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In Motion Clinics

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In Motion Clinics

In Motion Clinics will keep you moving! Don't be slowed down by pain. Our team of Podiatrists and Physiotherapists successfully treat all causes of pain.

We are a team of Podiatrists with a blend of Special Interests. Many people ask us: what’s the difference between Chiropody and Podiatry? Basically, Podiatric Medicine (Podiatry) is a Graduate Profession. As the University degree training encompasses Minor Surgery, Lower Limb Biomechanics, Anaesthesia and Injection techniques, Dermatology, Wound care and more(!) it is a broader and deeper training

than routine foot-care (often called ‘Chiropody’ in the UK). We proudly offer both Podiatry and Chiropody appointments as they complement each other perfectly. For example, your Podiatry assessment may show that you need orthotic insoles, specialist trainers or other hands-on treatment to relieve foot pain. However, before the application of orthotic insoles, it may be necessary to remove Hyperkeratoses (“corns” or “callouses”). In this instance, a Chiropody treatment can painlessly remove the Lesions by Scalpel, on both feet in one session. On other occasions, you may require nail care; either for the treatment of an ingrown nail or for discoloured nail analysis. In these cases, we may offer Podiatry to resolve these problems (which could include Minor Surgery with an Anaesthetic if indicated). Equally, we may resolve some issues with a more straightforward Chiropody appointment. Regular Chiropody sessions could then be ideal to assist you with your ongoing foot-care and nail trimming regime. To book your Chiropody or Podiatry appointment, please book online at www.inmotionclinics.com or feel free to phone us first on 01244 37 37 57 if you are unsure of your appointment needs.

16/06/2026

👋 TEAM TUESDAY

Some people look like they have it all together.

The job. The family. The full diary.

And underneath it, a mind that never switches off.

This is the anxiety nobody sees. The kind that hides behind being capable. Behind being the one everyone relies on. Behind always coping.

Anna Pluck spends her days with people who are quietly exhausted by it.

She is a graduate psychologist and accredited psychotherapist and counsellor with the BACP. Anna specialises in anxiety in adults - but knows how to use all available tools for all therapy needs.

Here is what makes Anna different.

She has been where you are.

She is not speaking from a textbook. She knows what it is to feel that low hum of dread when everything on paper is fine. And she has now built her practice around helping people find their way out of it.

Her approach blends Cognitive Behavioural Therapy — practical tools to quiet an overactive mind — with Person-Centred Therapy, which simply means she meets you as you are. No judgement. No script. No rush.

You do not have to be in crisis to talk to someone.

You just have to be tired of carrying it alone.

If that sounds familiar, Anna offers a free, no-pressure phone call to see if she’s the right fit.

👉 Book: www.AnnaPluck.com

If you or someone you know is struggling, this is a sensitive area — and reaching out to a qualified professional like Anna is a genuinely good first step.

11/06/2026

🦶 FACT FRIDAY — Podiatrists Fix Feet, Part 1

Ingrown toenails: the permanent fix you didn’t know existed

You’ve cut at it.

You’ve soaked it.
You’ve used salt water.
You’ve stuffed cotton wool under the corner.
You’ve tried tea tree oil because someone on TikTok swore by it!
You’ve taped, padded, antibiotic-creamed, and hoped and hoped for a cure!

It calms down.

You wear normal shoes again. You forget about it.

Then a few weeks later, it’s back.

The throbbing. The pus. The seething pain when something brushes the corner of the nail. The hobble. The dread of someone standing on your foot in a crowd.

And every time you push through it, the nail edge grows back into the same skin, and the same problem starts again.

🦶 HERE IS WHAT MOST PEOPLE DON’T REALISE

There is a permanent fix.

Not a cream. Not a course of antibiotics. Not another nail clipper from Boots.

It is called a partial nail avulsion with phenolisation — a 45-60 minute procedure done in clinic under local anaesthetic injection.

A small strip (2mm-3mm) of the offending edge of the nail is removed. The root of that strip is then chemically deactivated with phenol, so that section of nail cannot regrow.

The rest of the nail looks completely normal. Most people cannot even tell, once it has healed.

🔬 WHAT THE EVIDENCE SAYS

This is not a fringe procedure. It is the most evidence-backed surgical treatment for ingrown toenails in the world.

The Cochrane systematic review found that nail avulsion with phenolisation reduced symptomatic recurrence dramatically compared to other approaches. [1]

A 2023 UK systematic review and meta-analysis from the University of York and University of Warwick confirmed it. [2,3]

In real-world recurrence terms: most patients never need it done again.

