Arthritis

January 16, 2025

At some time in your life, there is a strong chance you will experience sore, achy stiff joints, possibly even swollen and red joints at times. But what is this? Could it be arthritis? And, if so, what kind of arthritis? Maybe you didn’t know that there are different types of arthritis that can affect your joints, each of which has different causes and different outcomes.

Arthritis is the swelling and tenderness of one or more of your joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.

Osteoarthritis (OA) is the most common form of arthritis. Some people call it a degenerative joint disease or ‘wear and tear’ arthritis. It most frequently affects the hips, knees and hands.

With OA, the cartilage (the hard, slippery tissue that covers the ends of bones where they form a joint) within a joint begins to break down and the underlying bone is exposed and begins to change. These changes usually develop slowly and get worse over time. OA can cause pain, stiffness and swelling. In some cases it also causes reduced function and disability – where some people are no longer able to do daily tasks or work. Quite often you hear of people having joint replacement surgery to correct it.

Rheumatoid arthritis (RA) is a disease

in which your immune system attacks your own joints, beginning with the lining of the joints. It is a type of inflammatory arthritis that is also classified as an autoimmune disorder. This means that the nervous system sends ‘incorrect’ messages to the immune cells to attack the body’s own joint tissues. In the case of RA, often the primary symptom is not joint specific but rather chronic fatigue, feeling feverish or lethargic.


Other common types of arthritis include lupus (another autoimmune, inflammatory arthritic condition), gout (an extremely painful type of arthritis caused by a build- up, overflow of and/or inability to process uric acid) and fibromyalgia (widespread, chronic pain, insomnia and fatigue).

Although there’s no cure for arthritis, treatments have improved greatly in recent years and, for many types of arthritis, particularly inflammatory arthritis, there’s a clear benefit in starting treatment at an early stage. Treatments vary depending on the type of arthritis. The main goals of arthritis treatments are to reduce the progression

of the disease and to aim for remission

(in the case of RA), reduce symptoms and improve quality of life. Thus, one of the first-line treatments for arthritis includes pharmacological medication.

The second most important treatment option is exercise therapy and being physically active. Whether you choose

to see a physiotherapist, chiropractor, osteopath or a massage therapist,

the primary care should be exercise prescription. Exercise is proven to reduce


symptoms of pain and improve mobility in the joints. It can postpone the need

for surgical intervention. Should surgery be required, exercise therapy before (pre-habilitation) and after surgery (rehabilitation) gives the best long-term outcomes. Exercise therapy and achieving an active lifestyle has added benefits for your cardiovascular health (often involved in certain arthritic conditions) and your mental health too. Dealing with a chronic pain condition can lead to stress, anxiety and depression. Therapy should address this through education, counselling and acquiring coping skills (be it exercise, meditation, yoga, massage or deep breathing). Although massage and other hands-on therapies may produce positive outcomes for pain, mobility and reducing stress, they should be considered as a complementary treatment to exercise therapy.

The aim of therapy is to manage your pain, improve function and reduce disability. Maintaining your independence is of the utmost importance. Social workers and occupational therapists can help with advice and devices for home and the work place.


Although you may have a team of medical professionals treating your arthritis, remember it is up to you to manage it long term. Every person and their arthritis is different – finding your balance between doing too much or too little, or knowing what to do should you have a flare-up can be a period of trial and error. Getting the right information, guidance and support from you local therapist will help set you in the right direction!


