The Oving Clinic is a Centre for Musculoskeletal and Sports Injuries.
Originally established in 1984, the Oving Clinic has been run by Dr John Tanner and his wife Petra as
Co Directors since 1991.
The Clinic offers specialist diagnosis, with some investigations on site, and treatment which varies from manual therapy, manipulation, massage and personalised exercise therapy to minimally invasive interventions for spinal disorders.
The Oving Clinic sits in a prime rural location in the village of Oving, just East of Chichester, with a relaxing atmosphere and easy parking opposite.
Our qualified and caring team of Practitioners work together to treat injuries and manage pain in all age groups arising from sports, work, leisure pursuits and simply getting old. These include back and neck pain, sciatica, and whiplash together with other musculoskeletal conditions such as disc prolapse, joint pain, tendon problems, scoliosis, ankylosing spondylitis and arthritis.
The Clinic has been registered as a Day Case Facility by the Care Quality Commission since 1992. We are regularly assessed by the CQC. At our last inspection we met all standards.
Our clinical governance is provided by Prof. N Webborn, Sports
Philosophy of care
Our aim is to help people of all ages to recover as fully as possible from pain, discomfort and disability associated with problems of their musculoskeletal system (spine, muscles, nerves, tendons, ligaments, fascia and joints), and to prevent their recurrence wherever possible.
We will provide a personal and professional service to all our patients in a friendly and welcoming environment. We will respect our patients’ privacy, dignity and confidentiality at all times.
Our practitioners will treat patients by safely applying tried and tested techniques to restore the optimal functioning of the body and so enhance its ability to heal.
All practitioners at the Oving Clinic keep abreast of developments in their areas of expertise so we are able to offer the latest technology and treatments available.
Our practitioners will take a holistic approach to patients’ wellbeing by listening to their needs and concerns and giving advice on exercise and lifestyle, stress management and nutrition. Our team of practitioners will work together in cases where it is considered the patient would benefit from a multi-disciplinary approach to treatment.
All patients can expect prompt appointments, friendly and caring staff, and comfortable surroundings. Our excellent on-site facilities ensure we are able to offer fast and accurate diagnosis and treatment to get patients back to optimal health in the quickest possible time.
Is the diagnosis and treatment of spine, joint and soft tissue disorders which can be managed without surgery. It embraces the whole field of locomotor disorders and dysfunctions covering nerve disorders, rheumatological problems, chronic pain and arthritis.
Sports and Exercise Medicine
Is a relatively new specialty which covers injuries and overuse problems sustained in sport, team medicine, public health problems such as obesity and exercise medicine for chronic disease and the general population. Physical activity is now recognised as one of the most important issues in lifestyle medicine.
Physiotherapists are trained to do a full assessment of musculoskeletal dysfunction. This includes elements that might influence any predisposition to injury and effect speed of recovery such as degeneration, age, balance, coordination, psychological and occupational factors, sports and exercise issues.
Treatment will often be a combination of manipulation and other manual techniques to influence the body’s biomechanics and so optimise recovery. Acupuncture may sometimes be included. Together with this, a graded programme of specific exercise will be instituted to regain the ability of the injured tissues to resist strain and prevent
Osteopathy is a system of diagnosis and treatment for a wide range of medical conditions. It works with the structure and function of the body, and is based on the principle that the well-being of an individual depends on the skeleton, muscles, ligaments and connective tissues functioning smoothly together.
To an osteopath, for your body to work well, its structure must also work well. So osteopaths work to restore your body to a state of balance, where possible without the use of drugs or surgery. Osteopaths use touch, physical manipulation, stretching and massage to increase the mobility of joints, to relieve muscle tension, to enhance the blood and nerve supply to tissues, and to help your body’s own healing mechanisms. They may also provide advice on posture and exercise to aid recovery, promote health and prevent symptoms recurring.
Oving Foot and Ankle Services
The foot and ankle service at the Oving clinic uses cutting edge modern treatments to assess and treat problems affecting the foot and ankle. Our specialists have a high quality diagnostic service including a visiting standing CT scanner, and ultrasound to provide state-of-the art imaging of lower limb conditions. Furthermore our facilities allow the highest level of non-surgical treatments including focused Shockwave therapy for conditions such as plantar fasciitis and Achilles tendinitis.
