Musculoskeletal & Desk Work · Axium Physiotherapy and Rehab
Back, neck and joint pain built up over years at a desk does not fix itself with a better chair.
Axium treats the everyday musculoskeletal pain that comes with Kharadi's IT-corridor working day, back, neck and knee pain, sciatica, and posture-related strain, with a plan built around your actual desk setup and working hours, not a generic exercise sheet.
Dr. Deepika and Dr. Vinayak Kshirsagar · Masters in Physiotherapy (UK)
Clinician assessing a patient's posture or movement
In short
Musculoskeletal physiotherapy at Axium treats back pain, neck pain, knee pain and sciatica, most commonly linked to long hours at a desk. Assessment looks at how you actually sit and move during a working day, not just the painful area in isolation, and builds a plan from there.
No referral is needed. Most people are seen within the same week.
Four presentations make up most of the MSK caseload.
Back pain
Most low back pain is mechanical, meaning it relates to how the spine and surrounding muscles move and load, not a structural injury needing imaging before treatment can start. Assessment looks at posture, movement patterns and daily habits (a long commute, a poor desk setup, inconsistent movement through the day) alongside the pain itself, and a plan is usually a mix of hands-on treatment and a structured exercise programme, not one or the other alone.
Neck pain
Neck pain from prolonged screen and phone use is one of the most common desk-work presentations, often alongside headaches or shoulder tightness, and it shows up especially often with a laptop propped low instead of a screen set at eye level. Treatment usually combines manual therapy with specific exercises and practical changes to how a workstation is set up, not a one-off adjustment expected to hold on its own without the exercises behind it.
Sciatica
Sciatica, pain radiating from the lower back down the leg along the sciatic nerve, has a wide range of severity. Most cases improve with physiotherapy over several weeks without needing injections or surgery, though a small number need onward referral, which Axium will say directly if assessment suggests it.
Knee pain
Knee pain in a desk-work population is often linked to prolonged sitting, weak surrounding muscles, or a return to exercise after a long inactive stretch, rather than always being a sign of joint damage. Assessment distinguishes between these causes before a plan is built.
Recognise your own pattern above? An assessment identifies what is actually driving it, not just where it hurts.
Screen top at or just below eye level, so you are not tilting your head down or craning it up for hours at a time.
Feet flat on the floor or a footrest, with knees roughly level with or slightly below hips.
Elbows close to your body and supported, wrists straight rather than bent up or down at the keyboard.
Movement matters more than the perfect chair. Standing up or changing position for a minute or two every 30 to 45 minutes reliably beats sitting still in an ideal posture all day.
A single well-set-up desk change rarely fixes pain that has built up over months, it helps prevent it getting worse while the actual treatment plan does the rest.
A plan built around what is actually driving the pain, not just where it hurts.
Assessment covers movement, posture and daily habits, not just the painful area in isolation, so the actual driver behind the pain gets identified before treatment starts. A structured plan follows, usually combining in-clinic sessions with specific exercises to continue at your desk or at home, working toward strength that holds up over a working week, not just short-term relief, and practical changes that help prevent the same pain returning.
1AssessHow you actually sit and move through a working day, not just the painful area alone.
2Identify the CauseWhat's actually driving the pain, whether that's posture, habits, or how your desk is set up.
3TreatHands-on treatment combined with exercises you can do at your desk or at home.
4StrengthenBuilding strength that holds up over a full working week, not just short-term relief.
5Prevent RecurrencePractical changes that help stop the same pain coming back.
Questions people ask before their first visit
Do I need a scan or X-ray before booking an assessment?
Usually not. Most mechanical back, neck and knee pain can be assessed and treated without imaging first. If assessment suggests imaging would genuinely help, that is discussed directly with you.
My pain is only bad by the end of the work day. Is it still worth an assessment?
Yes, pain that builds through the day is one of the most common desk-work patterns physiotherapy addresses, an assessment can identify what during your day is actually driving it.
How many sessions does a typical course of treatment take?
It depends on what assessment finds, there is no fixed number that applies to everyone. You will be given a realistic estimate after your first assessment, not before.
Can I come in on my lunch break?
Call the clinic to check current appointment availability that fits around your working hours.
Ask about an assessment
Call, or send an enquiry, and the team will get back to you.