5th Element Sports Injury Clinic
Evidence-informed, patient-centered care for musculoskeletal and sporting injuries across two locations in Sunderland and Durham
5th Element Sport Injury Clinic is a team of skilled practitioners (including Osteopaths, Physiotherapists, Sports Rehabilitators and Sports Massage Therapists) offering a variety of physical and manual therapies to help with all forms musculoskeletal and sporting injuries over two locations in Durham and Sunderland.
Clinic Locations
5th Element Sports Injury Clinic (Durham)
34 Front Street
Framwellgate Moor
Durham
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5th Element Sports Injury Clinic (Sunderland)
The Powerbar Gym
Anthony Road
Sunderland
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Treatments & Services
Physiotherapy / Musculoskeletal & Sports Injury Therapy
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Clinical Soft Tissue Therapy / Sports Massage Therapy
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Online Musculoskeletal & Sports Injury Therapy
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Osteopathy
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Injection Therapy
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Pregnancy
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1:1 Rehabilitation
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Insurance
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Other Clinical Services
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Physiotherapy / Musculoskeletal & Sports Injury Therapy
If you’re experiencing a sports injury or musculoskeletal pain, treatment begins with a comprehensive assessment to establish an accurate diagnosis and identify contributing factors.
Your clinician will assess movement, strength, flexibility, and joint function before explaining the findings clearly and outlining a personalised treatment plan.
Treatment combines hands-on therapy with targeted rehabilitation to relieve pain, restore function, and reduce the risk of future injury.
Initial Consultation
A comprehensive assessment of range of motion, strength, and movement quality. By the end of the session, your clinician will provide a clear diagnosis, explain contributing factors, and outline an evidence-based treatment plan.
Musculoskeletal / Sports Injury Initial Consultation (Clinical Lead)
60 minutes – £65
Musculoskeletal / Sports Injury Initial Consultation (Senior Therapist)
60 minutes – £60
Musculoskeletal / Sports Injury Initial Consultation (Therapist)
60 minutes – £55.00
Follow-Up Appointment
Follow-up sessions build on your initial assessment and may include a combination of manual therapy techniques such as soft tissue massage, osteopathic mobilisation or manipulation, acupuncture, electrotherapy, and taping.
Treatment aims to reduce pain sensitivity, lower muscle tone and guarding, improve circulation, and enhance healing. A progressive, personalised rehabilitation programme is also provided to restore strength, stability, and neuromuscular control and support full return to function
Follow-up appointment (Clinical Lead Therapist)
30 minutes – £45
45 minutes – £55
60 minutes – £45
Follow-up appointment (Senior Therapist)
30 minutes – £40
45 minutes – £50
60 minutes – £60
Follow-up appointment (Therapist)
30 minutes – £35
45 minutes – £45
60 minutes – £55
Clinical Soft Tissue Therapy / Sports Massage Therapy
Clinical soft tissue therapy is a predominantly hands-on treatment focused on improving the health, function, and recovery of muscles and connective tissues.
Treatment may include a combination of sports massage, instrument-assisted soft tissue mobilisation (IASTM), acupuncture, cupping, and taping. Techniques are selected based on your individual needs and the response required from the tissues.
This service is designed to address soft tissue reactions to injury, training, or overload. If you are seeking a full diagnosis or assessment of the underlying cause of pain, we recommend booking a Physiotherapy or Sports Injury consultation before commencing soft tissue treatment.
This service focuses on soft tissue treatment rather than diagnostic assessment.
Initial Consultation
Clinical Soft Tissue / Advanced Sports Massage – Initial Consultation
This session includes a subjective assessment to determine suitability for treatment and identify key focus areas. A brief movement and soft tissue evaluation allows your practitioner to select the most effective techniques, which may include advanced sports massage, acupuncture, IASTM, cupping, or taping.
60 minutes – £55
Sports Massage – Initial Consultation
A preliminary assessment of soft tissue condition and general movement, followed by a tailored hands-on treatment. Techniques may include deep tissue massage, soft tissue release (STR), muscle energy techniques (MET), and trigger point therapy.
60 minutes – £50
Please note: these appointments do not include formal diagnosis. If diagnostic assessment is required, an MSK / sports injury, or osteopathy consultation is recommended first.
Follow-Up Appointment
Clinical Soft Tissue / Advanced Sports Massage – Follow-Up
A hands-on treatment focusing on soft tissue health, using targeted techniques such as massage, IASTM, acupuncture, cupping, and taping. Treatment aims to reduce sensitivity, lower muscle tone, improve circulation, and support tissue recovery.