We work closely with specialists in musculoskeletal medicine and biomechanical podiatrists. We have a fluoroscopy suite for injections and minor procedures to help treat the myriad of foot and ankle conditions. Where surgery is ultimately necessary Mr Dawe can perform this at one of the local private hospitals (Nuffield Chichester or Goring Hall). We have access to rehabilitation and physiotherapy through the clinic’s experienced physiotherapists, meaning we can support you through each aspect of your care.
Rheumatology is the branch of internal medicine that deals with diseases presenting primarily in the musculoskeletal system (bones, joints, muscles and tendons). The range of conditions under this heading is wide and varies from “wear and tear” problems such as osteoarthritis of the fingers, knees and hips to complex immune diseases with potentially multiple internal organ effects. The common conditions treated include: Rheumatoid Arthritis, Polymyalgia Rheumatica, “AS”, “SLE” and Gout. They are usually described simply as “arthritis” and diagnosing them apart is a key to successful treatment. These conditions are managed in an out patent setting usually with care shared between specialist and GP.
Since arthritis is common, specialist services are often in high demand. Also, by it’s nature Rheumatology overlaps strongly with musculoskeletal (MSK) medicine. Adding the availability of local specialist diagnosis and care for these conditions to Oving Clinic’s established expertise in MSK diagnosis and treatment provides an almost unique combined, specialist service for these common aliments right on the doorstep in Oving and West Sussex.
Pain is a universal experience. At best it protects us by alerting us to danger and injury, at worst it becomes detached from this purpose and comes to dominate daily life and health. Pain is a complex experience. It is not a measurable commodity, rather a perception of the brain and nervous system so can be affected by many factors and have many causes and origins, not always disease or injury. However, the majority of common chronic (long-term or persisting) pain problems arise from wear and tear or degeneration of the Musculo-Skeletal system and particularly the spine. There is no single way of managing spinal pain and so multiple options are required: psychological, medical (drugs and medicines), physical therapies and rehabilitation and interventions (injections and related techniques).
Both Dr Tanner and Dr Hammond have specialised in interventional diagnosis and treatment of spinal (and joint pain and muscular pains) and trained in the technical standards of the Spinal Intervention Society, one of the most senior international scientific organisations in the field. Both teach and lecture internationally on behalf of the Society. The philosophy of interventional care is always precision diagnosis leading to definitive treatment wherever possible in combination with expert rehabilitation and physical therapy.
With the in-house day-case X-ray screening injection theatre, Oving Clinic is ideally suited to delivering these high standards of expert care, locally and economically for the benefit of patients.
Dr. John Tanner
Musculoskeletal and Sports Physician
MBBS BSc FFSEM DM-SM DSMSA and registered osteopath.
After medical training at the Royal London Hospital, Dr Tanner began his career as a GP. His interest in sports medicine and musculoskeletal disorders led him to qualify further and he is now an authority in these areas. He has been awarded a Fellowship of the Faculty of Sports and Exercise Medicine in the UK and Ireland.
Dr Tanner teaches and lectures both nationally and internationally and is a member of the International Academy of Manual and Musculoskeletal Medicine. He is also an instructor for the Spine Intervention Society which instructs other specialists in minimal intervention techniques for the spine. He is Past President of the British Institute of Musculoskeletal Medicine for whom he was course organiser and tutor for postgraduate education for 10 years. He teaches diagnostic ultrasound at AECC Bournemouth University MSc programme.
He has written three books on back pain; ‘Better Back’, published by Dorling Kindersley, ‘Your guide to Back Pain by Hodder Arnold, the BMA guide to Back Care by DK. He also writes for textbooks in Musculoskeletal medicine and training manuals. He is an adviser to the Education committee of the British Association of Sports and Exercise Medicine.
He is currently engaged in a clinical research study on prolotherapy for sacroiliac dysfunction in the NHS.
