Skelian Chiropractic, Physiotherapy & Massage Therapy Cheltenham
Skelian Chiropractic, Physiotherapy & Massage Therapy Cheltenham
290 Google reviews
Steve MaxTheMaths
Steve MaxTheMaths
Huge thanks to Jamie and the team for getting me back on my feet! Fabulous service. Highly recommended.
Nickie Apperly
Nickie Apperly
Great service, Tom is very reassuring and encouraging. His confident yet, caring approach made me feel at ease and my recovery has definately benefitted from this.
Fred Warren
Fred Warren
Several months ago I was stricken with severe sciatica, strong pain killers were prescribed by my GP but they had unacceptable side effects. I contacted Skelian and Jamie quickly sorted out my problem, without further medication. During the course of my treatment, I found that Jamie's manipulations of my neck gave a certain amount of relief to the vertigo and muzziness “brain fog”, which I had been suffering from, for the past five years. I am thankful to Skelian and Jamie in particular for his caring approach to my ailments, he has an excellent bedside manner and he has given me beneficial advice to help with my long standing dizziness problems.
Kam Mistry
Kam Mistry
Very happy. Jamie was great - friendly and professional. I certainly felt that I was in good hands and could already feel the benefits after my first visit. After three sessions the pain has gone.
Monica Wragg
Monica Wragg
I highly recommend the Skelian Clinic. The lovely Aaron has cured my lower back pain in a matter of a few weeks so that I can now resume and enjoy my walks. Everyone at the clinic is very professional, kind and friendly. Thank you.
Zara Winters
Zara Winters
I walked in to the Skelian clinic at my wit's end - my neck and shoulders hurt from decades of poor posture due to computer work, my left forearm was tight and painful and I had been suffering with agonizing tennis elbow in my right arm which was waking me up every night. It felt like my entire upper body had seized up. From the moment I entered the clinic I felt a good vibe - Angela, the receptionist, made me feel relaxed and welcome and was just lovely to be around, she takes a genuine interest in every client and radiates warmth - and has a lovely singing voice to boot! Victoria, who I cannot thank enough, has worked miracles. After four treatments, using a combination of dry needle therapy, targeted deep tissue massage and spinal manipulation I feel like a different person. The pain has almost completely gone and I have a workable action plan on how to look after my joints. Victoria is empathic, exceptionally knowledgeable, witty and a great listener. She explains what she is doing in straightforward language and puts you at ease immediately. I can honestly say that I am blown away by the results, it is life changing to have that debilitating pain taken away. I wish I'd gone sooner. If you are suffering with neck, back or joint problems please just book an appointment online, you owe it to yourself.
Brian Evans
Brian Evans
I was not expecting the relief that I experienced, From the moment treatment started I was made relaxed, after my first treatment I could not believe the difference, All the staff were very professional, the treatment was exceptional, Actually looking foreward to my next appointment
I've been coming to Dani for regular Sports Massage appointments for nearly a year now, recently transitioning on to the Hot Stones massage. As someone who likes to regularly weight train these sessions have been invaluable to my recovery and have ensured that any aches, pains and knots are kept to their absolute minimum. I've recently moved over to the Hot Stones massage and highly recommend it, it's a great mixture of traditional sports massage techniques combined with the hot stones - this will be my go to massage moving forward. Dani is extremely welcoming, friendly and a pleasure to be around - I can't rate her highly enough!
Nicky Harris
Nicky Harris
Friendly, professional service. Tom has been fantastic at sorting out my neck and back issues, providing explanation before, during and after treatment as well as providing after care exercises I can do at home. I have been delighted with my treatment so far. Thank you!
craig pockett
craig pockett
Would highly recommend Skelian chiropractic & physiotherapy 👍🏼 sorted my aches & pains out for me😊
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Ankle Pain

Pain coming from or around the ankle joint. In this article we look at symptoms, causes and treatment options. 

Common conditions and causes of ankle pain

Ankle pain is a complaint that affects individuals of all ages and activity levels. It can result from a wide range of conditions and injuries, leading to discomfort, limited mobility, and possibly decreased quality of life. There are some common causes of ankle pain and on this page, we will shed some light on their underlying mechanisms and present evidence-based solutions for their management.

