
FAQs
Please select a category below to find answers to your questions:

General Queries
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We recommend wearing loose, comfortable clothing that allows easy movement and provides access to the area of concern (e.g., your injury or pain). Ensure your outfit does not restrict movement in your shoulders, knees, hips or spine so your practitioner can fully assess your range of motion.
We also advise wearing comfortable footwear such as running shoes as you may need to perform light exercises during your session. Please note that you may be asked to remove your shoes.
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Although our medical centre is located on the first floor, we are committed to making our facilities as accessible as possible. A lift is available for easy access and we also have an accessible toilet on-site.
Please be aware that there is a single step from the street to the concierge area. To accommodate this, a removable ramp will be available. To ensure a smooth visit without delays, kindly inform us of your access requirements in advance.
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We offer a variety of appointment types to suit your specific needs. Click here to view the pricing details associated with each type of appointment you may require.
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Details regarding the duration of the appointments can be found clicking here.
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Bringing documentation is not required. However, if you believe there may be a connection to a previous injury, condition or illness, we encourage you to bring any relevant records. This will help your practitioner gain a more complete understanding of your medical history.
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Our clinic is located at 67 Brewer Street, Soho, London W1F 9US.
Parking is available on Brewer Street in the NCP Brewer Street Parking. -
We accept all major payment cards, including American Express, as well as contactless payments.
Additionally, we can provide a payment link or a QR code to pay directly from your phone. Please note that we do not accept cash payments.
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A GP referral is not required; however, some medical insurance providers may request one.
If you plan to claim back the cost of your treatment, we advise that you check with your insurance provider ahead of time.
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We are covered by all of the Private Medical Insurance companies including BUPA, Vitality, Allianz and Cygna.
Patients are advised to contact their insurance provider to verify the coverage of their specific policy. Please also confirm whether your provider requires any documentation such as a referral or pre-authorization before your appointment.
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Cancellations made more than 24 hours before your appointment, are free of charge and can be processed through the cancellation link in your appointment confirmation email.
For cancellations or rescheduling within less than 24 hours, the full cost of the appointment will be charged. -
You can reschedule your appointment more than 24 hours in advance by contacting us at medical.soho@thirdspace.london or calling on 020 7439 7332.
Please note that we may not be able to reschedule appointments within the 24-hour notice period.
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Yes. You can request a practitioner of a specific gender.
We have a large team and we will do our best to accommodate your preference. However, availability may be limited depending on the specialist you need. Please contact us ahead of booking if you have any specific requests.
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Yes, we treat patients of all ages, including teenagers and children.
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Yes, and if you require any special assistance, feel free to contact our reception team so that we can do our best to accommodate your needs.

Osteopathy
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The aim of osteopathy is to improve and support all aspects of health and healthy development. Osteopaths analyse and evaluate the structural and functional integrity of the body leading to an individual diagnosis and subsequent treatment of the patient.
Although primarily effective for the treatment and prevention of musculoskeletal problems such as back or joint pain, osteopathy can also help for example with postural and pregnancy related discomfort. Babies and children can also benefit from osteopathy.
Osteopathy and osteopathic medicine incorporate current medical and scientific knowledge in applying osteopathic principles to patient care which in turn leads to evidence-informed outcomes.
Osteopaths use hand-on techniques such as stretching, massage and joint mobilisation to promote overall health and well-being.
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Osteopathy can help with various conditions including:
Back and neck pain
Joint pain including knee, hip, and shoulder issues
Headaches
Sports injuries
Sciatica and nerve pain
Arthritis and joint stiffness
Postural problems
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While both osteopathy and physiotherapy aim to relieve pain and improve mobility, they differ in their approach.
Osteopathy focuses on the body as a whole, using manual techniques to improve function.
Physiotherapy is more likely to focus on specific areas of injury or dysfunction. Both therapies can be effective, depending on your needs.
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Your first session will involve a detailed consultation, where your osteopath will take a full medical history and a detailed description of your symptoms.
After assessing your posture, joint mobility and muscle function, the osteopath will use a range of techniques, such as soft tissue massage, stretching and joint mobilisation, often backed up with a detailed exercise program.
The session will be tailored to your specific needs and designed to promote pain relief, increased mobility and overall body balance.