30 minutes – £35.00
45 minutes – £45.00
60 minutes – £55.00
Sports Massage – Follow-Up
A follow-up massage session tailored to your ongoing needs. Treatment may include a range of soft tissue techniques to alleviate tension, promote healing, improve mobility, and restore function.
30 minutes – £30
45 minutes – £40
60 minutes – £50
Osteopathy
Osteopathy is a holistic approach to healthcare focused on diagnosing and treating a wide range of musculoskeletal and functional conditions.
It is based on the principle that the body functions best when its structure and movement are well balanced. Osteopaths assess how the skeleton, muscles, ligaments, and connective tissues work together and how restrictions in one area may affect another.
Treatment uses hands-on techniques to restore mobility, reduce tension, improve circulation, and support the body’s natural ability to heal. Alongside manual therapy, osteopaths often provide tailored advice on posture, lifestyle, and exercise to support long-term recovery and prevent recurrence.
Initial Consultation
Osteopathy Initial Consultation
A detailed assessment of mobility, strength, posture, and movement patterns to identify areas of structural dysfunction. Your osteopath will explain the findings clearly, discuss contributing factors, and recommend an appropriate treatment plan to support recovery.
60 minutes – £65
Follow-Up Appointment
Osteopathy Follow-Up Appointment
Follow-up treatment builds on your initial assessment and may include osteopathic mobilisation or manipulation, soft tissue techniques, acupuncture, electrotherapy, and taping.
Treatment aims to reduce pain, improve joint mobility, enhance circulation and fluid dynamics, and support optimal healing. Where appropriate, exercise rehabilitation and self-management advice will be provided to support long-term recovery.
30 minutes – £45
45 minutes – £55
60 minutes – £65
Injection Therapy
Injection therapy offers targeted treatment to reduce pain, control inflammation, and improve joint or tissue function.
Treatments are selected based on individual clinical need and may be used to support recovery from musculoskeletal conditions, manage joint degeneration, or address nutritional deficiencies where oral supplementation is insufficient.
All injection therapies are delivered by appropriately trained clinicians following a thorough assessment, with the aim of supporting recovery, improving function, and maintaining long-term musculoskeletal health.
Initial Consultation
Before receiving injection therapy, a clinical assessment is carried out to determine suitability, confirm the appropriate treatment option, and discuss expected benefits, risks, and aftercare.
Your clinician will explain the procedure clearly and answer any questions before proceeding.
Injection Treatments
Vitamin D Injection
A high-dose vitamin D injection administered intramuscularly to support rapid correction of deficiency. Suitable for individuals with low vitamin D levels, fatigue, reduced immunity, low mood, or bone density concerns. Effects may last several months.
30 minutes – £40
Vitamin B12 Injection
An effective method of restoring vitamin B12 levels, particularly beneficial for individuals with dietary restrictions, digestive conditions, or B12-related fatigue. Supports nerve function, red blood cell production, energy levels, and cognitive clarity.
30 minutes – £25
Vitamin B Complex Injection
A blended formulation of essential B vitamins supporting energy production, metabolism, nerve health, and stress resilience. Rapid absorption allows for quick symptomatic support, with effects typically lasting days to weeks.
30 minutes – £35
Vitamin C Injection
A concentrated vitamin C injection delivered intramuscularly or intravenously to support immune function, reduce inflammation, and aid collagen production. Often used during illness recovery or periods of increased physical or mental stress.
30 minutes – £25
Hyaluronic Acid Injection
A minimally invasive treatment for osteoarthritis and joint degeneration. Administered directly into the affected joint as a single injection or course of three injections. HA injections improve joint lubrication, reduces friction, and enhances mobility. Many patients experience sustained pain relief and delayed progression toward surgical intervention.
Osteonil Standard Injection (2ml / 1% Sodium Hyaluronate) – 3 injections for large joints
30 minutes – £300
Osteonil Plus Injection (2ml / 2% Sodium Hyaluronate)- Follow up injection for large joints
30 minutes – £175
Osteonil Standard Injection (1ml / 1% Sodium Hyaluronate) – 3 injections for small joints
30 minutes – £250
Monovisc (High Dose Hyaluronic Acid 88mg) – Single Injection
30 minutes – £275
Hyaluronic Acid and Cortiosteriod Injection
Cingal is a single-injection treatment used to relieve pain caused by osteoarthritis. It combines hyaluronic acid, which helps restore lubrication and cushioning within the joint, with a corticosteroid to reduce inflammation and provide faster pain relief.
