Reading and Tilehurst's Physiotherapy, Spinal and Sports Specialists


Tilehurst Clinic4 Chapel Hill, RG31 5DG
Reading Clinic Sports Park, University of Reading, RG6 6UR

0118 9310053


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About Our Treatments

At Core Body Clinic, Reading we balance our physiotherapy treatments to include 'Hands on' and manipulative therapies coupled with education, activity pacing and exercise to combine the very best in evidence based practice.  We also know that experience counts and the 'when to use and not to use' are important factors that research can not always help us with.  Research does not always help us with the 'individual' so we use evidence as a guide and apply our clinical experience to determine the best physiotherapy treatments. Our range of treatments include:

Visceral Manipulation

Visceral Manipulation is a highly specialised therapeutic approach for the treatment of pain and dysfunction.  It encourages the normal mobility of the internal organs, also called viscera, and their connective tissuesaround them such as muscles, blood vessels and nerves. All tissues must be free to move in their anatomical way to prevent disease and dysfunction.  However, often our organs lose their normal mobility becoming tight and unable to move as they should within the body. When this happens the organs can give rise to symptoms and pain syndromes which can often mimic other common ailments or pains.  These may be conditions like chronic fatigue, fibromyalgia, migraine and even sciatica.  There are also situations where spinal dysfunctions compromise the normal harmony of the viscera leading to pain and dysfunction.

Different factors may contribute to our viscera losing their normal mobility; including: physical trauma, surgery, lifestyle, infection, diet, posture and pregnancy.  These factors causethe development of adhesions and myofascial contractions hampering the normal mobility of the viscera.

Visceral manipulation techniques are very gentle and are useful for even the most stubborn of conditions, often where other treatments have failed.  The techniques combine gentle compression, oscillating mobilisations and elongation of the viscera, surrounding soft tissues, and nervous system.  Visceral manipulation techniques restore normal mobility to the viscera improving nutrition, blood flow and nerve conduction.    This improved metabolic environment will release unhealthy restrictions and ultimately decrease pain and dysfunction in the whole body.


Conditions that visceral manipulation can be used to treat include:

  • Migraines and Headaches,
  • Chronic Neck and Back Pain,
  • Fibromyalgia,
  • Chronic Fatigue,
  • Stress and Tension-Related Disorders,
  • Orthopedic Problems,
  • Car accident injuries,
  • Sports-related pain,
  • Back pain,
  • Digestive issues,
  • Scar tissue problems that are common after surgery and c-sections,
  • Irritable Bowel Syndrome,
  • Chronic period pain,
  • and many others


How Does it feel?

Visceral Manipulation should feel very gentle.  However, it can have a very strong effect sometimes leaving the patient feeling very tired.  The treatment can also make a patient feel energised.  It is largely dependent on the presenting condition and the dosage offered by the treating therapist, physio or Osteopath. 

Is it for everyone?

The treatment rarely has any side effects and therefore can be used to treat any condition.  However, in keeping with evidence based practice, at Core Body Clinic we carefully select the most appropriate treatment to ensure we are successful in treating our patients.




Acupuncture and Dry Needling in Physiotherapy

At Core Body Clinic we practice Western Acupuncture and Dry Needling.  This is an evidence based approach to acupuncture and follows the principles of neurophysiology rather than the 3000 year old Chinese approach.  Physiotherapists have carried out Acupuncture for decades and it forms part of the treatment for many ailents affecting the back and body.  The physiotherapists at Core Body Clinic are trained to carry out Acupuncture and dry needling as stand alone treatments and as part of a package of care.  The techniques involve the placing of needles into carefully selected anatomical points that correspond to a patient's pain and symptoms.   Acupuncutre can be particularly helpful for stubborn conditions and can also be used for acute injuries.  All our physiotherapists are specially trained having completed an approved course with either the AACP or BMAS.   Acupuncture and dry needling are identical in as far as the act of placing a needle into the skin.  The technique is a safe and effective means of achieving pain relief and can be used for an array of conditions.

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Joint Mobilisation


Physiotherapy joint mobilisations are part of the manual and hands-on therapies that we perform at our Reading clinics.  Our physiotherapists at core body clinic are experts in delivering these techniques.  They can be performed on any joint in the body and are used to treat pain and stiffness affecting the mobility of a spinal or peripheral (ie shoulder or knee) joint.  Mobilisations are graded oscillations of pressure directed at a joint an applied in a highly specific manner.  They are performed for a duration of 1-3 minutes and tailored according to a patient's pain level and tissue stiffness.  The purpose of mobilisation is to enhance movement by reducing stiffness and pain.  The physiotherapists at Core Body Clinic are trained to masters level and have undergone 1000's of clinical hours to perfect the skill of joint mobilisation.

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Sports Massage

At Core Body Clinic Sports massage is carried out by both sports mssage therapists and the physiotherapists.  As physiotherapists it is one of our core tools for dealing with for sports and general injury.  We use it to keep athletes in tip top form when training for or recovering from an event, and it's excellent for those general aches and pains!  In the Thames Valley we see a lot of patients who are suffering with a desk or computer related neck or back problem and we see a number of runners suffering from ITB syndrome (illiotibial band) or piriformis syndrome.  At Core Body Clinic we also use massage therapy for stubborn or acute Sciatica where nerve irritation leads to the tensing of muscles and the development of trigger points.  

The act of massage describes the contact of the therapists hands on the skin with the delivery of specific and therapeutic strokes.  The firmness of the stroke and direction are dependant on symptoms, muscle form and injury type.  The aim of massage is to relieve pain, promote healing and help with the recovery from exercise by removal of waste metabolites.   Massage can also be used to great effect when training for a sporting event to optimise performance and reduce the risk of injury. 

Physiotherapists and massage therapists are one of the best professionals to consult for a sports massage because their training and understanding of anatomy and dysfunction enables a unique approach to massage as a therapy.  Sports Massage Therapists are different to Physiotherapists because physio's can also diagnose and determine if massage is the best therapy for your condition.  Physiotherapists may also compliment this treatment with manipulation, other soft tissue techniques and Dry needling to enhance the outcome of treatment.

We recommend seeing the Physiotherapists if you are in pain or if your pain is referring into the legs, if you have sciatica, pins and needles or you are experiencing night pain. 

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Spinal Manipulation

Physiotherapists at Core Body Clinic are experts in the delivery of Spinal manipulation.  It is very useful for lower back pain, mid back pain and neck pain and is similar to that used by Chiropractors and Osteopaths.  It can also be used to treat shoulder pain by improving the dynamics of the thorax and rib cage.  


It is characterised by a sudden and sharp movement performed by the physiotherapist and is often associated with an audible 'click' or 'popping' sound.  It is almost always accompanied by pain relief.

The physiotherapists at Core Body Clinic are highly trained in the art of Spinal Manipulation having undergone post graduate training and 1000s hours of supervised clinical practice and application.  Adrian Wagstaff is the Lead physio at Core Body Clinic and is also a teacher of Spinal manipulation.  He teaches Masters students the theory and practice of spinal manual therapy, travelling both nationally and internationally.

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