fall, whiplash affects the muscles, ligaments and joints of the neck. Early, guided physiotherapy can make a significant difference helping to manage pain, restore movement, and support a confident recovery.
Nerve Pain & Radiculopathy
When a nerve in the neck becomes irritated or compressed, it can cause pain, tingling, or numbness that radiates into the arm or hand. I’ll help identify what’s aggravating the nerve and use gentle techniques to relieve pressure and restore function.
Temporomandibular Joint (TMJ) Dysfunction
Jaw pain, clicking, or difficulty opening your mouth can often be linked to tension patterns in the neck and face. Physiotherapy can help reduce muscle guarding, improve jaw movement, and address any contributing postural factors.
🦴 Spine & Back
Thoracic (Mid-Back) Pain
Pain between the shoulder blades or across the mid-back is often caused by poor posture, prolonged sitting, or stiffness in the thoracic spine. Manual therapy and movement retraining can make a real difference in how your back feels day to day.
Lower Back Pain
One of the most common reasons people see a physiotherapist. Whether it’s a recent flare-up or something you’ve been managing for years, I’ll assess what’s driving your pain and put together a plan that helps you move with more confidence and less discomfort.
Sciatica
That shooting, burning, or tingling pain down the leg is often the sciatic nerve being irritated, usually in the lower back or buttock. Treatment focuses on reducing nerve sensitivity, easing the pressure, and gradually restoring your ability to move freely.
Disc Herniation / Prolapse
A herniated disc can cause significant pain, but surgery is far from inevitable. Physiotherapy is a highly effective first approach helping to manage symptoms, reduce inflammation, and restore strength and movement in the spine over time.
Spondylosis & Degenerative Disc Disease
Age-related changes in the spine don’t have to mean a life of pain. Many people with these findings on scans live comfortably with the right movement habits and support. I’ll help you manage symptoms and keep doing the things that matter to you.
Sacroiliac Joint Pain
Pain in the lower back or buttock that’s hard to pin down can sometimes come from the sacroiliac joint. With careful assessment and hands-on treatment, we can identify whether this joint is contributing to your symptoms and address it directly.
💪 Shoulder
Rotator Cuff Injuries
The rotator cuff is a group of muscles that keeps the shoulder stable and strong. Tears, strains, or tendinopathy in these muscles can make lifting, reaching, or sleeping on your side painful. I’ll guide you through the rehab needed to rebuild strength and reduce pain.
Shoulder Impingement
A pinching sensation when lifting your arm can be a sign of shoulder impingement. It’s often driven by movement patterns and muscle imbalances rather than serious structural damage, and responds well to targeted physiotherapy.
Frozen Shoulder (Adhesive Capsulitis)
Frozen shoulder can be a frustratingly slow condition characterised by gradually worsening stiffness and pain. Physiotherapy plays a key role in all three stages (painful/stiff/recovery stage), helping to maintain movement, manage pain, and support recovery through to full mobility.
Shoulder Instability & Dislocation
If your shoulder feels loose, gives way, or has previously dislocated, a structured rehabilitation programme can help restore stability, rebuild confidence, and reduce the risk of it happening again.
AC Joint Injury
The acromioclavicular joint at the top of the shoulder is commonly injured in falls or contact sports. Depending on severity, physiotherapy can help manage pain, restore strength, and get you back to full function without the need for surgery.
Bicep Tendinopathy
Pain at the front of the shoulder or along the upper arm can point to irritation of the bicep tendon. Physiotherapy helps to settle the tendon, gradually load it back to full strength, and address any contributing factors in the shoulder.
🤝 Elbow, Wrist & Hand
Tennis Elbow (Lateral Epicondylalgia)
Despite the name, tennis elbow affects many people who’ve never picked up a racket. It causes pain on the outside of the elbow with gripping and lifting. With the right loading programme and hands-on treatment, most people make a full recovery.
Golfer's Elbow (Medial Epicondylalgia)
Pain on the inner side of the elbow that’s worse with gripping or wrist flexion. Like tennis elbow, this responds well to physiotherapy — focusing on graduated tendon loading, manual therapy, and activity modification during recovery.
Disc Herniation / Prolapse
A herniated disc can cause significant pain, but surgery is far from inevitable. Physiotherapy is a highly effective first approach helping to manage symptoms, reduce inflammation, and restore strength and movement in the spine over time.
Carpal Tunnel Syndrome
Tingling, numbness, or weakness in the hand and fingers (particularly at night) can be signs of carpal tunnel syndrome. Physiotherapy can help through nerve mobilisation, wrist exercises, and advice on posture and activity to reduce compression.
Wrist Sprains & Instability
A sprained wrist after a fall or sporting incident can linger if not properly rehabilitated. I’ll work to restore pain-free range of motion, build strength around the joint, and help you return to your normal activities safely.
De Quervain's Tenosynovitis
Pain and swelling at the base of the thumb, often aggravated by gripping or pinching, can be caused by irritation of the tendons running to the thumb. Physiotherapy helps settle the inflammation, restore pain-free movement, and prevent recurrence.
Finger & Thumb Injuries
From jammed fingers to ligament sprains and tendon injuries, hand and finger problems can be surprisingly disruptive to daily life. I’ll assess the injury, guide the healing process, and help you regain full function as quickly as safely possible.
🏃 Hip & Groin
Hip Osteoarthritis
Stiffness and aching in the hip, particularly in the morning or after sitting is often a sign of osteoarthritis. Physiotherapy can help manage symptoms, improve mobility, and keep you active for longer, whether you’re considering surgery or looking to avoid it.
