Physical Health
Private Services

Our Services

We have a Team of Experts who are committed to excellence in clinical standards and customer service so if you have pain, stiffness or injury – we will help you get back to being your best.

What We Treat

Are these problems stopping you from doing the things you want to do?

  • Lower back pain
  • Neck pain
  • Shoulder problems
  • Knee, ankle and foot pain
  • Arthritis
  • Repetitive strain injuries (RSI)
  • Work-related injuries
  • Muscle tears
  • Tendon and ligament problems
  • Overuse injuries
  • Tennis/golfers elbow
  • Growing pains
  • Whiplash injuries
  • Post-surgical rehabilitation

We have a highly trained and experienced Team of Physiotherapists that are HCPC (Health & Care Professions Council) and CSP (Chartered Society of Physiotherapy) registered, guaranteeing you are in safe hands. We are preferred providers with all major health insurers.

Services for your personalised treatment include:

Physiotherapy

What Is Physiotherapy?

Physiotherapy is a therapeutic health profession concerned with improving the way you move, and enhancing your quality of life, by giving you the most suitable treatment for an injury or condition. Physiotherapy can help relieve your pain and get you moving again.

Who Can Be Treated With Physiotherapy?

Our Physiotherapists are involved in helping people of all ages, from adolescents to the elderly, from all walks of life. They commonly treat people suffering back or neck pain, general aches and pains, and sports injuries. This means we are able to help with any muscle, bone, joint or ligament problem you may have. We also have Physiotherapists, who treat issues such as continence and pregnancy related pain.

How Can Physiotherapy Benefit You?

We have an award winning team of Physiotherapists who are trained to assess the underlying causes of joint, muscle and nerve injuries so you can be confident of the treatment and advice that you receive.

You will get effective treatment that uses a wide range of techniques to:

  • Relieve your pain
  • Restore your movement, and
  • Prevent any further problems

To do this, the treatment you receive may include education and advice about your condition and your health, joint mobilisation and manipulation, therapeutic exercise and stretches, and soft tissue massage.

Our team are experts in diagnosing and treating injuries and will provide you with easy to understand and helpful advice.

Shockwave Therapy

What Is Shockwave Therapy?

Shockwave Therapy (SWT) is a non-invasive treatment to reduce pain and encourage healing in specific tendon problems.  A handheld device is used to pass acoustic waves at a set frequency, through skin to the affected area requiring treatment.  (National Institute for Care Excellence, NICE Guidelines 2018)

How Does It Work?

Shockwave Therapy (SWT) helps to accelerate the body’s own healing response, by initiating a pro-inflammatory response in the tendon tissue. The NICE Guidelines support the use of SWT as an intervention for pain relief for a variety of refractory, chronic tendon pathologies.

Who Can Be Treated?

Shockwave Therapy has been shown to improve patients who have been diagnosed with common and persistent conditions such as:

  • Achilles Tendinopathy
  • Tennis Elbow
  • Plantar Fasciitis
  • Greater Trochanteric Pain in the Hip
  • Patella Tendinopathy

How Can You Be Referred?

You will need to be assessed by a Physiotherapist and diagnosed with a refractory or persistent tendon pathology, as listed above. Your physiotherapist will ask you to complete a consent form to check that you are appropriate for a referral to SWT at Crystal Palace. Patients are advised to continue with their physiotherapy rehabilitation exercises in conjunction with Shockwave Treatment, as evidence based research suggests this gets the best clinical outcomes for you.

Shockwave Therapy is currently available to patients at our Crystal Palace Clinic.

Further information, please contact us.

Massage

What Is Soft Tissue Massage?

Soft Tissue Massage is the manipulation or movement of muscle and connective ‘soft’ tissues, using various techniques by our expertly trained manual therapists. Through stimulation, relaxation and rejuvenation of the muscles and nerves; it can have a positive effect on the whole body, equilibrium and wellbeing. Massage is popular for athletes and sportspeople, as well as those with office or manual jobs, sedentary lifestyles and longstanding problems.

Massage Therapy can be used to address an extensive range of injuries and may also be helpful in the mental preparation of athletes for sporting participation, or anyone looking to improve their well-being.

What Are The Benefits Of Soft Tissue Massage?

It can help to:

  • Reduce your pain
  • Reduce your anxiety or depression
  • Improve your circulation
  • Improve your flexibility
  • Improve your healing after injury or surgery
  • Assist your preparation before sport
  • Assist your recovery after sport

What Soft Tissue Massage treatments do you offer?

