First Appointment

Initial Assessment

£85 · 60 minutes · Includes treatment

Your first session

What happens in your first session

Your initial assessment begins before you arrive. A short intake form gives your physiotherapist the context to ask the right questions from the start — not to fill in paperwork, but to direct the conversation toward what actually matters. You will not need to repeat yourself every visit.

The session itself opens with a thorough history. Where is the pain, how long has it been there, what makes it better or worse, what have you already tried. This is followed by a physical examination — movement testing, postural analysis, strength and neural testing where relevant. Every element of the assessment informs the clinical picture, not just the complaint.

By the end of the session, you will have a clear diagnosis, an explanation of what is driving your symptoms, and a realistic recovery plan. Most patients receive hands-on treatment in the same appointment, so the time is never spent purely on assessment. You leave with a home exercise programme and a clear sense of what comes next.

What is covered

What’s included

Full body assessment

Movement testing, postural analysis and strength assessment tailored to your presentation.

Movement & postural analysis

Identifying movement patterns that contribute to your pain, not just the site of it.

Diagnosis explained clearly

Clinical reasoning shared with you in plain language — what is happening and why.

Personalised treatment plan

A structured recovery plan built around your goals, timeline and lifestyle.

Hands-on treatment

Where clinically appropriate, manual therapy begins in the same session — no waiting.

Home exercise programme

Exercises chosen for your specific presentation, explained and demonstrated before you leave.

Follow-up recommendation

An honest, clinical recommendation on next steps — how many sessions, what interval, and whether in-person or online follow-up is appropriate for your case.

Is this right for you

Who this is for

You are new to The PhysioSphere and coming in for the first time.

You are not sure what is causing your pain and want a clear diagnosis before committing to ongoing treatment.

You have been told to rest and it has not made a difference — or the pain has returned after a period of recovery.

You want a thorough assessment that goes beyond the symptom site and looks at your movement, load and lifestyle as a whole.

Common questions

Questions about the initial assessment

Is the initial assessment different from a treatment session?

Yes. The initial assessment is longer (60 minutes versus 45 minutes for a treatment session) and is priced at £85 versus £70 for follow-up sessions. The extra time accounts for the history-taking, full physical examination and clinical reasoning that go into establishing your diagnosis and building a treatment plan. Follow-up treatment sessions pick up where the assessment leaves off — they are focused and purposeful rather than starting from scratch.

Do I need to bring anything?

Wear comfortable clothing that allows access to the affected area — shorts for lower limb assessments, a vest or loose top for shoulder and upper back work. If you have any relevant scan results (MRI, X-ray reports) or letters from your GP or specialist, please bring these along. They are not essential but can add useful context to the clinical picture.

Ready to understand what’s going on?

Weekend appointments available every Saturday and Sunday at Marylebone and Belgravia. £85 · 60 minutes · Includes treatment.

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