About Core Body Clinic - Physiotherapy in Reading

Core Body Clinic is a friendly and specialist physiotherapy and sports injury service with locations in Tilehurst and Reading. We provide an experienced, honest and expert opinion when assessing, diagnosing and treating a wide range of injuries and disorders affecting the body.

Our aim is to deliver an individual and patient centred model of care. We do not advocate a recipe-like approach and our assessment and diagnostic procedures are meticulous ensuring we understand the problem and treat the cause. Our goal is to get our patients back to full function and pain free in the shortest time possible. The treatments we provide are backed by evidence ensuring that our practices are at the cutting edge of physiotherapy and healthcare.

Mumbles Physiotherapy Clinic

Welcome to our Mumbles Physiotherapy, Pelvic Pain and

Sports Injury Clinic  

 

 

About our Mumbles Physiotherapy, Sports Injury and Pelvic Pain Clinic 

.  The clinic is based at the Mumbles Dental Spa, with ample free parking and located in the beautiful Mumbles of Swansea Bay. We deliver physiotherapy (hands-on musculoskeletal physiotherapy), sports injury rehab, sports massage therapy, focus shockwave theray, acupuncture and dry needling, pelvic pain therapy and pelvic rehabilitation for men and women. We also fit Fornthotics in-sole solutions for foot pain and lower limb dysfunction.  We are one of very few clinics to use diagnostic ultrasound scanning for both musculoskeletal diagnosis and pelvic pain rehab.  

Physiotherapists are the right clinicians to consult for diagnosis and treatment if you are in pain.  You can read about Physiotherapy here and if you are thinking there is a difference between different practitioners then you can read about the similarities between Physiotherapists, chiropractors and osteopaths here. 

Physiotherapists at Core Body Clinic, Mumbles.

 

Adrian Wagstaff (originally from North Wales, and also Welsh speaking!) is the director and founder of Core Body Clinic in Reading.  Adrian has now set up our Swansea Physiotherapy clinic and he is committed to delivering physiotherapy in Swansea and the whole of the south of Wales  He has built up an international reputation since he qualified in 2001 with a BSc (Hons) in Physiotherapy and then again in 2012 with an MSc in Manual Therapy.  He is a member of the MACP and is one of just 1200 physiotherapists world wide to hold the qualification of this advanced status in MSK care.  Having worked in 2 premiership football clubs, the NHS, private practie in the UK and in New Zealand Adrian has a broad experience from chronic back pain to ligament rehabilitation in the elite sports person.  Adrian specialises in the diagnosis and treatment of musculoskeletal pain and has an interest in chronic pain and pelvic pain.  He is one of the few practitioners to treat Male Pelvic pain in the whole of the UK and is trained to use diagnostic ultrasound to help with diagnosis and to retrain the pelvic floor.  Adrian is a teacher of spinal manual therapy and manipulation having taught on the Masters degree at Coventry university, he also travels to teach this very skilled hands on technique.  Read more about Adrian here

 

 

Costs: 

Initial assessment and treatment: £50

Follow up treatments: £40

We may also use an ultrasound scanner for diagnosis (additional costs). 

 

 

How to Book:

To book a session of physio in Mumbles, call the main booking line on 01792369535 or 07748152377.  We also have a booking system that is integrated into the diary meaning you can see appointment times in real-time.  All you need to do is click BOOK ONLINE and register using either your tablet, iPad, phone or computer.  

Once you are set up you can book an appointment. It is very easy and should you suddenly find your appointment is no longer convenient you can simply change the appointment at any time.  Of course, you can still email or call the clinic and one of the staff members will be more than happy to guide you through the booking process.  Hours for online are 24 hours. 

If you have a particularly difficult problem and you are not sure if we can help then please call the clinic and ask to speak to someone.  This could be a difficult back pain or sciatica that you have had for a long time.  It could be a chronic tendon problem that has not resolved.  You might be suffering form chronic headaches or pelvic pain for which no one else has been able to help.  Its worth picking up the phone or emailing and asking for our advice.  Its simple to email  - This email address is being protected from spambots. You need JavaScript enabled to view it., or send a text to 07748152377 and ask for a call back.

