Professional Overview

Lottie Sims is a musculoskeletal (MSK) physiotherapist and sports massage therapist at Total Therapy, alongside her role within Swanage and Wareham RFC’s medical team as a physiotherapist. Her roles involve assessing, managing, and preventing acute and chronic injuries using a combination of hands-on treatment, exercise-based rehabilitation, and a holistic approach that considers lifestyle factors through education and advice.

Patient goals and preferences are central to Lottie’s clinical practice. She supports individuals in achieving their goals and continuing to participate in the activities they enjoy.

Lottie has a special interest in endurance sport, particularly supporting runners with injury treatment, prevention, and training structure. She also works with the Cardiff University Triathlon Team to provide strength and conditioning support, as well as injury prevention education.

Clinical Skillset and Special Interests

Level 4 Sports Massage Therapy

Joint mobilisation and myofascial release

Orthopaedic post-operative rehabilitation

Management of chronic musculoskeletal conditions, such as arthritis

Sport and exercise taping

Running-related injuries

Strength and conditioning for endurance sports

RED-S and eating behaviours in the context of sport and musculoskeletal injury

Clinical and pitch-side experience within amateur-level rugby

Horse-riding biomechanics and related injuries

Professional Interests & Passions

Lottie strongly believes that everyone can enjoy and benefit from being active, with her clinical practice centred around patient education, empowerment, and goal setting.

Her background in eventing (equestrian), triathlon, ultra-running, and multiple team sports has shaped her adaptable, practical, and problem-solving approach to rehabilitation. By staying up to date with current clinical research, Lottie ensures that her patients benefit from the latest evidence-based practice, alongside consistent and transparent evaluation of progress.

She is particularly passionate about supporting young athletes transitioning into competitive sport, helping them train safely and develop performance through education on the fundamentals of training and recovery.

Professional Memberships

CSP

HCPC

STA

 

Professional Overview Lottie Sims is a musculoskeletal (MSK) physiotherapist and sports massage ... Read More

Professional Overview

Debbie is a Musculoskeletal (MSK) and Women’s Pelvic Health Physiotherapist who treats individuals of all ages and abilities, from elite athletes to everyday patients. She takes a holistic approach to care, addressing not only the physical injury but also lifestyle, movement patterns, mental wellbeing, and long term function to deliver personalised, evidence based rehabilitation.

Clinical Skill Set

Debbie combines strong clinical expertise with excellent interpersonal skills to support effective rehabilitation and patient outcomes. She has extensive experience treating women across a wide variety of settings, having worked in both NHS and private practice, as well as internationally in Canada, where she held the role of Clinical Practice Leader.

Clinical & Technical Skills

• Advanced musculoskeletal assessment and clinical reasoning

• Manual therapy including joint mobilisation and soft tissue techniques

• Individualised exercise prescription and rehabilitation planning

• Pain assessment using a biopsychosocial approach

• Functional movement and biomechanical analysis

• Knowledge and interpretation of imaging (X-ray, MRI, ultrasound)

• Use of adjunct treatments including shockwave therapy and taping

• Evidence based practice and outcome measures Interpersonal & Professional Skills

• Clear patient communication and education

• Empathy and patient centred care

• Motivational and behaviour change techniques

• Multidisciplinary teamwork and collaboration

• Teaching patients self management strategies

• Time management and adaptability in busy clinical settings

• Red flag screening and appropriate referral

Specialist Areas

• Musculoskeletal Physiotherapy

• Women’s Pelvic Health Physiotherapy

• Certified Mummy MOT Practitioner

Clinical Expertise

Debbie treats a wide range of musculoskeletal and orthopaedic conditions and has completed postgraduate training in advanced orthopaedic treatment methods. She previously worked within a National Sports Centre in the UK treating high-level athletes and supported the British Amateur Gymnastics Association at events across Europe. Debbie specialises in women’s pelvic health, treating conditions such as pregnancy-related pain, pelvic girdle pain, urinary incontinence, overactive bladder, pelvic or vaginal prolapse, coccyx pain, and diastasis rectus abdominis, as well as providing pre- and post-partum rehabilitation.

Professional Experience

Role: MSK & Women’s Pelvic Health Physiotherapist Organisation: Total Therapy – Private Practice Responsibilities: • Conducting detailed assessments • Creating personalised rehabilitation and return to activity programmes for individuals of all abilities

Professional Interests & Passions

Debbie is passionate about supporting women with pelvic health concerns, particularly during pregnancy and post-partum recovery. She believes women should not have to suffer the long term effects of childbirth or ageing and aims to restore independence and quality of life through education, rehabilitation, and hands on treatment.

Professional Memberships

• Chartered Society of Physiotherapy (CSP)

• Health and Care Professions Council (HCPC)

• Mummy MOT Practitioner

Professional Overview Debbie is a Musculoskeletal (MSK) and Women’s Pelvic Health Physiotherapis... Read More

Victoria graduated from the AECC in 2005 and worked in private practice in Yorkshire, eventually owning her own clinics in Scarborough & Whitby. She returned to the south in 2013 and became a senior clinical lecturer at AECC, with responsibilities for supervising & teaching final year chiropractic students during their clinical placement.

She now works at Lilliput on Monday and Wednesday and in Ringwood on Tuesday, Thursday & Friday. She has a particularly patient-focused approach and enjoys helping people out of their pain and to return to their normal lives, pain free, using a combination of appropriate chiropractic and soft tissue therapies, including dry needling, with relevant exercises to prevent a relapse.

As a horse rider herself, she has a particular interest in treating riders and helping them improve their riding performance. She can assess your riding position and movement patterns and offer advice and exercises to improve your seat and position.

Victoria graduated from the AECC in 2005 and worked in private practice in Yorkshire, eventually ... Read More