Category Archives: Clinic News


Football Injury Blog @Footymatters

Footy Matters

I am really excited to be writing a regular blog on the Footy Matters website looking at injuries in football.

Injury Time with Richmond Stace

About Footy Matters

Footy Matters is an online football magazine like no other. We’ll be bringing you sharp commentary on the latest football news, providing unique insight, views and opinions away from the mainstream.

Our aim is to inform and educate with well researched and well written content you won’t find in the crowded football blog-osphere and that is tailor-made for the thinking football fan.

Footy Matters is your place to share, discuss and debate every aspect of the beautiful game.

Thinking Football

The Thinking Football ethos is Footy Matters’ approach to everything we write. We’re not interested in Wags, Heat magazine gossip or what players wear or drive – for us it’s all about the game.


You can follow Footy Matters on Twitter @footymatters


Back Pain and the BackCare Charity

Back pain is an enormous problem that impacts upon individuals and society. Most people will experience back pain at some point in their lifetime and a proportion will suffer continuing and recurring problems. Those who do continue to experience pain require effective treatment and strategies so that the impact and the distress that it can cause are diminished. Our understanding of pain science has moved forward significantly, meaning that there are contemporary therapies that target changes that we know occur in the brain and other body systems. For example, the graded motor imagery programme and cognitive techniques that impact upon pain threshold and movement.

The early management of a back pain as with other acute pains, will often determine the outcome. Full understanding of what has happened, why it hurts, what is normal about the pain response, how to cope effectively and the use of appropriate medication are all important at this point–see your GP or consultant for advice on medication.

Treat the brain, treat the pain

In persisting or complex cases, the assessment and treatment must be based upon the biopsychosocial model, considering the pain mechanism, influencing factors, beliefs & expectations, prior experiences of pain, the social impact (e.g./ work, family, sports) and fears in relation to movement and activity to name but a few. Pain is an output from the brain 100% of the time in response to an actual or perceived threat. Pain is always a normal response to the information that the brain receives from the spinal cord. In chronic conditions however, the way in which the nervous system changes means that danger signals can continue to be sent to the brain even when there is no actual threat. The brain must still respond by protecting the body by making the area hurt. The brain becomes very good at this, the analogy often used being an orchestra that learns to play one tune only. The pain tune–see Painful Yarns. To change the experience of pain in these cases requires a contemporary approach that is both ‘bottom up’ and ‘top down’. Bottom up refers to therapy that targets tissue health and movement, and top down pertains to training the brain and beliefs that are limiting recovery–see here for more details.

The BackCare Charity

BackCare is a national charity that aims to reduce the impact of back pain on society by providing information, support, promoting good practice and funding research. BackCare acts as a hub between patients, (healthcare) professionals, employers, policy makers, researchers and all others with an interest in back pain.

BackCare supply a number of resources including information packs, articles and a newsletter. A list of practitioners is available so that you can find a local therapist.

The BackCare App – Listed in The Sunday Times App List

If you are a back pain sufferer or you have a professional interest, you can join BackCare here


Merry Christmas


Our philosophy

1. To offer the earliest available appointment at a convenient location to you.

2. To provide a thorough assessment, explanation of the findings and outline the proposed treatment programme—if onward referral or investigations are required, we will recommend the relevant specialist and facilitate the appointment.

Our philosophy at Specialist Pain Physio

3. To provide a contemporary and innovative treatment approach that is based upon the latest neurosciences and understanding of pain—incorporating body, brain & mind.

4. To provide a client-centred programme of care that addresses the individual requirements, expectations and goals—you and your needs are at the centre of the treatment programme.

5. To provide a therapeutic journey that maximises your potential for recovery.

6. To communicate with you every step of the way–we do this face to face, by phone, email and text.

7. Ultimately to provide you with the best service and care that eases you through your therapeutic journey.

8. To be up-to-date with the latest research and thinking in pain in order to provide the latest treatments.

9. To provide a network of the very best specialists in the case that you need referral.

10. To enjoy our work with you so that you receive the best from us.


Physiotherapy Clinic in Chelsea

Situated just off Sloane Square in Chelsea at 2, Lower Sloane Street, the physiotherapy clinic is in a convenient location close to the tube (Sloane Square) and bus stops. The Specialist Pain Physio Clinics are dedicated to treating pain and injury with modern strategies and therapies based upon the latest neuroscience to promote normal movement and healthy participation in an active lifestyle.

