Conditions We Treat

Back Pain

Back pain can be a debilitating condition covering a range of conditions from the lower back up to the back of the rib cage and shoulder girdles. The pain may come from a number of sources such as the spinal discs, joints, ligaments and nerves, to the surrounding muscles. In treating this condition we perform a structured, detailed assessment to localise where the pain is coming from. At the same time we perform tests to analyse your body's movement to isolate the underlying causes of the problem. For example, are the back or core muscles weak, are the hip, knee or shoulder muscles tight causing compensations in the spine, and back pain. Is the bodies alignment out, is the posture poor and causing excessive strains in the back.

We can help treat and overcome back pain by implementing a treatment regimes to correct the above problems. This includes massage, soft tissue release and stretching to tight back muscles. Mobilisations and manipulation to tight spinal areas. Exercises and Pilates classes to increase core and back strength and flexibility. Corrective advice and exercise to correct posture, spinal alignment, workplace ergonomics. By correcting all the above the spine can move more freely, increase its strength and stability and stop low back pain. We can provide ongoing advice and exercise to help maintain the lower back's health and stop further relapses. As all the Physiotherapists at Orchard Clinic have attained Post Graduate Qualifications in treating lower back pain you can be assured all treatment techniques and exercises used are based on evidence based practice from the latest research.

Neck Pain

Neck pain can arise from a large number of conditions. These range from the neck's spinal joints, discs, ligaments and muscles, to other areas not commonly associated with the neck. As the neck muscles spread out from the neck to attach to the upper eight ribs, shoulder girdles, skull and jaw bone. Therefore neck pain can come from areas of tightness, inflexibility, weakness, poor alignment and posture, even poor breathing patterns associated with any of these areas. Many headaches arise from the neck via direct referral from the joints and muscles.

At Orchard Clinic we conduct a detailed assessment of the neck's flexibility, strength and postural alignment with the rest of the body. For example, repeatedly carrying a bag on the shoulder may cause the muscle around the shoulder to tighten. As many of these muscles attach to the neck, compensations can arise causing neck pain. The same can occur through poor lower back, head and jaw alignment. We can treat these problems using massage soft tissue release, stretching to the neck muscles, and mobilisation and manipulation to the neck joints. We will teach you how to correct your trunk, shoulder and neck posture and alignment to stop compensations and the resulting strain on the neck.

Long term neck pain can be avoided by your Physiotherapist teaching you ongoing corrective posture advice and stretches, so you have strategies you can use to help yourself.

Knee Pain

Knee pain may be caused from ligament, tendon and muscle strains from the surrounding knee soft tissues, to the knee joint surfaces in arthritis, cartilage problems or from the knee cap at the front of the knee. These can occur through sporting activities or just from everyday strains. Our knee strength, flexibility and alignment is vital to allow us to walk, stair climb, run and stand from a chair effectively. Many problems with stiff ankles, flat feet, or weak hips and core may all cause compensations in the body resulting in knee pain.

At Orchard Clinic we analyse the way you walk, run or move not just in the knee but throughout the body to see if this may be an underlying cause of knee pain. We perform a detailed examination of the knee joint, cartilage, ligaments and muscles to find out where your knee pain is coming from. We can them implement treatment regimes to correct this. This may include soft tissue massage, manipulation and stretches to the knee muscles, ligament and tendons, and mobilisations to stiff knee joints. Taping and exercises can help support the knee and correct any alignment issues with the rest of the body. Treatment machines such as Ultrasound can be used to treat soft tissue swelling and inflammation. Strengthening exercises are used to aid knee stability with arthritis, or to get you back to sporting activity. Whether you want to climb stairs pain free or return to tennis/ rugby etc a progressive exercise regime can be tailored for you. This will allow your knee to be more flexible and stronger and therefore stop knee pain.

If you require further testing to aid diagnosis of a knee condition such as X-Rays, Scans etc your Physiotherapist will be able to highlight this and recommend the correct referral pathway.