REFERENCES

1. Eekhof JA, et al. Cochrane Database Syst Rev. 2012. PMID: 22513901
2. Exley V, et al. J Foot Ankle Res. 2023 (Part I). PMID: 37301845
3. Exley V, et al. J Foot Ankle Res. 2023 (Part II). PMID: 37674170

08/06/2026

TEAM TUESDAY

SUZANNE WHITFIELD
Physiotherapist | Pelvic Health | Menopause Coach

Your body isn’t falling apart.

It’s asking you to pay attention.

For many women, the years around menopause can feel confusing.

The weight changes.
The energy changes.
The aches and pains arrive from nowhere.
Sleep becomes unpredictable.
Exercise stops giving the results it once did.

And too often, women are told:

“It’s just your age.”

Suzanne Whitfield doesn’t accept that answer.

She understands something many people miss:

Hormones affect everything.

Your muscles.
Your joints.
Your recovery.
Your strength.
Your confidence.
Even your relationship with your own body.

As a Physiotherapist with specialist training in Pelvic Health and Menopause Coaching, Suzanne helps women understand what’s actually happening beneath the surface.

Not through guesswork.
Not through social media trends.
Not through another miracle supplement.

Through evidence-based advice, practical strategies, movement, physiotherapy and a clear plan.

Because menopause isn’t the end of feeling strong.

It’s the start of learning how to work with your body instead of fighting against it.

If you’re struggling with pain, stiffness, pelvic health concerns, loss of confidence in exercise, or simply feel like your body has changed and nobody has explained why…

Suzanne can help.

The goal isn’t to get back to who you were.

The goal is to become even stronger in who you’re becoming.

👉 Book online at inmotionclinics.com

05/06/2026

🏀 FACT FRIDAY — SHOCKWAVE SERIES, PART 6 of 6!

Jumper’s knee: the injury that punishes you for being active.

Volleyballers. Basketballers. Footballers. Runners. CrossFitters. Climbers. Padel players.

It starts as a small ache below the kneecap.

A twinge standing up from a chair.

A pinch on the first few stairs down.

A sting pushing off in a sprint or jump.

You assume it will settle.

So you train through it.

You ice it. You stretch. You take a week off.

It calms. You go back. It returns.

⚡ WHAT IS ACTUALLY HAPPENING
It is called patellar tendinopathy — or “jumper’s knee.”

What’s happening underneath is not inflammation. It is degeneration.

The tendon has been overloaded over months or years. The collagen fibres are disorganised. The tendon has stopped healing.

This is why rest alone never finishes the job. You can rest a stuck tendon for six months. It is still a stuck tendon.

🔬 WHAT THE EVIDENCE SHOWS
The latest 2023 meta-analysis confirmed shockwave significantly reduces pain and improves function in patellar tendinopathy — especially when paired with eccentric loading. [1]

Even more interesting: a head-to-head RCT in athletes compared focused shockwave against platelet-rich plasma (PRP) — the trendy, expensive, needle-based option many athletes ask about.

Both worked. [2]

But shockwave is non-invasive. No needles. No blood draw. No injection risk.

A 2022 meta-analysis specifically on jumper’s knee confirmed shockwave as a safe, effective option for chronic cases that haven’t responded to standard care. [3]

⚡ WHERE SHOCKWAVE FITS
Shockwave is not magic. We’ve said this throughout the series.

What it does is wake up a tendon that has stopped healing — stimulating blood flow, triggering collagen remodelling, calming pain enough to load properly.

And it is the loading — heavy, slow, progressive — that ultimately rebuilds the tissue.

REFERENCES
1. Charles R, et al. Front Immunol. 2023. PMID: 37662911
2. Vetrano M, et al. Am J Sports Med. 2013. PMID: 23408591
3. Stania M, et al. J Hum Kinet. 2022. PMID: 36457482

02/06/2026

👋TEAM TUESDAY

KERYN LEGG - Physiotherapist

The body whispers before it screams.

Most people spend months treating the place that hurts.

Keryn spends her time finding out why it hurts in the first place.

Back pain is rarely just back pain.
Nerve pain rarely starts where you feel it.
And many of the people who walk into her clinic have already tried exercises, stretches, treatments, and advice that only scratched the surface.

The problem isn’t that they haven’t worked hard enough.

The problem is that nobody has properly connected the dots.

Keryn has spent years working with complex spinal conditions, persistent pain, nerve problems, and musculoskeletal injuries. The kind of cases that don’t respond well to generic advice or one-size-fits-all rehabilitation plans.

Her approach is simple:

Understand the whole picture.
Find the real driver.
Treat with purpose.

That might mean manual therapy.
It might mean acupuncture.
It might mean shockwave therapy, rehabilitation, Pilates, sports massage, or a combination of techniques.

The treatment is never the starting point.

The diagnosis is.

Because when you understand what’s really happening, everything changes.