 

 

 

 

 

 

 

 

What happens at the appointment?

 

The process of examination and diagnosis:

 

Assessment:

 We will first work out what the problem is by assessing the causes.  This will involve a comprehensive discussion about the history of your complaint, how it started, what makes it better and worse, when does it hurt most in the day, does it disturb your sleep and do you have any other symptoms beside pain.  We will also take a history of your past medical conditions.  We will ask about medication and also about what sports and activites you like to do.  We will ask about your home life ad what you do for a living, whether you drive to work and how often you take time off. 

All of this is called the 'subjective history' and it is really important because it gives us the information to work out what is wrong.  We may ask you a lot of questions and this is called differential questioning and helps us to diagnose one condition from another. It may follow the format of a medical examination similar to what you may experience when seeing a doctor or surgeon.

Examination:

In this part of the assessment we will look at the range of bodily movement or joint.  We will test muscle strength, neurological fuction and normal everyday movements.  We will also perform some special tests to isolate certain structures.    Physiotherapists are trained in delicate handling of the body. However, testing may cause some discomfort.   

Sometimes it is necessary to ask your GP to arrange bloods tests or xrays.  Physiotherapists are trained to look for common conditions and are particularly good at looking for problems not ameanable to physioatherapy.  We can tell if you need to see a surgeon and will refer you to the GP should we deem this necessary.

 

Treatments: 

See our list on treatments to see the types of techniques we offer. 

Online Physiotherapy Appointments

     "Consult your physiotherapist online from anywhere"

 

 

To Book : either click HERE or email the clinic on: This email address is being protected from spambots. You need JavaScript enabled to view it.

  Once you have booked you will receive a link to our secure web platform so we can complete the online physiotherapy assessment via an encrypted video link.

  We use a really awesome exercise APP called Rehab Guru and you can download the Client app on your phone.  

Download the App on ANDROID or APPLE and get your phone or tablet ready. 

 

What is Online Physiotherapy?

A lot of patients think about physios as the people who screw them up into a ball and throw them around the physio room.  Others see us as exercise rehab specialists.  Well, we are clinicians first and foremost and actually spend 85% of our consultations speaking, demonstrating and educating.  This is why we offer online physiotherapy consultations and this is not new.  We have been offering online physiotherapy consultations for 5 years.  We have primarily offered this to our international pelvic pain patients and have proven evidence as to how excellent this service is for all of our patients.  Online Physiotherapy sessions offer the same level of expertise and evidence as you would expect from visiting your physiotherapist in the clinic. 

Physiotherapists using online consultations are skilled in the art of history taking and can tell what is wrong with you without needing to lay a finger on you.  That is why online physiotherapy consultations are the solution to remote access healthcare. 

 

How Does it Look?

 

 

 

 

 

 

 

Tele-Physio or online physiotherapy consultations are about unlimited access to physiotherapy.  We reach everyone and those patients in remote places and we have done this time and time again for patients who want to access our services from oversees.  We have performed hundreds of online physiotherapy consultations for our patients who have not been able to locate a physiotherapy specialsit in their local area or native country.  We have also done this for our sports clients who want to access physiotherapy while on holiday, or someone confined to their home due to an illness or social distancing.  We can stand in your house with you and via video link, bring the clinic to you.

Does it work? Absolutely!  What is involved?

  • Assessment - we take a detailed history and examine you
  • Diagnosis - we tell you what is wrong
  • Treatment - we provide a solution to your pain
  • Prescription exercise - we give you the tools to fix the problem and you get these on your computer or phone. 
  • Management plan - we give a clear pathway to recovery
  • Folow up - we provide ongoing support and treatment progressions 

Tele-physio delivers the same standard of care as face-to-face consultations.  We know just how effective they are because the evidence base proves this!  

 

  Exercise Prescription and Specificity matter!

