We have a wide range of treatment options available, to manage most muscoloskeletal conditions. All of our services are delivered by our specialist clinicians and therapists in our state-of-the-art physiotherapy facilities.
Please contact us, to find out about the availabilty of services at your local Circle Health hospital.
Acupuncture forms part of traditional Chinese medicine. This ancient system of medicine dates back as far as 1,000 years BC and is based on a holistic concept of treatment which regards ill health as a manifestation of imbalance in the body’s energy system. Traditional Chinese medicine aims to re-establish this balance by stimulating certain acupuncture points on the body and restoring balance when it becomes disturbed by illness or injury.
Clinical acupuncture is one of many treatments offered by physiotherapists as part of an integrated approach to the management of pain and inflammation. Physiotherapists base their treatments on scientific research and clinical evidence that acupuncture can reduce pain by stimulating the brain and spinal cord to produce natural pain-relieving chemicals.
Acupuncture can be used to successfully treat a number of musculoskeletal conditions, such as tension headaches, tennis elbow, low back pain, sciatica, and tendo-achilles pain. It has also been used to successfully reduce hot flush symptoms as a result of the menopause or medication given during breast cancer treatment.
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Biodex isokinetic muscle testing
An isokinetic muscle contraction is one in which the muscle contracts and shortens at a constant rate of speed. Specialised testing equipment allows healthcare professionals valuable information regarding strength deficits and muscle imbalances that may predispose a particular joint to further injury. Information obtained through the tests provides your therapist and your consultant with objective data that can be used to monitor your progress. This data is used to establish realistic goals to determine when it is safe to return to sport and to work.
The Biodex can be used to help with pre-season screening, injury prevention, athletic performance enhancement, prehabilitation, and rehabilitation for all peripheral joints – hip, knee, ankle, shoulder, elbow, and wrist. The different functionality can assist with healing, swelling/inflammation, restoring range of motion, restoring strength, restoring function, and progress reporting through the use of quantifiable data.
If your physiotherapist or sports therapist deem it appropriate they will offer you an opportunity to use the Biodex System 4 Pro as part of your assessment and/or treatment. During the assessment and/or treatment you will be asked to undertake one or more movements. The amount of effort involved will vary on the programme used. On completion of the exercises, data will be automatically generated and reviewed with you.
The Circle Reading physiotherapy department utilises a Biodex System 4 Pro isokinetic testing machine to aid in the assessment and treatment of both its patients and the general public.
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Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility, and breathing. It was originally developed by Joseph Pilates in the early 20th century.
Clinical Pilates is often used in conjunction with physiotherapy as a means of treating a variety of injuries, particularly those of the neck and back. Recent research states that retraining of the deep stabilizing muscles for patients with low back pain can help reduce the risk of further recurrence. Clinical Pilates focuses on the retraining and recruitment of these core stabilising muscles as well as improving posture, strength and flexibility.
Clinical Pilates is a relaxing and gentle form of exercise, normally run in small classes, although 1-2-1 sessions can also be organised for those that prefer to exercise alone or feel they would prefer increased supervision. Classes generally consist of a series of mat-based exercises in various positions that have been adapted by physiotherapists to make them more suitable for patients following injury or surgery. This ensures optimal gains whilst minimizing the likelihood of injury aggravation.
Anyone wishing to participate in the Clinical Pilates class at Circle Reading must be assessed by a physiotherapist prior to commencing the class. This will allow us to assess your back, teach you the basic fundamentals of the Pilates method, and ensure that the class exercises will be appropriate for you.
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DJO Bracing Centre
DJO Global Incorporated is a leading global provider of high-quality, orthopaedic devices, with a broad range of products used for rehabilitation, pain management, and physiotherapy. They offer healthcare professionals and patients a diverse range of orthopaedic rehabilitation products that focus on the complete spectrum of preventative, pre-operative, post-operative, clinical, and home rehabilitation care.
DJO products are used by orthopaedic specialists, spine surgeons, primary care physicians, pain management specialists, physiotherapists, podiatrists, chiropractors, athletic trainers, and other healthcare professionals to treat patients with musculoskeletal conditions resulting from degenerative diseases, deformities, traumatic events and sports-related injuries.
