--- title: "How Physio Helps with Arthritis: Treatment Guide | CK Physio" description: Expert physiotherapy advice for managing arthritis at any age. Learn about modern treatment options and self-management strategies from London physio. image: https://ckphysio.co.uk/hubfs/physiotherapy%20treatment%20for%20arthritis.jpg --- [![Spinal Problems, Sports Injuries, Joint Pains & Others! | London | CK Physiotherapy](https://ckphysio.co.uk/hubfs/CK%20physio%20-%202023/Images/CK%20LOGO%20main%20with%20wordmark%2032pt%20SVG%201.svg)](https://ckphysio.co.uk) - [About](https://ckphysio.co.uk/about-us) - [Testimonials](https://ckphysio.co.uk/testimonials) - [Links](https://ckphysio.co.uk/links) - [Infection prevention](https://ckphysio.co.uk/infection-prevention) - [Treatments](https://ckphysio.co.uk/treatments) - [Physiotherapy](https://ckphysio.co.uk/treatments/physiotherapy) - [Shockwave therapy](https://ckphysio.co.uk/treatments/shockwave-therapy) - [Shockwave Video](https://ckphysio.co.uk/treatments/shockwave-therapy/shockwave-video-hanwell) - [Electrotherapy](https://ckphysio.co.uk/treatments/electrotherapy) - [Conditions](https://ckphysio.co.uk/conditions) - [Bookings](https://ckphysio.co.uk/bookings) - [Resources](https://ckphysio.co.uk/resource) - [Blog List](https://ckphysio.co.uk/blog) - [Educational Videos](https://ckphysio.co.uk/in-depth-guide-video) [Contact us](https://ckphysio.co.uk/contact) ![physiotherapy treatment for arthritis](https://ckphysio.co.uk/hs-fs/hubfs/physiotherapy%20treatment%20for%20arthritis.jpg?width=1200&height=628&name=physiotherapy%20treatment%20for%20arthritis.jpg) ![calender](https://ckphysio.co.uk/hubfs/CK%20physio%20-%202023/Images/Group%20427324665.svg) 7\. January 2015 # How Physio Helps with Arthritis: Treatment Guide Clinically reviewed by **Bryan Kelly**, Chartered Physiotherapist (MCSP), HCPC-registered). Last reviewed: 9 November 2026. Next review due: November 2027. Yes — physiotherapy is a NICE-recommended core treatment for osteoarthritis and a supportive therapy for rheumatoid and other inflammatory arthritis. At CK Physio in Hanwell, we combine tailored exercise, education and hands-on therapy to help you manage pain, move more easily and stay active in West London. ![physiotherapy sessions for arthritis](https://ckphysio.co.uk/hs-fs/hubfs/physiotherapy%20sessions%20for%20arthritis.jpg?width=800&height=450&name=physiotherapy%20sessions%20for%20arthritis.jpg)Arthritis is the most common long-term condition CK Physio treats. Arthritis UK estimates that around ten to eleven million people across the United Kingdom live with arthritis, including roughly ten million adults with probable osteoarthritis.[1](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-1) If you are among them and live in Hanwell, Ealing, Acton, Chiswick or anywhere else in West London, this page explains exactly what arthritis physiotherapy at our clinic involves, what the evidence says it can and cannot do, and how to book. [Book an Arthritis Assessment in Hanwell](https://ckphysio.co.uk/bookings) No GP referral required. Call [020 8566 4113](tel:02085664113) or [07957 246185](tel:07957246185). ## Who we help at our Hanwell clinic Physiotherapy at CK Physio supports people living with several types of arthritis. The approach is tailored to your diagnosis, your goals and the joints involved. - **Osteoarthritis (OA)** — the most common form, usually affecting the knees, hips, hands, lower back or shoulders. Physiotherapy, exercise and education are named core treatments in NICE guideline NG226.[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) - **Rheumatoid arthritis (RA)** — an autoimmune inflammatory condition usually managed by a rheumatology team. Physiotherapy works alongside your consultant and medication to maintain function, strength and hand mobility.[3](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-3) - **Psoriatic arthritis and axial spondyloarthritis** — supported with movement, posture and conditioning work that complements your specialist care. - **People awaiting hip or knee replacement** — prehabilitation to build strength, confidence and mobility before surgery. - **People recovering from joint surgery** — structured, graded rehabilitation to help you return to daily life, work and the activities that matter to you. If you would like a broader evidence-based explanation of how physiotherapy helps arthritis pain, our longer clinical guide — [Why Try Physiotherapy to Alleviate Arthritis Pain](https://ckphysio.co.uk/blog/find-comfort-physiotherapy-ealing-alleviate-arthritis) — covers the full research picture. For knee arthritis specifically, see our [NICE-aligned knee osteoarthritis guide](https://ckphysio.co.uk/blog/physiotherapy-treatment-osteoarthritis-patients) and our page on [exercises for knee arthritis](https://ckphysio.co.uk/blog/knee-arthritis-and-exercises). ## What happens at your first arthritis appointment Your first session at our Hanwell clinic is a thorough one-to-one assessment with a Chartered Physiotherapist. We take time to understand your history, your joints and what you want to get back to — whether that is walking around Brent Valley Park, gardening at the weekend or returning to tennis without pain. | Stage | What it involves | Typical duration | | --- | --- | --- | | **Subjective history** | We discuss your symptoms, how they affect your daily life, previous diagnoses, medication and your personal goals. | 10–15 minutes | | **Physical assessment** | Joint movement, muscle strength, balance and functional tasks relevant to your goals (such as stairs, standing from a chair or gripping). | 15–20 minutes | | **Shared plan** | We explain what we found, what the evidence recommends and agree a plan with you — exercises, hands-on therapy where appropriate, pacing and self-management. | 10–15 minutes | | **Initial treatment** | Hands-on techniques where indicated, a tailored starting exercise programme and clear advice on what to do between sessions. | 10–15 minutes | Appointments are longer than a typical NHS slot, so there is time to explain your condition properly and answer the questions that often go unasked. You leave with a plan and something practical to start that day. [Book your assessment](https://ckphysio.co.uk/bookings) ## Evidence-based treatment: what we use, and what we don't We take our cues from the National Institute for Health and Care Excellence (NICE) and the most recent Cochrane review on exercise for osteoarthritis. That means we focus on what works and are honest about what does not. ### What we offer - **Tailored therapeutic exercise.** NICE names therapeutic exercise as a core treatment for osteoarthritis.[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) A 2024 Cochrane review of 139 trials and more than 12,000 participants found that, compared with no treatment or usual care, exercise may improve pain by around 13 points and function by around 12 points on a 0–100 scale in the short term. The certainty of the evidence is low to moderate and the benefits are modest, but they are real.[4](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-4) - **Education and self-management.** Understanding your condition, pacing activity and planning flares reduces fear of movement and supports long-term adherence to exercise, which is what sustains the benefit.[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) - **Manual therapy for hip and knee OA.** NICE suggests manual therapy should be considered only for hip and knee osteoarthritis, and only alongside exercise — never as a stand-alone treatment.[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) Learn more about our [manual therapy approach](https://ckphysio.co.uk/manual-therapy-ck-physiotherapy-in-west-london). - **Weight-management support.** Where appropriate, we discuss weight as part of a shared plan. NICE highlights that any weight loss is likely to help, with greater reductions providing greater benefit.[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) - **Home-exercise prescription.** You go home with clear, written exercises matched to your current ability, so progress continues between sessions. ### What we do not offer for arthritis — and why Being honest about what the evidence does not support is as important as knowing what works. For osteoarthritis, NICE NG226 advises *against* several treatments that some clinics still promote:[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) - **Electrotherapy (including TENS and therapeutic ultrasound)** — not recommended by NICE for the routine management of osteoarthritis. See our wider explainer on [therapeutic ultrasound in physiotherapy](https://ckphysio.co.uk/blog/therapeutic-ultrasound-and-physiotherapy-treatment) for more context. - **Acupuncture and dry needling** — not recommended for osteoarthritis (not cost-effective in NICE's assessment). - **Glucosamine and hyaluronic-acid joint injections** — NICE does not recommend either for osteoarthritis. If another clinic has offered any of these for arthritis and you are not sure what to make of it, bring the question to your assessment and we will talk through what the current UK guidance says. ### Knee and hip arthritis Knee and hip osteoarthritis respond well to progressive loading, balance work and functional retraining — the movements you do every day, done better and with more strength behind them. Hip pain is not always osteoarthritis, so our assessment includes differential screening for conditions such as [gluteal tendinopathy and hip bursitis](https://ckphysio.co.uk/blog/gluteal-tendinopathy-hip-bursitis-physiotherapy-guide), which are commonly missed. ### Hand arthritis and rheumatoid arthritis programmes For rheumatoid arthritis affecting the hands and wrists, NICE NG100 recommends access to a tailored hand-exercise programme as part of multidisciplinary care.