Sports & Remedial Massage

Uses a range of therapeutic techniques for the prevention, recognition and treatment of injuries. Depending on the stage and severity of your injury, the therapist uses various techniques, to improve your muscle function, rehabilitation, aid the healing process and return you back to full fitness.  ‘Sports Massage’ is popular with athletes, but it can also be of enormous benefit for non-sports people. Office and manual work can be a physical and mental workout and often stress results in tight and sore muscles that can benefit.  Sports Massage can help relieve many day to day problems such as repetitive strain injury, sprains, tension and general fatigue that we all experience. Regular massage helps maintain some balance in what can be a rather hectic work, social and sporting schedule.

Deep Tissue Massage

Helps focus on realigning deeper layers of muscle and connective tissue. It is especially helpful for chronically tense and contracted areas such as the neck, shoulders, lower back, gluteal and legs.  It will also help with joint mobility and can aid recovery from injury and surgery. Massage strokes are applied slowly, pressure is deep and concentrated on areas of tension and pain.

Pregnancy Massage

Pregnancy massage is an excellent therapy during the 2nd and 3rd trimesters, especially as prescribed pain relief is limited and the demands and changes to the body during this time are high. Proper positioning ensures comfort and safety for mother and baby, so you feel reassured and relaxed throughout the treatment. Pregnancy massage has been found to help relieve stress, anxiety, depression and improve sleep quality. It will reduce oedema or swelling in the arms and legs, ease symptoms of muscle strain and joint pain, especially through the pelvis, lumbar spine and shoulder areas. *Please note that you must have had your first scan before attending a pregnancy massage and more than 12 weeks pregnant (beyond the 1st trimester).  We recommend booking an hour appointment for your first session, so that your therapist can go through the necessary safety elements with you before your massage treatment can start.

Acupuncture

Western Acupuncture

Western acupuncture is based on the scientific evidence that the insertion of needles into the body can positively affect the nervous system and stimulate a release of your body’s own natural pain killers and alter the way you perceive pain, safely blocking it in a number of different ways.

Traditional Acupuncture

Traditional acupuncture is based on the belief that energy, Qi (pronounced ‘chee’), flows through channels (meridians) in the body. If this flow of energy is blocked or moves too quickly it can lead to problems such as pain, stiffness or weakness. The belief is that by inserting needles into specific safe points we can regulate this flow of energy, reducing pain, stiffness or any number of problems.

What Do We Use Acupuncture For?

Physiotherapists primarily use acupuncture for pain relief and also for returning muscle function back to normal. Acupuncture could be helpful in resolving your pain.

Acupuncture Qualifications

Our physiotherapists are members of the Acupuncture Association of Chartered Physiotherapists (AACP). The Acupuncture Association of Chartered Physiotherapists (AACP) requires its members to undergo a minimum of 80 hours of acupuncture training and has an additional strict code of practice. Members of AACP are required to keep up to date with training every year in order to remain on the registered.

Classes

About our Classes

We offer a range of group based exercise classes across our clinics.

  • About Pilates
  • Pilates Class Schedules
  • Yoga Class Schedules
  • Forever Fit (previously Older Persons Fitness)

Further information, please contact us.

Pilates

What Is Pilates?

Pilates is a form of exercise that targets the deep postural muscles of the abdomen and spine to improve overall central core stability and posture. Pilates was designed by Joseph Pilates as a corrective system of exercise, intending to strengthen the human mind and body. As well as the benefits of getting stronger, your flexibility and balance improves with regular Pilates practice.

Who Can Benefit From Pilates?

Pilates can be beneficial for:

  • Improving your general fitness and body awareness
  • Remedial and rehabilitation work
  • Injury prevention
  • Improving technique for athletes and dancers
  • The elderly
  • Pregnancy: Pre and post natal
  • For children: from 12 years-old

How Can Pilates Benefit You?

Pilates helps you to:

  • Improve strength and flexibility
  • Increase awareness and control of your dynamic stability
  • Improve coordination
  • Release stress
  • Improve posture
  • The elderly with strength, balance and co-ordination

We run a range of individual and class base Pilate’s sessions to suit our clients and patients.

Yoga

What is Yoga (Vinyasa Flow)?