 

 

"Exercise Prescription"

"Delivered to your mobile"

"Real time statistics on how you are progressing."

 

 

 

 

 

 

 

 

"Manual Therapy Manipulation"

"Demonstrations Online"

"Expert Supervision"

 

 

 

How it Works:

When it is time for your appointment, you will have been sent a code.  Click on this link and you will be greeted by your therapist. 

  • The video link is encrypted end to end meaning the therapist and patient are the only persons in the meeting.
  • He or she will take a full history and then perform an examination.  
  • Clinicians are trained to guide the patient through a routine of movements to detemine what is wrong. 
  • From here, the Therapist will direct the patient on how to rehabilitate their problem.
  • A full treatment program and plan will be provided to the patient and emailed.  It can also be opened by the Rehab Guru App.
  • Follow up appointments will be booked in the diary and the patient will get an email reminder and text of their pending appointment. 

 

Understand your exercises and let us control your progression.

Access your program on your phone with brilliant videos and clear picturures.

Plot your progression and we will make sure you do the right exercise at the right time.

 

 

What are the Charges and how do I pay?

We charging a flat rate of £50 for an initial 45 minute consultation

Follow ups for 30 minutes consultations are £45

Pelvic pain consultations last 1 hour and are £90 

 For Payment, we ask that you pay online when making the appointment or after the consultation using a card.  This is by far the easiest for us as a clinic.  If you are using insurance then no problem.  Tell us which company and what your special claim codes are and we can bill on your behalf.  For more information - please email the clinic on This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

What is the difference between Physiotherapy, Osteopathy and Chiropractic?

Who is better to see?

A Physiotherapist, Osteopath or aChiropractor - a question I get asked a lot!

The very short answer is: The human body is the same whether you see anyone of these fine professionals. Joints crack the same way, muscles get pushed and poked the same way and exercises have the same physiological effect. It really comes down to the individual practitioner, the patients expectation and the problem itself.  Is one better than the other? No. I view a good practitoner as someone who is continually learning and willing to challenge their own beliefs and practices. 

Is My Pelvis Wonky?

The longer answer:

Id like to think you could go to any one of these professions and have the same outcome.  Of course, there are differences and people will have had good, indifferent and awful experiences.  The most likely situation is that you have had a friend recommend seeing someone and this is what drives 75% of our business at Core Body Clinic.  I think it is alwys good to read about the clinic you are going to and asking, is it right for you and your problem?  I will try to explain below what differences exist bwtween the three.  Id like to say three things that totally seperate them but its much more complicated than that and especially when you consider that I (Adrian) completed an MSc in Manual Therapy with my research on Spinal Manipulation and Spinal Adjustments.  I use spinal manipulation a lot in my day to day clinic.  However, not all physiotherapists can perform this very skilled technique. 

At Core Body Clinic, we assess everyone that comes through the door.  We find out what is wrong and we may request further tests working closely with the GP or directly through private pathways. We will use an array of techniques including: Manual therapy, acupuncture, injection therapy, ultrasound scanning, taping, rehabilitation and exercise therapy.  However, not all physiotherapy clinics will be the same.  There are differences within the profession of physiotherapy making this question a complicated one that needs a good 5 minutes reading to explain.  

Which one should I see?

I used to work with a Chiropractor called Ben, and I recall patients saying:

“er….so what’s the difference between you guys? You both crack my back and provide rehab!?”

It was a fair question and because me and Ben worked so closely and shared common philosophies, it wasn’t a surprise to have that question asked.

I’ve had other people tell me “I had physio once…..it didn’t work!” or they tell me “Osteo didn’t help!” – I always find this odd because the three have more in common than differences.  Furthermore, the three are professions and not treatment techniques.  If you went to an NHS physio you may be given a sheet of paper……but this isn’t what the 100 year old profession is all about.

My Back Is OUT!

So, what is the difference between Physios, Osteo and Chiro?

