Middleton Physio

22/02/2026

Check out my new website by Stoneman.👇

Middleton Physio offers expert physiotherapy services in Shepshed, including in-person, online, ACL rehab, sports therapy, and chronic pain management to enhance your active lifestyle.

16/02/2026

Are you sure it’s SCIATICA?

⚡️Sciatica is no joke. When present it can be severe and life altering for people

However, true sciatica is actually rare, accounting for just 3-5% of back pain

Leg pain with back pain is common (~60%) so it’s understandable that many people assume it’s sciatica

It can often be somatic referred pain or a separate/co-existing issue such as the hip or knee

✅ A good clinician can identify the key sciatica features, make a clinical diagnosis and guide the right next steps

Sources
📚 Hincapie et al. (2025) Eur Spine
📚 Jensen et al. (2019) BMJ
📚 Konstantinou et al. (2015) MSK Disord
📚 Liu et al. (2023) BMJ
📚 Poulsen et al. (2016) Fam Pract
📚 Ryan et al. (2023) BMJ
📚 Stynes et al. (2018) PLoS One
📚 Wilbey et al. (2021) Lancet Rheum

03/02/2026

STEROID injection facts …

💉 Corticosteroid injections may give you a short window of opportunity but they’re not a magic cure

That window must be used wisely. Without a clear structured plan and good compliance, long lasting improvement is very unlikely

Conservative options should always be first-line and fully exhausted before considering steroids in the vast majority of cases

⚠️ In the right clinical context, they can be a reasonable option for a select few. Be very cautious if repeat injections are suggested

✅ The best outcomes come from an honest, shared decision between you, your clinician/physio, weighing up risk vs reward

01/02/2026

Solid January transfer window

26/01/2026

Aiming to do physio better.
To give more and help more.
To take people from pain to the best versions of themselves.

07/01/2026

Are you sure you need a scan?

🩻 Scans (x-ray, MRI etc) are often seen as the ‘answer’ to pain but the truth is they usually aren’t

A scan shows structure, not pain. These changes on scans don’t always match how you feel

This isn’t an anti-scan post as they can be very helpful when used for the right reasons and explained properly

Problems arise when results are given without context - when you’re shown results in black and white, or worse, left to figure them out on your own

🫡 When good physios say no to a scan, they’re not blocking you, being stubborn or cutting costs, they’re focusing on what really matters: your recovery

Other sources
📘 Cholewicki et al. (2019) J Orthop
📘 Kim et al. (2015) BMJ
📘 Lemmers et al. (2019) Eur Spine
📘 Shraim et al. (2021) MSK Disord