Spinal Pain

Back and neck pain is one of the most common conditions we treat as Physiotherapists. Some problems can just be linked to our posture and how we move; whereas some spinal pain may have underlying pathology. Common pathology includes disc bulges, facet joint strains, spondylosis, osteoarthritis, osteoporosis and spondylolisthesis. Your Physiotherapist can often diagnose these problems or work with you if diagnosis has already been identified through an X-ray or MRI. We can help to alleviate neck, mid-back and lower back pain as well as associated nerve pain like sciatica.

Repetitive Strain Injury (RSI)

RSI can often occur from work related over use injuries and even activities in our leisure time like gardening, DIY or sporting technique. We can work closely with you to identify the cause of your symptoms, formulate a treatment plan and guide you back to work or your leisure activities. Where appropriate we can liase with your employers to ensure a graduated return to work or modified duties.

Nerve Pain

Many of our patients suffer with neuralgia from trapped nerves. The nerves in our body can get caught around many structures like spinal disc bulges, tight muscles and in specific conditions like carpal tunnel syndrome. Once the cause of the neuralgia has been identified by our team, a treatment plan can then be implemented to help ease your discomfort.

Muscle Pain

Physiotherapy can be very effective in the treatment of muscle strains and imbalances such as hamstring / calf / groin strains, rotator cuff problems in the shoulder and neck pain. Manual therapy techniques and acupuncture can help alleviate symptoms alongside taping and home exercise programmes to prevent further re-occurrence of injury.

Joint Problems

Whether you are struggling with arthritis or other joint problems, Physiotherapy can help to alleviate pain and stiffness in the joints and build up strength in the muscles to support the affected area. This can be effective in conditions in the upper and lower body such as osteoarthritis, bunions, frozen shoulder, impingement, jaw pain and cartilage problems.

Sports Injuries

We can help to rehabilitate you back to your sport following any acute or on-going sporting injuries like ligament strains, pulled muscles, bursitis and shin splints. We would work closely with you to identify any underlying triggers to your injury and implement longer term rehabilitation plans to help prevent future re-occurrence.


Dysfunction in the tendons is a common problem and can often present in the forms of tennis elbow, Achilles Tendonopathy, jumpers knee and De Quervains in the wrist. Once your problem has been identified, your Physiotherapist can suggest what types of treatment may help. This may include acupuncture, soft tissue release, taping, ultrasound, stretches and specific exercises called eccentric exercises.

Chest / rib pain

Chest pain can sometimes be caused by a dysfunction around the ribcage or middle back (thoracic spine) or even more localised problems in the chest like pectoral muscle strains, muscle tightness following breast cancer surgery and costochondritis. Our team can identify your cause of chest pain and recommend which treatment may help your symptoms.


These can sometimes be due to a dysfunction around the neck and shoulder blade (cervicogenic headaches). We can help to address posture, joint stiffness, muscle tension and weakness which can all contribute to cervicogenic headaches.


Physiotherapy can help to alleviate dizziness related to some inner ear disorders e.g. BPPV. Repositioning techniques and specific exercises can be very effective in the treatment of such conditions.

Pregnancy Problems

Some ladies may suffer with ante-natal or post-natal problems for example Symphasis Pubis Dysfunction, separation of the Rectus Abdominus muscles and reduced core stability. Physiotherapy can help to ease symptoms through bracing, manual therapy and exercise prescription.


Whiplash can cause significant pain and restriction in movement which can be improved with Physiotherapy treatment. Our team can also help with the recovery from falls and fractured bones.


Physiotherapy can help to regain strength and movement after surgery; for example, after joint replacements or post-arthroscopy. This can help guide you back to a more normal level of function and to achieve your post-operative goals.

Postural Dysfunction

Many of us may suffer with aches and pains due to the postures we adopt at work or in our leisure time e.g sitting at a computer, driving posture and from fallen arches. Our team can help to identify why your dysfunction is occurring ergonomically and correct any imbalances through the use of soft tissue release, taping, acupuncture and progressive exercise programmes to help re-correct these issues long-term.

Poor mobility / decreased general fitness

Physiotherapy can help guide you to improve your general fitness and strength; whether you are struggling with your walking and balance or whether you are recovering from illness or surgery.

For more information on the conditions we treat or service we provide, or to book an appointment:

Call: 01727 855 414