Casualty First is now open on an appointment only basis, Monday to Friday 8am – 6pm and Saturday 12th/19th of December 8am – 6pm.
To book an appointment, click here.

We are offering Outpatient appointments. In many cases these can be conducted virtually. To make an appointment, please call: 0207 806 4060.

Do NOT visit the Hospital if you have any COVID-19 symptoms. Please visit the Track and Trace website.


Musculoskeletal Physiotherapy

Musculoskeletal Physiotherapy

The physiotherapy outpatients department at HJE offers a comprehensive and evidenced based musculoskeletal and sports and exercise medicine service.


Our team is highly skilled in the assessment, treatment and management of injuries to all areas of the body relating to the musculoskeletal system. This includes problems involving; muscles, ligaments, tendons, nerves, bones and joints. Along side this we have a wealth of experience in treating sports injuries of all sporting endeavours.

We are driven to provide high quality care, which means giving the best treatment possible. To achieve this we implement evidenced based therapy, helping you to understand your condition as well as effectively treating or managing it with personalised plans to suit your individual situation. We also work closely with Consultants and the Sports Doctors to utilise a multidisciplinary approach to your care, enabling a holistic methodology to optimise your recovery as best as possible. This means that we are frequently involved in both pre and post-operative care following a range of surgical interventions as well.

We utilise manual therapy techniques such as soft tissue therapy and joint mobilisations; as well as exercise and rehabilitation methods to treat pain but also to empower you, the patient, to take control of your care. We aim to put you at the centre of decision making so you can play an active role in your recovery. We have excellent state of the art equipment such as our new Shockwave machine, and an outstanding gym facility to help us implement effective rehabilitation programmes for you.

What is Acupuncture?

Evidence Based Western Medical Acupuncture is a form of treatment that involves inserting very thin needles through your skin at specific points on the body where you feel pain, away from the pain or a combination of both. Scientific research underpins the effectiveness of acupuncture when combined with physiotherapy in the treatment of various musculoskeletal conditions (NICE, AACP)

What happens when I see my physio for acupuncture?

When you first see your physio, he/she will take your full medical history and note your current health problems. Your physiotherapist will let you know whether you are an eligible candidate for this treatment and you will also be asked to complete a consent form. If you are considered eligible your physiotherapist will let you know how many sessions are considered appropriate.

How does it work?

Very thin needles are inserted through your skin at specific points on the body where you feel pain, away from the pain or a combination of both. Between 1 and 10 needles with different sizes can be used but this depends on your symptoms and condition. On your first session usually few needles are used to assess your tolerance. On the following sessions the numbers of needles and the points needled can vary and your physiotherapist may stimulate the needles by gently rolling them. This is to maximise the effectiveness of the treatment which can last from few minutes to max 25. After the needles are removed you may be asked to rest for a little before you leave.

Acupuncture needles are very thin and have roughly the same width of human hair, therefore having acupuncture does not feel like having an injection but more like a temporary pricking sensation. If you feel uncomfortable they can be immediately removed with no risk.

Is it safe?

Acupuncture is a widely accepted treatment provided by qualified physiotherapists both in the NHS and in private practice. Acupuncture is a very safe procedure carried out by qualified physiotherapists who have undergone recognised training.

All the needles used are sterile, individually packaged and disposed of after one use. Strict hygiene guidelines are followed.

Are there any contraindications/side effects?

There could be a small chance of minor side effects which are normally short-lived (bruising, fatigue or light headedness) If you are concerned speak to your physiotherapist who will be happy to discuss them. However, these should be normally explained during the initial assessment.

(AACP Acupuncture Association of Chartered Physiotherapists)

Home Visit

Our physiotherapists are able to  attend home visits for patients that live within a mile radius of our hospital, with short term mobility impairments that limit their ability to attend clinic appointments. Mobility restrictions may occur after surgery, a fall or a recent injury or illness.

The aim of domiciliary physiotherapy is to implement treatment strategies that will reduce your pain and help you begin an exercise programme with the goal of restoring your mobility.

By helping you to be more comfortable and mobile we hope it will enable you to attend clinic appointments where we can utilise our specialist equipment to better assist your recovery.

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