Show services list

Physiotherapy (Community Musculoskeletal) Service

The Community Musculoskeletal Physiotherapy Service helps people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. Our aim is help patients manage pain and improve full function in addition to preventing re-injury and promoting health and wellbeing.

We carry out the assessment and treatment of musculoskeletal problems which affect bones, joints and soft tissues. These generally affect the:

  • Spine – from the neck through to lower back
  • Hips, knees, feet and ankles
  • Shoulders, elbows, wrists and hands.

We also treat incontinence caused by weakness in the muscles of the pelvis. 

The Community Orthopedics Service (COS) provides specialist assessment, investigations if required and management or onward referral of musculoskeletal conditions which are serious or have not resolved following GP and Physiotherapy management. Physiotherapists who work in this service have received extensive training in areas such as blood and radiological investigations and treatments such as joint injections.
We are unable to accept a self-referral for this service.

Our staff can refer patients to other departments for specialist advice, an opinion for surgery or other specialist treatments such as spinal injections.

How Can I access Musculoskeletal Physiotherapy Service?
We accept Self-referrals, GP referrals and those from other health care professionals.

Self Referrals
We accept self referral for patients aged 16 years and older, with a Sandwell GP.
To self-refer please go to the link
call 0121 507 2664 (option 3, option 3)

For access to our privacy information: Privacy and Cookies | Sandwell and West Birmingham NHS Trust (

Appointment Booking
When an appointment is available you will receive an SMS message or letter asking you to contact us and book OR you may receive an appointment letter.

Patient Questionnaires
When you have been allocated to an appointment you may receive a SMS message or email a few days before from an external provider COMQ SWBH MSK CoMetrica. We would be very grateful if you could complete this.

Need to contact us?
By POST: Sandwell and West Birmingham Musculoskeletal Physiotherapy Service, Sandwell Hospital, Primary Care Buildings, Lewisham Street, West Bromwich, West Midlands, B71 4HJ.
By Phone: 0121 507 2664 (press option 3 first followed by 3).

For more information about disabled access for this service, please click here.


The multidisciplinary team comprised of a wide range of professionals including physiotherapists, podiatrists, nurses, consultants, occupational therapists and healthcare assistants.

Services are delivered at:

  • Sandwell General Hospital
  • City Hospital
  • Rowley Regis Hospital
  • Victoria Health Centre
  • Neptune Health Park
  • Lyng Centre for Health and Social care
  • Portway Leisure Centre
  • Sandwell General Hospital Physiotherapy Gym
  • Ladywood Leisure Centre

We work closely with other departments across the Trust including Trauma and Orthopedics, Rheumatology, Hand/Plastic Surgery, Pain Management, Foot Health and Sandwell Community Rehabilitation Services.


Many Musculoskeletal problems are long-term conditions. We aim to maximize a patient’s ability to function independently by providing support with education, treatment and advice and pain management strategies.

For each patient we carry out a face-to-face assessment that includes a consultation and examination.

The nature of a musculoskeletal examination, involves observation of the body movement, touch and therapeutic handling. Please come appropriately dressed and let the therapist know if you prefer not to expose the affected body area.

The physiotherapist will aim to assess any pain and certain procedures may produce some discomfort.

You will have the opportunity when you book an appointment to request a clinician of the same gender if preferred.

There is an opportunity on the referral form to request a clinician of the same gender.

The physiotherapist will ask about your problems, listen to your concerns and together agree goals so that treatment can be planned to meet your individual needs. In most cases you will receive advice about what you can do at home to help manage the condition.

Physiotherapy may involve:

  • Patient information in a variety of formats
  • Patient advice – group and individual sessions
  • Pain management advice and programmes
  • Home exercise programmes
  • Pelvic exercises for patients with continence problems
  • Gym-based exercise classes
  • 1:1 gym sessions
  • Manual therapy
  • Injection therapy
  • Splinting

Patient Stories

“I would like to thank you for your help and support of me for my shoulder, which I came in for last year. I really appreciate your time and effort that’s been put in to help me get stronger, and my shoulder become more stable.”


“Thank you for all your help and attention during my recent acupuncture treatment. It was really good to be able to talk to someone who understood the problem, and I thank you all for your care and attention.”


