020 8254 2150


Orthopaedic conditions revolve around skeleton and joints of the human body and are typically divided into bony and soft tissue problems.

Orthopaedic conditions can be further divided into traumatic and non-traumatic injuries that result in damage to the bony, joint or soft tissues around human joints. There can be some blurring of the lines however and it is perfectly possible for a person to have an arthritic knee who then suffers a traumatic strain resulting in pain and disability.

Non-traumatic orthopaedic conditions are predominantly arthritic in nature. This is the natural process of degeneration of human joints due to age, activity levels and general health. Arthritis itself is not necessarily painful but inflammation, sub-chondral cysts, bone bruising, synovitis and other nasty sounding things that accompany arthritis can be painful and often treatable.

Traumatic orthopaedic conditions are normally high force impacts and collisions that may result in dislocations, fractures, ligament injuries and others with variable levels of pain and dysfunction. Most traumatic orthopaedic conditions improve thankfully with the right intervention and management and even the pain of arthritic conditions can be improved in a large number of people.

Orthopaedic surgery offers solutions to the more complex problems but physiotherapy can be incredibly useful in the management of orthopaedic conditions and is commonly the first intervention sought by surgeons with an aim to delay or even avoid major orthopaedic surgery. Following is further information about different types of orthopaedic surgery.

Ortho Xray Knee replacement 1 scaled

The team at MSO Physio have a wealth of experience in the assessment, treatment and rehabilitation of orthopaedic conditions.

Nick Wirth and Harriet Jones have worked extensively within in-patient orthopaedic rehabilitation settings in hospitals across the region including Epsom, St Helier and Mayday, plus the Elective Orthopaedic Centre (the EOC) – a cutting edge orthopaedic hospital serving the South West London region.

Because of this experience, the team at MSO Physio are well versed in dealing with and rehabilitating orthopaedic conditions and have developed excellent links with many of the local surgeons with whom we also work in the private sector.

If, as part of your treatment, you need an opinion from an orthopaedic surgeon, we will be able to recommend someone suited to your needs in the NHS or private sector.


The team at MSO Physio offers a comprehensive land-based post-operative physiotherapy service at our clinics in South London and Surrey. Post-operative physiotherapy begins almost as soon as you come back to the ward after your operation and can be as important as the operation itself.

Due to advances in surgery and anaesthetics it is now common to only spend one or two days in hospital before going home and you will see the in-patient physiotherapist before being discharged. After a couple of days recuperation at home the post-operative physiotherapy can start in earnest. The simple advice that we give our patients is to take regular pain relief and to do be diligent in doing your exercises until our expert team of South London and Surrey based physiotherapists can take over.

Post-operative physiotherapy can be painful at times but the effort will be worth it in the long run and you will need good pain relief and often ice therapy in order to achieve this. It is important to follow any specific instructions given by your consultant in terms of weight bearing or range of motion. The physiotherapists at MSO Physio will take over your care anything from 3 to 4 days post-op and can visit you at home if required for the first couple of sessions, until you are able to attend either our South London and Surrey based clinics.

Your post-operative physiotherapy can last anywhere from a few weeks to a year depending on the procedure so do check with your consultant how long your recovery is likely to be and speak to your insurer if required.


Orthopaedic surgery is classed as major surgery and can result in the inability to get out and about for a period of time. Although at MSO Physio we actively encourage people to attend for their physiotherapy at one of our clinics, we are aware that sometimes this is just not possible.

Physiotherapy at home during the early recovery phase can help to eliminate fears and anxieties about moving or enable you to function better within your environment.

Physiotherapy at home makes use of the equipment and environment within your own home giving you the necessary tools and ideas to perform your exercises effectively. At MSO Physio we are happy to offer physiotherapy at home within a suitable radius from our clinics and during those early periods when you really cannot get out.

If someone can bring you to the clinic and you are able to walk short distances and climb stairs we would encourage you to come to the clinic as soon as possible as this can be a major confidence boost and important in your overall recovery.

Home visits following orthopaedic surgery usually last up to one hour plus travel time so will cost more than clinic visits, please see the price guides for more information.

Total knee replacement is the complete replacement of the joint surfaces for the treatment of arthritis. It is usually a very successful operation but can be very painful in the early stages.

Following total knee replacement it is important to have good pain management and stay in close touch with your GP or consultant to ensure that this is managed. Many people undergoing total knee replacement often go home with ice therapy devices such as CryoCuff, but if this is not the case ensure that you have ice packs or similar to help reduce your swelling and for additional pain relief post-op.

The expert physios at MSO Physio in Sutton and Woking can visit you at home if required for your first visit but we would encourage you to come to the clinic as soon as able as this will ensure that you are moving more normally and using your muscles.

The first three weeks following total knee replacement are normally the worst and we usually follow-up our patients until approximately three months post-op depending on the requirements of the individual. Our physiotherapists will advise you about pain relief, walking, stairs, exercise and fitness and if required about return to sports and recreational activities further along inyour recovery.

Our aim is to help you achieve 100% of your goals of having a total knee replacement and we will stay in close contact with your consultant as required.


