Move with greater confidence.

Assessment & the concerns we explore.

A detailed history, physical examination, and orthopedic assessment help guide the next steps. Imaging may be considered where appropriate. We look at your symptoms, movement, previous care, and recovery goals together.

A painful area may involve several structures, including joints, tendons, muscles, fascia, and nerves. The assessment considers how these interact and how pain changes your movement and daily activities.

• Joint pain & mobility concerns. Knee, shoulder, and other joint symptoms, including osteoarthritis-related concerns, stiffness, and limitations in everyday movement.
• Tendon & ligament concerns. Persistent tendon pain, recurrent sprains, or concerns about joint stability, reviewed alongside activity and injury history.
• Muscle, fascia & movement patterns. Neck and back pain, muscle guarding, persistent tightness, and difficulty returning to work, exercise, or sport.
• Nerve-related symptoms. Burning, tingling, sensitivity, or symptoms following injury that call for an assessment of possible nerve involvement.

Imaging is considered when it can help answer a clinical question. Where a joint injection is appropriate, ultrasound guidance is used to help visualize the target and guide needle placement.

Pain Reprocessing Therapy (PRT).

I draw on PRT principles throughout my pain treatments. I also offer PRT as a standalone treatment for chronic neuroplastic pain when assessment supports this approach.

Understanding neuroplastic pain

Pain is real. For some people, an overprotective nervous system continues producing pain even when ongoing tissue damage does not adequately explain it. Physical and neuroplastic contributors can coexist, so assessment comes first.

PRT works with how the brain interprets body sensations, aiming to reduce learned threat responses and the cycle of pain, fear, and avoidance.

• Understand your pain. Explore your history and the factors that may be maintaining symptoms.
• Practise somatic tracking. Learn to notice sensations with curiosity and a greater sense of safety.
• Build confidence. Work with pain-related fear and gradually re-engage with appropriate activities.

Clinical research supports PRT for selected people with primary chronic back pain. Results vary, and those findings do not establish that every pain condition is neuroplastic or will respond to PRT.

PRT patient information ↗ · Randomized clinical trial · JAMA Psychiatry ↗

Treatments & tools available.

The plan may combine pain education, Pain Reprocessing Therapy, hands-on care, needling, or injection approaches. Your diagnosis, goals, previous treatment, and stage of recovery guide which options we discuss.

• Pain Reprocessing Therapy (PRT). Principles incorporated throughout my pain care, with dedicated sessions available for chronic neuroplastic pain. Explore PRT ↗
• Platelet-rich plasma (PRP). An injection prepared from a sample of your own blood, concentrating platelets. It may be considered for selected tendon, ligament, or joint conditions after reviewing condition-specific evidence and alternatives.
• Prolotherapy. An injection approach directed at selected ligament or tendon attachments. We discuss the proposed purpose, uncertainty in the evidence, and whether it fits concerns such as recurrent sprains or instability.
• myoActivation. Structured assessment and targeted needling for myofascial pain. Explore the approach ↗
• Neural / perineural therapy. Targeted injections around selected peripheral nerves may be discussed when nerve irritation appears relevant to the pain picture.
• Trigger point injections. Injections into selected irritable muscle points, considered for myofascial pain, spasm, or symptoms referred from muscle to another area.
• Corticosteroid injections. An option for selected inflammatory joint or soft-tissue conditions, such as bursitis or an arthritis flare. We review the role of symptom relief, repeat-treatment considerations, and rehabilitation.
• Intramuscular stimulation (IMS). Fine-needle treatment considered for selected musculoskeletal pain presentations after examination.
• Manual therapy. Hands-on soft-tissue techniques and spinal manipulation where appropriate, incorporated into a plan around movement and function.

Each approach has a different purpose. We discuss the evidence for your condition, likely benefits, risks, alternatives, and recovery expectations before deciding together. An injection is considered when it has a role in your overall plan.

myoActivation: assessment, treatment & reassessment.

myoActivation is a structured approach to myofascial pain involving muscles, fascia, and relevant scars. It combines a detailed history, movement assessment, and targeted needling.

Your assessment may explore previous injuries, operations, repetitive strain, and scars, alongside your current symptoms and limitations.

1. Assess. Review movement, range of motion, and tender areas.
2. Treat. Use small hypodermic needles at selected muscle, fascia, or scar sites.
3. Reassess. Review changes in movement and symptoms to guide care.

Before and after treatment

Wear comfortable clothing that allows access to the areas being assessed. We discuss consent, individual risks, activity modification, and aftercare before treatment. Temporary soreness, bruising, or fatigue can occur. Response varies; follow-up considers both symptoms and function.

Preparation, aftercare & patient FAQs · Anatomic Medicine Foundation ↗

Progress that matters in daily life.

Your goals may be returning to exercise, working more comfortably, or moving with less hesitation. Follow-up gives us time to review your response and adjust care alongside rehabilitation and your other treating professionals.

Before a procedure, we discuss preparation, potential side effects, expected recovery, and what follow-up will involve. Response varies; we track changes in pain and function and revisit the plan rather than promise a particular result.

Explore the clinic program.

Learn more about the available approaches at Healthcode Regenerative ↗.