“I had my appointment at City Hospital and saw the consultant, who explained everything. After examining my foot, and before I could even ask, his immediate reaction was that surgery was the last resort and this was not the right time. His criteria was that if I could get out of bed, get downstairs and walk 50 yards, then no immediate action was required. The thing that made me chuckle was that in his letter to my GP he states that I can walk more than a mile without any problem. However, it gives me a challenge for the future, as I have got four months before my next appointment.  He did agree that orthotics may be able to help with insoles or other treatment and I have now received an appointment for this.”


“I would like to put on record how kind and helpful the physiotherapist has been to me over a period of several months. She gave me exercises and also six sessions of acupuncture, which was very helpful.”


“My last appointment with you for treatment was at Rowley Regis Hospital. I still have pains in my legs, due to a problematic spine, but this does not take away the joy I have in that I am able to sleep (a by-product of the treatment by acupuncture). Your kindness shone through in the work you do and the treatment you give. I was privileged to have met you.”


“You may remember back in February, when I was attending your clinic with a torn biceps tendon. I was referred to a surgeon, who accepted me for surgery, so now I am making good progress with my recovery and my weightlifting. I would like you to know that, in honour of all involved, I have paid for two children in the Third World to have surgery with the Smile charity.”


“A big thank you, firstly to the spinal programme who got me walking again without crutches, giving me a better quality of life. Thank you all. For the last seven weeks of treatment I have had treatment for spinal stenosis, hard work with exercise, which is made easier by people in classes: friendly, helpful and smiles. I am now able to do things in retirement. I like walking and helping others, family, friends etc., none of which I could have achieved without the help of the physio team. You don’t need a referral, just go and be pleasantly surprised with this wonderful experience in getting a good life in old age. Thank you.”


“An excellent service. The physiotherapy I have received has been extremely helpful, and has really helped with my pain.”


“I really cannot thank you enough for all your help over the last few weeks, especially for coming in on a Saturday and strapping my legs up. I did my run yesterday in two hours 50 minutes; I was hoping for less than four hours and I did it in less than three! I never felt my shins one bit, and to think that the hospital had said do not run on it for two to three weeks, and I could not run on it even ten days ago. I will never forget the support and what you did for me.”


“Following a hip operation, I was referred to the Physiotherapy Department at Sandwell Hospital. I have recently completed the treatment there. I am writing to express my sincere gratitude for the excellent, professional but friendly help that has proved to be most effective in my recovery. In addition to the high standard of medical care that they gave, I was impressed by the fact that my treatment appointments were always on time.”


“I just want to say how brilliant the self-referral system in Sandwell is. This must save the Trust so much money in saving GP appointments and treating problems before they become more serious. Well done!”


“I wanted to take this opportunity of thanking you very much for your help and professional support over the last few months. As you know, at one point I didn’t think that my back would improve and feared that my good quality of life would be gone for ever. You helped me through that anxious time, both physically and mentally, and I am now pleased to say that I am doing OK, with just the odd day when I know to be careful. The service you provided was as good as anyone would have received privately, a real positive for the NHS!”


“I saw your patient today in my clinic. In March 2013 he had second stage reconstruction of the FDPs to his right middle, ring and little fingers. A most satisfactory result has been received. He has got adequate range of movement in his ring and middle fingers. His little finger movement has improved since I last saw him. He has benefited from the excellent hand therapy he has had.”

Consultant plastic, reconstructive and hand surgeon


“I am writing to inform you about a patient who was received in clinic today. He had full range of movement in all fingers. He is back to work with no fundamental deficit and is really pleased with the outcome of his procedures. I have explained to him the importance of occupational therapy under your care, which has helped him reach this outcome. Both the patient and I are grateful for the great work you have done to achieve this outcome with him.”

Plastic surgery consultant


Please feel free to share your experiences of this service. Please e-mail your views to

Patient Information

For more information about hydrotherapy click the following link: Hydrotherapy patient information.

