Movement clinic & rehabilitation
Rehabilitation that tells you what is happening, and when it ends.
We assess first, explain the working diagnosis in plain language, then load the tissue properly. Every plan carries a review date and written return criteria, so progress is something you can check rather than hope for.
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Referrals
Self-referral welcome
Book directly. If a letter from your GP or consultant exists, bring it — it shortens the history taking.
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First visit
45-minute assessment
History, movement screen and baseline measures, followed by treatment in the same appointment.
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Evenings
Slots until 8pm
Monday and Wednesday evenings are reserved for people who cannot take time out of the working day.
What we treat
Six presentations that fill most of our week.
Find the one that sounds like your problem. The plan length beside each is what we typically schedule before a formal progress review — not a package you are asked to commit to up front.
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01
Review at 5–8 sessions
Low back pain & sciatica
Disc-related and joint-driven back pain, including leg symptoms. We screen for anything needing onward referral, settle irritability, then rebuild tolerance for sitting, bending and lifting.
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02
Staged over 4–9 months
Knee rehabilitation, including ACL
Post-injury and post-reconstruction knees, meniscal irritation and patellofemoral pain. Strength and hop testing decide when running and pivoting are reintroduced, not the calendar alone.
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03
Review at 6–8 sessions
Shoulder & rotator cuff
Painful arcs, stiffness and overhead loss of power. We separate irritable tendon from true stiffness, because the two need opposite exercise dosages in the first fortnight.
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04
Review at 12 weeks
Tendon overload in runners
Achilles, patellar and gluteal tendon problems. Treatment starts with training-load arithmetic — cadence, weekly volume, hills and shoes — alongside progressive heavy-slow loading.
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05
Review at 4–6 sessions
Neck, jaw & desk-related headaches
Cervicogenic headache, jaw tension and neck stiffness that builds through the working week. Includes a practical look at your actual workstation rather than a generic posture lecture.
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06
Protocol-led, reviewed monthly
Post-surgical & hip rehabilitation
Hip and joint replacement recovery, fracture rehabilitation and post-operative protocols. We work to your surgeon's restrictions and write to them at discharge if you would like us to.
The pathway
Four stages, with the exit criteria written down.
The same structure runs through every caseload. It exists so that you always know which stage you are in, what the next one requires, and what would make us change direction.
STAGE 01
Assessment
Forty-five minutes of history, movement testing and baseline measures — range, strength and the tasks you currently cannot do. Treatment begins in the same visit.
STAGE 02
Working diagnosis
What we think is driving the problem, what is aggravating it, and an expected timeline. You leave with it written down, including what would prompt onward referral.
STAGE 03
Loading & hands-on
Exercise prescribed by dose — sets, load, frequency and how much discomfort is acceptable. Manual therapy is used where it makes the loading possible, not as the treatment itself.
STAGE 04
Return & maintain
Measured against the criteria set in stage two: the lift, the run, the shift or the sport. Discharge comes with a maintenance plan and an open route back if things flare.
How we measure
Numbers, not impressions.
Grip and limb strength, single-leg tests, range in degrees and your own rating of the task that matters most are recorded at the first visit and re-tested at each review. If the numbers stop moving for three weeks, we change the plan rather than repeating it.
Your exercise programme is written for the equipment you actually have — a doorway, a kettlebell or a full gym — and revised whenever that changes.
Your first session
Forty-five minutes, and you will leave with a plan.
Nothing about the first appointment should be a surprise. Here is how the time is spent and the few practical things worth sorting before you arrive.
How the time is used
Assessment, explanation, first treatment
Roughly fifteen minutes on history and what you need to get back to, fifteen on physical testing, and the remainder on treatment and teaching the first two or three exercises properly. You will be asked to repeat them back so we know the dosage is clear.
- A written summary of the working diagnosis and plan
- Your starting exercises with sets, load and frequency
- A review date and what we expect to have changed by then
Before you arrive
What to wear and bring
We need to see the area move, so clothing you can exercise in makes the assessment far more useful. Shorts for lower-limb problems, a vest or loose t-shirt for shoulders and necks.
- Trainers, if your problem involves walking or running
- Any scan reports or clinic letters you already hold
- A list of current medication, if you take any regularly
- A rough note of what makes the symptoms better and worse
Clinic hours
When the room is open, and what each block is for.
Assessment slots are longer than follow-ups, so they are held at specific times. If none of these work, say so in your request and we will look at the reserve list.
| Day | Open | Mainly used for |
|---|---|---|
| Monday | 07:30 – 20:00 | New assessments, evening follow-ups |
| Tuesday | 07:30 – 17:30 | Follow-ups and post-surgical reviews |
| Wednesday | 07:30 – 20:00 | New assessments, evening follow-ups |
| Thursday | 07:30 – 17:30 | Follow-ups and running assessments |
| Friday | 08:00 – 16:00 | Progress reviews and discharge testing |
| Saturday | 08:30 – 13:00 | Follow-ups only |
| Sunday | Closed | — |
Good to know
Two sensible habits
Book your review appointment at the end of the current one. Reviews are the slots that fill first, and leaving a four-week gap unplanned is the most common reason a rehabilitation plan stalls.
If symptoms change sharply between visits, tell us before the next appointment rather than waiting. It usually means the plan needs adjusting, and occasionally it means you should be seen sooner.
Questions
The things people ask before booking.
Do I need a referral from my doctor?
No. You can book directly and most people do. A referral or clinic letter is useful if you have one, because it saves repeating the history and tells us about any restrictions, but nothing is delayed without it. If your insurer requires a referral, check their policy before booking.
Will treatment hurt?
Assessment sometimes reproduces your symptoms briefly, because we need to know what provokes them. Exercise is prescribed with a discomfort ceiling that we agree with you — usually a level that settles within a day and does not disturb sleep. If something is consistently above that, it is the dosage that is wrong, not you.
How many sessions will I actually need?
It depends on the tissue and how long the problem has been there. Most non-surgical presentations are reviewed formally after four to eight appointments, often spaced further apart as you progress. Post-surgical and tendon rehabilitation run longer by nature. You will be given an expected range at the first visit and told if it changes.
Do I need a scan first?
Usually not. Most musculoskeletal problems are diagnosed from history and physical testing, and imaging findings are common in people without any symptoms at all. If your assessment suggests a scan would change the plan, we will say so clearly and explain what it would need to show.
Can you work alongside my surgeon's protocol?
Yes. Bring the protocol or the operation note and we will work inside its restrictions, including any limits on range or weight-bearing. With your permission we can write to the surgical team at discharge summarising what you achieved and where your strength testing finished.
What if I am already doing exercises from elsewhere?
Bring them. There is no value in duplicating work that is already helping. We will look at what you are doing, keep what suits the stage you are at, and adjust the dosage of anything that is too light, too heavy or scheduled at the wrong frequency.
What happens if I need to move an appointment?
Send a request through the form as early as you can and we will offer the nearest alternative. For rehabilitation that is time-sensitive — early post-surgical work in particular — tell us in the message and we will prioritise keeping the interval rather than the specific day.
Request an appointment
Tell us what is bothering you.
Send the essentials and we will reply with the assessment slots that fit, along with anything worth doing before you arrive. Requests are read by a clinician, not a booking desk.