Yoga isn’t just about whether you’re able to touch your toes!  The Sanskrit translation of ‘Vinyasa’ is “to place in a special way”.  In the context of Vinyasa Flow yoga it refers to a specific sequence of movements that connect each asana (pose). Whereas some styles of yoga involve holding a static pose for a prolonged period of time, Vinyasa Flow places importance on the way in which poses are linked together. In a sequence, the student is guided to fluidly transition from pose to pose encouraging the use of core strength and creating heat in the body to aid muscle flexibility. Synchronisation of movement with breath aims to transform the practice into a moving meditation.

Vinyasa Flow Yoga is a fantastic introduction either for students wishing to try yoga for the first time, or those that prefer a more restorative practice. The class is a steady pace offering students the opportunity to learn the fundamental alignment required for practicing safely but will also incorporate an element of play and the chance to enjoy full guided relaxation. The classes also work on how breath work (pranayama) and meditation techniques can support the physical practice of yoga, alongside managing the symptoms of stress, anxiety and depression. A new theme is introduced each week allowing students to explore twisting, forward/backward bending, core strength, neck and shoulder release and more.

Five elements of Vinyasa:

  • Breath
  • Bandhas “energy locks”
  • Drishti “gaze”
  • Vinyasa pose 
  • Asana pose 

Students who are familiar with yoga will be able to progress deeper into asana, experiment with new sequences and focus on connecting their practice with breath work and/or personal intention. Classes look closely at the 5 elements of Vinyasa; Breath, Bandhas (“energy locks”), Drishti (gaze), Vinyasa and Asana (poses). This dynamic class will provide practitioners with an element of cardiovascular stimulation both warming the body and increasing muscle plasticity.   Classes allow students to develop strength and flexibility through the asana practice. Additionally, end-of-class relaxation provides a space for students to put aside their daily anxieties and leave the studio feeling calm and revitalised.

Forever Fit Classes

What are Forever Fit Classes?

Forever Fit classes are designed to help with your strength, balance and improve your general well-being. Improving your level of fitness can help you avoid many of the common ailments sometimes regarded as diseases of ‘old age’ such as high blood pressure, obesity, diabetes and heart problems as well as declining fitness.

It is possible to train the ‘older body’ to improve balance, strength, muscle power and by doing so reduce the risk of ‘age-related illness’.  A 12-week course of exercise can dramatically improve your strength, walking, general mobility and fitness. Regular exercise is also associated with reduced stress and improved self-esteem and well-being.  Classes are based on evidence-based exercise programmes designed for older clients.

Age gracefully in the company of like-minded others, with expert supervision.

Beginners:

Suitable for/if you are:

  • The less confident and those who rely on a walking aid. For clients who have had investigated falls. We welcome clients who have completed the Bromley Falls Service, 12 week course.
  • Reasonably confident but, still would like to work with support on occasion. Ready to take on more challenges. Introduction to circuit training.

Structure:

  • The class moves at a safe, steady pace that allows you to build balance skills and confidence. As part of this class we will teach coping strategies for managing a fall. We use the evidence-based FaME programme, which has been successfully delivered in the community by GSTT for over a decade, and the PRO-ACT 65+ syllabus, which was trialled by University College London.

Intermediate:

Suitable for/if you are:

  • Confident and ready for challenges, having been through the previous level.
  • Advanced and confident to participate in a variety of strength and balance exercises building major muscles groups. Ready to join community exercise groups.

Structure:

  • Circuit based class with (optional) floor work and adapted Tai-Chi, still keeping strength and balance as its core.

Women’s Health Physio

Our Women’s Health service offers Obstetrics and Gynaecological care. The service is led by an experienced senior women’s health physiotherapist who has undertaken specialist training in these area. The conditions treated are detailed below.

Obstetrics

Ante-Natal

  • Physiotherapy Advice and treatment for back, neck, rib and pelvic girdle pain (sacroiliac or symphysis pubis /SPD). Also for nerve problems such as Sciatica and Carpal Tunnel Syndrome (pain, pins and needles or numbness in the hands).
  • Physical preparation for labour (positions for labour, breathing techniques, massage, relaxation, TENS).
  • Pelvic Floor exercises and training, to prevent and treat incontinence.
  • Ante Natal Pilates.
  • We also offer pregnancy massage

Post-Natal

  • New Mummy Assessment – comprehensive assessment and advice to get your body back post baby.
  • Physio treatment for back, neck and pelvic pain and practical advice relating to breast-feeding and carrying baby and improving posture.
  • Post-natal abdominal retraining following a C-Section delivery and for rectus divarification.
  • Pelvic Floor Training – for incontinence, prolapse, pelvic pain or following perineal trauma during delivery.
  • Individualised and safe ‘return to exercise’ programmes.
  • Post-natal Pilates.