Well, the biggest difference is where they all started.  Physiotherapy was created in the early 1900s by a group of nurses to bridge a gap in healthcare.  We know rehab existed before this with literature dating back to the mid to late 1800s.  Physiotherapists (or remedial gymnasts as they were called then) helped people who had been in hospital after an illness, perhaps acutely ill.  They needed rehab and at the time, it just was not available.  If you have an injury you need rehab.  With back pain, your muscles weaken, movement deteriorates – you need rehab.  Hence, physiotherapy became a profession.  Because of its unique position in healthcare, it has become a central part through all disciplines of healthcare:  Cardiac, neuro, orthopaedics, paediatrics, respiratory, surgery, musculoskeletal, women’s and men’s health, burns and plastics, intensive care, mental health, sports medicine, injection therapy, sonography, surgery (?did I miss anything?).  Physiotherapists now work up to Consultant level, prescribe medicines, order and read imaging (Xray and MRI) and hold clinics where independent decisions are made.  It has had to evolve into a highly specialist profession working alongside specialist doctors and surgeons – so, we cant say “ I had physio once” and leave it there because it’s too diverse.  At Core Body Clinic, we are musculoskeletal physiotherapists and therefore we are trained in hands on manual and manipulative therapy, massage therapy, dry needling, diagnostic ultrasound and inject.  We also treat male and female health (incontinence and sexual dysfunction) and help people who are recovering from Cancer.  

I only got given exercises!

Osteopathy began in the late 1800s by Andrew Still, a doctor frustrated by the harm that medicine at that time was causing.  It was still in its infancy and was largely barbaric with a high mortality rate.  He found a physical way to help the body heal by using palpation, manual therapy and theories such as blood and cranio-sacral flow.  From here Osteopathy found its way through healthcare as a more holistic and alternative therapy.  However, with need to constantly change and the advent of evidence-based practice, the profession has developed, like physiotherapy, with an array of roles and diversity.  Like physiotherapists, they use hands on techniques and provide exercises.  Some Osteopaths work in the NHS alongside physios and doctors.  This is where the only difference between the two is in the name.  At Core Body Clinic, our physiotherapists use spinal manipulation.  If you trained 20 years ago (like me – yikes!) you would have been taught spinal manual therapy and adjustments at University.  Now, it’s typically a post-graduate course so not all physiotherapists will manipulate the spine.  Some physiotherapists also train in cranio-sacral therapy but it is not a typical training pathway. So, in short there are sometimes huge differences and other times the professions might look the same.

Chiropractic was created In the late 1800’s by a healer named Daniel Palmer who believed a deaf care-taker would benefit by having his neck manipulated.  Palmer performed the manipulation bone crunching technique to the man’s neck…….and he could hear! .

Chiropractic was very much an alternative to medicine with early Chiropractors believing you could cure anything with spinal manipulation.  Over time, Chiropractic has gone through many developments and evidence has driven a shift away from the original beliefs that the spine becomes subluxed and all pain and illness stem from this.  Like Physiotherapists and Osteopaths, Chiropractors now work in frontline community care and provide treatment for an array of conditons, not just backs.  

Spinal manual therapy is very effective for pain in the spine and at Core Body Clinic our physiotherapists use it a lot.  We know it has a place and we also acknowledge its limitations too.  

The bone crunching scares me!

Chiropractors, like physiotherapists, treat lower back pain and have generally gained recognition in society as the people to go to with back pain.  I think you will find many excellent Chiropractors, Osteopaths and Physiotherapists who are equally excellent at treating back pain.  I would suggest 90% of Chiropractors might use manipulation for lower back pain…….75% of physiotherapists and anywhere between 80 – 90% for Osteopaths (this is just my guess).  As a matter of fact, the NICE guidelines for back pain advise the use of hands on therapy in addition to exercise.  However, it does not recommend it on its own.  Evidence backs the use of manipulation provided it is part of the package of care that is primarily focussed on exercise.  What we must remember is that evidence does not mean 100% of people responded.  Therefore, differences between people and their experiences of back pain and said treatments will vary.  People we see at Core Body Clinic Physiotherapy may have been to see a Chiropractor or Osteopath already.  Equally, patients may present at an Osteopaths having just been handed an exercise sheet by a physio. I 

I always find the biggest differences are within the professions and therefore the individual practitioners.  If you have seen one of the three specialities and not got on, don’t think that it is the profession as a whole, rather the individual clinician.    