Circle Reading has been recognised by DJO as a centre of excellence for brace fitting. Our therapists have been trained to help assess your needs and determine the most appropriate brace for you. They will take your requirements and measurements in order to ensure you get the correct size. The brace will then be ordered and fitted on arrival by a therapist to ensure it is appropriate and you will be taught how to use it.
Afterburn is a high energy, interval training fitness class that combines athletic aerobic movements with strength and stabilisation exercises. It is designed to transform your body by developing strength and endurance in major muscle groups and, in so doing, burn calories and tone your body.
With one class enabling you to burn an average of 735 calories, Afterburn is an excellent cardiovascular workout which will help you to lose weight and improve overall fitness, strength, and agility.
Frustrated at not being able to get to the gym? Fed up of being stuck in the house? Keen to get out and meet other likeminded mums? Or just want to get back into those pre-baby clothes? Come and try BuggyFitness, an outdoor-based fitness programme that involves you, baby, and buggy.
BuggyFitness utilises the surrounding area and locality to maximise your fitness workout. It combines a cardiovascular programme with toning exercises to help you achieve your health and fitness goals.
Legs, bums and tums
Legs, bums and tums is a circuit-based exercise class, focusing on strengthening and toning key areas to help you look and feel great.
The class is designed to help shape these areas, while increasing stamina and overall cardiovascular fitness.
Using these major muscle groups over the course of the session is a great way to lose weight, burn calories and tone those problem areas.
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PureStretch was originally created as a light hearted alternative to classes such as yoga and Pilates. The idea was simple, teach people how to stretch correctly and develop core strength.
PureStretch is a fun and dynamic way of focussing on flexibility, one of the three cornerstones of a well-rounded fitness regime, but often, one of the most overlooked. PureStretch is a 45 minute class designed to lengthen the entire body whilst focusing on core stability. It will improve flexibility, develop core strength, and add more balance to a fitness routine.
Classes are designed to be light hearted, stimulating and interactive. They are choreographed in such a way that all levels of fitness can attend and enjoy.
Urban Fitness is the number one outdoor fitness training programme that utilises the surrounding area and locality to give you a full and varied workout. Benefits include a reduction in body fat, increased muscle tone, strength and stamina, balance and co-ordination, cardiovascular fitness, and confidence. A great way to make new friends.
Be advised, Urban Fitness is not for the faint hearted! It may involve getting wet, getting muddy, and being spontaneous, so be prepared.
The class that started the dance-fitness revolution and changed the way we look at a workout forever. It’s fun, effective and best of all? Made for everyone! Zumba is a fitness program that combines Latin and international music with dance moves. Routines incorporate interval training, alternating fast and slow rhythms, and resistance training.
An aerobic activity, Zumba can count toward the 150 minutes a week of moderate aerobic activity or 75 minutes a week of vigorous aerobic activity.
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Hand therapy is the non-surgical management of hand disorders and injuries using physical methods such as exercise, splinting, and wound care.
Circle Reading provides a highly specialist hand rehabilitation service to meet the needs of its patients. Staffed by both physiotherapists and occupational therapists, we ensure a holistic approach to the treatment of acute and chronic hand related injuries and conditions. Close liaison with other key services such as surgical consultants ensures patient outcomes are optimised.
All our therapists are experienced at evaluating and identifying problems affecting the upper limb. They can provide advice regarding exercise, preventative care, aids to daily living, and ergonomic consultation.
Hand therapy plays a crucial role in post-surgical and injury rehabilitation.
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"Employers have a legal duty to protect the health, safety and welfare of employees and must do whatever is ‘reasonably practicable to achieve this." - Health and Safety Executive, 2013.
A personal trainer is a fitness professional involved in exercise prescription and instruction. They motivate clients by setting goals and providing feedback. Trainers also measure their client's strengths and weaknesses with fitness assessments. These fitness assessments may also be performed before and after an exercise program to measure their client's improvements in physical fitness. They may also educate their clients in many other aspects of wellness besides exercise, including general health and nutrition guidelines.