[3](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-3) We work alongside your rheumatology team — never in place of medication — to maintain grip, dexterity and function. ## Working alongside your GP, rheumatologist or surgeon Private physiotherapy is not an alternative to NHS care. It sits alongside it. We can: - Support you while you wait for an NHS rheumatology or orthopaedic appointment, so you can keep moving and stay strong. - Provide prehabilitation before a planned hip or knee replacement, which can help you prepare physically and mentally for surgery. - Share progress updates with your GP or consultant with your consent. - Flag anything that needs urgent medical review — see the [red flags](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#urgent-care) below. If you are under the care of London North West University Healthcare NHS Trust's rheumatology service at Ealing Hospital, or Imperial College Healthcare at Charing Cross or Hammersmith, we are happy to coordinate so that your private sessions complement your NHS plan. ## How many sessions will I need? Honestly, it varies. Arthritis is a long-term condition, so our aim is to get you confident, independent and in control of your own management — not dependent on us. A common pattern is a one-hour initial assessment followed by a small number of follow-up sessions over four to twelve weeks to review progress, progress exercises and troubleshoot flares. Some people see us for a one-off check and consultation; others attend periodic reviews over a longer period, particularly around changes in activity or life stage. Your plan will be built with you and reviewed as you progress. ## Arthritis physiotherapy fees and insurance For context, the 2026 UK Private Practice Barometer survey of 715 physiotherapy clinics reported a national median fee of £74 for an initial assessment and £63 for a follow-up, with London averages a little higher.[5](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-5) Our own current fees are listed on the [bookings page](https://ckphysio.co.uk/bookings). We are recognised by the main private health insurers; please check your policy terms, and if you intend to claim, bring your authorisation code to your first visit. If you cannot attend the clinic, we also offer [home-visit physiotherapy](https://ckphysio.co.uk/blog/home-visit-physiotherapy-guide) across West London. ## Getting to CK Physio in Hanwell The clinic is at **57 Elthorne Avenue, Hanwell, London W7 2JY**, close to the Uxbridge Road and a short walk from Hanwell station on the Elizabeth line. West Ealing and Ealing Broadway stations (Elizabeth, Central and District lines) are both nearby, and several bus routes run through Hanwell Broadway. We regularly see patients from Hanwell, Ealing, West Ealing, Acton, Chiswick, Brentford, Southall, Greenford and Northolt, as well as further afield across West London. If you'd like directions or parking advice, please [get in touch](https://ckphysio.co.uk/contact). ## When to seek urgent medical help instead Physiotherapy is not the right first step for every joint problem. Please contact NHS 111, your GP or A&E urgently if you have any of the following: - A hot, red, swollen joint with fever or feeling generally unwell (possible septic arthritis). - New swelling in several small joints of the hands or feet, or morning stiffness lasting more than 30 minutes (possible inflammatory arthritis — see your GP). - Unexplained weight loss, severe night pain not eased by rest, or sudden loss of function after a fall. - A suspected gout flare with a very painful, swollen joint. In an emergency, always call **999** or attend your nearest A&E. If you are unsure whether physiotherapy is appropriate for you, please speak to your GP first. You can also browse our [conditions we treat](https://ckphysio.co.uk/conditions) or [physiotherapy services](https://ckphysio.co.uk/treatments/physiotherapy) for more information. ## Frequently asked questions ### Can physiotherapy help arthritis? Yes. For osteoarthritis, NICE NG226 names tailored therapeutic exercise, education and weight management (where appropriate) as the core treatments.[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) For rheumatoid and other inflammatory arthritis, physiotherapy is a recognised part of multidisciplinary care, supporting the work your rheumatologist and medication do.