Pro-Active Physiotherapy and Pilates Clinic

Pro-Active Physiotherapy and Pilates Clinic Our specialist physiotherapists help with everyday aches and pains, sports injuries, pregnancy-related issues, mobility problems, and more.

We offer a range of different treatments to tackle many different issues. Whether you need just a couple of sessions or a long-term plan, we can work with you and your schedule to provide the best treatment of the highest quality. Our clinic is based in the beautiful village of Overbury. Our specialist physiotherapists and Pilates instructors cover patients from Cheltenham, Tewkesbury, Bredon, Evesham, Worcester, Pershore and surrounding areas.

27/04/2026

Pilates……. But not just Pilates

This isn’t a case of one-size-fits-all. It’s a tailored plan, built around your body, your goals, and how you move.

We use Pilates to develop control, strength, and confidence, whether you’re recovering from injury, returning to training, or simply wanting to move better day to day.

Every exercise is purposeful and progressive, designed to challenge you at the right level and deliver results that actually carry over into real life.

Pilates should do more than feel good, it should make you move better, stronger, and with confidence.

23/04/2026

Shoulder pain
➡️ Expert assessment, clear answers, lasting results

Shoulder pain can quickly disrupt training, work, and everyday life. That’s why we take a thorough, specialist-led approach from the very first session.

We begin with a detailed assessment and precise diagnosis, so you understand exactly what’s going on and, more importantly, how to fix it.

From there, we build a clear, structured treatment plan, tailored to you.

Treatment may include hands-on therapy, strengthening and proprioception rehabilitation, shockwave, Pilates, injection therapy and access to imaging or specialist referral if required ensuring nothing is missed and you get the right care at the right time.

Rehab is always functional and progressive, focused on restoring strength, control, and confidence in the shoulder, whether that’s returning to sport at a high level or simply getting through daily life pain-free.

You’ll leave with a clear plan, expert guidance, and a corrective rehab programme designed to get you better, and keep you better.

➡️Specialist care.
➡️ Faster progress.
➡️ Real, lasting outcomes.

22/04/2026

Shockwave therapy
➡️ Advanced treatment for stubborn pain

Shockwave therapy is a non-invasive, clinically proven treatment designed to accelerate healing in injured tissue.

By delivering targeted acoustic waves, it helps stimulate repair, improve blood flow, and reduce long-standing pain.

We use it when symptoms aren’t settling with rest or standard rehab therefore giving you a more effective route back to pain free movement.

Common conditions we treat:
– Plantar fasciitis (heel pain)
– Achilles tendinopathy
– Patellar tendinopathy
– Tennis elbow
– Shoulder tendon pain
– Greater trochanteric pain (outside of hip)

Backed by strong evidence, with NICE and Chochrane reviews, show meaningful improvements in pain and function typically over a short course of treatment of 4-6 sessions.

At our clinic, shockwave isn’t used in isolation. It’s part of a high-level, tailored programme combining expert diagnosis, hands-on care, and progressive rehabilitation so you get faster results that last.

📍Based in Overbury GL20 7NT
Within 30 minutes travel of:
➡️ Tewkesbury
➡️Cheltenham
➡️ Worcester
➡️ Evesham
➡️ Pershore
➡️ Stow-on-the-Wold
➡️ Gloucester

If your pain isn’t improving, it’s time to treat it properly.

20/04/2026

How we treat plantarfasciitis

Your care begins with a thorough assessment and precise diagnosis, identifying not just where it hurts, but why.

Where appropriate, we can arrange imaging or referral to trusted specialists to ensure complete clarity.

Treatment is structured and individual:
– Addressing the root cause and correcting contributing factors
– Optimising gait and footwear based on your biomechanics
– Hands-on therapy to reduce pain and improve tissue quality
– Shockwave therapy, supported by strong clinical evidence
– A bespoke rehabilitation programme to restore strength, function, and foot mechanics

Shockwave therapy is backed by leading research bodies. NICE has recommended it as an effective treatment for plantar fasciitis, while the American College of Foot and Ankle Surgeons supports its use as a primary treatment option. Large-scale reviews, including Cochrane, show it can significantly improve pain and function—typically over a course of 4–6 sessions.

The focus is not just short-term relief, but long-term resolution and reduced recurrence.

15/04/2026

Recovery isn’t reserved for a select few — it’s for every body, every injury, every starting point.

Wherever you are right now, there’s always a path forward. With the right guidance, progress is possible, limits can be challenged, and strength can be rebuilt. Don’t settle for living with pain when you can work toward something better.

13/04/2026

Neck pain, managed with a more considered approach.

Your care begins with a comprehensive assessment and precise diagnosis, allowing us to understand the true source of your symptoms.

Treatment combines skilled hands-on therapy with a bespoke rehabilitation programme, tailored to your body, lifestyle, and goals.

Each stage is carefully guided and focused not only on relieving pain, but on restoring movement, building resilience, and supporting a complete, lasting recovery and prevention of reoccurrence.

Because the goal isn’t just improvement, it’s resolution.

09/04/2026

The second in Fran’s prolapse awareness series:

Pelvic organ prolapse is a common condition, affecting around 50% of women over 45 in the UK to some degree.

It occurs when the pelvic floor muscles and connective tissues are no longer providing enough support for the pelvic organs, allowing one or more organs to descend.

It can also occur due to trauma from birth injuries which worsen over time, particularly over the age of 45 in perimenopause or menopause when oestrogen levels start to reduce and connective tissue weakens.

