After a full and thorough assessment your physiotherapist will be able to discuss with you how best to treat your problem. We are all very experienced and have a wealth of knowledge and expertise in a vast range of techniques and electrotherapy modalities such as:
- Joint Mobilisation Techniques
- Soft Tissue Mobilisation Techniques
- Biomechanical Assessments and Injury Prevention
- Sports Specific Rehabilitation
- Post Operative Rehabilitation
- Work Station Assessments
- Paediatric Assessment and Treatment
- Neurological Rehabilitation
- Pelvic floor Biofeedback
- Modified Exercise Programs
- Massage Therapy
- Women's Health Conditions
Joint Mobilisation Techniques:-
Effective both spinally and on the peripheral joints, joint mobilisation techniques can be used to encourage stiff joints to regain full and painfree movement. Joints tend to respond to injury or degenerative change by stiffening up, and making normal daily function increasingly difficult. It may then become painful to move the joint, and so function is further compromised leading to further stiffness. At The Physiotherapy and Rehabilitation Clinic we believe in hands on treatment and have attended extended courses in various joint mobilisation techniques ( eg Maitland, Mulligan, Kaltenborn). Your skilled experienced physiotherapist will be able to assess the degree of restriction and dysfunction and then select the most appropriate joint treatment method to ensure safe and effective restoration of function.
Hypermobile joints can also present with pain and stiffness and can be challenging for the patient. We are experienced in assessing and treating hypermobility and will be able to treat you accordingly following a full and thorough assessment.
For further information about our Joint Mobilisation techniques please call 01923 897 514 or email
Soft Tissue Mobilisation Techniques:-
Soft tissues in the body include muscles, ligaments, tendons, nerves and fascia.
Overuse, injury, trauma and poor posture can affect all of these tissues.
Various soft tissue techniques can be used to encourage tight muscles to relax, increase blood circulation and lymphatic drainage, reduce inflammatory reaction and swelling, allieviate muscle spasm, provide pain relief and relieve muscle tension.
There are many techniques available and your skilled physiotherapist at The Physiotherapy and Rehabilitation Clinic will be able to assess whether soft tissue massage, myofascial release technique, deep tissue massage or trigger point therapy is appropriate for your condition.
Nerve tissue can also become restricted in its movement for various reasons such as poor posture, repeated activities or a rapid growth spurt. We are all very experienced in assessing when manual stretching and mobilisation of these structures will be beneficial to your return to normal painfree function.
For further information about our Soft Tissue Mobilisation techniques please call 01923 897 514 or email
Acupuncture is the insertion of fine needles to stimulate pain relieving mechanisms within the body from the brain and spinal cord. At The Physiotherapy and Rehabilitation Clinic we may use acupuncture as part of our integrated and holistic approach to managing your pain and inflammation. Our treatment is based on scientific research and clinical evidence, and has been shown to reduce pain making it a useful adjunct to manual therapy and soft tissue techniques. We use single use, pre sterilised disposable needles of varying widths and lengths ensuring a safe and hygienic treatment.
For further information about Acupuncture please call 01923 897 514 or email
Biomechanical Assessments and Injury Prevention:-
Your body requires a combination of strength and mobility for ease of movement. If a muscle becomes too tight or too long, too weak or too strong, or a joint becomes too loose or too stiff in relation to the structures surrounding it, then compensatory movement patterns will be established resulting in imbalances which may increase the potential for injury and pain. Postural advice is of huge importance to young and old alike, particularly when so many people spend so long bent over various pieces of electronic equipment. Small adjustments can make a huge difference to levels of comfort, not to mention strength and function. At The Physiotherapy and Rehabilitation Clinic we are skilled in assessing function and movement. By assessing how you move and hold your body, we will be able to advise you on stretches and exercises to mobilise and strengthen appropriate areas. In addition, we can utilise techniques such as Proprioceptive Neuromuscular Facilitation (PNF) Technique, a system of precise movements, to encourage correct sequencing of functional movement patterns to get you moving in a strong and mobile way. We have many years of experience of treating the results of trauma and injury, and are well placed to be able to give advice on how you can get the most from your body without injury. We are also able to give advice on appropriate equipment, whether for your sport, your workplace or your home life; training routines if you are taking up a new activity; postural correction, and gait analysis.
