Norwich Pain and Injury Clinic

30/12/2025

You Probably Don’t Need a Scan for Your Back, Shoulder, or Hip Pain

We’ve normalised the idea that every ache needs an MRI or X‑ray. It sounds logical… until you realise scans rarely tell you why you’re in pain, and they almost never change the treatment plan.

Here’s the truth:

Scans are for two things only:
- Ruling out red flags (serious pathology)
- Planning surgical options

Outside of that, most musculoskeletal problems are diagnosed through:
- Clinical reasoning
- Orthopaedic testing clusters
- Movement screens
- A proper history and examination

This is where real skill lies.

So why do some clinicians push scans?
Often, it’s not because you need one.
It’s because they don’t know how to assess or treat the problem in front of them.

A scan becomes a crutch.
A way to look “high‑tech”.
A way to justify charging you more.

But here’s the kicker:
You cannot design a rehab plan from a scan.

A scan shows structure, not function.
It shows age‑related changes, not pain.
It shows “abnormalities” that most pain‑free people have.

So when a physio or chiropractor says they need to “scan you to create a more accurate treatment plan”, be cautious. That’s usually a sales pitch, not evidence‑based care.

What you do need:
A clinician who can:
- Listen
- Assess
- Test
- Reason
- Explain
- Guide your rehab

Not someone who hides behind imaging.

Your body isn’t a picture.
It’s a system.
And systems need understanding, not unnecessary scans.

📱07500 463890

📙 www.norwichpaininjuryclinic.co.uk

19/12/2025

💥 Shoulder pain isn’t just about stretching or rotator cuff exercises.

Have you tried every exercise but nothing seems to work? That’s because shoulder pain is often more complex than one muscle.

👉 It can be linked to:

- Impaired cervico-scapular mechanics
- Faulty movement patterns
- Poor load management
- Restrictions and weakness
- Disrupted scapulohumeral rhythm

Guessing with generic exercises won’t solve it. The best step is to get properly assessed, not just rub the area or rely on low-value routines.

At Norwich Pain & Injury Clinic, we have extensive experience dealing with shoulder pain. We look deeper, beyond the surface, to address the real drivers of your problem.

📞 Call us on 07500 463890
🔗 Click the bio to book

08/12/2025

🦴 Hip pain after menopause? It’s not just “bursitis.”
Greater Trochanteric Pain Syndrome (GTPS) is often misunderstood—and mismanaged.

✅ What actually helps:
• Gluteal strengthening
• Load management
• Movement coaching
• Short-term manual therapy
• Gradual return to meaningful activity

❌ What doesn’t:
• Passive treatments with no rehab
• “Pelvis realignment” or cranial osteopathy
• Overpriced packages & unnecessary scans

📉 Only 20% of GTPS involves the bursa.
📈 Tendon overload and reduced hip strength are the real culprits—especially after menopause when oestrogen declines.

👉 If you’ve been told your hip is “out” or your bursa needs “fixing,” it’s time for a second opinion.

🔍 Evidence matters. Rehab works.
📍 Based in Norwich. Rooted in science.

GTPS MusculoskeletalHealth BursitisMyths GluteStrength PostMenopauseFitness

04/12/2025

Struggling with sciatica? You’re not alone!🙌

Sciatica is a blanket term for pain that travels along the sciatic nerve—from your lower back, down the back of your leg, and sometimes into your foot💥

One of the most common causes is a disc bulge or herniation pushing out and irritating the nearby sciatic nerve. The result? Pain, numbness, or weakness that can seriously affect your day-to-day life.

🚫The problem

Unfortunately, many people are told to “just stretch it out.”❌️
This well-meaning advice can delay recovery for months—or even years. I often see patients who’ve been let down by the system and even made worse by incorrect rehab strategies like passive stretching.

✅ The solution, targeted treatment to get to the root cause of your pain💪🙌

Norwich pain and injury has helped many people overcome sciatica, and we are here to help you too!

📙https://www.norwichpaininjuryclinic.co.uk/

📱07500463890

01/12/2025

Have you been told you have a “rib out”?

Let’s clear this up: ribs don’t just “pop out of place.” That’s outdated language. Using it can cause unnecessary worry for patients and foster dependence on practitioners instead of empowering people with accurate knowledge.

If a rib were truly out of place, you’d need urgent medical attention from a doctor. What manual therapists can do is gently manipulate the rib head. This can be a very pleasant experience, often releasing endorphins and easing discomfort — but it’s not putting a rib “back in.”

Practitioners need to do better when explaining these things. Clear, evidence-based communication builds trust and helps patients feel confident in their own recovery.

👉 For safe, professional care in Norwich, contact Norwich Pain & Injury Clinic
📞 07500 463890
🌐 www.norwichpaininjuryclinic.co.uk

25/11/2025

🦴 Osteoporosis & Movement: Why Load Matters

When it comes to bone health, load is essential—but not just any load. It has to be directed through moving well. Poor movement patterns don’t deliver the stimulus your bones need, and in some cases, they can even increase risk.

👉 This is where the right professional matters. You don’t just need someone who can prescribe exercises—you need a healthcare clinician who understands the pathophysiology of osteoporosis, not just a manual therapy narrative.

If your clinician isn’t prepared to treat you because it doesn’t fit their “hands-on only” approach, then it’s time to find a professional who will.

💡 Movement is medicine. But it’s not just about moving—it’s about moving well. Correctly applied load through good movement patterns is what helps maintain bone density, reduce fracture risk, and improve confidence in daily life.

If you have concerns that you may be osteopenic or osteoporotic, book in with us at Norwich Pain and Injury Clinic. We can discuss your T-scores if you’ve been diagnosed and tailor an exercise programme specifically for you.

