Pain that limits how you move is hard to ignore and harder to fix by guessing. We assess you properly at home, tell you in plain language what we think is going on, and treat it with hands-on techniques and the exercise that national guidance puts at the centre of recovery.
Where does it hurt?
Not sure which fits? Start here.
The short answer
A physiotherapist assesses your pain and how you move, explains what is likely causing it, and treats it with hands-on techniques, targeted exercise and advice on staying active. NICE guidance puts exercise at the centre of managing back pain and osteoarthritis, so most programmes combine treatment in the session with exercises you continue at home.
Pick the area that bothers you most. Each card shows what we commonly see there, what we check, and how we treat it. Many people have more than one sore area, and we look at the whole picture.
What we assess
Neck movement, posture, any nerve symptoms into the arm, and how your work and sleeping positions load the neck.
What treatment involves
Gentle mobilisation and soft-tissue techniques, strengthening for the neck and shoulder blades, and practical advice on desk set-up and sleeping.
What we assess
Range of movement, strength of the rotator cuff and shoulder blade muscles, and the movements that bring the pain on.
What treatment involves
Pain-settling techniques, graded exercise for the rotator cuff and shoulder blade, and advice on activity so you keep moving without aggravating it.
What we assess
Grip, wrist and elbow movement, nerve symptoms, and the tasks that provoke the pain, from typing to gardening.
What treatment involves
Load management, progressive tendon-loading exercises, nerve-gliding exercises where suitable, and advice on tools and work set-up.
What we assess
Movement, strength, nerve function in the legs, and what eases or aggravates the pain. We also ask about red-flag symptoms, which we always take seriously.
What treatment involves
Hands-on techniques as part of a package that includes exercise, tailored movement and strengthening, and advice to keep moving, in line with NICE guidance.
What we assess
Hip movement, strength around the hip and pelvis, your walking pattern and how you manage stairs.
What treatment involves
Strengthening and mobility exercise, pacing advice and, where useful, guidance on walking aids. For arthritis, a tailored exercise plan as NICE recommends.
What we assess
Swelling, movement, strength of the thigh and calf, balance, and how the knee behaves on stairs and slopes.
What treatment involves
Graded strengthening and balance work, advice on loading and swelling and, for osteoarthritis, regular tailored exercise.
What we assess
Range of movement, calf and foot strength, balance, footwear and how the foot loads when you walk.
What treatment involves
Progressive loading exercises, balance retraining after sprains, and advice on footwear and activity.
The first step is working out which describes you. The approach is different for each.
If pain is severe, getting steadily worse, or comes with other symptoms such as fever, unexplained weight loss or night pain that does not ease, speak to your GP. The red-flag panel below explains what to look out for.
Most sessions mix four things. The balance between them depends on your condition and your preferences.
We re-check how you move, review progress since the last visit and explain what we are finding.
Joint mobilisation, soft-tissue techniques and stretching, where they help.
Specific strengthening, mobility and control exercises, shown and practised until you are confident to do them alone.
How to stay active, adjust daily tasks, handle flare-ups, and know when to progress.
NICE advises that manual therapy for low back pain should be used only as part of a package that includes exercise, so hands-on treatment is never the whole plan.
Most back and joint pain is not serious and responds to movement and treatment. A few symptoms mean you should get medical help first. This is general information and does not replace advice from a doctor.
More from the NHS: NHS information on cauda equina syndrome
The two NICE guidelines below shape how we treat most musculoskeletal problems. Each card links to the original.
NICE says manual therapy for low back pain, with or without sciatica, should be considered only as part of a treatment package that includes exercise, and that a group exercise programme can be considered for a flare-up.
NICE guideline NG59: low back pain and sciatica in over 16s (opens in a new tab) ↗NICE recommends that everyone with osteoarthritis is offered therapeutic exercise tailored to their needs, and that supervised sessions can be considered.
NICE guideline NG226: osteoarthritis in over 16s (2022) (opens in a new tab) ↗NICE advises telling people with osteoarthritis that joint pain may increase when they start therapeutic exercise, and that sticking with it brings greater long-term benefit for pain and function.
NICE guideline NG226: osteoarthritis in over 16s (2022) (opens in a new tab) ↗Travel is included in every price. If your problem has been around for a while, a bundle of sessions lowers the cost per visit.
£76/session • Save £20
£72/session • Save £80
Senior Chartered Physiotherapist · HCPC PH108630
Payal holds a Bachelor of Physiotherapy and a Level 3 leadership qualification from the University of Birmingham. She leads Rehalign’s home visits for musculoskeletal problems.
Every Rehalign physiotherapist is HCPC-registered. Meet the team.
Plain-English reading from our clinicians.
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What happens during your first at-home physiotherapy visit? We walk you through our initial clinical mobility and safety assessment process.
Home physiotherapy costs £90 for the first assessment and £80 per session, with bundles from £72 a session. See what's included and how to save.
We treat patients at home in all of these towns, and in the postcodes around them.
Not sure we reach you? Check your postcode on the locations page.
Book a first visit and leave with a clear explanation, a plan and the first steps to take.