Conditions

• Osteoarthritis 
• Spondylosis
• Diffuse idiopathic skeletal hyperostosis (DISH)

• Rheumatoid arthritis

• Polymyalgia Rheumatica (PMR)

• Spondyloarthropathies

  • Ankylosing spondylitis

  • Reactive Arthritis

  • Psoriatic Arthritis 

  • Enteropathic Arthritis

• Systemic Lupus Erythematosus (SLE)

• Juvenile Idiopathic Arthritis (JIA)

Soft Tissue Related Rheumatic Disorders

• Bursitis

• Tendinitis

• Enthesitis

• Myofascial Pain Syndrome

Other 

• Gout

• Calcium Pyrophosphate Deposition Disease (Pseudogout)

Fibromyalgia and associated conditions 

• Digestion issues 
• Migraine prevention
• Cervicogenic headaches
• Myofascial pain syndrome
• Jaw Pain (Temporomandibular joint disorders)
• Nerve Pain
• Arthritic Pain
• Rheumatic Pain
• Tension and Inability to Relax
• Generalised Aches and Pains
• Circulatory Problems

• Peripheral Arterial Disease (PAD)
• Chronic Venous Insufficiency
• Lymphedema
• Raynaud’s Phenomenon
• Swelling and Edema 
• Poor Peripheral Circulation
• Neuropathy 
• Complex Regional Pain Syndrome (CRPS)

• Trigeminal Neuralgia
• Postherpetic Neuralgia
• Peripheral Neuralgia (Peripheral Neuropathy)
• Diabetic Neuralgia
• Cervical Radiculopathy
• Thoracic Outlet Syndrome (TOS)
• Suprascapular Neuropathy
• Cubital Tunnel Syndrome
• Radial Tunnel Syndrome
• Ulnar Nerve Entrapment 
• Double Crush Syndrome
• Carpel Tunnel Syndrome
• Lumbar Radiculopathy (Sciatica)
• Piriformis Syndrome 
• Genitofemoral Neuralgia
• Meralgia Paresthetica
• Sural Neuralgia:
• Tarsal Tunnel Syndrome (Tibial Nerve Entrapment)

• Uncomplicated mechanical neck pain Facet Joint Pain
• Arthritic pain
• Rheumatic pain
• Cervical Spondylosis
• Cervical Disc Herniation
• Cervical Disc Degeneration
• Nerve Pain
• Cervical Stenosis
• Torticollis

The American Headache Society and the UK NICE Guidelines recognize acupuncture as a recommended non-pharmacologic option for migraine prevention.

A 2024 systematic review and meta-analysis of 34 studies involving 3,365 migraine patients found that acupuncture significantly reduced:

• Pain intensity more effectively than medication
• Frequency of attacks
• Duration of attacks
• The number of days with migraines

Acupuncture can modulate pain pathways in the central nervous system and impact serotonin and endorphin levels.

Other non-pharmacologic options for migraine prevention include:

• Magnesium, riboflavin (B2), and coenzyme Q10: which have moderate evidence supporting their effectiveness
• Aerobic exercise and yoga, which reduce the frequency and intensity of migraines
• Cognitive behavioural therapy (CBT), which helps manage stress
• Dietary modifications, such as avoiding caffeine, MSG, and alcohol, which may benefit some patients
• Sleep hygiene and hydration, which are foundational lifestyle strategies.

Cervicogenic headaches are secondary headaches caused by dysfunction in the cervical spine or surrounding soft tissues. The pain typically originates in the neck and radiates to the head or face.

Evidence supports that combining exercise, the treatments I provide, and education is more effective than any single intervention.

• The Trigeminocervical Nucleus (TCN) is a region in the lower brainstem where sensory fibres from the trigeminal nerve (cranial nerve V) and upper cervical spinal nerves (C1–C3), located at the upper part of the neck, converge.
• The trigeminal nerve supplies sensation to the face, forehead, eyes, and jaw, while the C1–C3 spinal nerves provide sensation to the back of the head, upper neck, and occipital region.

Irritation of the muscles and joints in this area can affect nearby nerves. This irritation sends nociceptive (pain) signals to the TCN, which may be misinterpreted by the brain as originating from the head, resulting in perceived head pain and headaches.