Dr Tanner’s memberships include the British Pain Society, BMA, SIS, Faculty of Sports and Exercise Medicine.
DR. PETE MORGAN
Musculoskeletal and Sports Physician; GP Consultant
MBBS, BSc (Hons), MRCS, DCH, MRCGP, MFSEM, Dip (Sports Medicine), PG Cert (MSK Ultrasound)
Dr Morgan originates from Wales but trained at Guy’s and St Thomas’s Hospitals in London before moving to Chichester in 2002. He worked in several different medical and surgical specialties, both in the UK and Australia, before qualifying as a GP in 2007.
He has always had a passion for Sports and Exercise Medicine, achieving further specialist qualifications in this area and gaining Membership of the Faculty of Sports and Exercise Medicine in 2018.
More recently he has trained in musculoskeletal ultrasound to enable more accurate diagnoses and treatments of muscular and joint conditions, in particular guided injectable therapies.
Dr Morgan also works as a Musculoskeletal Physician in a NHS community clinic in Frimley Park as well as a GP Consultant in A+E at St Richard’s Hospital.
He has extensive experience of dealing with a wide variety of musculoskeletal problems as well as general medical issues that can be associated with these conditions. He takes a holistic approach to any musculoskeletal problem, considering numerous therapeutic options to enable patients to be out of pain and return to doing the activities and sports they enjoy.
Petra Tanner graduated from the Academy of Physiotherapy in Amsterdam in 1984.
After coming to this country to experience the workings of the NHS for herself she developed two sides to her career: paediatrics and sports/manual therapy. Petra has run private musculoskeletal clinics in the UK and Bermuda since 1988.
Currently, Petra is the principle physiotherapist of the Oving Clinic, as well as overseeing the management of the Clinic at all levels.
Petra has written a number of papers on pain and the restoration of central nervous tissue, and lectured on connective tissue massage, sports specific treatment and various manual therapy treatment methods.
Petra, being an able sportswoman herself, has a keen interest in the treatment of sports injuries. She has been involved in sports medicine since her student days when she started with the Dutch women’s first basketball team. She has been involved in a wide range of sports: climbing, cycling, fell- and road-running, tennis, sailing, martial arts, triathlon, ultimate Frisbee, dance, horse riding to name but a few. Petra also has detailed knowledge of a variety of musical skills which enables her to treat her patients with more specificity.
She has trained in Active Release Technique under Dr. Mike Leahy. ART is currently the preferred treatment at the ironman triathlon events in the USA. Petra is full body and biomechanics qualified and spends some time every year with Dr.Leahy updating her skills.
Trish Formby trained in Australia and graduated in 1992. She later completed a Masters degree in Sports Physiotherapy at Curtin University in Australia before returning to England to work in one of the top physio clinics in London where she was one of the first physiotherapists to integrate Clinical Pilates into manual practice. In 2002 she set up a thriving and well respected practice in Kensington which she sold in 2012 before moving to West Sussex and setting up the Boxgrove Clinic. Trish has always been passionate about diagnosis and a clear treatment pathway based on thorough assessment, pathology, clinical reasoning and the latest research. She enjoys restoring functional movement through manual techniques, rehab and education.
Trish is a keen sportswoman herself and enjoys tennis, skiing, golf, mountain biking, windsurfing and running as well as teaching barre classes and Clinical Pilates.
Dr Anthony Hammond BSc (Hons) MBChB MD FRCP
Dr Tony Hammond is a Consultant Physician and Rheumatologist specializing in interventional spinal pain management. After training in Bristol, Bath and London including The Royal National Hospital for Rheumatic diseases, The Royal Postgraduate Medical School and St Bart’s Hospital he was appointed a Consultant Physician and Rheumatologist at Maidstone and Tunbridge Wells NHS Trust and has been full time in independent and private practice since 2011.
In response to patient need, he has developed a sub specialism in spinal pain management and this now forms a large part of his practice in Kent and in London where he is part of the London Spine Clinic team. He has a particular interest in the treatment of disc related back pain and sciatica and has published in the area. Like Dr Tanner at Oving clinic, he is a senior instructor with SIS, a major international standard-setting pain Society.
