Musculoskeletal medicine 

What is musculoskeletal medicine?

Musculoskeletal medicine deals with the diagnosis and treatment of conditions
affecting the muscles and bones (musculoskeletal system) and the impact of
these conditions upon your everyday life.

Musculoskeletal medicine incorporates aspects of physical therapy, spinal manipulation, joint, ligament and muscle injections, acupuncture, exercise therapy, and assistance in helping with your pain.

The Musculoskeletal Medicine team includes musculoskeletal physicians, acupuncturists, specialist nursing staff, a podiatrist, a physiotherapist and an

What are musculoskeletal conditions?

Musculoskeletal conditions include common ailments such as neck and back pain in addition to discomfort in muscles and joints. Symptoms can result from injury, lack of exercise, inflammation, infection, or the normal aging process.

What conditions are suitable for musculoskeletal referral?

  • Neck pain
  • Shoulder, arm and hand pain
  • Lower back pain and sciatica
  • Sciatic pain
  • Tennis and golfer’s elbow
  • Hip, knee, ankle and foot pain.
  • Joint pain and stiffness of both large and small
  • Frozen shoulder
  • Osteoarthritis
  • Headache
  • Repetitive strain injuries
  • Sports related injuries
  • Muscle, tendon and ligament pain

What does musculoskeletal medicine involve?

Musculoskeletal medicine offers a wide range of therapies including;

  • Acupuncture and trigger point therapy
  • Osteopathy and spinal manipulation
  • Physiotherapy
  • Injection therapy
  • Exercise therapy and Pilates
  • Back pain education
  • Podiatry

Your appointment

If you are unable to attend your appointment please let us know at least 48
hours beforehand so we can offer your appointment to someone else. If you do not
attend your appointment without telling us we may refer you back to your GP.

Following your treatment you will be referred back to your GP.

Professional education and training

The RLHIM is also a teaching hospital and from time to time other healthcare
professionals may observe in outpatient clinics as part of a training course. We will
always ask your permission for students to sit in during your consultation. You do not
have to have students present if you would prefer not to.

Referrals to the Musculoskeletal Medicine team

A redesigned Musculoskeletal Medicine care pathway is in place at the Royal London Hospital for Integrated Medicine.  It covers all musculoskeletal and rheumatological problems, including back, shoulder and neck pain, osteoarthritis, soft issue syndromes such as fibromyalgia and inflammatory arthropathies.

The redesigned pathway aims to improve the quality of patient care by reducing waiting times and by providing a clear clinical management structure for therapeutic care and referral between services.

The redesigned pathway improves clinical governance by enabling the audit of clinical processes and the assessment of patient outcomes and expectations.

All referrals will be triaged to the most appropriate senior clinician who will manage the patient’s care throughout the pathway.  Clinical reassessment prior to discharge will promote the self-management of a patient’s condition in addition to providing patient-centred education



Mr Jonathan Hearsey Musculoskeletal medicine
Dr Andrea Haas Musculoskeletal medicine
Dr Nicholas Straiton Musculoskeletal medicine

 Contact details

Musculoskeletal medicine
Royal London Hospital for Integrated Medicine
Nutrition and dietetics
Royal London Hospital for Integrated Medicine
60 Great Ormond Street
London, WC1N 3HR

Patient enquiries
Telephone: 020 3448 2000

GP enquiries
Telephone: 020 3448 2000
Fax: 020 3448 2004
Email: (not for referrals)

Service manager - Loretta Chinwokwu
Email: (not for referrals)