Infection Control COVID19

If you suspect you have COVID-19/Coronavirus or if you or anyone in your householddisplay signs, then please do not attend the clinic and please follow goverment guidance to self isolate and obtain a test as per guidance: 

Please Note: You will not be treated at Core Body Clinic if you are ill or a staff member suspects you are ill.  Please respect the clinical decision of the healthcare professional.  They are trained to triage patients who are presenting as unwell.  They will offer advice provided it does not compromise their safety. 

Please note: Our infection control procedures are identical at both our Reading/Tilehurst Physio clinic and our Swansea Physio Clinic. 

Signs of COVID 19: 

  • Fever (Temp above 37.9)
  • Persistent and Dry Cough
  • Loss of taste and/or smell

 

Everyone has a different level of risk.  Please consider your own need for shielding.

In light of the current situation regarding coronavirus/COVID-19 we are carefully monitoring the Public Health England  and Public Health Wales and GOV.uk websites for the latest advice and information.

England and UK
https://www.gov.uk/government/topical-events/coronavirus-covid-19-uk-government-response

Wales
https://gov.wales/coronavirus-firebreak-frequently-asked-questions#section-53259
 

Core Body Clinic, Ltd.  Infection Control Policy: COVID-19 Updated 19th October 2020


It comes as no surprise that our current recommendation is that you do not attend or book in for physiotherapy treatment if you are suffering with COVID 19 symptoms until you are sure that you are no longer able to transmit your virus and you are able to confirm you do not have the COVID-19. In the current circumstances, we ask you to telephone the clinic if you have any doubts as to whether you should attend a scheduled appointment.  If this is on the morning of the appointment, then we have no objection and no fee will apply for last minute cancellations.  Your health and safety are our priority.  We appreciate that most people will not have the virus and will be suffering from a cold or flu like virus.  However, we are encouraging patients to pay due diligence to their situation prior to making plans and adhere to the directions of the DOH.

Core Body Clinic adheres to high standards of hygiene.:

 

  • All patients consider their health and wellbing prior to booking and sign our consent form.
  • All patients must sign a consent form declaring they are not ill
  • All patients wear a mask (if not in posession then the clinic can provide a mask for £1)
  • Patients may NOT enter unless invited and are instructed to remain outside the clinic, unless raining
  • You must follow the physiotherapists instructions when entering the building
  • You must wash hands with alcohol
  • You will be temperature tested and if high you will not be treated
  • Other than a coat or bag please do not bring in other items
  • Bags and coats will be placed on the floor or designated area
  • You will sit on a plinth that is covered with towel
  • All staff wear Mask (N95), apron and gloves.  A visor or goggles may be worn when less than 2m distance
  • Donning and Doffing of PPE is done with extreme care
  • On leaving the clinic you will not handle doors and you will follow the physiotherapists instructions
  • The rooms are well ventilated and regularly cleaned
  • Pillow covers are covered in plastic and changed every session
  • use antiviral/bacterial, soap and alcohol spray before anyone uses the breathing holes in the treatment couches
  • Patients who display any signs of ill health will be asked to leave the clinic.  No charge wil be made as the decision will be at the discretion of the clinic.



If you require further information about coronavirus, please visit the NHS website (www.nhs.uk/conditions/coronavirus-covid-19/) for the most up to date information and advice.