When you work with a personal trainer, they are focussed on you and your goals. This can often improve your focus too, and because they are up to speed on the latest research, they can incorporate it into the best possible workout for you.
Qualified personal trainers recognize their own areas of expertise. If a trainer suspects that one of his or her clients has a medical condition that could prevent the client from safe participation in an exercise program, they will refer the client to the proper health professional for prior clearance.
Our experienced sports therapist can help you achieve your personal goals, whether that be toning up, building muscle, sculpting your physique, losing weight, getting your figure back after childbirth, or recovering from an injury.
"Physiotherapy is a healthcare profession that works with people to identify and maximise their ability to move and function. Functional movement is a key part of what it means to be healthy. Physiotherapy plays a key role in enabling people to improve their health, wellbeing and quality of life." - The Chartered Society of Physiotherapy
Circle Reading has a dedicated team of state registered physiotherapists qualified to treat a wide range of conditions. Treatment is aimed at correcting and improving the natural healing mechanisms of the human body, thereby facilitating and restoring movement and function.
In order to identify the underlying problem and give an accurate diagnosis, a full examination must be undertaken. This involves taking a detailed history of the problem, normally followed by a physical examination. Once the problem is identified and a diagnosis made, the physiotherapist will start treatment. Treatment is always specific and individually tailored to meet the patients’ needs and goals.
If the physiotherapist feels physiotherapy is not appropriate and a referral to another healthcare professional is required, this will be discussed with the patient, and appropriate arrangements made.
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Pink Ribbon Program
The Pink Ribbon Program is a new service being offered to breast cancer survivors at Circle Reading. The programme aims to increase women’s strength, self-esteem, and quality of life through the use of exercise. It has worldwide acclaim and evidence to support its effectiveness.
The Pink Ribbon Program is suitable for all breast care patients, whether surgery was recent or several years ago.
Pink Ribbon is a rehabilitative Pilates based recovery programme. It aims to stretch and strengthen the shoulder, back, chest and abdominal muscles, in order to regain full range of movement to those areas affected. Other benefits include improved self-confidence and control, reduced feelings of depression, improved sleep, reduced stress and tension, and enhanced physical and mental well-being.
The program will be run by an experienced physiotherapist in the physiotherapy gym at Circle Reading. It costs £300 and includes the following - 12 exercise sessions, each lasting 30 minutes, twice weekly; an initial and final one to one assessment; an exercise booklet; and a strengthening band.
If you are interested and wish to find out more, please contact the physiotherapy department for further information concerning this service and to book your initial one to one session. Patients may self-refer or use their private healthcare insurance cover if appropriate. A GP or consultant referral is not required.
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Prehabilitate so you don’t have to rehabilitate.
The concept of prehabilitation exercise training is well-known with trainers and sports therapists involved in sports performance preparation. Pre-habilitation involves strength and conditioning exercises for specific muscles that help to reduce injury risks, before an injury actually occurs. It is sport-specific and targets common injuries and strength imbalances that occur in the particular sport.
Recently, however, there has been a move to have prehabilitation programmes for patients who are due to have orthopaedic surgery, such as a total knee replacements or total hip replacements, as it is thought to aid mental preparation, post-operative range of movement, muscle lengthening and strengthening, proprioception, and mobility.
Depending on your needs, the experienced therapists at CircleReading will determine an appropriate prehabilitation programme for you. This normally involves a detailed assessment to determine where you are now in terms of posture, mobility, strength, stability, balance, and joint function, and a treatment plan specific to your requirements.
"Physiotherapy led rehabilitation is a clinically and cost effective intervention for those patients whose life has been adversely changed by injury, illness or disease." - The Chartered Society of Physiotherapy
Physiotherapy rehabilitation aims to optimise patient function and well-being, and to help integrate patients back into their chosen lifestyle and activities whether at home, work or leisure. It focuses on changes to functional disability and lifestyle restrictions based on the patient’s own goals for functional improvement.