Cignal (88mg Hyaluronic Acid plus 18mg Cortiosteriod) – Single Injection
3o minutes – £300
Other injection treatments
Colliflower ear drainage
30 minutes – £30.00
Pregnancy / Pre- & Post-Natal Therapy
At our clinic, specialised pre- and post-natal therapy is provided by Emma, who has completed advanced pre-natal training and holds a Level 4 qualification in massage therapy.
Therapy is designed to ease muscle tension, reduce pain, and support both physical and emotional well-being. Research suggests that manual therapy during pregnancy may help reduce stress, improve sleep quality, and support a more comfortable pregnancy and recovery.
Treatments are carefully adapted to each stage of pregnancy, from the first trimester, through to the post-natal period. Every session is gentle, safe, and tailored to your individual needs, helping you feel supported and comfortable throughout the process.
Initial Consultation
Pre- & Post-Natal Therapy – Initial Consultation
Please bring your maternity notes to your appointment. Your practitioner will review your medical history, check blood pressure, and carry out pregnancy-specific screening to ensure treatment safety.
Following discussion of your symptoms and goals, treatment will be provided, typically in a comfortable side-lying position. Suitable throughout pregnancy and from six weeks post-partum following an uncomplicated delivery.
60 minutes – £60
Pregnancy Massage – Initial Consultation
A safe, relaxing massage tailored specifically for pregnancy. After screening for contraindications, appropriate hands-on treatment is provided to reduce muscle tension, promote relaxation, and ease common pregnancy-related discomforts.
For specific conditions such as pelvic girdle pain, a pre- or post-natal therapy consultation is recommended.
60 minutes – £60
* All pre- and post-natal treatments are adapted to your stage of pregnancy and individual needs. Safety screening is carried out at every appointment to ensure appropriate care.
If you have any concerns or specific medical conditions, please contact us prior to booking and we will be happy to advise.
Follow-up Appointment
Pre- & Post-Natal Therapy – Follow-Up
Ongoing support throughout pregnancy or the post-partum period. Sessions review symptoms, monitor physical changes, and adapt treatment or exercise guidance to support comfort, confidence, and recovery.
60 minutes – £60
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Pregnancy Massage – Follow-Up
A tailored follow-up massage adapted to your stage of pregnancy and any changes since your last session. Designed to relieve tension, support relaxation, and maintain comfort.
60 minutes – £60
Online Musculoskeletal & Sports Injury Therapy
Online musculoskeletal and sports injury consultations provide expert clinical guidance when attending the clinic in person isn’t possible.
This service allows you to connect with an experienced physiotherapist or sports injury specialist via secure video consultation. It is suitable for individuals experiencing pain, mobility limitations, scheduling constraints, or those who prefer to begin treatment remotely.
During your session, your clinician will take a detailed medical history and discuss your symptoms, activity levels, and goals. Guided movement and strength tests may be used to assess how your body responds, allowing your clinician to form a clear clinical picture and provide structured, evidence-based advice.
Initial Consultations
Online MSK / Sports Injury Initial Consultation
A live video consultation during which mobility, strength, and movement assessments are performed remotely. You will receive a working diagnosis, a clear explanation of your symptoms, and actionable strategies to support recovery.
Following the session, you’ll be provided with a personalised treatment and rehabilitation plan tailored to your needs and circumstances.
60 minutes – £60
Follow-Up Appointment
Online MSK / Sports Injury Follow-Up
A remote follow-up session focusing on exercise progression, self-management strategies, and ongoing rehabilitation guidance. These sessions are designed to support recovery, refine your programme, and address any emerging concerns.
30 minutes – £40
45 minutes – £50
60 minutes – £60
1:1 Exercise Rehabilitation / Strength and Conditioning
Our 1:1 fitness session provide personalised support to build strength, restore function, and improve overall performance.
Each programme is tailored to you, combining rehabilitation and strength training. With expert 1:1 guidance, your programme evolves with you helping you recover, perform, and feel your best.
Appointments
Exercise Rehabilitation
30 minutes – £40
Exercise Rehabilitation
60 minutes – £60
Strength and Conditioning
30 minutes – £40
Strength and Conditioning
60 minutes – £60
What’s Included
Your personalised plan may include:
Targeted exercises to restore strength, mobility, and control
Pain management advice, including activity modification and self-care strategies
Postural and movement guidance to reduce symptom aggravation
Recommendations for in-clinic treatment or diagnostic imaging if further assessment is required
Private Medical Insurance
Private medical insurance allows patients to access prompt, high-quality assessment and treatment without the delays often associated with public healthcare pathways.
At our clinic, we work with a wide range of major insurers, enabling you to receive expert care for your musculosketal complaint with minimal waiting time.