 

Clinic Director

Swansea Physiotherapy Clinic

Welcome to our Swansea Physiotherapy, Pelvic Pain and

Sports Injury Clinic  

 

Hours: 

Monday: 8am to 8pm

Friday: 8am to 8pm

 

 

About our CBC Swansea Physio, Sports Injury and Pelvic Pain Clinic 

.  The clinics are based at the Swansea Wellbeing Centre and our second clinic can be found on Mumbles Road in the Dental spa, with ample free parking and so well located to allow access for the whole of the Swansea Bay area. We deliver physiotherapy (hands-on musculoskeletal physiotherapy), sports injury rehab, sports massage therapy, acupuncture and dry needling, pelvic pain and pelvic rehabilitation for men and women (post pregnancy pelvic floor weakness). We also fit Formthotics in-sole solutions for foot pain and lower limb dysfunction.  We are one of very few clinics to use diagnostic ultrasound scanning for both musculoskeletal, tendon pain and pelvic pain rehab.  

Physiotherapists are the right clinicians to consult for diagnosis and treatment if you are in pain.  You can read about Physiotherapy here and if you are thinking there is a difference between different practitioners then you can read about the similarities between Physiotherapists, chiropractors and osteopaths here. 

Physiotherapists at Core Body Clinic, Swansea.

 

Adrian Wagstaff (originally from North Wales, and also Welsh speaking!) is the director and founder of Core Body Clinic in Reading.  Adrian has now set up our Swansea Physiotherapy clinics and he is committed to delivering physiotherapy in Swansea and the whole of the south of Wales  He has built up an international reputation since he qualified in 2001 with a BSc (Hons) in Physiotherapy and then again in 2012 with an MSc in Manual Therapy.  He is a member of the MACP and is one of just 1200 physiotherapists world wide to hold the qualification of this advanced status in MSK care.  Having worked in 2 premiership football clubs, the NHS, private practie in the UK and in New Zealand Adrian has a broad experience from chronic back pain to ligament rehabilitation in the elite sports person.  Adrian specialises in the diagnosis and treatment of musculoskeletal pain and has an interest in chronic pain and pelvic pain.  He is one of the few practitioners to treat Male Pelvic pain in the whole of the UK and is trained to use diagnostic ultrasound to help with diagnosis and to retrain the pelvic floor.  Adrian is a teacher of spinal manual therapy and manipulation having taught on the Masters degree at Coventry university, he also travels to teach this very skilled hands on technique.  Read more about Adrian here

 

 

Costs: 

Initial assessment and treatment: £50

Follow up treatments: £40

We may also use an ultrasound scanner for diagnosis which we charge £80 for the session. 

 

 

How to Book:

To book a session of physio in Swansea or mumbles clinic, call the main booking line 01792369535 or 07748152377.  We also have a booking system that is integrated into the diary meaning you can see appointment times in real-time.  All you need to do is click BOOK ONLINE and register using your tablet, iPad, phone or computer.  

Once you are set up you can book an appointment. It is very easy and should you suddenly find your appointment is no longer convenient you can simply change the appointment at any time.  Of course, you can still email or call the clinic and one of the staff members will be more than happy to guide you through the booking process.  Hours for online are 24 hours. 

If you have a particularly difficult problem and you are not sure if we can help then please call the clinic and ask to speak to someone.  This could be a difficult back pain or sciatica that you have had for a long time.  It could be a chronic tendon problem that has not resolved.  You might be suffering form chronic headaches or pelvic pain for which no one else has been able to help.  Its worth picking up the phone or emailing and asking for our advice.  Its simple to email  - This email address is being protected from spambots. You need JavaScript enabled to view it., or send a text to 07748152377 and ask for a call back.

 

 

 

 

 

 

 

 

What happens at the appointment?

 

The process of examination and diagnosis:

 

Assessment:

 We will first work out what the problem is by assessing the causes.  This will involve a comprehensive discussion about the history of your complaint, how it started, what makes it better and worse, when does it hurt most in the day, does it disturb your sleep and do you have any other symptoms beside pain.  We will also take a history of your past medical conditions.  We will ask about medication and also about what sports and activites you like to do.  We will ask about your home life ad what you do for a living, whether you drive to work and how often you take time off. 