For further information about Biomechanical Assessments and injury prevention please call 01923 897 514 or email
Sports Specific Rehabilitation:-
Having treated patients at the highest level of their sport, from dressage riders to rugby players; and participated ourselves at a much more weekend warrior level, we have the experience to devise a rehabilitation regime specific to your sport at your level with the aim of returning you to activity in the shortest possible time. We understand that sport and exercise is a normal part of many peoples’ lives and actively encourage participation. We are able to advise you when relative rest may be helpful for your recovery and suggest how you might continue to exercise during this time. We will then be able to progress your rehabilitation at an appropriate rate for your injury and tailor your exercise program for your chosen sport. We believe that efficient and effective use of the body relies on a stable base, in this case the whole of the trunk. It is imperative to have strength within the core muscles in order to achieve mobility and power in the arms and legs. We will spend time assessing, adjusting, stretching and strengthening those muscles around the trunk which provide stability to achieve normal activity, and return you to your sport stronger and more efficient. Taping and strapping can be used, as necessary, to offload a stressed part of the body, or to encourage a more appropriate pattern of movement.
For further information about Sport Specific Rehabilitation please call 01923 897 514 or email
Pilates has become a popular way for many people to tone and strengthen their body. At The Physiotherapy and Rehabilitation Clinic we can incorporate Pilates sessions as part of your individual rehabilitation programme. Physiotherapists have a unique and in-depth understanding of how the body works and can apply the principles of Pilates appropriately, modifying the exercises for your individual needs and requirements. Taught by Physiotherapists who have undertaken extra training in Clinical Pilates, we can work on your specific rehabilitation requirements, with constant analysis and correction of technique, and progression of exercises as your strength and ability improves.
For further information about one to one Pilates please call 01923 897 514 or email
Post Operative Rehabilitation:-
There are times when an operation is necessary to alleviate symptoms, improve function or stabilise a structure in the body. A significant part of the successful outcome following surgery is your rehabilitation programme. A session prior to the operation is highly recommended to allow the physiotherapist to assess the restriction and pain levels, and also the functional aims post operatively. A programme of exercises and advice can then be implemented prior to operation which will positively affect the outcome. Treatment will aim to restore normal movement patterns and sequencing of muscles; strengthen weak and underused muscles; improve flexibility of restricted joints and muscles; re-educate proprioception and balance mechanisms. We know that involving you in the treatment of your injury results in a more rapid and sustainable recovery. At The Physiotherapy and Rehabilitation Clinic we want you to be able to maintain and improve the effects of your treatment, both during your session and in between sessions, and so a home exercise programme will be devised to improve your strength, flexibility, balance and, ultimately, your function.
We regularly see patients both before, and after surgical procedure such as:
Spinal: discectomy; fusion; decompression; stabilisation; injection
Shoulder: arthroscopy; decompression; soft tissue repair; fracture; dislocation; manipulation
Elbow: fracture; dislocation
Hip: arthroscopy; joint replacement; labral repair
Knee: ligament repair; arthroscopy; joint replacement; cartilage removal or repair
Ankle: fracture; ligament repair; tendon repair
Foot: fracture; soft tissue repair
At The Physiotherapy and Rehabilitation Clinic we have, over many years, built relationships with many leading orthopaedic surgeons, both locally and nationally, who are confident in our expertise and judgement and regularly refer their patients to us.
For further information about Post Operative Rehabilitation please call 01923 897 514 or email
Work Station Assessments:–
At The Physiotherapy and Rehabilitation Clinic we have been providing work station advice and assessment to companies for many years. We are able to provide advice on position, posture and appropriate equipment to ensure comfort in the clinic, work place or home work environment. We will provide a thorough assessment and suggest alterations, as possible, at the time of the assessment. We will follow this up with a written report with recommendations for equipment if necessary.
For further information about Work Station Assessments please call 01923 897 514 or email
Paediatric Assessment and Treatment :-
- Growth related pathology or pain
eg. Osgood-Schlatters disease, Sever’s disease, Chondromalacia Patella. Adolescent growth pain, particularly affecting the lower limb, is common and can be managed effectively with physiotherapy treatment and advice. We can offer manual therapy, exercise, advise on and supply bracing or splinting if required, and provide management advice to relieve symptoms and maximise functional ability.
- Sports injury rehabilitation
This will involve specific therapy, in house and home based exercise and training to return to full sports participation.
- Hypermobility Syndrome
Joint pain and instability, as a result of hypermobilty, can be managed with targeted strength and stability training as required.
- Spinal assessment
We have experience in management of diagnosed spinal conditions such as Scoliosis and Scheurmann’s disease and have close links with the spinal team at the Royal National Orthopaedic Hospital and other London hospitals. We are able to screen postural back pain to assess for pathology and treat symptoms of back pain with manual therapy, exercise and postural training.
- Normal variance screening
We have a lot of experience in assessing normal variance in children. Children can present with conditions such as tip toeing, intoeing or “pigeon” toeing, bow legs, knock knees and flat feet, that are often normal for their age. We are able to offer advice regarding investigation required or treatment if necessary.
