The Frameworks method
Precision care that looks to maximise benefits by using technology
Your clinician develops the treatment plan. Our technology supports that plan by helping deliver precise joint positioning during therapy.
This isn't a replacement for manual therapy or exercise — these are tools our clinicians use to support these methods of treatment.
Our aim is to achieve meaningful improvement using the minimum level of intervention appropriate for the individual patient.
From our founder
Why aren't you getting better quickly?
Have you noticed that recovery after an injury can sometimes feel frustratingly slow? Whether it's a back, knee, hip, neck or shoulder problem, rehabilitation often takes time and persistence.
Early in my career, I noticed the same thing. During my physiotherapy training, I would often introduce exercises early in the rehabilitation process, yet some patients appeared to make slower progress than expected.
It led me to ask whether there was something that needed attention before the exercises themselves. I became interested in the relationship between movement, alignment and the structures that support the body. Over time, I developed an approach using very small, precise adjustments, which we now call micro-manipulation.
This approach forms part of our Core Integrity Protocols. The aim is to support comfortable movement and function using a low-force, highly targeted intervention. We focus on making small, precise changes based on each patient's individual presentation.
In our experience, some patients seem better able to engage with exercise-based programmes when this work is carried out first. They may then go on to participate more comfortably and confidently in exercise programmes, whether provided by us or by other healthcare and rehabilitation professionals.
Every patient is different, and treatment outcomes vary from person to person. Our goal is to provide a precise, individualised approach that supports each patient's rehabilitation journey. We believe recovery is a partnership between you, your clinician and the right technology
Come and find out more about our approach and whether it may be suitable for you.
Dr David Eldridge, Founder
How it works
The Foundation Phase
Depending upon whether it is lower back/lower limb or upper back (neck/thoracic)/upper limb, we apply the same principles to both sets of vertebra.
Step 1
Addressing Hip / Lower Neck Alignment
We begin by evaluating the pelvis or lower neck. We use targeted physical techniques aimed at balancing the hip/lower neck position and relieving localised joint stress.
Step 2
Supporting Side-to-Side Spinal Balance
Next, we focus on the lateral plane. We use targeted physical techniques aimed at easing muscle strain and support the natural side-to-side alignment of your spine.
Step 3
Targeting Front-to-Back Spinal Posture
We then look at your profile view. We use targeted physical techniques aimed to address your front-to-back posture and reduce pressure on the lower back or neck.
Step 4
Fine-Tuning Remaining Areas
We finish by checking other related joint pains, particularly hip and knee and ankle, shoulder, elbow and wrist. We gently fine-tune any remaining spots of muscle tightness and joint alignment to help encourage overall physical comfort.
Staying well
Small things, before you feel them
Every step you take places forces through the body. Whether you're walking on pavements, training in the gym, or simply going about daily life, your joints, muscles and other tissues are continually adapting to those demands.
Most of the time, the body manages these everyday stresses remarkably well. However, over time, small changes in movement, posture or loading patterns can sometimes contribute to discomfort or reduced function, particularly in areas that are already under strain.
We use technology to help athletes improve their performance. When treating we monitor their posture and joint position very regularly. We now use the same approach to help people with everyday joint pain, but because most individuals do not put their bodies under the same intense pressure, we can treat much less frequently, depending on each individual’s need.
During treatment, our aim is to reduce unnecessary movement in a painful joint. This helps protect the tissues that keep the joint stable and allows them time to recover. If the joint needs to be moved later as part of your treatment, we can do so without placing extra strain on the structures that provide stability.
Because the body works as an interconnected system, changes in one area can sometimes influence how other parts move and feel. This is one reason why we take a whole-body approach when assessing our patients.
Once a patient has completed the Foundation Phase, this literally means we are working from a stable base and we can manage your condition strategically, depending on your need. This is similar to the approach we use for athletes because we are aiming to maximise your “performance” and most importantly help to prevent other problems developing, but with far fewer treatments than we use in elite sport.
The aim is simply to monitor how you are moving and functioning, and to address any concerns at an early stage.
This can be particularly valuable for people who lead active or physically demanding lives, although every patient is different and follow-up care is always tailored to individual needs and preferences.
Once stable, we recommend we see patients infrequently, to maintain the anatomical position, depending on need.