All of this is called the 'subjective history' and it is really important because it gives us the information to work out what is wrong.  We may ask you a lot of questions and this is called differential questioning and helps us to diagnose one condition from another. It may follow the format of a medical examination similar to what you may experience when seeing a doctor or surgeon.

Examination:

In this part of the assessment we will look at the range of bodily movement or joint.  We will test muscle strength, neurological fuction and normal everyday movements.  We will also perform some special tests to isolate certain structures.    Physiotherapists are trained in delicate handling of the body. However, testing may cause some discomfort.   

Sometimes it is necessary to ask your GP to arrange bloods tests or xrays.  Physiotherapists are trained to look for common conditions and are particularly good at looking for problems not ameanable to physioatherapy.  We can tell if you need to see a surgeon and will refer you to the GP should we deem this necessary.

 

Treatments: 

See our list on treatments to see the types of techniques we offer. 

 

 

Our “my pain is still there" Service

Even if you have visited 20 physios, 10 chiropractors, 5 osteopaths, an acupuncturist, the GP or 2 orthopaedic surgeons………..we would still love the opportunity to take a look.  Challenge us with the problem!.   

 

 

Persistent Pain Service

 Why is my back so persistently painful?

Pain is not just a physical thing and persistent pain is not just a back thing affecting almost any part of the body.  In this article we will talk about back pain.  Our Chonic pain services are available at both our Reading and Swansea Physiotherapy clinics.

What is pain?

It’s a physical, chemical, emotional and behavioral response to either an external stimulus that can be noxious or non-noxious, or it can be a pain that is emitted without any form of obvious stimulus.  Pain is even stored in memory, linked to places and is certainly linked to an action.  We often see people who are terrified to bend.  We see a spike in muscle activity rather than a reduction………pain is also learned and stored in movement.  Essentially, everything is processed through the brain and therefore in chronic situations it is linked and processed  in every part of our lives.  This is the reason pain can become chronic or persistent.  Pain is a sensation. But the process of pain generation is very complex. Pain is also a protective response.  If we continuously adapt our movements to a pain response, we will always move in a protective manner.  More muscle spasm, continuous adaptive and mal-adaptive postures.  This perpetuates pain and re-designs our pain and movement systems. We develop persistent pain and become our own self-fulfilling prophecy!

Quite often people see us after they have had countless tests and interventions.  MRI scans, injections and even operations – and still they are in pain. Healthcare professionals are often guilty of making promises of a cure when sometimes the silver bullet is elusive.

Now, this is where we can help.  Diagnosis is key here.  When, after many tests, the doctor gives you a shoulder shrug the patient can feel very down and upset.

“its all in my head!” – well, every sensation has to be processed by the brain, so pain is always “in the head”.  However, as stated above……it is not that simple. Pain must be rehabilitated.  We guide patients to unlearn pain and teach them how to slowly change their response to situations and movements. 

This does not mean that manual therapy treatments can’t help or needling (like acupuncture or dry needling) the skin not offer pain relief.  They must be delivered as a package of care.  Simple and acute back pain responds to manipulation.  Longer, well-established back pain is seldom relieved beyond a few hours or days.  Motor re-learning, graded exposure and strength training are the corner stones of the current thinking and practices of pain management.  If we consider that a patient may suffer pain when they do something specific or when doing just simple tasks, then we must teach them to re-learn movements in a non-painful manner.  Re-training the spinal muscles to both be stronger and behave in a non-protective way is key. 

 Our approach is bespoke, to each unique patient we see.  There is no one method fixes all.  Every regime and treatment plan written for the patient so that it matches when they get pain, how often and what it is that drives it.  More importantly, we want to know what the patient thinks.

Imagine if you thought your spine was weak, brittle or fragile.  Would you bend with confidence or would you stiffen when you move? Making your muscles work harder.  Would you avoid movements, making your muscles weaker? If the muscles are weaker and out of condition, then we must consider the other structures will be less resilient to loading.  Less resilient structures will fatigue quicker.  They will give off a stronger signal. 

