Hypermobility Unit

Woman stretching


The London Hypermobility Unit is staffed by specialist physiotherapists with extensive experience and knowledge of Hypermobility Spectrum Disorders (HSD), hypermobile Ehlers Danlos Syndrome (hEDS) and related symptoms and conditions, such as joint instability, chronic pain and fatigue, muscle pain and stiffness, developmental coordination disorder,  orthostatic intolerance, Postural Tachycardia Syndrome (POTS), headache, gastrointestinal and bladder dysfunction and mast cell activation disorder. We offer specialist physiotherapy at the Wellington Hospital Platinum Centre in St John’s Wood and also at our Chelsea Clinic.

Physiotherapy is an integral part of the multidisciplinary management of HSD and hEDS across the lifespan. Depending on your individual needs the therapist will work alongside medical consultants, general practitioners, podiatrists, health psychologists, occupational and therapists, women’s health physiotherapists, occupational health, schools, teachers, PE teachers, sports coaches, dance teachers, NHS teams and other health care providers to deliver the best possible care.

Following a thorough initial assessment the physiotherapist will develop an individualized, holistic, goal oriented short and long term treatment plan with the aim of helping you to manage your condition and to optimize your health and wellbeing. This will include education about the condition, lifestyle advice and how to manage symptoms such as chronic pain and fatigue. Other interventions may include ergonomic advice, posture and gait re-education, manual therapy, hydrotherapy, taping, electrotherapy, acupuncture and exercise therapy.

Musculoskeletal Physiotherapists

Jane Attard

Jane Attard MCSP
Chartered Physiotherapist

Specialising in musculoskeletal physiotherapy, both spinal and peripheral, Jane’s specialist interests lie in the treatment of Hypermobility Spectrum Disorders, Hypermobile Ehlers Danlos Syndrome, spinal rehabilitation, shoulder rehabilitation and ante-/post- natal fitness. She is a clinical and fitness Pilates Instructor, AACP-accredited Acupuncturist and experienced Hydrotherapist.

Jane completed her undergraduate degree at the University of Malta (2000). Post-qualification, she worked with the Maltese National Health Service, alongside her private sector work. She also worked with the Malta Olympic Committee Medical team – treating and travelling with patients from multiple sporting disciplines. Jane has worked in the UK since 2004 where she gained experience in the musculoskeletal sector, including working with patients with chronic pain and Hypermobility. Jane has since completed her post-graduate training in Advanced Neuromusculokkeletal therapy for MACP registration. Jane is based at The Royal Hospital, Chelsea.

Elaine Byrne

Elaine Byrne MCSP
Chartered Physiotherapist

Having graduated from University of Manchester in 2002, Elaine moved to London and worked for several years at St. George’s Hospital, Tooting.   Here, she gained experience in the management of various musculoskeletal conditions, sports injuries and post-operative rehabilitation including complex pelvic fractures.

Elaine has developed a particular interest in the management of Hypermobility Spectrum Disorders and Hypermobile Ehlers Danlos Syndrome and has worked within the hypermobility unit since 2010.  As part of her master’s degree in Advanced Neuromusculoskeletal Physiotherapy at the University of Hertfordshire, she conducted research exploring the impact of fatigue on quality of life in people with hypermobile Ehlers Danlos Syndrome (hEDS).

Elaine has also completed post graduate Pilates training. She is aware of the multidimensional aspects of the condition and liaises regularly with other specialists including rheumatologists, podiatrists and psychologists.

Mohit Kothadia

Mohit Kothadia, MSc, Chartered Physiotherapist

Mohit qualified as a physiotherapist from the Bangalore University, India in 2002. Following his graduation, he worked at renowned Sports and Rehabilitation centre at Dr B. Nanavati Hospital, Mumbai under Dr Ali Irani (former Indian Cricket Physiotherapist), gaining expertise in managing Orthopaedic and Sports injuries. To widen his clinical experience, he moved to UK in 2004. Since then he has gained over 10 years of experience working within NHS as a specialist Musculoskeletal physiotherapist. In 2016 he successfully completed his Masters in Advanced Neuromusculoskeletal Physiotherapy at the University of Hertfordshire. His special interests are in hypermobility, pain mechanisms and in integration of information technology within healthcare.

