★★★★★
Post knee surgery
“After my knee replacement, Teejay’s rehabilitation programme got me back to walking confidently far quicker than I expected. He understood exactly what stage I was at every time.”
"It is too painful to be touched, but I am told to just rest and wait." That is the phase deep oscillation was designed for.
What it does
What deep oscillation
actually does.
Deep oscillation is not massage and it is not vibration. An electrostatic charge is applied through the therapist's gloved hands or a handheld applicator, and the tissue between the applicator and an electrode held by the client is drawn and released many times a second. The oscillation happens inside the tissue rather than being pushed into it from outside.
Because almost no pressure is involved, it can be applied when an area is too painful, too swollen or too recently operated on for conventional hands-on treatment. That is the specific gap it fills here: it gives Teejay something useful to do in the phase where manual therapy would not yet be tolerated, and it runs alongside — never instead of — Osteolates Therapy and rehabilitation exercise.
The system used at The Sogunro Practice is the clinical HIVAMAT 200, made by Physiomed Elektromedizin and supplied in the UK by PhysioPod UK. Teejay is a qualified Sports Therapist and STOTT Pilates Rehabilitation certified instructor, and applies it within his own scope of practice — musculoskeletal and post-surgical soft tissue work.
"Deep oscillation is not a shortcut and it is not a cure. It is a way of working on tissue that is not yet ready to be worked on by hand."
If you are already under a surgeon or physiotherapist, deep oscillation is used alongside their guidance, not in place of it. Teejay will work within any restrictions your clinical team has set, and is happy to liaise with them directly.
Working alongside your medical team. We work with, not instead of, your surgeon and physiotherapist. Your specific surgical restrictions are respected throughout — and any protocol from your medical team shapes exactly how your programme is built and progressed.
Where it is used
Four situations where
deep oscillation earns its place.
Deep oscillation is not for every problem or every stage. These are the four situations in which it is worth using at The Sogunro Practice.
Most common
After orthopaedic surgery
Swelling, stiffness and scar tissue restriction in the weeks after an operation, as part of post-surgery rehabilitation, applied around rather than onto the surgical site and always within your surgeon's protocol.Post-surgery rehab →
Soft tissue
Acute soft tissue injury
Where an area is too painful or too swollen for direct manual work — the phase in which most people are told simply to rest, ice and wait.
Spinal
Recovery between training blocks
Used as a recovery method by athletes in hard training phases, alongside sports injury rehabilitation. Randomised studies have examined deep oscillation after fatiguing training and in tennis elbow. Sports injury rehab →
Preventative
Long-standing tissue restriction
Older scar tissue and chronic soft tissue changes, used alongside hands-on Osteolates treatment and prescribed rehabilitation exercise rather than on its own.
ℹ
Always confirm with your surgical team before beginning any new treatment after an operation.
Evidence
What the research shows —
and what it does not.
Deep oscillation has a real but uneven evidence base. It is strongest in post-surgical and sports recovery, and weakest in exactly the area this practice is best known for — low back pain. Rather than quietly omit that, here is both sides.
Where deep oscillation sits in a recovery timeline
The timeline above is a guide — your actual progression depends entirely on your specific surgery, your surgeon’s protocol, and how your body responds at each stage. Nothing is advanced until it is genuinely safe to do so.
What the evidence supports
Peer-reviewed randomised trials and reviews
- Early rehabilitation after ACL reconstruction — randomised controlled trial of 60 patients, Journal of Rehabilitation Medicine, 2025
- Lateral epicondylalgia (tennis elbow) — pilot randomised trial, 2016
- Hamstring flexibility in athletes — Journal of Sport Rehabilitation, 2018
- Recovery after fatiguing training — randomised cross-over study, 2018
- Primary wound healing — randomised pilot study, 2014
Where the evidence is weaker
Claims we deliberately do not make
- Low back pain — a 2024 systematic review found no strong evidence of effectiveness
- So we do not offer deep oscillation as a back pain treatment
- We do not treat lymphoedema or lipoedema — outside Teejay’s scope of practice
- No claims are made here about cancer-related or medical conditions
- It is used alongside your medical care, never as a replacement for it
The critical distinction
How a session
actually works.
