About Me

Chris set up Movement Perfected with the aim was to bring together like minded professionals with varied and diverse experience to deliver a flexible and highly personalised services.  With a Physiotherapy and Sport and Exercise Science Degree  Chris enjoys using scientific principles to ensure his clients achieve the best results for their bodies in their environment.   He enjoys a diverse caseload and treats dedicated sports people, city workers,  pre and post surgery clients. He has built up a good reputation and referral base with many of London’s top consultants.   Next on the list for Chris is development of the Sport and Exercise Science side of Movement Perfected, including dynamic bike fitting, blood lactate testing and periodised sport programming.   Chris has developed a passion for cycling of all types, in more recent years road cycling.   He will be developing his training blog and you can follow his bike efforts and join the movement perfected strava cycling club here.

Specialist Areas
  • Physiotherapist
  • Sports Scientist
  • Personal Trainer
  • Clinical Pilates Instructor
Marylebone Appointment

Author Blog:

Foot and ankle

Your feet are amazing The average person walks 8,000 to 10,000 steps per day (source from: foot.com). Its phenominal when you think about it. The Foot and Ankle Joint Anatomy The ankle joint is formed by 3 main bones tibia, fibula and talus. The foot has 26 bones, as a result, the foot and ankle contains […]

The Spine Anatomy

The Human Spine The human spine has 33 bones this allows twisting, bending, and rotation And it protects the spinal cord. The spine has 5 regions: Cervical spine: C1-C7 Thoracic spine: T1-T12 Lumbar spine: L1-L5 Sacral spine: S1-S5 Coccyx The spine is an “S” curve: the neck is concave, and the middle is convex, and the […]

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Standing arm series facing out – 2

Setup 2 light springs attached to slider bar with handles, slider bar should be positioned so that springs ar just below armpit level Body Position Standing facing away from the trapeze table, hands holding handles, neutral spine position with body in slight forward lean. Movement/breathing Lunge, exhale to punch one arm forward and simultaneously step […]

Criss Cross

Setup Reformer, legs in straps   Body position Start Criss Cross in supine on the reforemer, knees in table top position and in straps, hands behind the head, elbows wide.  Upper body curled up in chest lift position   Movement/ Suggested breathing Upon exhalation rotate the upper torso to the left draw the left knee […]

Corkscrew

Setup Mat   Body position Start the Corkscrew in supine with knees to chest and arms on mat   Movement/Suggested breathing Stretch the legs towards the ceiling, exhale and roll over into shoulder stand, legs parallel to the mat.  Aim the toes over the right shoulder and begin to roll down the right side of […]

Spread Eagle

Setup Reformer, top slider bar and springs out of the way   Body Position Start Spread Eagle in stand facing away from the tower bar with ankles dorsiflexed and balls of feet against the upright bars; hands are grasping upright bars at lower sternum level with elbow bent to 90 degrees   Movement/ Suggested breathing […]

Hanging Series, Hanging Up Half And Full

Setup Reformer, lambs wool loops (fuzzies) attached to upper bars, for optimal safety non skid on upper bars for hand grip careful spotting when entering and exiting the fuzzies   Body Position Start the Hanging Series with extended arms, hands holding onto the upper horizontal frame of the trapeze table and the feet in the […]

Press Up With Handles

Setup Pilates Chair, 1-2 heavy springs, pedals together handles attached adjusted according to height   Body Position Start the Press Up With Handles with the feet on pedals and heels lifted, standing facing away from the chair, hands holding onto handles   Movement/ Suggested breathing Inhale to prepare, exhale to push body up toward ceiling […]

Leg Circles

Setup Reformer, long straps   Body Position Start the Leg Circles in supine hands with palms down arms at sides one leg extended on mat, other leg reaching toward the ceiling, knees extended or partially flexed torso in neutral   Movement/ Suggested breathing Inhale to circle the raised leg inward toward the body, crossing the […]

Double Leg Kick

Setup Reformer   Body position Start the Double Leg Kick in prone, one hand clasping the other, resting at the low back, elbows aimed toward floor, knees and hips extended. head/neck turned to one side, resting on floor pelvis in neutral   Movement/ Suggested breathing Inhale flex the knees and draw the heels to the […]

Supine 90/90

Setup Long springs with velcro cuffs attached to thighs, light springs with velcro cuffs attached to ankles. Body Position supine arms by sides or holding uprights, knees and hips flexed to 90 degrees Movement/breathing reciprocal leg movement; flex hip and knee of one leg as the other extends maintain spine and pelvis in neutral breathe […]

Upper quadrant neural mobilisation

Setup Tower bar sprung from above with 1-2 light springs Body Position supine head at end with tower bar, tower bar at level of mid sternum, one hand grasping bar knee of active side flexed Movement/breathing practitioner is on opposite side of clients active side, practitioner places arm under client’s head with hand under the […]

Seated Pulldown

Setup Tower bar sprung from above with two light springs, short box under feet, depending on length of legs. Body Position sitting on side of table midway from the ends shoulder externally rotated elbow flexed hand on tower bar palm up Movement/Breathing exhale to pull tower bar down, allowing elbow to further flex and move […]

Dolphin

Set up Long springs with loops form head of table, attached to top or sliding cross bar Body position supine, hands holding onto uprights feet in loops Movement/Breathing Begin by hinging at hips and while maintaining some tension on spring articulate spine up into shoulder stand. flex knees and extend hips and spine until toes […]

Tendon Stretch

Set up 2 Light springs on the highest notch Body Position Seated on chair seat with balls of feet on pedal hands on chair seat beside thigh, press pedal down and stand onto pedal knees extended with legs parallel and feet together curl spine into C curve as much as possible keep eyes directed toward […]

