Physiotherapy Services

Physio Exercise 10

Many conditions are best managed on a one-to-one basis in physiotherapy.  However, we also offer a range of specialist rehabilitation programmes for certain conditions.  Have a look at each of the sections below to find out more about each programme.

Lower Back Pain

The “Work Back to Life” programme is specifically designed for patients who have experienced lower back pain for three months or more and who are unable to perform their usual activities as they would like to.  It consists of five sessions on consecutive weeks, with each session lasting three and a half hours. 

What does it involve?

There are three main components to the group:

  • Interactive educational sessions to help patients to understand their condition and manage their pain.
  • A graded exercise programme to improve strength and flexibility, which has been shown to help to improve back pain.  The exercises are always performed at a level that is comfortable for each individual patient.
  • Structured goal setting to help patients to return to any activities which they are currently struggling to do. 

The programme is offered at North Manchester General Hospital and Fairfield General Hospital.

In addition, we also offer the Spinal Rehabilitation Group for patients with back pain.  This is a group-based programme for patients who are not disabled by their back pain but require guidance as to how best to manage their pain.  The group consists of brief advice session and a structured exercise programme to help improve back pain.  The Spinal Rehabilitation Group is offered at Fairfield General Hospital. 

Lower Limb Rehabilitation Group

The Lower Limb rehabilitation group is an exercise class for patients who have sustained injuries to their lower limb, for example:

  • Leg fractures
  • Ankle sprains
  • Achilles tendon rupture/repairs
  • Meniscal problems
  • Lower limb soft tissue injuries
  • Foot surgery

You will be initially be assessed and treated by a physiotherapist on a one-to-one basis, however, when your physiotherapist feels that you are ready to progress, they will refer you into the group.  The group will provide an environment where you can exercise under the supervision of senior physiotherapists to enhance strength, balance and fitness and achieve any personal goals, such as returning to sport.

What does it involve?

Patients usually attend the group for between four and six weeks.

The group format is as follows:

  • 10 minute warm up on bike
  • 30 minute individual circuit
  • 10 minute group fitness exercises
  • Cool down

Please ensure you have had breakfast before arriving and bring any medications or inhalers with you that you may require during the class.  Changing and showering facilities are available.


Anterior Cruciate Ligament (ACL) rehabilitation group

The ACL rehabilitation group is a specific exercise class for patients who have undergone surgical reconstruction of their ACL.  Patients are sometimes referred whilst they are awaiting surgery to build up strength and fitness in the muscles around the knee so that they recover more quickly after surgery.  The main aim of the class is to ensure that patients reach their full potential and achieve their personal goals.

 What does it involve?

The class is led by two senior physiotherapists who will create a specific tailored exercise programme to meet your rehabilitation needs. This will involve a series of strengthening, stretching and balance exercises, which will be progressed on a weekly basis according to the patients’ stage of rehabilitation.  In addition to a specific exercise programme, patients will also improve their general fitness through participating in a group fitness programme.

The group format is as follows:

  • 10 minute warm up bike
  • 30 minute individual circuit exercises
  • 10 minute group fitness
  • Cool down

Please ensure you have had breakfast before arriving and bring any medications or inhalers with you that you may require during the class.

Osteoarthritis Rehabilitation Group

The osteoarthritis rehabilitation group is an advice and exercise programme designed for people who have pain because of osteoarthritis of the hip, knee or ankle.  The programme is offered at North Manchester General Hospital and Fairfield General Hospital.

What does it involve?

The group runs for four weeks and provides an education programme on the most effective ways to manage osteoarthritis.  Patients also take part in a structured exercise circuit each week to improve muscle strength, stamina and general fitness.  Regularly exercising has been shown to decrease symptoms caused by osteoarthritis and increase your functional abilities.

The following topics are covered on each week of the programme:

  • Week 1: Anatomy of the knee/hip/ankle
  • Week 2: Ways you can help yourself to manage your arthritis
  • Week 3: How the medical profession can help you
  • Week 4: Continuing with exercise long term and pacing activity

Please wear comfortable clothes and footwear as you will be completing an exercise circuit in the gym each week.  Please ensure you have had breakfast before attending and bring any inhalers, GTN sprays or other medications you may require with you.


Pelvic Girdle Pain

For more information on Pelvic Girdle Pain, please have a look at our Women's Health section.


Women’s health (continence problems)

At Pennine Acute physiotherapy we offer a specialist out-patient women’s health service.  You will be assessed by a physiotherapist who has undergone specialist training to help women with gynaecological problems, bladder and bowel incontinence, pelvic floor muscle weakness and complications arising from childbirth.  Your assessment will involve a detailed assessment, after which your physiotherapist will discuss with you how best to improve your symptoms.

The success rate for resolving continence problems with physiotherapy is high.  However, we do have a close working relationship with the gynaecology service and, where appropriate, your physiotherapist may recommend onward referral for further intervention.