Sessions are quiet and undramatic. Most people describe a light pulsing or fluttering sensation and nothing more. There is no heat, no needles and no deep pressure.
No pressure required
The therapist's gloved hands or a handheld applicator move lightly over the area. Nothing is pressed into the tissue, which is why it suits areas that are still painful.
Comfortable from the first session
Most clients feel a gentle pulsing and nothing else. Because it is athermal, there is no heat and no sensation of intensity to build up to.
Alongside, never instead of
Deep oscillation is used within an Osteolates session as one technique among several, or as a standalone session where hands-on work is not yet appropriate.
Reassessed as you progress
As swelling settles and tissue tolerates more, the balance shifts towards hands-on treatment and rehabilitation exercise. Deep oscillation is reduced, not continued indefinitely.
What makes this different
What your first
session covers.
A first deep oscillation session begins with a short assessment of the area, so the treatment is targeted rather than generic.
Your first session covers
- ✓The injury, operation or problem area, and its date
- ✓Any restrictions set by your surgeon or physiotherapist
- ✓Current healing stage, swelling and tissue quality
- ✓Whether deep oscillation alone, or Osteolates alongside it, is appropriate
- ✓Any contraindications, including pacemakers and active infection
- ✓A clear plan and an honest view on whether it will help
The Where it fits
Where deep oscillation fits
in your recovery.
Deep oscillation is a phase tool, not a permanent one. Its value is concentrated in the period when tissue is too reactive for hands-on work, and it tapers off as that changes. If you are already past the swollen, reactive stage, deep oscillation is probably not what you need — and Teejay will tell you so at the first session rather than sell you a course of it.
01
Reactive phase
Too sore to touch
Deep oscillation is applied around the area while manual work would not be tolerated. This is where most of its value sits, and it is the phase in which people are usually told simply to rest and wait.
About Osteolates Therapy02
Transition phase
Hands-on becomes possible
As the area calms, hands-on Osteolates treatment takes over the main work. Deep oscillation continues within the same session as preparation before manual treatment, rather than as the treatment itself.
Full apparatus studio03
Loading phase
Back to building strength
Treatment reduces and prescribed rehabilitation exercise takes over — clinical Pilates on the full STOTT apparatus, progressing to small group sessions of no more than 7. Deep oscillation is tapered out, not continued indefinitely.
View membership optionsWhy the full apparatus matters most here — the Cadillac and Reformer allow load to be adjusted in small, precise increments — far finer control than free weights or standard gym machines. Strengthening can begin earlier in the recovery timeline without risking the surgical site. Full apparatus studio →
Working with your medical team — we work alongside surgeon and physiotherapy guidance, not in place of it. Your programme is built to respect any specific restrictions from your surgical team precisely. We are happy to liaise with your physio directly.
Client results
What St Albans clients say
about their recovery.
★★★★★ 4.9 ★ on Google · 123 reviews · London Colney, St Albans
★★★★★
10 years attending
“I have been going to The Sogunro Practice for the past 10 years, doing Applied Pilates twice a week. It makes a huge difference to my overall health, strength and balance.”
★★★★★
Recovery between training blocks recovery
“I was nervous about doing anything after my back surgery. Teejay worked patiently within exactly what my surgeon advised, and I felt safe every step of the way.”
Getting started
Three steps to
getting started.
Deep oscillation can be booked on its own, or as part of a session. There is no requirement to commit to a programme.
01
Deep Oscillation Express
£65
30 minutes. Targeted deep oscillation to a specific area, on its own or combined with hands-on treatment. No assessment required first.
Book assessment →02
Osteolates Full Session
£110
60 minutes. Deep oscillation, hands-on soft tissue treatment, targeted rehabilitation exercise and a written home care plan.
View prices →03
Movement Assessment
£85
Optional. If you want the rehabilitation programme as well as the treatment, the 60-minute movement assessment is the entry point. It is not required to book deep oscillation on its own.
