Do you experience back pain after lifting something off the ground?

When you bend forward does your back pain/ pins and needles get worse?

Is the pain sometimes worse in the morning?

Then you may have a disc bulge.

However not to fear, many people will have disc bulges in their lifetime and never even realise, with the prevalence of disc bulges in asymptomatic populations ranging from 20% in young adults to >75% in patients older than 70 years of age.

In fact if we were to MRI your spine before an accident there may even be disc bulges in other areas of your spine. When bulging disc matter compresses the nerves that supply the disc or the nerves that supply the limbs of the body, it can cause pain and neurological symptoms. It usually occurs at the bottom of the spine because of the spines shape and increased load this area takes.

In people between the ages of 25-55 years old have an approximately 95 percent chance of herniated discs occurring either at L4-L5 or L5-S1

To understand a disc bulge we must first understand what a disc is.

A disc is a rubbery pad between the spinal bones that acts like a shock absorber to cushion the spine. From a bird’s eye view they look like a cross section of a tree, with concentric rings that get smaller the further you get to the centre.

In the middle of the disc is a jelly-like centre called the nucleus proposa. For a disc bulge to happen the outer layers (called the annulus) tear, usually from a combination of flexion and rotation, like tearing a yellow pages book. This can then allow that jelly like matter to push through the concentric layers and bulge out from the disc and cause the symptoms mentioned above.

disc bulge

How can we help?

Manual therapy has been demonstrated in research to be an effective way of improving spinal mobility and reducing pain in patients with disc bulges and can aid in a person’s recovery time.

At The Art Of Healing we pride ourselves on our bespoke approach to  treating disc bulges, which uses a mixture of osteopathy, manual therapy, dry needling to reduce muscle tension allow space for the disc.

We also use the the latest in orthopaedic and medical research for rehabilitation and techniques, such as our new IDD machine (Intervertebral Differential Dynamics machine), which is a successful and trusted cost effective, non-surgical spinal decompression treatment for back pain, neck pain and related problems caused by disc bulges.

Book a treatment today. As a clinic we have helped hundreds of patients suffering with disc bulges and offer guaranteed same day hands on treatment with our expert team to give you relief from your symptoms and develop plans for future progression

Have you noticed a reduction of mobility in your spine?

A burning pain in the buttocks and down into the legs?

A pain in the back the back that can be worse in the morning?

If these problems affect you then you might have spinal stenosis.

Spinal stenosis is a narrowing of the canal/gap where the nerves exit the spine, which can cause pressure on your spinal cord or the nerves that go from your spinal cord to your muscles.

Spinal stenosis can happen in any part of your spine but is most common in the lower back followed by the neck and is most commonly found in people over the age of 50.

Spinal stenosis can be caused by several factors but is most commonly caused by the wear and tear that goes with aging, as the intervertebral discs can degenerate and protrude backwards causing increased pressure on the gaps/canal causing them to become narrower.

Degeneration occurs most frequently at the L5-S1 vertebrae (where the spine meets the sacrum) because of its extensive load bearing nature. This can therefore cause irritation of the sciatic nerve, causing sciatica like symptoms.

Spinal stenosis

How can we help?

At The Art Of Healing we pride ourselves on our bespoke approach to  treating spinal stenosis.

We use a mixture of osteopathy, manual therapy, dry needling and the latest in orthopaedic and medical research for rehabilitation. Techniques that have helped hundreds of patients at our clinic suffering from spinal stenosis.

An example of this would be our new IDD machine (Intervertebral Differential Dynamics machine), which is a successful and trusted cost effective, non-surgical spinal decompression treatment for back pain, neck pain and related problems such as sciatica. It is particularly useful to sufferers of Spinal Stenosis.

Book a treatment today. We offer guaranteed same day hands on treatment with our expert team to give you relief from your symptoms and develop plans for future progression.

Is one or both of your shoulders getting stiffer?

Have you noticed a pain in the shoulder that just doesn’t get better?

Perhaps the range of motion is also getting worse too?

If you have these symptoms then you may have Frozen shoulder.