Push Up

Body Position Standing, legs parallel, touching Movement/breathing Exhale to roll forward, pulling the abdominals in and up, until the hands come to the floor or the fronts of the legs. avoid letting the weight shift over the heels on the way down, walk the hand out on the floor until in a push up position. […]

Twist

Setup Side sitting, one hand on the floor. legs to side, top foot over bottom Body Position With an exhalation, lift the hips and reach the top arm over the head. contract the abdominals and rotate the torso forward reaching the arm under the torso. spiral through the ribs as the hips reach toward the […]

Saw

Body position Sitting legs extended forward slightly abducted hands resting to the sides. Movement/Breathing Reach the fingers and arms out to the sides widening across the chest and between the scapulae. Exhale rotate the torso and begin to flex forward at the waist as the front hand reaches to the outside of the opposite foot. […]

AC Joint Stabilisation

Indication for Surgery Acute trauma, the acromioclavicular (AC) joint dislocated after ongoing problems post shoulder injury (Lu et al., 2014)   Function: The AC joint is supported by both, capsular and strong ligaments and muscles attaching to it (Keener, 2014). Movement of the AC joint includes rotation, elevation and translation.   Common reasons: Usually indicated […]

Shoulder Impingement

65% of shoulder pain attributed at least in part to impingement. The results of surgical impingement are actually comparable to those of conservative management. In the long term up to ⅓ of patients are left with persistent pain and disability. Function: As the am is moved away from the body, movement actually occurs between the […]

Trapezius Trigger Point

The trapezius muscle is located in the upper shoulder. Trigger points may refer pain both in the local area and/or to other areas of the body.  Trigger points are like small blisters under the skin and when a muscle becomes tight the trigger points can be painful to touch and more prominent.   Function: The […]

Bankart Lesion

Bankart (fragment of the glenoid bone breaks off or a labral tear) or Hill-Sachs (impression fracture of the humeral head) lesions are usually associated with an anterior shoulder dislocation (Horst et al., 2014). They may occur together, though not always necessarily. Anterior shoulder dislocation is the most common direction, with the majority of patients being […]

SLAP Lesion

A slap lesion describes a damage/injury/pathology to the superior anterior posterior (SLAP) labrum in the shoulder joint (Schroder et al., 2017).       Function: The shoulder joint is considered a ‘ball and socket’ joint. The socket is somewhat deepened by a circumferential rim of fibrocartilage which is called the glenoidal labrum. A “SLAP tear […]

Shoulder Instability

Shoulder instability refers to when the capsule and ligaments supporting the shoulder joint are loose, enabling the bones forming the joint to move excessively on one another.     Function: The shoulder joint is a ball and socket joint, with the ball (= head of the humerus) being rather big for the socket (= glenoid […]

Rotator Cuff Tendinopathy

The shoulder is a joint, where movement has to be precisely coordinated, as it is a muscle-stabilized joint (with a big ball and small socket as joint partners) (Muffalli, 2012). Function: Rotator cuff tendinopathy refers to dysfunction within one or more of these tendons. Patients present themselves with reduced range of movement, pain and weakness […]

Rotator Cuff Tear

The shoulder is a joint, where movement has to be precisely coordinated, as it is a muscle-stabilized joint (with a big ball and small socket as joint partners) (Muffalli, 2012). Most tears occur in the supraspinatus muscle, but other parts of the cuff may be involved.   Function: The rotator cuff in the shoulder refers […]

Rotator Cuff Sprain

The shoulder is a joint, where movement has to be precisely coordinated, as it is a muscle-stabilized joint (with a big ball and small socket as joint partners) (Muffalli, 2012).   Function: The rotator cuff in the shoulder refers to a group of four muscles, which run from the shoulder blade to the top of […]

Osteolysis Distal End of Clavicle

Although generally found in active young men, this condition becomes increasingly common in women, as the popularity of bodybuilding and extreme athletics rises (DeFroda et al., 2017).   Function: Osteolysis of the distal clavicle (ODC), a condition in which the collarbone slowly breaks down and dissolves, causing pain, instability, and reduced mobility and strength.   […]

Occupational Overuse Syndrome

Occupational overuse syndrome is an umbrella term for a range of conditions which cause discomfort or persistent pain in muscles, joints, tendons, nerves and soft tissues.  Occupational Overuse Syndrome (OOS) was previously referred to as Repetitive Strain Injury (RSI) and is increasingly being referred to as Gradual Process Injury (GPI). An occupational overuse syndrome is […]

Levator Scapulae Syndrome

The levator scapulae syndrome refers to pain arising from the levator scapulae muscle which attaches to the top of the shoulder blade in the upper back. This can be part of a myofascial pain syndrome (MPS) with palpable myofascial trigger points in palpable bands of the skeletal muscle (Cerezo-Tellez et al., 2016). Function: The levator […]

Dislocation/Subluxation of the Shoulder

A dislocation of the shoulder joint refers to when the top of the arm bone comes out of and stays out of its socket. All in all 50% of joint dislocations affect the shoulder (glenohumeral) joint (Alkaduhimi et al., 2016). Common reasons: Classic shoulder dislocation usually occurs through an impact on the abducted, externally rotated […]

Mallet Finger

A mallet finger is where the end of a finger is bent (flexed) towards the palm and cannot straighten = loss of extensor mechanism at the distal interphalangeal (DIP) joint, also commonly known as “baseball finger” or “drop finger” (Alla, Deal and Dempsey, 2014). Function: Mallet finger is an injury of the extensor tendon, so […]