Types of prolapse include:
• Anterior prolapse (cystocele): bladder pressing into the front va**nal wall

• Posterior prolapse (rectocele): bowel pressing into the back va**nal wall

• Uterine prolapse: descent of the uterus

• Vaginal vault prolapse: prolapse of the top of the va**na, often following hysterectomy

Common symptoms:

• Vaginal heaviness, pressure or dragging
• A sensation of bulging or something coming down
• Urinary urgency, leakage or incomplete emptying
• Difficulty with bowel emptying
• Symptoms worsening with prolonged standing, lifting or exercise

Pelvic health physiotherapy is recommended as first-line treatment and can significantly improve symptoms.

Specialised assessment allows us to identify contributing factors and guide treatment through pelvic floor muscle training, pressure management, bowel and bladder strategies, and return to exercise advice.

Early intervention can help manage symptoms effectively and may reduce progression.

06/04/2026

How do we treat patella tendinopathy?

Patellar tendinopathy is rarely resolved through rest alone, successful treatment depends on restoring the tendon’s ability to tolerate load through precise, progressive rehabilitation, as well as fixing the biomechanics and areas of weakness contributing to the issue.

Our treatment approach includes:
• Identifying the underlying cause and correcting contributing factors
• Footwear and gait assessment to optimise lower limb biomechanics
• Hands-on soft tissue manual therapy to improve movement quality and reduce restriction
• A progressive eccentric and strength-loading programme targeting the quadriceps, glutes and calf complex
• Sports-specific rehabilitation to rebuild control, power and confidence on return to performance
Strength-based rehabilitation remains the foundation of recovery.

Tendons respond best to carefully graded loading, which is why complete rest often delays progress. A structured programme allows the tendon to gradually adapt to force, improving both pain and long-term capacity while reducing recurrence.

Where symptoms are persistent or progress has plateaued, shockwave therapy might be introduced alongside rehabilitation. Research has shown shockwave therapy to be a safe and effective treatment for patellar tendinopathy, particularly when combined with exercise-based loading programmes (Frank Schmitz et al., 2015; S. Mani-Babu et al., 2015).
Clinical studies have demonstrated significant improvements in pain and function, with approximately 50% pain reduction after one month and strong long-term patient satisfaction (John P. Furia, 2006). Further evidence showed 90% satisfactory functional outcomes compared with 50% in standard conservative care, with lower recurrence rates in the shockwave group (Ching-Jen Wang, 2007).

The goal is not simply symptom relief — it is restoring tendon strength, biomechanics, movement efficiency and resilience so the knee performs well under load again





02/04/2026

The third video in our knee series on ITB issues is here:

Most ITB interventions fail because they over-focus on local symptoms rather than the underlying load problem.

Current evidence consistently supports three primary interventions:

1. Progressive hip strengthening is KEY
The strongest outcomes come from improving gluteal capacity and single-leg control — particularly glute med and glute max.

2. Load modification
Temporary reduction in provoking load is effective, but complete rest is rarely optimal. The objective is maintaining activity while remaining below symptom threshold. Things like orthotics, different trainers etc can all be looked at on an individual basis but aren’t a blanket solution

3. Biomechanical refinement
Small changes in cadence, stride width, and frontal-plane control can materially reduce lateral knee compression.

What are we not sure of?
Adjuncts such as stretching, foam rolling, stretching and soft tissue work MAY reduce symptoms, but their uses are limited in the research available. However, I always say if it makes it feel better, add it in for sure but it doesn’t replace any of the strengthening etc, it is an optional addition.

The modern clinical view is clear: ITB syndrome is rarely a “tight band” problem. It is primarily a strength, control, and compression-management issue.

In practice: treat the hip, progressively strengthen what you find is biomechanically needed, manage the load, refine the pattern.

31/03/2026

Lower limb injuries 🦵

We focus on the bigger picture, not just part of the story.

✅ Rebuild
✅ Strengthen
✅ Restore

👣 Plantar fasciitis requires more than symptom relief, successful treatment begins with understanding the underlying cau...
30/03/2026

👣 Plantar fasciitis requires more than symptom relief, successful treatment begins with understanding the underlying cause.

Our approach is tailored to restore function, reduce pain, and support long-term recovery and avoid any future episodes by fixing the issue at the time.

Our treatment approach includes:
• Identifying and addressing the root cause
• Optimising gait and footwear according to individual biomechanics including an orthotic referral if required
• Targeted manual therapy to reduce tissue restriction and scar tissue
• Shockwave therapy if indicated (over 3 month history)
• Progressive foot strengthening and rehabilitation to restore biomechanics

Shockwave therapy is supported by leading clinical evidence, with National Institute for Health and Care Excellence (NICE) recognising it as an effective treatment for plantarfasciitis.

The latest review from Cochrane Study also concluded that shockwave therapy improves both pain and function, with significant results commonly reported within 4–6 sessions.

Plantar fasciitis requires more than symptom relief — successful treatment begins with understanding the underlying cause.

Our goal is always to treat the cause — not simply manage the pain.

📍Based in Overbury GL20

📍Tewkesbury 5 miles
📍Pershore 5 miles
📍Evesham 6.5 miles
📍Cheltenham 9 miles
📍Worcester 13 miles

☎️ 01386 298058
🌍 www.pro-active physio.net

Address

Gardens Office North, Overbury
Tewkesbury
GL207NT

Opening Hours

Monday 8:30am - 6pm
Tuesday 8:30am - 6pm
Wednesday 8:30am - 6pm
Thursday 9:30am - 6pm
Friday 8:30am - 6pm
Saturday 9am - 2pm

Telephone

+441386298058

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About Pro-Active Physio Pilates

Outstanding physiotherapy treatment for any injury based in the heart of Overbury

Our Team:

Lucinda Tosh

Specialist Physiotherapist