Spinal conditions treatment in London
Acute and chronic spinal problems across the neck, mid-back and lower back, assessed and treated with a programme built around your posture and movement.
- Initial assessment £85
- Hampstead & Highgate
- No GP referral needed
- Appointments in 24 to 48 hours
Medically reviewed by the SMARTPHYSIO clinical team · August 2026
Understanding acute and chronic spinal conditions
- Neck pain and stiffness, sometimes after a trauma such as whiplash
- Mid-back pain around the shoulder blades or ribs
- Shoulder pain linked to imbalance in the rotator cuff or shoulder blade muscles
- Pain that is worse with certain postures or after long periods sitting
- Reduced range of movement in the neck or back
- Pain that has settled into a long-term, recurring pattern
- Acute spinal problems often follow a trauma, such as whiplash from an accident
- Chronic neck and back pain is more often related to lifestyle factors such as posture and prolonged sitting
- Mid-back pain often stems from the junctions where a stiffer part of the spine meets a more mobile one
- Shoulder pain linked to the spine often comes from an imbalance in the rotator cuff and shoulder blade muscles
- If pain has followed a fall, accident or direct trauma
- If pain spreads into an arm or leg, or comes with numbness or tingling
- If a chronic ache has lasted more than a few weeks without easing
- Seek urgent medical help the same day for numbness around the saddle area, new bladder or bowel problems, or weakness in both legs
Our approach to spinal conditions
A graded exercise programme with a particular emphasis on postural alignment, adjusted to what we find.
Evidence favours a graded exercise programme for most spinal conditions, with a particular emphasis on postural alignment. Your assessment looks across the whole clinical picture, not just the painful area, since problems in the neck, mid-back and shoulder often connect.
Where a standard programme does not suit you, we adapt it. Treatment is tailored to your individual presentation rather than applied as a single routine for every spinal complaint.
What your programme can include
Where to find us in London
Two clinics in north London, and home-visit teams working from Kensington and Chelsea. Can’t come to us? We come to you.
ClinicHampstead
444 Finchley RoadLondon NW2 2HY★ 4.8 · 140 reviewsView clinic →
ClinicHighgate
244 Archway RoadLondon N6 5AX★ 5.0 · 14 reviewsView clinic →Home-visit base
Kensington
2 Kensington SquareLondon W8 5EPHome visits across the areaHome visits from here →Home-visit base
Chelsea
48-56 Ebury Bridge RoadLondon SW1W 8QFHome visits across the areaHome visits from here →
What our patients say
“Shokola was great with my 12 year old daughter. She got straight to the issue and made good and practical suggestions for treatment.”
Google review →“Harsha has been kind, attentive and has helped me hugely with my hip and Achilles injuries. She’s a brilliant and very knowledgeable physiotherapist and I recommend her highly.”
Google review →“I have seen several different therapists at Sammy Margo’s over many years. Every one has been excellent. When I was recovering from a hip replacement the physio I received helped me recover really quickly. Highly recommended.”
Google review →“I had a full hip replacement following a cycle accident, and have daily physio visits on weekdays for three weeks. I am already able to walk short distances without a stick or crutch, and this is entirely due to the work they have done with me.”
Google review →“Thanks to Olga I have made great strides in my recovery from the after-effects of sepsis. My strength, balance and mobility have improved enormously under her excellent physiotherapy. I would recommend her wholeheartedly.”
Google review →Frequently asked questions
What is the difference between acute and chronic spinal conditions?
Is neck and back pain always caused by an injury?
Do I need a scan before treatment?
When is spinal pain an emergency?
Can physiotherapy help mid-back and shoulder pain, not just the neck?
Let's get you moving again
Tell us about a home visit and we will call you back the same working day, or book a clinic appointment online.
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