Conditions We Treat

Conditions We Treat

Back pain

In 2013/14 prevalence of back disorders in England was estimated approximately 200000 by HSE which does not include Scotland and Wales.

Low back is a complex structure made up of small vertebras surrounded by overlapping structures like ligaments and tendons and nerves with a disc in its core. Any strain or irritation to these structures can cause low back pain which could be due to poor posture, muscle strain or sports injuries. Low back pain symptoms may vary from local centralized pain to the symptoms radiating down the legs.

Sciatica pain is a result of sciatic nerve root compression which could be accompanied with pins and needles and weakness of lower limb.

Common back pain injuries we treat at our clinics are:

  • postural back pain
  • lumbar muscle strain
  • Sciatica
  • disc prolapse
  • arthritis

We do through assessment of the biomechanics and muscle imbalance followed by joint mobility and special tests to rule out underlying pathology. In certain cases where low back pain is accompanied with bladder and bowel dysfunction or bilateral lower limb weakness you are advised to seek urgent medical attention. Physiotherapy helps to restore movement and function and reduce pain in acute and chronic low back pain.

We refer patients for further investigation i.e. MRI scan, X-rays and blood tests. We highly recommend Pilates for low pain for prevention of further recurrence.

Manual therapy and acupuncture has been recommended by NICE guidelines 2010 as the most effective back pain treatment. All our physiotherapists use wide range of manual therapy techniques along with soft tissue release and exercise therapy. Patients presenting to our clinic with low back pain complain are office workers, athletes or medicolegal claims following an accident. Low back pain is also common in pregnant woman and physiotherapy is the most effective treatment when you don't want to take painkillers. Our physiotherapists are very well trained and experienced in treating low back pain in pregnant women.

Sports Injuries

It's true that most of us who are not professional athletes, do sports to keep fit and healthy but then we end up in having more injuries . Sports and exercises improve our health and well-being by keeping our vital organs like heart and lungs healthy which could be fatal. However, we can prevent sports injuries by improving our techniques, warming up, respecting our fitness level and wearing appropriate gears. Sports injury could be sudden injuries like knee cruciate ligament rupture due to a tackle in football or it could be repetitive strain injury like tennis elbow or golfers elbow. Certain serious injuries like dislocations, fractures and serious head injuries need urgent visit to A&E. For most of the other injuries first line of treatment needs to be PRICE (Protection, Rest, Ice, Compression and elevation) for first 48 hours. You can also take off the shelf pain killers and anti-inflammatories to reduce inflammation however, inflammation is a stage of healing process therefore you don't want to suppress it too much with anti-inflammatories and Ice. Current evidence for ice application suggests repeated application of 10 minutes. If you symptoms are not improving after 48 hours you should seek your doctor's or physiotherapist advice who can assess and guide you on further management. Most of the minor injuries can resolve with specific home exercises, medications and/or regular physiotherapy treatment however, certain injuries need further investigation and may need surgery. We work closely with renowned sports physicians and consultants in and around London.

Physiotherapist rehabilitation helps in returning you back to your specific sports by designing customised rehabilitation program to achieve your goal. Our sports physiotherapists have experience in treating amateur and elite professionals in football, cricket and Hockey at the pitch side and at the outpatient treatment rooms. We use wide range of treatment modalities and technique to accelerate your recovery. We also offer running assessment and coaching, biomechanics assessment, bike fitting, pilates and sports massage as preventive treatment program.

Whiplash injuries

Most of us think whiplash is associated with road traffic accidents but in reality you can get whiplash injuries also while playing sports or due to a trip or fall. However majority of the whiplash injuries presenting to physiotherapy clinics are related to road traffic accidents. Whiplash injury is a neck injury caused by forward and backward movement of neck following an impact. Patient usually presented with neck stiffness, muscle spasm and neck pain following an accident. Chronic neck pain lasts for more than 3 months and can be associated with anxiety and depression. Most whiplash injuries respond well to 6 weeks of physiotherapy treatment however chronic neck pain can last for much longer. Acute and subacute whiplash injury is mainly treated by manual therapy, soft tissue release, core stability exercises. Whiplash associated disorder guideline published in 2010 describes active exercises, education and coping strategies as most effective treatment technique during acute phase. However evidence suggests that manual mobilisation and exercise therapy is more effective in chronic neck pain.. In some cases neck symptoms can be associated with fractures, shooting pain down the arm, pins and needles and numbness.