When we have pain, the filter channeling information from the body to the brain becomes less selective leading to an over stimulation or sensitisation. We don’t respond to wearing socks.  We know they are socks and they are not harmful. However, when we are in a persistent state of pain, even simple and non-painful tasks become painful.  This is because there is less information required to stimulate our brain and central nervous system.  Our threshold to pain changes and for specific tasks linked to the region or pain becomes lower.     

It is almost like we must convince the body and brain that it is ok to move. If we make the body stronger and make the brain more resilient then we do see a marked improvement in pain. However, it is not simple and is often very challenging. We are dealing with pain.  Quite often there is two steps forward and 3 back!  We work out a plan and a realistic time frame.. We also set expectations and set goals so that the patient can gradually expose themselves to increasing levels of load and more complex movement patterns. This is our approach and luckily – it is evidence based and backed by research.

To find out more please email the clinic on This email address is being protected from spambots. You need JavaScript enabled to view it.

COVID19 FACE TO FACE SESSIONS

               Face to Face and ONLINE Physiotherapy

Reading and Swansea Physio clinics are OPEN

"If you need to see a physiotherapist, you can book Online or call the clinic.  If you are in doubt then you must call 01972369535 / 07748152377 or email This email address is being protected from spambots. You need JavaScript enabled to view it. and ask for a call back. Online booking is available for physiotherapy.  The clinic operates a strict infection control policy.  We really want to see you.

 

 

 

We operate a COVID SAFE policy so that face to face sessions are safe. We are bound by safety rules set by our regulator and governing body.  It must be stated what while we work to remove 99% of the risk in our clinic we cannot guarentee 100% risk free in attending the clinic.  However, we ensure we are deep cleaned regularly through the day and your physio will be in full PPE.  

 

Our criteria for face to face sessions are: 

  • You are free from COVID19 and you have not been in contact with anyone who has had COVID19 within the last 21 days.
  • You have not travelled out of the UK in the last 14 days to a listed goverment location.
  • You must read and sign our consent form electronically and send back to the clinic and you must accept there is a risk of tranamission and ***declare you understand this risk***.
  • You MUST wear a mask and one can be provided for £1. 
  • Your temperature will be taken on entry and if it is raised above 37.9 then we will not conduct the assessment and you will be rebooked (at no extra charge as this is not your fault).     
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  • Points to highlight:
  • You must NOT ENTER the clinic on arrival.  If it is raining then you may step into the doorway.  Otherwise, please remain outside until the time of your session. 
  • Please allow extra time and do not arrive too early.
  • If you attend via your insurance then you MUST obtain permission for Face to Face. If they do not authorise the session then you are liable for the charge. 
  • See our infection control policy HERE

 

Our priority is to get you better and to do this without risking your health.  Our guidance is derived from that issued from the UK government, Health and Care Professions Council, Chartered Society and Physio First. 

 

During any lockdown the clinic remains open for treatment.   During your consultation, the physotherapist will be using PPE.  For techniques that are aerosol producing, a full visor is worn.  Safety if our priority so please understand that while ensuring you are safe, we need to be safe too.

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Why would you want to do this? 

  • We will give out a voucher to save on some of our treatments
  • We will share details of new treatments
  • We will make you aware of what we do, like out pelvic pain and womens health service
  • We will share exercise gems with you so you stay ahead of the game
  • We will only share interesting content and direct you to useful information on our site
  • We only share information about Core Body Clinic Ltd
  • We NEVER share your details

Our mailing lists are all about giving our local Reading and Tilehurst community the best possible service we can.  Please consider signing up so we can make the most out of your experience with us.  

 

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Who Are We?

Physiotherapy specialists in clinical diagnosis of pain and sports injury.  Core Body Clinic leads in the most cutting edge of assessment and treatment techniques to get you better quickly and keep you better.

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How it works

Book an appointment on the phone or online.  Once you are booked we will confirm with a consent form and booking confirmation.  You have the choice to book online or pay at clinic.  It is very easy and you can call the clinic if you prefer to make an appointment in person. 

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