A tailored approach to getting you back to what you want to do. It starts with a clear diagnosis, with rehabilitation at the heart of everything we do. Exceptional clinical experience, diagnostics and injections support your journey back to you.
MRI · X-ray · Ultrasound
scans arranged for you
30+ years
specialist MSK experience
Cingal® & Hyaluronic acid
advanced joint injections
Modern rehab
strength-based and tailored to you
How it works
Being in pain is hard enough. Getting help shouldn’t be. Whichever joint it is, this is exactly what happens when you come to us.
Call, email or book online and tell us where it hurts. Any joint, any age, any level of activity. We’ll find you an appointment quickly.
Your first appointment starts with your story: what hurts, what you’ve tried and what you want to get back to. Then a thorough examination with an Advanced Practice Physiotherapist.
Initial assessment · £85You leave knowing what’s wrong, in plain English. If we need a closer look, we arrange an MRI, X-ray or ultrasound and go through the results with you.
Imaging from £99We set out every sensible option, from self-help and rehab to injections, with honest pros, cons and costs. You decide, with no pressure.
Treatment from the same team, then follow-up and rehab until you’re back doing what you love.
Rehab · £50 a sessionWhere does it hurt?
Pick a body area to see common conditions, how we can help and self-help you can start today.
Neck pain is common and usually settles within a few weeks, but stiffness, headaches or pain into the arm can hang around.
Get urgent help
Call 999 or go to A&E if neck pain follows a serious fall or accident, or comes with numbness or weakness in both arms, a high temperature or feeling very unwell.
General information only. It doesn’t replace an assessment. Not sure? Call us on 01298 807505.
More on neck pain →Book a neck assessmentThe shoulder is the most mobile joint in the body, which also makes it easy to irritate. Pain lifting your arm or lying on that side is a common sign.
Get urgent help
Call 999 if shoulder pain comes with chest pain, breathlessness or sweating. Go to A&E if the shoulder looks out of place after a fall or you can’t move your arm.
General information only. It doesn’t replace an assessment. Not sure? Call us on 01298 807505.
Book a shoulder assessmentElbow pain usually comes from the tendons that control your wrist and grip, often from repeated use at work, in the gym or on the crag.
Get urgent help
Get urgent help if the elbow is hot, red and swollen and you feel unwell, or you can’t straighten it after a fall.
General information only. It doesn’t replace an assessment. Not sure? Call us on 01298 807505.
Book a elbow assessmentHands do a lot of fine, repetitive work, so pain, stiffness, clicking or tingling quickly gets in the way of everyday tasks.
Get urgent help
Go to A&E if you can’t move your wrist or fingers after a fall, or your hand or wrist looks out of shape.
General information only. It doesn’t replace an assessment. Not sure? Call us on 01298 807505.
Book a wrist & hand assessmentBack pain is very common and most episodes improve within a few weeks. Staying active is one of the best things you can do.
Get urgent help
Call 999 or go to A&E if back pain comes with numbness around your genitals or bottom, loss of bladder or bowel control, or weakness in both legs.
General information only. It doesn’t replace an assessment. Not sure? Call us on 01298 807505.
More on back pain →Book a back assessmentHip pain can be felt in the groin, the side of the hip or the buttock, and often affects walking, stairs and sleep.
Get urgent help
Go to A&E if you can’t walk or put weight on your leg after a fall, or the hip is hot and swollen and you feel unwell.
General information only. It doesn’t replace an assessment. Not sure? Call us on 01298 807505.
Book a hip assessmentKnee pain is one of the most common reasons people come to us, whether it’s arthritis cutting your walks short or an injury from sport.
Get urgent help
Go to A&E if you can’t put weight on your leg, the knee looks out of shape after an injury, or it’s hot, red and swollen and you feel unwell.
General information only. It doesn’t replace an assessment. Not sure? Call us on 01298 807505.
Our knee clinic →Book a knee assessmentYour feet and ankles take your full weight with every step, so pain here quickly gets in the way of walking, running and work.
Get urgent help
Go to A&E if you can’t put weight on your foot after an injury, the ankle looks out of shape, or you feel a snap at the back of the heel with sudden pain.
General information only. It doesn’t replace an assessment. Not sure? Call us on 01298 807505.
Book a foot & ankle assessmentFounded by two Advanced Practice Physiotherapists who got tired of long waits and fragmented care. Over 30 years of specialist experience between the hills, the clinic and elite sport.
