96 London Road

Widley, Waterlooville, PO7 5AB

02392 215 050

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It's all about getting the results you deserve

What is osteoarthritis?

Arthritis means inflammation of the joints. Osteoarthritis (OA) is the most common form of
arthritis in the UK. OA mainly affects the joint cartilage and the bone tissue next to the cartilage.

What causes osteoarthritis?
All normal joints and joint tissues are constantly undergoing some form of repair due to damage to the joint and surrounding tissues through stress and force that is placed on them in our daily activities. However, in some people, it seems that this repair process becomes faulty or delayed in some way and OA develops. In joints with OA, the joint cartilage becomes damaged and worn. The bone tissue next to the cartilage can also be affected and bony growths can develop around the joint edges. These growths are called osteophytes and may be seen on X-rays. The joints and the surrounding tissues can also become inflamed. This inflammation is called synovitis.

Factors that may play a role in the development of OA include:

Age: OA becomes more common with increasing age. By the age of 65, at least half of people will have some OA in some joint(s).
Genetics: There may be some inherited tendency for OA to develop in some people.
Obesity: Shoulder OA is more likely to develop, or be more severe, if you use your arms
for weight-bearing e.g. pushing up from a chair or using walking aids.
Your gender: Women are more likely to develop OA than men.
Previous joint injury, damage or deformity: This may include previous joint infection, a
previous fracture (break in the bone) around a joint, or a previous ligament injury that caused a joint to become unstable.
Occupation/Sport: Shoulder issues are more prevalent with people who use their arms
above shoulder height in a repetitive or sustained way, especially when heavier loads are
Posture: Becoming stooped and round shouldered puts more stress on the shoulder joint when performing normal movements.

What are the symptoms of osteoarthritis?

  • In some cases no symptoms may occur. Quite a number of people can have X-ray changes that indicate some degree of OA but have no, or only very mild, symptoms.
  • Pain, stiffness, and limitation in full movement of the joint are typical. The stiffness tends to be worse first thing in the morning but tends to loosen up after half an hour or so.
  • Swelling and inflammation of an affected joint can sometimes occur.
  • An affected joint tends to look a little larger than normal. This is due to overgrowth of the bone next to damaged cartilage.
  • If you have bad OA that affects your shoulder, you may have difficulty in putting your clothes on, and using the arm above shoulder height
  • Pain at night may be an increasing problem with advancing OA

Do I need any tests?
Osteoarthritis can often be diagnosed based on your age, your typical symptoms and examination of your affected joints. Tests such as X-rays or blood tests are usually not needed.

What is the outlook for people with osteoarthritis?
The severity of symptoms can vary. In many people, OA is mild and does not make you any
more disabled than expected for your age. However, in some people, the severity of OA and
the disability it causes is out of proportion to your age.

What are the aims of physiotherapy?
The aim of physiotherapy is to increase joint mobility, improve muscle strength and try and
relieve pain.

  • Pain relief:
    • Acupuncture and Dry Needling
    • Soft Tissue Massage
    • Shockwave Therapy
    • EMTT
    • Injection Therapy
  • Longer term rehab:
    • Education
    • Exercise prescription (home exercises, hydrotherapy, gym rehab)

In the most severe cases shoulder surgery is required. We offer a specialist service with regards to the long term rehabilitation following any surgery that is required.
Post-surgical physical therapy varies based on the procedure performed. It may include:

Ensuring your safety as you heal. You will perform specific activities and exercises at the correct time to allow for optimal healing. Restorative and reconstructive options may take several months to heal, with longer precautions.
Aiding motion of the shoulder. After surgery, your shoulder will be sore and swollen, and you may not feel like moving your arm. However, gentle motion is often recommended. Our experience and close working with many orthopaedic surgeons mean that we can choose the best options for recovery and guide you through the process.
Strengthening the shoulder. Due to prior disuse or postoperative pain, your muscles may not be as strong as normal. If the muscle was repaired during surgery, you will have to let it heal for a period of time, and we can let you know what activity is safe to help the healing along.
Relieving your pain. Using hands-on therapies and other modalities, we can help reduce your pain during exercise and daily activities.
Getting back to work and activities of daily living. Returning to work and daily activities may be slow, and your physio will guide you through the process to achieve the best results.

Booking your assessment & consultation couldn’t be easier:

Get In touch

Send a message to us, and we’ll get right back to you

Sue Wooster

Lead Receptionist

Susan (Sue), Receptionist; welcomes clients and co-ordinates appointments.

Sue has been with The Physiotherapy Centre team for a year now, previously 14 years with Portsmouth City Council as Business Support Officer.

In her spare time Sue loves to walk and has completed marathons: Moonlight Walk and Blenheim Palace, Abseiled Spinnaker Tower and did a Tandem 10,000 ft parachute jump; all for good causes.

She works on the adage ‘use it or lose it’ when it comes to physical health.