Total hip replacement is the complete replacement of the joint surfaces of the hip for the treatment of arthritis.

Patients undergoing total hip replacement will typically only spend one or two days in hospital and then following a couple of days of recuperation at home the post-operative physio can start.

Total hip replacements despite being major orthopaedic surgery are typically less painful than knee replacements and patients tend to bounce back quicker.

Depending on the surgical approach you will either have weak buttocks or thigh muscles and our expert physiotherapists at MSO Physio in Sutton and Woking can guide you through the rehabilitation process back to and probably better than your pre-operative levels.

Following total hip replacement it is important to fully rehabilitate your muscles as this will help with walking, stair climbing, driving and getting back to any previous recreational or sports activities.

Whatever your goals following total hip replacement our physiotherapists are here to help and will work closely with you and your consultant to deliver the best result possible. Our aim is always 100% recovery.

ACL reconstruction typically affects a younger sporty population and can affect a person’s ability to get back to their previous levels of activity and fitness.

At MSO Physio we regularly look after patients following ACL reconstruction and have excellent rehab and gym facilities to help you to achieve your goals.

There has been extensive research regarding ACL reconstruction and return to sports and our team of physio will ensure that you are set specific goals and targets designed to reduce the chance of repeat injury and maximise your potential of returning to your previous level of activity. Following ACL reconstruction you can expect a minimum of 6-9 months rehabilitation to return to non-contact sports and at least 9-12 months for contact sports.

Research into return to sport has demonstrated that proper restoration of muscle strength, power, agility and confidence can greatly increase the chances of returning to your previous level of sport and also reduce the risk of further injury.

The physiotherapy team at MSO Physio is here to work hard with you to achieve this.

Spinal surgery has advanced greatly in the last decade and operations such as disc trimming and decompressions are now performed as day cases or with only one or two days in hospital.

The advances in surgical expertise, precision and pain management has also meant that post-operative pain and disability can be greatly reduced enabling patients to return to activity sooner and recover quicker.

At MSO Physio we have established links with leading spinal surgeons and are used to looking after patients following spinal surgery from relatively minor disc operations to fusions and disc replacements. Normally there are restrictions following spinal surgery and these will differ from person to person, we will stay in touch with your surgeon to ensure we work as a team and offer you the best chance of recovery and of returning to your previous levels of activity, sport and fitness.

MSO Physio offers Pilates classes from beginners to advanced level plus 1-2-1 tuition helping your core and back muscles recover. Our excellent facilities enable us to help patients achieve their goals following spinal surgery and beyond.

Shoulder surgery varies greatly and post-operative regimes vary accordingly. The expert team of physiotherapists at MSO Physio are able to look after all types of shoulder surgery from arthroscopic decompressions to stabilisations, labral repairs and joint replacements.

Depending on your shoulder surgery you may require a sling or brace strictly for a number of weeks. During this time physiotherapy is normally limited to passive movements and maintaining range of motion and function of the neck, elbow and wrist.

Early on good pain relief is essential and protecting the operation and any repairs that have taken place is of great importance too. Following simple decompression shoulder surgery, active rehabilitation can commence almost immediately but following more extensive surgery such as rotator cuff or labral repair this may be delayed by a couple of weeks. Your surgeon will let you know when active physiotherapy can start.

At MSO Physio we have all of the skills and equipment available to guide you through your rehabilitation and return to activity process. Plus, with access to full gym facilities at all of our sites we can work with you back to high performance activity as required.

Depending on your shoulder surgery and goals your rehabilitation may take anywhere from a few weeks to 6 months and more. Our aim, as always, is your 100% recovery.


"I was under the care of Nick suffering from pelvic misalignment, muscle spasm and sciatica. During the time I underwent treatment I was accurately diagnosed with an impingement of the sciatic nerve which was later confirmed with an MRI scan as a bulging lumbar disc.

During the time I received treatment, I experienced relief from the symptoms and was given a series of exercises to carry out for self-care in between appointments. Nick was very practical and pragmatic with the advice he gave me, informing me that surgery is really a last resort and that there are various other options to help recover from the issue.

I have now been given the opportunity of receiving Pilates in a class run at the clinic by a specialist musculoskeletal physiotherapist, which will be bespoke treatment for the spinal issue I am experiencing. I would happily recommend this clinic and their staff to anyone experiencing any issues."


"Nick helped me after I started experiencing pain in my hip/leg from weightlifting. He not only identified and guided me through fixing the problem, but has also given me a great deal of valuable advice for my training. Very happy with the results, would definitely recommend."

Kim Wilson

"Cannot recommend the clinic highly enough. Nick treated my daughter after knee surgery. Hugely thorough, knowledgeable and caring. There are physio teams and physio teams.... This is the best I've experienced in years."

Andrew Willmott

"Unlike what the last guy posted, this is probably the best physio practice I've been to. I've been to other 'professional' physios that provide treatment for the sake of appearing to do something. The first session is generally a consultation to examine the issues. The ongoing advice and treatment is fantastic."

