Sports MSK Therapy

Muscle Stimulation Therapy

Neuro Muscular Electrical Stimulation is a form of electro-therapy designed to eliminate disuse atrophy (muscle loss) when there is an injury or

read more

Enovis Knee Brace fitting

Enovis, previously Donjoy, Knee Braces are extremely well designed, lightweight & strong. The sizing is important, so we measure to get the best support for your knee.

read more

Artromot K1 CPM – Continuous Passive Movement

The Artromot K1 CPM motorised device is for daily use after knee or hip surgery, the angle of movement for the knee is between -10° to 120°

read more

For immediate attention call now 020 8364 3550

Shoulder pain is often mis-diagnosed & mis-treated

We regularly see what has been diagnosed as “frozen shoulder” in clinic which is not at all.  If you can barely move your shoulder it may well be ‘frozen’ but if you can at least move your arm by 30 degrees, the chances are it’s not frozen.

What can be done?

A lot! is the short answer. Our MSK Therapist Robert has years of experience dealing with shoulder pains, he uses advanced techniques of NMES , deep tissue friction, muscle energy stretching and home exercises to activate and rehabilitate the shoulder girdle muscles, this is sufficient to get the shoulder working as it should, restore mobility and decrease pain.

The most common condition of the shoulder

Known as “painful shoulder” described by most Orthopaedic specialists we know.  The NHS would have us believe that pain is a symptom rather than a condition but in our extensive experience painful shoulder is a condition identified by patients as being of no known cause.  It is painful on lifting the arm up into the air and usually when attempting to bring the arm up behind the back, doing up your bra if you’re a lady or scratching your back if you’re a man.

Who does it affect?

Primarily women between 45 & 60 and the occasional man, it is suspected to be linked with hormonal changes where collagen and elastic tissues become less flexible.  Additionally it can be associated with ladies that have had breast cancer surgery and/or axial lymph node removal.  Both of which can lead to excessive scar tissue in the affected shoulder region. See here for more information on post-surgical MSK Therapy.
Give us a call now to find out what’s causing your shoulder pain. 020 8364 3550

For immediate attention call now 020 8364 3550

Hip flexor muscles

They connect your lower back to your legs, they are large powerful muscle that aid walking, climbing stairs and other activities like running when you are lifting your knees in front of you. If you've been living with lower back ache and thought it was a sign of ageing you could have a hip flexor spasm, you may have had the symptoms for years and it can often start after prolonged physical exertion or exercise.

Hip flexor spasm symptoms

These may include but are not limited to;
  • Generalised lower back ache
  • Pain at one or both sacro-iliac joints
  • Lower back ache when walking that is relieved by sitting down
  • Stiffness and an inability to stand up completely straight after sitting
  • Morning lower back stiffness
For over thirty years our MSK Therapist Robert has been successfully treating hip flexor spasm by manual release of the psoas major muscle.  He uses a unique technique to relieve the symptoms of this debilitating condition and relief can be felt within 1-2 treatments.
Make an appointment with him now to get accurate diagnosis and treatment for your back by calling 020 8364 3550.

For immediate attention call now 020 8364 3550

Surgery recovery

If you've had surgery our MSK Therapist Robert can help with your rehabilitation. Over the last thirty years he has developed a deep understanding of the techniques that can improve joint mobility and muscle function after surgery; from using deep tissue massage and mobilisation to electrical stimulation to get muscles working again and ultrasound to reduce swelling.


Experience in surgery rehabilitation

Robert has experience with joint replacement surgery, surgical fracture repairs, dislocations, long standing tendon ruptures and where surgery may have gone wrong.


Breast cancer surgery & axial cording

If you've had breast cancer mastectomy, lumpectomy, lymph node removal and axial cording where shoulder and arm mobility may have been affected, Robert can advise you on exercises to supplement your hands-on treatment. We use the latest advances in electrical muscle stimulation to improve strength after surgery and inactivity to get you back to full health, strength and mobility quickly.
If you've had surgery and feel restricted in movement call now on 020 8364 3550 to see how he can help.

For immediate attention call now 020 8364 3550

If this image makes you feel weak in the knees, the chances are you suffer from Vertigo and may need treatment. Vertigo can be caused by a dysfunction of the balance organs of the inner ear. If you've been diagnosed with BPPV (Benign Paroxysmal Positional Vertigo) you will likely have heard that the Epley Manoeuvre could help you.

