Please enable JavaScript in your browser to complete this form.Name *Primary reason for wanting to speak with a specialistI’m in lots of pain and want some tips and advice I can start using right awayI would love to know what’s wrong and how long it will take to get betterI’m not sure if physical therapy is right for me and talking to a physical therapist first would help me decideWhere does it hurt?Please select an optionLower BackKneeShoulder/NeckFoot/AnkleMuscle Injury from Sport or ExerciseNot sure where it's coming from What does it STOP you from doing?What is your main concern?Please select an optionDependency on painkillersNot knowing what's wrongFear of losing mobility or independenceThe risk of needing dangerous surgeryHow long have you suffered or worried?A few days1-2 weeks3-4 weeks1-3 monthsLong enoughToo long (years)What is the main goal you would like us to help you achieve?Please select an optionEase painEase stiffnessGet activeStay activeAvoid painkiller dependencyFinding out what's wrongStay healthyGet it fixed before it gets worseWhat is the best time for a call back?Your phone numberYour preferred email *Submit