Benefits of Acupuncture

To obtain the full benefit of acupuncture as a treatment approach one must then consider the pathology of any given condition under treatment, to clinically reason the use of the modality. The Path of Pain Any soft-tissue injury to the body will trigger a local inflammatory response within the damaged tissues. Inflammation, being the body’s […]

Pain

Understanding Pain    

Medial Collateral Ligament Injury

Injuries of the MCL usually occur in contact sports such as football, rugby, martial arts, skiing and in daily life through twists and falls of the knee joint. A mild MCL strain should heal within 3 to 6 weeks; a complete rupture (grade 2 to 3) up to 12 weeks.   Function: The inside of […]

Lateral Collateral Ligament Injury

A lateral collateral ligament injury refers to a tear in the ligament which runs down and supports the outer aspect of the knee joint. The lateral collateral ligament is injured when it is overstretched.   Function: Importance of the lateral collateral ligament is the maintenance of the knee stability. The LCL is biomechanically and anatomically […]

Iliotibial Friction Syndrome

The iliotibial band is a reinforcement of the tensor fascia lata muscle, coming from the hip, going all the way down the thigh, attaching at the outside side of the knee. Pain usually occurs when running downhill or on the same surface over a longer period of time. Through the constant rubbing of this band […]

Fracture of Tibial Plateau

A fracture of the tibial plateau refers to a break in the top of the shin bone (tibia) just below where it joins with the thigh bone to form the knee joint.   Common reason: The tibial plateau may be fractured following a direct blow to the knee joint or as a result of a […]

Fat Pad Impingement or Hoffa Syndrome

Also known as “Hoffa’s syndrome”, fat pad impingement refers to the fat pad in the front of the knee joint becoming pinched between the kneecap (Patella) and the underlying leg bone.   Function: The fat pad (Hoffa fat pad) is an intracapsular but extrasynovial structure in the knee joint and helps to maintain integrity of […]

Dislocation of Patella (kneecap)

Dislocation of the patella refers to when the kneecap (patella) moves out, and stays out of its normal position in the grove of the thigh bone. There are two forms of dislocation: acute traumatic dislocation and habitual dislocation.   Function: Primary function of the patella is during knee extension, as the patella is functioning as […]

Osgood Schlatter Disease

Osgood Schlatter’s disease refers to an injury to the bone growth plate in the shin bone (tibia) just below the knee cap, which occurs in younger athletes. It is more a condition than disease.   Function: The large muscle on the front of the thigh (quadriceps) attaches to the shin bone via the patellar tendon. The […]

Osteoarthritis of the knee

Function: Osteoarthritis (OA) is a disease which affects the joints in the body. The surface of the joint is damaged and the surrounding bone grows thicker. OA of the knee causes joint damage and swelling (inflammation) making it painful to move the knee. Common reason: Many factors seem to increase the risk of osteoarthritis developing […]

Osteochondral Lesion/Osteochondritis Dissecans

Osteochondral lesions or osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow; this leads to loose bodies within the joint.   Common reasons: It occurs can occur when there already is an injury to the joint, for example a badly twisted knee, […]

Patella Tendinopathy

Often referred to as ‘jumper’s knee’, Patellar Tendinopathy refers to pain within the tendon which lies just below the kneecap (patella). Patellar tendinopathy is a common injury in sports predominantly involving jumping and landing, and results from overuse of the patellar tendon.   Function: The function of the patellar tendon is to transmit forces produced […]

Patella tendon rupture

Patella tendon rupture refers to a complete tear of the tendon which joins the kneecap (patella) to the shin bone (tibia).  It is the third injury in frequency of knee tendon ruptures (Rosso et al., 2016)   Function: The function of the patellar tendon is to transmit forces produced by the thigh muscle to the […]

Pelligrini Stieda Syndrome

The medial collateral ligament runs down the inner aspect of the knee. Pellegrini-Stieda syndrome refers to an injury and calcification of the medial collateral ligament where it attaches to the thigh bone.   Function: The inside of the knee is a complex of one large ligament, the MCL and and parts of the thickening joint […]

Pes Anserinus Tendinopathy

Pes anserinus tendinopathy refers to dysfunction within the tendons which attach to the inside of the lower leg just below the knee joint.   Function: The function of these tendons is to transmit forces produced by three inner thigh muscles and control movement of the knee joint.   Common reasons: Common reasons are overweight, biomechanical […]

Popliteus Tendinopathy

Popliteus tendinopathy refers to dysfunction within the popliteus tendon which lies to the outside of the back of the knee joint.   Function: The function of the popliteus tendon is to control movement of the knee joint. The popliteus muscle runs at the back of the knee from the lateral (outside) condyle of the femur […]

Posterior cruciate ligament

Function: The posterior cruciate ligament lies deep in the knee and prevents posterior movement of the shin bone on the thigh bone, which makes it an essential stabilizer of the knee (LaPrade et al., 2015).   Common reasons: The PCL is most commonly injured when the knee is hyperextended or, in other words, bent backwards. […]

Posterior lateral corner

Posterior lateral corner (PLC) injury describes damage to static and dynamic stabilisers located around the back outer portion of the knee;   Function: The structures of the posterior lateral corner are responsible for posterolateral stabilization of the knee. It is made up of the lateral collateral ligament, popliteus muscle tendon and the popliteofibular ligament (Riva, […]

Pre-patellar bursitis

Also known as “housemaid’s knee”, pre-patellar bursitis refers to inflammation and swelling of the bursa located between the kneecap (patella) and overlying skin. Function: A bursa is a fluid filled sac which allows adjacent tissues to slide over one another without friction; the pre-patellar bursa is located superficially on the anterior aspect the knee between […]