If you want to understand what information we hold about you, what we do with this information (including who it may be shared with) and how long we will keep the information for please go to the below link Privacy and Cookies | Sandwell and West Birmingham NHS Trust (

Exercise advice from the Chartered society of physiotherapist (CSP) can be seen here:

For back pain advice see the link:

Information about acupuncture can be accessed via the following website:

COMQ SWBH MSK CoMetrica – Privacy Notice

Fracture Clinic Audit Form

Fracture Clinic Audit

  • Remember to answer these questions thinking about your visit to see a Physiotherapist in fracture clinic

Neck Neck Pain Booklet (Versus Arthritis) pain-information-booklet.pdf
Neck Pain Exercise Pamphlet (Versus Arthritis) pain-exercise-sheet.pdf
Neck Pain Exercise Sheet (Versus Arthritis) kpain-exercise-sheet.pdf
Back pain First-line resource for people with back pain (Keele University)
Back Pain Booklet (Versus Arthritis) k-pain-information-booklet.pdf
Back Pain Exercise Pamphlet (Versus Arthritis) ck-pain-exercise-section.pdf
Back Pain Exercise Sheet (Versus Arthritis) ckpain-exercise-sheet.pdf
CSP Back Pain animation (CSP)
Low Back Pain animation (Doc Mike Evans) uY&t=10s
The truth about back pain video (Keele University and AXA PPP) cBtPSf0Hc
So you think you have back pain? Your guide to back pain and what you can do about it (Keele University) content/uploads/2019/03/Start-Patient-Leaflet- 1-black-and-white.pdf
Back Care Website A website with lots of information leaflets about back pain, neck pain and whiplash (BackCare) pain/library/
Shoulder Following shoulder surgery Physiotherapy – Following Shoulder Surgery (ML6551)
Shoulder pain booklet (Versus Arthritis)
Shoulder pain exercise pamphlet (Versus Arthritis)
Shoulder advice & exercise resource (British Elbow & Shoulder Society) ulder-pain-information-booklet.pdf ulder-pain-pamphlet.pdf area/shpi-videos
Elbow Elbow pain book (Versus Arthritis)
Elbow exercises leaflet (Versus Arthritis) ow-pain-information-booklet.pdf bow-pain-exercise-section.pdf
Hand Osteoarthritis of the hand information resource leaflet (Keele University)
Looking after your joints leaflet (Versus Arthritis) primarycare/OA%20Hand%20Leaflet%20v.0.10
%2002.02.18%20LC%20(1).pdf ng-after-your-joints-information-booklet.pdf
Hip Hip pain booklet (Versus Arthritis) pain-information-booklet.pdf
Exercises following a Total Hip Replacement Physiotherapy – Exercises following total hip replacement (ML5689)
Hip pain exercise pamphlet (Versus Arthritis) p-pain-exercise-section.pdf
Keep moving exercise Booklet (Versus Arthritis) moving-poster.pdf
Keele Pain Recorder App (Keele University)
JIGSAW-E website supported self- management resources for joint pain (Keele University)
Osteoarthritis Guidebook (Keele University) content/uploads/2018/10/Osteoarthritis- Guide.pdf
Knee Total Knee Replacement Physiotherapy following a Total Knee Replacement (ML6552)

Exercises following a total knee replacement (ML5099)

ACL Physiotherapy – Anterior Cruciate Ligament (ACL) ML6533
Knee Pain Exercise Sheet (Versus Arthritis) e-pain-exercise-sheet.pdf eepain-exercise-sheet.pdf