If you’ve been living with pain that keeps returning…
If you’ve been told to just manage it…
If you’re tired of chasing symptoms and getting temporary results…

Book an appointment with Keryn.

Sometimes the answer isn’t more treatment.

It’s finally getting the right treatment.

👉 Book online at inmotionclinics.com

28/05/2026

🦵 FACT FRIDAY — SHOCKWAVE SERIES, PART 5

It starts as “just a sore hip.”

Then suddenly you cannot sleep on that side anymore.

You shift position all night.
Stairs become irritating.
Long walks flare it up.
Getting out of the car hurts.
Crossing your legs becomes uncomfortable.

And eventually even lying still feels like work.

Most people are told it is “trochanteric bursitis.”

But in many cases, the real issue is something deeper:

A gluteal tendon on the outside of the hip that has become overloaded, irritated and degenerative over time.

⏰ WHAT THE RESEARCH ACTUALLY SHOWS

One landmark study followed 229 patients with greater trochanteric pain syndrome and compared:

• steroid injection
• exercise-based loading
• radial shockwave therapy

The results were fascinating. [1]

At 1 month:
💉 Steroid injections worked fastest.

At 4 months:
⚡ Shockwave therapy performed better.

At 15 months:
🏋️ The exercise-loading and shockwave groups were still doing well — while the steroid group had fallen behind significantly.

That is important because it tells a very honest story:

Steroids can calm things quickly.
But loading and tendon rehabilitation change the longer-term outcome.

🔬 WHERE SHOCKWAVE FITS

Research shows it can reduce pain and improve function in gluteal tendinopathy and greater trochanteric pain syndrome. [2,3]

But this part matters:

Shockwave is not magic.

Used properly, it creates a window of opportunity — calming pain enough that the tendon can actually be loaded and rebuilt correctly.

And that combination is where the evidence becomes strongest.

✅ WHAT WE DO DIFFERENTLY

At In Motion Clinics, we do not just point shockwave at every painful hip.

Because sometimes “hip pain” is actually coming from:
• the lower back
• the SI joint
• the hip joint itself
• or a completely different structure altogether.

REFERENCES

1. Rompe JD, et al. Am J Sports Med. 2009. PMID: 19439758
2. Carlisi E, et al. Clin Rehabil. 2019. PMID: 30585498
3. Harding D, et al. Musculoskeletal Care. 2024. PMID: 38777616

26/05/2026

👋 TEAM TUESDAY

Some clinicians have careers.

Some build legacies.

This week is not about welcoming somebody new to In Motion Clinics.

It is about recognising one of the most experienced physiotherapists ever to practise in Chester — and a man who has helped shape this clinic from the very beginning.

Eight years ago, Mark Browes joined In Motion Clinics.

What he brought with him was extraordinary.

Professional footballer with Colchester United. RAF Physical Training Instructor. Physiotherapy degree from Brunel University. Head Physiotherapist at Queens Park Rangers Academy.

…Then came the call that changed everything:

Liverpool Football Club.

Mark spent seven seasons at Liverpool FC, ultimately becoming Head Physiotherapist for the first team — working at the very highest level of elite sport, where careers, pressure and performance collide.

And when players trusted their bodies and careers to someone, they trusted Mark.

But what matters most to us is this:

After elite football, Mark chose to bring that level of experience to people here in Cheshire.

For the last eight years, patients at In Motion Clinics have had access to a level of physiotherapy expertise usually reserved for professional athletes.

The stubborn injuries.The chronic pain.The cases others could not solve.

That became Mark’s territory.

This Friday, Mark steps in to retirement from regular weekly clinical practice.

But importantly — he is NOT disappearing.

Mark will still be returning to In Motion Clinics approximately every six weeks for dedicated clinic blocks, and his online diary remains open for future bookings.

We strongly advise booking ahead!

📍 InMotionClinics.com → Book Online → Mark Browes

Mark — from all of us at In Motion Clinics, and from the thousands of patients you have helped move, recover and live better:

Thank you.

22/05/2026

📌 FACT FRIDAY — SHOCKWAVE SERIES, PART 4

Calcific shoulder pain: when your tendon is carrying a stone!

Some shoulder pain is not just posture, wear and tear, or a bad night’s sleep.

Sometimes there is a literal calcium deposit inside the rotator cuff tendon — almost like a tiny stone sitting where soft, moving tissue should be.

And it can be brutal.

A deep ache.
Pain when you roll onto that side.
An arm you cannot lift properly.
Struggling to wash your hair, reach a seatbelt, or sleep comfortably.

Painkillers may quieten it.
Injections may calm it.
Rest may help for a while.

But if the calcium deposit is still there, the real problem may still be sitting inside the tendon.

That is where high-energy focused shockwave therapy is different.