Siding- Larsen- Johansson Disease

Siding- Larsen- Johansson syndrome shows a ismilar pathogenesis to the Osgood- Schlatter syndrome, with the two syndromes sometimes occur simultaneously (Valentino, Quiligotti and Ruggirello, 2012). It refers to an injury to the bone growth plate at the bottom of the knee cap which occurs in younger athletes. Function: The large muscle on the front of […]

The synovial plica syndrome

The synovial membrane encloses the knee joint and acts to secrete fluid into the joint, which provides nutrition and frictionless movement.   Function: The synovial plica refers to a fold in the synovial membrane, which can produce knee pain when irritated. The synovial plica is found along the inside border of the knee cap. It […]

Patellofemoral Pain Syndrome

Patellofemoral syndrome refers to pain arising from the joint between the kneecap and the underlying thigh bone. Other names for this condition include Patellofemoral pain syndrome, Chondromalacia Patellae and Runner’s knee.   Patellofemoral syndrome most often results from overuse of the knee Patellofemoral pain syndrome (PFPS), or runner’s knee, is common amongst runners.   Function: […]

Hammer Toe

A hammertoe is a deformity of the proximal interphalangeal joint of the second, third, or fourth toe causing it to be permanently bent, resembling a hammer   Common reasons: Injury most frequently results from wearing poorly-fitting shoes that can force the toe into a bent position, such as excessively high heels or shoes that are […]

Ingrown Toenail

An ingrown toenail occurs when part of the nail penetrates the skin, which can often result in an infection.   Common reasons: Injury is caused as the side of the nail penetrates deep and it is difficult to see the edge of the nail which causes pain. Poor cutting of the nail is most commonly […]

Lisfranc joint injury

The Lisfranc joint refers injury to the base of the toe joints that forms joints with the 4 small middle foot bones. Common reasons: Injury is caused when an axial load is applied to a foot in a plantar flexed (foot pointed) the classic mechanism is falling out of the stirrups whilst riding a horse. […]

Midtarsal Joint Sprain

Quite commonly midtarsal joint sprains are misdiagnosed as ankle sprain (Won et al., 2016). Function: The midtarsal joints are situated in the middle foot region.   Common reasons: Injury occurs when the middle portion of the foot is stretched beyond its normal range of motion this can happen with quite dynamic activities involving jumping or increased […]

Mortons Neuroma

Mortons neuroma describes a compression injury to a nerve between the metatarsals (long bones that form base of toes-common between the 3rd and 4th metatarsal); it mainly affects middle aged women (Jain and Mannan, 2013). Common reasons: This injury occurs because of aberrant foot biomechanics and alternatively tight shoes can be a factor.   Treatment: […]

Osteoarthritis Metatarsophalangeal joint (Big Toe)

The second most common pathology in the big toe after hallux valgus it degenerative arthritis in the metatarsophalangeal joint (Gordon and Singh, 2014). Common reasons: Main reasons described in literature are: tight footwear, tight achilles tendon, trauma, elevated first ray, pes planus (flat foot) and hallux valgus to name some (Gordon and Singh, 2014). Osteoarthritis […]

Plantar Fascia Pain

Plantar fasciitis or plantar fascia pain makes up 10-15% of foot symptoms in adults (Tahririan et al., 2012); 8-10% in runners and 1% in of all referred orthopaedic patients. Function: The plantar fascia, also called the deep fascia of the sole, is triangularly shaped and stretches from the calcaneus to the toes. It is also […]

Retrocalcaneal Bursitis

Function: The retrocalcaneal bursa is located between the Achilles tendon and the heel bone. The bursa is like a water balloon that lubricates between the tendon and the bone to reduce friction. Common reasons: Injury occurs when the bursa is excessively irritated which may be due to tight shoes or tight calf and Achilles or […]

Sesamoiditis

Sesamoiditis can be a chronic and disabling problem with not clear origins and sometimes hard to identify (Sims and Kurup, 2014).   Function: Appearance of sesamoid bones or ossicles found in the foot show a big variety in appearance and prevalence. Sesamoiditis is more commonly seen with high arches that cause a person to exert […]

Sever’s Disease or Calcaneal Apophysitis

Sever’s disease refers to injury of a young athlete’s heel at the growth plate (at a young age the end of the bone has not fully fused this is called the growth plate). Usually aged between 8-15 years (James, Williams and Haines, 2013).   Function: An apophysis is a normal  growth plate in human bones, […]

Sinus Tarsi Syndrome

Patients and athletes who complain about consistent discomfort in their anterolateral ankle may have come to develop a sinus tarsi syndrome (STS). Function: The sinus tarsi is the bony canal that is formed between heel bone (calcaneus) and the bone directly above it (talus). The bony canal is held together by ligaments and sinus tarsi […]

Stress Fracture Cuneiform

The cuneiform is a small bone in the midfoot, a stress fracture is like a small crack in the bone. Stress fractures in the foot and ankle can affect athletes of all levels (Mayer et al., 2014). Function: The cuneiform is part of the tarsals of the human foot, building the midfoot.   Common reasons: […]

Stress Fracture of the Calcaneus

Function: With the calcaneus being the biggest bone in the foot, it has a major role in biomechanics (Dhillon, 2013). The calcaneus functions as a vertical support for one’s body weight, providing support for and maintaining the lateral column of the foot. Common reasons: Stress fracture of the calcaneus (heel bone) can occur due to […]

Stress Fracture of the Calcaneus

Function: With the calcaneus being the biggest bone in the foot, it has a major role in biomechanics (Dhillon, 2013). The calcaneus functions as a vertical support for one’s body weight, providing support for and maintaining the lateral column of the foot. Common reasons: Stress fracture of the calcaneus (heel bone) can occur due to […]