“I look forward to joining John and the team at Oving Clinic. I very much hope my experience in medical care for arthritis and immune diseases, along with the treatment of mechanical spinal problems will compliment and extend the already excellent care offered.”
Rebecca Jansz MCSP, HCPC, Physio First, AACP, BPS PPA
I have been a Chartered Physiotherapist for many years and still enjoy the challenges and experiences that it offers. It is rewarding to see patients improve.
My Physiotherapy journey started at St Mary’s Hospital, Paddington. I then worked at University Hospital, London; St Margaret’s Hospital, Windsor. I then spent two years in Kenya with my young family and on return took up the role of Clinical Physiotherapy Specialist at King Edward VII Hospital, Midhurst setting up triage clinics and Pain management programmes. I have worked privately over the last few years until joining the highly professional team at Oving Clinic.
My main interests are musculoskeletal rehabilitation and pain management. I’ve recently graduated in the Connect Therapy Series which has enriched my results and outcomes.
I’m very aware of the difficulties and restrictions of living in pain. My goal is to restore the best possible quality of life to my patients.
Consultant Orthopaedic Surgeon MBBS, BSc (Hons), FRCS (Tr&Orth), Dip (Sports Med)
Mr Dawe is a Consultant orthopaedic and trauma surgeon specialising in disorders of the foot and ankle.
He treats orthopaedic trauma, as well as a wide variety of foot and ankle pathologies such as bunions, lesser toe problems, arthritis, flat or high-arched feet, foot complications of diabetes and complex revision surgery of all types.
Mr Dawe uses numerous techniques to help with foot and ankle problems and is often able to avoid surgery. Where surgery is needed, arthroscopic or ‘keyhole’ techniques or minimally invasive surgery can often be used to improve the experience and recovery time after surgery.
Mr Dawe completed his training in South West London, during which he worked for numerous different foot and ankle surgeons in London, Sussex and Surrey.
He broadened his experience with limb reconstruction and complex trauma fellowship at St George’s Hospital with Alex Trompeter and, following this, a second year-long fellowship in foot and ankle surgery at the Royal Bournemouth Hospital with Heath Taylor.
Mr Dawe was awarded the BOFAS visiting fellowship in 2014, travelling to the Schonklinik in Munich in order to work with Prof Markus Walther, president of the German foot and ankle society. He also travelled to Regions Trauma Centre in Minneapolis to visit the renowned trauma specialist Professor Peter Cole.
He has been involved in developing the future of his specialty, publishing numerous research papers and having been awarded first prizes for his work at national and international meetings. His published papers focus on the outcomes of surgery, dignity, and patient experience of care. He is regularly involved in the teaching of medical students and in the training of orthopaedic surgeons of the future in his role as Honorary Clinical Lecturer at Brighton and Sussex Medical School.
Professional memberships: BOFAS, BOA
Dr Michael Husband
Pain Medicine consultant
Dr Michael Husband is an Anaesthesia and Pain Management consultant specialising in the diagnosis and treatment of chronic pain.
Michael completed his postgraduate pain medicine training in Barts Health NHS Trust in London with exposure to advanced pain management techniques.
Michael is interested in the multidisciplinary approach to pain medicine with a focus on reducing the burden of unnecessary pain medication.
In addition to his private practice, Michael delivers inpatient pain management at St Richard’s Hospital, Chichester where he is involved in training and teaching pharmacists, hospital doctors and GP’s. He has developed an acute and chronic pain service to St Richards Hospital and also works with the Sussex Community Trust Pain Team based at Bognor Memorial Hospital.
Michael has three young children and lives in West Sussex with his wife who is also an anaesthetist.