📍 www.norwichpaininjuryclinic.co.uk
📞 07500 463890
Or book via the link in bio

OsteoporosisAwareness

21/11/2025

🚫 Don’t be fooled by flashy claims.
Some practitioners push the idea that spinal adjustments magically “boost your immune system” and stop you from getting sick. The truth? These claims are built on shaky ground:

- ❌ Studies with tiny participant groups

- ❌ Short follow‑ups that prove nothing long‑term

- ❌ Lab changes in inflammatory markers that don’t translate into real health benefits

- ❌ Papers that were never peer‑reviewed—or never even existed

To the untrained eye, these studies look convincing. In reality, they’re deeply flawed and often used to scare patients into signing up for endless block treatments they don’t need.

✅ At Norwich Pain & Injury Clinic, we move healthcare forward with honesty, transparency, and evidence‑based methods. Our goal is simple: empower patients with up‑to‑date science, not pseudo‑science nonsense.

💡 If you’ve been pressured into spending money unnecessarily or told myths about “lifetime treatment,” book in today. Let’s cut through the hype and focus on what really works.

🔗 www.norwichpaininjuryclinic.co.uk
📞 07500 463890
👉 Or click the link in the bio

EvidenceBasedCare

Dedicated clinic for pain and injury management with the added expertise of assessment, Treatment and Rehabilitation. Free Parking and Evening Appointments available. Sports, Work or Hobby injuries are all catered for here at NR Clinic.

05/11/2025

Neck pain isn’t just about “bad posture.”
It’s a complex interplay of motor control, proprioception, and neurochemical modulation—not a license for charlatans to sell you packages of neck clicks, phony X-rays, or EMG scans dressed up as diagnostics.

📚 Evidence-based care combines manual therapy, graded exercise, proprioceptive retraining, and education. Not dependency. Not gimmicks.

If your practitioner is diagnosing you based on posture photos, selling you lifetime manipulation plans, or using pseudoscientific scans to justify treatment… it’s time to walk away.

✅ At Norwich Pain & Injury Clinic, we use up-to-date clinical reasoning to empower you—not trap you in dysfunction.
Our goal? Help you help yourself. Restore confidence, control, and clarity. No fluff. No fear. No false promises.

📞 07500 463890
🌐 www.norwichpaininjuryclinic.co.uk

NeckPain

23/09/2025

🧠📄 Proud to share our clinical commentary:
“THE Y-AXIS MANIPULATION—THE CLINICAL EFFICACY AND ASSOCIATED PATIENT SAFETY EXPLORED”

It was a privilege to co-author this with Giles Gier, Brogan Williams, and Jaimie Bowie—exceptional practitioners and mentors whose integrity and clinical insight made this work possible.

We tackled the rise of the Y-Strap technique head-on, questioning its safety, efficacy, and ethical use in practice. In a world of viral manipulation clips and marketing hype, this paper calls for evidence, transparency, and professional boundaries.

Grateful to be part of a team committed to protecting patients and elevating standards. Let’s keep pushing for ethical, evidence-based care.

ClinicalIntegrity

19/09/2025

🧠 Stretching ≠ Rehab

Stretching feels good. It can temporarily increase range of motion (ROM). But let’s be clear—it does virtually nothing to “lengthen tissues” in any meaningful, lasting way. Flexibility without control is just borrowed movement.

Just because you can move further doesn’t mean you’ve earned the right to load it. Strength and motor control are what make that range usable. Stability creates mobility. If something’s tight, something else is likely weak. Rehab means addressing both.

🚫 Yoga and Pilates are often thrown around as blanket solutions—prescribed by well-meaning but non-clinical individuals, and sadly, sometimes even by medical professionals. If your practitioner is telling you to “just stretch” without a diagnosis—or worse, using vague terms like “non-specific lower back pain”—it’s time to upgrade your care.

✅ Book yourself into Norwich Pain and Injury. Get assessed. Get a plan. Get better.

RehabIsNotStretching

09/09/2025

🧠💪 Deep Tissue ≠ Deep pain?


Deep tissue massage is NOT supposed to hurt, bruise, or leave you limping out the door.
Painful pressure doesn’t mean “effective” — it means tissue trauma, heightened sensitivity, and delayed recovery.

🔬 Excessive force can:
- Trigger inflammatory responses
- Sensitize nociceptors
- Disrupt healing cascades

In short? It’s counterproductive.
You’re not “breaking up knots” — you’re breaking down trust in your own body.

🚫 It’s not just unsafe. It’s unethical to injure a patient under the guise of therapy.
Massage should modulate the nervous system, not assault it.

✅ At Norwich Pain & Injury Clinic, we offer evidence-based deep tissue massage — tailored, respectful, and clinically sound.
Because precision beats pressure.
And professionals know the difference.

MassageTherapy

29/08/2025

🧠💉 Cures Arthritis in 60 Days? Not So Fast.

A viral claim says German scientists created a miracle gel, Crespine or ChondroFiller that regrows cartilage and cures osteoarthritis in 60 days. Sounds revolutionary, right?

🚫 Let’s set the record straight.

🔬 The real science? These gels are adjunct therapies used for small cartilage defects, not widespread OA. They require arthroscopic surgery, rehab, and have no proven regenerative effect in humans with osteoarthritis.

💪 They do not build joint capacity, improve load tolerance, or prevent degradation. And they’re not an alternative to exercise-based care.

✅ Real treatment focuses on:
- 🏋️‍♂️ Strengthening muscles to support joints
- 🧘 Manual therapy for symptom relief
- 🧠 Education to empower long-term management

Ethical, evidence-based care doesn’t chase miracle cures—it builds resilience.

🛑 Don’t fall for pseudoscientific shortcuts. OA isn’t “cured”—it’s managed through movement, not marketing.

OsteoarthritisAwareness