Tel: 01707 888 229

Who should I see?

Our trained staff can help you decide

Most muscle and joint pain is caused by  simple muscular damage and the resulting inflammation. Usually these types of strains clear up after a few days. You can always treat these types of aches and strains with  painkillers, maybe ice during the first 24hrs, rest and or gentle exercise to ease the discomfort. When pain lasts more than a few days, then it would be better to see an Osteopath, Physiotherapist or Acupuncturist as the problem can be more complex. In general its best never to ignore the pain signals the body sends.  Our trained staff can help you decide which treatment would suit you best. If you would like to speak to a Physiotherapist, Osteopath or another specialist  please call us on 01707 888229

Physiotherapy treatment

Physiotherapy works really well. Treatment reduces pain, gentle or deep massage relaxes the muscles and specific exercises strengthen the body. Above all  It’s clinically tested, cost-effective and can make an enormous difference to peoples quality of life.  Physiotherapy is perfect for treating everyday  mishaps, work or sports  injuries. Physical rehabilitation after road traffic accidents, surgery or illness can reduce the use of painkillers and reduce the risk of ongoing pain.

Physiotherapy treatment involves a number of  hands on treatment options. Well respected it covers a well-established group of treatments and techniques. Effective deep tissue massage, electrotherapy, acupuncture and spinal manipulation being the most common treatments. In certain cases specific exercises are prescribed to strengthen the body

Physiotherapy is still available on the NHS unfortunately these days you may have to wait weeks for treatment. If you decide to see a physiotherapist you can refer yourself directly to the Hatfield Practice as a private patient.

Your physiotherapist will choose from a wide range of therapies.

  • Hands on therapies – These can include,  spinal or joint manipulation and mobilisation, manual resistance training (strengthen muscles), and stretching to improve tightness, blood flow and improve the flexibility of nerve pathways .
  • Physiotherapy exercises  – such as muscle strengthening, posture re-training, mobility / flexibility and ergonomic (desk based) education.
  • Electrotherapy treatments –  Ultrasound,  Transcutaneous Electrical Nerve Stimulation (TENS), laser therapy, diathermy, and H-Wave.


Osteopathy treatment

This is a complementary therapy that focuses on musculo-skeletal problems. Osteopaths are trained primarily for day to day mechanical  injuries. Well trained in diagnosing illness that may present as muscle and back pain as well as musculo – skeletal injuries. But primarily on problems with muscles, joints and nerves and employs a range of  functional techniques to improve range of movement and to ease stiff bodies. In the UK it’s considered a complementary therapy, so access to osteopathy on the NHS is there but limited due to recent cutbacks. Many osteopaths work alongside GPs, and refer patients to them. You can also go to see them privately without referral.

Acupuncture treatment

Although best known for the control and management of pain, acupuncture really does benefit a wide variety of disorders from complex emotional to systemic problems. Respiratory disorders such as sinusitis, colds, bronchitis and asthma can be effectively treated with acupuncture. Shingles, specific facial pain and toothache can often be helped and reduced through acupuncture. Neurological and musculo-skeletal disorders including paralysis following stroke or accidents, frozen shoulder or Tennis elbow, sciatica and osteoarthritis are also treatable with acupuncture. Conjunctivitis (pink eye), short sightedness and cataracts are a few of the eye disorders acupuncture benefits. More remarkably phantom limb pain.

Sports massage and deep tissue massage

At The Welwyn & Hatfield practice we specialise in these forms of healing massage. Our treatment  employs a variety of Deep Tissue manipulation /massage techniques to aid injury recovery. These styles get down into the muscles that are under the top layer of your skin. They tend to be deeper, slower, and more muscle specific to help resolve pain. There are forms of massage that can help remedy specific acute and chronic conditions such as frozen shoulder, neck pain, migraine and sciatica. This type of massage is more focused vigorous and uses various movement strokes to loosen your muscles. It helps break patterns of tension, chronic pain, including inflammation-related pain such as tendinitis, and improves range of motion.

Chiropractic treatment

Chiropractors use physical manipulation to treat problems with joints, bones and muscles, and the effects they have on the nervous system. Chiropractors place particular emphasis on the spine, which is why they tend to be associated with treating bad backs. Like Osteopathy, Chiropractic treatment is only available as private treatment in some areas, depending on the policy of the local primary care trust, or you can see them privately without referral. Although many Insurance health care providers ask you to see your GP first.

