
Something hurts
An injury that has not settled, or a niggle that keeps coming back in the same place every time you build up.
Assessed in three planes. Loaded in three planes. Rehabilitation and strength work for people who want a reason behind every exercise.
How I work
Why three directions — nothing works on its own
Put a foot on the ground and the movement does not stop at the ankle. It carries on — ankle to knee, knee to hip, hip through the trunk to the opposite shoulder. Each link drives the next one, and none of them gets to opt out.
Foot and ankle Where it starts. What the foot does on contact sets up everything above it.
Knee Takes what the ankle hands it. It has very little say of its own.
Hip Where most of the available rotation lives. When it is not there, something else lends it.
Trunk and far shoulder The other end. A step on the left is finished on the right.
Which is why the place that hurts is so often not the place it began. A stiff ankle can arrive as a sore lower back. A hip that will not turn can arrive as a knee that keeps letting go.
So I assess the whole chain rather than the sore part of it, and then load it in all three directions — so the links share the work instead of one of them carrying the lot.
“I have witnessed many people return to the activities and sport they love following injury under Jaco's management.”
Ulika Singh · Physiotherapist
Who I see
Different starting points, same first hour.

An injury that has not settled, or a niggle that keeps coming back in the same place every time you build up.

Post-operative rehabilitation that needs to be progressed properly rather than guessed at, from the first week through to full load.

You are putting the hours in and getting nowhere, or you keep breaking down at the same point in a block.

You are nearly right but not ready, and nobody has told you what ready actually looks like or how to test for it.
Blog
Occasional pieces on how the body actually works, written for the people I see rather than for other clinicians.

A stiff ankle can arrive as a sore lower back. Why the place that hurts and the place that caused it are so often two different places.

Sagittal, frontal, transverse. What the three planes of movement actually mean, and why training in only one of them leaves a gap.
Start here
Pick a time from the live calendar. If nothing open works, join the waiting list and I will text you the moment a slot frees up.