Frozen shoulder, also known as adhesive capsulitis, is a progressive shoulder condition that can appear out of nowhere with no initial injury. Frozen shoulder is an inflammatory condition that causes fibrosis of the glenohumeral joint capsule and is accompanied by gradually progressive stiffness and significant restriction of range of motion.

Patients also suffer from restricted shoulder rotations, resulting in difficulties in personal hygiene, clothing and brushing their hair. Another common concomitant condition with frozen shoulder is neck pain, mostly derived from overuse of cervical muscles to compensate the loss of shoulder motion.

Frozen Shoulder

There are three distinct phases to Frozen shoulder:

The first is the freezing stage and usually is quite painful especially in the morning and can last between 6 weeks and 6 months.

The next is the frozen phase (4-6 months), in this stage the pain may begin to reduce but will be exchanged for a decrease in overall shoulder mobility.

The last stage is the thawing phase, by this point the pain may have disappears and the range of motion may be beginning to get better (6 months to 2 years).

Adhesive capsulitis occurs in up to 5% of the population and females are 4 times more likely affected than men, while the non-dominant shoulder is more prone to be affected.

How can we help?

Manual therapy has been demonstrated in the media to be an effective way of improving shoulder mobility and reducing pain in patients with frozen shoulder. At The Art Of Healing we pride ourselves on our bespoke approach to treating frozen shoulder, which uses a mixture of osteopathy, manual therapy, dry needling and the latest in orthopaedic and medical research for rehabilitation and techniques has helped hundreds of patients at our clinic suffering with Frozen shoulder.

Book a treatment, we offer guaranteed same day hands on treatment with our expert team to give you relief from your symptoms and develop plans for future progression

What is Plantar fasciitis (PF)?

Plantar fasciitis is the most common cause of chronic heel pain in adults affecting all ages. Did you know that the recovery time for PF without treatment cab be between 6 and 18 months? However, with conservative treatment, such as what we provide here at The Art Of Healing, 97% of people with PF can expect to recover fully within 6 months.

Plantar fasciitis can be an acute or chronic inflammation of the plantar facia (a thick band of tissue on the bottom of the foot), which runs from the heels to the toes and helps support the arch of the foot. It can cause pain in the heal, alongside pain in the middle and side of the foot. This pain in usually worse in the morning and can be aggregated by sitting for long periods or spending a long period of time on your feet and may be relieved a little through exercise. 

Plantar fasciitis

Walking as a first step is a good place to start, although modification of activities should be advised, while those that involve repetitive impact, such as running (even on a treadmill), should be avoided during the treatment phase. To keep fit and maintain a good level of cardiovascular fitness, patients can perform non-weight-bearing activities such as cycling, swimming, as long as it doesn’t load the bottom of the foot too heavily.

A gradual return to more impactive activity such as running, after the patient is asymptomatic for 4–6 weeks and no longer has localised tenderness over the bottom of the foot

One of the common characteristics of PF is pain in the morning, this is in part due to the lack of movements during the night. This inactivity means that the plantar fascia tightens during the night and then is easily overstretched in the morning as we get out of bed and move around and causes pain. Similarly, because of the lack of movement as we sleep, swelling and inflammatory proteins called cytokines can build up and cause further soreness in the morning

How can we help?

Plantar fasciitis can be caused by a number of factors, one of the most common is through tension and tightness within the gastrocnemius at the back of the calves, alongside biomechanical changes in the ankle and foot, such as a drooped arch or flat feet.

Here at the Art Of Healing we have extensive training to deal with these problems through releasing of tension within these muscles and provide ,manipulation and mobilisation techniques to help to restore biomechanical support to the foot. Our team can then provide targeted exercises to strengthen and decompress these tissues leading to better pain and function outcomes.

The word Fasciitis means fascia inflammation Fasci-itis. However, current literature suggests that plantar fasciitis is more correctly termed fasciosis because of the chronicity of the disease and the evidence of degeneration rather than inflammation. At the Art Of Healing we have access to a Shockwave machine, which research suggests can help relive chronic symptoms of PF by breaking down the degenerative tissues and thus heling to promote synthesis of new and healthy Plantar fascia tissue.