Gynaecology

Physio treatment of incontinence, pelvic organ prolapse and pelvic pain including:

  1. Pelvic Floor Training (using Kegal exercises, EMG biofeedback, muscle simulation and cones).
  2. Manual therapy for overactive or painful pelvic floor muscles.
  3. Bladder Training and Acupuncture for overactive bladder syndrome.
  4. Safe rehabilitation following pelvic floor surgery or hysterectomy.

Dizziness, Balance & Vestibular

What Is Vestibular Physiotherapy?

Vestibular Physiotherapy and Rehabilitation is a specialised form of therapy that addresses the problems caused by Vestibular Disorders.  If you are experiencing dizziness, vertigo and balance problems, this may be due to a problem with your inner ears, eyes and joints working together.  We need all these systems to work in harmony, to provide information that allows us to see clearly and have good balance. Other symptoms may include unsteadiness, feeling lightheaded, reduced confidence, inactivity, a loss of independence and an increased risk of falls.

What Cuses Vestibular Disorders?

There are a range of reasons as to why you may be feeling dizzy or have symptoms of vestibular disorders. The causes may come from: ear infections; head injury; period of immobility; medication and increasing age.

Some people experience vertigo; a spinning sensation which can often cause nausea. This can commonly be due to a condition called Benign Paroxysmal Positional Vertigo (BPPV) where tiny fragments are floating around the fluid inside the inner ear. Benign Paroxysmal Positional Vertigo (BPPV) causes symptoms of dizziness, vertigo/spinning sensations when the head is placed in certain positions. Up to 30% of people may experience this following a head injury.

Ear infections such as viral infection of the inner ear, interfere with the function of the vestibular system. This condition is characterised by sudden onset, severe vertigo and loss of balance that persists for several hours to days. Imbalance and dizziness, particularly on fast head movements can then persist for several weeks to months. A vestibular rehabilitation program prescribed by a physiotherapist is very effective in improving the recovery of this condition.

Head injuries may affect how the inner ear, vision and balance systems work together as a system, and the brain can receive confused signals regarding the position and movements of the head in space.

Concussion and whiplash injuries are very common with head trauma. The effects of these may be noticeable immediately, or they may take a couple of weeks to appear.

What Can You Do?

Seek advice from a physiotherapist who specialises in Vestibular Rehabilitation. We have a team of experts who will provide a thorough assessment and develop an individualised treatment programme with you.  A management plan may include:

  • Specific techniques to treat symptoms for BPPV (Benign Paroxysmal Positional Vertigo)
  • Specific positional head movement techniques
  • Eye and head movement exercises
  • Exercises to improve standing balance
  • Education and advice on activities of daily living to improve confidence and function
  • Advice on falls prevention

Our Vestibular Physiotherapy is covered by major health insurers Bupa/Nuffield/TTN

Podiatry & Chiropody

What Is Podiatry?

Podiatry, also known as Chiropody, is health profession that deals with the prevention, diagnosis, treatment and rehabilitation of medical and surgical conditions that occur in the feet and lower legs.

Crystal Palace Physiotherapy Group are committed to excellence in clinical standards of podiatry/chiropody services. We have a highly trained and experienced team of Podiatrists and Podiatric Surgeon who are registered with the HcPC and Society of Chiropodist and Podiatrists.

What is a General Chiropody Treatment?

Routine Chiropody involves trimming of the toe nails and management of everyday foot care such as:

  • Thickened toe nails
  • Corns
  • Callous
  • Fungal nail infections
  • Athletes foot
  • In-growing toe nails
  • Verrucae

What is a Biomechanical Analysis / Gait Analysis?

AA Biomechanical analysis or Gait analysis is the assessment of how people are walking or running. If you have a lowered arch (pronated) or high arched profile ( supinated) then you may be predisposed to certain symptoms in your feet, knees, hips or lower back. Muscle tightness or weakness, footwear choices and activity levels can all effect on the way you walk or run. Assessment of all these factors including structure and function of your lower limbs will give a detailed assessment of which factors are contributing to your symptoms or biomechanical abnormalities.

