You've been told it's wear and tear, and left to get on with it. There's more to do than that.
Somebody said the words wear and tear, and something in you quietly accepted it.
So now you take the stairs more carefully. You've stopped kneeling in the garden. You've swapped the walk you used to enjoy for a shorter one, and you've started sentences with "well, at my age" without really meaning to.
Here's the thing though. Arthritis on a scan and pain in real life are only loosely related, and plenty of people with the same changes have no symptoms at all. It's rarely as fixed as it's been made to sound.


Arthritis describes changes to a joint over time. In osteoarthritis, the most common form, the cartilage and surfaces of the joint change and the joint becomes more sensitive to load.
What surprises most people is how weakly those changes relate to pain. Scans of people with no symptoms whatsoever show the same findings that get blamed when someone is struggling. Pain is influenced by strength around the joint, how much you're doing, sleep, stress and a good deal more.
The joint doesn't wear out from use, which is the other thing worth knowing. Joints are nourished by movement. It's the doing less that tends to make things worse.
This is more than physio - its a partnership. We will be with you every step of the way and this becomes a toolkit for life to look after your body, understand what it needs and how to build lasting strength for the things you love.

First we work out what's actually going on, and why. You'll leave the first appointment with a clear understanding of the cause — not just the symptom — and we settle things down enough to start moving properly again.

Hands-on treatment where it helps, and a programme built around you — your week, your goals, what you can actually keep up. This is where strength and capacity get built back properly, and progressed as you go.

The stage that stops it coming back. You'll understand your own body and have a way of training that's practical, simple and actually enjoyable — so you stay fit and out of pain for life, doing the things you love.
Whatever brings you in, the approach is the same — find what's driving it, treat that, then work with you to build lasting strength and resilience.