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The number of sessions you’ll need will depend on your condition and how your body responds to treatment. Some patients feel improvement after just one session, while others may need several treatments to experience full relief. Your osteopath will discuss a treatment plan tailored to your needs and adjust it based on your progress.
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Yes, osteopathy is a safe and regulated form of treatment. Osteopaths in the UK are trained professionals who must be registered with the General Osteopathic Council (GOsC) to practice.
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No, you don’t need a referral to see an osteopath. However, if you are using private health insurance to cover the cost of treatment, your provider may require a referral from your GP. We recommend checking with your insurance provider to confirm the requirements of your policy.

Physiotherapy
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On your first visit (or subsequent visits for new problems) you will receive a thorough assessment, diagnosis and a treatment plan will be devised. Advice is provided regarding your condition and exactly how physiotherapy can help.
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The answer to this question greatly depends on your diagnosis, the severity or chronicity of your injury, your past medical history, and a variety of other factors.
After your initial assessment is complete, have a discussion with your physiotherapist about how many treatment sessions they would recommend. Your physiotherapist will complete a short re-evaluations during each treatment session to monitor your progress and to customise the treatment to any changes to the diagnosis or improvements in your injury.
Feel free to ask your physiotherapist for their professional opinion at any time about how many more sessions you may need.
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Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future, as well as improving strength.
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Physiotherapy can be helpful for people of all ages with a wide range of health conditions, including problems affecting the:
bones, joints and soft tissue – such as back pain, neck pain, shoulder pain and sports injuries
brain or nervous system – such as movement problems resulting from a stroke, multiple sclerosis (MS) or Parkinson's disease
heart and circulation – such as rehabilitation after a heart attack
lungs and breathing – such as chronic obstructive pulmonary disease (COPD) and cystic fibrosis
Physiotherapy can improve your physical activity while helping you to prevent further injuries.

Sports Massages
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We offer a variety of massage therapies tailored to meet your specific needs, including:
Sports Massage: Targeted treatment to alleviate muscle tension, prevent injury, and enhance performance.
Deep Tissue Massage: A more intense massage focusing on deeper layers of muscle tissue to relieve chronic pain and tension.
Swedish Massage: A relaxing, full-body massage using long strokes to improve circulation and reduce stress.
Pregnancy Massage: A gentle massage designed to relieve discomfort and promote relaxation during pregnancy.
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Massage therapy can provide a wide range of benefits, such as:
Reducing muscle tension and stiffness
Alleviating stress and anxiety
Improving circulation and flexibility
Enhancing recovery after exercise or injury
Promoting relaxation and overall well-being
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Massage sessions can vary in length based on your preferences. Typically, sessions are available 60, or 90-minute options, but we have also 30-minutes options.
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There’s no need for special preparation before a massage. We recommend arriving a few minutes early to fill out any necessary paperwork and discuss your specific concerns with the therapist. Be sure to hydrate well before and after your massage to support muscle recovery.
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You can wear whatever makes you comfortable. For most massages, you'll be asked to undress to your comfort level, and we will use draping techniques to ensure your privacy. If you’re receiving a sports or deep tissue massage, loose-fitting clothing that allows access to the areas being treated may also be an option.
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Our treatment rooms are kept at a comfortable temperature to ensure your relaxation throughout the session. However, we can adjust the temperature based on your personal preference, so feel free to let us know if you're too warm or cool.
During the massage, we use draping techniques, where sheets or towels are used to cover the parts of your body that aren’t being treated. These techniques are used to ensure your privacy, comfort, and warmth throughout the session. Only the area being massaged will be uncovered, and the rest of your body will remain covered to maintain modesty and respect your personal boundaries.
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Yes, pregnancy massages are designed to be safe and comfortable for both mother and baby. Our therapists are specially trained to address common pregnancy-related issues such as lower back pain, swelling, and fatigue. We use techniques that are both safe and effective throughout the different stages of pregnancy.
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The frequency of your massages depends on your individual needs and goals. Some people benefit from weekly sessions, especially for sports recovery or chronic pain management, while others may find monthly or occasional massages sufficient for relaxation and stress relief.
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After a massage, you may feel deeply relaxed or slightly energised, depending on the type of massage you received. It's common to experience mild soreness, particularly after a deep tissue or sports massage, as your muscles have been worked on. This should subside within a day or two. You may also feel an increase in flexibility and reduced muscle tension immediately after your session.