Stress Fracture of the Metatarsal (toe)

According to literature a stress fracture of the 2nd metatarsal is the most common one in athletes (Chuckpaiwong et al., 2009).   Function: Metatarsals are the long bones of the foot forming the base of the toes.   Common reasons: Stress fractures can occur due to poor foot biomechanics and excessive load. When this occurs […]

Stress Fracture of the Navicular

Function: The navicular is part of the tarsals of the foot and is located on the inside part of the foot. When a stress fracture occurs, a small crack in the bone appears due to overloading, in example when training excessively. 90% of all stress fracture occur in the lower limb (Robertson and Wood, 2017). […]

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome affects the tibial nerve or parts of its branches (Fantinio, 2014). Tarsal tunnel syndrome is one of the most common reasons for heel pain.   Function: The tarsal tunnel is a fibrous osseous tunnel situated posteriorly and inferiorly to the medial malleolus; with the tendons of the flexors of the foot, posterior […]

Tibialis Anterior Tendon Injury

Tibialis anterior is the large muscle that runs down the outside of the shin, its tendon can be felt at the front of the ankle. Function: Tibialis anterior is responsible to dorsiflex (lift the foot up) and supinate (turn it inwards) the foot including the extension of the toes.   Common reasons: Injury can occur […]

Tibialis Posterior Tendon Injury

The tibialis posterior tendon runs behind the inner bone of the ankle; an injury or dysfunction of this muscle leads to loss of strength and and the collapsing of the medial arch of the foot; affecting biomechanical disorders such as plantar drop (of the talus and other secondary deformities) (Guelfi et al., 2017). Function: Tibialis […]

Turf Toe

Turf toe presents as pain at the base of the big toe, located at the ball of the foot. Generally it describes a sprain of the first metatarsophalangeal joint (George et al., 2014).   Common reasons: The condition is caused from either jamming the toe, or pushing off repeatedly when running or jumping.  The most […]

Cauda Equina Syndrome

Suffering from an acute cauda equina syndrome is an uncommon, but neurologically very significant pathology; an anatomical compression of nerve roots, usually caused by a lumbar disk hernia, is a common cause in the western population (Panos et al., 2016). Being a bundle of nerve, it is called after a horse’s tail, to which it […]

Degenerative Disc Disease

A degenerative disc is given when the intervertebral disc (pillow between the spinal bones) fluid content decreases and the spinal structure loses in height. Flexibility in the spine is essential to perform the movements our daily lives demand. At birth, 80% of the human disc is composed by water, which is essential in order to […]

Lumbar Radiculopathy

Radiculopathy, or sciatica, is describing a radiating leg pain as far down as below knee level with development of neurological deficits (Iversen et al., 2015). Radiculopathy is the name of all the symptoms that might arise from a nerve root pathology in general. Whereas, radicular pain and nerve root pain are describing a symptoms from […]

Lumbar Stenosis

Lumbar stenosis (narrowing of the spinal canal in the lower back) is one of the most common causes for spine-related disability and one of the main reasons for spinal surgery in older adults (Friedly et al., 2014).   Common reasons: Primary stenosis is a congenital condition; secondary stenosis can have several possible causes, such as […]

Spinal Stenosis

Stenosis in general is the description of a degenerative change in the anatomical spinal size. Similar to patients with disc herniations, severe stenosis can be completely asymptomatic (Genevay and Atlas, 2010). Spinal stenosis is caused by narrowing of the spinal column or the openings where the spinal nerves pass out of the spinal column. This […]

Scoliosis

Scoliosis is another word for spinal deformity and was firstly described by Hippocrates (ancient Greek times) who also tried to treat and cure the disfuncion with applying a specially designed distraction apparatus (Newton et al., 2011). Degenerative scoliosis affects up to 68% of adults older than 70 year and is a common cause for pain […]

Postural Syndrome

Postural syndrome describes lower back pain, experienced when normal soft tissues are presented with a prolonged period of static loading in an end of  range position (Wise, 2015). Function: Postural syndrome usually results in a loss of extension ability in the spine (Wise, 2015). Ergonomic stressors such as repetitive motion, heavy liftin, non-neutral postures and […]

Lumbar Disc Dysfunction

A lumbar disc herniation is one of the most common spinal degenerative disorders, often leading to low back pain and radicular leg pain (Yang et al., 2015). 7% in low back injuries are disc injuries; Discogenic pain typically increases with sitting, bending, coughing, sneezing, or activities that compress the disc. Interestingly, there is also a […]

Lumbar Instability

Lumbar spinal instability is frequently referred to in clinical practice and literature; however, there is no real standard of definition or validated radiographic test (Hipp et al., 2015). Function: Lumbar Instability refers to the inability of the stabilising muscles of the spine to perform their role effectively in providing support and strength to the vertebral […]

Lower Back Pain

Lower Back Pain Physiotherapist at Movement Perfected are specially trained working alongside and referred to by some of London’s finest Back Pain consultants.   Each week we review our process and procedure as a team keeping up to date with the latest research to help you achieve the best results possible.   Physiotherapy at Movement Perfected will […]

Excessive Lordosis

The lumbar lordosis is the anatomically normal shape of the lumbar shape. There is a huge difference between age, sex, total lumbar lordosis and the individual mobility each patient shows (Dreischarf et al., 2014). Common reasons: In case of being excessive it can cause back, hip and leg pain and may be causing other imbalances […]

Degenerative Facet Joint

Function: The purpose of a facet joint is to facilitate the articulation of the vertebrae of the spinal column (Jaumard, Welch and Winkelstein, 2011). In each spinal segment are two facet joints; Common reasons: Degeneration of a facet joint occurs when the thin layer of cartilage covering the facet joints breaks down, causing inflammation and […]