If you plan to use your insurance, simply contact your provider in advance to obtain authorisation, then get in touch with us to arrange your appointment. Or, use the detailed email receipt after treatment to claim back to the cost if using a cash back plan insurer.
Initial Consultation
We work with a range of private health insurers, including BUPA and AXA. Insurance-based appointments follow the same clinical assessment and treatment approach, with reporting and documentation aligned to insurer requirements.
If you’re unsure whether your treatment is covered, please contact us and we’ll be happy to advise.
Initial Consultation Osteopathy
60 minutes
Initial Consultation Physiotherapy
60 minutes
* Depending on your level of cover you may be required to pay for treatment until the excess has been cleared, thereafter the clinic will invoice the insurance company for all further payments.
Follow-up appointment
Follow up appointment Osteopathy
30 minutes
Follow up appointment Physiotherapy
30 minutes
* Depending on your level of cover you may be required to pay for treatment until the excess has been cleared, thereafter the clinic will invoice the insurance company for all further payments.
Other Clinical Services
Alongside our core treatments, we offer a range of additional clinical services designed to support recovery, performance, and ongoing musculoskeletal health.
These include acupuncture and dry needling, pre-event taping and strapping, recovery compression boot therapy, and professionally written onward referral letters for imaging, specialist care, or insurance purposes.
Services
Taping & Strapping
Ideal for athletes requiring support before training or competition. Taping can help prevent injury, reduce pain, and enhance performance using techniques tailored to your needs.
15 minutes – £20
Referral Letters
Professionally written referral letters for onward medical care, diagnostic imaging, or insurance claim purposes.
£25
Acupuncture / Dry Needling
Dry needling (Western medical acupuncture) uses fine, sterile needles to stimulate neural, muscular, and connective tissues. This evidence-based technique is commonly used to treat musculoskeletal pain, trigger points, and movement dysfunction.
60 minutes – £55
90 minutes – £80
Recovery compression boots and Soft tissue combined treatment
60 minutes – £50
Recovery compression boots
30 minutes – £25
Evidence Based Treatment
Proven methods. Real outcomes
Expert-Led Care
Specialist clinicians. Personalised treatment.
Results That Last
Focused recovery. Long-term resilience.
Conditions We Treat
Foot & Ankle
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Knee
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Hip & Groin
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Spine & Pelvis
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Don’t see your condition listed? Book an appointment or contact us, we’re happy to advise
Head & Neck
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Shoulder
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Elbow
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Hand & Wrist
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Don’t see your condition listed? Book an appointment or contact us, we’re happy to advise
Assess
Understand the problem
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Treat
Target the cause
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Recover
Build strength and resilience
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Meet the team
Ryan Myers
Osteopath, master personal trainer, strength and fitness coach, sports massage therapist, medical acupuncturist and former physical training instructor within the Royal Marines.
Sami Hoque
First-Class Honours degree in Sport and Rehabilitation Therapy. He provides expert guidance to patients from his knowledge of rehabilitation therapy & hands-on experience.
Dexter
Dexter was recruited in December 2022 to elevate clinic morale. Since then, he has proven himself a worthy addition to the team with his professional manner towards patient well-being.
Alex Seed
A soft tissue therapist with a Bachelors of Science degree in Sports & Exercise Therapy with a background in human anatomy, exercise physiology & evidence-based rehabilitation.
Emma Harkin-Jones
A soft tissue specialist with over 10 years’ experience in the industry, renowned for her technical ability in treating all issues relating to the soft tissues of the body.
Monika Kisicka
Monika is a highly skilled musculoskeletal physiotherapist with extensive experience in the assessment and treatment of a wide range of orthopaedic and sports-related injuries.
Professional Standards
What our patients say
⭐⭐⭐⭐⭐ 5.0 rating on Google (170+ reviews)
Read more on Google
” Have seen both Ryan and Emma on different occasions and have always been impressed with their approach. They listened to my (very long) injury history and discussed options, before we agreed an approach together, without any pressure. I wouldn’t hesitate to recommend them to fellow runners or anyone else! “
“ Ryan is meticulous in finding the reason for your condition. His knowledge is extensive so you feel completely relaxed during the consultation. His attention to detail ensures you receive the correct treatment. I would highly recommend him. “
” Had a consultation with Ryan today at 5th Element sports injury clinic. Very thorough investigation and assessment of my injury followed by clear advice and guidance for rehabilitation. Highly recommend Ryan and the rest of the team who have been brilliant with all of the treatment and advice over the last few weeks. “
Insurance
We work with a wide range of insurers
Ready to go from pain to performance?
Appointments available at our Durham and Sunderland clinics.
Telephone – 07753278904
Email – clinic@5thelementhq.com