Dr Rangu Iyer
Fully fee assured for BUPA, he is available at Oving Clinic on Thursday afternoons
Dr Iyer has over 38 years of experience in acute and chronic pain management. He was the clinical lead for pain medicine and Clinical Director for Anaesthetics, Intensive Care, Theatre Services and Pain Management Care at the Heatherwood and Wexham Park NHS trust before Retirement from the NHS. Prior to joining the NHS, he was commissioned in the British Army as Consultant for Anaesthetics and Resuscitation with special interest in Pain Management. He firmly believes that pain conditions should be treated as early as possible, with the appropriate use of multidisciplinary techniques to improve patient quality of life. His clinic offers a comprehensive service, starting with expert diagnosis and followed up by high quality medical treatment that is complemented by good support from specialists in physiotherapy and psychology. He is trauma informed and follows an upstream approach to medicine. He has authored a chapter on Post Surgery Pain Syndromes in Textbook of Surgery.
Today, his areas of special clinical expertise include treatment of neck and back pain, fibromyalgia, neuropathic pain, complex regional pain syndrome (CRPS) and cancer pain.
Along with utilising a full complement of pharmacological treatments for pain, Dr Iyer performs a variety of interventional procedures such as epidural, facet and sacroiliac joint injections, radiofrequency lesioning, and sympathetic and peripheral nerve blocks guided by X-ray and ultrasound. He also is one of the few pain specialists to offer prolotherapy and regenerative therapies for the management of painful difficult to treat soft tissue injuries.
He also does Medico-legal Reporting on Pain issues especially in Whiplash and CRPS cases.
MR. MIGUEL OLIVEIRA
BA (Hons), BM BCh, MRCS (Eng), FRCS (Tr & Orth)
Miguel Oliveira trained in Cambridge and completed his postgraduate medical degree in Oxford. He was an Orthopaedic Registrar in the South West Thames region, working in many of the hospitals in the Surrey and Sussex area.
He has a specialist interest in Hand and Wrist Surgery. In addition to the experience that he gained as a Registrar, working with other Consultants in the region, he has also had specialist training on 3 separate Fellowships, in Windsor, Cape Town and Barcelona. His training has therefore covered all aspects of Hand and Wrist Surgery, an interesting but often challenging subspecialty of Orthopaedics.
He worked as a Consultant in London before being appointed as Consultant Orthopaedic Surgeon to St. Richard’s Hospital, Chichester, in 2010, where he maintains a very active clinical and teaching role.
He has extensive experience in all aspects of Orthopaedic Surgery in the hand and wrist, but also developed, as a trainee, an interest in Sports Medicine and Sports Injuries. He has been a keen sportsman in the past and maintains this interest, more broadly now, in his practice.
Although he has developed an expertise in the surgical treatment of these conditions, he also has an interest in alternative treatment methods, based upon the individual, and is passionate about involving his patients in understanding their symptoms and the available treatment options, which many times may not require surgery at all. He remains committed to education, and this forms a fundamental part of his practice.
He is able to offer many treatments at the Oving Clinic as well as more complex surgery where necessary.
Amanda Baker SRN MSc
Qualified as a staff Nurse in 2004 from the University of Southampton Registered with NMC. Since qualifying, she has had experience in elderly medicine and the Emergency Department within the NHS followed by working in the private sector for many different organisations.
She has been working at the Oving Clinic for the last 9 years ensuring we meet all CQC standards, assisting in the fluoroscopy procedures and all nursing care. She is also involved in Patient and Public involvement in clinical research at Southampton University, assisting Dr Tanner in his research. She has a keen interest in sports injuries and pain management. She has achieved a Distinction in her MSc degree in Pain Management at Cardiff University in 2019 and has now undertaken a PhD in back pain.
In addition, she has learnt about skin lesions, attended a dermoscopy course at St Richard’s, and now offers Cryotherapy for benign skin lesions of various kinds. (see Treatments section)
Active Release Technique
Petra has trained in Active Release Technique under Dr. Mike Leahy for the last 10 years. ART is currently the preferred treatment at the ironman triathlon events in the USA. Petra is full body and biomechanics qualified and spends some time every year with Dr.Leahy updating her
Hand and Wrist surgery
May be required for common problems such as carpal tunnel syndrome, Dupuytren’s contracture and osteoarthritis of the base of the thumb. More complex problems resulting from trauma or deformity may require surgery to optimise upper limb function.