During your first appointment we will ask lots of questions, taking a detailed history of your current injury and take into account any relevant past medical history. We will then do a thorough examination to help us give you a clear diagnosis and treatment plan.  At the end of the session, any exercises and/or the best course of action for your treatment will be discussed and planned by your physiotherapist and any need for further treatment will be discussed.




Manual therapy is the skilled passive movement of joints and soft tissues. It includes:

  • Mobilisation and Manipulation of spinal and peripheral joints

  • Muscle Energy Techniques

  • Passive Stretching of Contractile Tissue

  • Manual Muscle Relaxation Techniques

  • Neural Mobilisation

  • Soft Tissue Techniques: These are techniques which include Deep Tissue Massage, Soft Tissue Massage, Myofascial Release, Deep Transverse Frictions, Passive Stretching of Contractile Tissues and Trigger Point Release.

These techniques help to assist healing by improving circulation, breaking down adhesions to restore mobility, reducing muscle spasm to restoring normal movement and relieving tension.

Sessions cost £50


Pilates is a form of exercise that works on balancing and controlling movement. It targets the deep postural muscles of the body and aims to balance these muscles with the muscles which perform movement. By using controlled movements on good core stability, it improves posture, muscle tone and body awareness.


Women’s health physiotherapy is the therapeutic treatment of all disorders affecting the pelvis and the pelvic floor muscles.  We offer specialist assessment and treatment for stress, urgency and mixed urinary incontinence issues.  The pelvic floor muscles need to function well to keep us continent.  Treatment may incorporate pelvic floor muscle re-training and exercises, pelvic floor educators/stimulators, myofascial release, breathing training techniques, lifestyle advice and Pilates based pelvic stability exercises.  The good news is that a structured exercise program to strengthen the pelvic floor is effective in reversing symptoms in 80% of women!


Trigger point acupuncture is a Western evolved form of acupuncture where the muscle is palpated to find active trigger points. Trigger points are areas of spasm within the muscle that come about as a response to pain but can be self perpetuating and pain evocative. Acupuncture helps to ‘switch off‘ the Trigger points and help to break the cycle of pain and muscle spasm. We often use a combination of Traditional Chinese Medicine points and Active Trigger Points to help relieve pain and muscle spasm.

At Amersham Physios we use acupuncture in conjunction with other physiotherapy techniques to provide an integrated treatment to best aid your recovery. Our physiotherapists have undergone post graduate training and are members of the Acupuncture Association of Chartered Physiotherapists. They have high standards which must be met to ensure that your treatment is safe and effective.  We use single use individually wrapped sterilised needles. If you are a blood donor we will be happy to provide you with a certificate.


Exercising in warm water offers great advantages in counterbalancing the effect of gravity and allowing much greater freedom and ease of movement. It can be extremely effective in helping to mobilise stiff joints, strengthen muscles and re-educate balance mechanisms.

At Excel Physiotherapy we are delighted to have the opportunity to treat our patients in the pool as well as on land. You will start with a full assessment on land, and your physiotherapist will create a program of exercises individually tailored to your short and long term goals. We can then take you into the pool on a one to one basis to take you through your exercises and modify them as needed. Many patients only need to be taken into the pool once or twice before they are confident and capable of continuing with their exercises independently and returning to see us for review and progression as needed.

The pool is a standard depth throughout and you do not need to be a swimmer to be able to benefit from hydrotherapy. The pool is very accessible with shallow steps and two hand rails.

Aquatic Rehabilitation is particularly effective for treating:

• Joint Stiffness and Pain

• Arthritis

• Muscle Weakness

• Balance Disorders

• Recovery from Orthopaedic Surgery


Katie is a specialist hip physiotherapist from the Royal National Orthopaedic Hospital in Stanmore where she is the Clinical Lead for the Hip Service.  She is an honorary clinical teaching fellow on the Master programme at UCL. Katie treats patients with complex hip disorders from all over the UK and we  are extremely fortunate to have her on our team.  You can read more information about Katie under her Bio.

Sessions with Katie cost £130 for Initial Assessment (1 hour) and £75 for follow up sessions (30 mins)


Domiciliary physiotherapy allows the physiotherapist to assess and treat you within the home environment, whether it be at home, or in a care setting. This can be more convenient for you and your family, and also allows the physiotherapist to adjust your treatment and rehabilitation to your own home environment and identify and address any specific difficulties that are being experienced. We can also work closely with any carers, families and other healthcare professionals.

On the initial visit, an assessment will be carried out, and treatments may include advice, strengthening exercises, balance retraining, pain management, mobility practice and general rehabilitation. If patients seen by our service are assessed as a risk of falling, we can then give appropriate treatment and advice to help manage and prevent falls. We will agree on any care or treatment in partnership with you.

Domiciliary Home Physiotherapy is ideal for patients who have recently been discharged after a prolonged hospital stay, have reduced mobility or impaired balance and for Post-operative rehabilitation (orthopaedic or surgical).  Support at home is a crucial part of your recovery.

Home visits cost £75 


Shockwave therapy is a non-surgical treatment, targeted to specific damaged tissues within an abnormal tendon. This increases the blood flow within the affected area, stimulates cell regeneration and healing, and decreases local factors which can cause pain.

Before shockwave therapy is considered you will have a full clinical assessment. This may include an MRI or ultrasound scan.

When investing in advanced technology it is important to ensure accuracy and reliability of the equipment along with the backing of well respected research. We are pleased to inform you that as a practice we have now invested in a Swiss Dolorcast Master 27 Shockwave Therapy Machine. This is the machine that was used in trials conducted by NICE and on which guidelines for application are based.

Extracorporeal Shockwave Therapy treatment is a highly effective treatment available for patients with:

  • Plantar Fasciitis

  • Shoulder pain

  • Tennis elbow

  • Achilles Tendonopathy

  • Trochanteric bursitis (Lateral hip pain)  


This is a detailed analysis of your working position to help prevent musculoskeletal pain as a result of working postures.  Chartered Physiotherapists are ideally placed to carry out Ergonomic Assessments as they have the required understanding of the biomechanical function of the body and the effect that different postures will have upon it.

Having the correct ergonomic set up within the workplace will help reduce sick leave and improve staff morale and well being.  As working from home becomes more common it is vital that the home work station set up is safe and is not going to lead to back, neck or upper limb pain or discomfort.  Often the solution can be created simply and economically with the right advice and adjustments.