Our Services
We provide advanced, evidence-led physiotherapy delivered by experienced clinicians. Every service is centred around detailed assessment, clear clinical reasoning, and personalised care.
Musculoskeletal Physiotherapy
Our musculoskeletal physiotherapy service focuses on the assessment and management of pain, injury, and movement-related conditions affecting muscles, joints, and nerves. Treatment is guided by thorough clinical assessment and tailored to your individual needs.
Women’s Health Physiotherapy
Our women’s health physiotherapy service provides specialist assessment and treatment for conditions related to pregnancy, postnatal recovery, and pelvic health. Care is delivered with sensitivity, discretion, and a strong focus on restoring confidence and function.
Injection Therapy
Steroid (corticosteroid) injection therapy involves delivering anti-inflammatory medication directly into a painful joint or soft tissue structure. This helps reduce inflammation, relieve pain, and improve movement.
At Vast Physio, injections are delivered by an experienced Advanced Practice Physiotherapist, ensuring both accurate clinical assessment and high-quality treatment.
When is an injection recommended?
Injection therapy may be considered when:
- Pain is limiting your ability to progress with rehabilitation
- Symptoms have not improved with physiotherapy alone
- Oral anti-inflammatory medication is not suitable or effective
- Symptoms are worsening or persist despite appropriate management
- A diagnostic injection is required to help identify the source of pain
Injection therapy is always used as part of a broader treatment plan, not as a standalone solution.
What are the benefits?
Steroid injections can:
- Reduce pain and inflammation
- Improve joint movement and function
- Help break the cycle of persistent symptoms
- Enable more effective rehabilitation
- Assist in identifying the source of pain when diagnosis is unclear
The effects can vary but typically last from several weeks to a few months.
Conditions we commonly treat
Injection therapy may be appropriate for a range of musculoskeletal conditions, including:
- Osteoarthritis (e.g. knee, shoulder)
- Bursitis
- Frozen shoulder
- Shoulder impingement / subacromial pain syndrome
- Tendinopathies
- Joint-related inflammation
Is injection therapy right for you?
Injection therapy is not suitable for everyone. A thorough assessment will be carried out to determine whether it is safe and appropriate.
Injection therapy may not be recommended in cases such as:
- Active infection (local or systemic)
- Skin conditions at the injection site
- Recent or unhealed fractures
- Uncontrolled diabetes
- Known allergies to steroid or local anaesthetic
- Planned surgery in the near future
- Certain medical conditions requiring specialist input
All decisions are made on an individual basis, considering your medical history, current symptoms, and overall goals.
Our approach at Vast Physio
At Vast Physio, we take a holistic and evidence-based approach:
- Comprehensive assessment before any injection
- Clear explanation of risks, benefits, and alternatives
- Injection therapy combined with a structured rehabilitation plan
- Ongoing support to optimise recovery and long-term outcomes
Hyaluronic acid (HA) injections involve delivering a naturally occurring substance into a joint to help improve lubrication, cushioning, and joint function.
Hyaluronic acid is a key component of synovial fluid (joint fluid). In conditions such as osteoarthritis, its quality and quantity can reduce, contributing to pain and stiffness.
At Vast Physio, injections are delivered by an experienced Advanced Practice Physiotherapist following a detailed clinical assessment.
When are hyaluronic acid injections recommended?
Hyaluronic acid injections may be considered when:
- Joint pain is persistent despite physiotherapy
- Symptoms are impacting daily function and quality of life
- You are unable to tolerate anti-inflammatory medication
- You are looking to delay or avoid surgical intervention
- Previous treatments (including steroid injections) have provided limited or short-term relief
They are most commonly used for joint-related conditions, particularly osteoarthritis.
What are the benefits?
Hyaluronic acid injections can:
- Improve joint lubrication and shock absorption
- Reduce pain and stiffness
- Enhance movement and joint function
- Support longer-term symptom relief compared to some other injection options
- Help maintain activity levels and participation in rehabilitation
Effects typically develop gradually over a few weeks and may last several months.
Conditions we commonly treat
Hyaluronic acid injections are most commonly used for:
- Knee osteoarthritis
- Other joint-related degenerative conditions (case-dependent)
Suitability will always be assessed individually.
Is hyaluronic acid injection therapy right for you?
Hyaluronic acid injections are not suitable for everyone. A full clinical assessment is required to determine appropriateness.
They may not be recommended in cases such as:
- Active joint or systemic infection
- Significant joint damage where other treatments may be more appropriate
- Known allergy to hyaluronic acid preparations
- Certain inflammatory or medical conditions requiring specialist input
All decisions are made based on your symptoms, medical history, and treatment goals.
Our approach at Vast Physio
At Vast Physio, we take a personalised and evidence-based approach:
- Thorough assessment before considering injection therapy
- Clear discussion of expected outcomes, limitations, and alternatives
- Integration with a structured rehabilitation programme
- Focus on long-term joint health and function