Treatments

At Spires Physiotherapy we treat all types of conditions including joint pains, muscle strains, repetitive stress, sports injuries, and much more. Here are some common issues seen in our clinics:

Back Pain

Back pain is a very common disorder that will affect almost everyone at some point in their lives. It is a leading cause of disability and sickness absence from work. Most episodes of back pain will subside with gentle movement and a course of treatment. Some people, however, suffer from chronic or recurring back pain which requires a tailored management plan and graded rehabilitation based on the individual, their body and their goals. There are many different causes of back pain, more common causes include facet joint dysfunction, intervertebral disc disease, muscle strains and ligament sprains. Fact: 50% of rowers experience an episode of back pain during the course of a season. Issues in the low back can cause symptoms in one or both legs, this is often due to an irritation of the nerves which run from the lower spine down into the legs which, if it affects the back of the legs, is usually described as Sciatica.

Knee Pain

The bane of many runners’ lives, knee pain is often caused by repetitive strain. It’s often predicated by a lack of strength or stability in the hip, knee or foot and often comes on gradually. The location of your symptoms usually depends on the structures involved. For example, pain in the front of the knee is often a result of stress on the patello-femoral joint (knee cap), whereas pain on the outside of the knee usually correlates to issues with the Illio-tibial band. However, it’s not always that straight forward and a detailed assessment with a physiotherapist is strongly advised if you’re experiencing pain in your knee.

Neck Pain

The technological revolution has seen a rise in the number of people experiencing episodes of neck pain, giving rise to the term “Tech Neck”. Extended time sat in front of a computer screen takes its toll on the body, particularly the postural muscles of the upper spine. On top of this, repetitive movements of the neck to one side can irritate joints and fatigue muscles. As with back pain, the causes of neck pain are many and a thorough examination is imperative to finding out the cause of your pain and getting you on the path to recovery. Whiplash Disorder is an acceleration-deceleration mechanism of force to the neck. It’s often caused by a road traffic accident but also affects many contact sports players such as rugby and American football players. Having treated hundreds of people following road traffic accidents, and after spending a season working with the Great Britain American Football team in 2013, Head Physiotherapist Joe Korge is well versed in the management of whiplash disorder.

Shoulder Pain

Often described as the most complex joint in the human body, the shoulder is actually made up of four joints: The gleno-humeral joint, acromio-clavicular joint, scapula-thoracic joint and sterno-clavicular joint. The joints of the shoulder are held together by strong ligaments and many different muscles, most notably, the Rotator Cuff. The Rotator Cuff is a group of four muscles which form a claw-like structure on the top of the arm, holding it in the socket of the shoulder and providing stability when you move your arm. Many shoulder issues are caused, or certainly exacerbated, by dysfunction of the rotator cuff muscles. To complicate matters, an intricate network of nerves and blood vessels supplying the arm and hand runs through the shoulder joint which must be carefully considered during a shoulder assessment.

Chronic Pain

Pain is usually caused by stress or damage to a structure in the body. However, sometimes pain can continue after an injury has healed and the structures have been restored to a healthy state. Chronic pain is considered when symptoms last longer than 3 months and is multi-factorial in nature. It is complex, often misunderstood and can be extremely frustrating to experience. The body’s natural response to pain can sometimes cause chronic symptoms through immobility, weakness and adaptations in the nervous system. As with the pain associated with recovery from an injury, physiotherapists are well equipped to help you manage your chronic pain and help you restore function and quality of life.

Rehabilitation

Along-side advice and education about your symptoms and your body, your Spires Physiotherapist will provide you with a tailored rehabilitation programme to match your functional goals. Your exercises will be based on the outcome of your assessment and will work towards achieving your individual aims. For example, recovering from an ankle injury involves very different exercises if you’re a cyclist compared to if you’re a dancer. The aim of rehabilitation isn’t just to get you back to pre-injury function, but to get you performing better than you were before your injury in order to prevent recurrence of your symptoms and improve your sporting performance.

Sports Massage and Manual Therapies

Manual therapy techniques, such as deep soft tissue massage and joint manipulation, can help reduce pain and aide recovery from injury. Gone are the days when therapists tell you that manual therapy breaks down scar tissue or moves toxins (whatever they are!) around the body as scientific research evidence refutes this. Manual therapy is provided at Spires Physiotherapy as an adjunct to your rehabilitation and all our therapists are qualified in sports massage and Swedish massage. Electrotherapy such as ultrasound has been shown to be ineffective in the treatment of muscular and skeletal conditions and is not used at our clinics.

