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    Lower Limb Clinic

    Rheumatology Physiotherapy

    Exercise-led physiotherapy for inflammatory arthritis, from a physiotherapist who specialised in it in the NHS.

    Axial spondyloarthritis, ankylosing spondylitis, rheumatoid and psoriatic arthritis. Ormeau Road, Belfast. No referral needed.

    Bupa · recognised
    WPA · recognised
    HCPC & CSP · registered

    Why rheumatology experience matters

    Inflammatory arthritis is not a sports injury. Symptoms flare and settle, fatigue is real, mornings are often the hardest part of the day, and your medication shapes what your body can do. Rehab has to be built around all of that.

    Our physiotherapy service is led by Rory McIntyre, a Chartered Physiotherapist who worked as a Highly Specialist Physiotherapist in Rheumatology at NHS Greater Glasgow and Clyde and as Lead Physiotherapist for the National Axial Spondyloarthritis Society. That depth is uncommon in private practice.

    The approach is rehab-led: understand your condition, use hands-on treatment where it helps you move, and build a progressive exercise plan you can keep doing for the long term.

    Conditions we treat

    Axial spondyloarthritis & ankylosing spondylitis

    Inflammatory back and neck pain with morning stiffness that eases with movement. Regular, targeted exercise is central to managing axial SpA, and it is where Rory has led national work: he was Lead Physiotherapist for the National Axial Spondyloarthritis Society (NASS).

    Rheumatoid arthritis

    Joint pain, swelling and stiffness, often in the hands, wrists and feet. Physiotherapy focuses on keeping joints moving, rebuilding strength lost during flares, and keeping you doing the things that matter to you.

    Psoriatic arthritis

    Joint, tendon and spinal symptoms alongside psoriasis. Rehab is planned around the pattern of your joints and tendons and how your condition flares and settles.

    Back pain that might be inflammatory

    Back pain for more than three months that started before 45, is worse after rest, eases with exercise and stiffens you up in the morning can be inflammatory. We assess it, and if the pattern fits we write to your GP so you can be referred to a rheumatologist for diagnosis.

    Osteoarthritis

    Hip, knee and hand osteoarthritis respond well to strengthening and graded activity. We build a plan that reduces pain and keeps you active, whether or not surgery is on the table.

    How it works

    A rheumatology-aware assessment

    Your history, medication, flare pattern, fatigue and morning stiffness, alongside a full movement and strength examination. We plan around your condition, not a generic injury template.

    Exercise at the centre

    Mobility, strength and cardiovascular work, progressed at your pace. Exercise is recommended for axial SpA in the ASAS-EULAR guidelines, and EULAR recommends physical activity for people with inflammatory arthritis and osteoarthritis.

    A plan for flares

    Inflammatory conditions flare and settle. You leave with a clear plan for what to do when things flare, so a bad week does not undo months of progress.

    Progress you can see

    Strength measured with VALD force plates and dynamometry, plus the questionnaires your rheumatology team will recognise, so you and they can see what is changing.

    Alongside your rheumatology team

    We work with your consultant and specialist nurses, never instead of them. We do not change medication; if something needs medical review, we tell you and write to your GP or rheumatologist.

    Book rheumatology physiotherapy

    Ormeau Road clinic. Self-refer, no GP or consultant referral needed.

    Frequently Asked Questions

    Common questions about rheumatology physiotherapy at Lower Limb Clinic.