To maximise the benefits of your massage, it's important to stay hydrated, as massage helps to release toxins from the muscles. Drinking water will assist in flushing these out. Additionally, it’s best to avoid strenuous physical activity for at least 24 hours to allow your body time to recover.
If you experience any lasting discomfort or have any concerns, don’t hesitate to contact your therapist for advice.

Podiatry
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During your initial podiatry appointment, a full medical history will be taken and you can expect a thorough examination of your circulation, nerves ankles, lower leg and your foot muscles will be checked and tested. The podiatrist will also determine how healthy the feet are and educate you on any foot conditions that you may present with.
Once a diagnosis is made, your podiatrist will discuss the treatment options available. These may include:
Non-invasive treatments: Podiatrists will often start by recommending non-invasive treatments to address these conditions, which may involve regular foot treatments, specific exercises, stretches, or physical therapy to improve strength, flexibility, and range of motion. They may also prescribe orthotic devices, such as custom-made inserts, to provide support and offload, correct alignment, and reduce pain.
Medications and topical treatments: In some cases, podiatrists may prescribe medications to manage pain, reduce inflammation, or treat infections. They may also recommend medicated foot products, ointments, or antifungal agents for conditions affecting the skin or nails.
Non-surgical procedures: If chronic or acute pain is being caused by a diagnosed foot condition, non-invasive procedures such as cold laser, shockwave therapy, kinesiology taping and/or acupuncture may be required.
Cold Laser: for fungal nail infections is also a treatment exclusively offered for clients with fungal nail infections and athletes’ foot. These procedures are performed within the clinic and recovery or down time is not required.
Surgical interventions: In more severe cases or when conservative measures have been unsuccessful, podiatrists may recommend surgical intervention and refer you to a Foot and Ankle Surgeon.
Throughout your podiatry treatment, your podiatrist will provide guidance and support, monitoring your progress and adjusting the treatment plan as necessary. They will also offer advice on preventive measures, footwear, and self-care techniques to maintain foot health and prevent future issues.
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Below is a checklist to help you prepare you for your first podiatry appointment and help make the most of your time with our Podiatrists:
Make a list of your symptoms and questions.
Make a list of all medications and any previous surgeries.
Gather and bring important medical records and laboratory test reports from other doctors or hospitals (including X-rays, MRIs, and lab results).
If you have special needs, call the clinic to inform about your requirements.
Bring a friend or family member if you think it will be helpful.
If your problem involves walking and/or exercise, bring your walking/exercise shoes with you to the appointment.
For all appointments that involve a nail assessment or treatment please make sure that all toenail polish, shellac, artificial toenails etc are removed before the appointment.
Let your podiatrist know if you are pregnant or if you are trying to get pregnant.
Let your podiatrist know if you are being treated by other doctors.
Avoid cutting your nails before your appointment so that our podiatrists can assess your feet in their entirety.
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Podiatry is a specialised field of healthcare that focuses on the diagnosis, treatment and prevention of conditions affecting the feet and ankles. Podiatrists, (sometimes known as ‘Foot Specialists’) are trained medical professionals who play a crucial role in maintaining foot health, mobility and foot posture.
At London Integrated Medicine, our Podiatrists perform award winning and transformative foot treatments such as Medical Pedicures and The Footlift which involves callus reduction, nail care and intensive and hydrating skin treatments.
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Podiatrists are experts in foot and lower-limb care. Common foot complaints such as corns, calluses, ingrown bails, painful heels and ankle and foot pain can all be managed by a Podiatrist.
Podiatrists have a deep understanding of the complex structures of the feet and ankles, with their primary goal being to help individuals maintain optimal foot health and alleviate any pain or discomfort. Podiatrists diagnose and treat various foot and ankle conditions, including:
Injuries: Podiatrists are able to diagnose and treat sprains, strains, and other injuries affecting the feet and ankles. They use a range of techniques such as immobilisation, physical therapy, and orthotic devices to promote healing and restore functionality.
Foot deformities: Podiatrists can address deformities like bunions, hammertoes, flat feet, and high arches. They can recommend appropriate footwear, prescribe customised orthotics, and provide guidance on foot strengthening exercises and stretching routines to alleviate discomfort and correct underlying structural issues.
