Desk-related stiffness, referred headaches and shoulders that will not lift.
What you may notice
Desk workers, overhead athletes, and adults over forty
Neck and shoulder problems overlap: the neck refers pain into the shoulder and the shoulder refers into the upper arm, and telling them apart is most of the assessment. A shoulder that hurts at night and cannot reach behind the back behaves differently from one that hurts only overhead, and they need different programmes.
How it works
01
A full hour. We find out what the problem is, measure where you are starting from, and tell you honestly how long it should take.
02
Reduce the pain enough to make loading possible — with hands-on treatment, taping or activity modification. Usually the shortest stage.
03
The stage that does the work. Progressive loading, measured against your baseline, with most of it happening between appointments.
04
Reintroducing the specific demands of your sport, job or life — and testing against criteria rather than against the calendar.
05
A maintenance programme and a clear statement of what to keep doing. Recurrence is usually a stopped programme.
Programmes
What each programme involves, how many sessions, and what you will be doing between them.
A full hour: history, examination, measurement, explanation and a written plan.
A progressive, measured programme with supervised sessions and homework between.
Hands-on treatment to reduce pain and restore movement — alongside a programme, never instead of one.
Objective criteria for the decision about when you go back.
Video and force analysis of how you actually move, and what to change.
For stubborn tendon problems that have not responded to loading alone.
Small supervised groups for strength, mobility and confidence after discharge.
Appointments
Every course starts with a full assessment. Wear or bring clothing you can move in, and bring any scans or letters you have.