Rehabilitation can be used for recovery from injury or disease and also for the management of long-term conditions, such as Parkinson’s disease and multiple schlerosis.
Early rehabilitation has been shown to improve mobility and activity levels, lead to a shorter length of stay in hospital, and improve quality of life.
RunFit is a dynamic, circuit-based exercise class, designed to help improve your running form through the use of video feedback, therapist advice, appropriate strengthening exercises, stretches and running drills. It aims to make you more aware of ‘how you run’, which can be beneficial if your running form is contributing to a niggling injury. It is a full-body workout, with a particular focus on the major muscle groups used when running.
During the class, you will get a chance to spend some one to one time with a therapist. They will give you feedback on your running form, with pointers in to help you avoid increased stress through your joints, and offload painful areas. You can then put this into practice in the optional group run that follows, which will vary from 5km to 10km depending on season and participant numbers.
RunFit may be able to help you manage existing injuries or help reduce the risk of further injuries and allow you to run in a more economical form. Strengthening exercises also focus on the areas where most injuries occur, namely the feet, ankles, achilles tendon, calves, hamstrings, hip flexors, gluteal muscles and back.
Everyone joining the class is required to attend a one to one running assessment with a Sports Therapist or Physiotherapist prior to starting. This is to ensure we have assessed your suitability for the class and are aware of any limitations you may need to have addressed. During the assessment, we will cover your medical history and give you a physical examination in order to assess range of movement, strength, and proprioception.
We will also discuss your motivation and expectations for attending the class, to ensure we can meet these.
During the assessment, if it is felt you would benefit from one-to-one physiotherapy rather than a class environment, you will be advised of this.
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Shockwave therapy (ESWT)
ESWT is a non-invasive treatment modality that utilises shockwaves to treat chronic, painful musculoskeletal conditions. The treatment initiates a pro-inflammatory response, an inflammation-like condition, in the tissue that is being treated. Blood circulation and metabolism in the area increases, which in turn accelerates the healing process. The shockwaves break down scar tissue and bony deposits stimulating new healing.
ESWT can be used to treat a number of conditions, such as calcific tendonitis of the shoulder, tennis/golfers elbow, achilles tendinopathy, patellar tendinopathy/jumpers knee, trochanteric bursitis, Morton’s neuroma, and medial tibial stress syndrome.
ESWT has been shown to be effective in 75-80% of cases involving chronic conditions.
Pain relief normally occurs within one to two weeks of treatment, but the final outcome can only be evaluated several months after treatment has ended.
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SkiFit is a dynamic, circuit based work-out, designed to help prepare your body for the physical demands of skiing or snowboarding. It aims to increase fitness levels and strength, in order to ensure you maximise your experience on the slopes and decrease any risk of injury. It is a full body work-out, with a particular focus on the muscle groups most used when skiing: legs, core, and back.
Regardless of ability, SkiFit can maximise your potential through targeted exercises.
Novice skiers and snowboarders, for example, will often spend more time in flexed positions. This requires good ‘holding’ or eccentric strength in their quadriceps. The SkiFit programme will incorporate these requirements in order to ensure each individual is given the targeted exercises they need.
SkiFit includes exercises that mimic the type of movements utilised in skiing and snowboarding. It also focuses on the areas where most injuries occur, namely the knees, back, and shoulders. Exercises used in the SkiFit programme aim to target these areas in order to increase strength and stability, which will hopefully result in less damage should a fall occur.
Everyone joining the class is required to attend a one-to-one session with a sports therapist or physiotherapist prior to starting. This is to ensure we have assessed your suitability for the class and are aware of any limitations you may need to have addressed during the classes. During the session we will cover your medical history and give you a physical examination in order to assess range of movement, strength, and proprioception. We will also discuss your motivation and expectations for attending the class, in order to ensure we can meet these.
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Regular physical exercise is probably the most important thing a person can do to stay healthy, particularly in today’s world where the majority of jobs are sedentary in nature.
The benefits of regular exercise are well publicised. It can reduce the risk of cardiovascular disease, blood pressure, and type 2 diabetes, to name but a few.