Our Clients

I went to see Joe at short notice due to an injury shortly before an event I was training for. He efficiently assessed the issue, educated me about the causes and put in place a plan to help retrain and improve the injury. Ultimately I successfully completed the event, which is thanks to Joe, so I can heartily recommend him.
Chris Muir
21:13 24 Jun 19
Joe is terrific! I had a really bad knee injury and Joe helped me make a full recovery. He's very knowledgeable and professional and couldn't have asked for a better physio!
Angelica
13:27 24 May 19
From the moment I met with Joe I knew I had made the right decision. Friendly, polite and very knowledgeable Joe has helped me no end with my Sciatic & Piriformis problems and symptoms. Would definitely recommend to anyone with any type of physio they require.
Paul Garwood
17:58 21 Feb 19
Had a fantastic experience with Joe. Incredibly knowledgeable and personable, he took me from a state where I couldn't bend over to load the oven to being able to run/gym/play sports. Highly recommended.
Chester Steven
14:13 18 Apr 19
I suffered with a herniated disc and Spires Physiotherapy was able to fit me in the next day to see Joe. He is so in-depth with his knowledge and explained everything to me. The treatment has been amazing and I couldn’t be more grateful for his expertise. Joe goes above and beyond. I would highly recommend Spires Physiotherapy!
Charlie Thompson
09:46 12 Dec 18
I went to see Joe to address long-standing shoulder pain issues due to spending too much time sat at my desk every day. The experience was excellent from start to finish, with Joe being very enthusiastic, flexible, and happy to fit in appointments around my work schedule. Joe is also very realistic about providing exercise plans that are easily feasible to do at home with little equipment, and in such a way that it is easy to fit into a busy lifestyle. The symptoms are now clear and i have fresh enthusiasm for a balanced exercise plan, to prevent them re-occuring. Based on my experience i would highly recommend Spires Physiotherapy.
Paul Klauber
15:05 10 Jul 19
I had suffered debilitating back and neck pain from the inherent intricacies of my work for about 6 months or more. My colleagues had attended Spires Physio and had recommended Jo to help fix my physical health. I reluctantly booked my first appointment and was amazed at the level of professionalism that Jo displayed. He accurately diagnosed my issues and what was causing them. We both understood that the work-related causes will not go away unless I changed profession but that there were other modifiable factors such as physical activity that could delay or prevent recurrence and had lifelong health benefits. Six sessions later I was completely pain free. It is now 3 months and I am still pain free. What is extremely important to me and thanking Jo for this is that I am now fully back to running (my favourite high intensity physical activity) after almost 20 years of being "passively physically active". I was not sedentary but I was not exercising enough! Moreover, I am already experiencing weight loss without changing anything else. Jo, you did not try to promote your work as the magic bullet to muscle, nerve and bone problems but you recognised the need to tell your clients of the immense physical, mental and cognitive health benefits of physical activity and encourage them to take advantage of these. You were completely honest with me about physio exercises being only a temp fix and boring (are only intended to be therapeutic) and that physical activity (PA) was more satisfying. You helped me get over my fears and excuses for not returning to PA, helped me realise that I only needed a couple of hours a week, no routines necessary, just do what I could when I could would still be beneficial. It also did not matter what I did, run, walk, gym, skip a rope, anything. Thank you Jo at Spires Physio. You are an absolute gem to your profession! I will definitely recommend Spires physio any day any time.
Helen P M Natukunda
09:21 30 Aug 19
Adelina is an excellent physiotherapist. Very professional and knowledgeable. She planned a bespoke treatment to address my patellar tendinitis problem effectively. Each exercise was explained clearly and I was also provided with a detailed exercise sheet to ensure I stayed on track. After only a few sessions my knee pain is gone and I can now resume exercise as normal. I would highly recommend her.
Alice Watson-Thorne
12:47 07 Oct 19
I was diagnosed with sciatica by my GP and physio was recommended. I saw Adelina at Spires and can only say how pleased I have been. Adelina is a very professional therapist but has a friendly and understanding manner with patients. The programme was tailored to meet my needs, getting progressively more challenging over the 3 months that I visited her. The exercises were designed to build resilience and also to help in the event of a further episode. As well as the exercises to do at home, Adelina also advised on what I could do in breaks on long car journeys and how to sleep more comfortably. She also provided email support and encouragement between appointments. Brilliant - strongly recommended.
David
19:58 07 Oct 19
I have struggled with neck, back and shoulder problems for a number of years. I was recently referred to Spires Physiotherapy and the excellent Adelina. Adelina was very friendly and approachable and took the time to listen and understand my symptoms. Along with the hands on physiotherapy during my sessions with her she developed a bespoke programme of exercises for me to help reduce and manage my symptoms. She also gave me lots of brilliant advice on how to be less sedentary (my job is office/home based) and shared some useful tips on mindfulness. This combined approach has been very successful and not only have my symptoms dramatically improved but I’m also reassured and more confident that I can manage my symptoms moving forwards. After each session, Adelina promptly emailed me the new exercises we had worked through and was always available to contact if I had any questions about the exercises in-between appointments. Excellent – highly recommend!
John Cooper
10:30 18 Nov 19
Very clean, comfortable setting with a friendly greeting and informative, really help my recovery
Terry Garnett
15:52 20 Feb 20
Went in with a suspected torn rotator cuff and was treated by Joe. He very quickly assessed and confirmed the issue and immediately started planning a realistic training program to rehab the shoulder back to where I need it to be. One of the best things about this treatment was Joe's confidence in getting the shoulder back to health and allowing me to define what 'success' looks like - not just pain free, but getting back to lifting properly. A month in and the shoulder is more stable, stronger and I have a lot more confidence in it when pushing it. Definitely recommend!
Ben Rayneau-kirkhope
10:11 29 Sep 20
Gurhan has helped me on two occasions. In both cases he was superb. His professionalism, care, knowledge and patience were impressive and the result was wonderful. He has a delightful manner and deep specialist knowledge. I recommend him without hesitation.
Peter Ryding
06:44 31 Jan 21
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