Passive modalities are not a substitute for active rehabilitation. They are tools that, when used at the right point in a treatment plan, make active rehab easier or faster. Each tool has specific indications, contraindications and an evidence base — we will explain ours.

What we offer

• Shockwave therapy. Radial and focused shockwave for chronic tendinopathy — plantar fasciitis, Achilles, patellar, calcific shoulder. 3–6 sessions.
• Low-level laser therapy (LLLT). Cold laser for soft-tissue healing and pain modulation. Used in soft-tissue injury and post-MVA rehab.
• Pulsed Electromagnetic Field therapy (PEMF). For bone healing support, soft-tissue recovery and selected chronic-pain presentations.
• Aqua massage. Pressurised warm-water massage delivered through a contained bed. A pre-treatment relaxation modality and a useful tool for patients who cannot tolerate manual massage.
• Spinal decompression. Mechanical traction for selected disc-related low back and neck conditions. Patient-specific protocol delivered after assessment.

How we use them in your plan

You will never receive a passive-only plan. Every modality session is paired with active rehabilitation, manual therapy, or assessment progression. We use passive modalities in three situations: to reduce pain so active rehab is tolerable; to accelerate tissue healing in conditions where the evidence supports it; and as a comfort-and-recovery layer in complex rehabilitation plans.

When passive modalities help

• Chronic tendinopathy not responding to active care alone (shockwave, LLLT)
• Acute soft-tissue injury where pain is limiting active work (LLLT, PEMF)
• Disc-related back or neck pain in selected patients (spinal decompression)
• Post-MVA soft-tissue tension and pain (aqua massage)

Patients who cannot tolerate manual treatment yet (aqua massage, LLLT)