Unfortunately, physical exercise, whether in the form of work, sport, outdoor activities, play, or physical education, is not without potential side-effects.
Sports injuries are generally termed acute or overuse. Acute injuries occur suddenly and have a clearly understood cause, whilst overuse injuries occur slowly, often over a long period of time. Regardless of onset, injuries result in frustration for the patient as often they are required to reduce or in some cases, stop the activity.
"Sports massage is the management, manipulation and rehabilitation of soft tissues of the body including muscles, tendons and ligaments." - Sports Massage Association
Sports massage is a form of massage involving the manipulation of soft tissue to benefit a person engaged in regular physical activity. When a person exercises, their body is subjected to various types of physical loading and following such activities, with the right amount of rest, the body’s systems adapt to cope with the increased stresses placed on them. These adaptations may affect muscles and other soft tissues, bones, the brain and nervous system. In the right measure and at the right frequency, regular exercise enables the body to cope with increased levels of stress, which allows the body to exercise at higher intensities or for longer durations.
Sports massage is designed to assist in correcting problems and imbalances in soft tissues that are caused from repetitive and strenuous physical activity. The application of sports massage, prior to and after exercise, may enhance performance, aid recovery and prevent injury. Following traumatic injury, sports massage may also enhance and improve the quality of soft tissue healing.
Benefits of sports massage include improved circulation and lymphatic flow, removal of metabolic waste, increased or decreased muscle tone, increased or decreased muscle length, scar tissue remodelling, and psychological well-being.
The benefits outlined above can also help relieve the many day-to-day problems and stresses that everyone experiences. It is, therefore, appropriate for anyone who is experiencing increased muscular tension or recovering from an injury or surgery.
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Sport Rehabilitation Centre
The Circle Sports Rehabilitation Centre offers a unique multidisciplinary approach to the management of soft tissue and musculoskeletal injuries. Our team of experts comprises of experienced sports medicine consultants, specialist physiotherapists, soft tissue therapists and podiatrists who have a background working with Olympic and Paralympic athletes, professional sports teams as well as recreational athletes.
The rehabilitation unit provides combined expertise in the diagnosis and management of both, paediatric and adult sporting injuries and offers innovative Isokinetic Biodex muscular assessments to enable patients to return to their level of physical activity as quickly and safely as possible.
Find out more about the Circle Sports Rehab Centre
"Sports therapy is an aspect of healthcare that is specifically concerned with the prevention of injury and the rehabilitation of the patient back to optimum levels of functional, occupational and sports specific fitness, regardless of age and ability." - Society of Sports Therapy
Sports therapists play a crucial role in getting people back to their chosen sport. They utilise the principles of sport and exercise sciences incorporating physiological and pathological processes to prepare the participant for training, competition, and where applicable, work.
A sports therapist is a practitioner who has the knowledge and ability to provide first aid and attend to injuries in a recreational, training, and competitive environment. They can assess and, where appropriate, refer on for specialist advice and intervention. They can also provide: sports massage pre and post activity, strength and conditioning training, personal training, and implement appropriate fitness and rehabilitation programmes. They utilise sports and exercise principles to optimise preparation and injury prevention programmes.
Our sports therapist can help you achieve your goal, whether it’s starting a new sport, increasing your general levels of fitness, taking your sport to the next level, or looking at a weight loss programme.
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Strength and conditioning
Strength and conditioning is the physical and physiological development of athletes for sport performance. The role of the strength and conditioning trainer is to try and bridge the gap between training theory and applied training. This helps athletes to become faster, stronger, and more flexible. It also increases muscular endurance which helps with injury prevention and increased performance.
Strength and conditioning is about more than lifting weights. It involves a holistic approach to the development of the athlete and their performance. This may include plyometrics, speed and agility tests, endurance and core stability work, with strength training being just one piece of the puzzle.
Circle Reading has a dedicated sports therapist who is well equipped to meet your strength and conditioning needs. If you would like to contact us to find out more, please contact the physiotherapy department on 0118 922 6890.