Ankle Sprains

One of the most frequent causes of ankle pain is an ankle sprain, which occurs when the ligaments that support the ankle joint are stretched or torn. The lateral ankle sprain is the most common type and typically results from an inversion injury, where the foot rolls inward. This mechanism places excessive stress on the lateral ligaments, such as the anterior talofibular ligament (ATFL), causing pain, swelling, and instability (Kerkhoffs et al., 2012). Proper diagnosis and management of ankle sprains are crucial to prevent chronic instability and recurrent injuries. At Skelian, if you come to us with an ankle sprain, we will assess you using orthopaedic and functional when physically examining you. If the sprain is severe enough we may refer you for diagnostic imaging. We have a specialist physiotherapist who works in house and provides diagnostic ultrasounds or we may refer you for an MRI if required.

Achilles Tendinitis

Achilles tendinitis, characterised by inflammation of the Achilles tendon, is another common cause of ankle pain. Repetitive overuse, excessive training, inadequate warm-up, and improper footwear are risk factors contributing to the development of this condition (Maffulli et al., 2014). Individuals often experience pain and stiffness along the back of the ankle, particularly during physical activity. Treatment usually involves a combination of rest, physical therapy, and orthotic devices, with a gradual return to activity to promote tendon healing and prevent re-injury. At Skelian we offer Shockwave therapy as one of our treatment options for Achilles tendinopathy which has been shown to be effective for this condition. 


Osteoarthritis, a degenerative joint disease, can also affect the ankle joint, leading to chronic pain and functional impairment. This condition arises due to the gradual breakdown of cartilage, resulting in joint space narrowing and the formation of bone spurs. Ankle osteoarthritis may develop following a previous injury, such as a fracture or dislocation, or it may occur as a part of the ageing process (Brodsky, 2011). Management strategies include weight management, manual therapy, pain medications, and, in severe cases, surgical interventions may be needed. 


Gout is a form of inflammatory arthritis caused by the deposition of uric acid crystals in the joints, including the ankle. It typically starts with sudden and severe pain, redness, swelling, and warmth in the affected joint. Gout commonly affects the big toe, but the ankle can also be involved. Elevated levels of uric acid in the blood, often due to dietary factors, are a primary risk factor for gout (Pascual & Ramiro, 2021). At Skelian, we are unable to directly treat gout but we may be able to help diagnose the condition, where we can refer you to the relevant healthcare professional for your case. In most cases, treatment involves lifestyle modifications, medications to lower uric acid levels, and the management of acute flares using nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids.

Ankle pain treatments

Ankle pain can stem from various causes, each requiring specific diagnostic and therapeutic approaches. Ankle sprains, Achilles tendinitis, osteoarthritis, and gout are among the most common conditions leading to ankle pain. Timely and accurate diagnosis, along with evidence-based management strategies, is essential to alleviate pain, restore function, and prevent long-term complications.

Here at Skelian, we offer a variety of different treatments and diagnostic options if you are struggling with ankle pain. The first port of call is always to thoroughly assess your condition to give you an accurate diagnosis as possible to then formulate a treatment or management plan depending on the condition. We offer in house diagnostic ultrasound scans that can help identify the cause of your ankle pain, or we have the option to refer you for a private MRI in Cheltenham. 

Frequently Asked Questions

Our team

Alex Broomsgrove, Chiropractor Cheltenham Skelian

Alex Broomsgrove



“I always strive to get to the root of the issue and then work with my patients to find a solution to the problem”

Sports Therapist Cheltenham

Dani Cowley

Sports Therapist

“My goal is to help all  my patients return to their preferred activity whilst maintaining a pain-free and healthy lifestyle. I always aim to go one step further by minimising the risk of future injury through rehabilitation plans and hands-on therapy.”

Victoria West



“ Every patient’s health requirements are unique to them; my aim is to provide patients with care that is centred around their needs.”

Jonathan Wride

Specialist Physiotherapist

HCPC MCSP AACP PgC Injection Therapy, MSK Sonographer and Independent Prescriber:

“I’m passionate about giving patients instant access to high-level diagnostics and specialist treatments, helping to reduce the waiting times of patients and hopefully speeding up their recovery.”


Chiropractic Initial Consultation – £75 Book »
Chiropractic Follow up treatment – £48
Physiotherapy consultation – £75
Sports Therapy Consultation – £60
Follow up Sports therapy appointment – £35
Massage (1 hour) – £60


Opening Times

Monday8.30 – 7.00
Tuesday8.30 – 7.00
Wednesday8.30 – 7.00
Thursday8.30 – 7.00
Friday8.30 – 7.00
Saturday9:00 – 1:00

Book an Appointment

Why Choose Skelian?

  • Exceptionally high standards of care
  • Professionalism and Expertise
  • Quality treatment
  • Quality practitioners
  • Great communication of your treatment
Google Reviews Logo, Skelian 5 star rating

Introductory offer 20% off Initial Chiropractic Consultations