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A treatment plan will be decided between you and your therapist in response to your assessment and goals. Treatments we may provide as part of a package of care may include:

Education and advice

It is very important for patients to understand what is causing their problems, and to be involved in management of their own condition/problem. As part of your treatment your Physiotherapist will give you advice on how you can help manage your symptoms and work towards your goals in the short term, and the long term.

Home exercise programme

Exercise rehabilitation is the most vital part of recovery from injury and managing MSK problems. Your physiotherapist may give you exercises to complete at home or in your gym to assist with your condition. These will be individually tailored and specific to findings from your assessment.


The service runs a variety of exercise classes; these are held within the physiotherapy gym at St Georges Hospital and St John’s Therapy centre.  The classes are constantly updated in accordance with current research to ensure you always receive the best possible care.

The aim of each class is to help you reach your potential through supervised exercise and education, so that you have the knowledge and confidence to continue exercising on your own.

The following classes are available to patients following assessment by your physiotherapist:

  • ESCAPE Osteoarthritis Knee Class
  • Osteoarthritis Class
  • Shoulder Class
  • Post-operative hip and knee class
  • Spinal Conditioning Class
  • Advanced Rehabilitation Class
  • Acupuncture Clinic
  • Anti-Gravity Treadmill Clinic

Patients are individually assessed prior to starting a class and usually will have already been given exercises to do at home. At the end of the classes patients will be contacted by telephone for a review or booked a follow up appointment.


Hydrotherapy is exercise in water, and can help patients to perform movements or exercise that they find difficult to do on land. This is a service unique to St Georges Hospital and only a few other hospitals in London. Once hydrotherapy is completed you may be progressed to land-based exercises. You also have the opportunity to independently complete your hydrotherapy exercises on a regular basis using our Private Patients Evening Pool Service.


Joint mobilisations and manipulation

_DSC7639Mobilisations are gentle movements of joints performed by your physiotherapist to help reduce pain and improve movement.  These may be repeated over small number of sessions and followed up with exercises that you can do at home to maintain any changes you gain from the sessions.



Soft tissue mobilisation


Poor posture, pain, and injury may cause muscles to spasm, become overactive, or shorten. Soft tissue mobilisations are techniques your physiotherapist may perform as an adjunct to your treatment  to help relax tissues, restore movement, and decrease pain.

Ergonomic advice

Many work duties involve repetition, lifting, and prolonged postures. Your physiotherapist may give you advice on how to adapt your work environment to suit your individual needs and ensure efficient movement/working.

Healthy lifestyle advice

We believe in a holistic approach and therefore an important par t of physiotherapy treatment is to consider how other lifestyle factors may be influencing your symptoms.  This may include simple advice related to weight management, diet, exercise, and stress management amongst other things, but may also include advice to liaise with your GP about support or referral onto other services.

Pain management advice

Your physiotherapist may give you advice and helpful strategies to manage your symptoms in daily life which will enable you to continue with your family, leisure, work, and social activities. These can be used long-term and empower you to take control of your symptoms as best possible.

Anti-gravity treadmill

We are one of the few departments fortunate to have an Anti-Gravity treadmill. This can be used to gradually increase weight-bearing through your lower-limbs after injury or operation which can improve your walking.


Acupuncture is the insertion of fine needles into the skin at certain points on the body. The needles are usually left in position for a short time and may be manually stimulated by the Physiotherapist. Acupuncture can be useful when used alongside other treatment techniques to help reduce pain or muscle spasm if this is preventing you from completing your physiotherapy exercises. You can read more on acupuncture in our patient information leaflet.



Corticosteroid injections can reduce pain and inflammation. If these are preventing you from participating in physiotherapy effectively we have several highly specialised physiotherapists who are trained in injecting shoulders and knees. If this is appropriate, this will be discussed between you, your physiotherapist and the injecting physiotherapist before proceeding.

Conditions We Treat

Here is a list of the most common problems we treat in the department.

  • Neck & Back pain
  • Osteoarthritis and Rheumatoid Arthritis
  • Pre/post-surgical rehabilitation
  • Post fracture rehabilitation
  • Soft tissue and sport related injuries
  • Ligament sprains
  • Tendon injuries
  • Muscle strain/tear
  • Postural related pain
  • Chronic pain conditions
  • Headaches
  • TMJ pain