On-line consultation

Fill in the form below for a free online consultation. All information given is confidential and will only be viewed by a member of the team.

Kindly note: This on-line consultation service is not diagnostic but a screening process that will propose options for future treatment and management of your complaint.  A full consultation involves a physical examination, more detailed case history and treatment. We recommend that you speak to your GP first if there is any doubt that your complaint is anything other than musculoskeletal in cause.


Your e-mail Address

Daytime Telephone Number

Evening Telephone Number

How did you hear about us?

What is your primary complaint?

Does this problem affect any other area of your body? If so, where?

How frequently are you aware of this problem? When did it start?

Do you have any concerns about this problem?

How does it affect your sleep, work or the activities you enjoy?

What aggravates and relieves your problem?

Do you get pins and needles/numbness/weakness with this problem?

Other comments