Assess
Physical screening and performance testing to find what is limiting you. Carly takes a full history, examines how you move and load, and measures where it matters, so the plan starts from numbers rather than guesswork.
Condition
Shoulder Pain Treatment in Central London
Physiotherapy for rotator cuff problems, frozen shoulder and other shoulder pain, with a clear diagnosis and a strength-led plan to get you reaching, lifting, sleeping and training again.
Overview
Understanding shoulder pain
The shoulder is the most mobile joint in the body, and it relies on the rotator cuff, a group of four small muscles and their tendons, to stay controlled. Rotator cuff problems are a common cause of shoulder pain, often felt on the outside of the upper arm and worse when reaching overhead or lying on that side.
Frozen shoulder is different. The joint capsule becomes inflamed and tight, causing pain and stiffness that limit movement in every direction. It tends to improve on its own, but this can take a long time, and the NHS describes recovery taking from 1 to 3 years.
Carly first works out which problem you have, then treats it through physiotherapy: hands-on treatment, exercise to restore movement, and progressive strength work for the rotator cuff and shoulder blade muscles. For athletes and drivers, sports injury rehab rebuilds the shoulder for the demands of your sport.
Physiotherapy for shoulder pain can help you to:
Reach overhead without that catch of pain
Rebuilding rotator cuff and shoulder blade strength helps the joint stay controlled through its full range, so reaching a shelf or putting on a jacket stops hurting.
Sleep on my side again
Night pain is one of the most common shoulder complaints. Settling the irritated tissues and adjusting sleeping position usually helps you get a full night again.
Get movement back with a frozen shoulder
Exercise and hands-on work matched to the stage of your frozen shoulder, to keep as much movement as possible and restore the rest as it eases.
Get back to lifting, pressing and contact sport
Load is reintroduced in measured steps, from simple strength work to pressing, pulling and impact, so the shoulder is ready for what your sport demands.
Why it happens
What causes shoulder pain?
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Overloading the rotator cuff tendons with repeated overhead work, throwing, lifting or pushing
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A sudden jump in training load, especially pressing, pulling or upper-body gym work
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A fall or collision onto the shoulder or an outstretched arm, common in contact sport
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Frozen shoulder, which is more common in people aged 40 to 60 and in people with diabetes
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Age-related changes in the rotator cuff tendons, which can make them less tolerant of load
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Weakness or poor control of the muscles around the shoulder blade
What happens at your first assessment?
Your first session is a full hour with Carly. She takes your history, asks what you need to get back to, then screens how you move, how strong you are and what the problem area is doing under load.
You leave with a working diagnosis in plain English, the first steps of your plan, and a clear idea of how progress will be measured.
Fees and booking
Sessions are £150 per hour, by appointment at UNTIL Marylebone, Canary Wharf or Soho. You can refer yourself; no GP letter is needed.
- Assessment and treatment: £150 for 60 minutes
- Self-referral: no GP referral needed if you are paying yourself
- Sessions at UNTIL Marylebone, UNTIL Canary Wharf and UNTIL Soho
- Book by phone on 07719 662005 or by email
How it works,
from first assessment to full output
A clear path from first assessment to being back at full output, measured, not guessed. Every session is one hour with Carly, at UNTIL Marylebone, Canary Wharf or Soho.
Plan
A programme built around your goals, your sport and your calendar. You leave knowing what is driving the problem, what you are going to do about it, and how progress will be measured from one session to the next.
Build
Coached sessions and progressive loading, adjusted as you improve. Strength, control and conditioning are built in stages, with the load moved on only when the last stage has been earned.
Return
Back to sport and racing, with objective measures to prove it. The decision to return rests on retesting against your own baseline, so you go back with evidence rather than a feeling.
Treatment approach
How do we treat shoulder pain?
Physiotherapy
£150Assessment separates rotator cuff problems, frozen shoulder, instability and pain referred from the neck, then hands-on treatment and exercise restore movement and strength.
See treatment detail →Sports Injury Rehab
£150Progressive loading for overhead, contact and gym-based sport, so the shoulder can take pushing, pulling, throwing and impact again before you return.
See treatment detail →Performance Testing & Assessment
£150Measures shoulder strength side to side at the start and as you progress, so return-to-sport decisions rest on numbers rather than feel.
See treatment detail →FAQ
Shoulder pain
questions
How do I know if it is my rotator cuff or a frozen shoulder?
Rotator cuff pain is usually worse when lifting the arm overhead or out to the side, while other movements stay fairly free. Frozen shoulder causes stiffness in every direction, even when someone else moves your arm for you. Carly tests both at your first Box Box assessment.
How long does frozen shoulder last?
Frozen shoulder usually gets better on its own, but the NHS notes it can take 1 to 3 years. Physiotherapy aims to ease pain and keep as much movement as possible while it runs its course. Carly will suggest talking to your GP about other options if progress is slow.
When is shoulder pain an emergency?
Call 999 if shoulder pain comes with chest pain, tightness, breathlessness or sweating, as it can be a sign of a heart attack. Go to A&E if the pain follows a fall or injury and is severe, you cannot move your arm, or the shoulder has changed shape.
Should I rest a painful shoulder?
Short-term rest from the movements that flare it can help, but long periods of complete rest usually make the shoulder weaker and stiffer. Keeping it moving within comfort, then building strength step by step, is the approach most likely to help it settle and stay settled.
Related Conditions
Get Started
Ready when
you are.
Box Box Physiotherapy and Performance • UNTIL Soho, 111 Charing Cross Road, London WC2H 0DT
Book an assessmentBased in central London, by appointment. Sessions at UNTIL Marylebone, Canary Wharf and Soho.