Who and what do we treat?

At Tide End Osteopathy and Pilates we treat people from all walks of life, from the very young to the elderly, manual workers and office professionals, pregnant women and sports persons, children and babies. Different types of treatment are suitable for different ages and conditions. For example for a sports injury we may use stronger soft tissue massage or manipulations whereas for a baby we will adopt a very gentle or cranial approach.

Most people associate osteopaths with back pain but we can help with a much wider range of problems.

The most common conditions we treat are:

  • Back and neck pain
  • Shoulder and arm conditions
  • Pelvis, hip and leg problems
  • Sports and other injuries
  • Pain caused by postural changes during pregnancy
  • Work or driving related strains
  • Pain caused by arthritis
  • Pain arising from muscle spasm

If you would like to discuss whether our clinic offers the right course of treatment for your specific problem, please feel free to call or send us an email and we will be happy to discuss it with you.

The most common conditions we treat are:


Osteopathy is a natural health care system of diagnosis and treatment for a wide range of medical conditions. It works with the structure and function of the body and is based on the principle that the well-being of an individual depends on the skeleton, muscles, ligaments and connective tissues functioning smoothly together.

To an osteopath, for your body to work well, its structure must also work well. Therefore osteopaths work to restore your body to a state of balance, hopefully avoiding the need for drugs or surgery. Osteopaths use touch, physical manipulation, stretching and massage to increase or balance the mobility of joints, to relieve muscle tension, to enhance the blood and nerve supply to tissues, and to help your body’s own healing mechanisms. They may also provide advice on posture and exercise to aid recovery, promote health and prevent symptoms recurring. The osteopath seeks to find and treat the underlying cause of pain to prevent symptoms from recurring, this may not necessarily be at the site of pain but from another area entirely.

Osteopathic treatment will vary greatly depending on the presenting problem, the level of pain the person is experiencing, and the age and build of the patient. The different techniques we will use and approaches we will take will be discussed with you at all stages throughout your treatment and we can adapt the way we work according to your feedback. For example if a particular technique has caused you pain or been ineffective previously then we can use a number of different methods to achieve a better result for your individual needs.

Osteopathic treatment most usually involves the following techniques

  • soft-tissue massage to the muscles to improve drainage and blood flow and to stretch out tight areas.
  • Articulation of restricted joints. This is often done rhythmically and helps to increase the range of movement within the joint.
  • High velocity low amplitude thrusts, this involves a very small but very fast movement being put through a joint which often results in a clicking noise. This is just like the click that can be heard when you crack your knuckles, and is a very effective way to release joints and muscles in the spine.

Cranial Osteopathy

Cranial osteopathy is a refined and subtle type of osteopathic treatment that encourages the release of stresses and tensions throughout the body, including the head. It is particularly effective for treating babies and small children where birth strains caused by the use of forceps or ventouse, or a very long or fast labour can result in a fractious baby. It is, however, also widely used with adults where other, stronger osteopathic techniques are inappropriate or for the treatment of delicate structures such as the head, neck and face.

Many midwives and health visitors recommend cranial osteopathy. If you would like more information or would like to discuss your particular situation then please feel to call.

Mother and baby post natal check-ups are available to help ease the strains of pregnancy and child birth.

Shockwave Therapy

Extracorporeal Shockwave Therapy treatment is a highly effective treatment available for patients with chronic tendon disorders.It is widely used among Orthopaedic surgeons and elite athletes as an alternative to cortisone injections and surgery.

Shockwave Therapy is a non-surgical treatment which uses high amplitude pulses of mechanical energy which spread as vibrations into the symptomatic tissues resetting the natural healing process of the body by

  • Improving circulation by encouraging the formation of new blood vessels (angiogenesis)
  • Breaking down calcific deposits and fibrous muscle adhesions
  • Reversing chronic inflammation and pain
  • Stimulating the production of collagen necessary to repair damaged tissue structure
  • Encouraging tendon repair
  • Decreasing healing times allowing patients to return to their usual activities

It offers a highly effective, non-invasive solution to treat stubborn chronic soft tissue injuries that have not responded to other physical therapies. Conditions which Shockwave therapy can help include

  • Plantar Fasciitis
  • Calcific Tendonitis of the shoulder
  • Tennis and Golfers Elbow
  • Trochanteric bursitis
  • Patella Tendinopathy (Jumper’s Knee)
  • Medial TibialPeriostitis (Shin Splints)
  • Hamstring Tendon Pain
  • Some Chronic Back Pain
  • Achilles Tendonopathy

Shockwave therapy is usually recommended for who have had previous conservative therapies that have provided little or no clinical benefit. 3 treatments on a weekly basis are usually all that is required. A significant clinical benefit is often seen 6-8 weeks after treatment with clinical outcomes showing a success rate of 70-80% in providing significant remission from symptoms.

