Ear Health Check and Microsuction Ear Wax Removal

Ear Health Check and Microsuction Ear Wax Removal

According to The National Institute for Health and Care Excellence; in the UK, it is estimated that 2.3 million people each year have problems with earwax that require intervention.   Unfortunately, many people have reported no longer being able to access free earwax removal services from their GP which is often down to the fact that the old ‘syringing’ method – previously widely available on the NHS – has been found to be unsafe and is no longer used.

At Hope Physiotherapy Clinic, we provide a safe, comprehensive ear health check, and wax removal service using micro-suction.  Our specialist therapists use advanced equipment to perform a hearing screening, record images, and safely remove excess wax using the latest TympaHealth system to deliver the best service and care possible.

Who It Helps

Earwax is a produced by the body as a normal and necessary process, protecting our ears by trapping dirt, dust, and bacteria from the environment.  However, sometimes our body can produce too much wax – which can continue to build up, making it difficult to hear and causing pressure and pain.  

There are a few key indicators to look out for, and the following symptoms could indicate that there has been a change in your ears:

• Hearing loss

• Earache or a feeling that your ears are blocked

• Ringing or buzzing in your ears (tinnitus)

• Vertigo (feeling dizzy and nauseous)

• Earwax is also the number one cause of a whistling hearing aid

Our Ear Health Care Pathway

If you are experiencing any of these issues or would just like the peace of mind that comes from a professional ear examination, we invite clients to book a 15 minute Ear Health Assessment.  During this appointment our trained therapist will conduct a thorough ear health examination using a video endoscope to take pictures and video or your ear canal.

If safe to do so and clinically necessary, we will book you a follow up appointment for wax removal using the most appropriate method which could be removal using manual extraction techniques if the wax is in the very outer part of the ear canal, or micro-suction for wax that is situated inside the ear canal.

It is common that patients who require micro-suction, will be advised to use “Earol” olive oil spray (or similar) for a few days before the micro-suction procedure to soften the wax.  This can be purchased in our clinic, or at a pharmacy of your choice. 

What to expect during your micro-suction appointment

The therapist will check your ears once again for changes since your assessment appointment and use a machine called an otoscope to safely insert a small suction tube into the ear canal.  Excess wax is then removed using suction, this can be a little noisy but should never be painful.

You will then be given a hearing test (unless you have a PVP shunt) and the results of the entire procedure discussed.

Photographs and videos are taken before, during, and after the procedure.  Your therapist may use the images to request further advise or a second opinion if necessary and to make sure that you are as informed as possible about the outcome of the procedure.


Occasionally, it may not be able to remove all the wax in a single appointment.  A second appointment may be required after further use of “earol” to soften residual wax.

In some situations, or if an abnormality of the ear canal is discovered, it may be necessary to refer you back to your GP or ENT specialist.  If this is the case, your therapist will provide you with a comprehensive report of their findings.

"Once you choose Hope, anything is possible"
- Christopher Reeve



Do you have a question?

Do I need to see my GP first?

No, you do not need a referral from The NHS to start your treatment with us. Unless you are using private insurance and they specify otherwise, we will see you without the need for any delay.

What shall I wear?

Wear something comfortable and appropriate for the area of your injury to be assessed - e.g. shorts for a knee injury. We understand that some people can be nervous or put off by the thought of an examination, please be assured that we are professionals and your modesty will be respected at all times.

When do I pay?

Payment is requested at the time of booking your appointment so that we can dedicate every last minute of our time with you to treatment and not admin.


Our preferred method of payment is via Bacs Transfer, but we also accept card and cash payments in the clinic if that’s preferred. Should you need to cancel or reschedule your appointment, please provide us with a minimum of 24 hours’ notice as non-attended appointments and short notice cancelations are subject to the full charge being invoiced to the patient.


If you have private health insurance, we will deal with your referring company direct in the majority of cases.Printed receipts are available upon request.


Our fees can be seen here .

Can I change my appointment?

We ask that you give us a minimum of 24 hrs notice of any changes to your appointment so that we can offer the appointment to another client. Less than 24 hours' notice may result in a charge.  You can call us, email, or send us a text.

Do I need to bring anything with me?

If you have had any tests or investigations related to your problem (like a scan or X Ray), it can be helpful to bring these along.

What are your qualifications?

Our physiotherapists are very experienced and fully qualified professionals.  They are registered with the Chartered Society of Physiotherapists (CSP) and Health and Care Professionals Council (HCPC). 

How many sessions will I need?

This will depend on factors such as:

  • How long you've had a problem

  • The severity of your symptoms and condition

  • What you want to be able to do? For example, a person wishing to get back to training for a specific sport or event may require a longer course of treatment for a knee injury than an office worker who spends a lot of time sitting.


