Your Appointment

TreatmentsI run my practice from my newly refurbished clinic in the centre of Leek. During the first appointment all patients are taken through a full and comprehensive consultation enabling me to determine the best approach in treating your condition.

Initial Consultation. 50-60min. I will take the necessary time to fully understand the history of the condition and any underlying complications. I complete a full case history which includes information about the problem that has brought you to me, as well your previous medical history.

You will receive a treatment at your first appointment. Depending on the nature of the injury/condition the first treatment may be conservative. This is so that I can understand how your body may react to the treatment I provide.

Examination. Obviously this does depend on what I am treating. The examination routine will involve a combination of joint movement and palpation. Other clinical tests may also be used, such as: Blood Pressure, Neurological tests, Reflexes, Cardiovascular, Respiratory and Abdominal tests.

Occasionally, you may be referred back to your GP or a medical specialist for further tests, if there is any doubt about the cause of your symptoms.

What to Wear. This does depend on your symptoms but it is likely that I will ask you to undress to your underwear (as long as you are comfortable with this!). To make a full assessment, it is very helpful if I can see your whole spine and posture. Running shorts or cycling shorts + a running top(for the ladies) are perfectly suitable. Once the examination is completed, I will keep you covered with a towel, the best I can! Please speak to me if you are worried about this.

Follow up Treatment. 30-40mins (this obviously depends upon the injury). I will conduct a review of your progress and carry out any further examinations, as required. Treatment will then be given in line with my treatment plan. In many cases, as patients come to the end of their treatment, I will produce an exercise plan to help maintain your health in the future. Obviously this varies for each patient but this is often a great way for you to progress your fitness and avoid future problems.

At the end of their treatment plan, many patients have a final appointment to be taken through their exercise plan and help set them on their way.

Pilates. My wife Carolyn is an experienced Pilates instructor and runs a range of classes in the local area. We work closely together and Pilates is often a very viable option for patients to reduce/manage pain from skeletal problems. We will advise you if this is an appropriate route or if you are interested in classes. For further information please visit Carolyn’s web site:

Open Quote Close QuoteI am so glad I made a call to James. I am delighted with how he has reduced my pain and helped me back to fitness. I would highly recommend him.

Rob. Age 30 with Acute Lower Back & Sciatic Pain.