David Canevaro : 07904 153486

davidcanevaro@hotmail.com

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Petts Wood Practice (Orpington)

Osteopathy & Rehabilitation for Long-Term Movement Health

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Why People Attend Our Central London Clinic

Our Petts Wood Practice serves Orpington and surrounding areas, delivering the same assessment-led osteopathy and rehabilitation approach used across London Osteopathy & Pilates.

This clinic is particularly suited to patients who want:

  • a thorough assessment
  • clear explanation of what is driving symptoms
  • a step-by-step rehabilitation plan
  • support returning to normal activity, work or sport

As with all locations, care follows the Osteolates Method, created by David Canevaro, UK-registered osteopath and Clinical Director.

Who Attends the Petts Wood Practice

Patients commonly attend with:

  • lower back pain and recurrent stiffness
  • sciatica-type symptoms
  • neck and shoulder pain
  • hip, knee or leg pain related to walking or running
  • sports injuries and overuse problems
  • long-standing symptoms without a clear explanation

Many have been told to “rest”, “stretch more”, or “strengthen your core” without being shown how or why.

Common Clinical Presentations

At this clinic we frequently manage:

  • back pain aggravated by sitting, driving or lifting
  • leg pain related to gait or load tolerance
  • shoulder pain linked to gym or work posture
  • postural and desk-related pain
  • chronic stiffness and reduced mobility
  • repeated sports injuries

Clinical Assessment — The Foundation of Care

History and context

Understanding symptoms requires context. We explore:

  • symptom behaviour across the day
  • activity and training history
  • occupational and lifestyle demands
  • previous injuries and recovery patterns

Physical examination

May include:

  • joint mobility and quality of movement
  • muscle tone and sensitivity
  • posture and endurance
  • neurological screening where relevant
  • functional tests and gait observation

Movement and load analysis

Pain often persists because tissues are exposed to load they are not prepared for. Identifying this mismatch is central to treatment planning.

Treatment Philosophy at Petts Wood

Osteopathic treatment

Manual therapy is used to:

  • improve movement options
  • reduce excessive guarding
  • support progression into rehabilitation

Rehabilitation and Clinical Pilates

Most patients require:

  • strengthening and endurance development
  • improved movement control
  • gradual return to previously avoided activities

Clinical Pilates may be used to support this process where appropriate.

Education and independence

Patients are taught how to:

  • manage flare-ups
  • progress activity safely
  • recognise early warning signs
  • maintain long-term improvement

Why Long-Term Results Matter

Without addressing:

  • load tolerance
  • movement strategy
  • endurance
  • recovery patterns

symptoms often recur.

Our approach is designed to reduce reliance on treatment and increase self-management confidence.

Measuring Progress

Progress is assessed through:

  • functional milestones (walking, sitting, lifting, training)
  • symptom behaviour under load
  • reduced recurrence
  • improved movement confidence

Care evolves as you improve — it does not remain static.

Clinic Details

Address:
1a West Way
Petts Wood Practice
Petts Wood
Orpington BR5 1LN

Booking and Next Steps

If you’re unsure which service is appropriate, begin with an osteopathy assessment. From there, we can determine whether rehabilitation, Clinical Pilates or further biomechanical assessment is needed.