Archive for the Knee Pain Category

Painful Joints when its Cold

 Getting colder: Painful Joints when its Cold

How cold weather affects your joints“The weather is changing, I can feel it in my bones”, most of us have heard this old wives tale but is there any truth in it? Research has shown that the refreshing change in weather during winter can actually bring about aches and pains associated with lower temperatures and changes in barometric air pressure.


Typically this affects people with osteoarthritis, rheumatoid arthritis and other arthritic conditions. Most commonly it effects load bearing joints such as the hips and knees, also the shoulders, elbows and hands. It is thought that sensory nerve endings in joints called baroreceptors respond to slight changes in atmospheric pressure. When the barometric pressure changes the amount of fluid in a joint or the pressure inside a joint can fluctuate which stimulates these receptors causing pain. In an arthritic joint these slight changes can have a greater impact as there is less cartilage to provide cushioning. In lower pressures inflammation around joints can also potentially worsen, this will also put pressure on the nerves again causing pain. Steps can be taken to reduce inflammation such as applying hot and cold therapy to the affected area, taking a swim in a nice warm pool could also be beneficial. Osteopaths can use techniques designed to help improve blood circulation to the area and reduce inflammation as well as working directly on muscles and joints to help improve mobility.
Cold weather can also have an impact on our muscles, as the temperature drops there is a decrease in blood supply to our muscles causing them to tighten up. As a muscle tightens up it becomes shorter in length reducing our range of movement, these tightened muscles then become more susceptible to injury! A ‘pulled’ muscle occurs when it is lengthened beyond its comfort zone, micro tears occur within the muscle fibres and sometime the ligaments. This can lead to pain, inflammation and sometimes swelling and redness! Muscle spasm causing a further reduction in range of movement is also very common. Extra care should be taken during the colder months when exercising outdoors to ensure you are properly ‘warmed up’ before exercise.
Osteopaths often see these types of muscular aches, pains and strains especially during the colder months! An initial assessment will need to be made and often these complaints can be treated using manual therapy, careful advice and specific exercises.

Tali Rayner is an osteopath who specialises in sports injuries and medical acupuncture. To book an appointment with her CLICK HERE or call 02072062625.



Painful Joints when its Cold

Osteopathy for Knee Pain – Northcote Road Osteopath

Osteopathy for Knee Pain

The knee is the largest joint in the body. It is a major weight-bearing joint and is one of the most frequently injured joints in the human body.

Knee pain can have a number of different causes and can be painful and debilitating and although some conditions may require surgery many can be helped with the right advice, exercise and treatment.

The knee joint lies between the femur and tibia and at the front is the patella or kneecap. It is made up of a number of structures including ligaments, muscles, capsule, synovial membrane and two ‘c’ shaped pieces of cartilage which sit between the femur and tibia known as the menisci.

Damage, strain or sprain to the structures of the knee can give rise to symptoms.  It can be the result of a sudden injury as often seen in sports injuries or by repeatedly placing strain on an area of the knee. Poor alignment of the knee or kneecap and altered joint mechanics in relation to other joints such as the hips and knees are often significant. Osteoarthritis or wear and tear is a common condition that affects the knee.

Common symptoms in the knee include pain, stiffness, aching, pain, locking, swelling, limping and difficulty fully straightening or bending the knee.

X-rays, scans and other tests are sometimes required to make a diagnosis and your osteopath may refer to your GP or a specialist for any additional investigations or treatment.



Or please call 020 7206 2625 or email

Jacqueline Shergold MHS B.Sc

Jacqueline enjoys treating a wide variety of conditions with a particular passion for treating children and babies. She uses gentle techniques to release tension in the muscles and joints that may have resulted from their position in the womb or from their birth. She is currently completing a Postgraduate Diploma in Paediatric Osteopathy and works in the clinic at the Osteopathic Centre for Children in London.

Jacqueline Shergold has worked in clinics in Australia and Ireland where she worked extensively with Australian Footballers and other elite athletes. In Australia she taught anatomy at University level and therefore has a great understanding of the human body in function and dysfunction.

Techniques she uses include Cranial, Obstetric and Paediatric Osteopathy, dry needling and sports taping. She uses cranial and structural osteopathy as well as rehabilitation exercises in combination for the best possible outcomes.

