"Peak Performance Physio are the only physios I trust to get me back up and moving! Having been in two car accidents and tried numerous health care providers I know from experience that they are the only people to correctly identify my problems, fix them and give me the tools to get back to full health and mobility fast. 5 out of 5 stars from me!"

Andrew Wallis, Bristol > read more


Manual Therapy

Manual therapy is a term that applies to any technique that involves the therapist's hands and is often used to restore mobility to a joint, muscle or nerve as well as to relax, or activate, muscles. It includes a detailed biomechanical assessment of the muscles, joints, fascia and nerves as well manually applied movement techniques such as joint mobilisation/manipulation, myofascial release, soft tissue mobilisation and neural mobilisation to treat excessive and restricted movement. 'Releasing old holding habits' is often the first thing we do to help relieve your pain. Manual therapy techniques, combined with dry needling and self-releasing exercises, which may or may not include the use of balls or foam rollers, are the tools we use to release your tight, restricted body.

The therapists at Peak Performance have all taken specialist post-graduate courses in manual and manipulative therapy.

image of physiotherapist at work

Dry Needling

Most of the physiotherapists at Peak performance Physio are certified to use dry needling - an effective treatment technique for myofascial trigger points and relaxation of taut muscular bands.

Dry needling, is used for muscles that are tight, and limiting motion, due to an increase in their resting tone (hypertonic muscles vs. stiff muscles). Based on neurophysiological principles, dry needling involves the insertion of thin needles adapted from traditional acupuncture into muscles that are tight or holding excess tension. The muscle grabs the needle or twitches and then relaxes fully which releases tension and pain and allows a window of opportunity for retraining movement patterns. At Peak performance we use dry needling in an integrated way to release excessively tight or tense muscles that block you from learning how to use your muscles differently. In this way we treat your pain and teach you new movement strategies so your muscles don't continue to develop excessive tension and pain.

Movement training and exercise instruction

Motor control, or the timing and control of your movement, is very important for the body to function optimally. It is dependent on several factors including the amount of control needed in different situations. Are you lying in bed, sitting supported in a chair, standing on two legs or one? Are you balancing on skates, a bike or on the rock face of a mountain? The amount of support your body has will change the amount of control your body needs to exert to maintain its position.

How well your body is able to adapt to these different scenarios depends on many factors: your muscle strength, balance, proprioception as well as how you feel emotionally in these situations. Our life experiences and the way our bodies develop also contribute to our motor control. If you’ve been doing an activity all your life, you’ll look very different from someone who’s trying it for the first time. Injuries are also a factor. A ballerina who sprains her ankle will have a difficult time balancing on point. A person who is in a car accident and has a neck whiplash injury may have a hard time supporting the weight of their head upright all day long.

Individuals who go mindlessly through a routine of exercises will have limited success in retraining how their brain uses the muscles (motor patterns) and may get worse with exercise if poor patterns are reinforced. This may result in irritation of structures and worsening of symptoms. The problem may not be the exercise that was done, but rather how the exercise was performed. Think of it this way - if you always do what you've always done, then you'll always get what you've always got!

The key to correcting dysfunctional patterns of muscle activation is to integrate awareness of movement during the task and to make the task functional; this is often harder on the brain than the body! We use imagery extensively to help you 'feel', and become aware that there is a difference in the effort required to move/support your body when you use your muscle system properly.

At Peak Performance Physio we do a thorough assessment to determine what patterns of movement might be contributing to your injury, pain or less than optimal performance. We then teach you how to correct these patterns so you can optimize your function and performance and decrease your pain.


There's more to pilates than developing "strong abs" or "core strength". Pilates is an exercise system that focuses on stretching and strengthening the whole body to improve balance, muscle-strength, flexibility and posture. It was created by German-born Joseph Pilates in the early 1900s and incorporates elements of yoga, martial arts and Western forms of exercise.  

Pilates can help improve posture, muscle tone and flexibility, core strength and joint mobility, as well as relieve stress and tension. Pilates type exercise are often taught by Peak Performance Physio’s as part of individual exercise programmes but it may also be suggested that joining one of our classes would be beneficial to continue your rehab and aiding prevention of further injuries.