Clinic 27

Dr Angus Phelps

• Fibromyalgia

  

  Fibromyalgia is a complex long-term condition that can affect people in many different ways. It is commonly associated with widespread musculoskeletal pain, ongoing fatigue, sleep difficulties, stiffness and cognitive challenges, often described as “brain fog”. These symptoms can make everyday activities, work, exercise and social life feel more difficult to manage. Allied Health practitioners, including physiotherapists, osteopaths and exercise professionals, may support people living with fibromyalgia through gentle, personalised care. Treatment often focuses on helping clients understand their symptoms, improve movement confidence, manage flare-ups and build practical strategies for daily function. This may include graded exercise, stretching, posture and movement advice, pacing techniques, education and hands-on therapy where appropriate. While fibromyalgia does not have a simple one-size-fits-all solution, the right support can help people feel more in control of their condition. With a careful, supportive approach, Allied Health care may contribute to improved mobility, comfort, independence and overall quality of life over time through small, manageable steps each day safely.

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• Bursitis

  

  Bursitis is the inflammation of small fluid-filled sacs called bursae, which help reduce friction and cushion the bones, tendons and muscles around joints. When a bursa becomes irritated, movement can feel painful, stiff or uncomfortable, especially during repeated activity or pressure on the affected area. Bursitis most commonly occurs in the shoulder, elbow, hip and knee, although it can develop in other joints as well. It may be linked to overuse, poor posture, repetitive movements, direct injury or prolonged pressure. Physiotherapy can play an important role in managing bursitis by helping to reduce pain, improve movement and restore normal function. Treatment may include load management, gentle mobility work, manual therapy, strengthening exercises and advice on activity modification. A physiotherapist can also identify contributing factors, such as muscle weakness or movement habits, and guide a safe return to daily tasks, sport or work while reducing the risk of symptoms coming back. Education on pacing, warm-ups and recovery may support long-term healing.

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• Parkinson's Disease

  

  Physiotherapy plays a well-established and evidence-supported role in the management of Parkinson’s Disease. It is especially helpful for improving balance, mobility, posture, walking patterns, strength, flexibility, and overall functional independence. For many people living with Parkinson’s Disease, regular physiotherapy can support safer movement, reduce the risk of falls, and make daily activities easier to manage. A physiotherapist can provide tailored exercises that focus on gait training, balance control, coordination, endurance, and confidence with movement. These programs can also help people maintain independence for longer and improve their overall quality of life. Physiotherapy may be beneficial at different stages of Parkinson’s Disease, from early management to ongoing support as symptoms change. When combined with medical care, lifestyle support, and regular exercise, physiotherapy can be an important part of a complete Parkinson’s management plan. The goal is to help each person move better, stay active, and live more independently. It encourages confidence, routine, and long-term participation in meaningful everyday activities at home.

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• Peripheral Neuropathy

  

  Peripheral neuropathy is a condition that occurs when the peripheral nerves, which carry messages between the brain, spinal cord and the rest of the body, become damaged or do not work properly. It can affect movement, sensation and daily comfort, often causing tingling, numbness, burning pain, weakness or reduced coordination, especially in the hands and feet. These symptoms may make walking, balance, grip strength and everyday activities more difficult. Physiotherapy and osteopathy can play a supportive role in helping people manage peripheral neuropathy. Treatment may include gentle exercises, balance training, strengthening, mobility work, posture support and hands-on techniques to ease discomfort and improve function. A tailored care plan can also help reduce the risk of falls, maintain independence and support safer movement in daily life. While therapy cannot always reverse nerve damage, it may help improve confidence, comfort and quality of life for people living with peripheral neuropathy. Care is adapted to each person’s symptoms, goals and overall health needs.

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• Tennis Elbow

  

  Tennis elbow, also known as lateral epicondylitis, is a common overuse injury that causes pain, tenderness, and sometimes weakness around the outer side of the elbow. Although its name suggests a link with tennis, many people develop this condition without ever playing the sport. It often happens when the muscles and tendons around the forearm are repeatedly stressed through gripping, lifting, typing, using tools, gardening, or other repetitive hand and wrist movements. The discomfort may start gradually and can become worse during daily activities such as shaking hands, opening jars, carrying bags, or using a computer mouse. Physiotherapy is commonly used to help manage tennis elbow by reducing pain, improving movement, and strengthening the affected muscles and tendons. A physiotherapist may recommend targeted exercises, stretching, manual therapy, activity modification, and advice on posture or workplace setup. With proper treatment, rest, and gradual strengthening, most people can recover and return to normal activities more comfortably, without ongoing pain or repeated flare-ups.

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