Every day is different, and meeting so many people and sharing their experiences is a privilege and inspiration.

Prof. Elizabeth Barley


I am a Health Psychologist, Practitioner Psychologist and Registered General Nurse, working in private practice. I am a trained listener, therapist, mindfulness teacher and mentor.

I am a specialist in:

  • Helping people to cope with anxiety, depression, illness and with other life stresses.
  • Helping people to make lasting lifestyle changes.
  • Helping people to live well with illness.

I can help you to:

  • manage troublesome emotions such as depression, anxiety or stress
  • explore the emotional impact of life changes such as illness, disability or loss
  • cope with difficult symptoms, such as fatigue, pain, breathlessness, palpitations, menopause
  • adjust to living with illness, including cancer, long term conditions or health conditions without a clear medical diagnosis
  • make, and stick with, healthy life choices such as eating healthily, exercising and reducing alcohol intake
  • manage your time, work or studies better
  • explore what matters and how to change things for the better

Jeannette Small

MSK & Adolescent Practitioner

Jeannette graduated from Brunel University in 2003. She worked in the NHS for nearly 20 years before joining the team at The Physiotherapy Centre in January 2023. She has experience of assessing and treating a wide variety of MSK conditions in both adults and adolescents (12-18 year olds). She is a member of The Health and Care Professions Council (PH64711), The Chartered Society of Physiotherapists and The Association of Paediatric Chartered Physiotherapists (069415).

Jeannette was a very keen gymnast growing up, she coached for many years and she still loves to throw herself upside down when she gets the chance. She has had physiotherapy treatment following injuries of her own so is very aware of how debilitating it is physically and mentally. She is very aware that activity in childhood is extremely important to ensure good health into adulthood therefore Jeannette is passionate about supporting and guiding her patients back to activity in the safest way possible.

Jeannette has 2 young children so when she’s not working most of her time is spent running around after them. She loves to spend her time with family and friends and she is willing to try her hand at any activities.

Laura Holdway

Community & Home Practitioner

Laura, Community and Orthopaedic Physiotherapist, visits clients in their homes to provide rehabilitation at an early stage and specialises in treating Orthopaedic conditions.

Laura, who graduated from the University of Brighton in 2006, is delighted to return to The Physiotherapy Centre after spending the past 15 years within NHS acute hospitals. Prior to this current role, Laura was a Trauma and Orthopaedic Physiotherapy Team Leader managing a team of 12 people and leading with trauma management for the Trust.

Laura has a long-standing interest in the rehabilitation of those who have suffered a fractured hip as this type of debilitating injury can have such a negative effect on individuals’ lives. She enjoys the challenge of ensuring each client can achieve their optimal outcome and empowering them to take control over their recovery.

Outside of work, Laura enjoys spending time with her family; playing games, baking and going for walks with their cocker spaniel, Teddy. She likes to keep herself fit with different exercise classes and enjoys gardening to relax.

Cameron Hawley

Sports Therapist

Cameron, Sports Therapist, works with injury diagnosis, management and rehabilitation, with sport and non sports based injuries.  Cameron has only just started working with us, before joining us he worked in multiple private clinics, and working as a massage therapist most recently. Alongside this Cameron spent time in the NHS working at Petersfield community Hospital.

Cameron graduated from the University of Chichester with a BSc (Hons) in Sports Therapy, outside of sports therapy Cameron volunteered in the NHS as a non clinical vaccinator and helped with providing covid vaccinations.

Cameron is a keen sports player, playing football in his spare time on the weekend along with other sports like tennis and occasionally golf, alongside training regularly Cam understands the injuries that occur with an active lifestyle and understands how to work around and with these injuries.

Cameron believes in working to make a client happy and healthy within their body and helping teach to develop an understanding of their body and help develop confidence and knowledge to go about life without fear of injury or settling for pain.

hannah gray

Practice Manager

Hannah oversees the day to day running of the Practice with the help of the amazing admin team.

Hannah has been with the company for 7 months and prior to this she spent 5 year as a practice manager in the dental industry. Hannah has completed various courses in customer service and administration and is keen on streamlining business processes.

In Hannah’s spare time she is a Mother of 4 Children and loves days out and trips away with the family.

Hannah enjoys seeing the clients make progress in the centre and believes this is all down to the fantastic therapists we have who put their heart and soul into giving the best possible care.

Patrick sanford

Marketing & Sales Director

Patrick handles all the pretty stuff and things that make people notice us.  He has been with the company for around 10 years now. Prior to that, he spent 20 years as marketing manager at a bakery in Brighton – not putting the holes in the doughnuts! 

To his great surprise Patrick graduated from Luton University with a B.A. in Business & Marketing.  In his spare time, Patrick is a keen mountain biker and enjoys listening to great music (so he says).  He believes that challenges make life interesting, but overcoming those challenges makes life meaningful.

As a final word, Patrick is obsessed with ensuring that all our awesome clients receive the highest level of service and care and safest possible environment.