[3](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-3) ### Can physiotherapy reverse arthritis? No. Physiotherapy does not reverse joint changes, cure arthritis or stop its progression. What it aims to do — and what the evidence supports — is reduce pain, improve strength, movement and confidence, and help you stay active with the condition.[4](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-4) ### What is the best exercise for arthritis? The 2024 Cochrane review on knee osteoarthritis found no single type of exercise clearly superior to another.[4](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-4) What matters is that it is tailored to your joints and goals, progressive, and something you can realistically keep doing. A mix of strengthening, aerobic activity (such as walking or cycling) and balance work tends to work well. ### Will exercise make my arthritis worse? NICE notes that joint pain may temporarily increase when you start exercising, but that long-term adherence increases the benefit.[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) Starting at the right level and progressing sensibly is key, which is exactly what we help you do. ### How many physio sessions will I need for arthritis? It varies. Many people see us for an assessment and two to six follow-ups over a few weeks, with occasional reviews after that. The aim is to leave you confident in managing your condition independently. ### Do I need a GP referral to see a physiotherapist? No. You can book directly with CK Physio without a GP referral. If you are claiming on private medical insurance, however, your insurer may require a referral or authorisation code — please check your policy. ### Should I take glucosamine or other supplements? NICE NG226 does not recommend glucosamine for osteoarthritis.[2](https://ckphysio.co.uk/blog/london-physiotherapy-clinic-can-help-your-arthritis-problems#ref-2) For other supplements, the evidence is limited and highly variable; please discuss any supplements with your GP or pharmacist, especially if you take other medication. ### Is physiotherapy covered by private health insurance? Most major UK insurers (including Bupa, AXA Health, Aviva, Vitality and WPA) cover physiotherapy, usually with a referral or authorisation code. We recommend checking your policy limits before booking and bringing your authorisation code to your first appointment. ## Ready to take the next step? Book a one-to-one assessment with a Chartered Physiotherapist at our Hanwell clinic. No GP referral needed. [Book online](https://ckphysio.co.uk/bookings) [Call 020 8566 4113](tel:02085664113) About this article Written by **Bryan Kelly**, Chartered Physiotherapist (MCSP), HCPC-registered . Clinically reviewed by **CK Physio Team**. Published: 9 November 2026. Next review due: November 2027. You can verify any UK-registered physiotherapist on the [HCPC Register](https://www.hcpc-uk.org/check-the-register/) or the [Chartered Society of Physiotherapy](https://www.csp.org.uk/) website. *This article is for general information and is not a substitute for personal medical advice. Please speak to your GP or a Chartered Physiotherapist about your individual circumstances.* ## References 1. Arthritis UK. *The State of Musculoskeletal Health 2025*. Published October 2025. Available at: [https://www.arthritis-uk.org/about-arthritis/data-and-statistics/the-state-of-musculoskeletal-health/](https://www.arthritis-uk.org/about-arthritis/data-and-statistics/the-state-of-musculoskeletal-health/) 2. National Institute for Health and Care Excellence (NICE). *Osteoarthritis in over 16s: diagnosis and management* (NG226). Published October 2022. Available at: [https://www.nice.org.uk/guidance/ng226/chapter/Recommendations](https://www.nice.org.uk/guidance/ng226/chapter/Recommendations) 3. National Institute for Health and Care Excellence (NICE). *Rheumatoid arthritis in adults: management* (NG100). Published July 2018, updated October 2020. Available at: [https://www.nice.org.uk/guidance/ng100](https://www.nice.org.uk/guidance/ng100) 4. Lawford BJ, Hall M, Hinman RS, et al. Exercise for osteoarthritis of the knee (Cochrane Review summary). *Cochrane Database of Systematic Reviews*, 2024. Available at: [https://www.cochrane.org/evidence/CD004376\_exercise-effective-therapy-treat-knee-osteoarthritis](https://www.cochrane.org/evidence/CD004376_exercise-effective-therapy-treat-knee-osteoarthritis) 5. NHS. *Osteoarthritis — overview*. Available at: [https://www.nhs.uk/conditions/osteoarthritis/](https://www.nhs.uk/conditions/osteoarthritis/). See also NHS. *Rheumatoid arthritis — overview*: [https://www.nhs.uk/conditions/rheumatoid-arthritis/](https://www.nhs.uk/conditions/rheumatoid-arthritis/) CK Physio is a trading name of a Chartered Physiotherapy clinic at 57 Elthorne Avenue, Hanwell, London W7 2JY. 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