"Does ice help plantar fasciitis?"

YES! Ice can help with your symptoms of plantar fasciitis. Research suggests that cold being applied to the area for 20 min prior bedtime was the most effective treatment for reduced symptomology caused by plantar fascia. Reducing inflammation by using ice has also been shown in research to help reduce the thickness of the plantar fascia and alleviate some pain and cold ibuprofen gel was found to be significantly better at reducing plantar fascia symptoms than cold alone.

How does this work? Ice reduces the blood flow to the affected area by shrinking blood vessels beneath the skin. As a result, this decreases the swelling around the plantar fascia, along with reducing the amount of the inflammatory proteins, called cytokines, that can increase inflammation. Icing the foot also has the added benefit of numbing the nerve endings just below the skin, lessening pain.

Plantar Fasciitis ice treatment

However, Ice alone will not solve the problem. Recovery time for Plantar Fasciitis without treatment can be between 6 and 18 months? However, with conservative treatment, such as what we provide here at The Art Of Healing, 97% of people with PF can expect to recover fully within 6 months.

At The Art Of Healing, we create bespoke approach to  treating Plantar Fasciitis using a mixture of osteopathy, manual therapy, dry needling, shockwave therapy and the latest in orthopaedic and medical research for rehabilitation and techniques has helped hundreds of patients at our clinic suffering with Plantar Fasciitis.

Book a treatment. We offer guaranteed same day hands on treatment with our expert team to give you relief from your symptoms and develop plans for future progression.

Physiotherapy is the branch of health care dealing with rehabilitation from injury, illness, or disease. Physiotherapists work in many areas, including hospitals, clinics, and private practices.

What is physiotherapy?

Physiotherapists are healthcare professional who diagnoses and treats physical dysfunction. A physiotherapist can do many things such as, providing injury rehabilitation, applying heat or cold treatment, and providing support to the spine and joints. Physiotherapists will also be able to determine whether a patient is fit for surgery. They can also assess or suggest which type of exercise would be best suited for the patient.

When is physiotherapy used?

Physiotherapy is used to help people who have been injured, are experiencing pain and discomfort or are recovering from a surgery. It can also be used as a preventative measure for those who are highly active and want to avoid injury. Many people suffer from chronic pain and do not get adequate relief from pain medications.

Manual Therapy is an effective treatment for this type of pain because it can help to relieve the tension in painful muscles, loosen tight muscles, increase range of motion and decrease inflammation. A physiotherapist will assess their condition, provide recommendations and treatments, and provide education about the injury or health concern.

What do Physiotherapists do?

Physiotherapy is a profession that specializes in improving the movement and function of a person's body. Physiotherapists will perform an evaluation to determine the nature of the client's injury or disability, their physical limitations, and any aids that they may need. They will work closely with their client to develop a plan that will help them reach their goals, whether it be to walk without pain or to return to work.

physiotherapists for runners

Movement and exercise

Movement and exercise is important to maintain a healthy lifestyle. Physiotherapists can help create a personalized exercise plan for an individual based on their abilities, needs, and goals. The physiotherapist will review your functional capacity with your mobility and ability to do different physical activities.

For example with a shoulder injury or pain, the physiotherapist will check your shoulder’s range of motion and recommend appropriate therapy. The physiotherapist may then recommend a set of simple exercises that can be done at home in order to strengthen and improve your joints' range of motion. This will also help you strengthen the weak muscles and enhance balanced coordination between them.

Physiotherapy in Action.

Can a ligament tear be cured via physiotherapy?

What is a torn ligament?

Excessive movement or force at an unusual angle can cause a ligament to become strained or torn. This can happen during sporting activities, accidents or general wear and tear. The amount of damage is usually graded from one to grade three. Grade one are mild injuries where a few of the structures that make up the ligament are torn. Grade two is a moderate injury, a partial tear of the structure. A grade three is severe, including a full tear or rupture which may need surgical intervention before the physiotherapist may become involved.

As joints are supported by groups of ligaments it is possible to damage more than one at once.