Nail and skin conditions: During the Medical Pedicure and The Footlift, our Podiatrists are able to treat conditions such as ingrown toenails, fungal infections, corns, calluses, and verrucas. Podiatrists can perform minor surgical procedures for ingrown nails, prescribe topical treatments, and offer advice on foot hygiene in order to prevent recurrence.
Diabetic foot care: Clients with diabetes are at a higher risk of developing foot complications, including nerve damage, poor circulation, and slow to non-healing wounds. Podiatrists play a vital role in managing and preventing the high and low risk foot, through regular foot examinations, including circulation and neurological tests, providing education on proper foot care, and developing preventive strategies to minimise the risk of diabetic foot ulcers and amputations.

Acupuncture
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It is advisable to wear loose fitting and comfortable clothing that can roll up over knees and elbows. If that isn’t possible don’t worry, we can work around whatever you arrive in.
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The effect of acupuncture is cumulative and the number of treatments is completely dependent on your personal needs. Sometimes fewer are needed, and sometimes more if a particular condition is chronic.
The ideal time to start acupuncture treatment for fertility is 3 months before you’re ready to conceive or 3 months before starting an IVF cycle. Treatment plans will have regular reviews and will always be agreed in advance between us.
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At your first appointment we will discuss your main complaint and I will carry out an in-depth consultation before starting your first treatment. I will also take your pulse and look at your tongue – a very useful diagnostic tool in Chinese medicine. We will discuss diet and lifestyle and how these can best compliment the power of your acupuncture treatments.
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There are over 360 acupuncture points all over the body, from the top of the head to the soles of the feet. It will depend on your diagnosis and we use a very small, bespoke selection during your treatment, not all of them!
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People can be affected by acupuncture in very different ways. Some people leave feeling energised whilst others can feel tired or relaxed. It is best to avoid intense exercise or alcohol for the 12 hours afterwards.
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Certain areas of the body are more sensitive but acupuncture shouldn’t hurt. The needles used are very fine, sterile and single use. A dull, prickling or tingling sensation is often felt as the needles get to work. These sensations are normal and we use this feedback from your body to help us best diagnose and treat.
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Acupuncture is one of the most popular complementary treatments in the UK, it is derived from Chinese medicine and has been in existence over 2000 years.
During acupuncture treatment, very fine, single-use, sterile needles are inserted at certain points in the body for preventative or therapeutic purposes. The focus of treatment is on the individual and takes a holistic approach to symptoms, signs and also the emotions. Acupuncture can be used as a stand-alone therapy or can be given alongside other Western medicine treatments.
From a traditional Chinese medicine perspective Qi (life force or energy) flows through the body along pathways called meridians. When you are in good health, the Qi flows freely. When the Qi is interrupted or slowed, illness or pain can occur. Acupuncture looks to address these imbalances by unblocking, balancing and stimulating the body’s innate ability to heal itself.
From a Western medical perspective acupuncture stimulates sensory nerves under the skin and in the muscles. This causes the body to produce natural substances such as pain-relieving endorphins. These endorphins have similar characteristics to painkillers that can affect systems in our bodies such as immunity, digestion and hormones. Acupuncture can decrease inflammation, ease muscle pain and boost the immune system by increasing the T-cell count.
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Acupuncture can help any of the following:
Musculoskeletal issues such as backpain, neck pain, knee pain, frozen shoulder,
Women’s health such as PCOS, fertility issues, menopause, hormonal imbalances
Stress and anxiety
Migraines and headaches
Digestive issues and IBS (irritable bowel syndrome)
Neurological disorders such as neuropathy and Bell’s Palsy
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Gua sha (pronounced "gwa-shah") is an ancient technique that has been used in China for over 2,000 years. It is used to promote healing, stimulate circulation and blood flow, relieve musculoskeletal pain, release tension and reduce inflammation. We use a small, smooth-edged tool to firmly stroke your skin, lubricated with oil, to help chi flowing again.
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Electroacupuncture involves using tiny electrodes attached to pairs of acupuncture needles to run an electrical current through the body. This circuit of electricity activates the sympathetic nerve fibres and increases circulation thus improving blood flow that is essential for reducing inflammation and kickstarting recovery.