Appointment Times: Fridays 12-4pm and Home Visits for Newborns available on Wednesdays


I have been treated by Jacqueline on numerous occasions for neck pain, headaches and various other aches and pains. She is professional and thorough, while also being kind and patient. I always leave with a smile on my face, feeling better than when I walked in.

– Brea

I highly recommend Jacqui S. She made me feel really relaxed and comfortable after I was a bit anxious about treatment. Very patient with little ones too and knows how to engage with them to keep them still.

– Angela



Or please call 020 7206 2625 or email

Treatment for Knee Pain

Treatment for Knee Pain


The knee is a very complex joint. There are a wide number of structures which can become damaged causing pain in and around the knee. Acute knee pain can be most often attributed to damage of the meniscus (cartilage inside the knee. Or ligaments around/inside the joint.

Damage to the meniscus can be due to trauma or simply degenerative. Traumatic onset can typically involve twisting through the knee whilst the foot is grounded. This can be associated with a ‘clicking’ or ‘popping’ noise. People often will feel ‘catching’ in the knee or report it to ‘lock’ or ‘give way’. Swelling with traumatic onset is usually rapid, with degenerative tears this may happen very slowly. Meniscus injury is often accompanied by a tear of the anterior cruciate ligament (ACL) inside the knee. This commonly occurs in sports when jumping, pivoting or decelerating. Symptoms are much the same as meniscus injury.

The medial collateral ligament(MCL) on the inside of the knee is also vulnerable to injury. Again often in conjunction with meniscus and ACL injury. All three of these structures can suffer damaged isolated as well as together.

Patella tendinopathy, patellofemoral pain and fat pad impingement can all cause pain over the front of the knee. Pain caused by damage to the patella tendon (Patella tendinopathy) is usually felt just under the knee cap (Patella). There may be slight tenderness over this area. It can be aggravated by squatting and climbing stairs. Swelling is rare but the tendon can become thick.

Patellofemoral pain is caused by altered movement of the patella over the femur (thigh bone) it is common amongst runners, pain is vague and there may be slight swelling. ‘Creaking’ and ‘clunking’ in the knee is often reported. This is often associated with abnormalities of biomechanics so it is important to address these factors.

Fat pad impingement is associated with repeated extension of the knee, pain can be very acute. There is usually tenderness just under the patella and it may appear ‘puffy’.

Knee Joint

Iliotibial band (ITB) friction syndrome (ITBFS) effects the outer part of the knee, it is caused by friction between the ITB and the femur often reffered to as ‘runners knee’. An ache will be felt over the outer part of the knee which will be aggravated by running, longer or downhill runs tend to aggravate the pain more. There is usually localised tenderness over the area alongside trigger points in the TFL and gluts. Abnormalities in biomechanics are strongly associated with ITBFS so it is important that the practitioner performs a gait analysis.

Your Osteopath will take a detailed case history and use a variety of clinical tests to diagnose which structures are damaged, then treat and manage appropriately using a combination of manual therapy, advice and exercise rehabilitation.

Tali Rayner M.Ost

Tali Rayner graduated from the British School of Osteopathy obtaining a Masters Degree in Osteopathy. Since graduating she has also completed training in Acupuncture and Medical dry needling lead by Dr Anthony Campbell.

She is registered with the General Osteopathic Council as well as the British Osteopathic Association. She has worked in a number of clinical settings including working with a professional rugby and football team.

Tali is structural in her approach to osteopathic assessments and uses a variety of treatment techniques including medical dry needling in conjunction with osteopathic techniques.

As part of your assessment Tali will assess work related ergonomic issuesor sport related training techniques, which may be contributing and maintaining  injuries and pain. Tali will prescribe exercises as part of your rehabilitation and stabilisation of an injury or longer term postural complaint.


Appointment Times (at Fybre Fitness): Wednesday 5-9pm and Friday 7-11am




Before I saw Tali, I suffered chronic and consistent sciatic pain. Her specialist treatment immediately alleviated the worst symptoms and quickly enabled me to return to the fully active lifestyle I had missed. Friendly and highly skilled, Tali takes the time to put her patients at ease and discuss their needs. She also directs you to everyday exercises and lifestyle changes that strengthen the body against future injury. Thank you Tali.

– V. George

For the first time in the last 6 years I am beginning to walk without pain and without the anticipation of pain when I come to stairs or other more challenging activities . . . . I would highly recommend Tali to anyone considering osteopathy.

– A. Sharman


For an appointment or further questions please call 020 7206 2625 or email