Specialist Areas of Practice

At Solent Specialist Physiotherapy, care is guided by depth of clinical experience and focused areas of expertise.

While we assess and treat a wide range of musculoskeletal presentations to a very high level, certain conditions form the absolute core of our specialist practice. These are areas in which we have developed advanced understanding, refined assessment frameworks and structured long-term management pathways.

Each specialist area below contains a central overview page, with detailed sub-pages addressing specific joints or presentations where appropriate.

Osteoarthritis

Osteoarthritis is one of the most common yet frequently misunderstood joint conditions. Our approach is grounded in current evidence, mechanical understanding and long-term functional planning.

Management extends beyond symptom control to include flare education, load optimisation, injection decision-making where appropriate and informed discussions around surgical pathways.

This section includes a central osteoarthritis overview, alongside detailed joint-specific pages covering hip, knee, shoulder, hand and foot involvement.

Learn more about osteoarthritis →

Tendinopathy

Persistent tendon pain requires a structured and progressive loading strategy. Tendinopathy is not simply inflammation; it reflects adaptive change within a tendon subjected to altered mechanical demand.

Our tendinopathy section provides condition-specific guidance for common presentations including Achilles, patellar, gluteal, rotator cuff and lateral elbow tendon disorders. Each page outlines diagnostic clarity, staged rehabilitation principles and realistic recovery timelines.

Learn more about tendinopathy →

Neuromuscular Electrical Stimulation (NMES) for pelvic health

Neuromuscular Electrical Stimulation (NMES) is a specialist pelvic health rehabilitation tool that may be used in selected cases to support muscle activation, awareness, and control.

It is used as part of a broader pelvic health physiotherapy programme where clinically appropriate.

Learn more about NMES →

Joint injection therapy

In some cases, injection therapy may be considered as part of a broader management pathway — often alongside rehabilitation and reassessment.

Decisions around injection therapy are made carefully, based on clinical findings, response to previous treatment, and individual circumstances.

Learn more about injection therapy →

Arranging an appointment

If you are unsure whether a specialist service is appropriate, we recommend starting with an assessment. This allows your clinician to determine what is driving your symptoms and guide you toward the most appropriate plan.

Find your specialist →

Not every patient needs a specialist service. Our role is to guide decisions with clarity, using the right tools at the right time.

Working within a wider clinical pathway

We recognise the importance of integrated care. Where appropriate, treatment may involve liaison with GPs, orthopaedic consultants, imaging providers, or pain services to ensure care remains joined-up and appropriately guided.