Megazee.com Physiotherapy Services in Manchester
Six treatment pathways, chosen at assessment and usually combined. Every one starts with a full examination by the physiotherapist who will treat you.
Last updated 21 September 2026
Every physiotherapy service at Megazee.com
Each one has its own guide covering how we assess it, how we treat it, and what recovery usually looks like.
Every treatment on this page begins the same way: a full assessment, in person, with the physiotherapist who will actually treat you. We ask what you can no longer do, watch how you move, test the structures we suspect, and then explain what we found in language you can repeat to your partner when you get home. Only then do we choose a treatment.
That order matters. Manual therapy, needling, rehab classes and return-to-play testing are tools, not packages. The same shoulder pain can need hands-on work in one person and graded loading in another, and picking wrongly wastes weeks you did not have to spare.
Below are the six services our Manchester physiotherapy team uses most. If you would rather start from the symptom than the treatment, browse the conditions our physiotherapists treat instead. You do not need a GP referral to book, and every clinician here is registered with the Health and Care Professions Council.
Manual Therapy
Manual therapy is structured hands-on treatment: graded joint mobilisation, soft tissue work, muscle energy technique and nerve gliding, selected after assessment rather than applied to everyone in the same order.
It earns its place when stiffness or protective guarding is the thing limiting you. A thoracic spine that will not rotate far enough to reverse the car. A shoulder missing the last 20 degrees overhead. A knee that spent six weeks in a brace. A neck that locks after a long drive.
Sessions open by retesting the movement that hurt last time, which tells us whether the previous treatment held. Hands-on work usually occupies 15 to 25 minutes of the appointment. The remainder is spent loading the range you have just regained, because mobilisation alone tends to open a short window of comfort rather than change anything permanently. NICE guideline NG59 takes the same position for low back pain, recommending manual therapy only within a package that includes exercise.
Typical course of care: most stiffness-dominant problems are reassessed after three or four sessions. If hands-on treatment is not holding between visits by then, the diagnosis or the plan needs revisiting, and we will tell you so.
Related: back pain · neck pain · frozen shoulder
Read the full Megazee.com guide to Manual Therapy →
Sports Injury Rehabilitation
This service is for anyone whose problem has a deadline: a half marathon in nine weeks, a return to five-a-side, a season that has already started. Runners, racket sports players, lifters and weekend footballers make up most of the caseload.
The first session establishes the mechanism of injury and the tissue involved, because healing timelines differ enormously. A calf muscle strain and an Achilles tendinopathy can feel similar to the person carrying them and behave nothing alike in rehab.
From there the work is progressive loading, measured rather than guessed. We test the injured side against the uninjured side for strength and, where relevant, single-leg hop distance and control, and we repeat those tests through the programme. Return to sport is a decision made on numbers and on how the limb behaves under fatigue, not on how the injury feels on a good morning.
Typical course of care: simple muscle strains often resolve within four to six weeks of guided loading. Tendon problems take substantially longer, commonly three months or more, and we say so at the outset rather than at week eight.
Related: sports injuries · knee pain · ankle sprain
Read the full Megazee.com guide to Sports Injury Rehabilitation →
Post-Surgical Rehabilitation
After ACL reconstruction, knee or hip replacement, rotator cuff repair, meniscal surgery or Achilles repair, rehabilitation is not optional extra work. It is how the operation becomes a functioning limb.
Your surgeon’s protocol governs the early phase, and we work to it. That means we will ask for your operation note or protocol before your first session, and we will respect the weight-bearing status, range limits and brace settings it specifies even when you feel ready to push past them.
Early appointments focus on swelling control, restoring range, and retraining the muscle that switched off around the joint, quadriceps after knee surgery being the classic example. Later sessions rebuild strength, then load tolerance, then the specific tasks you need back: stairs, driving, kneeling, lifting a grandchild, overhead reaching at work.
Typical course of care: post-surgical rehabilitation is measured in months, not sessions. Expect a phased programme lasting from around three months for straightforward joint replacement rehab to nine months or more after ACL reconstruction, with appointment frequency reducing as you progress.
Related: knee pain · shoulder pain · hip pain
Read the full Megazee.com guide to Post-Surgical Rehabilitation →
Back and Neck Pain Physiotherapy
Spinal pain is the largest part of our caseload, and it is also where patients arrive with the most misinformation. The World Health Organization identifies low back pain as the single leading cause of disability worldwide, so you are in ordinary company, not unusual trouble.
Assessment begins with screening questions that rule out the small number of serious causes, then moves to how your spine actually behaves: which directions ease your symptoms, which provoke them, what your hips and thoracic spine are contributing, and what your working day is asking of you.
Most people are surprised that we rarely recommend a scan. NICE guideline NG59 advises against routine imaging for low back pain outside specialist settings, because scan findings such as disc bulges appear commonly in people with no pain at all and can frighten patients into avoiding the movement that would help.
