- Duration
- 60–90 minutes
- Starts with
- An assessment, not a machine
- The part that matters
- The home exercises
What we see most often
Low back pain and nerve-root pain; neck and shoulder — including frozen shoulder and pain from sitting too long; knee, hamstring, calf and ankle; plantar fasciitis; tennis elbow; carpal tunnel syndrome, trigger finger and De Quervain's; TFCC problems at the wrist; Bell's palsy; scoliosis and posture correction.
We separate three patterns from the start, because they are handled differently: pain that stays in one place, pain that travels down an arm or leg, and pain that appears on both sides. Radiating and bilateral pain are always examined more carefully.
Settling the pain is the start, not the result
Manual therapy, dry needling where appropriate, and modalities such as ultrasound or TENS can bring the pain down far enough for you to move again. That is useful — but it only buys you a chance to move again. What actually settles the problem is the training that gives back strength, control, and your confidence in that area.
So every session ends with something to do on your own, and deliberately not much of it. Three exercises you actually do daily beat ten you have forgotten by the third day.
Frequently asked questions
Why does my pain come back after a few weeks?
Usually because the symptom was treated and the cause was not. Massage, heat or a machine lowers pain for a while, but if strength and movement control have not changed, the load that provoked it will provoke it again. It is also why we do not offer sessions that are only modalities.
Can I keep exercising during therapy?
Almost always yes, and usually you should — what changes is the dose and the choice of movements, not stopping altogether. Long periods of complete rest often slow recovery down. Tell us what you do and when, so the program fits around it.
I have had this for years. Is it still worth trying?
Often yes, though the goal may shift. With long-standing pain the target is usually not "gone completely" but getting back to the things you have been avoiding, with pain you can manage. We will be honest at the end of the assessment about what is realistic.
Sources
The figures and recommendations on this page come from the sources below. The links go to third-party sites.
This page is educational and does not replace an examination by a doctor. If your child is unwell, or something does not feel right to you, have them seen first.