View timetable →Why trust Teejay Sogunro with your Deep Oscillation Therapy
STOTT PILATES® Full Comprehensive Certified STOTT PILATES® Rehabilitation Certified Qualified Sports Therapist Trigger Point Dry Needling Studied BSc (Hons) Osteopathy — Middlesex University YMCA Qualified Fitness Professional Registered Healthcare Practitioner — CNHC & CThA 25 years professional practice · Founded 2001
View full credentials and professional backgroundRelated pages & information
Conditions hubBack Pain & All ConditionsRead more → Related conditionHip & Knee PainRead more → Related conditionOsteoarthritis & OsteoporosisRead more → TreatmentOsteolates TherapyFrom £65 → ApparatusReformer & Cadillac StudioFull suite → PricingFrom £65 · 30 minutesAll prices → LocationLondon Colney, St AlbansFree parking → SportsSports Injury RehabRead more → ConditionShoulder & Neck PainRead more → ConditionFacet Joint SyndromeRead more → ConditionSciatica TreatmentRead more → ConditionHypermobility & InstabilityRead more → Over 60sPilates for Over 60sRead more → Reviews4.9 ★ on Google · 123 reviewsRead reviews → AboutTeejay SogunroFull credentials → Men’sMen’s Applied PilatesRead more → ConditionPosture CorrectionRead more →
Common questions
Questions about deep oscillation
therapy in St Albans
-
Deep oscillation is an athermal electrostatic therapy. An electrostatic charge is applied through the therapist's gloved hands or a handheld applicator, and the tissue between that and an electrode held by the client is drawn and released many times a second. The oscillation occurs inside the tissue rather than being pushed into it from outside, which means almost no pressure is needed. The Sogunro Practice in London Colney, St Albans, uses the clinical HIVAMAT 200 system.
-
No referral is needed, and the £85 movement assessment is not required either — deep oscillation can be booked as a standalone session at Osteolates rates. If you are under a surgeon or physiotherapist we strongly encourage you to discuss it with them first, and Teejay is happy to work within their restrictions or liaise with them directly.
-
Most people describe a light pulsing or fluttering sensation and nothing more. There is no heat, no needles and no deep pressure, and nothing to build a tolerance to. Sessions are 30 or 60 minutes depending on whether you book Express or a Full session, and you remain clothed or partially covered depending on the area being treated.
-
Not on current evidence, and we do not offer it as one. A 2024 systematic review in the Journal of Bodywork and Movement Therapies concluded there is no strong evidence that deep oscillation is effective for low back pain. For back pain, the work at The Sogunro Practice is assessment-led clinical Pilates and hands-on Osteolates Therapy. Deep oscillation is used here for post-surgical and acute soft tissue recovery, where the evidence is stronger. Full apparatus studio →
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Deep oscillation is charged at Osteolates rates: £65 for a 30-minute Express session and £110 for a 60-minute Full session. It is included within either session where clinically appropriate at no extra cost, and can also be booked on its own. The £85 movement assessment is not required to book it.
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Unit 5, Hertfordshire Business Centre, Alexander Road, London Colney, St Albans, AL2 1JG. Ample free parking on site. See map and directions. 2 minutes from M25 junction 22. Approximately 10 minutes from St Albans, Radlett, Hatfield and Harpenden, and within a 10-mile drive of Watford, Borehamwood, Potters Bar and Welwyn Garden City. Map and full directions →
Ready for a confident recovery?
Book deep oscillation therapy
Book a Deep Oscillation Session
Or call Teejay directly 07734 578959
Book deep oscillation therapy
in St Albans.
Deep oscillation is charged at Osteolates rates — £65 for 30 minutes, £110 for 60 minutes — and no assessment is required to book it. Teejay will explain your plan clearly and work alongside your surgical team’s guidance throughout. Ample free parking on site.
The Sogunro Practice · Applied Pilates & Osteolates Therapy
Unit 5, Hertfordshire Business Centre, Alexander Road
London Colney · St Albans · Hertfordshire · AL2 1JG · Free parking on site