Mohit is qualified in Acupuncture and practices Injection Therapy as an Extended Scope Physiotherapist at the Ravenscroft Healthcare. Mohit has been working as part of the Hypermobility Unit for 6 years providing specialist adult and adolescent musculoskeletal management.

Dr Ann McCarthy

 Dr Ann McCarthy, MCSP, BSc, Chartered Physiotherapist

Ann McCarthy has been practising as a physiotherapist specialising in the musculoskeletal area for over 25 years. Originally qualifying in London, she undertook a Master’s Degree is Sports Physiotherapy at the University of Queensland, Australia in 1999. A PhD was added in 2016 that looked at the potential causes of joint disease in people with haemophilia with one focus being hypermobility, a subject exciting her keen interest in lower limb biomechanics and gait analysis.

Over the years Ann has had an extensive and wide ranging practice working in the NHS and privately. Prior to beginning the PhD she was the Clinical Lead Physiotherapist for all musculoskeletal conditions at the Royal Free London NHS Foundation Trust for an 8 year period leading a team of between 20 to 30 in- and out-patient physiotherapists. She has also worked within a number of sporting environments such as with Great Britain Rowing and Saracens Rugby Union (amongst others), and to a lesser degree jump and sprint athletes, hockey and ballet. Finally, Ann teaches at Master’s level.

Ann has expertise in lower limb biomechanics, gait, exercise and rehabilitation and applies these to work with people to help them re-gain control and independence in their lives. She also has hypermobility and associated symptoms herself. She tries hard to practice what she preaches but admits to being no angel and so can relate well to those coming for advice and encouragement. The close relationships between the Hypermobility Unit team members enable a linked up approach to the management of whatever symptoms a person brings. Ann’s part in this is to use specific manual therapy techniques, very specific exercise programmes emphasising regaining of control and day-to-day fitness, and to provide support, advice and encouragement. She looks forwards to working with you in the future.

Jason Parry

Jason Parry, BSc (Hons), Chartered Physiotherapist

Jason is a Clinical Specialist Physiotherapist in Hypermobility and Extended Scope Practitioner. Currently, he splits his week working within the specialist Hypermobility Unit at The Wellington Hospital as well as at University College Hospital, London as an Extended Scope Physiotherapist in Hypermobility running assessment and diagnostic clinics. He is a member of the EDS UK Medical Advisory Panel, authoring several medical information leaflets, writing information articles for their member magazine and collaborating with other panel members in order to help advance the treatment and management of the condition. He also lectures nationally and internationally on the subject of hypermobility and Ehlers Danlos Syndrome.

Jason previously worked at the Royal National Orthopaedic Hospital (RNOH) Stanmore, London for 11 years, spending the last 6 as one of the lead physiotherapists on the residential Hypermobility Rehabilitation Programme.

Jason also retains a special interest in the treatment of Complex Regional Pain Syndrome (CRPS). Earlier in his physiotherapy career, he spent five years working for Premiership football club West Ham United FC where he was responsible for running assessment and treatment clinics for the elite Academy players. Jason is a qualified Pilates instructor and acupuncturist.

Katriona Ryan

Katriona Ryan, BSc (Hons) , Chartered Physiotherapist

Katriona graduated from Coventry University with a degree in Physiotherapy. She also has post graduate qualifications in Acupuncture and Pilates and has completed extensive training in running injuries. Katriona is an extremely thorough physiotherapist with experience working in busy clinics, hospitals and sports environments. She has a professional and friendly approach and will work with you to plan how to get you back to your best physical level.

Katriona specialises in the management and rehabilitation of spinal and joint problems, as well as sports injury management and rehabilitation. She works within the Hypermobility Team where she has experience working with Hypermobility Spectrum Disorders and Hypermobile EDS.

Prior to joining Central Health Physiotherapy in January 2016, Katriona spent many years working in London hospitals, community musculoskeletal services and at a north London rugby club. She has worked in specialist musculoskeletal services which manage chronic pain, sports and exercise medicine, rheumatology and post-operative orthopaedic rehabilitation.  Katriona has extensive experience in the sports injury/rugby field working both pitch-side and in rehabilitation off the pitch.