Greater Trochanteric Pain Syndrome
Pain on the outer side of the hip or thigh is often caused by irritation of the gluteal tendons rather than the hip joint itself. This condition responds well to a targeted exercise and loading programme, guided by physiotherapy.
Hip Flexor Strain
A tight or strained hip flexor can cause pain in the front of the hip or groin, often worsened by running or prolonged sitting. Treatment focuses on settling the acute injury, restoring flexibility and strength, and addressing any underlying movement issues.
Femoroacetabular Impingement (FAI)
FAI occurs when the hip joint doesn’t move as smoothly as it should, causing pinching and pain particularly with deep hip flexion. Physiotherapy can help by improving movement quality, strengthening the hip, and reducing symptoms in everyday activities.
Groin Strains & Adductor Injuries
Common in athletes and active individuals, groin strains need careful rehabilitation to heal well and avoid recurrence. I’ll guide you through a progressive programme to restore strength and confidence and get you back to sport or activity as smoothly as possible.
Post-Hip Replacement Rehabilitation
After a hip replacement, physiotherapy is essential to a smooth and safe recovery. I’ll guide you through each stage of rehabilitation from regaining basic movement in the early weeks to building the strength and confidence to return to the activities you enjoy.
🦵 Knee
Knee Osteoarthritis
Worn cartilage in the knee doesn’t have to mean a life of pain and inactivity. With the right exercise approach and hands-on treatment, many people significantly reduce their symptoms and keep doing what they love sometimes indefinitely avoiding the need for surgery.
Patellofemoral Pain Syndrome
Aching around or behind the kneecap especially with stairs, squatting, or prolonged sitting is one of the most common knee complaints. It’s often driven by how the hip and foot are loading the knee, which makes it very responsive to physiotherapy.
ACL Injury & Reconstruction Rehab
Whether you’re preparing for surgery or recovering from it, ACL rehabilitation is a long-term process that demands patience and precision. I’ll support you at every stage from early swelling management right through to return to sport.
Meniscal Injuries
A meniscal tear can cause pain, swelling, and locking in the knee. Depending on the type and severity of the tear, many respond well to conservative physiotherapy avoiding surgery altogether and restoring full function.
Patellar Tendinopathy (Jumper's Knee)
A common complaint among runners and jumping athletes, patellar tendinopathy causes pain just below the kneecap. A gradual loading programme is the most effective treatment and I’ll guide you through it at a pace your tendon can tolerate.
IT Band Syndrome
A sharp pain on the outer side of the knee with running is often the iliotibial band becoming overloaded. Rather than just stretching it repeatedly, treatment looks at the whole picture : hip strength, running pattern, and training load to get to the real cause.
Post-Knee Replacement Rehabilitation
The weeks and months after a knee replacement are critical to achieving the best possible outcome. I’ll guide you through regaining movement, building strength, reducing swelling, and returning to daily activities safely and confidently.
👣 Ankle & Foot
Ankle Sprains
Sprained ankles are among the most common injuries but without proper rehab, they often lead to recurring sprains or lingering instability. I’ll help the ligaments heal well, restore ankle strength and proprioception, and reduce your risk of it happening again.
Plantar Fasciitis
That sharp, stabbing pain in the heel first thing in the morning is very characteristic of plantar fasciitis. It can be stubborn, but with the right combination of hands-on treatment, loading exercises, and footwear advice, most people see significant improvement.
Achilles Tendinopathy
Pain and stiffness in the Achilles tendon especially first thing in the morning is a classic sign of tendinopathy. It responds very well to a carefully structured loading programme, which I’ll tailor to your lifestyle and activity level.
Stress Fractures
Stress fractures in the foot or ankle are often the result of doing too much too soon. Alongside appropriate rest and offloading, physiotherapy helps manage the recovery, address contributing factors, and plan a safe return to activity.
Shin Splints (Medial Tibial Stress Syndrome)
A common complaint in runners and new exercisers, shin splints cause pain along the inner edge of the tibia. Treatment looks at training load, foot mechanics, and muscle strength to settle the pain and prevent it from returning.
Bunions & Toe Pain
Physiotherapy can’t reverse the structural changes of a bunion, but it can significantly reduce associated pain and improve how the foot functions. Exercises, advice on footwear, and hands-on work can make a meaningful difference to your comfort day to day.
⚡ Sports & Acute Injuries
Muscle Strains & Tears
From a mild pull to a more significant tear, muscle injuries need careful management to heal fully. I’ll help you through the acute phase, guide the gradual return to loading, and make sure the muscle is strong and resilient before you push it hard again.
Ligament Sprains
Ligaments take time to heal, and rushing back too soon is one of the most common reasons for re-injury. I’ll assess the severity, manage the early stages, and build a clear rehabilitation plan that gets you back to full function safely.
Tendinopathies
Whether it’s the Achilles, patellar, rotator cuff, or another tendon, tendinopathies are best treated with a progressive loading programme rather than rest alone. I’ll design a programme that fits around your life and gradually builds the tendon back to full capacity.
Sports Performance & Injury Prevention
Not all physiotherapy is about treating pain. If you want to move more efficiently, address a weakness before it becomes an injury, or prepare your body for a new challenge, I can help you build a stronger foundation for sport and activity.
Return to Sport Rehabilitation
Coming back to sport after injury is about more than just being pain-free. I’ll make sure your strength, movement quality, and confidence are where they need to be so you can return to the sport you love without holding back.
Post-Surgical Rehabilitation
Surgery is just the beginning of recovery. Whether it’s a joint replacement, ligament reconstruction, or soft tissue repair, structured physiotherapy is what turns a successful operation into a return to full function.