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Frequently asked questions
General questions
Find you category and frequently asked questions in the list below
What is physiotherapy?
Physiotherapy is a healthcare profession that helps individuals restore, maintain, and improve their physical function, movement and overall well-being through physical interventions, exercises and manual therapy.
How can physiotherapy help with back pain?
Physiotherapy can treat a wide range of conditions including back pain, sports injuries, arthritis, stroke recovery, post-surgical rehabilitation and chronic conditions like osteoarthritis and rheumatoid arthritis.
What should I expect during my first physiotherapy session?
During the first session, the physiotherapist will conduct a thorough assessment of your condition, including a medical history review and physical examination. They will then develop a personalized treatment plan based on your specific needs.
How often should I see a physiotherapist?
The frequency of physiotherapy sessions depends on your condition and treatment goals. Your physiotherapist will recommend a schedule, which could range from a few times a week to once a month.
Can physiotherapy help with sports injuries?
Yes, physiotherapy is highly effective for sports injuries. It involves rehabilitation exercises, manual therapy and injury prevention strategies to help athletes recover quickly and safely return to their sport.
What is the difference between physiotherapy and chiropractic care?
Physiotherapy focuses on improving overall physical function and mobility through exercises, manual therapy, and education. Chiropractic care primarily focuses on diagnosing and treating musculoskeletal disorders, especially spinal issues, through spinal adjustments and manipulations.
Are there any side effects of physiotherapy?
Physiotherapy is generally safe, but some patients might experience mild soreness or discomfort after sessions. This is usually temporary and a normal response to the physical therapy exercises and interventions.
How can physiotherapy help with arthritis?
Physiotherapy helps manage arthritis by reducing pain, improving joint mobility, and strengthening the muscles around the joints. It includes exercises, manual therapy and education on joint protection techniques.
Is physiotherapy covered by insurance?
Many health insurance plans cover physiotherapy, but the extent of coverage can vary. It’s important to check with your insurance provider to understand your benefits and any requirements for a referral.
Namely, we accept patients from below insurance companies:
Aviva | AXA PPP | BUPA | Vitality Health | Simply Health | Allianz | WPA | Healix
What areas in London do you cover?
We are based in Hanwell W7 1LL but we cover the entire west London areas such as, Ealing Broadway, west Ealing, Chiswick, Greenford, Perivale, Hanger Lane, Pitshanger, Southall, Hounslow, Northolt and Northfields.
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What physiotherapy (MSK) conditions do you treat?
Spine & Back
Mechanical Low Back Pain – nonspecific pain often related to posture, muscle strain, or minor disc/ligament issues.
Lumbar Disc Herniation (Slipped Disc) – displacement of disc material compressing spinal nerves → sciatica.
Facet Joint Dysfunction – pain from irritation of the small joints between vertebrae.
Cervical Spondylosis – age-related wear-and-tear of cervical spine, leading to neck pain and stiffness.
Whiplash-Associated Disorder – neck injury from sudden acceleration–deceleration, common after road accidents.
Upper Limb
Rotator Cuff Tendinopathy – degeneration/inflammation of shoulder tendons → pain and weakness.
Frozen Shoulder (Adhesive Capsulitis) – stiffness and severe restriction of shoulder movement.
Shoulder Impingement Syndrome – tendons compressed under acromion → painful arc.
Tennis Elbow (Lateral Epicondylitis) – overuse injury of forearm extensors → pain outside elbow.
Golfer’s Elbow (Medial Epicondylitis) – similar to tennis elbow but inside elbow.
Carpal Tunnel Syndrome – compression of median nerve at wrist → pain, tingling, weakness.
De Quervain’s Tenosynovitis – tendon sheath inflammation at wrist/thumb side.
Lower Limb
Hip Osteoarthritis – degenerative joint disease causing stiffness, pain, reduced mobility.
Trochanteric Bursitis – inflammation of bursa at outer hip → lateral hip pain.
Knee Osteoarthritis – common degenerative condition affecting mobility and function.
Meniscal Tear – cartilage injury in the knee, often twisting-related.
Anterior Cruciate Ligament (ACL) Injury – common sports injury causing knee instability.
Patellofemoral Pain Syndrome – pain around kneecap, aggravated by stairs, squatting, running.
Plantar Fasciitis – heel pain from inflammation of plantar fascia.
Achilles Tendinopathy – degeneration of Achilles tendon → pain and stiffness in heel/ankle.
What is PRP joint injection?
Platelet-Rich Plasma (PRP) joint injection is a regenerative therapy that involves injecting a concentration of a patient’s own platelets into a damaged joint to promote healing and reduce pain. The platelets contain growth factors that help repair tissues and reduce inflammation.
How does PRP therapy work for joint pain?