Have you been told which side you are affected?

BPPV tends to affect one side more than another, we use a test in clinic to determine which side is more affected, and treat that side.  We will then teach you how to use the manoeuvre yourself so you can manage any symptoms you get another time. Call us on 020 8364 3550 to find out more or arrange an appointment.

For immediate attention call now 020 8364 3550

Our expertise in road accident rehabilitation

One of our areas of expertise for over 30 years is the treatment of whiplash and injuries sustained in road traffic accidents. Our MSK Therapist Robert has a passion for successfully treating neck and back injuries from car accidents.

What is the treatment for RTA injuries?

Treatment usually consists of hands-on manipulation and deep tissue treatment to alleviate muscle strain and ligament sprains that are often the cause of painful symptoms. This is combined with home exercises and neuro-muscular electrical stimulation, either in clinic or via home use to speed up the recovery from these types of injuries. If you require a written quotation for costs this can be provided prior to treatment.

Can we help you with whiplash?

Whiplash is a common neck injury sustained after rear impact accidents, it is often much worse at lower speeds even if there is little or no damage to the car, the symptoms include neck stiffness, pain and sometimes dizziness. Research shows that the best time to receive treatment is within the first three months after an accident.

How quickly can we help you?

At Total Wellness we have extensive experience treating whiplash injuries and know that patients need to be seen quickly, we can usually arrange the first appointment within a week. An initial assessment is made to decide on an appropriate treatment plan, and treatment involves the use of a variety of hands-on techniques to reduce the pain.  After the initial symptoms have subsided we recommend exercises for the you to do between appointments which can speed the process up. Working closely with specialist personal injury solicitors, we can help with any part of the claim and make the whole process go as smoothly as possible. The types of injuries that we treat are:
  • Neck Whiplash
  • Lower Back Whiplash
  • Fracture rehabilitation
  • Knee and ankle injuries
  • Shoulder seatbelt injuries
Call now to see how we can help you on 020 8364 3550

For immediate attention call now 020 8364 3550

Sports MSK Therapy Massage can be very effective to help warm the muscles prior to exercise or relax them after, it can help to stretch shortened muscles, increase blood flow and condition the muscles. The treatment is with our MSK Therapist who has an advanced level of understanding and training in remedial massage, if you require more than just massage and manipulation is indicated, that can be done at the same time. He will also cater for those that would like a deep relaxation massage where relaxation is the primary focus but deep tissue massage is required. Conditions that respond well to Sports Massage are:
  • Intense workout recovery after training for a specific event
  • Repetitive muscle strains after training
  • Tight neck & back muscles from manual work
  • Muscle cramps
  • Ligament sprains
  • Scar tissue & adhesions
  • Groin strain
  • Hamstring strain
This list is not exhaustive, if you think you have an injury or issue that could respond to Sports MSK Therapy massage, call now to discuss it with our team of experts.
  • Prices
  • Initial consultation - 60 minutes £90
  • Follow up appointments - 60 minutes £90, 45 minutes £70
Please note: Credit or Debit card details are required at the time of booking to secure an appointment, there is a minimum of twenty four hours notice required to cancel or re-schedule appointments or the full fee will be charged.

For immediate attention call now 020 8364 3550

For immediate attention call now 020 8364 3550

What is sciatica?

Sciatica is often used as a general term for pain that starts in the lower back or gluteal (buttock) muscles, and travels down the back of one or both legs, sometimes as far as the calf muscles or under the feet.

How can we help with your sciatica

Our MSK Therapist, Robert, treats sciatica successfully in the majority of cases, usually finding the cause is a combination of tight lower back, gluteal & leg muscles, sometimes with locking of the lumbar facet joints on one or both sides of the lower back. Sciatica can also be a symptom of a bulging or prolapsed (slipped) lumbar disk, which can also be diagnosed in clinic and treated accordingly.

Help with piriformis syndrome

Piriformis syndrome is another cause where the piriformis muscle is in spasm and can pinch, squeeze or irritate the sciatic nerve into causing leg pain. This is easily treated with manual manipulation, massage and stretching.

