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Degenerative and Systemic Conditions

Movement, strength and confidence make a big difference at any age. We assess what is driving your symptoms, explain it in plain English, and start a plan that reduces pain, improves function and supports daily life. Book online to get a clear diagnosis and a practical route forward.

Common conditions we treat

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  • Osteoarthritis, knee, hip, spine, shoulder and hand

  • Rheumatic or inflammatory arthropathies, for example rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis

  • Osteoporosis and osteopenia, rehab and falls prevention

  • Post flare or post injection rehabilitation

  • Balance problems and deconditioning after illness

How physiotherapy helps

Physiotherapy combines joint friendly strength and mobility, flare planning and simple home safety advice. We guide the right amount of activity, teach pain management strategies and build strength and balance so daily life feels easier. You leave with a plan that fits your week and clear steps to measure progress.

What you might feel

  • Stiffness after rest that eases with gentle movement

  • Swelling or flares that come and go

  • Soreness with stairs, longer walks or heavier housework

  • Balance concerns or a fear of falling

  • Fatigue and reduced confidence with everyday tasks

Treatment you can expect

  • Joint friendly mobility, short and frequent rather than long and painful

  • Progressive strength for hips, knees, ankles, back and grip

  • Balance and gait training, step, turn and recover drills

  • Flare planning, how to adjust activity when symptoms spike

  • Pacing and weekly planning so busy days are balanced with easier ones

  • Home safety advice, for example lighting, rugs, footwear and stairs

  • Advice on walking aids or braces if they would increase confidence

  • Liaison with your GP or consultant with your consent when helpful

Staying active with arthritis

Exercise is safe and helpful for osteoarthritis and most inflammatory conditions when paced well. Some discomfort is normal and should settle within a day or two. We use a simple traffic light approach so you know when to carry on, when to ease back and when to contact us.

Falls prevention

We combine strength, balance and walking practice with practical changes at home. Small upgrades such as better lighting, secure handrails and supportive footwear reduce risk while you build confidence.

Simple self care tips

  • Move little and often through the day

  • Use heat for stiffness or a cool pack for a warm swollen joint if it feels helpful

  • Choose supportive, comfortable footwear

  • Break up chores and take brief movement breaks

  • Sleep and regular meals support recovery and energy

When to seek urgent care

  • Sudden hot, red, swollen joint with fever or feeling unwell

  • New unexplained weight loss or night pain that does not ease

  • A fall with head impact, loss of consciousness or inability to bear weight
    If unsure, call NHS 111 or seek medical advice. We can help guide next steps.

Conditions: Frequently Asked Questions

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Not sure if this is what you need help with?

Tell us what’s going on and we’ll point you in the right direction.

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