Physiotherapy Services

Pain Medication Service


Many of the common orthopaedic conditions that present at our clinic, such as lower back pain, neck pain and shoulder pain, can be treated with physiotherapy. Physiotherapy is important to help improve mobility and strength and get you back to full fitness.

However, sometimes pain can interfere with the rehab process and at these times, painkillers can play a small but important role in reducing the pain. This can then enable the patient to concentrate on their exercises.

We have two physiotherapist independent prescribers at the clinic who can give advice about pain medication and also prescribe it.

This advice can be done via a face to face appointment in the clinic or remotely via telephone/video conferencing.

Once a proper patient history has been taken, and keeping in mind any risks affecting the patient, a private prescription can be generated. Please remember this is not an NHS prescription and the charges will have to be paid to the pharmacy.

This is a very useful service for anyone in pain who needs advice about medication or a prescription if they are unable to see their GP.

Please remember that we can only discuss pain relief for orthopaedic conditions.

If you feel you need advice about pain medication and would like to consult with one of our physiotherapist independent prescribers, please get in touch on 01277 375955.

Mobilisation and Manipulation

These are ways in which a physiotherapist is able to have an influence on the joints of the spine and the extremities. The physiotherapist assesses and identifies the joints, segments or levels that are affected and is able to use pressure on joints to move them, which can help relieve stiffness and restore mobility.

Joint mobilisation and manipulation are also effective in providing pain relief, which is used positively to encourage movement and restore mobility in painful joint conditions such as back pain, frozen shoulder and neck pain.

Your physiotherapist will be able to discuss if this will form part of your treatment plan on your first and subsequent visits.

Acupuncture for Pain Relief

Acupuncture is an ancient Chinese treatment technique. The traditional view of acupuncture is that energy flows throughout the body via channels. Acupuncture helps to stimulate these channels at acupuncture points to restore the normal flow of energy. Western medicine has embraced acupuncture and research suggests that it works by stimulating the nervous system to produce the body's own natural pain relieving substances such as endorphins and enkephalins.

Treatment with acupuncture will consist of the insertion of fine needles, which are pre-sterilised and disposable, ensuring strict hygienic practice. Needle insertions feel like gentle pin pricks and are only mildly uncomfortable.

There are a handful of conditions or situations where acupuncture should not be used. Your physiotherapist will be able to discuss with you if you would be able to have acupuncture safely.

Our physiotherapists who practice acupuncture are regulated by the Chartered Society of Physiotherapy and are members of the AACP (Acupuncture Association of Chartered Physiotherapists).


At Crushes Manor Clinic, we use electrotherapy treatments such as ultrasound, shortwave, laser and TENS as adjuncts to treatment. We strongly believe that electrotherapy is not a stand-alone treatment and works best when used in conjunction with other treatments, such as exercise, mobilisation and education. The majority of electrotherapy treatments we undertake are for assisting in reducing pain in certain conditions. However, treatments such as ultrasound are pro-inflammatory and have a strong role to play in assisting the body's natural healing process.

Injection Therapy

Some of the clinicians at Crushes Manor Clinic are able to administer joint and soft tissue steroid and local anaesthetic injections. These can be beneficial for conditions ranging from osteoarthritis to frozen shoulder and tennis elbow. If a steroid injection is indicated as part of your treatment, your therapist will discuss the advantages of such a procedure with you to ensure that the injection is part of a comprehensive treatment plan. Steroid injections are mainly administered to offer pain relief and facilitate movement and function. If you would like to discuss this treatment as a stand-alone procedure, our therapists will be happy to speak to you before making an appointment, so that you understand the process involved in undertaking this treatment.

Osteoarthrosis injections

At Crushes Manor Clinic we offer Hyaluronic acid injections for Osteoarthritis of the joints (including the knee and hands). If you suffer with Osteoarthritis and have tried other conservative measures for your condition then Hyaluronic Acid injections may be suitable for you.

Hand Therapy

Hand therapy is the conservative (without surgery or intervention) management of disorders or conditions that affect the hand. Treatment is usually through specific exercises, splinting and electrotherapy. Hand therapy also includes aspects of wound care after surgery.

Hand therapy is a specialisation within physiotherapy and at Crushes Manor Clinic, we are fully equipped to manage specialist hand conditions both prior to or after surgery. Our hand therapists are able to make customised splints for post-operative conditions as well as conditions that are managed without surgery.

Sports Massage

Benefits of soft tissue massage:

We are all different, in our aims, needs, experiences and the shape our bodies are in. Our sports massage therapist will work with you holistically to return your body to a correct balance of relaxation and tension to maximise its performance.

NOTE: Sports soft tissue massage should not be used instead of conventional medical care. Serious acute injuries should be presented to a doctor immediately.

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