• Arthritic Pain
• Temporomandibular Joint Dysfunction (TMD)
• Minor Jaw injury
• Bruxism associated with Tension and Inability to Relax
• Disc displacement within the joint
• Connective tissue diseases
• Biomechanical factors relating to Neck
• Referred Pain from Neck
• Malocclusion (misaligned bite)
• Fibromyalgia or chronic pain syndromes

• Arthritic Pain
• Rotator Cuff Related Pain
• Minor Rotator Cuff Tears
• Rotator Cuff Tendinopathy
• Bicipital Tendinopathy
• Subacromial Bursitis
• Minor Labral Tears (SLAP)
• Shoulder Instability 
• Acromioclavicular (AC) Joint Pain
• Adhesive Capsulitis (Frozen Shoulder)
• Suprascapular Neuropathy
• Referred pain from the Neck 
• Thoracic Outlet Syndrome (TOS)

An evidence-informed program designed to manage frozen shoulder integrates treatment, structured rehabilitation, and education to provide the best outcomes.

This includes reassurance and advice on how to manage frozen shoulder effectively.

Treatment Focus:

• Focus on pain management, range of motion, and functional restoration.
• Gentle joint mobilisations to improve shoulder mobility.
• Soft tissue techniques to reduce muscle guarding and pain.

Exercise Therapy:

• Phase 1: Pain control and gentle mobility (pendulum exercises, assisted elevation).
• Phase 2:Active range of motion and stretching (capsular stretches, wall climbs).
• Phase 3:Strengthening and functional tasks (using resistance bands, focusing on scapular control).

Progression is tailored to your individual tolerance and recovery.

Initial Steroid Injection:
A single intra-articular corticosteroid injection at the start of treatment can reduce inflammation and pain, enabling better participation in treatment and rehabilitation. This is something I can advise you on and discuss further.

• Referred pain from the Neck 
• Lateral Epicondylitis (arising from associated musculoskeletal conditions of the back and neck, but not isolated occurrences)
• Medial Epicondylitis (Golfer’s Elbow)
• Cubital Tunnel Syndrome
• Radial Tunnel Syndrome
• Ulnar Nerve Entrapment 
• Double Crush Syndrome
• Olecranon Bursitis
• Minor Sprains and Strains
• Arthritic Pain
• Rheumatic Pain

• Arthritic Pian
• Rheumatic Pain
• De Quervain’s Tenosynovitis
• Trigger Finger (Stenosing Tenosynovitis)
• Carpal Tunnel Syndrome
• Ulnar Tunnel Syndrome (Guyon’s Canal)
• Radial tunnel syndrome
• Minor Ligaments Sprain

• Cervical Radiculopathy
• Thoracic Outlet Syndrome (TOS)
• Suprascapular Neuropathy
• Cubital Tunnel Syndrome
• Radial Tunnel Syndrome
• Ulnar Nerve Entrapment 
• Double Crush Syndrome
• Carpel Tunnel Syndrome

• Non specific Lower Back Pain
• Facet Joint Pain
• Costotransverse Joint Pain
• Discogenic Pain
• Scheuermann’s Disease
• Spondylosis
• Arthritic Pain
• Rheumatic pain
• Disc Degeneration
• Stenosis,
• Disc Herniation
• Sciatica
• Spondylolisthesis
• Degenerative Scoliosis
• Sacroiliac Joint Dysfunction
• Coccygodynia
• Piriformis Syndrome (Sciatica-like symptoms)

Reassurance for Patients

Sciatica is extremely painful and quite distressing, making it difficult to find relief from the pain. The good news is that most people experience significant improvement within 6 weeks to 6 months, often achieving full recovery without the need for surgery or strong pain relief. Your body has a remarkable capacity to heal.

• Active Participation is Key: Staying active within your pain limits is vital for recovery. We’ll guide you through exercises and strategies to manage your pain and regain mobility.
• Pain Management is Achievable: Even with severe pain, effective methods are available, including exercises and medications. Our goal is to reduce your discomfort and help you return to daily activities.
• We’re Here to Support You: You are not alone. We understand chronic pain can be difficult, and we’re committed to offering you the care and support you need. Feel free to ask questions or share concerns.
• Focus on Functional Improvement: Along with pain relief, we aim to enhance your overall function, strength, and flexibility for lasting well-being and prevention of recurrence.

The sacroiliac joint is often associated with low back pain, while coccydynia refers to pain in the coccyx (tailbone).

These areas have many questionable biomechanical diagnoses that can create anxiety in patients. My approach focuses on a more holistic, science-informed method that prioritises patient understanding and function.