Electroacupuncture can be useful when treating conditions such as neurological disease, chronic and acute pain, arthritis and spasms.Item description
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In Auricular Acupuncture tiny needles are placed into acupuncture points on the outer ear exerting a gentle stimulation that creates a response in a particular part of the body to promote natural self-healing. It’s based on the understanding that the ear is a microsystem representing the entire body. There are hundreds of acupuncture points in the ear, each correlating with a specific area or function of the body.
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Please make sure you are well hydrated, eat a light meal and avoid alcohol immediately before treatment.

Pelvic Health Physiotherapy
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Pelvic health physiotherapy is the therapeutic treatment of all disorders affecting the pelvis and pelvic. From incontinence to prolapse, pelvic pain or constipation, there is growing evidence that physiotherapy can alleviate, and in many cases cure these symptoms.
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+ Bladder
It is thought that 1 in 3 women will suffer from bladder problems at some point in their life. Pelvic floor physiotherapy has been shown to be effective in reducing symptoms for around 80% of women.
Stress urinary incontinence
Urge urinary incontinence
Overactive bladder
Increased frequency
Pain with urinating
Increased nocturia (night)
Incomplete emptying
Repeated UTIs
BPS (Bladder Pain Syndrome)
+ Bowel
About 1 in 20 people experience poor bowel control. It's often not talked about, but both men and women of any age can experience altered bowel control.
Faecal incontinence
Flatal incontinence (reduced wind control)
Constipation
Bowel urgency
Faecal staining on underwear
Pain with bowel movement
Anal pain
Incomplete emptying
Abdominal pain with constipation pregnancy
+ Pregnancy
During pregnancy, your body undergoes huge changes, physically and emotionally.
Whilst majority of the time these changes are manageable, there are still symptoms which can persist where pelvic health physiotherapy can offer huge help and relief.Pelvic Girdle Pain (PGP)
Back pain
Rib pain
Hip or groin pain
Sciatica pins and needles or numbness
Pelvic floor symptoms
Exercising safely
Incontinence
Prolapse or vaginal heaviness post-natal
+ Postpartum
We must allow time for the body to heal after giving birth.
It is expected that you will experience aches and pains initially after giving birth, but if these persist or you experience any of the below, please consider booking an assessment.Musculoskeletal pain
Sciatica
Abdominal separation (RAD)
Urinary incontinence
Bowel incontinence
Prolapse
Birth injuries or tears
Scar management (episiotomy or perineal or C-Section)
Scar massage
Returning to sexual activity
Returning to exercise safely menopause
+ Menopause
A lot of changes occur during menopause.
Pelvic floor disorders can present in a number of ways and may include the following:Leaking of urine with coughs, sneezes, or exercise
Leaking of urine on the way to the toilet
Nocturia (increased frequency to urinate in the evening)
UTIs
Bowel urgency
Being unable to control wind
Constipation
Vaginal dryness
Painful sexual intercourse
Pelvic pain
+ Prolapse
Pelvic organ prolapse is defined as the descent or lowering of the bladder, bowel or uterus into the vagina.
This happens because the ligaments, fascia and muscles are not holding the organs in the correct place and they start to descent.Cystocele (bladder)
Urethrocele (urethra)
Uterine (uterus)
Enterocele (small bowel)
Rectocele (rectum)
Pelvic pain
+ Men's Health
It is estimated 11 to 34% of older men have some form of urinary incontinence (UI). 2 to 11% of older men deal with symptoms of UI every day. Some men may experience more than one type of incontinence.
Bladder control
Bowel control
Nerve entrapment
Pelvic pain
Irritable Bowel Syndrome (IBS)
Prostatitis
Coccydynia
Erectile dysfunction
Prostectomy
+ Pelvic Pain
Pelvic pain which has lasted for six months or more is known as chronic and affects around 1 in 6 women. It can either come or go, or may be constant, and is normally more severe than normal pain.
