Clinical Guides

The JVP Journal

Evidence-based guides on conditions, treatment, and recovery. Written by Marcus Quarmby, Masters-qualified physiotherapist. No listicles, no generic advice.

Knee Pain in Bolton: A Physiotherapist's Guide to Causes and Treatment
Conditions7 min read

Knee Pain in Bolton: A Physiotherapist's Guide to Causes and Treatment

Most people with knee pain expect to be told they need a scan, rest, or surgery. The evidence points in a different direction. Here is what is actually happening in your knee, and what a proper assessment and treatment plan looks like.

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Acupuncture for Pain Relief: What NICE Recommends (And Why Most Patients Never Hear About It)
Treatment5 min read

Acupuncture for Pain Relief: What NICE Recommends (And Why Most Patients Never Hear About It)

NICE recommends acupuncture for chronic pain. The NHS mostly doesn't provide it. That gap is where patients get stuck, paying out of pocket for a treatment their clinical guidelines already endorse.

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What Is Neurological Physiotherapy, and Who Does It Help?
Conditions5 min read

What Is Neurological Physiotherapy, and Who Does It Help?

For most of medical history, damage to the brain or spinal cord was considered permanent. Thirty years of neuroscience have shown that assumption to be wrong. Here's how neurological physiotherapy uses that science.

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Shoulder Pain: The Surgery Trial That Changed Everything (And What It Means for You)
Conditions6 min read

Shoulder Pain: The Surgery Trial That Changed Everything (And What It Means for You)

In 2017, a landmark trial found that the most common operation for shoulder pain worked no better than doing nothing. Here's what that means for how shoulder pain should actually be treated.

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Private vs NHS Physiotherapy: An Honest Comparison
Patient Guide5 min read

Private vs NHS Physiotherapy: An Honest Comparison

The NHS waitlist for physiotherapy is free. The cost of waiting, however, is not. A frank look at what you actually get from NHS versus private treatment, and when each makes sense.

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Why Sports Injuries Take Longer Than They Should. And What to Do About It
Sports & Performance5 min read

Why Sports Injuries Take Longer Than They Should. And What to Do About It

Most athletes recover more slowly than necessary, not because of the injury itself, but because of avoidable mistakes in how they manage it. A physiotherapist’s perspective on what actually drives faster, more complete recoveries.

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Back Pain in Bolton: What Your Spine Actually Needs (And What It Doesn't)
Conditions6 min read

Back Pain in Bolton: What Your Spine Actually Needs (And What It Doesn't)

Eight in ten people get back pain at some point. Most of them are told things that make it worse. Here's what the evidence actually says about why backs hurt and what makes them better.

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Do I Need a GP Referral for Physiotherapy?
Patient Guide4 min read

Do I Need a GP Referral for Physiotherapy?

Every week, people sit in a GP waiting room for an appointment they don't need, to get a referral for a service they could have booked directly. Here's the short answer, and the longer one.

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