Physiotherapist's role is not just limited to treatment but it has major role in identifying any serious pathology. We offer thorough orthopedic testing, neurological and vascular assessment and do appropriate referrals if there is any indication of serious pathology. All our physiotherapists are highly experienced in treating whiplash associated disorders and keep themselves up-to-date by attending various continues professional development courses and reading latest research articles on whiplash associated disorder,. Physiotherapists are now able to do medico legal report writing like the GPs since October 2014 in the new whiplash reform by Ministry of Justice. We are preferred physiotherapy provider for most of the medico legal companies in London region.

Shoulder Injuries

Shoulder joint is most complex joint and is most vulnerable due to its flexibility however it is well supported by the mesh of rotator cuff muscles which offers 360 degree of freedom unlike any other joint in the body. The most common shoulder injuries presenting in a musculoskeletal outpatient are Frozen shoulders, rotator cuff injuries, subacromial impingements, bursitis and post traumatic injuries. Frozen shoulder or Adhesive capsulitis are divided in three stages - painful stage, stiff stage and recovery stage which can last upto two years. Physiotherapy has major role in each stage and reducing the pain and stiffness and shoulder rehabilitation to restore its function. Rotator cuff injury is one of the most common shoulder injury which could be caused due to occupational or sports injuries.

Rotator cuff are group of muscles holding the head of the humerous in the joint socket. Minor strains and partial tears can be treated with physiotherapy rehabilitation programme. Some serious rotator cuff injuries may need surgical intervention however that would require intensive rehabilitation to restore functional movements after the surgery. We work very closely with shoulder consultants and follow their specific protocols to accelerate the recovery of the patients. Impingements in the shoulder joint could be caused due to poor joint mechanics and various structures including rotator cuff and bursa. Our physiotherapists are trained to use numerous evidence based testing techniques to differentiate these structures and treat them. We currently offer Ultrasound treatment, sports specific shoulder rehabilitation, post-surgical shoulder rehabilitation, acupuncture, manual therapy and soft tissue manipulation for shoulder treatments at Thames River Physiotherapy. Our lead physiotherapist, Ravi Shanker has special interest in treating shoulder injuries and is continuously improving his knowledge and skills in shoulder rehabilitation. He is currently working towards extending his scope as sonographer and injection therapist to be able to offer advanced diagnosis and treatment to the patients at Thames River Physiotherapy.

Repetitive Strain Injuries (RSI)

RSI is work related disorder which caused due to mechanical compression and friction of the structures like tendons and nerves due to the overuse. It is common in IT workers and Manual workers and more common in hands and wrists. Carpal tunnel syndrome (CTS) is the most common repetitive strain injury where there is a compression of one of the major nerve entering the hand through the wrists. CTS can result in poor grip and reduced sensation in hand, pain, and clumsiness. In certain extreme cases there could be severe damage to the median nerve and tendon resulting in long term disability. The other conditions may include tennis elbow, bursitis, ganglion, dequervains tenosynovitis, and supraspinatus tendonitis and they are classified as Type I RSI injury. Type II RSI injury are vague pain and its difficult to identify the cause and the structure therefore difficult to treat them. Prevention is better than cure is most appropriate in this case therefore it is important to have a risk assessment of work place, have manual handling training and have specialist input from ergonomic consultant. You can also prevent RSI by taking regular breaks, maintaining good posture and doing regular stretches. Our experienced physiotherapist analyse the presenting symptoms and do thorough examination using their palpation skills and evidence based tests to diagnose the RSI condition. We also have specialist physiotherapist with a special interest in ergonomic assessment who can assess your workstation and posture and advise you on ergonomic modifications and also offer you splints and supports to prevent further injury. Our physiotherapists use evidence based treatment techniques including adverse neural mobilization, eccentric loading exercises, taping and transverse friction technique to treat RSI.

For further information to book appointment please call 0207 240 3020 or email

Special Offers 2018

  • Free 15 minutes physiotherapy consultation.
  • 25% off on your first Physiotherapy consultation.
  • 10% off on sports massage and acupuncture.
  • 25% off full time students.
  • 50% off on biomechanics and running assessment.
At Thames Physio our team are specialists in dealing with both acute and chronic pain.

Back Pain
Back Pain
Any strain or irritation to the ligaments, tendons and nerves surrounding the small vertebras in your lower back can cause a significant amount of back pain.
Sports Injuries
Sports Injuries
We treat both professional and recreational sporting injuries, with the aim of returning you to your sport quickly and efficiently.