PRP therapy works by using the growth factors in platelets to stimulate the body’s natural healing processes. When injected into a joint, these growth factors help repair damaged tissues, reduce inflammation, and promote the regeneration of cartilage and other joint structures.
What conditions can be treated with PRP injections?
PRP injections can treat a variety of joint conditions, including osteoarthritis, chronic tendonitis, ligament injuries, and cartilage damage. It is particularly effective for knee, shoulder, elbow, and hip joint issues.
Are PRP injections safe?
Yes, PRP injections are generally considered safe because they use the patient’s own blood, reducing the risk of allergic reactions or infections. However, as with any injection, there is a minimal risk of pain, bleeding, or infection at the injection site.
How long does it take to see results from PRP injections?
Most patients start to see improvements within a few weeks, with significant pain relief and improved joint function typically observed by six weeks post-injection. The healing process can continue for several months.
How many PRP injections are needed for joint pain?
The number of PRP injections needed varies depending on the severity of the condition and the patient’s response to the treatment. Some patients may experience significant relief after a single injection, while others may require multiple injections spaced a few weeks apart.
What is the procedure for PRP joint injection?
The procedure involves drawing a small amount of the patient’s blood, processing it in a centrifuge to concentrate the platelets, and then injecting the PRP into the affected joint using ultrasound guidance to ensure precision. The entire process typically takes less than an hour.
Are PRP injections painful?
PRP injections can cause some discomfort during and after the procedure. Local anaesthesia may be used to minimize pain during the injection. Post-injection pain is usually mild and can be managed with over-the-counter pain relievers and ice packs.
Can PRP injections be combined with other treatments?
Yes, PRP injections can be combined with other treatments such as physical therapy, corticosteroid injections, or hyaluronic acid injections. However, it is important to space out these treatments appropriately to avoid interactions that could reduce the effectiveness of PRP.
What are the benefits of PRP therapy compared to traditional treatments?
PRP therapy offers several benefits over traditional treatments like corticosteroid injections or surgery. It is a minimally invasive procedure that uses the body’s natural healing mechanisms, reducing the risk of side effects and promoting long-term healing and pain relief.
What is Shockwave Therapy ?
Shockwave Therapy (also called Radial or Extracorporeal Shockwave Therapy) is a non-invasive treatment that uses high-energy sound waves to stimulate healing in injured or painful tissues.
It is commonly used for chronic conditions that have not responded to rest, medication, or traditional physiotherapy.
How Shockwave Therapy Works
Increases blood flow to the injured area
Breaks down scar tissue and calcifications
Stimulates cell regeneration and collagen production
Reduces pain by desensitising nerve endings
Promotes long-term healing rather than just masking symptoms
Conditions Shockwave Therapy Treats
Common conditions include:
Plantar fasciitis / heel pain
Achilles tendinopathy
Tennis elbow (lateral epicondylitis)
Golfer’s elbow (medial epicondylitis)
Patellar tendinitis (jumper’s knee)
Shin splints
Shoulder tendinitis / rotator cuff injuries
Calcific tendinopathy
Hip bursitis / gluteal tendinopathy
Chronic muscular trigger points
Hamstring tendinopathy
Frozen shoulder (capsulitis)
Chronic neck or back muscle pain
Repetitive strain injuries (RSIs)
Benefits of Shockwave Therapy
Fast pain relief
Accelerates natural healing
Improves mobility and function
Non-surgical and non-invasive
No medication required
Short treatment sessions
Proven effective for chronic conditions
Safe with minimal side effects
What to Expect During a Session
The therapist applies gel to the area
A handheld device delivers pulses (sound waves)
Mild discomfort may be felt, but it is tolerable
Sessions last 10–15 minutes
Most treatments require 3–6 sessions
You can return to normal activity shortly after
Aftercare Instructions
Mild redness, swelling, or soreness is normal for 24–48 hours
Avoid intense exercise for 48 hours on the treated area
Ice can be used if there is discomfort
Stay hydrated
Follow any exercises or stretches prescribed by your therapist
Who Is a Good Candidate?
Ideal for people with:
Long-term (chronic) muscle or tendon pain
Conditions that haven’t responded to physiotherapy alone
Overuse injuries from sports or work
Not recommended for:
Pregnant individuals
People with blood-clotting disorders
Those with tumours or infections at the treatment site
People with pacemakers
Individuals taking certain blood thinners (depending on severity)
Frequently Asked Questions (FAQ)
Is Shockwave Therapy painful?
There may be mild discomfort, but intensity is adjusted to your comfort level.
How soon will I feel results?
Many clients feel improvement after 1–2 sessions; chronic cases may take longer.
Is it safe?
Yes, it is a clinically proven treatment used worldwide.
How many sessions will I need?
Usually 3–6, depending on the condition and severity.