Treatment & fees
No page behind this one. The conditions, the treatments, the course, the whole fee list and the cancellation terms are all below — because the two questions that stop people booking are “will this help me?” and “where does the bill end?”, and neither gets answered by a contact form.
Conditions
Each region lists the term most people search for and the term that will appear in your notes. They are usually not the same word, and that is not your fault.
Treatments
Subjective history, then an objective examination: range of motion measured rather than estimated, strength tested, and the relevant cluster of special tests. You leave with a working diagnosis and a baseline score, not an impression.
Mobilisation, soft tissue work and muscle energy technique. It settles symptoms and buys a window in which loading is tolerable — which is what it is for. Used alongside a programme, not instead of one.
The half of physiotherapy that holds. Eccentric and heavy-slow loading for tendons, graded exposure where fear of movement is doing the damage, proprioception and return-to-sport testing after a knee.
For stubborn tendon problems — plantar heel pain, insertional Achilles, calcific shoulder — that have not moved with loading alone. It is sold as a course of three over three weeks because a single session is not a treatment.
Western medical acupuncture, added to a treatment session where it is clinically indicated. Aled is AACP-trained and the clinic holds the local authority skin- piercing registration that needling requires.
Treadmill work filmed and played back in slow motion, with a written report. Run by Marguerite. If the answer is a change to your loading rather than an orthosis, that is what the report will say.
The course
History, examination, working diagnosis, baseline outcome measure, and an estimate of the number of sessions.
Written down: the diagnosis, what we do, what you do, and the expected total. You approve it before anything is booked.
Hands-on work to settle symptoms, paired from the first day with the loading programme that does the lasting work.
Same outcome measure, repeated. Numbers moved — carry on. Numbers flat — change the plan, or refer you on.
A supported self-management plan, the progressions, and what would justify ringing us again.
Outcome measures we use: MSK-HQ, the Patient-Specific Functional Scale, the numeric pain rating scale, and condition-specific scores — SPADI for shoulders, the Oxford Knee Score, QuickDASH for the upper limb, and STarT Back at first contact for low back pain. Using validated measures is an explicit requirement of the CSP's quality assurance standards, not a flourish.
Fees
A price without a duration is not a price. There is no booking fee, no card fee and no assessment supplement; the figure in the right-hand column is the figure you pay.
| Appointment | Length | Fee |
|---|---|---|
| Initial assessmentPhysiotherapy, one region | 45 min | £72 |
| Extended initial assessmentMulti-region or persistent pain | 60 min | £92 |
| Follow-upThe standard treatment session | 30 min | £62 |
| Extended follow-upSupervised rehabilitation | 45 min | £78 |
| Block of four follow-ups£16 saved · £58 a session · refundable pro-rata | 4 × 30 min | £232 |
| Block of six follow-ups£36 saved · £56 a session | 6 × 30 min | £336 |
| Podiatry — MSK foot & ankleInitial assessment | 45 min | £78 |
| Podiatry follow-up | 30 min | £64 |
| Biomechanical & gait assessmentTreadmill, slow-motion video, written report | 60 min | £120 |
| Shockwave (ESWT), singleRarely sold singly — see the course | 20 min | £85 |
| Shockwave course of threeOver three weeks, as the evidence describes | 3 × 20 min | £225 |
| Video consultationReview and progression only | 30 min | £45 |
| Home visitWithin 5 miles of S3; £2 a mile beyond | 45 min | £110 |
| Sports massage30 min £38 · VAT applies to this line only | 60 min | £62 |
| Letters, reports and fit notesQuoted before we write anything | — | £40 |
An assessment plus four follow-ups — the median course, here and nationally — is £320, or £304 if the follow-ups are bought as a block. That is the honest answer to “what will this cost me”, and it is the number we will confirm or revise in writing at the end of your assessment.
Recognised by Bupa, AXA Health, Vitality, Aviva, WPA and Healix; billed directly through Healthcode. AXA Health wants a pre-authorisation number before your first visit. Most policies open with a block of around six sessions — if you need more, we write the clinical justification.
Twenty-four hours' notice, no charge. Under twenty-four hours, half the fee. A missed appointment, the full fee. No insurer covers either — that always falls to you, so we would rather you knew now.
Card or bank transfer at the end of each appointment. Blocks are paid up front and refunded pro-rata if you are discharged early. We do not run maintenance plans or direct debits.
In the clinic
Before you book
No. Private physiotherapy needs no referral of any kind — not from a GP, not from a consultant, not from the NHS MSK service. You can ring this morning and be assessed this week. The only exception is insurance: AXA Health asks for a GP referral and a pre-authorisation number before your first appointment, and Bupa wants you to go through its Direct Access line to get an authorisation code. We will tell you exactly what to ask for.
About five for a straightforward problem, which is also the national median — an assessment and four follow-ups, roughly £320. We will give you a written estimate at the end of the assessment and we re-measure at session four, so if it is not working you find out from us rather than working it out yourself six appointments in. Persistent pain, post-surgical rehab and return-to-sport work all run longer, and we will say so up front.
Something you can move in and that lets us see the area — shorts for a knee, hip or ankle, a vest top for a shoulder or neck. The first twenty minutes are questions, not hands: what you did, when it started, what makes it worse, what you need to get back to. Then the examination. Gowns are available and you are welcome to bring someone in with you.
Then we say so, and you pay for the assessment and nothing else. Some things need a GP, an orthopaedic opinion or imaging we do not do here, and a few need same-day medical attention. We would rather write you a clear letter to take to someone else than start a course of treatment that was never going to help.
Book
Or ask for the free fifteen-minute call first. We will tell you honestly whether it is worth your coming in — that conversation costs us a quarter of an hour and saves you seventy-two pounds if the answer is no.