A standard course of physiotherapy would be around 3-5 sessions but this can vary.  A client with a minor injury or someone seeking advice on what they should and shouldn’t be doing in relation to their condition might just need 1-2 sessions covering specific exercises to do themselves at home.  However, a client requiring post-operative treatment or neuro physio for stroke recovery may require treatment over a longer period. 

We pride ourselves on transparency and honesty at Hope Physiotherapy Clinic, you can be assured that we will not extend your treatment unnecessarily.


Portsmouth Clinic

Pompey Health & Fitness Club,
422 Copnor Road, Portsmouth, PO3 5EW

Lee On The Solent Clinic

1 Pier Street, Lee On The Solent,
PO13 9LD


Our Customer Reviews


I’ve been here with a shoulder injury and in only a few sessions, I’ve seen huge improvement. Warwick really know his stuff and has helped me in my recovery

Chris A

Kirsty Davidson has treated me for some time after different surgeries. She is efficient, thorough and friendly and has been a great help to me. I highly recommend her.

Patricia S

I have been to Hope Physiotherapy for over a year. The massage l receive from Nicky has helped to kept me mobile. She is very professional but not condescending or arrogant. She has great empathy and can adapt her massages to whatever is needed. I especially like the hot coals massages. I would recommend this lady without a fault, she is the standard by which all should be measured


From the moment you enter the clinic from the receptionist to the therapist everyone was so friendly, kind and helpful. Sarah (physiotherapist) was very knowledgeable and made me feel at ease. She explained everything thoroughly. I highly recommend Hope Physiotherapy

Tracy M

I had excellent service today at Hope in Lee on Solent . I needed a steroid injection for knee pain. This was done by Victoria, quickly and efficiently and most of all painlessly

Patricia D

Appointment made very quickly-reception very friendly and welcoming. Physiotherapist, Sarah,was extremely helpful and patient,and kind. Follow up telephone calls to check on my progress. Fully recommended.

Karen C

The best physiotherapists you’ll find anywhere. A wealth of experience

Angela E

Excellent and professional service. Kirsty has helped me immensely following a car accident and reduced pain and improved mobility in the affected areas in our sessions. Comfortable and welcoming environment, would happily recommend to anyone in need of a physio. Having previously had treatment from NHS physiotherapy the improvement is so much better in fewer sessions. Thank you.

Charlotte P

Suzie has been absolutely fantastic! She has treated me for a few months and I'm not sure where I would be if I hadn't had her help and support. She is someone I have recommended, and will continue to do so in the future.

Julie R

First appointment with Osteopath Dawn who put me at my ease, she took a full history of the 'problem' before treatment, I came away with advice and exercises. Very happy to go again for follow up.

Mary B

Jenny has been just brilliant! After months of pain she quickly diagnosed my knee problem and set to work on helping me with the right exercises. I have now been discharged and delighted to be back to taking long walks and being pain free. Thank you Jenny

Kerry T

I have struggled on and off for a few years with the same pain in my body, just a couple of sessions has reduced the pain to just a niggle, and as long as I follow the advice that niggle will be gone very soon. I actually felt Never listened to me rather than jump to conclusions. If you are looking for a friendly, extremely knowledgeable Physio I recommend Hope.

Andy L

Never is an extraordinary man and a very special Physio. I broke my neck in 4 places in a terrible accident only 6 months ago, finding Never was one of the single biggest and luckiest things I have done. His skills are remarkable and go way beyond just basic physiotherapy care. He has brought me back to full fitness after just a few visits. The people of Portsmouth are indeed very lucky to have this caring and highly professional qualified man here in the city.

Kate B

Never the physiotherapist is very professional and knowledgeable. He puts you at ease and he provides very helpful advice in a very friendly way. He offers a 15-minute free online consultation bookable via his website, so this is helpful if you are unsure what to book. I would highly recommend! Many thanks!


For 30+ years I have been having this backache almost on daily basis. During the years it was diagnosed as spondylolisthesis. I was told to exercise, do physio, or undergo an operation. I went from one physio‘ to another and exercised to no avail. Then a couple of years ago I went to hope physio when it was so bad, I barely could walk. A few days after the pain started to subside and now I am completely pain-free. thank you so much, ever so grateful.


Never treated me after I had for a major rotator cuff repair. My surgeon warned that I might not get all the movement back. Never was happy to work hard with me to ensure that actually I did get almost 100% movement back. He tailored exercises to my needs and was so supportive, and positive that I would succeed. He really understands shoulders and this meant that he provided me with the most appropriate exercises. Thank you so much Never, Totally recommended.

Sian B