Shoulder, elbow and hand

Shoulders are the joint most often treated for the wrong thing. The tests in the first forty-five minutes tell the cuff from the capsule from the neck, and the treatment is different for each.

Sara leads the upper limb work. A shoulder assessment looks at the joint, the rotator cuff, the shoulder blade and the neck, because a shoulder that hurts is often a neck or a blade that is not doing its job. Frozen shoulder has its own path: a long, staged plan with honest timescales, because it takes a year and we would rather say so. Rotator cuff problems respond to the right loading in the right order, and tennis and golfer's elbow to a loading programme that most people have never been shown.

Hands and wrists after fractures, trigger finger, carpal tunnel and the thumb pain of new parents are seen here too, with splinting where it helps and a referral to a hand surgeon when the examination says so.

What is included

• Shoulder, cuff, blade and neck assessed together
• Frozen shoulder staged plan with honest timescales
• Loading programmes for cuff and elbow
• Hand and wrist rehab after fracture
• Splinting and taping
• Referral to a hand or shoulder surgeon when needed

What it costs

Initial assessment £68, follow-ups £52. Frozen shoulder is a long one, reviewed monthly; tennis elbow typically eight to twelve weeks of loading. There is no VAT on physiotherapy. All fees are on the fees page; the full list of what we treat is on the conditions page.