Advanced Practice Physiotherapist · Clinic Director
Has worked in elite sport, including rugby and professional climbing, and as a consultant across golf and cricket. Titleist Performance Institute (TPI) qualified. Lecturer and educator, nationally and internationally; manages complex and tertiary cases.
Off duty: running, climbing, golf, cricket — and, occasionally, sitting still.
Advanced Physiotherapist · Clinic Director
MSc in Advanced Clinical Practice and a Non-Medical Prescriber. Background across A&E, acute injuries, paediatrics and MSK.
Off duty: long-distance running and exploring new routes.
Osteopath · Clinical Tutor
Clinical Tutor at the College of Osteopaths, University of Derby. CrossFit L1 and British Weightlifting coach at CrossFit Buxton.
Off duty: ultramarathons, Hyrox, CrossFit and judo.
Neurological Physiotherapist · CS Physiotherapy
Over 20 years in neurological rehab, including leading an NHS community stroke service. Specialist in spasticity, stroke, Parkinson’s and MS. Sheffield Hallam lecturer and former professional rugby player.
Off duty: cricket, his young family and their cocker spaniel.
Bad knee? Start here.
Assessment, expert imaging, an advanced injection, your first rehab session and an injection follow-up. One pathway, one team, one price.
£765 for the whole package.
Book the Knee PackageImaging prices are for our closest trusted partner, Manchester Diagnostic clinic. Other sites are available; prices may vary. About our scans →
What we inject
We train new injectors, consult on complex cases and manage tertiary referrals from across the UK. Every injection is matched to your joint and your diagnosis. All about our injections →
Cingal combines two treatments in a single 4 ml injection into the knee: a long-acting corticosteroid (triamcinolone hexacetonide) and 88 mg of cross-linked hyaluronic acid, the same base as Monovisc®. It is made by Anika Therapeutics and used in over 45 countries.
How long each part works, based on the manufacturer's data. Everyone responds differently.
We check all of this at your assessment.
Most people have no problems. Some have pain, swelling or stiffness in the knee for a day or two afterwards. If you have diabetes, your blood sugar may run higher for a few days. Infection is rare. Call us straight away if the knee becomes hot, red and increasingly painful, or you feel unwell.
In a randomised, double-blind trial of 368 people with knee osteoarthritis, Cingal relieved pain better than a saline placebo through 26 weeks, and faster than hyaluronic acid alone in the first weeks.
Hangody L, et al. Cartilage. 2018;9(3):276–283.
£375 including assessment and follow-up. Also part of the Knee Package.
Book a Cingal assessmentMonovisc is a single 4 ml injection of 88 mg of hyaluronic acid, with no steroid. The hyaluronic acid is made by fermentation rather than from animal sources, and it is lightly cross-linked so it stays in the joint for longer. It is made by Anika Therapeutics.
Based on the manufacturer’s data. Everyone responds differently.
We check all of this at your assessment.
Side effects are usually mild and short-lived: some pain, swelling, warmth, redness, bruising or itching around the joint. Infection is rare. Call us straight away if the area becomes hot, red and increasingly painful, or you feel unwell or feverish.
In a randomised, double-blind trial of 369 people with knee osteoarthritis, Monovisc improved pain and joint function compared with a saline placebo over 26 weeks, with no serious side effects linked to the product.
US FDA Summary of Safety and Effectiveness Data, P090031.
£375 including assessment and follow-up.
Book a Monovisc assessmentOrthovisc is a high-molecular-weight hyaluronic acid that is not cross-linked, so it behaves much like the joint’s own fluid. It contains no steroid. It is made by Anika Therapeutics, and over 20 million injections have been given worldwide.
Based on the manufacturer’s data. Your clinician will tell you how many injections you need.
We check all of this at your assessment.
Side effects are usually mild and short-lived: some pain, swelling, warmth or redness around the joint for a day or two. Infection is rare. Call us straight away if the area becomes hot, red and increasingly painful, or you feel unwell or feverish.
Most of the trial evidence for Orthovisc comes from knee osteoarthritis. For smaller joints and tendons, we’ll talk you through what is known for your joint before you decide.
Price on request per course, including assessment and follow-up.