Physiotherapists may gently help a ligament tear, through a range of methods, typically involving exercise, corrective exercises, functional training, massage, and manipulations. A mild/moderate ligament injury can take around four to six weeks to heal. Pain may be experienced and varies greatly; sometimes it will diminish quickly or it may last longer than six weeks.

Physiotherapy and recovery from a broken bone or Fracture.

There are several types of fractures including.

  • Transverse, Occurs perpendicular to the long axis of the bone
  • Oblique, Occurs at an diagonal angle across the bone
  • Spiral, Bones are pulled apart as a result of a twisting motion
  • Comminuted, Several breaks result in multiple smaller pieces between two large segments
  • Impacted, One fragment is impacted into the other, often as a result of compression
  • Greenstick, A partial fracture in which only one side of the bone is broken, sometimes in children's younger bones.

If you have broken a bone, which has been corrected through a cast or surgery, physiotherapy can be a vital part of the process of helping the bone heal properly and bringing movement back to full health.

Stress Fracture Recovery.

Physiotherapists treatment will vary depending upon on the specific assessment of your condition and may include.

  • Stretching exercises to help joint movement, and improve muscle strength and flexibility
  • Manual therapy of soft tissue around the fracture, to manage oedema and any swelling or pain points.
  • Manual therapy to the joints to help you regain proper movement at the joints
  • Balance and control work and walking re-education if required
  • Advice and programme to re enter to sports where required.

Is physiotherapy good for back pain?

Back pain is usually associated with middle or older age, however an increasing number of younger millennials, between the ages of 18 and 25 are now working from home resulting in an increase in back problems among younger people.

Sciatica and Sacroiliac back pain.

It is easy to confuse sacroiliac pain with sciatica. Both conditions can cause pain down the leg and problems sitting and walking.

The sacroiliac and hip joints support the upper back.

Sacroiliac conditions can result in increased disc pressure in the lumbar spine and eventually create sciatica. Sciatica is an inflammation of the sciatic nerve at the lower lumbar area where nerves exit down each leg.

When back problems like inflamed discs put pressure on the sciatic nerve, it can result in pain in the lower back, buttocks, hips and sometime all the way down the leg. Any sudden movements like coughing, can be painful. The pain may be sharp, dull, or achy, with a burning, or numbness sensation in the leg or foot.

Sciatica is similar to sacroiliac pain, and requires the skill of the physiotherapist to correctly diagnose and treat.

Physiotherapy and Carpel Tunnel Syndrome

Carpel Tunnel Syndrome may be diagnosed when we feel tingling or pain in the wrist and/or fingers. This condition if left undiagnosed may lead to long-term problems.

Carpel Tunnel Syndrome, what is it?

Carpal tunnel syndrome is known as a neuropathy, meaning a nerve injury. Specifically, the Median nerve from your neck running down your arm to your hand, sending brain signals regarding the touch sensation. Injury to this nerve causes problems which can lead to changed sensations and weakness in the hand muscles.

The carpal tunnel is a channel in the wrist where the nerve enters the hand. It is made of bones and ligaments and tendons which attach to the forearm muscles. Issue occur when these tendons can become aggravated or the nerve trapped, or the carpel tunnel may become narrowed.

Carpal tunnel syndrome may result where the hands and wrists are used in repetition such as computer work, manual work or work with machinery etc.

Treatment for Carpel Tunnel Syndrome

Early intervention through qualified Physiotherapists can provide a better long-term outcome. Unfortunately, ignoring the condition may make the condition more difficult to treat.

A Physiotherapist should be able to determine if you have Carpel Tunnel Syndrome or other condition which may require treatment. Physiotherapy can involve advice, exercise, manual therapy, electrotherapy and recommending a referral if necessary.

Can Physiotherapy treat Golfer's or Tennis Elbow?

Golfer's Elbow, similar to Tennis Elbow, causes pain in your elbow as well as possibly your wrist and hand. However, Golfer’s Elbow generally affects the side of your elbow nearest your body, whereas Tennis Elbow generally affects the outer side of the elbow. This is because, Golf and Tennis use different muscles in the arm, wrist and hand. Not only golfers or tennis players can get Golfers or tennis elbow either, anyone involved in vigorous or repetitive use of the arms and hands can be affected. Also, Golfers and Tennis players may be affected by either condition.