Research shows it can reduce pain, improve function, and support resorption of the calcium deposit itself. [1–3]

But the assessment matters.

Not every painful shoulder has calcium.
Not every calcium deposit needs the same treatment.
And not every patient needs the same protocol.

At In Motion Clinics, our Physiotherapists assess properly, confirm what we are dealing with, and tailor the treatment and rehabilitation plan around you. If shockwave is indicated for the calcification, we can provide it.

Because the goal is not just to dampen pain.

The goal is to understand the cause — and treat it properly.

📍 Book at InMotionClinics.com

👀 Next: Greater trochanteric hip pain.

References:

1. Bannuru RR, et al. Ann Intern Med. 2014. PMID: 24733195
2. Ioppolo F, et al. Arch Phys Med Rehabil. 2013. PMID: 23499780
3. Verstraelen FU, et al. Clin Orthop Relat Res. 2014. PMID: 24872197

19/05/2026

👋 TEAM TUESDAY
Most clinicians choose one lane… Leanne Whitby chose the whole map!

Leanne is in a rare category of practitioners: qualified as both a Podiatrist and a Physiotherapist.

Not one or the other.

Both.

She first trained as a Graduate Physiotherapist, then completed a three-year Master’s degree in Podiatric Medicine. Add to that Pilates training, Acupuncture, NHS experience, international clinical work and a specialist rehabilitation role in New Zealand.

Why does that matter to you?

Because pain does not usually respect professional labels.

Your knee does not live separately from your foot.

Your Achilles does not exist in isolation.

Your lower back may be influenced by the way you stand, walk, load, compensate, protect, and move.

And this is where Leanne is different.

She can look at the body from the foot up, and from the body down.

That means when she assesses your pain, she is not just chasing the sore bit. She is looking at the whole connected system.

Leanne offers routine foot care, nail surgery, shockwave therapy, orthotics, gait analysis, Podiatric acupuncture, and full musculoskeletal care — often bringing several layers of clinical thinking into one appointment.

If you have been bounced between appointments in other clinics, given separate explanations, or left feeling like nobody has quite joined the dots…

Leanne might be exactly who you need.

👉 Book online at inmotionclinics.com

14/05/2026

🎾⛳ FACT FRIDAY — SHOCKWAVE SERIES, PART 3

Elbow pain: with or without tennis and golf

You do not need to play tennis to get tennis elbow.
You do not need to play golf to get golfer’s elbow.

Most people we see are not athletes. They are gardeners, decorators, desk workers, parents, tradespeople — people who grip, lift, twist and keep pushing through.

Then one day, something simple becomes painful:
Picking up the kettle.
Using secateurs.
Opening a jar.
Gripping the steering wheel.

You rest it. You stretch it. Months later, the pain is still there.

⚠️ THE ELBOW STEROID TRAP
A steroid injection can feel miraculous — for a few weeks. But a landmark Lancet review found steroids give good short-term relief in tendinopathy, then perform worse than other options over the medium and long term, with higher recurrence rates. [1] Steroids can also weaken the tendon itself.

Focused shockwave therapy does the opposite. It stimulates a biological healing response — blood flow, repair cells, tendon remodelling — strengthening the tissue while it heals. [2,3]

🇬🇧 BACKED BY UK GUIDANCE
NICE has assessed shockwave for refractory tennis elbow. [4] A 2022 network meta-analysis found shockwave outperformed steroid injection for medium-term pain relief and grip strength recovery. [5,6]

The real question is not “can we calm this down for a few weeks?”
It’s “can we help the tendon recover properly so you can trust your arm again?”

✅ THE RIGHT HANDS
Elbow pain is not one diagnosis. Our physiotherapists are trained in focused shockwave delivery — and design the loading plan to match your specific elbow. That is the difference between chasing symptoms and treating the tendon properly.

If rest, stretches or even injections have not solved it — there may be a smarter long-term option
REFERENCES
1. Coombes et al. The Lancet. 2010. PMID: 20970844
2. Notarnicola & Moretti. Muscles Ligaments Tendons J. 2012. PMID: 23738271
3. d’Agostino et al. Int J Surg. 2015. PMID: 25489555
4. NICE IPG313 / HTG201. nice.org.uk/guidance/
5. Yao et al. Biomed Res Int. 2020. PMID: 32309425
6. Liu et al. Arthroscopy. 2022. PMID: 35093494

Address

137 Long Lane
Chester
CH21JF

Opening Hours

Monday	8am - 8pm
Tuesday	8am - 6pm
Wednesday	8am - 8pm
Thursday	8am - 6pm
Friday	8am - 6pm
Saturday	9am - 5pm

Telephone

+441244373757

Website

http://www.inmotionclinics.com/

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