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Joint Pain & Arthritis

Management of osteoarthritis and inflammatory joint pain — reducing stiffness, protecting the joint and keeping you moving independently.

Arthritis narrows life quietly: stairs become a decision, long walks get cancelled, and getting out of a chair takes a moment of preparation. Physiotherapy cannot reverse the changes in the cartilage, but it can change how much they cost you — and for many people that is the difference between managing and not.

What is joint pain & arthritis?

Joint physiotherapy reduces pain and stiffness, strengthens the muscles that carry load away from the joint surface, and restores confident movement. For osteoarthritis in particular, structured exercise is among the most strongly evidenced treatments there is, and can delay or remove the need for surgery.

Conditions we treat

  • Knee and hip osteoarthritis
  • Shoulder and hand arthritis
  • Rheumatoid arthritis — movement management
  • Generalised joint pain and stiffness
  • Joint pain following injury
  • Pre-operative preparation before joint replacement

Signs you should not ignore

  • Morning stiffness in one or more joints
  • Pain that worsens through the day or with activity
  • Grinding, clicking or catching in the joint
  • Swelling around the joint after use
  • Difficulty with stairs, kneeling or squatting
  • Reduced walking distance

Our treatment approach

  1. 1

    Joint assessment

    Range, strength, alignment and gait, and how far the joint is limiting what you actually want to do.

  2. 2

    Pain and stiffness control

    Manual therapy and modalities to make movement comfortable enough to progress.

  3. 3

    Strengthening

    Loading the muscles around the joint, which reduces the load through the joint surface itself.

  4. 4

    Joint protection

    Practical strategies to reduce cumulative strain during ordinary tasks.

  5. 5

    Gait and balance work

    Correcting the walking pattern the pain has changed, and reducing fall risk.

  6. 6

    Long-term maintenance

    Arthritis is managed rather than cured, so the programme is built to be kept up.

What treatment achieves

  • Reduced pain and morning stiffness
  • Stronger muscles supporting the joint
  • Better walking distance and stair confidence
  • Surgery delayed or avoided in many cases
  • Independence maintained for longer

Prevention & self-care

  • Keep moving — joints stiffen faster with inactivity than with use
  • Maintain a healthy body weight; every kilogram counts through the knee
  • Choose low-impact activity such as walking, cycling or swimming
  • Use supportive footwear
  • Apply heat before activity and ice after, if swelling flares

How many sessions will I need?

This depends on how long the problem has been present, its severity and how consistently you can follow your home programme. After your first assessment you will be given a realistic estimate rather than an open-ended course of treatment.

Joint Pain & Arthritis — frequently asked questions

Can physiotherapy cure arthritis?

No. It cannot reverse cartilage change. It does reliably reduce pain, improve function, and can delay or remove the need for joint replacement.

Will exercise damage my joints further?

Appropriately graded exercise does not damage arthritic joints — it protects them. Uncontrolled high-impact loading is a different matter, which is why the programme is prescribed.

Is heat or ice better?

Heat generally helps stiffness before activity; ice helps a joint that has flared and swollen. Both are adjuncts, not the treatment itself.

Should I have physiotherapy before a joint replacement?

Yes, where time allows. Going into surgery stronger consistently produces a faster, better recovery afterwards.

How long before I notice a difference?

Many people notice reduced stiffness within a few weeks, with strength gains following over a longer period.

Start your recovery today

Book an online video consultation over Google Meet, or an in-clinic appointment — live availability, confirmed instantly.

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