Trochanteric Bursitis

Trochanteric bursitis refers to inflammation and swelling of the bursa located between the point of the hip (trochanter) and the overlying gluteal muscles. In literature it is described as a self-limiting disorder in the majority of patients (Lustenberger et al., 2013). Function: A bursa is a fluid-filled sac which allows adjacent tissues to slide over […]

Gluteus Medius Tendinopathy

Gluteus Medius tendinopathy refers to damage to the tendon on the outside of the thigh as it inserts into the bone. This condition is associated with significant pain and disability (Lee et al., 2016).   Function: Gluteus Medius lifts the leg out to the side or when standing on the leg, raises the pelvis on […]

Hip Flexor Strain/Iliopsoas Syndrome

A hip flexor strain refers to a tear within the hip flexor muscles group, the  iliopsoas being the most common one involved. Often a hip flexor strain goes hand in hand with an adductor strain in the hip (Tyler, Fukunaga and Gellert, 2014). Function: The two powerful main hip flexors are iliopsoas (consisting of Iliacus […]

Hip Joint Injury

A hip joint injury refers to an overstretching injury to the hip joint and its supporting structures. Common reasons: It can result from moving the hip joint too far. This can overstretch the structures supporting the joint. These structures include the surrounding joint capsule which holds the fluid within the joint and the ligaments which […]

Iliopsoas Bursitis

Disorders of the iliopsoas muscles can lead to severe groin pain in the active and athletic population (Anderson, 2016). Function: The two powerful main hip flexors are iliopsoas (consisting of Iliacus and Psoas Major muscle) and rectus femoris, which is one of the four quadriceps muscles. Common reasons: Acute trauma, overuse, biomechanical imbalance and intraarticular […]

Lateral Tear of the Hip

The hip joint is a ball and socket joint, around the rim of the socket is a labrum. The labrum is a cartilaginous ring around the socket and improves the stability of the hip.   Function: The hip labrum has the same function like the glenoid labrum in the shoulder. The labrum covers the rim […]

Osteoarthritis of the hip

Osteoarthritis (OA) is a disease which affects the joints in the body. The surface of the joint is damaged and the surrounding bone grows thicker. In England nearly 2,5 million people are affected by it (Aresti, 2016).   Common reasons: OA of the hip causes joint damage and swelling (inflammation) making it painful to move […]

Perthes Disease

Perthes’ disease is a condition where the top of the thigh bone (the femoral head) softens and breaks down; it is a relatively common childhood pathology, affecting 10,8 in 100 000 children.   Common reason: It occurs in some children and causes a limp and other symptoms. The bone gradually heals and reforms as the […]

Slipped Capital Femoral Epiphysis

A slipped capital femoral epiphysis is a separation of the ball of the hip joint from the thigh bone (femur) at the upper growing end (growth plate) of the bone in an immature hip. Recent research has shown, that a connection with obesity in children is a strong risk factor to suffer from SCFE (Novais […]

Snapping Hip

As the name suggests, snapping hip refers to a condition which produces a snapping noise in the hip which is usually palpable as well (Yen, Lewis and Kim, 2015). Function: Snapping hip, also referred to as coxa saltans, is divided into external and internal types and is caused laterally by the iliotibial band and anteriorly […]

Stress fracture of the neck of the femur

A stress fracture of the neck of the femur (thigh bone) is an incomplete fracture or crack within the top of the thigh close to where it attaches to the pelvis. Function: In order to maintain a healthy bone structure, bone turnover is essential; bone turnover involves the removal of weakened, damaged areas of bone […]

Stress Fracture of Pubic Ramus

A stress fracture is also known as fatigue fracture of bone caused by continuous submaximal stress (Behrens et al., 2013).   Function: In order to maintain a healthy bone structure, bone turnover is essential; bone turnover involves the removal of weakened, damaged areas of bone and the laying down of new bone at the same […]

Trochanteric Bursitis

Trochanteric bursitis refers to inflammation and swelling of the bursa located between the point of the hip (trochanter) and the overlying gluteal muscles. In literature it is described as a self-limiting disorder in the majority of patients (Lustenberger et al., 2013).   Function: A bursa is a fluid-filled sac which allows adjacent tissues to slide […]

Articular Cartilage Damage

Articular cartilage damage refers to an injury to the cartilage lining the joint surfaces of the bones within in the knee joint. Cartilage damage can develop due to trauma, resulting from chondral or osteochondral defects or simply because of the natural degenerative process due to age (Brittberg et al., 2016), which is referred to as […]

Biceps Femoris Tendinopathy

Of all of the hamstring muscle group the biceps femoris muscle is the most commonly injured muscle in sports, especially requiring interval sprinting (Dolman, Verrall and Reid, 2014). Biceps femoris tendinopathy refers to dysfunction within the biceps femoris (Hamstring) tendon located at the back of the knee. Function: The function of the biceps femoris tendon […]

Hip Impingement

Hip impingement also known as Femoral Acetabular Impingement (FAI) is the clinical term for abnormal contact between two joint partners (Hendry et al., 2013). It may occur within the joints of the human body when the biomechanic of the joint is disturbed through biomechanical disbalance, injury/trauma or simply the ageing process of the structures.   […]

Personal Training in Marylebone and Moorgate

Personal Training in Marylebone and Moorgate To book your personal training call 02035533663 and begin the change Tailored programs delivered in a fun and motivational environment to achieve your goals in the most efficient way. We’ll focus on the details to get the most out of every exercise. Movement Perfected, 3 Spanish Place, W1U 3HX [huge_it_maps […]

