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Orthopaedic Physiotherapy

Orthopaedic and musculoskeletal physiotherapy.

Assessment and treatment for joint, muscle, bone and nerve-related pain, including recovery after injury and after surgery.

Orthopaedic problems usually arrive in one of three ways: pain that builds up gradually over months, an injury that happens in a moment, or a planned surgery that needs structured recovery afterwards. What each of those needs is different, which is why treatment here begins with an assessment rather than a fixed protocol.

An assessment looks at how the joint moves, what provokes the symptoms, how strength and control compare between sides, and what the everyday demands on that part of the body actually are. The plan is built from that and adjusted as things change. Where imaging or an orthopaedic opinion is needed first, we will say so.

Conditions

Orthopaedic conditions we treat

If a condition is not listed, it is still worth asking — the list below covers what we see most often, not everything.

Neck and back

Spinal pain that refers into an arm or leg, or that limits sitting, standing and lifting.

  • Low back pain
  • Cervical radiculopathy
  • Herniated (slipped) disc
  • Spondylitis
  • Spondylolisthesis

Shoulder, hip and knee

Pain and stiffness in the larger joints, whether from overuse, injury or age-related change.

  • Shoulder pain
  • Hip pain
  • Knee pain

Joint and soft-tissue conditions

Conditions affecting the joint lining, tendons and surrounding soft tissue.

  • Arthritis
  • Bursitis
  • Tendinitis
  • Soft tissue injuries

Injuries

Rehabilitation after an acute injury, once the treating doctor confirms it is safe to load the area.

  • Fractures
  • Dislocations
  • Ligament and meniscus tears

After surgery

Structured post-operative rehabilitation, working to the surgeon’s protocol and precautions.

  • Post-operative rehabilitation

Nerve compression and bone health

Conditions where nerve irritation or reduced bone density shapes what training is appropriate.

  • Carpal tunnel syndrome
  • Osteoporosis
Treatments

Treatments available

Which of these is used, and for how long, depends on the assessment findings — they are tools within a plan rather than treatments chosen in advance.

Manual and soft-tissue therapy

Hands-on and instrument-assisted techniques used to address movement restriction and soft-tissue irritation. Cupping is offered in dry, wet, fire and bamboo forms.

  • Myofascial release (MFR)
  • Muscle energy technique (MET)
  • Instrument-assisted soft tissue mobilisation (IASTM)
  • Dry needling
  • Cupping — dry, wet, fire and bamboo

Exercise-based rehabilitation

The part of the plan that carries the change forward, progressed as tolerance and control improve.

  • Mobility training
  • Strength training
  • Sports rehabilitation

Electrotherapy and equipment

Used alongside manual therapy and exercise, generally for symptom management or to assist muscle activation.

  • Interferential therapy (IFT)
  • Therapeutic ultrasound (US)
  • TENS
  • Functional electrical stimulation (FES)
  • Muscle stimulator (MS)
How It Works

What an orthopaedic assessment involves

Assessment first

History, movement testing and a comparison between sides, along with any reports, scans or operative notes you already have.

A plan with goals

Treatment is set against something specific — climbing stairs without pain, returning to a sport, lifting at work — so progress can be judged honestly.

Review and adjust

The plan is revisited as symptoms and capacity change. If progress stalls or something needs a specialist opinion, we will tell you.

Share your reports and request an assessment

FAQ

Common questions

Do I need a doctor’s referral before booking?
No. You can request an assessment directly. If the findings suggest imaging or an orthopaedic opinion is needed before therapy, we will say so rather than start treatment regardless.
How many sessions will I need?
That depends on the condition, how long it has been present and how the body responds. We give an expected range after the assessment and revisit it at review, rather than committing you to a fixed package at the start.
Do you treat sports injuries?
Yes. Sports rehabilitation is part of what we do, including the later stages of returning to training and to the demands of a specific sport.
When should rehabilitation start after surgery?
That is set by your surgeon, and their protocol and precautions come first. Send the operative note or discharge summary and we will work within it.
Is dry needling the same as acupuncture?
No. Both use fine needles, but dry needling is aimed at muscular trigger points and is used as one part of a physiotherapy plan, not as a treatment on its own.
What kinds of cupping do you offer?
Dry, wet, fire and bamboo cupping. Which is appropriate — and whether cupping is useful for your problem at all — is decided at assessment, and it is used as one part of a plan rather than as a treatment on its own.
Do you treat orthopaedic conditions in children?
Yes. Children are assessed by our pediatric team, and the approach is adapted to age and stage of development. See Pediatric Rehabilitation.

Tell us where it hurts and what it is stopping you doing.

Share recent reports and a short description of the problem. Our rehabilitation team will call you to discuss an assessment and the options that may be suitable.

The information on this website is for general educational purposes and does not replace an individual clinical assessment. Rehabilitation suitability, programme duration and outcomes vary according to the patient’s condition, medical stability, goals and response to therapy.

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