Joint Pain

Joint pain covers many things from ligament tears and cartilage damage to arthritic changes and rehabilitation from operations such as knee and hip replacements.

It has been estimated that up to 8.5 million people in the United Kingdom could be affected by chronic joint pain that can be attributed to osteoarthritis. Arthritis Care. (2012). OA Nation 2012

The National Institute of Clinical Excellence (NICE) provided guidelines to outline core recommended treatments for OA:

information provision and advice,

aerobic and local strengthening exercises,

and weight loss if overweight.

Ligament issues

Ligament tears and stains are common in the sporting populations, especially impact sports such as rugby but equally found in runner’s or netballers when the ankle is rolled or the knee twisted.

Once the initial pain has subsided and you have followed the first aid advice of P.R.I.C.E. (Protection, Rest, Ice, Compression, Elevation) it is time to see what the damage is and how the healing can be best helped. This is where we come in. we have years of experience in assessing the amount of damage in a joint and its structures and deciding which is the best way to go.

If you have been to A and E and after the X-ray, you were sent on your way there can be a real sense of not knowing what to do next. The G.P. can sometimes help but frankly, we are the experts in treating these types of issue.

Get it seen! Once we have assessed it we can set a plan in motion. If we need a scan we can arrange it. If we decide we need further input, we know who to see. If not then we know how to rehabilitate you!

Further information can be found on knee ligaments and ankle ligaments via the links.

Cartilage Damage

A deeper pain in the joint that lingers is often a sign that you have damaged the cartilage surface. This often occurs during an injury that has perhaps caused some ligament damage and can be missed in the initial assessment. Whole joint swelling is a big concern and feelings of instability and giving way in the joint are often felt. This again is the very reason you should not ignore a sprain.

We can assess for the risk of these injuries and refer you to get imaging and additional input if required. We work closely with a number of the UK’s best consultants in this area. Get it seen!

Knee and hip joints are the common sites for this – follow the links.


Wear and tear in the joint is the classic Osteoarthritis, which is more common than the more inflammatory and whole body affecting Rheumatoid arthritis.

We help both of these conditions with strength, stability and mobilisation techniques. Getting your joint moving and regaining strength around the joint is fundamental.

Arthritic joints are painful and they get weaker because of it. If you can work to turn this spiral around then you can get many years of useful use out of them.

Let us help you – don’t suffer in silence, just taking the drugs. has some useful tips.

Total knee and hip replacements (and shoulder!) 

This is a common consequence of arthritic change and is something that we work with daily. We have years of experience in returning you to full fitness after one of these ops (sometimes two or three!). Please see knee and hip replacement information on these pages

Getting yourself mobile and active as soon as possible is the key to getting the best results.

Treating these conditions is very rewarding and we use a combination of manual therapy to regain range, exercise to build strength and balance/confidence and other modalities such as hydrotherapy.

An overview of chronic joint pain can be found here.