With either condition, as well as pain, you may have; stiffness in your elbow, difficulty making a fist, weakness in your hand or wrists, and numbness and tingling.

The pain can be sudden or gradual and may worsen with specific movements, such as swinging a tennis racket.

Physiotherapy Treatment for Golfer's or Tennis Elbow.

Physiotherapists will recommend a treatment plan based on non surgical intervention if appropriate. For example, Initially rest may recommended followed by stretching the tendons by pushing the wrist backwards and forwards (eccentric stretching). This can stimulate healing by improving blood supply.

The Physiotherapist may help strengthen the shoulder, upper arm, and abdominal muscles. This can help to reduce the muscles involved in wrist extension during shoulder and arm movements.

Taping or Strapping the forearm: This support can help realign the muscle fibres and lessen pressure on the area. A Physiotherapist may recommend using a splint for a couple weeks to temporarily prevent movement of the elbow.

Chronic Knee Pain, Physiotherapy as an alternative to surgery.

Approximately 1 in 4 adults in the UK suffer from chronic knee pain. Knee pain is usually caused by osteoarthritis, a form of arthritis. Essentially, the cartilage, cushions the joint at the knee and acts like a shock absorber which can become worn or damaged over time. Also, a condition, known as “runner’s knee,” a swelling that can make the kneecap very painful, is often not felt until a day or so after running.

Knee problems have been exacerbated more recently by a general increase in weight of the UK population, It's worth noting that a general increase in one pound of weight is equivalent to four pounds of weight on the knee and as much as twice that when running up hill, for example.

The knee cartilage during general walking or running may not initially feel painful, as it does not contain pain receptors. However, once the cartilage wears away (stage 4 disease), the pain can be severe and may need knee replacement surgery. Knee replacement surgery is a commonly performed ­surgical procedure for people aged 50 and older in the UK. From April 2018 to March 2019, 93,911 knee replacement procedures were performed in the UK (See UK NHS Statistics).

A physiotherapist can help avoid knee replacement surgery through a programme to gradually strengthen the leg muscles, including the hips, and performing low-impact aerobic exercise. Combined with weight loss if appropriate.

In Summary

For many physical conditions, whether due to sports or work injury, illness or disease, Physiotherapists are medical professionals that work with patients to provide rehabilitation, the process of recovering from an injury or illness. They help determine the most appropriate physical therapy treatment for the patient. They assess patients' health status and physical needs, and provide treatment by teaching patients exercises, performing manual therapy, and instructing patients in the use of equipment.

Book a physiotherapy treatment at The Art of Healing today.

Recent Physiotherapy in the News.

Physio's, critical for Britain’s 221 athletes at the Tokyo Paralympics

27 physio clinicians play a critical support role for Britain’s 221 parasport athletes at the Tokyo Paralympics. With responsibilities including amongst other things: Athlete health and well-being during the Games and athlete’s physical preparation for competition.

2020 Tokyo Olympic diving physio for gold-medal winners.

Tom Daley and Matty Lee' physio, Gareth Ziyambi answers questions on how physios contribute to a gold-winning performance. See full story.

Physio helps Three-time Tokyo Olympics medallist Shericka Jackson.

A year before here Gold and two Bronze medals, Jackson suffered from severe shin splints almost requiring surgery. Her Physio helped with a highly specialized treatment programme. See full story.


Peter is the Clinical director and founder of the Art of Healing. His approach to treatment is to provide Total Healthcare and offer an extensive and holistic approach for his clients and patients. To this end Peter has completed training in Western Medical acupuncture, Traditional Chinese Medical and Japanese acupuncure, myofascial release techniques and functional movement as well as completing apprenticeships in Japanese Seitai bodywork and the Evolve movement method.
Peter works extensively with professional athletes including members of the Premier League, Olympic squad members and professional combat athletes.

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