Stacy Walter

"Great Clinic. Staff is great and very professional. Have had quick a few sports massages with Kieran O'Connor. Highly recommend it!"

Cristina Duarte

"Fantastic service from start to finish. These guys know what they are doing!"

Aine Ringrose

"Top quality advice,better than regular Physio such as Nuffield or nhs."

Simon Rushton

"Nice folks, reccomened for treatment"

Kenny Khan


Below is a list of common orthopaedic surgeries. The list is not exhaustive but includes many of the common conditions encountered in clinic. The expert physiotherapists at MSO Physio have great experience of dealing with a wide range of orthopaedic problems and we have probably seen your problem before. If required our professional physiotherapists will be able to arrange imaging of your problem or discuss referral onwards to an appropriate specialist.


  • Fracture
  • Pars Fracture
  • Decompression
  • Fusion
  • Arthritis
  • Osteoarthritis
  • Discectomy
  • Laminectomy
  • Instrumented Fusion
  • Microdiscectomy
  • Foraminotomy
  • Disc Replacement
  • Injection Therapy


  • Total Hip Replacement
  • Revision Total Hip Replacement
  • Birmingham Surface Replacement
  • Hip Resurfacing
  • Fracture
  • DHS
  • Hemiarthroplasty
  • Arthritis
  • Osteoarthritis
  • Arthroscopy
  • Labral Repair
  • Injection Therapy
  • Osteotomy
  • Slipped Upper Femoral Epiphysis (SUFE)
  • Tenotomy
  • Reconstruction


  • Open Reduction and Internal Fixation of All Upper and Lower Limb Fractures
  • Intermedullary Nailing
  • External Fixation
  • Conservative Management (POP)
  • Spinal Fractures
  • Wedge Compression Fractures
  • Fracture Dislocations
  • Avulsion Fractures
  • Stress Fractures


  • Total Shoulder Replacement
  • Anterior Stabilisation
  • Posterior Stabilisation
  • Slap Repair
  • Rotator Cuff Repair
  • Labral Repair
  • Fracture
  • Open Reduction Internal Fixation
  • Arthritis
  • Osteoarthritis
  • Arthroscopy
  • Sub-acromial Decompression
  • ACJ Stabilisation
  • Laterjet Stabilisation
  • Bankhart Repairs
  • Injection Therapy


  • Total Knee Replacement
  • Revision Total Knee Replacement
  • Arthroscopy
  • ACL Reconstruction
  • PCL Reconstruction
  • MCL Reconstruction
  • Meniscal Repair
  • Meniscal Debridement
  • Washout
  • Chondroplasty
  • Osteochondral Defect Repair
  • Patella Resurfacing
  • Arthritis
  • Osteoarthritis
  • Lateral Release
  • Tibial Tubercle Transfer
  • Injection Therapy
  • Fracture
  • Open Reduction Internal Fixation
  • External Fixation
  • Tibial Plateau Fracture
  • Osteotomy
  • Reconstruction
  • Steadmann’s Procedure
  • Microfracture


  • Ulnar Nerve Transposition
  • Tennis Elbow Release
  • Golfers Elbow Release
  • Arthritis
  • Osteoarthritis
  • Tenotomy
  • Fracture
  • Dislocation
  • Open Reduction Internal Fixation
  • Total Elbow Replacement
  • Injection Therapy


  • Fracture
  • Open Reduction Internal Fixation
  • Medial Malleolus Fracture
  • Lateral Malleolus Fracture
  • Pott’s Fracture
  • Tibial Plafond Fracture
  • Arthritis
  • Osteoarthritis
  • Ankle Replacement
  • Lateral Ligament Reconstruction
  • Arthroscopy
  • Osteotomy
  • Injection Therapy
  • Syndesmosis Injuries
  • Fusions
  • Achilles Repairs
  • Microfracture
  • Osteochondral Defect Repair


  • Fracture
  • Open Reduction Internal Fixation
  • Acetabular Fracture
  • Pubic Ramus Fracture
  • Pubis Symphysis Repair
  • External Fixation
  • Osteotomy


  • Carpal Tunnel Release
  • Fracture
  • Open Reduction Internal Fixation
  • Arthritis
  • Osteoarthritis
  • Colles Fracture
  • Radial Fracture
  • Ulna Fracture
  • Smiths Fracture
  • Cystectomies
  • TFCC Repairs
  • Injection Therapy


  • Lisfranc Injuries
  • Fusion
  • Fracture
  • Open Reduction Internal Fixation
  • Injection Therapy
  • Bunionectomies
  • Hallux Valgus Repair
  • Arthritis
  • Osteoarthritis
  • Metatarsal Fracture
  • Morton’s Neuroma
  • Calcaneus Fracture
  • Sub-talar Fusion


If you're ready to book your appointment click below, if you have any questions you'd like to ask before booking please contact us by phone on 0208 254 2150 or email us at and we'll be in touch with you asap.


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020 8254 2150

Rosehill Park, Sutton, Surrey, SM1 3HH

Woking SportsBox, Egley Road Woking, Surrey, GU22 0AF.

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