The Knee Osteoarthritis Clinic

For over 15 years Gavin Burt, founder and clinic director of Backs and Beyond Ltd, has gained a reputation for helping long distance runners with all manner of running injuries, including knee problems.

Over the last 5 years at Backs & Beyond he has been developing a protocol of treatment designed to help improve the mobility of, and ease the symptoms of, knee osteoarthritis, also known popularly as ‘wear and tear of the knee’.


Although osteoarthritis can affect any joint in the body, the top three areas are the knees, hips and hands. Of these the largest proportion is the knees. In the UK in adults 45 years old and over, the most common site of joint pain in the limbs lasting for over two weeks in the  past month is in the knee (19% of all joint pains).

Description of the knee treatment protocol

The protocol consists of a combination of specific osteopathic and massage techniques, in a particular order (refined over the last 5
years), with the goal of creating the maximum reduction in pain and improvement in mobility for our patients.
The treatment is only designed for use on patients with osteoarthritis of the knee joint, and is not designed for use on any other joint, nor any other condition.

Please Note: our method does not claim to cure arthritis, nor does it claim to reverse the deterioration of the knee joint in arthritis. The only cure for arthritis is a knee joint replacement. Our method is designed to bring relief to the symptoms of arthritis and an improvement of joint mobility from a reduction in irritation of the tissues surrounding the joint.

So that you know roughly what to expect from treatment, below is an outline of the treatment process.

1. Examination

The protocol is only designed for treating the symptoms of osteoarthritis of the knee joint, so we will need to know whether we feel you will benefit from the treatment, or whether there is any reason why treatment would be contraindicated. We will advise against this protocol of treatment if we feel that it will not help your symptoms.

A full history of your knee pain and a medical history is taken. If you have xrays or blood test results we would also like to see these. We may recommend that an xray is taken to confirm the diagnosis of osteoarthritis.

A physical and osteopathic examination will then be performed to ascertain the integrity of your musculoskeletal system (muscles, tendons, ligaments, bones, joints), and how well they move and function.

2. Treatment

If we decide you are someone we can help, we design a treatment plan for you.

The treatment will involve the following types of technique in a specific order. We advise two treatments per week over a four week period.

Joint Mobility – specific vibration through the knee joint to increase mobility and reduce pain

Muscular flexibility – Specific stretches, and trigger point release therapy to improve the felxibility of certain muscles around the knee.

Muscular strength – exercises to ensure all muscles surrounding the knee joint are equal in strength and firing in unison.

Homework – An essential part of rehabilitation is you, the patient, performing certain specific exercies at home, to reinforce what is being done in the treatments. These will mainly be exercises to improve strength, flexibility and balance.

How long does it take?

Everyone is different, but we expect to see significant changes within 6-8 treatments (3-4 weeks). if no changes are seen after three weeks, there is often no point in continuing treatment, as it would be a waste of your money.

How much does it cost?

Each treatment costs £50, and lasts for 30 minutes, except for the first consultation which lasts for 60 minutes (price is still £50).

What is the evidence?

Earlier this year we conducted a pilot study into the effect of vibration on the symptoms of osteoarthritis of the knee. We found that at a particular frequency and amplitude there was a significant reduction in pain and increase in mobility and function within six 20 minute treatments over a two week period.

Can i claim on my private health insurance?

Osteopathy is covered by all health insurance companies. Check with your insurance provider before making a booking to confirm your cover. A part of the process of treatment we offer includes massage by our highly skilled massage therapists. Unfortunately most insurance companies do not cover for massage.

Will it cure me?

There is no cure for osteoarthritis, except for a knee joint replacement. Treatment of any form, including what we offer at Backs & Beyond is purely to ease the pain and improve mobility of the knee, improving the functional well-being of our patients. We have just found a particularly effective way of doing this.

Who is suitable for treatment?

The Backs & Beyond knee treatment process is designed purely for people who are suffering osteoarthritis of the knee joint. It is not designed for helping the symptoms of any other knee condition.

The next step

Call the clinic on 020 7284 4664, or email us on and we will set up an appointment for you.