Pilates

Pilates Pilates experts with background in Physiotherapy and Sport and Exercise Science – making us ideally placed to rehabilitate injuries, reduce the chance of them happening and improve movement for every day or sports performance. Book your Induction Induction is an assessment with our experts.  It will involve a medical history and movement tests to […]

Notes and Admin

Physiotherapy Notes Questionnaire MSK Initial  SOAP Notes Pilates Exercises Sheet Acupuncture Form  Functional Movement Screen  Work Fit Bike Fit   Email Marketing Lists  All Consultants  Sports Consultants Ankle and Foot Consultants Knee Consultants  Hip Consultants  Back and Neck Consultants  Shoulder Consultants  Elbow hand and wrist Consultants  Client Management Client Initial Questionnaire  Pre Pilates Questionnaire Standing […]

ASD/ACJ Excision

This is indicated when an inflammatory process or scuffing on the under surface of the acromion, coracoacromial ligament and on the bursal side of the rotator cuff (i.e. presence of impingement). Usually this intervention is grouped into subacromial decompression only and subacromial decompression with rotator cuff repair (Judge et al., 2014).   Function: The AC […]

Biceps Tenodesis

Function: Biceps is commonly known as the flexor of the elbow and supinator of the forearm ; biomechanically he is also a depressor of the humeral head (Cofield and Sperling, 2010). Some research also says it is a stabilizer of the shoulder joint.     Common reasons: This can especially be an efficient treatment method […]

Capsular Shrinkage/ Capsular Plication

This procedure is used in case of: atraumatic instability, as part of a Bankart repair for traumatic instability or for internal impingement (Thrower’s shoulder).   Function: Capsular shrinkage causes restricted movement, although, when intact, it is very thin and does not contribute to the stability in the shoulder joint- capsule tensioning is usually indicated by […]

Fracture Shoulder Replacement

Function: The humeral head is the “ball” part of the socket and ball joint; in case of a severe injury, the humeral head can be replaced by an artificial head and the glenoid (socket part) by an artificial socket in order to regain mobility in the shoulder joint and to guarantee healing (Walch and Boileau, […]

Reverse Shoulder Replacement (Delta 3):

Function: The humeral head is the “ball” part of the socket and ball joint; in case of a severe injury, the humeral head can be replaced by an artificial head and the glenoid (socket part) by an artificial socket in order to regain mobility in the shoulder joint and to guarantee healing (Walch and Boileau, […]

Rotator Cuff Repair

The arthroscopic repair of the rotator cuff has shown good long-term results; including many factors, patient and surgeon related, which influence the outcome and healing after the surgery (Abtahi, Granger and Tashjian, 2015). Function: Rotator cuff tendinopathy refers to dysfunction within one or more of these tendons. Patients present themselves with reduced range of movement, […]

Shoulder Fracture Fixation

Proximal humerus fractures are most common in elderly population following a fall, or in younger patients after a traumatic accident (Jo and Gardner, 2012).    Function: The shoulder joint is a ball (humeral head) and socket (glenoid fossa of the shoulder blade) joint. The shape of this joint allows a wide range of movement, similar […]

Cervical Stenosis

Cervical stenosis is a narrowing of the spinal canal in the cervical region ( C1-C7). It compresses the nerve roots where they leave the spinal cord. The symptoms of cervical stenosis are head-neck-shoulder pain caused by the degeneration of the disc and instability.. This form of spinal stenosis is more dangerous than lumbar spinal stenosis. […]

Movement Perfected Cycle Club

Join the – Movement Perfected Cycle club  The movement perfected cycle club is a club that uses strava to posts rides and cycling tips for its members.   A club that will help you enjoy cycling that little bit more.  Its free to join, just click on the link above and follow us on Strava. This weeks Movement […]

Physiotherapy London Clinics Movement Perfected

  Evidenced based Physiotherapy Treatment to optimise recovery and build up resistance against recurrence. Our Physiotherapy Plan After contact you will be sent a questionnaire regarding your injury to help our team of expert physios to build a detailed clinical picture. This important step will only take a few moments and will help inform our first […]

Anna Oberaigner Physiotherapist

After working in physio and the sports industry for over a decade I decided it was time to set up Movement Perfected, the aim was to bring together likeminded professionals with varied and diverse experience to ensure that we could deliver a flexible and highly personalized services to meet the needs of a broad client base.

Marylebone high street

Movement Perfected is located near Marylebone high street [huge_it_maps id=”16″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Marylebone Physiotherapy Clinic is just behind Marylebone high street on  Spanish Place a small road leading off Manchester square and next to […]

Baker Street

Movement Perfected is located near Baker Street [huge_it_maps id=”15″]   Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Marylebone Physiotherapy Clinic is just behind Marylebone high street on  Spanish Place a small road leading off Manchester square and next to […]

Mayfair

Movement Perfected is located near Mayfair [huge_it_maps id=”14″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Marylebone Physiotherapy Clinic is just behind Marylebone high street on  Spanish Place a small road leading off Manchester square and next to the Wallace […]

Oxford Street

Movement Perfected is located near Oxford Street [huge_it_maps id=”13″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Marylebone Physiotherapy Clinic is just behind Marylebone high street on  Spanish Place a small road leading off Manchester square and next to the […]

Marylebone

Movement Perfected is located near Marylebone [huge_it_maps id=”12″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Marylebone Physiotherapy Clinic is just behind Marylebone high street on  Spanish Place a small road leading off Manchester square and next to the Wallace […]