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When an injury affects your child’s sport, play or everyday activities, it can be difficult to know what to do next. At Weaver Physiotherapy & Sports Injury Clinic, we offer assessment and rehabilitation for children and young people with sports-related and musculoskeletal problems. Based in Northwich, our clinic welcomes families from across Cheshire, including Tarporley, Knutsford, Winsford, Middlewich, Hartford, Weaverham, Sandbach and Frodsham. You can contact us directly to discuss your child’s symptoms and arrange an appointment; a GP referral is not required to book privately. A physiotherapy assessment considers the injury, your child’s movement and the activities they want to return to. Treatment and rehabilitation are then discussed in light of their needs and assessment findings. What happens at a child’s sports injury assessment? The appointment begins with a discussion about when the problem started, what activities affect it and how it is changing your child’s movement. We may ask about their usual sport, training routine, recent changes in activity and relevant medical history. The practitioner will then assess the affected area and relevant movement and function. This helps explore possible causes and identify appropriate next steps. Depending on your child’s presentation, the plan may include advice, a tailored exercise programme and hands-on treatment where appropriate. Treatment is individual . The approach will depend on the assessment findings, your child’s symptoms and how they respond to activity. If rehabilitation is recommended, exercises can be progressed to support comfortable movement and a gradual return to sport. Sports injuries and pain we can assess Children and teenagers may develop pain or injury after a sudden movement, a knock or a change in training. Assessment may be appropriate for concerns involving the: Back, hip or knee Ankle or foot Shoulder, elbow, hand or wrist Sports-related problems can include sprains, strains, tendon pain and injuries associated with repeated loading. Your child’s symptoms and activity will guide the assessment, rather than focusing only on the painful area. If you have noticed a change in your child’s posture or are concerned about a possible spinal curve, speak to your GP. The NHS advises contacting a GP if you think your child may have scoliosis. Read NHS guidance on scoliosis ⁠. Booking an appointment Please contact Weaver Physio to discuss your child’s symptoms and arrange a suitable appointment. Same-day appointments depend on availability, so please book ahead rather than relying on a walk-in consultation. When you get in touch, it can help to explain: When the symptoms began Which movements or activities make them better or worse Whether the problem affects walking, sleep, school, training or sport Any relevant medical history or recent changes in activity It can also help to let your child describe how the problem feels in their own words. Please bring comfortable clothing that allows movement to be assessed. Weaver Physiotherapy & Sports Injury Clinic 110 Middlewich Road, Northwich, Cheshire, CW9 7DP Call 01606 227484⁠ or visit weaverphysio.com ⁠. Free onsite parking is available. When to seek urgent medical help A physiotherapy appointment is for non-emergency musculoskeletal concerns. If your child has a serious injury, or you are unsure whether they need urgent care, use NHS guidance or contact NHS 111. The NHS advises taking a child to A&E or an urgent treatment centre if they have an arm or leg injury and cannot use the limb. Read the NHS guidance on children’s accidents . For information about checking an individual physiotherapist’s registration, visit the HCPC Register ⁠. Frequently asked questions Do we need a GP referral? No. You can contact the clinic directly to ask about booking a private appointment for your child. Do you accept walk-ins? Please book an appointment in advance. Same-day consultations may be available, depending on the clinic schedule. What should my child wear? Comfortable clothing that allows them to move freely is helpful for the assessment. Do you provide scans? Scans are not included in every clinic appointment. If further investigation appears appropriate, this can be discussed with you and your child. How much does an appointment cost? Please contact the clinic for current fees and to discuss the appointment that may be suitable for your child. Discuss an appointment for your child If pain or an injury is affecting your child’s movement, sport or usual routine, contact Weaver Physiotherapy & Sports Injury Clinic to discuss an assessment in Northwich. We’ll talk through your concerns and the possible next steps for your child.
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A Practical Guide for Endurance Runners
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Have you ever been told that your running style is “wrong” and immediately wondered whether you need to change it? Advice online can make normal differences in movement look like faults. While certain running habits may be worth exploring—particularly when pain keeps returning—there is no single perfect stride, cadence or foot strike for every runner. At Weaver Physiotherapy & Sports Injury Clinic, we take an individual approach to running technique. Your training history, symptoms, strength, mobility, goals and the way you respond to load all matter. For runners in Northwich, Middlewich, Winsford, Knutsford, Sandbach, Frodsham and Tarporley, our Runner’s MOT and running gait analysis⁠ provides clear, personalised feedback rather than generic rules. What are common running form mistakes? A “running form mistake” is often better described as a movement habit to investigate. A pattern may look unusual without being harmful, and a video alone cannot confirm that it is the cause of pain. Common concerns include: Overstriding – the foot appearing to land well ahead of the body. Upper-body tension – raised shoulders, clenched hands, a tight jaw or stiff arm swing. Forcing foot strike – deliberately trying to run on the forefoot or heel when it feels awkward. Slumped posture – losing trunk control as fatigue develops. Abrupt changes