Book an assessmentA corticosteroid injection calms inflammation in a joint or in soft tissue such as a tendon sheath or bursa (a fluid-filled cushion around a joint). It is often mixed with a local anaesthetic for quicker relief.
A steroid injection gives strong short-term relief but doesn’t fix the underlying problem. We use that window to get you moving and strengthening, so the improvement lasts after the injection wears off.
Rest the area for a day or two and avoid heavy use for a few days. We’ll give you a plan for building back up.
Most people have none. The area can be more sore for a day or two as the anaesthetic wears off. Some people get facial flushing, a temporary change to periods or mood, or lighter or thinner skin where the injection went. If you have diabetes, your blood sugar may run higher for a few days. Infection is rare. Call us straight away if the area becomes hot, red and increasingly painful, or you feel unwell or feverish.
Price on request including assessment and follow-up.
Book an assessmentWhether it’s a parkrun PB, a long day on Kinder or just getting up the stairs without wincing — we find out what’s really wrong, and fix it properly.
Not sporty? Just as important.
You don’t need to be chasing a personal best to come to us. Walking the dog without wincing or getting through the day without pain matters every bit as much, and we’ll put the same care into getting you there.
No gym kit and no jargon. We start from where you are and build a plan that fits your life.
Book an assessment · £85Chronic pain
When pain has gone on for months or years, it can touch every part of life. We take the time to understand your whole story and help you find a way forward, even when other treatments haven’t worked.
A clear, honest explanation of what’s going on and why pain can persist.
A practical plan for activity, pacing and getting back to the things that matter to you.
Guidance on talking therapies and how they can help, and how to access them.
We review past surgery and treatments with you and talk through what could help next.
No rushing and no judgement. We listen, believe you, and work with you at your pace.
Neurological services
Our neurological rehabilitation is led by Chris Simcox, a specialist neurological physiotherapist with more than 20 years’ experience, who also lectures in physiotherapy and neurological rehabilitation at Sheffield Hallam University.
Expert, personalised rehabilitation to help you get the most from everyday life.
Rheumatological screening
If you’re worried your symptoms could be an inflammatory condition, we offer rapid assessment, clear advice and, where needed, referral on to the right specialist.
Treatment and exercise to protect your hands and keep them working well.
Targeted injections to settle painful, inflamed joints where they’re right for you.
A long-term plan to keep you moving and managing your condition with confidence.
Quick check · 1 minute
Some long-term back pain is caused by inflammation in the spine and pelvis, rather than wear and tear or a strain. It’s more common than many people think, and because it can feel like everyday back pain, it’s often missed for years. Answer a few quick questions to see whether your pain has signs worth checking.
Answer the two questions above to see your result.
This check is based on the NICE guideline for spondyloarthritis (NG65). It is a guide, not a diagnosis, and your answers aren’t saved or sent anywhere. Get urgent help (call 999 or go to A&E) if back pain comes with numbness around your genitals or bottom, loss of bladder or bowel control, or weakness in both legs. If you have a painful red eye with blurred vision or sensitivity to light right now, get same-day eye care from an optician, eye casualty or NHS 111.
Quick, clear answers, and support for as long as you need it.
Patient stories
Thanks to Nick. Quick, relatable and really helped a longer-term issue.
Wonderful. Fitted me in as I was struggling with vertigo. I had BPPV, which I hadn’t heard of. After advice and treatment I am so much better. Thanks team.
Excellent. Got me back playing county cricket after a persistent hip and groin issue. I had a diagnosis initially which turns out wasn’t quite right. Quick scan and a rehab programme. Thanks so much.
Nick!! Thanks. I had a stress fracture that was missed. Though I’ve been told to rest, I know I’ll be back after a period of recovery. So good.
I am 4 months into a long recovery after a nasty knee trauma. Nick has guided me through some tough times. Hopefully back to some normality.
As a professional golfer my hands are really important to me. I struggled after a snowsports injury and eventually had some imaging through Nick and his team. I had a rare bone issue that was swiftly picked up and referred to the right people. Ever grateful.
Clinician or referrer?
Refer a patient or discuss a complex case with our team.
Clinic
6A High Street, Buxton, Derbyshire SK17 6EU
Phone
01298 807505
Mobile: 07525 939 208 · 07974 706 956
Book an appointment
Choose your appointment and a time that suits you. You’ll get a confirmation by email.
Booking not showing? Open online booking in a new tab or call 01298 807505.
