Evolution Physiotherapy

23/01/2026

If you are suffering with any musculoskeletal pain and would like help or advise on relieving the symptoms please book an appointment and we will help you along your journey to recovery.

Manipulation
Mobilisation
Massage
Cortisone steroid injections
Acupuncture
Joint replacement or Orthopaedic rehabilitation
Stroke rehabilitation.

Contact 07774192795

https://evolution-physiotherapy.uk2.cliniko.com/bookings

www.evolutionphysiotherapy.co.uk

16/12/2025

Good morning all I’m on my final push this week to hit my target. My current total with cash donations is £390. With just £120 to go, I would love if anyone could help give my fundraising a little boost and help me reach my target goal of £500

It will be greatly appreciated thank you all so much and a huge thanks to those who have already supported me 🙂 ###

Iʼm raising money to support education. Support this JustGiving Crowdfunding Page.

08/12/2025

Evolution Physio are doing the Boxing Day dip!!!
🥶🥶🥶 We’ve got this 👌🏼 our aim is to raise £500 for East Boldon Infant School. We would be so grateful for your support 🙂

Iʼm raising money to support education. Support this JustGiving Crowdfunding Page.

08/12/2025

We are here to help our local community :)

Did you know that Evolution Physiotherapy offers home visit services?
If you or a loved ones are finding it difficult to manage everyday tasks around the house, we can help. Whether you’re recovering from an injury, managing a long-term condition, or simply feeling less confident in your movement, our experienced physiotherapists can provide personalised care in the comfort of your own home.
We can help you improve your balance, mobility, and strength — giving you the confidence to stay active and independent in your daily life.

03/12/2025

Team Evolution are doing the Boxing Day dip to raise money for our local schools… Well one half of Evolution as Jamie can’t hack the cold! We would love your support to help our local community and our lovely little people - the future generations of our country 🙂

Iʼm raising money to support education. Support this JustGiving Crowdfunding Page.

11/11/2025

Did you know that Evolution Physiotherapy offers home visit services?
If you or a loved ones are finding it difficult to manage everyday tasks around the house, we can help. Whether you’re recovering from an injury, managing a long-term condition, or simply feeling less confident in your movement, our experienced physiotherapists can provide personalised care in the comfort of your own home.
We can help you improve your balance, mobility, and strength — giving you the confidence to stay active and independent in your daily life.

19/09/2025

Great information on loading for the different types of Achilles pain. Mid portion vs insertional.

How should we rank exercise parameters in tendinopathy? 🥇🥈🥉

A recent Delphi study in asked international experts in Achilles Tendinopathy (AT) to complete a 3 round survey to help us find the answer.

For mid-portion AT contraction intensity was considered most important as there is evidence high loads are required to create tendon adaptation, enhance tendon stiffness and improve muscle strength.

Time under tension was also considered important as longer contractions are also thought to increase tendon adaptation.

Contraction type (eccentric only, concentric + eccentric, isometric etc) was considered less important as in studies they appear to result in similar clinical outcomes and tendon adaptation.

For insertional AT range of dorsiflexion was ranked as most important as loading in greater dorsiflexion is often provocative for symptoms. Contraction intensity came second so was also considered important.

In rehab of insertional AT we can address both by first loading outside of painful dorsiflexed positions and progressing load based on goals and symptom response. When symptoms are less irritable dorsiflexion during loading can be gradually increased (see our graphic on Pringels et al. 2025 for more info on this).

Surprisingly pain wasn’t top of the list in this study but it still needs to be considered. The paper advocated monitoring pain response, during exercise, immediately after and the next day to ensure rehab is at a manageable level.

Reference:

Demangeot Y, O’Neill S, Degache F, Rapin A, Asgher U, Alfredson H, Chester R, Chimenti RL, de Vos RJ, Escriche-Escuder A, Farnqvist K, Habets B, Maffulli N, Magnusson SP, Malliaras P, Murphy MC, Purdam CR, Rees JD, Rio EK, Sancho I, Scott A, Gravare Silbernagel K, Gremeaux V, Boyer FC, Taiar R. Exercise parameters to consider for Achilles tendinopathy: a modified Delphi study with international experts. Br J Sports Med. 2025 Aug 28:bjsports-2025-110183. doi: 10.1136/bjsports-2025-110183. Epub ahead of print. PMID: 40877027.

09/09/2025

05/09/2025

If you are suffering with any musculoskeletal pain and would like help or advise on relieving the symptoms please book an appointment and we will help you along your journey to recovery.

Manipulation
Mobilisation
Massage
Cortisone steroid injections
Acupuncture
Joint replacement or Orthopaedic rehabilitation
Stroke rehabilitation.

Contact 07774192795

https://evolution-physiotherapy.uk2.cliniko.com/bookings

www.evolutionphysiotherapy.co.uk

04/09/2025

Is cartilage stronger than concrete⁉️

Beluzzi et al. (2023) say cartilage strength is approximately 9 to 40 Mpa. The compressive strength of standard concrete is 17 to 35 MPa.

They have comparable strength, but cartilage is a living, viscoelastic tissue which is far more resilient than concrete under repeated dynamic loading and manages millions of load cycles during its lifetime.

This strength and resilience allows it to function even with a tear. This may be why tears are often asymptomatic, even in runners.

As with everything, individual cases will vary and management will be influenced by the type of tear and symptoms such as locking, giving way or persistent loss of range.

The good news is that many meniscal tears can be managed conservatively without need for surgery. Reassuring people about the toughness of the knee and its cartilage can help them see that rehab is well worth a shot!!