Vaginal pain including vaginismus and vulvodynia
Vestibulodynia
Dyspareunia (pain with sex)
Pudendal nerve injury
Interstitial cystitis or BPS
Coccydynia
Irritable Bowel Syndrome (IBS)
Pelvic pain
Endometriosis
Scar pain (post-delivery or gynaecological surgery)
Pain post-gynaecological surgery
Lichen Sclerosis or Planus men’s health
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Understand the Process: Know that the first session involves a detailed assessment of your medical history and pelvic health symptoms and problems. There will also be a discussion about your bladder, bowel, and sexual health. The physical examination will entail a full assessment of your musculoskeletal system including your core cylinder, pelvic area and a breathing assessment. Likely an internal pelvic exam will be suggested via the vagina or anus, which is, of course, only completed with your consent.
Wear Comfortable Clothing: Wear loose, comfortable clothing to make movement easier during the physical assessments.
Avoid Over-Cleaning: Stick to normal hygiene routines before the appointment.
Write Down Symptoms: List any symptoms, concerns, or questions beforehand to ensure nothing is overlooked during the session.
Know Your Medical History: Be prepared to discuss your medical history, including past pregnancies, surgeries, or any pelvic health issues you’ve experienced.
Be Open About Your Goals: Clearly express what you hope to achieve from therapy, such as reducing pain, regaining bladder control, or returning to exercise during your postpartum recovery. Our goal is for you to achieve your goals.

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IV Drips: These treatments deliver fluids, vitamins, minerals, and nutrients directly into your bloodstream for rapid absorption and effective results.
Intramuscular Injections: These involve administering vitamins or medications directly into the muscle, providing targeted benefits and quick absorption.
NAD Therapy: A specialised infusion that supplies nicotinamide adenine dinucleotide (NAD) to support cellular energy production, mental clarity, and overall vitality.
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IV Drips:
Enhanced hydration and electrolyte balance
Increased energy and immune system support
Recovery from fatigue, jet lag, or illness
Improved skin health and anti-aging effects
Support for athletic performance
Intramuscular Injections:
Quick energy and immune support (for example, with Vitamin B12)
Assistance with muscle recovery and performance
Improved skin, hair, and metabolic functions
NAD Therapy:
Boosts cellular energy production
May enhance mental clarity and cognitive function
Supports detoxification and recovery
Contributes to overall anti-aging and vitality
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IV Drips: Sessions typically last 60 minutes.
Intramuscular Injections: These procedures take just 15 minutes minutes.
NAD Therapy: Appointments are scheduled for 2 hours to ensure safe and effective administration.
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IV Drips: Some individuals experience an immediate energy boost, while others notice gradual improvements over hours or days.
Intramuscular Injections: Effects can be felt almost immediately for some, with benefits developing over a few days for others.
NAD Therapy: Benefits may develop progressively during and after the infusion as the treatment works to support cellular energy and overall wellness.
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The optimal frequency depends on your personal health needs and goals. Some clients choose weekly sessions, while others opt to use these treatments on an as-needed basis. You can always consult with our practitioners to help determine the best schedule for you.
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We recommend arriving well-hydrated and having a light meal beforehand to help your body absorb nutrients more comfortably. Wear loose-fitting clothing for easy access to your arm or injection site. If it’s your first visit, please arrive a few minutes early to complete a brief health questionnaire.
IV Drips & Intramuscular Injections
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Yes. IV Drips, Intramuscular Injections, and NAD Therapy are administered by trained medical professionals who follow strict safety protocols and use only high-quality, medical-grade substances.
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Discomfort: You might feel a slight pinch during needle insertion. Most clients find all procedures to be comfortable and well-tolerated.
Aftercare: Temporary side effects may include minor bruising at the IV insertion site or brief soreness from intramuscular injections.
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IV drips, intramuscular injections, and NAD therapy are not available to individuals who are pregnant or breastfeeding. For safety reasons, we do not administer these treatments during pregnancy or while nursing, and we recommend speaking with your healthcare provider for alternative support options.
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IV Drips: Rare, minor side effects such as bruising or temporary dizziness may occur.
Intramuscular Injections: Brief soreness at the injection site is common, but serious side effects are rare.
NAD Therapy: Side effects are generally minimal, though some clients might experience mild discomfort during the infusion. Our team is available to address any concerns.
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Individuals with certain health conditions—such as kidney disease, specific heart conditions, bleeding disorders, or allergies to particular nutrients—may not be suitable candidates. A comprehensive health assessment by our practitioners will determine whether these treatments are appropriate for you.