Targeted treatment for knee pain, IT band syndrome and patellofemoral pain at Beverley Road, New Malden KT3 4AW. BTEC Level 5, 64 five-star reviews. First session from £60.
Most knee pain is not caused by damage inside the joint. IT band syndrome, patellofemoral pain (runner's knee) and lateral knee pain are almost always driven by soft tissue imbalances above and below the knee — tight TFL and iliotibial band, weak hip abductors, quad dominance and restricted ankle mobility forcing the knee into abnormal tracking patterns.
Treating the knee itself rarely resolves these presentations. The approach here targets the structures actually driving the problem — TFL, glute med, the lateral quad and the hip abductor chain — which changes how the knee loads with every step. This makes it especially relevant for runners where IT band syndrome is the most common overuse injury, and for cyclists where the fixed pedalling position loads the lateral knee continuously. Knee pain frequently clusters with hip pain and tight hamstrings — all part of the same posterior chain loading pattern.
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TFL & Iliotibial Band
The tensor fasciae latae is the primary driver of IT band syndrome. When tight, it increases tension through the iliotibial band and creates friction at the lateral femoral condyle with every stride. The IT band itself cannot be stretched — releasing TFL and glute max at the top of the band is what actually changes the tension.
Gluteus Medius & Hip Abductors
Weak or inhibited glute med allows the hip to drop during the stance phase of running (Trendelenburg pattern), forcing the knee inward under load. This is one of the most consistent findings in runners with IT band syndrome and patellofemoral pain. Restoring glute med function changes knee tracking immediately.
Lateral Quadriceps & Vastus Lateralis
Tightness in the lateral quad and vastus lateralis tilts the patella laterally, creating patellofemoral compression on the outer aspect. This is the primary driver of pain behind the kneecap on stairs and squatting. Releasing the lateral quad allows the patella to track centrally in the groove.
Assessment covers hip drop during single-leg squat, TFL and glute med strength, patellar tracking and palpation of the iliotibial band and lateral structures. This identifies whether the primary driver is TFL-dominant (IT band), glute med weakness (patellar tracking) or quad tightness (patellofemoral).
Treatment covers TFL and lateral quad release, glute med activation work and hip abductor chain assessment. For runners with longstanding IT band syndrome, the 90-minute session allows enough time to address the full hip-knee chain. For cyclists, the hip flexors and lower back are also treated — the cycling position loads the knee in a pattern that differs from running. See also: hip pain, tight hamstrings and calf strain — all commonly present alongside knee problems.
MSMA Member — Sports Massage Association (SMA)
If you hold private health insurance, you may be able to claim sports massage sessions back. Check with your provider — a detailed receipt is provided on request.
"Having been in tears thinking my Copenhagen Marathon was over with a calf injury four weeks out, Nick was incredibly thorough. I was able to make it to the start line and finished in 3 hours 6 minutes."
"Nick gets to the root of the problem every time — I always leave feeling like a completely different person. His technique is the best I have ever experienced."
"Nick helped me cross the London Marathon finish line happy and injury-free. He provided tailored therapy to support my performance, recovery and alignment throughout training."