Sports Massage

Sport massage is a form of deep tissue massage which is usually focused on a specific area of the body. Sports massage differs from other types of remedial massage in that it can be used to treat specific soft tissue injuries and imbalances and help prevent injuries as well as ease muscle tension. Sports massage targets deeper layers of muscle tissue which can help improve circulation and, in turn, the removal of toxins which can lead to muscle soreness and stiffness. This can aid recovery both after activity or post injury. During a sports massage a number of different techniques are used such as muscle energy techniques (MET), myofascial release, trigger point therapy (TPT) positional release, stretching and massage to improve joint mobility, muscle flexibility and performance. Sports massage can benefit anyone from elite athletes to office workers.


Pilates is a widely used and effective form of exercise for all ages, abilities and levels of fitness. The Pilates method seeks to develop controlled movement to gain strength in the ‘core muscles’. The core muscles are a group of muscles which are fundamental in supporting and stabilizing the body, hence Pilates is particularly good for the rehabilitation of many back, neck and shoulder pains as well as postural problems, sports specific injuries and women’s health problems.

At Tide End Osteopathy and Pilates we offer one to or small group sessions (maximum 3 per class) with a qualified osteopath to ensure the exercises you are doing are both suitable and beneficial for your specific needs. Our studio space provides a well equipped and inviting place to exercise safely whatever your goal.  We use a combination of mat work, Barre, reformer, stability chair and small equipment exercises to tailor each session to an individual client’s needs whether it be for a specific injury rehabilitation or to improve general fitness, posture and core strength.  We work with everyone from elite athletes to pregnant women and the elderly to:

  • improve core strength
  • increase flexibility
  • reduce postural weaknesses
  • improve muscle tone
  • achieve balance and coordination
  • reduce injuries
  • improve general fitness

Pregnancy and New Baby

During pregnancy the body undergoes many physical changes to support the growing baby. These can cause varying levels of discomfort from joint swelling and mild aches and pains to symphysis pubis dysfunction (SPD) and sacroiliac pain. Pain during pregnancy is common but is largely preventable and Osteopathy can help support expectant mothers through these changes providing safe and effective relief from symptoms.

The birth process can create a number of physical stresses and strains for both new mothers and babies alike. Cranial osteopathy is a refined and subtle type of osteopathic treatment that encourages the release of stresses and tensions throughout the body, including the head. It is particularly effective for treating babies and small children where birth strains caused by the use of forceps or ventouse, or a very long or fast labour can result in a fractious baby.

Many midwives, health visitors and the NCT often recommend cranial osteopathy as it has been found to help with feeding problems, moulding (flat heads), colicky symptoms, wind, reflux and constipation. During the birth process the infant can experience some compression at the base of the skull which can result in neck stiffness leading to difficulties turning the head and therefore latching on and feeding. The osteopath will use gentle techniques to release these compressions and strains that limit the movement of the neck. Neck stiffness can also lead to a baby holding their head to one side when sleeping which over time can result in a flattening of the head of one side (plagiocephaly).The nerve to the stomach and the diaphragm also passes through the base of the skull and is also sensitive to compressions in this area resulting in digestive problems. If you would like more information or would like to discuss your particular situation then please feel call.

Mother and baby post natal check-ups are available to help ease the stresses and strains of pregnancy and child birth.

Medical Acupuncture

Medical Acupuncture, also known as Trigger Point Acupuncture or Dry needling, uses fine needles to work into trigger points within muscles. Medical acupuncture is widely used to reduce pain within specific tissues, needles inserted into the muscles stimulate the nerve endings causing the brain to release endorphins- pain relieving chemicals. During treatment the practitioner will palpate for tender areas in the muscles known as trigger points into which the fine needle is then inserted. The technique is often used to form part of a wider treatment in conjunction with other techniques such as massage, mobilisation, manipulation and kinesiotaping. It is effective in aiding the treatment of both chronic and acute musculoskeletal conditions.

Kinesio Taping

Kinesio Taping is a rehabilitative taping technique used to help promote healing whilst providing stability and support to muscles and joints. The technique is often used as part of a wider treatment helping to prolong the benefits of manual therapy once the patient leaves the clinical setting. The tape helps to promote the body’s natural healing process by increasing blood flow to the area and improving lymphatic drainage by microscopically lifting the skin. Taping can also help to reduce pain in an area by affecting the nerve endings in the skin. The specially devised tape is able to provide support and stability to injured tissues whilst still allowing the full range of movement and function within the affected area.