Joint pains and associated muscle pain and weakness are often caused by arthritis. There are many different forms of arthritis

What is Rheumatoid arthritis (RA)

This is a an inflammatory disease causing inflammation of the synovial lining of the joints. It frequently affects the smaller joints such as  the wrists, hands and feet. It is a systemic autoimmune disease which can be very debilitating. As the disease progresses the tissue around the joint,  the tendons, the bursa and the sheath surrounding the tendons can become affected. The symptoms are usually pain, stiffness after periods of rest, joint swelling and stiffness, general weakness and fatigue.

Hand exercises for arthritis

Hand exercises for arthritis

In our clinic we treat the individual joints as well as devising home exercise programmes to strengthen the muscles and protect the joints. We look at the patient as a whole and try to maintain and maximise function.

What is Osteoarthritis

Osteoarthritis is degeneration of  the articular cartilage covering joint surfaces. As it progresses damage to the underlying bone occurs.

It is in ways like a speeding up of the natural degeneration of joints due to ageing and wear and tear. It can occur in any joint in the body and often occurs as a result of an old trauma to a joint or constant adverse forces causing a joint to run out of line. As the condition progresses the surrounding soft tissues will become involved and become painful too.

In our clinic we use manual therapy, joint mobilisations, soft tissue techniques and sometimes electrotherapy, wax and heat to treat the pain, while providing home exercise programmes to strengthen weak muscles and stretch tight muscles to support the joint, limit damage and promote good function.


mobilising a stiff shoulder

We sometimes use orthotics to correct the alignment of the foot and so remove some of the adverse forces acting on the joint

What is Septic arthritis

Septic arthritis is a very painful infection in a joint.  It can be caused by Bacteria or a virus which infects the joint causing inflammation of the synovial membrane. Sometimes bacteria will only infect one joint. Septic arthritis can occur at any age. It most commonly occurs in the hip or knee of children under the age of three. 

Physiotherapy is not usually advocated in the acute stages of the condition but it may be needed when the infection is resolved to strengthen and stretch affected areas.

What is Juvenile Arthritis

Juvenile chronic arthritis or juvenile idiopatic arthritis (JIA) is  arthritis occurring in a child under the age of 16, in one or more joints for at least six weeks.

In our clinic we will use electrotherapy, wax and manual techniques to treat the condition in it’s painful stages. We will also use exercises to treat the pain, restore function and protect the joints.

What is Ankylosing Spondylitis

Maintaining spinal mobility in Anklosing Spondylitis

Ankylosing Spondylitis is an arthritis of the spine and pelvis which involves the development of excessive boney growth at the joint edges. The areas most affected by the disease are the spine and sacroiliac joints. They become stiff and the spine looses it’s upright position and S curves to become more C shaped. The hips, knees, ankles and shoulder joints may become affected as the disease progresses.  Ankylosing spondylitis (AS) is frequently associated with other chronic inflammatory diseases.

Physiotherapy has a huge role to play in the treatment of Ankylosing Spondylitis. In our clinic we use various modalities to reduce the pain of the condition, but maintaining muscles strength and posture are vitally important. This is where the focus of treatment in our clinic lies. We also use joint mobilisations where appropriate to maintain mobility in the spine.