Typical course of care: uncomplicated mechanical back or neck pain often changes meaningfully within three to six sessions. Long-standing or nerve-related pain usually takes longer, and we will give you an honest estimate after the first assessment.
Related: lower back pain · sciatica · neck pain · tension headaches
Seek urgent medical help if back pain comes with loss of bladder or bowel control, numbness around the back passage or genitals, worsening weakness in both legs, unexplained fever, or pain after a significant injury. Contact your GP urgently, call NHS 111, or go to your nearest emergency department. Do not wait for a physiotherapy appointment.
Read the full Megazee.com guide to Back and Neck Pain Physiotherapy →
Soft Tissue and Dry Needling
Dry needling uses fine, single-use filament needles placed directly into a taut, tender band of muscle. Nothing is injected. It is most useful for localised myofascial pain: the knot high in the trapezius that reappears every Thursday, a gripping calf, a glute that refuses to release after a long drive.
We treat it as an adjunct, not a treatment in itself. The evidence for needling is mixed and better for short-term pain relief than for lasting change, so we use it to create a window in which loading and movement work becomes tolerable, and we tell you plainly if it is not helping.
You will be asked for consent before the first needle, and we will check for anticoagulant medication, bleeding disorders, pregnancy and needle phobia. Soft tissue massage covers the same ground for anyone who would rather not be needled. Mild soreness for 24 to 48 hours afterwards is common and settles on its own.
Typical course of care: two to four sessions alongside an exercise programme. If there is no meaningful change by the third, we stop and reassess rather than continuing out of habit.
Related: neck pain · tennis elbow · plantar fasciitis
Read the full Megazee.com guide to Soft Tissue and Dry Needling →
Clinical Exercise and Pilates
This is where most people finish, and it is the part that keeps the problem from coming back. Sessions are led by a physiotherapist and built around Pilates-based movement principles: controlled range, breath, and load the spine and hips can actually tolerate.
It suits three groups in particular. People discharged from one-to-one treatment who need a structured way to keep progressing. People with persistent or recurring pain who have lost confidence in movement and need to rebuild it somewhere supervised. And people who have become deconditioned through illness, a desk job, or years of working around a niggle.
Everyone starts with an individual screening so the programme matches your diagnosis. You are given your exercises in writing with video, and they are reviewed and progressed rather than repeated indefinitely. Nothing here requires prior Pilates experience or any particular level of fitness.
Typical course of care: blocks of six to twelve weeks, once or twice weekly. Progress is judged against the goals you set at screening, not against the person on the next mat.
Related: back pain · hip pain · knee pain
Read the full Megazee.com guide to Clinical Exercise and Pilates →
Fees and Funding
We publish our fees because you should not have to ring a clinic to find out whether you can afford it.
| Appointment | Length | Fee |
|---|---|---|
| Initial physiotherapy assessment | 60 minutes | £68 |
| Follow-up treatment | 45 minutes | £54 |
| Extended rehabilitation session | 60 minutes | £95 |
| Clinical exercise block (6 weeks) | 6 × 55 minutes | £120 for six sessions |
Every appointment is one-to-one with the same physiotherapist, in a private treatment room. We do not double-book clinicians across two patients, and you are not handed to an assistant for the second half of your session.
You do not need a GP referral. You can book directly with us. If you are claiming on private health insurance, check with your insurer first, as some policies require a referral or a pre-authorisation code before your first appointment.
We work with most major private health insurers. Call 0161 000 0000 with your policy details and we will tell you where you stand before you book. Full details are on our physiotherapy fees and funding page.
Cancellations: we ask for 24 hours notice. Late cancellations and missed appointments are charged, because the slot cannot be offered to anyone else at that point. Tell us if something genuinely unavoidable happens and we will deal with it sensibly.
Book a Physiotherapy Assessment in Manchester
If you are not sure which of these services you need, that is normal, and it is our job rather than yours. Book an assessment and we will work it out together in the first hour.
Book a physiotherapy assessment · Call [0161 000 0000](tel:0161 000 0000) · Email hello@megaazee.com
Megazee.com Physiotherapy, 14 Bridgewater House, Quay Street, Manchester M3 3HN. Find our Manchester physiotherapy clinic, including parking, step-free access and opening hours. You can also meet the physiotherapists who would be treating you.
Written by Dr Helena Marsh, DPhysio, MCSP · HCPC HCPC registered Clinically reviewed by Dr Helena Marsh, DPhysio, MCSP Last reviewed 21 September 2026 · Next review due 21 September 2027
Medical disclaimer: This page describes our services in general terms and is not a substitute for individual assessment by a registered physiotherapist. Treatment decisions are made after examining you, not from a web page. If your symptoms are severe, worsening, or accompanied by any of the warning signs listed above, seek urgent medical advice. Read our full medical disclaimer.