Dr Jane Simmonds

DProf, MA, PGDip, PGCHE, BApp Sc, BPE

With more than 25 years of clinical experience, Jane combines her role as Physiotherapy Lead at the London Hypermobility Unit with leading the MSc in Paediatric Physiotherapy at University College London Great Ormond Street Institute of Child Health.  Jane completed her undergraduate and post graduate physiotherapy education at Curtin University in Western and Australia where she specialised in musculoskeletal physiotherapy. She later completed a doctorate in 2010 which focused on advancing practice and education in hypermobility and osteoporosis. Clinical and research interests include hypermobility, Ehlers Danlos Syndromes, paediatrics, sports and performing arts injuries, PoTS and bone health.

As a committed educator and researcher Jane has authored more than 50 research and clinical education publications including 6 book chapters. Moreover, she has led over 50 national and international masterclass teaching programmes and short courses on hypermobility. Jane is the Chair of international Ehlers Danlos Syndrome physical therapy working group and a member of the Scientific and Medical Board of the Ehlers Danlos Society. She is a physiotherapy advisor to the Hypermobility Syndromes Association, Ehlers Danlos Support UK and PoTS UK.

Working alongside the multi-disciplinary team, Jane is committed to optimising the lives of children and families with hypermobility related problems through the provision of education and holistic individualised treatment programmes.

May To

May To, BSc (Hons), Chartered Physiotherapist

May is an extremely empathic physiotherapist gaining her wide range of clinical experience in both the private and NHS settings. She has also worked as a research physiotherapist on hypermobility related exercise and fatigue trial within the Imperial NHS Healthcare Trust. May he is caring and professional and will tailor treatment to the individual’s needs and goals.

May has worked for many years in the musculoskeletal services (joints and spinal management, orthopaedics based conditions, rheumatological based conditions and sports related injuries), and after spending 5 years in clinical research as a clinical specialist in Hypermobility research, she now dedicates her skills as a clinical specialist within the London Hypermobility team, managing people with Hypermobility spectrum disorders and hypermobility EDS.

Specialist Paediatric Physiotherapy

Swati Bhagat

Swati Bhagat
BSc (Hons) Physiotherapy

Swati obtained her BSc Physiotherapy degree in 2002 from the University of Manchester. During her time working at New York University Hospital – Hospital for Joint Diseases in 2006, she discovered her passion and skill for working with children.  Since returning to the UK, she has worked at Great Ormond Street Hospital (GOSH) within the Rheumatology Team as well as Evelina Children’s Hospital (Guys and St Thomas’ NHS Trust).

Swati’s experience at Great Ormond Street Hospital and NYU has provided the foundation for her work within specialist field of hypermobility. During her time at GOSH she created an abstract and poster submission for the Annual Paediatric Rheumatology European Society in Valencia Spain ‘Physiotherapy management of children with hypermobility: A review of an out patient self management exercise programme’ (Bhagat S, Adkins D, Haggart E, Maillard, SM). Swati has also been involved in lecturing on ‘Balance and Gait Analysis’ for Great Ormond Street Annual Rheumatology conference (July 2010 London, UK) and Annual Paediatric Rheumatology European Society (Sept 2010, Valencia Spain). Swati has been a part of the Hypermobility team providing specialist services to children and their families within the private sector since 2011.


Customer review from Kea Bawtinheimer for the hypermobility unit, HJE

Customer Review by Kea Bawtinheimer
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The level of knowledge and expertise in hypermobility is exceptional. I travel from the north west of England to the clinic, as do my children. It is well worth the journey. It has made a big difference to our pain levels and quality of life.  K

Lucy has been a motivational tower of strength for me. She has completely changed my life and I know she will get me back to the life I had before my injuries. I have complete trust in Lucys work and the dedication she has shown, to improving my quality of life. I feel very fortunate to have the privilege of receiving the best treatment I could ever have wished for from a Physiotherapist. She is very professional and confident. She is friendly, caring and honest. I am very lucky to have found her.