OA knee booklet (Versus Arthritis) eoarthritis-of-the-knee-information-booklet.pdf
Knee pain in young adults (Versus Arthritis) ellofemoral-pain-syndrome-information- booklet.pdf
Keep moving exercise Booklet (Versus Arthritis) moving-poster.pdf
Keele Pain Recorder App (Keele University)
JIGSAW-E website (Keele University)
Osteoarthritis Guidebook (Keele University)
content/uploads/2018/10/Osteoarthritis- Guide.pdf
Ankle Ankle sprains exercise sheet 1 (Versus Arthritis) le-sprain-exercise-sheet.pdf
Ankle Sprains Exercise Sheet 2 (Versus Arthritis) klesprains-exercise-sheet.pdf
Foot and ankle surgery: who is it for? (Versus Arthritis)
Keep moving exercise Booklet (Versus Arthritis) moving-poster.pdf
Keele Pain Recorder App (Keele University)
JIGSAW-E website (Keele University)
Osteoarthritis Guidebook (Keele University) content/uploads/2018/10/Osteoarthritis- Guide.pdf
Foot Following foot/ankle surgery Physiotherapy – Following Foot & Ankle Surgery (ML6534)
Foot pain booklet (Versus Arthritis)
-pain-information-booklet.pdf ntar-fasciitis-exercise-sheet.pdf moving-poster.pdf
content/uploads/2018/10/Osteoarthritis- Guide.pdf
Plantar fasciitis exercise sheet (Versus Arthritis)
Keep moving exercise Booklet (Versus Arthritis)
JIGSAW-E website (Keele University)
Osteoarthritis Guidebook (Keele University)
Ankylosing Spondylitis Ankylosing Spondylitis Booklet (Versus Arthritis) ylosing-spondylitis-information-booklet.pdf
Arthritis What is arthritis? Booklet (Versus Arthritis) at-is-arthritis-information-booklet.pdf
Carpal tunnel Carpal tunnel syndrome booklet (Versus Arthritis) pal-tunnel-syndrome-information-booklet.pdf
Cauda Equina Syndrome Cauda Equina Syndrome ( pain/cauda-equina-syndrome
Fibromyalgia Fibromyalgia information (Versus Arthritis) omyalgia-information-booklet.pdf
Giant Cell Arteritis (GCA) PMRGCAUK information (Polymyalgia Rheumatica & Giant Cell Arteritis UK) and-gca
Vasculitis UK patient information (Vasculitis UK) vasculitis/giant-cell-arteritis-temporal-arteritis
Hypermobility Joint hypermobility Booklet (Versus Arthritis) t-hypermobility-information-booklet.pdf
Osteoarthritis OA Guidebook (Keele University)
Osteoarthritis information (Versus Arthritis) ri/primarycare/pdfs/OA_Guidebook.pdf teoarthritis-information-bookletv2.pdf
Osteoporosis Website to help understand the causes and treatment of osteoporosis (Royal Osteoporosis Society) support/understanding-osteoporosis/causes-of- osteoporosis-and-broken-bones/
Polymyalgia Rheumatica (PMR) PMR patient information (Versus Arthritis) myalgia-rheumatica-information-booklet.pdf
PMRGCAUK information (Polymyalgia Rheumatica & Giant Cell Arteritis UK) and-gca
Raynauds Phenomenon Raynauds information (Versus Arthritis) nauds-phenomenon-information-booklet.pdf
Rheumatoid arthritis Rheumatoid arthritis information (Versus Arthritis)
RA Advice & exercise resources (National Rheumatoid Arthritis Society) eumatoid-arthritis-information-bookletv2.pdf
Spinal Stenosis Spinal Stenosis ( pain/spinal-stenosis
Whiplash Website containing information about whiplash and its treatment (NHS)
Persistent Pain Turning the Volume Down on Pain information leaflet (Body Logic)
Understanding pain: What to do about it in less than 5 minutes (Australian animation)
Pain App which helps patient to record how medication is helping their condition and any side effects (Keele University) stentPainBooklet.pdf?dl=0
Live well with pain Resources for living well despite pain (Live Well With Pain)
Retrain pain A website that uses 1-minute videos to help explain chronic pain and the rationale for self-management (Retrain Pain Foundation)
Psychology in pain Useful videos that help understand chronic pain (produced by Prof Tamar Pincus) S0
Medication Painkillers 1 (Versus Arthritis) nkillers-and-nsaids-information-booklet.pdf
Painkillers 2 (Versus Arthritis) inkillers-nsaids-information-booklet-2019.pdf
Amitriptyline 1 (Versus Arthritis) triptyline-information-booklet.pdf
Amitriptyline 2 (Versus Arthritis) mitriptyline-information-booklet-2019.pdf
Pain App which helps patient to record how medication is helping their condition and any side effects (Keele University)
General exercise advice Keep moving exercise Booklet (Versus Arthritis) moving-poster.pdf