Podiatry treatment may include:

  • Shoe padding
  • Strapping
  • Exercises
  • Correct shoe advice and/or
  • Steroid injection therapy
  • Acupuncture
  • Custom made/ Bespoke orthotics

Orthotics

Can Insoles/ Orthotics Help me?

Orthotics can help with many foot, ankle of lower leg symptoms such as:

  • Heel pain or Plantar fasciitis
  • Arch pain
  • Achilles tendonipathy
  • Shin splints
  • Ankle pain
  • Forefoot pain such as metetarsalgia or neuroma.
  • Stress fractures
  • Osteo Arthritis
  • Knee pain, hip pain and lower back pain.

What are Custom or Bespoke Orthotics?

Orthotics are specialist shoe inserts which help to re-align the foot posture and reduce abnormal tissue stress on the feet and lower limbs.

Before Custom/Bespoke Orthotics can be manufactured a thorough foot and posture and gait analysis must be completed and a cast of your feet must be taken. This is an extremely skilled process requiring years of experience and expertise.

Casting of the feet involves the Podiatrist holding the foot in a specific ‘neutral position’ relative to the lower-limb whist taking the impressions of your feet.

The casts are then 3D digitally analysed to help reduce tissue stress, re-distribute plantar foot pressures and correct any functional abnormalities found during the biomechanical examination.

Custom/ Bespoke orthotics are returned to clinic and fitted within 2-5 weeks. You will be reviewed again between 2-6 weeks after use.

Nail Surgery

Nail Surgery Is a Long Term Solution When In Grown Toe Nails Re-occur

Commonly you may experience pain in the big toe nail, pus can develop or bleeding occurs. During the nail surgery procedure a portion of the offending nail or the whole nail can be permanently removed under local anaesthetic and using a chemical called phenol. There is a 95% success rate with this procedure and is the only option for long term management of curved nails, infected toe nails or in growing toe nails.

In growing toe nails are also common in contact sports such as football or hockey and athletics. They can be very painful and may limit walking, running or sports.

Signs & Symptoms of Ingrowing Toe Nails

  • Hard skin near the nail.
  • The toe is painful.
  • Tenderness in the skin around the nail.
  • Redness in the skin next to the nail.
  • Swelling around the skin and nail.
  • The toe may be hot.
  • The skin may be bleeding.
  • Pus or infection may be present near the toe nail.

Causes of Ingrowing Toe Nails

  • Footwear – ill-fitting shoes and footwear which are too tight.
  • Inappropriate cutting – leaving spikes in the nail which pierce the skin.
  • Injury – Dropping an object on the nail or sports such as running causing pressure on the nail.
  • Hereditary nail conditions – Abnormal curves in the nail..
  • Posture or foot abnormality – Foot deformity, the way you walk or foot conditions such as bunions may influence the development of an in growing toe nail.

Treatment Options

  • Deep/wide footwear giving you more space around the toes.
  • Soaking the feet in salt water and using antiseptic cream such as savlon.
  • Conservative cutting of the nail completed regularly by podiatrists.
  • Nail surgery – Removal of part of the nail or the whole nail.

Nail Surgery – How Will The Toe Nail Be Removed?

  • After an assessment for suitability for this procedure, two local anaesthetic injections will be injected into the offending toe/toes.
  • After 5 minutes the toe/toes will be numb and either a portion of the nail or the whole nail will be removed. This makes the procedure pain free.
  • A chemical (phenol) will be applied to destroy the exposed nail bed so the part of the removed nail never grows back again (95% success).
  • The toe is then dressed with a large bandage.
  • After the procedure you are required to rest and take pain relief (if required).
  • This procedure takes around one hour, you can walk normally afterwards but are required to bring flip flops and cannot drive for 24 hours. The wound takes between 6-10 weeks to heal.

How painful is it afterwards?

Most patients do not need pain relief medication following this procedure however some patients may experience mild symptoms. If the toe is painful it is advisable to take over the counter pain relief such as Paracetamol and nothing which contains anti-coagulant medication such as Aspirin

Are There Any Risks Involved?

This procedure is considered a safe and effective way to treat in growing toe nails. Like any procedure there are minor risks involved which your podiatrist will discuss with you during the assessment and when gaining formal consent prior to booking this procedure.