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Joint Mobilisation and Manipulation

Joints may become stiff and painful after injury, an operation, through degeneration or wear and tear. Once a movement in a joint is reduced a vicious circle of pain and stiffness develops: you move it less as it hurts, but this causes more stiffness and reduced joint movement, so you move it even less.

Physiotherapy joint mobilisation techniques are used to help reduce joint pain and stiffness and therefore improve and restore joint movement. They can be used on your spine (neck and back) and also on joints that are part of your arms and legs, such as knee, hip, shoulder and elbow.

Exercises, including Pilates

Exercises are very important to help improve muscle strength and flexibility (length), and improve movement. Physiotherapy will teach and advise you on specific exercises for your condition that you can do at home or at a gym, whatever is more suitable for you.

Following an injury, operation or actually any condition that causes you pain muscles will become weaker. This is because pain stops muscles working as well and damage to a muscle will also make muscles weaker. Therefore it is important you do specific exercise to strengthen your muscles back up again. This is important as joints need strong muscles around them to enable them to move well.

Pilates is a specific type of exercise which can help conditions such as poor posture and back pain. Pilates helps you to strengthen and have good control of your postural muscles which tend to be muscles that lie deep within your body providing support to our spine. Pilates is also known as core stability exercises.


Acupuncture is the insertion of very fine, single use sterile needles into areas of pain and muscle tightness. It is used as an adjunct to other physiotherapy techniques


This involves using machines such as ultrasound, interferential and TENs. The type of machine chosen will depend on your condition. For example ultrasound can be used to aid injured ligaments to heal and TENs can help to control back pain.

Education and advice

We believe it is important to understand your condition and what physiotherapy can do to help you and what you can do to help yourself. This may include advising on how best to set your desk and chair up (ergonomics) at work, or how to pace or modify activities for example if you have a degenerative knee problem like osteoarthritis (OA), or advice regarding footwear and orthotics (insoles for your shoes).

Physiotherapy can also provide education regarding prevention and how to best manage conditions that are not fully curable. For example if you have recurrent long standing back pain education would include what exercises to do or not, what home self-treatments may help with you pain and what to do when you back pain flares up (gets worse)
Here at Encompass Physiotherapy we aim to help patients with physical difficulties resulting from illness, injury, disability or ageing. Patients can include children, the elderly, stroke patients and people with sports injuries.
Working with patients, we identify and improve your movement and function. We promote your health and well-being, and assist the rehabilitation process by developing and restoring body systems, in particular the neuromuscular, musculoskeletal, cardiovascular and respiratory systems.
As well as devising and reviewing treatment programmes comprising manual therapy, movement, therapeutic exercise and the application of technological equipment such as ultrasound, we will also provide advice on how to avoid injury and self-manage long-term conditions.