Treatment Programmes
Structured, condition-specific treatment combining osteopathy with the latest medical-grade therapies
At Spine Plus, we have developed structured treatment programmes for specific conditions. Each programme follows a logical sequence of assessment and treatment, integrating hands-on osteopathic and physiotherapy care with advanced technologies including IDD spinal decompression, focused shockwave therapy, TECAR, Class IV laser and medical acupuncture.
Our programmes are designed to address both the immediate pain and the underlying cause, with rehabilitation to prevent recurrence. Appointments are available Monday to Friday 8am to 8pm and on Saturdays at all our clinics.
Fees: 60-minute appointments from £80, 30-minute follow-up appointments from £60.
Our Treatment Programmes
Sciatica and Trapped Nerves
For disc injuries, nerve root compression, sciatica, stenosis, facet joint pain and spondylosis.
View Programme →Chronic Back or Neck Pain
For long-standing spinal pain, stiffness, and those seeking alternatives to medication or surgery.
View Programme →Acute Back or Neck Pain
For recent onset back or neck pain including muscle spasm, joint strain and acute disc episodes.
View Programme →Ankle and Achilles Pain
For Achilles tendinopathy, ankle sprains, tendon thickening and ankle instability.
View Programme →Heel Pain and Plantar Fasciitis
For plantar fasciitis, heel spurs and chronic heel pain using shockwave, laser and orthotics.
View Programme →We also treat a wide range of other conditions with the same structured approach:
Tension Headaches, Neck & Shoulder Tension
We've treated thousands of patients for chronic neck and shoulder tension associated with tension headaches, using osteopathy with medical acupuncture.
Frozen Shoulder, Impingement & Tendinitis
Accurate diagnosis is key to effective treatment of these common sporting and degenerative complaints.
Tennis & Golfers Elbow (Lateral & Medial Epicondylitis)
Hands-on osteopathic treatment, dry needling and exercise rehab can work wonders.
Hip & Knee, Muscle, Tendon & Joint Problems
Whether you're suffering with arthritis, bursitis, impingement or tendinitis, we'll point you in the right direction to the right specialist for you.
At Spine Plus, We Set the Standard
- 3rd clinic group in the UK to feature IDD Therapy, the gold standard in spinal decompression therapy
- One of a few UK clinics offering a full complement of Advanced Electrotherapies: Shockwave Therapy, TECAR Therapy, Ultrasound and Class IV Laser Therapy
- Trigger Point (Medical) & Electro-Acupuncture available in combination with osteopathy
- Founded and directed by renowned osteopath Robert Shanks, author of "Back Pain Decoded", lecturer in MRI spinal analysis for manual therapists, and co-founder of GO2imaging.com
What All Our Programmes Include
Regardless of which programme is appropriate for your condition, all treatment at Spine Plus includes:
- Thorough initial assessment with medical case history and physical examination
- Clear explanation of your diagnosis and treatment plan
- Hands-on treatment at every appointment
- Integration of advanced therapies where appropriate
- Home exercise guidance and an "action plan" to take away
- Honest advice on timescales and expected outcomes
- Rapid access to MRI, ultrasound and specialist referral where required
How Many Sessions Will I Need?
For simple sprains and strains, most patients improve significantly within 1 to 3 sessions. For more complex or long-standing conditions, a structured course of 6 to 12 sessions is typical, with frequency reducing as improvement progresses.
We do not use high-pressure sales or exaggerated scare tactics. Our ethos is focused on patients' needs before profit. We will give you an honest assessment of what treatment is likely to achieve and at what cost.
Frequently Asked Questions
Will my first appointment include treatment?
We try to include hands-on or electrotherapy treatment at the first appointment wherever possible, alongside a detailed case history and clinical examination. The main exceptions are our 30-minute new patient appointment, or initial assessment/suitability appointments for IDD spinal decompression therapy.
Do I need a referral letter from my GP or consultant?
No, it's not necessary for self-pay clients, who make up the vast majority of our patients and simply self-refer. If you're being treated as an insured client (e.g. AXA), your insurer may require a GP or specialist referral to authorise funding, so check with them first.
How frequent are the treatments you recommend?
This varies by condition. On average we advise attending once or twice a week during the initial "first aid" phase of treatment. For chronic or degenerative problems needing maintenance sessions, this typically reduces to once every one to four months.
Will you try to sign me up to lengthy and expensive courses of treatment?
No high-pressure sales or exaggerated scare tactics. Our ethos is patients' needs before profit. We'll give you an honest recommended treatment plan based on established clinical guidelines, never more than we genuinely think is necessary. For most conditions this is usually 3 to 6 treatments; spinal decompression generally needs more sessions for maximum results.
What happens during my first appointment?
You'll be greeted in reception and taken through to the treatment room, where we'll ask a series of medical questions and assess your posture, movement and tissue quality (this may require removing some clothing). We'll then give you a written treatment plan ("Action Plan") to take home (with exercise video clips and handouts emailed to you if needed) before booking your follow-up appointment.
Not sure which programme is right for you? Answer a few quick questions to find out, or call us on 020 8506 1000, or book a first assessment and let our clinicians advise you.
Book an Assessment