A sudden sprint, an awkward landing, a moment of overreach – and the muscle fibres pay the price. We grade the injury accurately, apply precision manual therapy to the damaged tissue, and build a structured return-to-sport programme that ensures the muscle is genuinely ready before you load it again.

Tendons do not respond well to rest alone – they need the right kind of load to stimulate healing. We combine precise manual therapy to address the overloaded structures contributing to tendon stress with a carefully progressed loading programme that rebuilds the tendon's capacity from the ground up.

Whether it is an ankle rolled on a padel court or a knee twisted in a tackle, ligament injuries need more than ice and compression to resolve properly. We restore joint range of motion, strengthen the surrounding muscles, and retrain proprioception – the body's ability to sense joint position – which is the most commonly neglected part of ligament rehabilitation.

Bone stress injuries are almost always a load management problem – the training demand has outpaced the bone's ability to adapt. We identify the contributing factors (training load, foot mechanics, hip weakness), manage the acute phase, and build a return-to-training plan that addresses the cause rather than just the symptom.

Many meniscus and cartilage injuries – particularly in patients over 35 – respond extremely well to conservative physiotherapy management without surgery. We assess the nature and severity of the injury thoroughly, give you an honest recommendation, and manage the rehabilitation whether the path is conservative or post-surgical.

The shoulder is the most mobile joint in the body, which makes it the most vulnerable to overuse – particularly in swimmers, padel players, and gym athletes. We assess not just the shoulder itself but the thoracic spine and scapular control that underpin it, and rebuild the full system rather than just treating where it hurts.

When something goes seriously wrong – a heavy fall, a collision, a joint that does not feel right – the priority is accurate assessment and a clear decision about what comes next. We stabilise, assess, and refer where surgical input is needed, with direct connections to our network of orthopaedic specialists.