Andy Burke Osteopath & Physio| Sports Performance Therapies | Osteopathy
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Can Osteopathy help me?

Osteopathy can treat a wide range of conditions including, but not limited to:

Back Pain, Joint Pain, Pre & Post Natal Care, Repetative Strain Injury (RSI)


  • Back Pain
  • Low Back Pain
  • Neck Pain
  • Sciatica
  • Mid Back Pain (Thoracic Pain)
  • Postural Pain & Instability
  • Headaches & Jaw Problems
ant_lat-spine-view (1)

Current research suggests that over 80% of the population will experience back pain at some point in their lives.  Although it can be debilitating, most back and neck pain is not serious.  Back pain is often the result of poor posture, injury or repetitive strain. Back pain can involve the joints, ligaments, discs, muscles and nerves.

Despite the pain it is important to keep relatively active.  Resting for prolonged periods may cause muscle stiffness and potentially increase the duration of pain.  If neck or back pain persists, or if symptoms are not improving, it is important to get your spine thoroughly examined.

Treatment for neck and back pain may include manipulation, passive mobilisation of joints and soft tissue massage. Exercises may also be used to increase general fitness and to strengthen muscles which support the spine.

The National Institute for Health and Clinical Excellence (NICE)* advises in its May 2009 consultation paper that manual therapy including manipulation, acupuncture and a structured exercise program tailored to the individual ouldould be considered in the management of patients with chronic (longer than six weeks duration) non-specific low back pain.

In the United Kingdom a randomised back pain exercise and manipulation (UK BEAM)** trial that looked into the effectiveness of physical treatments for back pain in primary care concluded that relative to “best care” in general practice, manipulation followed by exercise was one of the best courses of treatment.

We use targeted treatment and exercises protocols specific to the biomechanics that maybe causing the condition thereby addressing both the symptoms and cause. We use a series of exercises and stretches aimed to create more stability and space between the joints to improve the health of your spine.

NICE is an independent organisation responsible for providing national guidance on promoting good health and preventing and treating ill health

* NHS Nice Clinical Guideline 88: Low Back Pain – Early Management of Persistent non-

specific low back pain: [click here to read the report in pdf format]

** United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: effectiveness of physical treatments for back pain in primary care BMJ 2004;329:1377 (11 December), doi:10.1136/bmj.38282.669225.AE (published 19 November 2004)


 Joint Pain

  • Shoulder Pain
  • Hip & Pelvis Problems
  • Knee, Foot & Ankle Problems
  • Achilles Tendonitis & Plantar Fasciitis

The term “arthritis” simply means joint inflammation. Joint inflammation may present as a combination of swelling, tenderness, stiffness and warmth.  There are several different types of arthritis which can be broadly classified into two categories; Osteoarthritis and Inflammatory Arthritis (also known as Inflammatory Arthropathies).



This type of arthritis can develop if abnormal stresses are placed through a joint or through significant or recurrent injury to a joint.  It can, however, also occur without an obvious reason. It tends to affect the weight bearing joints such as the hip, knee and spinal joints but can also affect non weight bearing joints such as those in the hand.

Osteoarthritis develops in several stages.  Firstly, the cartilage that lines the joints becomes damaged and the joint space narrows which results in the bones at the joint grinding on each other.  This grinding irritates the protective covering of the bones (periosteum) which results in extra bone formation (osteophytes) which inturn can affect the mechanics of the joint.  Although such bone growth is an attempt by the body to stabilise the joint, unfortunately, in some cases these bone growths can compress nerves or other structures in the area causing either local pain (heat, redness tenderness) or pain far from the site of these bony changes.


Inflammatory Arthritis

Inflammatory arthritis is a generic term used to describe a large number of arthritic conditions in which the synovial membrane (the tissue that contains the joints lubricating fluid) becomes irritated and inflamed.  Two of the more common inflammatory arthritis’s are rheumatoid arthritis and gout.  Inflammatory arthritis’s are usually also associated with non-joint features therefore diagnosis of these conditions is made by identifying certain signs and symptoms, through blood tests and the use of imaging, such as x-ray. In these cases we will discuss referring you back to your GP for these investigations.

If you are suffering from arthritic joint pain we may be able to help you. Our aim is to help you to protect your joints.  This can be done by keeping the joints mobile and strong. A program of exercises may be prescribed to strengthen the muscles around the joint, providing more stability, and will be aimed at decreasing the discomfort that you may be suffering.