• Arthritic Pain
• Osteoarthritis as an adjunct to core OA treatments and exercise
• Rheumatic Pain
• Muscle Strains
• Greater Trochanteric Pain Syndrome (Trochanteric Bursitis)
• Iliopsoas Tendinopathy
• Gluteal Tendinopathy
• Piriformis Syndrome
• Femoroacetabular Impingement (FAI)
• Minor Labral Tears
• Snapping Hip Syndrome
• Sacroiliac Joint Dysfunction
• Pelvic girdle pain
• Osteitis Pubis
• Muscle Strains
• Referred Pain

• Adductor-related
• Iliopsoas-related 
• Inguinal-related
• Pubic-related
• Meralgia paresthetica
• Obturator nerve entrapment 
• Referred pain from Hip
• Referred pain from Back

• Arthritic Pain
• Osteoarthritis as an adjunct to core OA treatments and exercise
• Rheumatic Pain
• Meniscal Degeneration
• Minor Meniscal Tears
• Osteochondral Defects
• Anterior Cruciate Ligament (ACL) related pain
• Posterior Cruciate Ligament (PCL) related pain
• Medial Collateral Ligament (MCL) related pain
• Lateral Collateral Ligament (LCL) related pain
• Minor Knee Injurys
• Iliotibial (IT) band syndrome (Runners Knee)
• Patellar Tendinopathy (Jumper’s Knee)
• Quadriceps Tendinopathy
• Prepatellar Bursitis (Housemaid’s Knee)
• Popliteal Bursitis (Baker’s Cyst)
• Infrapatellar Bursitis
• Pes Anserine Bursitis
• Poplitil Bursitis Baker’s Cyst
• Patellofemoral Pain Syndrome,
• Osgood-Schlatter Disease (pediatric)

• Shin Splints (Medial Tibial Stress Syndrome)
• Arthritis
• Minor Ankle Sprains (Lateral, Medial, Syndesmotic), 
• Achilles Tendinopathy
• Posterior Tibial Tendinopathy
• Peroneal Tendinopathy
• Tarsal Tunnel Syndrome (Tibial Nerve Entrapment)
• Posterior ankle impingment 
• Plantar Fasciitis
• Morton’s Neuroma
• Bursitis (Bunionette)
• Flatfoot (Pes Planus)
• High Arch (Pes Cavus)
• Sesamoiditis

• Muscle strains
• Ligament sprains
• Tendonitiopathy
• Bursitis
• Myofascial pain syndrome
• Shin splints (medial tibial stress syndrome)
• Osgood-Schlatter disease 
• Sever’s disease
• Nerve entrapments
• Runner’s knee (patellofemoral pain syndrome)
• Jumper’s knee (patellar tendinitis)
• Iliotibial band syndrome (ITBS)
• Snapping hip syndrome
• Plantar fasciitis

• Low back Pain 
• Sciatica
• Pelvic girdle pain
• Sacroiliac joint dysfunction
• Coccygodynia
• Symphysis pubis dysfunction (SPD)
• Osteitis pubis
• Carpal Tunnel Syndrome
• De Quervain’s Tenosynovitis
• Myofascial pain syndrome
• Abdominal muscle strain
• Diastasis recti abdominis (DRA)
• Pelvic floor muscle pain
• Leg cramps
• Foot pain
• Meralgia paresthetica 
• Femoral, obturator, or peroneal neuropathies
• Pudendal neuralgia

Muscle cramps are sudden, involuntary contractions of one or more muscles. They can be quite painful and may temporarily disable the affected muscle. These cramps have multiple causes. An integrated approach from osteopathy, combining manual therapy, exercise, and nutrition, can lead to positive outcomes.

An integrated approach to osteopathy, combining manual therapy, exercise, psychotherapy, and nutrition, can lead to positive outcomes. The treatment here at Overton and North Waltham Osteopathy can aid in relieving tension and the inability to relax.

An integrated approach to osteopathy, combining manual therapy, exercise, psychotherapy, and nutrition, can lead to positive outcomes. The treatment here at Overton and North Waltham Osteopathy can aid in relieving tension and the inability to relax.

Nutrition plays a crucial role in supporting neuromuscular health and regulating the stress response. Key nutritional components include:

• Magnesium
• B-complex vitamins
• Omega-3 fatty acids
• Tryptophan-rich foods
• Hydration

Psychological therapies are essential for addressing underlying stress, anxiety, and emotional tension. These therapies can include:

• Cognitive Behavioural Therapy
• Mindfulness-Based Stress Reduction
• Relaxation Techniques

Exercise is a powerful tool for reducing both physical and psychological tension. Effective forms of exercise include:

• Aerobic exercise
• Stretching and mobility work
• Mind-body practices such as yoga or Pilates

 By integrating these approaches, individuals can achieve better overall well-being.