15th October 2015


Full Examination and Assessment

E&AThe therapist will complete a thorough examination and assessment to produce a clinical diagnosis of the presenting complaint.  This will consist of:

    • Information about the individual: D.O.B, Address, Contact details and Occupation
    • Previous medical history and History related to the presenting complaint
    • Aggravating and Easing factors
    • Static postural observation and touch of the area
    • Specific testing of; Joint range of motions, Muscle strength, Joint mobility, Soft tissue testing, and Diagnostic tests.

No harm will be produced throughout this assessment and all explanations shall be provided prior to testing, however it is vital that any pain or discomfort that may be felt throughout is described to the therapist.

All documents with patient information are stored confidentially under lock and key, abiding by the regulations of the Data Protection Act, 1998 to protect patient identity and confidentiality.

Clinical Diagnosis

After a thorough examination and assessment, the therapist will discuss with you their findings and possible diagnosis of your presenting complaint.

It is important to realise that it may be due to combination of diagnoses or as a result of ilimination, but the therapist will ensure to explain everything to you and if you are unsure of anything, feel free to ask any questions.

Deep Tissue Sports Massage

This style of massage utilises a number of techniques with varying speed and depth to target tissues and muscle fibres that may be causing pain or discomfort.

Sports massage is used to:

  • Release muscular pain from tension/stress
  • Improve postural abnormalities
  • Reduce swelling and bruising
  • Improve range of movement and flexibility
  • Enhance healing through improved circulation
  • Restore dysfunctional tissues

It also assists with chronic muscular pain, injury rehabilitation and reduction of inflammatory-related pain.  However, due to the result of working into deeper layers of musculature, individuals may experience soreness and stiffness, therefore it is advised to drink plenty of water before and after treatment.

Myofascial Release Techniques

This style of treatment utilises a number of techniques and use of tools with varying speed and depth to target areas with pain or discomfort and promotes nutrient-rich blood to areas, providing increased circulation to stretch muscle tissue. Please be aware, as with any form of treatments, myofascial release can leave marks which do fade over the coming days.  These techniques are used in conjunction with additional treatment modalities and exercise-based rehabiliation to address any musculoskeletal strength and muscle imbalances throughout the kinetic chain.

We currently use these techniques:

  • IASTM (Instrument Assisted Soft Tissue Mobilisation): A type of non-invasive myofascial release which uses a tool to efficiently detect and treat soft tissue dysfunction by breaking down fascial restrictions and scar tissue with the appropriate amount of pressure.
  • Myofascial Cupping: (Cups are positioned over tight areas of the body and are used in a variety of techniques to create a vacuum effect drawing the blood from your skin, fascia and muscles in order to help promote a positive inflammatory response and bring on a natural healing process. Predominantly static or dragging of the cups provide the most benefits).

Medical Acupuncture- Dry Needling


This type of treatment involves the therapist inserting sterile needles directly into trigger points (sore spots within the muscle) to focus on and reduce the musculoskeletal manifestations of aches and pains.

During this treatment technique, the nerve endings within the muscle are stimulated to activate the body’s natural pain relieving effects.  This presents as a ‘local twitch response’ of the muscle, and may produce a very brief change of sensation, however the therapist will explain all of this to you before administering the treatment. 

This treatment can be used for a variety of Musculoskeletal problems whereby the muscles are thought to be primary contributing factors to the presenting symptoms.

Soft Tissue Release

The therapist may use a number of techniques to help release and relax muscles, assisting the individual’s body to promote their own healing mechanism.

This type of treatment involves the therapist manually applying pressure to target specific areas of tension within a muscle, creating a temporary false attachment point and then taking the muscle into a pain-free stretch to release the muscle fibres. 

Benefits of using these techniques involve:

  • Improved musculoskeletal function
  • Pain Relief
  • Improved Circulation
  • Realignment of Injured/Stressed Muscle fibres
  • Breaking up of Adhesions Within Muscles
  • Restoring Balance and Maintaining Correct Posture
  • Restoring Joint Mobility
  • Prevention/Management of Injuries

Stretching Techniques

The therapist has been trained in a number of passive and active stretching techniques to improve flexibility and joint mobility of individuals by targeting specific muscle groups.

Not only does this improve the range of motion at a joint, but it also has positive impacts on the following factors:

  • Muscle soreness and muscle spasms
  • Reducing chronic pain
  • Speeding up the healing process
  • Improving performance
  • Improving muscular flexibility
  • Stress relief
  • Improving oxygen and nutrient intake through increased circulation
  • Reducing swelling and inflammation
  • Improving metabolism (elimination of waste)
  • Improving and maintaining good posture and balance.

Kinesiology Taping Techniques

Kinesiology tape is a flexible elastic tape that moves with your body, providing support to affected areas without the tape slipping/restricting activity.

Kinesiology tape can be used to treat/improve a wide variety of musculoskeletal and sports injuries, plus inflammatory conditions or posture abnormalities.

Kinesiology taping has been clinically shown to help with the natural response to inflammation, targeting different receptors within the somatosensory system (skin senses, proprioception and the internal organs).
Application of the kinesiology tape will help alleviate pain and encourage the facilitation of lymphatic drainage by microscopically lifting the skin and allowing for a decrease in inflammation to the affected areas.

Additionally, this type of taping can help with the following:

  • Supporting weak/injured muscles without affecting the normal range of motion and minimising the risk of developing compensatory imbalances or injuries.
  • Remaining active during sport or activity
  • Can relax and offload any overused/overstrained muscles
  • Improves blood circulation to the injured area, speeding up the healing process
  • Helps to reduce pain
  • Helps to improve posture
  • Reduces Swelling and inlammation
  • Can enhance performance and endurance
  • Helps prevent injury
  • Joint Mobilisations

    For full and pain-free movement, joints need to be able to move freely in all directions. If they become locked or restricted in any particular direction, pain and/or stiffness may be experienced.

    This type of treatment involves the therapist performing ‘Maitland/Mulligan’ movements at peripheral (ankle, knee, hip, shoulder, elbow or wrist) and spinal joints to re-create the smaller movements within the joint that you cannot perform yourself in order to improve movement.

    This treatment reduces painful/restricted movements at joints and does not produce any pain. It has shown to be extremely beneficial for individuals and improves range of motion at joints.

    Variety of Rehabilitation Exercises

    web bridgeRehabilitation is a vital part of injury management and must be carried out alongside physical therapy treatment.

    Each individual will be provided with case specific exercises to reduce the risk of injury, and improve any muscular imbalances, exercise performance, general strength and conditioning that need to be addressed, alongside improving overall health and well-being.

    It is vital that individuals perform exercises correctly to gain the best outcome of their treatment

    programme and improve their injury presentation.

    Prevention and Injury Management for Runners


    Madeleine has recently completed a CPD course in “Evidence Based Injury Prevention in Runners (Bridging the Rehab to Performance Gap)”.

    This involves a full functional assessment to identify incorrect movement patterns, muscular imbalances, or poor running techniques/mechanics that can result in injuries.

    Once this has been assessed, the therapist will provide advice and a variety of manual therapy treatments and rehabilitation exercises specific to the individual case in order to address any identified injury risks.