The Musculoskeletal Services at Nottingham Road Clinic provide specialist-led assessment and management of conditions affecting bones, joints, muscles, tendons, ligaments and associated soft tissues. Musculoskeletal disorders are a leading cause of pain, disability and reduced quality of life across all age groups, with wide-ranging impacts on mobility, function, independence and mental wellbeing. Symptoms may arise from acute injury, degenerative change, inflammatory disease or complex biomechanical factors and often require expert evaluation to establish an accurate diagnosis and appropriate management plan.
The service brings together clinicians with expertise in musculoskeletal medicine, orthopaedics, sports and exercise medicine and related specialties, supported by access to advanced diagnostics, including imaging and pathology. Care is based on a thorough clinical assessment, interpretation of investigations in context and alignment with national guidance to ensure evidence-based decision-making.
Nottingham Road Clinic adopts a structured yet holistic approach to musculoskeletal care. Management plans consider not only the underlying pathology but also functional impact, occupational demands, activity levels, comorbidities and patient goals. Where appropriate, care is delivered through multidisciplinary pathways involving physiotherapy, pain management, mental health support and surgical teams. The service is designed to deliver timely diagnosis, effective symptom control and clear onward pathways where further intervention is required.
The Musculoskeletal Services at Nottingham Road Clinic provide specialist-led assessment and management of conditions affecting bones, joints, muscles, tendons, ligaments and associated soft tissues. Musculoskeletal disorders are a leading cause of pain, disability and reduced quality of life across all age groups, with wide-ranging impacts on mobility, function, independence and mental wellbeing. Symptoms may arise from acute injury, degenerative change, inflammatory disease or complex biomechanical factors and often require expert evaluation to establish an accurate diagnosis and appropriate management plan.
The service brings together clinicians with expertise in musculoskeletal medicine, orthopaedics, sports and exercise medicine and related specialties, supported by access to advanced diagnostics, including imaging and pathology. Care is based on a thorough clinical assessment, interpretation of investigations in context and alignment with national guidance to ensure evidence-based decision-making.
Nottingham Road Clinic adopts a structured yet holistic approach to musculoskeletal care. Management plans consider not only the underlying pathology but also functional impact, occupational demands, activity levels, comorbidities and patient goals. Where appropriate, care is delivered through multidisciplinary pathways involving physiotherapy, pain management, mental health support and surgical teams. The service is designed to deliver timely diagnosis, effective symptom control and clear onward pathways where further intervention is required.
Musculoskeletal Services are suitable for adults presenting with new, persistent or progressive musculoskeletal symptoms that require specialist assessment beyond primary care.
This includes patients with:
Specialist input is particularly appropriate where symptoms are severe, recurrent, progressive or associated with functional decline, neurological features or systemic illness, or where response to initial treatment has been limited. The service supports both self-pay and privately insured patients and provides clear clinical guidance for GP and referrer audiences, including diagnostic conclusions, management recommendations and criteria for onward referral.
The Musculoskeletal Service assesses and manages a broad range of conditions involving joints, spine and soft tissues, with attention to both mechanical and inflammatory causes.
Spinal conditions
Patients may present with neck, thoracic or low back pain, with or without radiating symptoms. Common conditions include degenerative disc disease, facet joint arthropathy, radiculopathy and spinal stenosis. Risk factors include age-related change, occupational strain, previous injury and reduced core strength. Red-flag symptoms include progressive neurological deficit, bowel or bladder disturbance, unexplained weight loss or systemic illness.
Joint disorders
This includes osteoarthritis, inflammatory arthritis, crystal arthropathy and joint instability. Symptoms may include pain, stiffness, swelling, reduced range of motion and functional impairment. Early identification and appropriate management are important to preserve joint function and quality of life.
Soft tissue and tendon disorders
Tendinopathies, bursitis, muscle strains and ligament injuries may arise from overuse, biomechanical imbalance or trauma. These conditions often have a significant impact on activity levels and may become chronic without appropriate treatment.
Upper limb conditions
Shoulder, elbow, wrist and hand disorders such as rotator cuff disease, frozen shoulder, carpal tunnel syndrome and lateral epicondylitis are common causes of pain and disability.
Lower limb conditions
Hip, knee, ankle and foot problems may include osteoarthritis, meniscal or ligament injury, Achilles tendinopathy and plantar fasciitis, affecting mobility and gait.
Inflammatory and systemic musculoskeletal disease
The service assesses suspected inflammatory conditions, including spondyloarthropathies and connective tissue disease, recognising the importance of timely diagnosis and referral.
Assessment begins with a detailed history focusing on symptom onset, duration, progression, injury history, mechanical versus inflammatory features, exacerbating and relieving factors and impact on daily function and work.
Physical examination may include:
Diagnostic pathways are guided by clinical findings and may include:
Investigations are requested judiciously to support diagnosis while avoiding unnecessary testing.
Management is individualised and evidence-based, reflecting diagnosis, symptom severity, functional impact and patient goals.
Treatment options may include:
Conservative approaches are prioritised initially, with interventional pathways introduced based on response and clinical need. Follow-up arrangements ensure symptom progression, treatment effectiveness and safety are monitored.
Musculoskeletal care is often delivered through collaborative pathways. The service works closely with:
This coordinated approach supports comprehensive care and clear progression pathways.
Musculoskeletal appointments are consultant-led and structured to allow thorough assessment.
Patients can expect:
Clear written communication is provided to patients and referrers to support continuity of care.
Do I need imaging for my musculoskeletal pain?
Imaging is used when clinically indicated. Many conditions can be diagnosed through careful assessment alone.
Can musculoskeletal pain be managed without surgery?
Yes. Many conditions improve with conservative management, including physiotherapy and targeted interventions.
Will treatment be tailored to my activity level?
Yes. Management plans consider occupational, recreational and lifestyle factors.
Can chronic pain be improved?
While some conditions are long-term, symptoms can often be significantly improved with appropriate management.
Will my GP be informed of my care?
With patient consent, clear correspondence is shared with primary care.
Can this service link into NHS pathways?
Yes. Assessments and investigations can support NHS referral and shared care arrangements.
To book an appointment or discuss which clinician you should see first:
Phone: 01623 624137
Location: Nottingham Road Clinic, 195 Nottingham Road Mansfield NG18 4AA
