What we do

In addition to advice regarding exercise and activity, we can also provide the following treatments. Your clinician will agree with you the best course of therapy.

MSK: What we do


Acupuncture is one of a number of different types of treatment that your clinician may offer. It is viewed by clinicians as complimentary, rather than alternative therapy. Acupuncture has been used in China for over 3000 years. Traditional belief is that energy flows freely throughout the body via channels. However, when there is a problem, the energy stagnates.

Stimulation by acupuncture at various points helps to restore the healthy flow of energy in the body. Recent science has shown that it stimulates the brain to produce natural pain relieving substances. These give pain relief and help the body to heal itself. Current research supports the effectiveness of acupuncture, particularly in the management of pain.

Diagnostic ultrasound

In terms of many tendon and ligament injuries ultrasound is able to give more accurate information than any other treatment. It is also very useful for assessing the dimensions of specific nerves (for example the median nerve in Carpal Tunnel Syndrome).


Electrotherapy is the use of electrical energy as a medical treatment. In medicine, the term electrotherapy can apply to a variety of treatments, including the use of electrical devices such as therapeutic ultrasound or laser therapy which the Adult MSK Service use when appropriate.

Extracorporeal shockwave therapy (ESWT)

ESWT is a revolutionary technology that involves shockwaves being passed through the skin to the injured part of the body. The shockwaves are made up of compressed air that is passed at high speed from a hand-held applicator. The treatment stimulates and effectively supports the body's self-healing mechanisms.

Exercise therapy

Exercise therapy is a treatment used by physiotherapists and podiatrists who use specific and appropriate exercise to help in the treatment of soft tissue and joint concerns. This can include the stretching of muscles, strengthening of specific muscles and can involve the gradual and considered build-up of activity following injury. This may involve post-operative rehabilitation where the return to activity is important to help maintain the patient's mobility.


Injections into soft tissues and joints can be very effective in giving pain relief, particularly if the pain is caused by inflammation. The injection consists of a small amount of corticosteroid that has an anti-inflammatory action and sometimes a local anaesthetic which temporarily numbs the area. The pain relief following a steroid injection will hopefully allow you to start to use the affected area better and return to normal function quicker.

Manual therapy

Manual therapy is a treatment used by physiotherapists that involves the use of specific hands-on techniques for treatment. This can include the manipulation and mobilisation of soft tissue and joint structures for the purpose of managing pain; increasing range of motion (ROM); reducing or eliminating soft tissue inflammation; inducing relaxation; improving tissue repair, extensibility, and/or stability; facilitating movement; and improving function.