City of London

Movement Perfected is located near City of London [huge_it_maps id=”11″] [huge_it_maps id=”5″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Moorgate clinic, right in the heart of the Square Mile is only a few minutes walk from either Moorgate and Liverpool […]

Bank

Movement Perfected is located near Bank [huge_it_maps id=”10″] [huge_it_maps id=”5″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Moorgate clinic, right in the heart of the Square Mile is only a few minutes walk from either Moorgate and Liverpool Street station […]

Aldgate

Movement Perfected is located near Aldgate [huge_it_maps id=”9″] [huge_it_maps id=”5″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Moorgate clinic, right in the heart of the Square Mile is only a few minutes walk from either Moorgate and Liverpool Street station […]

Farringdon

Movement Perfected is located near Farringdon [huge_it_maps id=”8″] [huge_it_maps id=”5″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Moorgate clinic, right in the heart of the Square Mile is only a few minutes walk from either Moorgate and Liverpool Street station […]

Liverpool street

Movement Perfected is located near Liverpool street [huge_it_maps id=”7″] [huge_it_maps id=”5″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Moorgate clinic, right in the heart of the Square Mile is only a few minutes walk from either Moorgate and Liverpool Street […]

Monument

Movement Perfected is located near Monument [huge_it_maps id=”6″] [huge_it_maps id=”5″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Moorgate clinic, right in the heart of the Square Mile is only a few minutes walk from either Moorgate and Liverpool Street station […]

Holbourn

Movement Perfected is located near Holbourn [huge_it_maps id=”5″] Services Make an appointment Covered by all Major Health Insurers How to see us using your health insurance. How to find us Our Moorgate clinic, right in the heart of the Square Mile is only a few minutes walk from either Moorgate and Liverpool Street station and tubelines. […]

Physiotherapy London Wall

Movement Perfected Physiothearpy London Wall – EC2 Physiotherapy London Wall is provided by our expert team of Physiotherapist alongside Clinical Pilates, Personal Training, Sports Massage, Acupuncture and Bike Fitting.  Links to each of these and our teams profiles can be found on this page; Services       Make an appointment Covered by all Major […]

London Bridge

Movement Perfected is located near London Bridge [huge_it_maps id=”3″] The Team Christopher Pettit Elinor East Anna Oberaigner Thanh Tran We’re proud of our team have a look at what they get up to….  Follow us on Instagram movement_perfected 

Broadgate Clinics

Broadgate Clinics Movement Perfected’s home in Moorgate is within the Broadgate Clinics.   This clinic provides many other excellent services; Broadgate GP Broadgate Spine and Joint – Chiropractic, Osteopathic, Sports Massage Movement Perfected –   Physiotherapy , Personal Training and Pilates     Call 020 7638 4330 Dr Hannes Uys and his team are a […]

How to train your gut to win your marathon?

This Article is written by our expert colleague Simone Faby.  Simone is a Registered Nutritional Therapist BSc (Hons).  You can book an appointment or make contact with her at www.nutritionspace.co.uk   Have you found yourself with digestive discomfort undermining your chances to run your best marathon? Optimum digestive function depends on the composition of the […]

Medical links

We work closely with consultants and other Allied health professionals to ensure the best results for our clients.  If an onward referral is best we provide all the detail needed to ensure the process is smooth and results in the best possible outcome. Broadgate Clinics Most close to home are Broadgate clinics,  a team we […]

Jobs at Movement Perfected

Movement Perfected Physiotherapist Positions Available Exciting vacancy at Movement Perfected for a Rehabilitation Physiotherapist.  Movement Perfected is a growing MSK private practice clinic in the City and West End of London.  The position is ideal for a clinician with a keen interest in Exercise Rehabilitation.   A dynamic physiotherapist with at least 5 years experience. […]

Journal Club

Online journal club for Physiotherapists and Health Professionals. The club is used to pool resources, increasing knowledge, providing evidence of CPD and improving practice.  As a group we aim to identify the most relevant and high quality studies to improve our clinical practice.  Every journal reviewed is circulated to every member of the club.  In […]

Google Reviews

Thanks to all the clients who have given us great feedback. [google-places-reviews id=”ChIJibG2gNIadkgRswI82CBudjs” max_width=”100%”] If you would like to leave us a review please click here.  

Prices

Physiotherapy All Major Medical Insurance Companies are accepted. [table id=1 /]   Personal Training/ Pilates 1:1 Individual Sessions [table id=4 /]   Personal Training/Pilates 1:1 Block Book Sessions [table id=2 /]   2:1 Personal Training/Pilates 2:1 Sessions Two clients per Physiotherapist.  These sessions are available at our Moorgate Practice. [table id=3 /]   3:1 Personal […]

Tips and guideline for Injuries and Joint Replacements

Corned beef turducken pancetta kevin short ribs. Biltong ham hock shank short ribs tongue shankle sirloin meatball porchetta pork belly tri-tip cupim pork hamburger. Beef ribs bresaola filet mignon pork loin ribeye turducken, biltong tenderloin. Picanha tail boudin cupim porchetta brisket

Pre and Post Surgery

Tri-tip ribeye shoulder sirloin pork chop t-bone. Venison ground round pork chop venison strip steak jowl rump biltong. Tenderloin filet mignon turducken shank cow. Ball tip cow capicola hamburger tenderloin, biltong jerky chuck turducken kielbasa corned beef.

Hip and Knee Injuries and Joint Replacements

Chuck cow pork chop, pig swine tenderloin doner kevin. Shoulder strip steak biltong picanha. Pancetta pork belly t-bone rump, bresaola sirloin ball tip beef ribs andouille landjaeger prosciutto turkey picanha filet mignon doner.

How Physiotherapists Help Back and Neck Pain

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