BSc (Hons) Osteopathy, BCOM London. Treating MSK pain, stiffness, and movement problems in Twickenham.
I've spent years in MSK practice: BSc (Hons) Osteopathy at BCOM London, then first-contact assessment and private clinic work, currently at BodyEase in Twickenham, The Lensbury in Teddington, and Body First UK in Hampton Hill. My job in your first hour is to find the source of the problem, treat it, and tell you plainly what recovery will take.
BSc (Hons) Osteopathy from the British College of Osteopathic Medicine (BCOM), London, with further postgraduate clinical training in MSK assessment and rehabilitation.
Every session begins with a focused case history and physical examination, including orthopaedic and neurological screening where relevant, so that treatment is based on what the assessment actually finds, not a generic protocol.
Hands-on work may include soft tissue techniques, joint mobilisation and articulation, neurodynamic mobilisation, and progressive loading programmes, with the approach determined by what the assessment shows, not a fixed protocol. Where symptoms have become persistent or are accompanied by heightened sensitivity, sessions may also include pain neuroscience education: helping you understand what is actually driving your symptoms and how to influence it, which research indicates can improve outcomes alongside hands-on work. If anything falls outside the scope of manual therapy, I will tell you and refer you to the right person.
The first appointment is 60 minutes: full assessment plus hands-on treatment. At the end of it I'll give you an estimate for your case. See current fees.
Manual therapy draws on several different techniques.
Hands-on work to muscles, fascia, and tendons using sustained pressure, friction, and myofascial release. Reduces tension, improves tissue quality, and prepares the area for joint work.
Used for: lower back pain, neck pain, shoulder problems, hip and gluteal tightness, post-injury muscle guarding.
Rhythmic, graded movement applied directly to a joint to restore range of motion and reduce stiffness. Unlike manipulation, it uses no sudden force and can be calibrated to your tolerance.
Used for: spinal stiffness, frozen shoulder, hip restriction, thoracic tightness, ankle and foot stiffness.
A short, controlled thrust through a joint at its end range, often producing an audible click. It can produce rapid pain relief and improved movement in appropriate cases. Always preceded by full assessment and explained in advance.
Used for: acute and chronic lower back pain, cervical and thoracic joint restrictions, facet-related pain.
Specific movements that tension and mobilise peripheral nerves where they are sensitised or restricted. Useful where pain, tingling, or reduced movement has a nerve component.
Used for: referred arm pain from the neck, sciatica, carpal tunnel-type symptoms, piriformis syndrome.
Structured, progressive loading to restore strength, control, and endurance. Especially important for tendon problems, post-injury recovery, and preventing recurrence. Exercises are tailored to your stage and capacity.
Used for: patellofemoral pain, tendinopathies, rotator cuff rehabilitation, lower back stabilisation, return to sport.
Rigid or elastic tape applied to provide joint support, offload a painful structure, or provide sensory feedback to alter movement patterns. Used as an adjunct to treatment, not a standalone fix.
Used for: ankle sprains, patellofemoral pain, shoulder instability, plantar fasciitis, acute lower back pain.
Fine acupuncture needles inserted into myofascial trigger points to release muscle tension and reduce referred pain. Distinct from acupuncture in that it targets specific muscular dysfunctions identified by examination.
Used for: persistent muscle trigger points, neck and shoulder tension, lower back and gluteal pain, headaches.
Guidance on activity modification, pacing, and how to adjust daily demands to allow recovery without deconditioning. Particularly important for tendinopathies and chronic pain presentations where overload and underload are both harmful.
Used for: all conditions, but central to tendinopathies, overuse injuries, and chronic recurrent presentations.
| Condition | Soft tissue | Joint mob. | Manipulation | Neurodynamic | Exercise | Taping | Dry needling |
|---|---|---|---|---|---|---|---|
| Lower back pain | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Neck pain | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Cervicogenic headache | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Shoulder (rotator cuff) | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Frozen shoulder | ✓ | ✓ | ✓ | ||||
| Lateral epicondylalgia | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Hip (gluteal tendinopathy) | ✓ | ✓ | ✓ | ✓ | |||
| Hip stiffness / OA | ✓ | ✓ | ✓ | ||||
| Patellofemoral pain | ✓ | ✓ | ✓ | ✓ | |||
| Patellar tendinopathy | ✓ | ✓ | ✓ | ✓ | |||
| ITB syndrome | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Plantar fasciitis | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Ankle sprain (rehab) | ✓ | ✓ | ✓ | ✓ | |||
| Sciatica | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Techniques are selected based on your individual assessment findings, not applied by protocol. This table reflects common combinations, not a guarantee of what every session includes.
Describe your concern in a quick WhatsApp message. I reply within a few hours and can usually offer an appointment the same week.