Help with chronic lower back ache

Chronic low back ache can also cause pain in the legs similar to sciatica symptoms, we usually find long standing chronic back pain or back ache is caused by hip flexor spasm, we specialise in the treatment of this debilitating condition. If you've been experiencing unexplained lower back ache for years and thought it was your age give us a call to see how we can help.

What is causing your lower back pain?

If you're unsure what's causing your back pain and how to treat it, call and speak with Robert to discuss your symptoms, he'll be able to tell you how he can help by asking a few simple questions.
Call now on 020 8364 3550

For immediate attention call now 020 8364 3550

Muscle Stimulation Therapy uses NMES, so what is NMES?

Neuro Muscular Electrical Stimulation is a form of electro-therapy designed to eliminate disuse atrophy (muscle loss) when there is an injury or mechanical limiting factor for joints such as Osteo-arthritis where you are stopped from doing your usual activities, or post surgically before weight bearing exercises are possible.  It can even be used prior to surgery to maintain muscle strength and integrity.    

If you are interested in hiring NMES for home use from £30 per week click here for more information or call us now 020 8364 3550 to see how you can benefit from muscle stimulation.

How does NMES work

It works by sending a small electrical impulse through the muscles, recruiting up to 100% of your muscle fibres and without the pain associated with strengthening exercises. It can be used for almost any muscle in the human body and the treatment is available in clinic with the Compex wireless machine, we also have two types of devices available to hire or buy which can be discussed at your Our MSK Therapist Robert is extensively trained and experienced in using NMES to help you recover after an injury or joint replacement, we have found this to be one of the most beneficial methods for treating muscle wastage when you have been unable to perform daily activities such as walking, carrying, lifting etc. The stimulation can be applied to most muscles in the body so if you are recovering from a fracture, a joint replacement, surgery or a muscle strains & tears, NMES can speed up your recovery and get you back to a normal life.

For immediate attention call now 020 8364 3550

Therapeutic ultrasound

Therapeutic ultrasound an be used for many things, reducing swelling from a sprain and increasing blood flow are the most commonly known uses.

How does ultrasound work?

Ultrasound is applied using a round-headed wand or probe that is put in direct contact with the patient’s skin over water based ultrasound gel. This is used in order to reduce friction and assist in the transmission of the ultrasonic waves.  Sound waves pass through the skin and cause a vibration of the local tissues, this vibration, or cavitation, causes a deep heating locally, though usually no sensation of heat will be felt by the patient.  For a fresh injury with acute inflammation, the ultrasound can be pulsed rather than continuously transmitted to reduce the heating effect.

What does ultrasound do?

Ultrasound produces many effects other than just the potential heating effect. It has been shown to cause increases in tissue relaxation, local blood flow, and scar tissue breakdown. The effect of the increase in local blood flow can be used to help reduce local swelling and chronic inflammation.

Ultrasound treatment

A typical ultrasound treatment will take from 3-14 minutes depending on the size of the area being treated and the intensity required. In cases where scar tissue breakdown is the goal, this treatment time can be longer, the patient should feel no discomfort at all. We use Ultrasound Therapy in combination with our hands-on approach to reduce inflammation and promote healing, call us now if you think you would benefit from Ultrasound Therapy. Our MSK Therapist Robert uses Ultrasound in combination with his other treatment modalities, read about him here

History of Ultrasound

The first large scale application of ultrasound was around World War II. Sonar systems were being built and used to navigate submarines. It was realized that the high intensity ultrasound waves that they were using were heating and killing fish. This led to research in tissue heating and healing effects. Since the 1940s, ultrasound has been used by physical and occupational therapists for therapeutic effects. Read more about Ultrasound here
The Artromot K1 CPM motorised device is for daily use after knee or hip surgery, the angle of movement for the knee is between -10° to 120°, and for the hip between 0° & 115° After clinical set-up, there is an easy to use handset with display that shows the lower & upper angles.
  • Ideal for the rehabilitation of knee and hips joints after injury or surgery
  • Provides continuous passive movement for the patient
  • Gently enables the movement of knee & hip joints within a controlled range
  • Suitable to use during recovery after various medical procedures
Available to hire for 2 or 4 weeks in the North London area, including delivery, on-site instruction & collection at the end of the hire. Click here to see the K1 video Click here to order