Pain is the body’s way of asking for attention, and it is shaped by far more than one muscle or joint. Sleep, stress, work, activity and past experiences all play a part. That is why Teresa starts with the whole picture before deciding what to treat.
Treatment usually combines two things. Hands-on care, such as gentle mobilisations, myofascial release and, when it is appropriate, dry needling, can ease symptoms and make movement feel possible again. Therapeutic exercise then builds strength, control and confidence, so progress continues outside the clinic.
Evidence at the centre
Teresa’s own research looks at exactly this balance. As first author, she compared therapeutic exercise with myofascial trigger point therapy for shoulder tendinopathy in a randomised controlled trial. She also contributed to an international consensus on how exercise should be prescribed for low back pain.
Myofascial pain and fibromyalgia
Myofascial pain syndrome and fibromyalgia are a particular focus of Teresa’s work. Care is gentle and paced, with a plan that respects how your body responds on good days and harder ones.
Dry needling
Dry needling is one of the techniques Teresa may use within your plan. It uses very fine, sterile, single-use needles to treat myofascial trigger points: sensitive spots in a muscle that can contribute to pain and stiffness. It is a physiotherapy technique based on a musculoskeletal assessment, not a form of acupuncture.
Teresa holds a postgraduate qualification in dry needling from the Universidad de Castilla-La Mancha. She only suggests it when it is likely to help, explains it first and always leaves the choice to you. You may feel a brief twitch or a dull ache, and some soreness for a day or two afterwards is common. The session then continues with movement, so the effect carries into how you use your body.
Every plan starts with an individual assessment. This page is general information, not a diagnosis.