T 07518 445493

Physiotherapy in Chelsea for pain

Visit the profile on The Chelsea Consulting Room website that provides a brief outline of the clinic. The main Specialist Pain Physio website has details about the modern approach to the treatment of pain and chronic pain, the other clinic locations and links to useful sites.

Knowledge and healthy movement for normal self

Specialist Physiotherapy in Chelsea

Local residents, people from all parts of London, across the country and overseas visitors have come to the clinic for treatment of chronic conditions and pain.

Come and visit our blog for regular articles and information.

We see a range of complaints including back pain, neck pain, RSI, recurring and persisting sports injuries, complex regional pain syndrome (CRPS), tendinopathies (e.g./ Achilles, patella, shoulder, elbow & wrist), functional pain syndromes (e.g./ IBS, dysmenorrhoea, pelvic pain, fibromyalgia, chronic back pain), conditions that have failed to respond to treatment and medically unexplained symptoms.

T 07518 445493


Treatment Update

Come and see the updated treatment programme page. We are regularly updating the site so do check back. This is when there is new knowledge or research that adds to our understanding of pain and how we can best treat on-going problems.


New CRPS Complex Regional Pain Syndrome Site

Complex Regional Pain Syndrome (CRPS) is a common condition that we see at the Specialist Pain Physio Clinics. Our modern neuroscience based approach attracts referrals from specialists and self-referrals from in and around London but also further afield. CRPS is a complicated and often very troubling condition with a range of symptoms including pain, altered perception, changes in sensation and ability to move and control movement.

From patient reports, there is generally a lack of understanding across the board, meaning that treatment and management varies hugely. The first stage of the treatment process at our clinuics is to develop a really good working understanding of the condition, the symptoms and what we can do to move forwards. As a way of increasing awawreness and understanding I have started a new blog that will update on research findings, new treatments and therapies (science based), thoughts and ideas from those who specialise in the field and also provide those with the condition an opportunity to post their stories and exp[eriecnees so that we can work to raise the profile and develop better ways of working. Click here for the site


Working with the team

Richmond Stace provides a specialist service for athletes and sportspeople who suffer on-going or recurring pain and injury that involves working with the existing medical and physiotherapy team. Either at one of the clinic locations or at the individual’s training facility, the detailed assessment elucidates the pain mechanism(s), factors that are influencing the pain and maintaining the current status, altered sensorimotor function and behaviours. Subsequently a treatment and rehabilitation programme is recommended. This may include the input of other specialists and health professionals depending upon the needs of the individual.

At the point of recommendation, Richmond can implement the programme or provide the structure for the existing team to follow and progress. Follow-ups in person and via telephone/email are standard to monitor and evaluate the programme.


  • Ease symptoms
  • Restore function & fitness
  • Optimise the outcomes through identification of influential factors (biopsychosocial)

The key points

  • The service is dedicated to the more persisting and complex problems that are affecting an athlete’s  ability to perform or return to sport
  • We work closely with the existing medical team
  • Detailed assessment to determine the nature of the problem and influencing factors
  • Bespoke treatment & rehabilitation programme
  • Regular follow-ups

London Marathon Training

At this time of year we see many people who are training for the London Marathon. This is an extraordinary commitment and achievement, often linked to raising money for a chosen charity. Naturally the training level gradually increases, which means a greater demand upon the body physically. Many people have not trained at such a level and they are reaching new realms. Consequently the niggles start causing problems beyond the expected pain of increased exercise.

Common problems other than blisters and exhaustion include knee pain, thigh pain, groin pain, hamstring pain, heel pain, foot and ankle pain. It can be highly frustrating when pain and injury prevent training and of course the concern turns to whether one can actually start the marathon.

A good training programme is of course important alongside some general strengthening work. However, despite this, pain and injuries do occur. If a problem starts, the best course of action is to seek help and advice. If this is done early, the problem can be solved more efficiently, returning you to the programme. Leaving the problem can lead to a worsening and development of further symptoms.