Female Running

Your Road to Recovery - In 3 Steps


Step 1 - Consultation & Examination

Give us a call on 01970 611190 to arrange your first appointment with Hedd Piper - a clinician with almost 20 years of experience helping people just like you.

You can also book your first visit via our online booking site here. (As long as you have received your Covid vaccinations - please don't book an appointment if not).

We will then email you a comprehensive health questionnaire to fill in at home.  This reduces your time spent at the clinic and also means you can spend longer providing as much details as possible to help give us a complete picture of your health.

Hedd will assess the completed questionnaire before your appointment, meaning he will already have a good idea of the nature of the problem you have.  This will help make your first visit more efficient.

Your first visit will include:

  • An opportunity to discuss your problem and how it affects you

  • A thorough examination using medical, orthopaedic, neurological & movement tests

  • An explanation of why you may need further tests, such as blood tests, if necessary

  • An opportunity to appraise your suitability for a course of treatment and help with finding the right health care professional or consultant if it's found we cannot help you

  • Help with referral back to your GP with a written report if necessary

  • A referral to Cobalt Health for quick access MRI scanning and reporting if needed (additional cost payable directly to Cobalt)

Hedd will then process the findings of your consultation in time for your next visit, where ordinarily your treatment begins.  Your next visit can be scheduled as soon as is possible and we aim for it to be the next working day.

This appointment lasts around 40 minutes and is £45

Step 2 - Report of Findings & Treatment

It is important that you understand the nature of your pain, the types of things that may have contributed to it and what to expect from a course of treatment.

This second visit will begin with an explanation of your diagnosis in a way that will make sense to you, helping you feel in control.

You are encouraged to ask questions before your proceed to any treatment.

Hopefully you will now be ready to move towards overcoming your pain and making new plans.

In cases where your problem seems amenable to manual therapy, your treatment begins towards the end of this appointment.

Treatment is gentle and does not take very long.  This is to minimise the chance of aggravating any soreness.

The aim of any treatment is to help you move more and hurt less and may involve hands on mobilisation and stretching of your back.  You will be given advice on how to look after the problem in-between visits.

If you are uncomfortable with the thought of manipulation please let us know.  Hedd has many alternative options he can suggest that will be effective.

This appointment again takes around 40 minutes and is £50

Step 3 - Individualised Care

The level of Hedd's involvement in your recovery is going to depend on a few things.  

It may be that you just need the reassurance of a thorough consultation and maybe a couple of follow-up emails or phone calls (included in the price).

Short Term Pain 

In cases where there is a high level of pain and distress which came on recently (days or weeks) we may need to see you regularly over a few weeks to ensure your problem is settling in a way we'd expect (maximum of 4 weeks).  These types of appointments are usually shorter (approx. 20 mins) and are £40.  

These follow-up appointments typically consist of:

  • A brief re-examination of the painful area

  • A progress review

  • An opportunity for you to ask any questions

  • Introducing or checking some exercises or stretches 

  • Some manual therapy to the painful area 

  • Some advice on self management

It is quite typical to advise one or two visits a week for the first two or three weeks in order to reduce pain.

Once improvement is sustainable we can reduce the frequency of your visits. The focus of your appointments will shift towards preventative strategies.


You can pay for a block of 5 normal length visits for £185

Long Term Pain

In cases when your pain has been around a long time (3 months or more) it's likely we'll need to address a few factors over a few weeks or even months.  These require longer appointments (approx. 30 mins) and are £50.

The research and evidence is quite clear regarding when manual therapy (e.g. manipulation) is most helpful for back pain.  Once back pain has lasted more than 3-6 months it appears that using manual therapy alone becomes less and less effective.

Recognising this, Hedd has spent many years studying evidence based approaches to help with persistent pain.

These approaches have been developed into something called Cognitive Functional Therapy (CFT)  Please click here for an infographic which captures what CFT is.

We may need to work on:

  • Unhelpful habits which aggravate your pain

  • Unhelpful beliefs about your body - you're probably stronger than you think

  • Unhelpful advice or exercises that can be modified or abandoned

  • Stress management

  • Sleep

  • General healthy habits

  • The need to ask your GP for help on certain things

Hedd offers a more structured pain recovery programme for £250 which includes helping you with referrals to other health care professionals; email support in between visits; online resources delivered to your email inbox to help your understanding of your problem and 5 sessions of coaching.

You can discuss which type of approach seems best during your initial visit.

Call 01970 611190 to start.