Injury can affect your bones, muscles, joints or the connective tissues that hold them together – the tendons and ligaments. Most of the time the cause of your injury can be established and a recurrence prevented, so it needn’t stop your fitness programme for long. But it’s vital you don’t ignore injuries and simply ‘soldier on’ as this can make them much worse and leave you with a chronic condition that’s far harder to treat.

Types of treatment


Mobilisation is a manual therapy involving the use of small, rhythmical movements applied to painful joints, muscles and connective tissues. When these mechanical body parts (especially spinal joints) are restricted, they can be the cause of pain, stiffness and swelling. These are the sort of gradual processes that lead to time off work, depression and chronic pain killer use. Mobilisation helps to free the restriction and thereby provide symptomatic relief.


Manipulation is a carefully controlled, precise movement of the joint using a short, rapid thrust motion. Similar to mobilisation but wonderful for releasing short and long term spasms or mechanical compensations that don’t tend to free up on their own. Manipulation helps to restore mobility, reduce pain by improving blood flow and releasing endorphins (a chemical that your body produces that’s three times more powerful than morphine) and is particularly useful in problems of the neck, shoulder, ribs and thoracic spine.

Soft Tissue Massage /Deep Tissue Massage / Neuro Muscular Massage

Massage is a brilliant  “hands on” therapy predominantly used to relieve pain,tiredness, tension and stiffness. Massage helps to break down scar tissue, chronic postural tensions, muscle  spasms and helps to release muscle patterns that can lead to more serious injury. Massage will improve flexibility and well being. It has the added benefit of helping to improve blood flow to damaged tissues, speeds repair by improving your bodies cleansing and immune systems by removing toxins from the body.Visit our Massage Therapy page for more information.


Ultrasound equipment uses high frequency sound waves to penetrate deep into tissue, causing tissues to vibrate and creating a gentle deep heat. Ultrasound helps to relieve pain and inflammation, reduces muscle spasm and promotes the healing process by encouraging better blood flow to the affected area. It is great for scar tissue, ankle and shoulder injuries.


TENS stands for ‘Trans-cutaneous Electrical Nerve Stimulation’ – a small battery operated unit provides electrical stimulation by way of two or more electrodes which are applied directly to the skin. The frequency of the impulses is controllable. The stimulation causes the body to release it’s own natural pain relieving chemicals (endorphins) to provide  relief and improved comfort when pain is ongoing.


In certain situations taping or strapping can be used to limit unwanted movement at a joint or to offload specific anatomical structures where a weakness has been identified. Muscle retraining or taping for trapped nerves is probably one of the best pain relieving tools there are.

The ways in which the body moves can be affected by poor muscle control, often leading to pain or discomfort. Over time, muscles can become physiologically adapted to this movement dysfunction, sometimes referred to as muscle memory. Physios are able to employ exercise strategies to “retrain” muscles to function correctly, thereby improving quality of movement.

Core stability/ balance work

Core stability relates to the way in which the core musculature of the trunk (abdominal muscles, lower back, pelvis and diaphragm) controls posture and movement. Poor core stability can often be a factor in lower back pain and poor posture. Specific exercises such as ball work and balancing exercises can help to improve muscle control and quality of movement. Please visit our Physiotherapy page for more information.

Personalised exercise programmes

To help facilitate recovery, physiotherapists will often prescribe specific rehabilitation exercises, which will help to improve posture, strengthen weak muscles and improve flexibility to stiff joints. Rehabilitation exercises are a fundamental part of physiotherapy practice. The exercises provided will be specific to your particular condition and designed so that you can do these at home between treatments. Emphasis is always on quality, not quantity.

Traditional Chinese Acupuncture

Acupuncture involves the insertion of extremely fine, sterile, single use needles at specific points of the body. Usually between 2 and 6 needles are applied, but sometimes more depending on the condition. Similar to the way TENS works, the insertion and stimulation of the needles at specific trigger points, tricks the body into releasing its own pain relieving chemicals, such as endorphins. Visit our Acupuncture page for more information.


“Training is a science, application is an art”