The Importance of Intensity in Physical Activity animation (Doc Mike Evans) ao
23 and ½ hours animation (Doc Mike Evans) ao
MRI MRI Scan (
CT CT Scan (
X-ray X-ray test (
Ultrasound Ultrasound scan (
DEXA Bone scan (Dexa) (
Blood test Blood tests (
Steroid Injection Steroid injections information (Versus Arthritis) arthritis/treatments/drugs/steroid-injections/
Surgery Information about knee, hip, foot, shoulder, elbow, wrist and hand surgery (Versus Arthritis) arthritis/treatments/surgery/
Diet Eatwell Guide Booklet 2016 (Public Health England) uploads/attachment_data/file/528193/Eatwell_gu ide_colour.pdf
Falls Falls Prevention animation (CSP)
Balance retraining Online resource to help retrain balance and reduce vestibular related dizziness (Balance Retraining) alance
Stop Smoking Stop smoking website (NHS)
Work Work and health leaflet. How common health problems should be accommodated at work (Waddell and Burton) ment/uploads/system/uploads/attachment_data
Women’s Health Women’s Health leaflet about incontinence (CSP)
Breast Health Bra size (CSP) conditions/incontinence health-your-bra-right-you
Anxiety and low mood Anxiety (
Depression (
Sleep The good sleep guide (CSP)
Bed buyers guide (Sleep Council)
Sleep information (Versus Arthritis) sleep-guide content/uploads/2015/02/bed_buyers_guide.pd f ep-and-arthritis-information-booklet.pdf
Beating the Blues
(Not free)
Beating the Blues® is an effective treatment for people feeling stressed, depressed, anxious or just down in the dumps. Based on Cognitive Behavioural Therapy, the course is made up of 8 online sessions which last approximately an hour and help you to understand the link between how you think and how this influences your feelings and behaviours (365 Health and Wellbeing)
(Not free)
Moodgym is an online self-help program designed to help users prevent and manage symptoms of depression and anxiety. It is like an interactive, online self-help book which teaches skills based on cognitive behaviour therapy (e-hub Health Pty Ltd)
Living life to the full
Free online courses covering low mood, stress and resiliency. Work out why you feel as you do, how to tackle problems, build confidence, get going again, feel happier, stay calm, tackle upsetting thinking and more (Living Life to the Full)
A collection of resources on a wide range of mental health and lifestyle issues (Choose Life Falkirk and Adult Clinical Psychology Service, NHS Forth Valley)
A personalised self-help tool for your mental health (Black Dog Institute)
Beyond Blue
Provides information and support to help achieve best possible mental health (Beyond Blue)
Young Minds A guide to younger people’s mental health (Young Minds)
Kooth An online counselling and emotional well-being platform for children and young people, accessible through mobile, tablet and desktop and free at the point of use (XenZone)
Mental Health CBT self-help and therapy resources (Get Self Help)
Self-help guides (NHS)
Guided Meditation (Oxford Mindfulness) information/easy-read/self-help-guides/
Online Mindfulness Courses (Wellmind Media)
Headspace App
SAM App (Self-help for Anxiety)
Calm Harm App
A guide to health and happiness. It’s the simple way to let go of stress and get better
SAM will help you to understand what causes your anxiety, monitor your anxious thoughts and behaviour over time and manage your anxiety through self-help exercises and private reflection
An app that helps to resist or manage the urge to self-harm
Go to the Play Store or App Store

Useful Organisations

The arthritis helpline
0800 5200 520
0845 130 2704
Ehlers-Danlos Support UK
0208 736 5604
Fibromyalgia Action UK
0844 887 2444
Hypermobility Syndrome Association
033 3011 6388
Lupus UK
01708 731251
National Ankylosing Spondylitis
020 8948 9117
Polymyalgia Rheumatica & Giant Cell
Arteritis UK
0300 111 5090
Scleroderma and Raynaud’s UK
020 7000 1925
UK Gout Society


Physiotherapy and Hand Therapy:
Appointment booking line – 0121 507 2664 (option 3, option 3)
Sandwell and West Birmingham Musculoskeletal Physiotherapy Service,
Sandwell Hospital,
Primary Care Buildings,
Lewisham Street, West Bromwich, West Midlands, B71 4HJ
E-mail –

Community Orthopaedic Service
Electronic referrals – Choose and Book
Appointment line 0121 507 2664 (option 3-2)
E-mail –

Back to Services