The type of treatment selected for each patient will be entirely based upon the Physiotherapy assessment that John will undertake. There is no one exercise or treatment that “cures” a patient! It is always a combination of different treatments along with education and advice about the issue and how you can help your recovery outside of the clinic too. No matter what the problem, John will set you on the right path by selecting the appropriate type of treatment and guiding you back on the road to recovery. Types of treatment available:

  • Advice and education
  • Manual therapy
  • Sports massage
  • Exercise prescription
  • Soft tissue mobilisation
  • Dry needling
  • Acupuncture
  • Pilates class one to one or small group
  • Sport/injury specific rehabilitation class one to one
  • Injury prevention rehabilitation sport specific
  • Orthotic prescription advice
  • Kinesio taping
  • Sports taping
  • Pre- and post-operative rehabilitation

For more information on each treatment, see below.

Advice and Education:

This is the cornerstone of Physiotherapy, taking the right advice and information at the right time and implementing it can be as beneficial as any manual treatment and can speed up the recovery process significantly. The first step is to acknowledge that the pain experienced is real and that Physiotherapy can help to alleviate it. Often taking or avoiding certain actions can be the most effective way to treat the problem, giving reassurance and explaining what’s going on can have an extremely positive impact and speed up the recovery process.

Manual Therapy:

Manual therapy is a combination of different Physiotherapy skills and techniques including: mobilisations anterior and posterior, physiological movements, passive movements, soft tissue mobilisations, deep tissue massage, muscle energy techniques and trigger point release. John also uses progressive techniques such as McKenzie, Mulligan and Maitland. These were devised by manual therapy specialists who gave their name to their own specific type of treatments. They have since been adopted by manual therapists around the world, due to the fact they have been clinically proven to work for people who have musculoskeletal injuries such as joint, spinal and muscle aches and pains.

Exercise Prescription:

Exercises are often issued in combination with other treatment modalities in Physiotherapy. These are exercises that could be aimed at improving strength, flexibility, range of motion, balance and/or motor control.

Soft Tissue Mobilisation:

This technique will help loosen tight muscles that may have occurred as a result of stress or lack of exercise. By massaging the area, thus increasing blood flow, toxins are removed and neural tension is decreased. This can help reduce discomfort and relieve the tension felt. Along with other techniques and advice, education and exercises, will get you back on track in no time.

Dry Needling:

Using acupuncture needles the therapist will locate a taut band know as a ‘trigger point’. These can be “active”, referring pain to another area or “latent” where the pain is localised to just that area. A sterile needle (single use) would then be inserted into the trigger point, experiencing a slight increase in pain that doesn’t usually last very long. Dry needling works by increasing blood flow to taut muscle fibres and releasing certain chemicals and receptors that that are naturally produced in the body that can help to reduce pain. It is a safe and effective technique and can be useful as part of a holistic treatment programme.


Acupuncture is a Chinese technique that has been practiced for thousands of years. The process involves inserting sterile acupuncture needles (single use only) into specific points in the body that increases the chi (flow) in the body. These points usually form a line which are known as meridian lines. Depending on what your issue is, there will be specific points and lines where the needles will be inserted. Benefits of acupuncture include: increasing blood flow, reducing pain, reducing neural tension/pain, lowering stress levels and improving mood. Acupuncture in Physiotherapy can be very useful for individuals who have quite severe pain that can be easily irritated. In this case, the needles would normally be left in a little longer and can be stimulated at certain points intermittently during the treatment.

One-to-One Pilates:

Pilates is the perfect combination of strength, control and balance. The key principle is to build strong and stable pelvic floor muscles (tummy muscles). The aim is to engage these muscles whilst moving the peripheral joints with control and maintaining regularly breathing simultaneously. In achieving this, you are less likely to get injured when doing day-to-day tasks or participating in sport. John is a qualified Pilates instructor so can give focused attention in giving feedback, prompts and teaching points. A one-to-one session would be ideal for someone who is a beginner and needs a few sessions to understand the concept and benefits of Pilates or for someone who needs a couple of refresher sessions. This session is also beneficial for anyone looking for a more intensive approach to their Pilates.

Injury Prevention One-to-One:

This is sport- and person-specific, focusing on what the most common injuries in the said sport are, along with current and previous injuries of the patient. John would create an exercise intervention, advice and education programme that would benefit the person physically, psychologically and financially.  This is ideal for anyone who is looking to gain a competitive advantage in their desired sport, particularly if recurrent injuries are affecting performance and a long-term solution to the issue is desired.

Orthotic Prescription:

Orthotics are insoles that can be inserted into shoes/boots to improve alignment and prevent any over-compensations or imbalances from occurring. They are most beneficial for people who are on their feet a lot or take part in activities which require high impact, for example running or jumping.

Kinesio Taping:

This is a method of taping that provides support but does not restrict the joint or soft tissue from moving through its normal range. Taping has many benefits such as: increasing blood flow; reducing inflammation or swelling; offloading tissues that are over-worked; and giving feedback to tissues that are inactive. There are different ways of applying the tape to the body depending on what your issue is. The tape can stay on for 7-10 days provided you do not have an allergic reaction to it.

Sports Taping:

This would normally be done by a Physiotherapist before training, a match or other event. For this, the athlete would come to the clinic and have a specific joint taped for the occasion, for example the ankle, shoulder, knee, wrists or fingers. Zinc oxide tape is used for this as it is a lot more rigid than Kinesio tape, therefore keeping the joint in a specific position.

Pre and Post-Operative Rehabilitation:

When surgery is required to relieve your symptoms, Physiotherapy is also usually required. Physiotherapy before surgery would focus on building up the strength in the muscle and maintaining the mobility and flexibility for a quicker recovery post-surgery.

Post-operative Physiotherapy or Physiotherapy after surgery, is suitable for individuals who, for example, may have had a fracture, spinal surgery, ACL surgery, rotator cuff repair, hip and knee replacement or key hole surgery. Physiotherapy would focus on regaining full range of motion, strength, flexibility and function, along with advice on healing time frames and a gradual progression back to sport or work. This would also involve discussions with the relevant consultant and/or GP if required, to ensure progression is at the appropriate pace and within their post-operative guidelines.

Sports Massage:

Sports massage can be useful before or after strenuous exercise. Focus is given to increasing blood flow to the tissues, which thereby increases flexibility, speeds up the healing process, reduces neural tension and releases natural chemicals into the body. This creates a feeling of relaxation and decreases the likelihood of straining a muscle during exercise.

One-to-One Rehabilitation Class:

This class is designed for someone who has moved beyond the acute (early) stages of an injury and now needs sport-specific or work-specific rehabilitation to return to 100% function. For example, this could be someone post-ankle sprain who wants to return to play their sport, or someone with a fractured shoulder who needs to get back to a physically demanding job or even a desk job.

To make an appointment or to inquire for more information, contact Next Level Physiotherapy here.