- Developmental assessment of early motor milestones
Our Paediatric Specialist is able to offer assessment of babies and children with regards to normal development, and assess for any developmental delay. If this is identified we are able to provide therapy and home exercises, based on play activities, to promote normal developmental movement patterns.
- Children’s foot deformities such as congenital talipes equino varus (club foot) or metatarsus adductus
- Developmental hip problems in children
We are experienced in diagnosis and treatment of Paediatric hip problems and can advise onward referral to an orthopaedic consultant for further investigation or treatment if indicated.
We thoroughly enjoy working with children and their families and will try to make physiotherapy exercises interactive and fun both during therapy sessions and home directed exercise. We are committed to making any physiotherapy session an enjoyable one for the child, with the aim of maximising their individual potential.
For further information about Paediatric Assessment and Treatment please call 01923 897 514 or email
Following the initial assessment a treatment plan is formulated. The focus is on a gentle and pain free approach to achieve realistic individual goals. This will be different for every individual. Treatment is an active process and an independent exercise programme is usually provided to complement the treatment sessions and promote carry-over between appointments. Caroline often works with carers/family to optimise treatment results. She is also experienced in working with individuals who have cognitive impairments (including dementia) and those with communication difficulties.
Caroline has a very extensive treatment repertoire however treatment techniques may include:
- Advice on posture including sitting and sleeping positioning
- Advice on fatigue management
- Advice on pain management
- Work to develop core control and stability
Poor posture, impaired balance and gait are often the result of weak core stabilising musculature. Caroline will address this as appropriate and guide the individual to develop greater strength in the relevant muscle groups to promote stability
- Muscle lengthening techniques
This is a gentle and active process which aims to promote efficiency of movement resulting in improved function
- Muscle strengthening techniques
This is always tailored to the individual and will target key weak muscles to promote improvement in function as appropriate
- Safety education regarding balance/gait/transfers
- Manual techniques to promote optimal muscle alignment and activity to promote efficient and effective movement. This is used particularly in the case of hypertonia (tight, overactive muscle groups) or hypotonia (weak muscles that are difficult to activate)
- Work to promote sensory input in the case of sensory deficits
- Work to re-educate components of balance and gait
Other treatment options are more condition specific but some examples could include:
- Cueing strategies for individuals with Parkinson’s Disease to promote efficient and effective movement and reduce “freezing”
- Mirror box therapy for upper limb rehabilitation in individuals post Stroke
- Use of Saebo products for carefully selected clients to promote upper limb recovery post Stroke
- High level balance and gait re-training including use of wobble boards, gym ball, balance mat
- Endurance progression including use of static pedals, bike
For further information about neurological rehabilitation please call 01923 897 514 or email
Women’s Health Treatment Modalities:-
The pelvic floor muscles run from your pubic bone at the front to the tail bone at the back of your pelvis. They are shaped like a sling and provide support for your pelvic organs (uterus, vagina, bowel and bladder). Pelvic floor muscles are crucial to allow normal bladder and bowel function. There are many risk factors that can weaken the pelvic floor muscles such as pregnancy, labour, weight gain, chronic coughing, sneezing, constipation and menopause.
Pelvic floor muscle weakness can cause urinary incontinence and pelvic organ prolapse (pelvic organs bulges into the vagina). It is therefore essential to carry out your pelvic floor exercises correctly.
Stimulation can be a great method to activate weak pelvic floor muscles. It involves passing a small electrical current through the pelvic floor muscles causing them to contract and relax. As a result this can help to improve your pelvic floor muscle tone and awareness having a positive effect on your bladder.
Biofeedback is a fantastic tool for pelvic floor muscle retraining. It teaches you how to contract and relax your pelvic floor muscles and improve the timing of contraction. It is a process that uses special sensors and a portable monitor to display information about your pelvic floor muscle activity. It can help to train how to use the correct muscles and relax the incorrect ones.
Advice and education will be given to improve your bladder habits which plays an important part of treatment for urinary incontinence and pelvic organ prolapse. We will also consider and address any risk factors that might have an impact on your symptoms.
The pelvic floor educator is a form of biofeedback which doesn’t require electronic instruments. It is simple and easy to use at home. When you contract and relax your pelvic floor muscles it offers you visual feedback to ensure you are doing your exercises correctly. This will provide you with the confidence and reassurance to carry out your exercises correctly and independently at home.
The Belloost pregnancy pillow allows for antenatal patients to be in a prone position during assessment and treatment. It is shaped to reduce pressure on sensitive pubic bone and chest during pregnancy and can be adapted according to each patient. It is ideal for patients with low back pain and pelvic girdle pain which is a common complaint during pregnancy.
For further information about our Soft Tissue Mobilisation techniques please call 01923 897 514 or email