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The MSK Clinical Specialist Physiotherapy Services at iPS are appropriate for patients with an injury or condition of a joint or soft tissue in their upper or lower limbs from shoulders to fingers, or hip to toes (*this service is NOT appropriate for patients with injury or conditions of their spine or symptoms of sciatica) or with persistent pain and functional limitation that has not improved with more conservative management / treatment. It is also suitable for those who desire a Diagnostic Ultrasound Scan and / or an Ultrasound-Guided Injection, to assess / treat their injury or condition.
These highly specialist services are offered by our MSK Clinical Specialist – Gareth Tremain, who has extensive postgraduate training and qualifications and over 20 years of clinical experience.
This service extends beyond standard MSK physiotherapy by incorporating:
This approach supports accurate assessment, clear explanation of findings, a collaborative treatment plan, including bespoke home exercise plan.
If you require an appointment with our Clinical Specialist for a Comprehensive Clinical Assessment, Diagnostic Ultrasound Scan and / or you are considering an Ultrasound-Guided Injection, please book an ‘MSK Clinical Specialist Physiotherapy (includes Ultrasound Scan)’ Initial or follow-up consultation (as appropriate).
MSK Diagnostic Ultrasound Scanning is used by our MSK Clinical Specialist Physiotherapist, Gareth Tremain, to complement his detailed musculoskeletal clinical assessment. The scanner allows Gareth to visualise joints, muscles, tendons, ligaments, bursae, fascia, joint capsule, and superficial nerves in real time during your appointment. This provides immediate information to support diagnosis and guide treatment.
Ultrasound-guided injections are a precise and effective treatment used to deliver medication directly to the source of pain or inflammation. By using ultrasound imaging, our physiotherapists can guide the injection to the exact location, ensuring the medication is delivered accurately and with minimal discomfort. This technique is often used for treating conditions such as joint pain, tendonitis, bursitis, and arthritis, providing relief from chronic pain and inflammation.
If you require an appointment with our Clinical Specialist for a Comprehensive Clinical Assessment, Diagnostic Ultrasound Scan and / or you are considering an Ultrasound-Guided Injection, please book an ‘MSK Clinical Specialist Physiotherapy (includes Ultrasound Scan)’ Initial or follow-up consultation (as appropriate).
Important: Please ensure you have read our respective website pages on MSK Diagnostic Ultrasound Scans and Ultrasound-Guided Injections to ensure you understand what injuries and conditions our MSK Clinical specialist is able to assess and treat.
If you feel you require ‘standard’ MSK physiotherapy assessment/treatments, please book ‘MSK Physiotherapy’ Initial Assessment/Follow-up consultation (as appropriate). Our MSK physiotherapists can transfer your care to our MSK Clinical Specialist – Gareth Tremain, if you do not achieve a good recovery with standard physiotherapy treatments and advice.
Our MSK Clinical Specialist Physiotherapist - Gareth Tremain has extensive post-graduate qualifications, including Independent Prescribing, Musculoskeletal (MSK) Ultrasound-Guided Injections and MSK Diagnostic Ultrasound Scanning. He is able to expertly assess and treat a wide range of MSK injuries and conditions. If you are looking for an accurate diagnosis and advanced treatment options, look no further. He is one of only a few private physiotherapist in Wales to offer these services. Following his specialist assessment and treatment, he will also provide you with an exercise programme to maximise your recovery.
We want to ensure that all of our patients receive the information they need to make an informed decision about their Treatment. If you have any questions or if you require assistance with anything, please let us know.
The Independent Physiotherapy Service
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