in technique – trying to alter cadence, posture and foot strike at the same time. These patterns can change with pace, hills, footwear, fatigue, confidence and training load. Research has found limited evidence that individual biomechanics alone predict running injury, which is why form should be considered alongside the wider picture rather than treated as a diagnosis. Is there one correct way to run? No. Effective running does not look identical from person to person. Your anatomy, strength, experience, speed, terrain and fatigue level all influence your stride. A single photograph or short clip captures only one moment. It cannot explain how you feel during a run, what your training has involved that week, or whether a movement pattern is actually contributing to symptoms. If you are comfortable, progressing well and free from persistent pain, you may not need to change your technique simply because it differs from someone else’s. The aim is not to chase a “perfect” running style. It is to understand your own movement and make sensible adjustments only when they are relevant to your goals or symptoms. How to assess your running form safely Start with one question. Perhaps your foot feels as though it reaches too far forwards, your shoulders tighten on longer runs, or you notice discomfort appearing as you fatigue. During an easy run at your usual pace, consider: Does your breathing feel relaxed? Are your shoulders, hands and jaw unnecessarily tense? Does your stride feel comfortable and natural? Does your movement alter later in the run? Is there recurring pain during, after or the following day? If you use video, record a brief clip from a safe, consistent position beside the route or on a treadmill. Never hold or watch a phone while running. Footage can be useful for observation, but it should prompt questions—not provide a self-diagnosis. How to change running technique without overdoing it Avoid making dramatic changes based on a social-media tip or a one-size-fits-all rule. A sudden change in cadence, posture or foot strike may feel unnatural and can make it difficult to work out what is helping. Instead: Choose one area to explore. Use one simple cue during an easy run. Keep the adjustment gentle and brief. Notice how it feels during the run and over the next 24–48 hours. Do not introduce several technique changes at once. For example, if you feel tense through the upper body, a helpful cue may be “soft shoulders and easy arms” rather than forcing a rigid posture. If you are concerned about stride length, focus on a light, comfortable rhythm rather than trying to land in a prescribed position. Training progression matters too. Increasing distance, pace, hills and frequency too quickly can overload tissues, regardless of how your running looks. NHS advice recommends building running gradually and listening to pain rather than pushing through it. Read the NHS guide to common running injuries ⁠. When should you seek individual running advice? Consider a running assessment if pain: Keeps returning or becomes more severe Changes the way you run Persists after reducing or adapting training Is associated with swelling, weakness, limping or a loss of confidence Leaves you unsure which changes, if any, are appropriate Sudden severe pain, inability to bear weight, major swelling, numbness, deformity or a suspected serious injury should be assessed urgently. NHS guidance on sprains and strains explains when to seek urgent help. What can running gait analysis help with? A running gait analysis does not promise to predict injury or reveal one universal correction. It can, however, provide a clearer view of movement patterns in the context of your symptoms, training and goals. At Weaver Physio, our Runner’s MOT (/runners-mot)⁠ combines slow-motion video gait analysis with strength, mobility and movement assessment. We look at factors such as: Running rhythm and lower-limb control Trunk, hip, knee and foot movement Strength, balance and mobility Previous injuries and current symptoms Training volume, recovery and running goals Your findings are then used to create practical, personalised recommendations. This may include a gradual gait cue, running-specific strength work, mobility exercises, load-management advice or a structured return-to-running plan. Our Chartered Physiotherapists and Sports Rehabilitators bring more than 70 years of combined clinical experience to help runners move with greater understanding and confidence. Build a stronger, more confident running stride Running form is not a test you have to pass. A movement pattern may be worth exploring, but it does not automatically mean that something is wrong. Pay attention to comfort, recurring symptoms and changes that develop with fatigue. Make adjustments gradually, progress training sensibly and seek individual support if pain continues. For runners across Northwich and Cheshire, Weaver Physio’s running gait analysis service (/runners-mot)⁠ offers professional, tailored guidance to help you run stronger and with more confidence. Frequently Asked Questions Is there one correct running form for everyone? No. There is no single ideal foot strike, cadence or posture that applies to every runner. Comfortable, efficient running can look different depending on the individual, their pace, experience and physical characteristics. Can changing my running form cause pain? It can. Sudden or uncomfortable changes may increase stress in unfamiliar areas. Make one gradual change at a time and reduce or stop if pain worsens. How can I tell if I overstride? Overstriding may appear as the foot landing well ahead of your body, but this does not automatically mean it is causing a problem. A short video can provide useful context, while a gait assessment can help interpret the pattern alongside your symptoms and training. When should I book a running gait analysis? Book an assessment if pain is recurring, your running style has changed, you are returning from injury, or you would like clearer guidance about your stride and training. Weaver Physio supports runners from Northwich, Middlewich, Winsford, Knutsford, Sandbach, Frodsham, Tarporley and across Cheshire.
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