The shoulder joint relies on a coordinated and synchcronised movement of many joints, muscles and fascia in order to move correctly. When one of these areas is dysfunctional it can result in increased wear and tear of the joint – joint and capsule pain, tendonitis, impingements. Therefore it is important to not only treat the symptom of the pain but to address the underlying causes. There are a number of corrective exercises and proprioceptive protocols that can help alleviate your pain and improve function.

shoulder_anatomy_ant_muscle (1)

Pelvis and Hip

The pelvis consists of your ileum and sacrum/pubis that sit between these bones, and have evolved to allow movement. Where there is movement there is potential for uneven or restricted movement that can be a result of every day wear and tear or a result of a traumatic incidence. This wear and tear can manifest itself in increased tightness in the muscles and tissues around the joint leading to increased compaction of the hip, sacroiliac joint and lumbar. Over time such dysfunction of the pelvis can effect the internal organs due the multiple and extensive ligamentous and fascial connections between these organs and the pelvis. Creating space and improving biomechanics around these joints is important for long term joint health. We have a number of joint specific exercises and stretches to help.

Pelvis And Hip Anatomy


Problems with knees frequently happen because of results of imbalances between the pelvis/hip and the foot/ankle joints. The knee acts as a connecting joint between both these joints and when above or below aren’t functioning correctly there can be abnormal torsional forces on the knee due to the numerous muscles and fascial connections that cross the knee joint. Therefore although there is a need to all these joints, muscles and fascia to achieve an optimal reduction in pain and return to normal movement.

Knee Anatomy Diagram (1)

Pregnancy Pain / Pre & Postnatal Care

During pregnancy many expectant mothers experience back pain.  Ligaments that support the pelvis and lower back increase in laxity and muscles can weaken causing joint irritation and severe pain.  Osteopathy provides a gentle treatment aimed at allowing your body to adapt to the physical changes of pregnancy.

After giving birth the additional demands of caring for a new baby often mean that the mother has less time to care of herself.  As your baby relies entirely on you, maintaining your own health is important.  Many mothers experience mid back and neck pain often due to postural adaptations that have occurred during pregnancy and followed by breast feeding and an increased amount of lifting after birth.


We provide treatment and advice on:

  • Symphysis Pubis Disorder (SPD)
  • Pregnancy Related Back Pain
  • Sacroiliac Pain
  • Stress Incontinence
  • Urge Incontinence
  • Post-Natal Care


Treating Repetitive Strain Injury ( RSI )

  • Tennis Elbow/Golfers Elbow
  • Carpal Tunnel Syndrome & associated wrist problems

Repetitive Strain Injury (RSI) is an umbrella term given to a group of conditions affecting the muscles, tendons, nerves and other soft tissues of the body. Work Related Upper Limb Disorder (WRULD) is a form of RSI.

Many individuals suffer with musculoskeletal problems (back pain, neck pain & arm pain to name a few) which may be attributed, at least in part, to their work. These problems can be significantly reduced by assessing, and where possible, reducing the level of risk associated with work. By addressing posture, movement and intensity and frequency of activities, you may experience symptom relief and understand how best to prevent the onset of RSI.

There are many common and well-defined RSI related conditions affecting the upper limbs:

  • Fingers, hands and arms are vulnerable to injury through overuse and this maybe compounded by poor posture, twisting, cold,  vibration or ‘repetitive strain’.
  • Repeated flexion and extension of the wrist can cause inflammation of tendons, leading to pressure on the median nerve and the associated numbness, burning and tingling symptoms are known as Carpal Tunnel Syndrome.
  • Tennis elbow is the result of muscle overuse or inflammation of the tendons at the point where they attach to the bone.
  • Tenosynovitis is a recognised industrial injury for occupations involving repetitive clerical or assembly line work.

Your working environment is an important consideration and ergonomic guidelines aim to find the ideal workspace to suit you and the type of work that you do. Through their expertise in musculo-skeletal function and movement we are able to make recommendations about your working environment.

Osteopathic treatment for Repetitive Strain Injury (RSI) may include spinal mobilisation, soft tissue techniques for muscles, neural tissue mobilisation & postural muscle strengthening. The objective is to identify the tissues under ‘repetitive’ strain, determine the cause, treat the condition and address the cause so that the potential for reoccurrence is minimal.